Karen P. Meyers, DDS

Birmingham, MI

1875 Southfield Rd, Birmingham, MI  48009
Phone: 248-646-2450
Experience Excellence in Dental care

  • Home
  • About
    • Dr. Karen Meyers
    • Our Team
    • Testimonials
  • Services
    • Preventive Dentistry
    • Fillings
    • Tooth Whitening
    • Crowns, Caps and Bridges
    • Implants
      • Implant Supported Bridges, Partials and Dentures
    • Veneers
    • Childrens’ Dentistry
    • Sealants
    • Clear Correct® Clear Braces
    • Partials and Dentures
    • Extractions
    • Root Canal/Endodontic Treatment (Referred)
  • Forms
  • Resources
  • Blog
  • Gallery
    • Smile Gallery
    • Office Photos
  • Contact

Morning Headache? You May be a Tooth Grinder

July 24, 2017

If you wake up regularly with a sore jaw and headaches, or you’ve noticed tiny fractures in your teeth, you may be grinding your teeth — and you’re not alone.

Many people grind their teeth at night and many may not be aware they are doing it, according to American Dental Association. In fact, the malady, in medical parlance, is called bruxism and usually takes diagnosis by a dentist to identify it.

ADA spokeswoman Maria Lopez Howell, who is also a dentist, told the Associated Press in an interview that many times people have no idea they grind their teeth at night.

“A lot of times someone else tells them,” she said. “We will have patients who come in and say ‘Oh my wife grinds her teeth,’ or a parent saying ‘my child is really grinding’ so someone who listens to them while sleeping will report that.”

And teeth grinding doesn’t just happen at night. Here’s a look at how you can manage teeth grinding and prevent further damage:

Teeth grinding can be caused by a number of things, including: anxiety, stress, exhaustion or signs of a sleeping disorder, like an apnea, according to Howell.

The ADA stresses that people who are grinding their teeth should see a dentist to get to the bottom of why they are grinding and determine if it’s a sign of something more serious like sleep apnea.

“It’s important to talk to your dentist about if you have any sleep disorders, because you don’t want to miss an opportunity to see whether you need something other than a night guard,” Howell said.

And it’s not just anxiety and stress that can cause grinding.

A recent study from Journal of the American Dental Association (JADA) found that some behaviors, including overuse of alcohol, caffeine and tobacco may increase the risk of teeth grinding.

Drinking alcohol and smoking tobacco were both found to more than double the odds of teeth grinding, while heavy caffeine drinking increased the odds by one and a half, according to the review of seven studies ranging in size from 51 to more than 10,000 people.

What are the Symptoms?

People grind their teeth during the day, at night or both. The ADA listed several symptoms that may indicate teeth grinding, including waking up with a dull headache, sore jaw, sensitive teeth, or even notice fractures in their teeth. While some may brush off teeth grinding as no big deal, going untreated can cause a problem later.

Howell said many people don’t recognize that the jaw’s temporomandibular joint is just that — a joint — and, like any other joint,  it can suffer from a systematic disease like arthritis.

“The teeth are part of the mouth, but the whole chewing complex is part of a joint and that joint can get arthritis just like the hip, knee or any other joints. I think people really discount or just don’t realize that,” she said.

How can I treat teeth grinding?shutterstock_340736138

While there are a slew of options from over-the-counter plastic molds to companies that will send you casts for your mouth, The ADA recommends that people consult their dentist to find out the cause of their grinding and get a customized treatment plan.

“Bruxism needs to be teated by a doctor, a mouthguard is something that provides protecting against blows in sports for instance, but bruxism is a condition that needs to be treated by a dentist with a night guard or splint,” she said. “This actually involves the joint; we are protecting the joint and the teeth, and it needs to be done with experience and knowledge of that whole chewing complex.”

Filed Under: dental pain management, patient care

Heart Disease and Dental Care

March 9, 2017

Meyers_Blog_6_REDO_No 28627237There are various heart conditions that require special precautions when it comes to caring for teeth and the mouth. Chronic and acute conditions, including a cardiac event (heart attack), high blood pressure, angina, stroke or congestive heart failure, should be discussed with the dentist or your physician prior to any dental procedures.

The notion of a healthy smile is more than (pun alert) lip service: healthy teeth and gums keep the rest of you healthy, including those with heart disease. Someone with heart disease needs to be extra vigilant in maintaining a healthy mouth by practicing good oral hygiene and regularly visiting the dentist. It is also important to follow your physician’s or the dentist’s instructions when they prescribe particular medications, namely antibiotics, prior to dental procedures.

Infective Endocarditis

Infective Endocarditis is a relatively uncommon infection of the heart valves, but can be life threatening. The infection occurs when bacteria or other microorganisms enter the body and reach the heart; a common way this happens is through the mouth. To prevent infective endocarditis in patients with a weakened heart, antibiotics are usually prescribed and should be taken before doing certain dental treatments.

The American Heart Association recommends taking antibiotics before dental treatments for patients with:

  • Previous history of infective endocarditis;
  • Prosthetic (artificial) heart valves;
  • Recipients of heart transplant who have cardiac valvular disease;
  • Some congenital heart defects.

The American Heart Association also advises taking antibiotics before the following dental treatments:

  • Tooth extraction;
  • Endodontic procedures (root canals);
  • Placement of implants;
  • Tooth or implant cleaning, if bleeding is anticipated;
  • Intraligamentary local anesthetic injections;
  • Re-implantation of natural teeth after dental avulsion (a tooth that falls out completely after an accident);
  • Periodontal procedures (gum exams, cleanings, and surgeries);
  • Placement of orthodontic bands, but not brackets;
  • Placement of antibiotic fibres or strips below the gum line.

Heart Attack

Someone who’s had a heart attack should wait at least six months before having dental treatments. It’s important to give your dentist a detailed list of the drugs taken to prevent complications. For example, if a heart attack patient takes anticoagulants, the blood is less likely to clot and treatments like tooth extraction may need a temporary modification of the drug intake.

Angina

Like a heart attack, an angina attack can be felt like pain that starts in the chest and radiates to the lower jaw.

Some drugs such as calcium channel blockers might cause gingival hyperplasia (overgrowth of the gums), which can start as soon as one month after someone starts taking the drug. Some people’s gums become so large they have difficulty eating and surgery is necessary to make the correction. If the dentist diagnoses that problem, the patient must follow detailed hygiene instructions and have more frequent cleanings.

Patients with stable angina can be treated like any other patients and proceed with any dental treatment. But people who suffer from unstable angina should not receive elective dental procedures and concentrate only on emergency treatments.

Congestive Heart Failure

Many medications prescribed to treat congestive heart failure may cause dry mouth (xerostomia) or an altered sense of taste (dysgeusia).

There are usually no special concerns in undergoing dental treatment for someone being treated for mild-to-moderate congestive heart failure if they have no complications or side effects.

Pacemaker

A pacemaker is a medical device that uses electrical impulses to regulate the beating of the heart. It’s important to inform your dentist if you have a pacemaker because all dental electromagnetic devices should be avoided.

More thorough dental treatments should be postponed several weeks after surgery. If an emergency dental procedure must be conducted, the dentist or the physician may prescribe pre-treatment antibiotics.

For more information, ask Dr. Meyers about your heart health and any upcoming dental procedures.

Filed Under: Heart Problems, oral health Tagged With: angina, congestive heart failure, heart attack, Heart problems and dentistry, Infective Endocarditis, pacemaker

9 Surprising Habits Killing Your Teeth

March 2, 2017

Are you destroying your pearly whites without realizing it? You might be doing permanent damage if you’re a nail biter or using your teeth to rip off the price tag from that new dress.

Stop and heed this advice: Brush your teeth twice daily, floss daily, regularly visit your dentist and have a good, balanced diet. All of those things are going to protect you from damaging your teeth and enamel.

The American Dental Association has developed a list of surprising ways you’re damaging your teeth and Dr. Meyers has culled the top 5:

     1. Overdoing sugary food and drinks – even cough drops

Forget cookies, cupcakes and candy. Those are obvious cavity-promoting foods. Astonishingly enough, even things like throat lozenges can be bad. But we also want to think about where we might be getting other sources of sugar, like sports drinks and not enough water.

The good news is you can help stave off cavities by using toothpaste recommended by your dentist and keeping the sugary snacks to a minimum.

     2. Lack of water

Skip the energy drinks, flavored sports waters and ice teas if you want to dodge cavities. Instead, drink H2O. Not only is it good to hydrate your body, but it’s good to hydrate your mouth.

A dry mouth can be an environment where it’s easier for bacteria to cause cavities. Fluoride is found in tap water and some bottled water, and can ward off tooth decay. That’s why it’s important to drink as much as possible.

     3. Nail biting

Get those fingers out of your mouth! When we bite our nails, we put our jaws in a protrusive position, meaning the lower jaw projects out and moves in a repetitive, unnatural way. It can cause pain and discomfort in the jaw, plus wear down the enamel on your pearly whites.

     4. Heavy brushing

Go easy on your chompers, because brushing aggressively can abrade your teeth. Not only can it strip the teeth of their enamel, promoting cavities and decay, but it can also cause the gums to recede.

     5. Consuming acidic food or drinks

People who have acid reflux or drink lemon water can expect to see damage to their teeth, says the ADA. Acidic foods can strip the teeth of their natural enamel. Citric fruits and fruit juices, sparkling water with lemon and even certain salad dressings are so acidic that they can cause the tooth’s enamel to erode.

     6. Using your teeth as tools

You had that one friend in college who could pop open a beer with his mouth. Have you seen him since? Using your teeth as tools to open bottles, rip off tags or for any purpose besides chewing food can cause serious fractures. These can worsen over time and become infected.

     7. Thumb sucking

It sounds innocent, but thumb sucking is considered a trauma, dentists say. The habit pushes on the upper palate, forcing permanent teeth to move or spread apart. And it’s a hard one to break.

Dentists can talk to parents about proper dental care and ways to break the habit, such as using praise when a child doesn’t suck his or her thumb rather than criticism when they do, or encouraging the child to limit their thumb sucking to bedtime rather than all day.

     8.  Smoking

This is a given. Smoking has proven health consequences – like increasing the risk for oral cancer and respiratory conditions – and that extends to teeth. Huffing on cigarettes also increases plaque and bacteria, which can lead to gum disease.

     9.  Chewing ice

You take a sip of your soda, catch a couple ice cubes in your mouth and what do you do? Chew them, right? Bad move. Don’t do this often – or ever – if you want to prevent a painful injury. Ice is very hard and can cause breakage of teeth and fillings.

Filed Under: News, oral health Tagged With: dental care, eating ice

8 Tips for Near-Instant Fresh Breath

February 24, 2017

bad breathIt’s no secret that certain foods don’t do your breath any favors. Dr. Meyers has several suggestions for how to reduce stinky oral-related dilemmas, starting with limiting foods that are associated with less than pleasant scents.

“Garlic, onions, coffee, alcohol, meats, juices and carbonated beverages are just a few of the foods and drinks linked to bad breath,” she says. “Breath odor is most commonly created by volatile sulfur compounds that can be found in many of these items or that can be created when they are ingested.”

Not following a proper oral hygiene routine, which includes regular dental visits, can also contribute to the problem. “Fresh breath starts with a healthy and clean mouth,” Dr. Meyers says. Below are several items you can ingest or things you can do in an effort to make sure your breath is always pleasantly fresh ¾ and keep your mouth healthy, too.

Drink (More) Water

You already know that drinking water is beneficial. Water keeps you hydrated, which helps with a number of physiological aspects like boosting brain health and improving skin’s elasticity; it also acts as a great natural breath freshener.

Drinking water helps flush away odor-causing bacteria that thrive in a dry mouth. Consuming enough water daily also helps to free up food items on the tongue. This, in conjunction with proper oral hygiene, reduces the accumulation of bad breath-causing particles that can become trapped in your mouth.

Probiotic Yogurt

Most yogurts contain some probiotics, but look for labels that specify “fortified with vitamin D” and “contains probiotic bacteria.” Probiotics are the good bacteria that can help change the “balance of power” in your mouth from a bad bacteria population to a good one. Healthy populations of good bacteria will naturally freshen your breath.

Got Milk?

In addition to fortified yogurt, milk — from fat-free to whole — has been found to fight bad breath. We can thank milk’s fat and water content for breath-freshening ability, particularly when garlic is the culprit, according to eatthis.com.

Guzzle Green Tea

Green tea contains polyphenols, which naturally help freshen breath. Added value benefits include that green tea may play a role in preventing tooth decay, fight certain kinds of mouth cancers and boost your weight-loss efforts.

Chomp on Xylitol vs. Sugar

Reach for gum and mints that contains xylitol, a sugar alcohol that doesn’t feed bacteria, instead of sugared chewing gum. Chewing gum will promote saliva production, which will then create a slippery coating on teeth and gums that keeps bacteria from sticking. Wash down each meal with a mint or gum with xylitol for about five minutes.

Xylitol is a low-glycemic food that doesn’t promote dental cavities. Just watch that your furry friends don’t get into the xylitol. While it’s safe for humans, it can be harmful or even deadly when ingested by animals.

Crunch on Raw Red Bell Peppers

Vitamin C-rich foods, like red bell peppers, are great when it comes to keeping bad breath at bay (broccoli’s another good choice). Foods rich in vitamin C reduce the bacteria populations associated with mouth odor.

An Apple a Day…

If you love garlic, turn to a raw apple to keep your breath pleasant. A raw apple neutralizes the mouth odors that arise when you eat raw garlic. In fact, a study published in the Journal of Food Science confirms the power of a raw apple to combat offensive breath caused by garlic. When participants consumed garlic and were given raw, heated or juiced apple (one of the many foods tested in the study), those who ate raw apple had significantly reduced bad breath within 30 minutes. Raw lettuce also did the trick, according to the study.

Go Herbal

Try turning to tea tree, thyme, oregano, clove, cinnamon and cardamom to tame toxic breath. Chewing leaves or a pod of these herbs will help freshen breath. Green herbs should be fresh since some of the herbs’ volatile oils are lost when dried. Parsley, basil, and mint are also beneficial herbs in beating foul mouth odors into submission.

 

Filed Under: oral health, oral hygiene Tagged With: clean mouth, fresh breath

6 Natural Ways To Whiten Teeth

February 10, 2017

Meyers_Blog_13_328210148No one wants to have yellow teeth but the methods that we often use to whiten them can be invasive to some patients. The most common ingredient in dental office bleaching sessions is hydrogen peroxide and the most common ingredient in at-home whitening treatment kits is carbamide peroxide. Some who undergo whitening treatments with these chemicals have reported increased sensitivity, so we are suggesting some alternative ways to keep your pearly whites white. Here are six suggestions that may surprise you:

  1. Coconut Oil

Yes, along with being extraordinary delicious and healthy as a food, coconut oil can also help whiten your teeth. This can be accomplished through a process called oil pulling, which has been used for thousands of years.

To oil pull with coconut oil, use extra virgin coconut oil and swish the oil around your mouth in the morning for 5-10 minutes, then spit it out (preferably not into the sink, as it can lead to clogs), and brush as you normally do.

If you oil pull on a regular basis, you may soon notice that your teeth are whiter. Oil pulling also has a number of health benefits for your entire body.

  1. Baking soda

If your teeth are seriously stained, and you’re looking for a whitening solution, it’s baking soda to the rescue. The process is simple: mix baking soda and water to make a thick paste, and use this paste to brush your teeth for one week. Make sure to rinse thoroughly after you brush. You’ll soon notice that your teeth look significantly whiter.

Note: Don’t brush with baking soda for longer than a week, as this may damage tooth enamel. Stick to a week and then wait a few months before doing it again.

  1. Lemons

Lemons contain citric acid and just eating them can help to remove some staining from your teeth. However, when mixed with baking soda, it can be even more effective. For a super-powered whitening treatment, mix equal parts lemon juice and baking soda, and use the mixture to brush your teeth.

As this mixture is very strong, don’t do this more than once a week — and give your teeth a break after a couple of weeks. Too much lemon juice and baking soda can have a negative effect on tooth enamel.

  1. Crunchy fruits and veggies

That’s right: simply eating crunchy, fresh fruits and vegetables can help remove stains from your teeth. This is because the act of chewing helps to remove scraps of food and bacteria from your mouth. Their crispy texture also helps to gently remove surface stains.

There are many great crunchy fruits and veggies out there — like carrots and apples — so load up your plate with fresh produce!

  1. Strawberries

Another fruit to add to your tooth-whitening diet is the delicious strawberry. Strawberries may be one of the best fruits to munch on to whiten your teeth, thanks to their combination of vitamin C (citric acid, which helps to remove stains) and malic acid. The malic acid found in these summer fruits aids in removing surface stains from your teeth.

  1. Banana peel

The inside of a banana peel is rich in potassium, magnesium, manganese and other minerals, to whiten teeth. The minerals in a banana are absorbed into your enamel and have a healthy, whitening effect. Rubbing a piece of ripe banana peel on your teeth for two minutes after brushing and flossing, before rinsing your mouth, can yield benefits.

Filed Under: News

Importance of Dental Health for Diabetes Patients

January 31, 2017

Meyers_Blog_12_157941644Some people may not associate their smile with a healthy life, but the mouth is the gateway to the body and having a healthy mouth is the start to having a healthy body.

While diabetes can have serious effects on your body, it may also take its toll on your teeth. It’s practically common knowledge now that diabetes affects your body’s ability to process the sugars in foods we eat. But what does that have to do with your teeth?

For starters, even mild diabetic individuals produce far less saliva than non-diabetics, due to medications taken to manage diabetes. But why does that matter? To begin, not only does less saliva affect how food tastes, but it is also a critical component in protecting your teeth from cavities and forming plaque. In short, as a diabetic, you are more likely to get cavities, experience plaque buildup, and have an increased risk of dental infection.

This means that diabetics should brush their teeth at least twice a day (electric toothbrushes are the best at removing plaque) for two minutes with fluoride toothpaste, and floss at least once a day. These steps, along with regular cleanings with your hygienist or dentist, are essential to removing plaque.

If plaque and bacteria aren’t completely removed from your teeth daily, you’ll produce calculus (and not the hard math class, but much worse). Calculus is hardened plaque that cannot be removed by flossing and brushing, but requires your dentist or hygienist to remove it.  If the calculus is not removed, gums will swell and more easily bleed. The consequences of swollen gums that bleed more easily is the development of the mouth disease periodontitis.

Periodontitis destroys the bone that supports your teeth. In time, the bones that keep teeth in place will recede around your teeth and, left untreated, will result in teeth that loosen and ultimately fall out. The most nefarious part of gum disease is that, because it’s not painful, it can go unnoticed without regular checkups and it only presents with pain once it’s too late and your teeth are too loose to be salvaged, which results in them having to be and removed.

The best way to know if you are developing or already have periodontitis is to visit your dentist at least twice a year. There are additional things that diabetics can do to prevent tooth loss: monitor and managing your blood sugar, maintain a healthy diet, limit alcohol consumption and stop smoking. For good dental — and overall — health, keep healthy food chooses in mind; drink plenty of water; eat whole, grains, fruits, vegetables, lean proteins, low fat and fat free dairy foods.

And brush, floss and use a rinsing agent!  These steps, combined with proper diabetes management and regular dental visits, will go a long way in maintaining a healthy and beautiful smile.

Filed Under: diabetes, oral health Tagged With: diabetes, mouth disease

Patience with the Kids

January 17, 2017

 Pediatric pain control involves quick thinking to put kids at ease

Meyers_Blog_11_519866719Managing a patient’s actual or perceived pain is difficult enough, but pediatric pain management takes that difficulty to a whole new level. In truth, there’s very little a hygienist does during a pediatric cleaning that causes actual pain. Sure, there may be an occasional pinched lip, accidental pressure put on a loose tooth or even a slip with a scaler. (The most commonly uncomfortable thing asked of young patients is asking them to close on a bitewing tab for x-rays.)

Like our medical brethren and their oath of “First, do no Harm,” the American Academy of Pediatric Dentistry emphasizes to dentists: “don’t hurt them!” The AAPD, in a 2012 policy statement on pain management, begins with these two recommendations:

  • Recognize and assess pain, documenting in the patient’s chart.
  • Use non-pharmacologic and pharmacologic strategies to reduce pain experience preoperatively.

Let’s use the example of nervous little Branton, an 8-year-old who has made it clear of his displeasure visiting the dentist. Whether real or perceived, his cries of “ow, ow, ow, ow,” deserve my recognition — even if there’s a reasonably good chance he was faking it.

By asking, “Oh, no, what happened?” it gives him an opportunity to explain. Maybe I really was pinching his lip without knowing it, or maybe he was just trying to delay the inevitable. Either way, I need to assess the reason for his reaction and decide how to handle it.

If his lip was being pinched, it could be because his mouth is small, in which case I needed to adjust my approach. Maybe I was distracted and not paying attention, in which case I would apologize, admit it was an accident and promise not to do it again. Mindfulness can be an asset with pediatric patients.

The second recommendation of the AAPD — to use non-pharmacologic and pharmacologic strategies to reduce pain preoperatively — can also address both actual and perceived pain.

An example of a non-pharmacologic strategy would be if a loose tooth were tender, I would concentrate on mindfulness and find another fulcrum. Pediatric dentists also manage the pain of operative treatment in various ways: local anesthetic, preceded by a good topical anesthetic, can take care of simple dental procedures. (Most children who have asked me about shots seem to take the idea in stride.)

Sedation is another option used in pediatric dentistry. Conscious sedation, for instance, is where the patient is conscious but rendered free of fear and anxiety. One of the specific goals of conscious sedation is to reduce the perception of pain and discomfort while enabling the child to be alert enough to respond to a directive such as, “stay open.”

Unlike adults, children rarely have “general sensitivity,” but if that’s the case, pre-polishing (with a product like Colgate Sensitive Pro Relief) can take care of the problem.

Patience is the key. By staying mindful, using all the tools at our disposal, employing lots of “tell-show-do,” and knowing that we will repeat ourselves fairly often, any actual or perceived pain can be kept to a minimum.

Filed Under: dental pain management, dentistry, patient care Tagged With: dental pain, patient care

Periodontitis Vaccine Trials to Begin in 2018

December 19, 2016

 

shutterstock_536764612News out of Melbourne, Australia this month that a team of scientists at the University of Melbourne’s Oral Health CRC has been working on a vaccine treatment for chronic periodontitis could herald a breakthrough in the gum disease, with clinical trials beginning in 2018.
Periodontitis is associated with diabetes, heart disease, rheumatoid arthritis, dementia and certain cancers. It is a chronic disease that destroys gum tissue and bone supporting teeth, leading to tooth loss, according to the Centers for Disease Control and Prevention.
A CDC report from 2015 estimates that 47.2 percent of adults aged 30 years and older have some form of periodontal disease and that its prevalence increased with age; 70.1 percent of adults 65 years and older have periodontal disease.
The vaccine researchers have been working on targets enzymes produced by the bacterium Porphyromonas gingivalis, to trigger an immune response. The bacterium is known as a “keystone pathogen,” which means it has the potential to distort the balance of microorganisms in dental plaque, causing disease. The anticipated response from the vaccine, researches say, will produce antibodies that neutralize the pathogen’s destructive toxins.
The findings, published in the journal NPJ Vaccines (part of the Nature series), represent analysis of the vaccine’s effectiveness by collaborating groups in Melbourne and Cambridge, Ma. CEO of the Oral Health CRC, Eric Reynolds, said in the study’s extract that he was hopeful the vaccine would substantially reduce tissue destruction in patients harbouring P. gingivalis.
“We currently treat periodontitis with professional cleaning sometimes involving surgery and antibiotic regimes,” Reynolds said, adding that the cleanings are helpful but often only temporary in halting the spread of disease. “Periodontitis is widespread and destructive,” he added. “We hold high hopes for this vaccine to improve quality of life for millions of people.”

Filed Under: News

My Crown Fell Out – What Should I Do?

November 23, 2016

crown-art-gold-and-black-shutterstock_519659668While unlikely, it is possible for a crown to come unstuck (“debond”), especially if it’s knocked or if you happen to bite into something hard or very sticky. Not surprisingly, it can be both unsettling and worrisome. Worse yet, what do you do if you’re unable to see your dentist for a day or two, or possibly longer, depending on the circumstance?

First Rule of Thumb: Don’t panic. If it’s not lost or swallowed, carefully take the crown out of your mouth to avoid the risk of swallowing it or, much graver, breathing it into the windpipe.

On the off chance a cap is swallowed, it will eventually work its way through the digestive system without causing harm, but… it’s a gonner. Don’t think about retrieving it.

Ideally, you’d make an appointment with your dentist as soon as possible to get the crown properly fixed back into place. Of course, that’s in a perfect world. If you still have the crown, but aren’t able to get to the dentist, clean and sterilize the cap with some Milton sterilizing fluid (sold in most drug stores), dry it and put it safely into a small container.

It’s important to keep the underlying tooth from which the crown came clean by carefully brushing with a soft toothbrush. Note: the tooth may still be alive (vital) and will likely be sensitive to hot or cold drinks and food — best to avoid them.

If the underlying tooth is non-vital it won’t hurt, but it’s important to try and prevent any food debris from lodging into any gaps that may be present if it’s a crown with a post attached.

If the tooth is right at the front of your mouth, you’ll understandably be anxious to temporarily fix it until you can see the dentist. There are temporary cements you can buy at the drugstore, but these materials aren’t strong bonding agents and may not hold the crown securely.

There could be a risk of it coming loose while you sleep and it being swallowed or inhaled, so it’s best to manage without it if you possibly can. You can always try chewing gum … people have been known to use it in a pinch.

If you decide to re-fix a crown with temporary cement, take care not to put pressure on it while eating or brushing your teeth since it is easily dislodged. However, whatever you do to temporarily fix the problem, don’t EVER use something like “SUPER-GLUE,” it’s not only dangerous, it will likely ruin the crown and tooth.

Your best bet is to get to the dentist as soon as you can; in the interim keep the area clean and be mindful of what you eat.

Filed Under: dentistry, oral health, patient care Tagged With: broken crown

Oral Health and Diabetes

September 15, 2016

diabetes-testing-blogWe tell our children not to eat too much sugar, because sugary snacks and drinks can cause cavities.  This information is true, of course, but we should be reminding ourselves as adults that the relationship between overdoing our sugar intake and our oral health is even more complex than we might admit.  It turns out that the relationship between periodontitis (“inflammation around the tooth,” a serious gum infection that damages the soft tissue and bone that supports the tooth) and diabetes is a strong one indeed.

Inflammation that starts in the mouth seems to weaken the body’s ability to control blood sugar.  People with diabetes have trouble processing sugar because of a lack of insulin, the hormone that converts sugar into energy.  Those suffering from Periodontal disease have an additional burden in the fight against diabetes, as the inflammation from periodontitis can decrease the body’s ability to utilize insulin.

To further complicate matters, diabetes and periodontitis have a two-way relationship.  High blood sugar provides ideal conditions for infection to grow, including gum infections. Fortunately you can use the gum disease-diabetes relationship to your favor: managing one can help bring the other under control.

Other problems diabetes can cause are dry mouth and a fungal infection called thrush. Dry mouth happens when you do not have enough saliva—the fluid that keeps your mouth wet.

A dry mouth may occur when blood sugar levels are high. A dry mouth can increase the risk of cavities, because there’s less saliva to wash away germs and take care of the acids they create. Dry mouth can sometimes lead to other problems, such as salivary gland infections. If dry mouth is a problem, try drinking more fluids. Other ideas to try are chewing sugar-free gum or eating sugar-free candy to help keep the saliva flowing. Some people use saliva substitutes, available at drug stores.

Diabetes may also cause the glucose level in your saliva to increase. Together, these problems may lead to thrush, which can cause painful white patches in your mouth. Thrush thrives in moist spots that may be chafed or sore, for example, under poorly fitting dentures. Smoking and wearing dentures all day and night can increase the risk of thrush. Quitting smoking and limiting the time dentures are worn can reduce the risk of getting thrush. If you think you have a fungal infection, talk to your dentist or doctor.

Additionally, if your diabetes is poorly controlled, you may heal more slowly and you increase your chance of infection after dental surgery. To give yourself the best shot at healing well, keep your blood sugar under control before, during, and after surgery. It is very important to tell your oral health care provider about your diabetes before any surgery.

 Maintaining Control

 If your diabetes in not under control, the potential for developing problems in your mouth are greater.  Follow your doctor’s instructions regarding medication, diet and exercise in order to manage your blood glucose levels.

If you have diabetes, here are some things that you can do to protect your oral health:

  • Control your blood glucose
  • Brush and floss every day
  • Visit your dentist regularly, and be sure to tell your dentist that you have diabetes.
  • Tell your dentist if your dentures do not fit properly, or if your gums are sore.
  • Quit smoking, as smoking makes gum disease worse, especially for diabetics.

If you have diabetes and would like to discuss oral health concerns or treatment options, Dr. Meyers would be happy to consult with you.  Please contact us HERE or by calling the office at 248.646.2450

Filed Under: News

  • 1
  • 2
  • 3
  • …
  • 7
  • Next Page »

To schedule an appointment please call us 248-646-2450.

New Patient Packet (PDF)

Hours

Monday:9:00 AM – 5:00 PM
Tuesday:9:00 AM – 5:00 PM
Wednesday:Closed
Thursday:8:00 AM – 4:00 PM
Friday:By appointment only
Saturday:By appointment only
Sunday:Closed

Our Location


View Larger Map

Contact Information

Karen P Meyers, DDS 
1875 Southfield Road, Birmingham, MI  48009

Phone: 248-646-2450

Connect With Us

  • Facebook

Copyright © 2024 Karen P. Meyers, DDS