Posts for: September, 2013

By R. Tracy Durrett, D.D.S.
September 23, 2013
Category: Oral Health
Tags: oral health   oral cancer  
StayAlerttoYourOralHealthDuringCancerTreatment

The weapons in the war against cancer are stronger and more effective than ever. But as in real war, those weapons can inflict harm on innocent bystanders — in the case of cancer treatment, other cells in your body. Your mouth in particular may develop side effects from these treatments.

The basic purpose of common cancer treatments like chemotherapy and radiation is to destroy and inhibit future growth of cancer cells. They're very effective to that end, but they can also destroy healthy cells caught in the “crossfire” with malignant cells or have an adverse effect on the body's immune system and its response to infection. Chemotherapy in particular negatively affects blood cells developing within bone marrow, which leads to lower resistance to infection.

These can have secondary effects on the mouth. Patients undergoing cancer treatment can develop painful ulcers and sores within the mouth cavity, and reduced immunity makes them more susceptible to tooth decay or gum disease (especially if risk factors were present before cancer treatment). Certain treatments may also cause dry mouth in some patients.

If you are being treated for cancer, or about to begin treatment, we can help mitigate these effects on your oral health. The first step is to perform a complete dental examination to identify any issues that may affect or be affected by the cancer treatment. We would then treat those conditions (if possible before cancer treatment begins).

We would also monitor your oral health during the treatment period and treat any complications that arise. Such treatments might include applications of high-potency fluoride to strengthen teeth against decay, anti-bacterial rinses to reduce the risk of bacterial growth, and medications to stimulate saliva if you should encounter dry mouth.

Fighting cancer will be your main priority. You should, however, remain aware of how cancer treatment may affect other aspects of your health. As your dentist, we will partner with you in seeing that your teeth and gums remain as healthy as possible during this process.

If you would like more information on caring for oral health during cancer treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Oral Health During Cancer Treatment.”


By R. Tracy Durrett, D.D.S.
September 13, 2013
Category: Oral Health
GrandpaKnowsBestHowKristiYamaguchiManagesHerKidsOralHealth

When Olympic figure skater Kristi Yamaguchi wanted to help her kids develop good oral health habits, the gold-medal-winner made good use of a family connection: Her father Jim Yamaguchi is a practicing dentist in the San Francisco Bay area who treats her entire brood. As she said in a recent interview, when she suspects the kids may be spending a little less effort on oral hygiene than they should, she playfully admonishes them: “You've got to brush your teeth better than that. Papa-san is going to know!”

Not all kids are lucky enough to have a grandpa who's a dentist — but every child can learn how to help take care of his or her oral health with age-appropriate techniques, plus plenty of parental guidance and encouragement. What's the best way to help your kids develop good oral hygiene routines? We're glad you asked!

Through babyhood and the toddler years, parents have the main responsibility for keeping kids' teeth clean. But as they begin to put away pacifiers and cease sucking thumbs — around ages 2 to 4 — children can also begin to help with their own oral hygiene routine. By then, kids will probably be used to the feel of gentle brushing, and may be eager to try it themselves.

A soft-bristled brush with a pea-sized dab of toothpaste is all they need to get started… along with a good dose of parental patience. Show them how to wiggle the brush back and forth from the gum line, and all around the upper and lower teeth, both in front and in back. At first, they will probably need plenty of help. But after the age of 6 or so, as their manual dexterity increases, so will their ability to get the job done.

You'll still have to check their work periodically — but you can also teach them how to do it on their own: Have your child run his or her tongue over the tooth surfaces. If they feel smooth and silky, they're probably clean too. If not… try, try again. This test is a good guideline to brushing effectiveness — but if you want to know for sure, use a temporary dye called a disclosing tablet (available at many drugstores) to reveal unseen buildups of plaque bacteria.

What else can you do to give your children the best chance at keeping a healthy mouth and sparkly teeth? Set a positive example! Make sure you (and your kids) eat a healthy diet, get moderate exercise, limit between-meal treats — and visit the dentist regularly. The encouragement you'll get after having a good dental checkup will make you feel like a gold medalist — even if the praise isn't coming from grandpa.

If you would like more information on how to help your child develop good oral health habits, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Dentistry & Oral Health For Children” and “How to Help Your Child Develop the Best Habits for Oral Health.”