Posts for: November, 2017
There are a lot of opportunities to have your blood pressure checked: your doctor's office, of course; your local pharmacy; health fairs; and the dentist's office. The last one might surprise you, but blood pressure monitoring before a dental examination or office visit has become quite routine.
Why all this attention to blood pressure? Because chronic high blood pressure (hypertension) is a major cause for cardiovascular disease (CVD), a family of life-threatening conditions that affects 80 million people in the United States. And, you may not even be aware you have it.
That's why avenues for blood pressure screening are on the rise, and the dental office is a prime opportunity. Since you see us regularly for cleanings and checkups (you do, don't you?), there's a good chance we might help you become aware you have a problem if we perform blood pressure readings.
One study published by the Journal of the American Dental Association, for example, followed a group of dental patients with no previous risk factors of CVD, and who had not seen a doctor in the previous twelve months. Through blood pressure screening at their dental visits, 17% discovered they had high blood pressure and at risk for a cardiovascular event.
Your blood pressure can also have an effect on your oral health, especially if you're taking medication to control it. Some medications can cause reduced saliva flow, which could drastically increase your chances of developing tooth decay or periodontal (gum) disease. We would also need to exercise care during dental procedures with certain local anesthetics: some may cause both your pulse and blood pressure to rise.
Although we're primarily focused on your dental care, we also know it's only one aspect of your overall health. By simply including blood pressure checks during your checkup, we may help you identify a problem before it causes you greater health problems in the future.
If you would like more information on blood pressure and dental health, 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 “Monitoring Blood Pressure.”
A few days before the Oscars, Vanity Fair magazine asked Academy Awards host Neil Patrick Harris to name his most treasured possession. Was it his Tony award statuette for best leading actor in a musical? His star on the Hollywood Walk of Fame? The stethoscope he wore while playing teenaged doctor Doogie Howser on TV? No, as it turns out, the 41-year-old actor’s most treasured possession is… his wisdom teeth. Yes, you read that correctly. “Oddly, I still have my four wisdom teeth,” Harris said. “I refuse to let them go or I’ll lose my wise parts.”
How odd is it for a 41-year-old to have wisdom teeth? Actually, not that odd at all. While it is true that wisdom teeth are often removed, there’s no one-size-fits-all approach to this. It all depends on whether they are causing problems now, or are likely to cause problems in the future.
The trouble wisdom teeth cause is related to the fact that they are the last molars to come in, and that molars are large in size. By the time wisdom teeth appear between the ages of 17 and 21, there often is not enough room for them in the jaw. Sometimes it’s because you may have inherited a jaw size that’s too small for your tooth size; and generally speaking, the size of the human jaw has evolved to become smaller over time.
If room is lacking, the adjacent molar (that came in earlier) can interfere with the path of eruption — causing the wisdom tooth to come in at an odd angle. The wisdom tooth can hit up against that other tooth, possibly causing pain or damaging the adjacent tooth. This is known as “impaction.” Sometimes the wisdom tooth breaks only partway through the gum tissue, leaving a space beneath the gum line that’s almost impossible to clean, causing infection. A serious oral infection can jeopardize the survival of teeth, and even spread to other parts of the body.
If a wisdom tooth is impacted, will you know it? Not necessarily. A tooth can be impacted without causing pain. But we can see the position of your wisdom teeth on a dental x-ray and help you make an informed decision as to whether they should stay or go. If removal is the best course of action, rest assured that this procedure is completely routine and that your comfort and safety is our highest priority. If there is no great risk to keeping them, as Neil Patrick Harris has done, we can simply continue to monitor their condition at your regular dental checkups. It will be particularly important to make sure you are reaching those teeth with your brush and floss, and that you keep to your schedule of regular professional cleanings at the dental office. All healthy teeth are indeed worth treasuring.
If you would like more information about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”