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Gum

Your oral health is more important than you might realize. Get the facts about how the health of your mouth, teeth and gums can affect your general health.

Did you know that your oral health offers clues about your overall health — or that problems in your mouth can affect the rest of your body? Protect yourself by learning more about the connection between your oral health and overall health.

What’s the connection between oral health and overall health?
Like many areas of the body, your mouth is teeming with bacteria — most of them harmless. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, can keep these bacteria under control. However, without proper oral hygiene, bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease.

In addition, certain medications — such as decongestants, antihistamines, painkillers, diuretics and antidepressants — can reduce saliva flow. Saliva washes away food and neutralizes acids produced by bacteria in the mouth, helping to protect you from microbial invasion or overgrowth that might lead to disease.

Studies also suggest that oral bacteria and the inflammation associated with periodontitis — a severe form of gum disease — might play a role in some diseases. In addition, certain diseases, such as diabetes and HIV/AIDS, can lower the body’s resistance to infection, making oral health problems more severe.

What conditions may be linked to oral health?

Your oral health might contribute to various diseases and conditions, including:

  • Endocarditis. Endocarditis is an infection of the inner lining of your heart (endocardium). Endocarditis typically occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart.
  • Cardiovascular disease. Some research suggests that heart disease, clogged arteries and stroke might be linked to the inflammation and infections that oral bacteria can cause.
  • Pregnancy and birth. Periodontitis has been linked to premature birth and low birth weight.

Certain conditions also might affect your oral health, including:

  • Diabetes. Diabetes reduces the body’s resistance to infection — putting the gums at risk. Gum disease appears to be more frequent and severe among people who have diabetes. Research shows that people who have gum disease have a harder time controlling their blood sugar levels, and that regular periodontal care can improve diabetes control.
  • HIV/AIDS. Oral problems, such as painful mucosal lesions, are common in people who have HIV/AIDS.
  • Osteoporosis. Osteoporosis — which causes bones to become weak and brittle — might be linked with periodontal bone loss and tooth loss. Drugs used to treat osteoporosis carry a small risk of damage to the bones of the jaw.
  • Alzheimer’s disease. Worsening oral health is seen as Alzheimer’s disease progresses.

Other conditions that might be linked to oral health include eating disorders, rheumatoid arthritis, head and neck cancers, and Sjogren’s syndrome — an immune system disorder that causes dry mouth.

Because of these potential links, tell your dentist if you’re taking any medications or have had any changes in your overall health — especially if you’ve had any recent illnesses or you have a chronic condition, such as diabetes.

How can I protect my oral health?

To protect your oral health, practice good oral hygiene every day. For example:

  • Brush your teeth at least twice a day with fluoride toothpaste.
  • Floss daily.
  • Eat a healthy diet and limit between-meal snacks.
  • Replace your toothbrush every three to four months or sooner if bristles are frayed.
  • Schedule regular dental checkups and cleanings.
  • Avoid tobacco use.

Also, contact your dentist as soon as an oral health problem arises. Taking care of your oral health is an investment in your overall health.

Content courtesy: The Mayo Clinic

chewinggum

Go ahead, have a piece of (sugarless) gum and make your dentist happy!

Chewing gum is thought to be the world’s oldest candy — we’ve been chomping down on it for more than 5,000 years! But what do dentists think of all that chewing? While the people who care for our teeth aren’t usually fans of candy, when it comes to sugarless gum, most dentists give it the nod.

“Chewing sugarless gum is a great way to help stimulate saliva flow in patients with dry mouth,” says Dr. Deborah Saunders, Your Oral Health.ca’s Editor-in-Chief. That salivary stimulation also helps protect your teeth from decay-causing bacteria, so if you aren’t able to brush your teeth after eating, chewing sugarless gum can help.

Dr. Rick Caldwell, ODA President (2013-14), agrees. “Chewing sugarless gum can help freshen breath in the short term; although gum doesn’t bleach the teeth, it can help remove some surface stains.”

Who shouldn’t chew gum? “Patients with temporomandibular joint disorders (TMJD) shouldn’t chew gum as this may make their condition worse,” says Dr. Saunders, Medical Director of the Dental Oncology Program at Northeast Cancer Centre in Sudbury, Ont. (See TM-what? for more on TMJD.)

Adds Dr. Caldwell, a general practitioner in New Liskeard, Ont., “With TMJD problems, the joint requires rest, not extra use. Also, people with facial muscle spasms shouldn’t chew gum, and, for those with sensitive teeth, depending on the source of their sensitivity, chewing gum can be quite uncomfortable.”

One last point: If you’ve had orthodontic work done, such as implants, or if you wear a denture, you may want to talk to your dentist before opting to chew gum, since some gum will stick to orthodontic and acrylic work.

Xylitol 101

Xylitol is a naturally occurring sweetener used in many foods, including chewing gum. Unlike sugar and other sweeteners, says Dr. Saunders, xylitol cannot be digested by the plaque-causing bacteria in our mouths, which, in turn, reduces the amount of plaque on our teeth. For best results, she recommends looking for gum that contains at least one gram of xylitol per piece. But, Dr. Saunders also has a few warnings:

• Xylitol can be toxic to dogs, so keep your chewing gum away from Fido.

• When starting to chew xylitol, meeting the recommended five to 10 grams per day should be done gradually over a period of several weeks, to allow the gastrointestinal system time to adjust.

• Since it can cause diarrhea and intestinal gas, people with inflammatory bowel diseases, such as irritable bowel syndrome or Crohn’s disease, should avoid xylitol.

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