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Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.

Causes of Dental Phobia

You can develop dental phobia for a variety of reasons, including the following.

• Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
• Fear of needles, such as those used to provide anesthesia.
• A previous bad experience, when something went wrong and pain was intolerable.
• Lack of control from not knowing what is happening or how uncomfortable a procedure might be.

Consequences of Dental Phobia

Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.

Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.

Getting Over Fear of the Dentist

Most patients with dental phobia can get over their condition. These are some approaches that Dr. Michelle Slezewski and Dr. Paul Engibous and our team recommend:

• Explain each step of the process
• Let you know that you can stop the procedure at any time
• Encourage you to come with a family member or friend
• Help you with deep breathing techniques

Dry mouth, also medically known as xerostomia, is the condition of not having enough saliva, or spit, to keep your mouth wet. There are many ways to keep dry mouth at bay, including:

• Brushing your teeth after every meal with a fluoride toothpaste
• Flossing every day after a meal
• Avoiding tobacco, as well as drinks containing alcohol or caffeine
• Avoiding dry foods, as well as foods containing high salt, acid, spice, or sugar levels
• Drinking water frequently or sucking on ice chips
• Using a humidifier at night

Please call our convenient Anchorage, AK dental office to learn more about dry mouth, or ask us during your next visit!

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing the team at Pediatric Dental Associates for a professional cleaning. In some cases, Dr. Michelle Slezewski and Dr. Paul Engibous might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! 

• Brush twice a day, or as often as your dentist recommends. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. 
  • Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day or as directed by your dentist. Flossing removes food particles and plaque between the teeth, and it also helps remove plaque from the area around the gum line.
• Conditions such as family history, hormonal changes, medical conditions, age, poor diet, smoking, and other factors can increase your chances of developing gum disease. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous if you are in a higher risk group about proactive gum care.
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 
• You can get tips for better brushing and flossing techniques from the team at Pediatric Dental Associates in Anchorage, AK, too!

Last, while gum health is essential for dental health, you may not be aware that healthy gums could affect more than just your oral health. Scientists are studying the potential links between gum disease and conditions such as heart disease, diabetes, and arthritis.  

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

We mark special times throughout the year to encourage better oral health, like Dental Hygiene Month, and Children’s Dental Health Month, and even National Root Canal Day! This July 21st is National Junk Food Day, and we couldn’t let it pass without some healthy ideas to help you make the best of this not-so-dentally-healthy day.

What makes junk food unhealthy? Most of the foods in this category have high levels of sugars, starches, salts, or fats, which aren’t good for your body in large quantities. When it comes to your dental health in particular, some junk foods are worse than others because they are actively destructive to your tooth enamel.

Foods like candy, cookies, doughnuts, chips, energy drinks, sports drinks, and sodas can have large amounts of sugar, starch, and acid. And a diet filled with sugars, starches, and acids puts your tooth enamel under constant attack. 

The bacteria in plaque make acids from the sugars and starches (which break down into sugars) in our diets. These acids then erode the mineral crystals which give our enamel its strength, leaving weak spots which can deepen and become cavities. A steady diet of sweet and starchy foods for you creates a steady diet of sugar for cavity-causing bacteria. 

Just like the acids produced by bacteria can erode tooth enamel, acids in food can also strip away the minerals which keep your enamel strong. Sodas, sports drinks, energy drinks, and many fruit juices are often both sugary and highly acidic, making them very damaging to tooth enamel.

So, let’s spend a few moments today to discuss how you can enjoy a bit of junk food every now and then and still take good care of your teeth.

• Limit Sugars, Starches, and Acids

We don’t just mean limiting the number of treats you eat in a day. It’s also a good idea to limit treats to certain times as well. Eat desserts with meals, when saliva production is higher, to help wash away sugary and starchy food particles. Acidic drinks, when sipped throughout the day, are like bathing your teeth in acids. Better to drink a soda or sports drink in one sitting and drink or rinse with water after! 

• Brush after Eating Sticky Sugary and Starchy Foods

Sticky foods filled with sugars and starches are double jeopardy for your tooth enamel. Not only are they the foods of choice for plaque bacteria, they also tend to stick to your enamel and between your teeth, giving cavity-causing bacteria more time to work. An after-treat brushing will get rid of any sugary or starchy leftovers as well as removing built up plaque.

• —But Don’t Brush Too Soon After Acidic Foods and Drinks

When you eat or drink something acidic, your enamel is more vulnerable to damage immediately afterward because acids remove minerals from tooth enamel. If you brush right away, even soft bristles can be abrasive. Wait about 60 minutes to brush, which gives your tooth surface time to get strong again with the enamel-building minerals found in saliva. 

• Make Water Part of Your Healthy Diet

Easy, available, inexpensive—what’s not to like about water? Oh, and it’s also healthy for your teeth! Rinsing with water after a treat helps remove lingering food particles and acids. And drinking water when you’re thirsty helps you produce saliva. Saliva not only rinses our teeth, it helps neutralize acids and helps replace calcium and phosphate minerals which may have been stripped away by acids.

This July 21st, we’re not really celebrating junk food—we’re celebrating all the things you do to protect your oral health. So, whether you’re indulging today or not, keep your teeth their healthiest by making junk food a rare treat, keeping up with your daily brushing and flossing, and seeing your dentist regularly for checkups and cleanings. Let’s make National Junk Food Day just another day in a year filled with healthy smiles!