Journal of American Dental Association

The Hard Hitting Truth: Play Safe!

April 15th, 2019

As the sun begins to peak through the clouds and warmer weather approaches, it is a concern for many parents to protect their little ones from injuries as they gear up for outdoor activities this spring. In fact, this time of the year numerous patients suffer with head, mouth, and facial injuries because of sports accidents. Did you know, according to research published in the Journal of American Dental Association, teeth injured from a traumatic accident may never completely heal? This could result in extra dental treatment costs and long-term problems within the oral cavity. Luckily, with the right equipment and information, these accidents can be prevented and your smile can remain safe and sound! Each April, National Facial Protection Month, sponsored by the Academy for Sports DentistryAmerican Academy of Pediatric DentistryAmerican Academy of PediatricsAmerican Dental AssociationAmerican Association of Oral and Maxillofacial Surgeons and the American Association of Orthodontists, reminds us to play hard, smart, and safe by taking the necessary safety measures to prevent sports-related accidents.

Prevention is key, take a look at how you can protect your pearly whites, and what you need to do if an accident does occur:

Approximately 80 percent of dental trauma occurs on the upper two front teeth. Unfortunately, mouthguard use in sports is very low, with about 67% of parents reporting that their child does not use a mouthguard. In addition, 27% of the same surveyed parents reported that their child had an emergency room visit due to a sports-related accident.

Baseball, soccer, basketball and football make up a good majority (80%) of sports-related emergency room visits for kids aged between 5 and 14, as reported by the Centers for Disease Control and Prevention. However, facial injuries can occur at any age and regardless of the sport!

Mouthguards are known to protect your face, and lower the risk of broken teeth and damage to the lips, tongue, jaw, and surrounding structures of the face. Your teeth are at a 60% higher risk of being damaged when a mouthguard is not worn for protection. Therefore, make sure that all who participate in sports or recreational activities own and wear a fitted mouthguard.

Take a look at the different types of mouthguards available:

Custom-made Mouthguard:

A custom-made mouthguard is made by the dentist to the exact fit of your mouth. As a result, it provides the most protection and comfort, but is typically more expensive than the store-bought mouthguards. It covers all of the surfaces of the teeth and cushions the jaw.

Boil and Bite Mouthguard:

Boil-and-Bite mouthguards are placed in boiling water and then placed on the teeth to form the exact shape. It can be found at sports stores and other department stores. It is, however, less comfortable than the custom-made mouthguard and often wears down quicker and needs to be replaced often.

Commercial Mouthguard:

Found at several department stores, commercial mouthguards are the least expensive, but is the least effective because it cannot be shaped to the exact fit of your mouth. It is made out of rubber or polyvinyl and comes in generic small, medium, and large sizes.

Be sure to keep your mouthguard clean by rinsing and brushing it to remove any bacteria build up on the mouth guard.

If you or your child happen to be injured in the mouth, here's what you need to know:

Fractured/Broken tooth

  • If your tooth chips or falls out and you can find the broken piece, store it immediately preferably in Hanks Balanced Salt Solution, or in milk, or water. You can also try to gently push an extruded tooth back into the socket after carefully rinsing. See your dentist immediately within 1 hour because time is critical if it can be placed back in position. When handling the tooth only hold it by the crown and not at the root.

Facial cuts

  • Cover the wound with a clean dressing and apply pressure. Visit an emergency room if wounds are severe.

Cuts within the mouth

  • Rinse the mouth gently with cold water and apply pressure to cut with gauze. Immediately seek emergency care to evaluate for jaw injury. If you notice swelling, apply ice. Also, stick to soft food diet. Seek dental care or medical attention if to improvement occurs after a day.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. DerekDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other oral surgery needs Dr. Stephens would be more than willing to help.

Are Redheads More Sensitive to Dental Pain?

August 23rd, 2015

red

Does your hair color have an impact on your desire to visit the dentist for your routinely check-up? According to recent research, redheads may share dental anxiety as a result of sensitivity. Individuals with red hair are often resistant to local pain fighters such as Novocain. Discoveries have also shown that redheads tend to need larger doses of anesthesia. 

Despite their fiery appearance, redheads may be more sensitive to pain than others. Consequently, according to the Journal of American Dental Association, they are twice as likely to avoid going to the dentist and often experience more anxiety when it comes to dental procedures than individuals with other hair colors. In addition, redheads have an increased risk of developing Parkinson's disease (Disorder of the nervous system that affects the motor system), skin cancer, and endometriosis (Condition where tissue from the uterus grows outside of the uterus).

This news led Dr. Daniel Sessler, an Outcomes Research Department chair at The Cleveland Clinic, to produce two studies. In 2004, the study showed that people with red hair require 20 percent more general anesthesia than blondes and brunettes. In the 2005 study, it was found that redheads have a greater resistance to local anesthesia and are more sensitive to thermal pain than others.

Researchers hypothesize that variants of the melanocortin-1 receptor gene (MC1R gene), which produces melanin, may be a contributing factor. play a role. Melanin functions to give skin, hair, and eyes their color. However, redheads do not produce melanin due to a mutation of the MC1R gene, which is responsible for their freckles, fair skin color, and red hair. In fact, redhead genes are thought to date back 20,000 to 40,000 years. Although not completely understood, MC1R receptors in the brain may influence pain sensitivity. Even though this may not be the best discovery in the world for redheads, it has inspired research that may lead to new and safer drug prescriptions.

Not all redheads experience sensitivity. Yet, individuals without red hair can also carry a variant of the MC1R gene, and thus experience more anxiety than those without the MC1R gene. According to a study, the MC1R gene was found in 20 of 77 participants with brown or black hair.

Patients who have experienced pain should inform their dentists. Dental anxiety should never get in the way of maintaining your oral health. Here are steps that you can take to help relieve your stress or even conquer your dental fear.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. VanDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other oral surgery needs Dr. Ghazi would be more than willing to help.

References:

http://www.independent.co.uk/news/science/why-dental-visits-are-hairraising-if-youre-a-redhead-7584589.html

http://www.cnn.com/2009/HEALTH/07/30/redhead.pain.dentist/

http://abcnews.go.com/Health/PainManagement/dentists-tread-gingerly-redheads/story?id=8293620&singlePage=true

http://www.livescience.com/39095-redhead-health-risks.html

 http://www.smilesbydocford.com/wp-content/uploads/2015/06/Fort-Myers-Dentist-Redhead-Pain.jpg

Secondhand Smoke: a Possible Link to Cavities

March 8th, 2014

kids second-hand smoking It is no secret that secondhand smoke is harmful. It’s a known human carcinogen and many of the chemicals that comprise of the smoke adversely affect human health. While secondhand smoke has been linked to breast cancer, respiratory issues and other health complications, researchers are also showing that secondhand smoke can lead to more cavities in children.

There was also a recent study published by the Journal of American Dental Association that indicated that there is potentially a causal relationship between secondhand smoke and cavities in children.

The authors have been digging through previous observational studies and have discovered that there were 10 strong causes showing a link between cavities in primary teeth and secondhand smoke.  The Centers for Disease Control and Prevention notes that cavities is the most common chronic disease in children between the ages of 6 to 11 years old and teens between the ages of 12 to 19 years.

But how can secondhand smoke be factor that would affect cavities? At first, it may seem like a very indirect means to be the cause of dental issues. However, there have been proposed mechanisms by which secondhand smoke affects cavities. Secondhand smoke has been linked to decrease in immune function and gaining in flux of oral microbiota. Scientists have found that secondhand smoke has been linked with nasal congestion, leading to increase in mouth breathing. These factors that are consequence to inhaling secondhand smoke are potential triggers of more bacterial production in the oral cavity, leading to cavities.

There is still some ways to go as dentists continue to dig deeper in order to gain a better understanding of the relationship between human habits and the development of cavities. It will be interesting to forward to prospective studies that aim to look deeper into secondhand smoke and children’s cavities.

 

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. Kim or Dr.PradhanDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other oral surgery needs Dr. Ghazi would be more than willing to help.

References:
http://www.huffingtonpost.com/2014/02/01/kids-cavities-secondhand-smoke-baby-teeth_n_4705464.html
http://jada.ada.org/content/145/2/179.full.pdf+html
http://www.cancer.org/cancer/cancercauses/tobaccocancer/secondhand-smoke

Image: http://media.npr.org/assets/img/2012/02/06/kidsinsmokiercar-df84bc31530933a63f99789bf2920226a5aa7ede-s6-c30.jpg

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