Archive for September, 2010

Bad Breath and How to Get Rid of It!

Tuesday, September 28th, 2010

Don’t Let Bad Breath Trouble Your Pretty Smile

15 Tips to Freshen Your Breath

WebMD Feature

By Debra Fulghum Bruce, PhD

Reviewed By Brunilda Nazario, MD

The kiss. The smile. The breath. What’s most important to you (and to your significant other)? Chances are it’s good breath.

Let’s get personal. Bad breath (halitosis) may be common in dogs — but for people, bad breath affects how you feel about yourself, not to mention how others perceive you. In fact, you may not know you have halitosis until a brave friend tells you.

How can you tell if you have bad breath? A simple way is to stick a clean finger in your mouth and scrape saliva from the back of your tongue. Put it on the back of your hand, wait a minute, then smell your hand. Is it something you’d want to kiss?

 If not, check out these 15 tips about causes and cures for bad breath. Start freshening your breath today!

5 Common Causes of Bad Breath

1. Blame bacteria for bad breath. Bacteria breed inside your mouth. These micro organisms lurk between your teeth and cover your tongue. When bacteria stagnate, they multiply and give off toxins and stinky odors.

 2. Say “Ahhh.” The deep holes in your tonsils, called crypts, are a common cause of halitosis. If your tonsils are too wide and pitted, a cheese-like smelly substance collects in these holes. These nuggets sometimes smell, and may cause bad breath.

 3. Pungent foods and bad breath. Foods such as onion, garlic, and fish can cause bad breath — even hours after you brush your teeth.

4. Bad habits = bad breath. Any type of smoking (cigarettes, cigars, pipe) or chewing tobacco can leave you with a really nasty taste — and smell — in your mouth. 

5. Tummy troubles. Sometimes GI problems such as GERD or an ulcer can cause bad breath when you burp and gas is released. Also blame low-carb diets, which cause ketosis, a fat-burning state in the body that produces dragon breath.

10 Tips to Banish Bad Breath

Now for the fix, here are some simple tips from oral health experts on how to have breath that’s “kissing fresh”:

1. Brush your teeth — and tongue — twice a day to banish bad breath. While you’re brushing your teeth with a fluoride toothpaste, brush your tongue – especially the back of the tongue. Brushing your tongue will remove smelly bacteria that cause bad breath. One study found that by brushing the tongue, volunteers reduced their perception of bad breath by 70%. You can also buy inexpensive tongue scrapers at most pharmacies. 

2. Floss once a day for fresh breath. Flossing is must-do. Flossing gets out hidden food particles and removes plaque, a coating of bacteria that forms around the tooth. Flossing also helps prevent periodontal disease — another common cause of bad breath.

 3. Gargle with peroxide to fight halitosis. An antimicrobial mouthwash is important if you have a problem with excess plaque. “You can also gargle with peroxide for fresher breath,” says Mike McIlwain, DMD, a dentist at McIlwain Dentistry and an assistant clinical professor in Pediatric Dentistry at the University of Florida. McIlwain recommends gargling with peroxide to his patients. “Treat it like your favorite mouthwash. Just swig, swish, and spit. The oxygen in the hydrogen peroxide kills mouth bacteria that cause bad breath,” McIlwain says. 

10 Tips to Banish Bad Breath continued…

4. Use a fluoride mouth rinse for sweeter breath. Not only do decayed teeth hurt, they have an awful odor. Tooth decay can be prevented with fluoride toothpaste and proper dental care. 

5. Drink lots of water to avert bad breath. “Lack of fluids can lead to dry mouth (xerostomia) and cause bad breath,” says Murray Grossan, MD, a board certified otolaryngologist at Cedars Sinai Medical Center in Los Angeles and coauthor of The Sinus Cure. Dry mouth or reduced saliva can be the result of not drinking enough liquids, mouth breathing, or medications like antihistamines.

6. Reduce upset stomachs to ease bad breath. Over-the-counter antacids may ease a sour or acidic stomach, which can cause halitosis when you burp. If you are milk intolerant and have GI problems, try lactase tablets.

7. Check your sinuses; infections cause bad breath. Bad breath is often a clue to an underlying sinus infection. “The purulent post-nasal drip is the culprit,” says William Sears, MD, also known as “America’s Pediatrician,” an associate clinical professor of Pediatrics at the University of California, Irvine, School of Medicine. Post-nasal drip is most noticeable after sleeping at night, which is why many people rush to brush their teeth first thing in the morning.

8. Eat yogurt for sweeter breath. Yogurt replenishes the good bacteria in the gut and “promotes a healthier mouth,” McIlwain says. Sears recommends celery “to remove stinky bacteria.” You may also try eating parsley between meals to fresh breath. Parsley reportedly has antibacterial and antifungal properties.

9. Chew gum with xylitol to banish bad breath. Chewing gum makes you salivate if your mouth is dry and causing bad breath. Saliva is what washes away the bacteria in your mouth. 

10. See your dentist. At least every six months, see your dentist for teeth cleaning and an oral exam. Your dentist can check your mouth and teeth for open cavities and gum disease that cause bad breath.

If self-care tips don’t work to stop your bad breath, see your doctor. Occasionally bad breath is a sign of a more serious problem, such as an infection, chronic bronchitis, diabetes, or kidney or liver disease.

SOURCES:

American Dental Association: “Bad Breath (Halitosis),” “Cleaning Your Teeth and Gums (Oral Hygiene),” and “What you should know about bad breath.”

Ilana, E. Journal of the American Dental Association, vol 132, no 5: pp 621-626.

Newall CA, Anderson LA, and Phillipson JD, Herbal Medicines: A Guide for Health Care Professionals, London, England: The Pharmaceutical Press, 1996, pp 203-204. 

Michael McIlwain, DMD, dentist at McIlwain Dentistry in Tampa, Florida andassistant clinical professor in pediatric dentistry at the University of Florida.

Murray Grossan, MD, board certified otolaryngologist at Cedars Sinai Medical Center in Los Angeles.

William Sears, MD, author and associate clinical professor of Pediatrics at the University of California, Irvine, School of Medicine. 

The Sinus Cure by Debra Fulghum Bruce, PhD, and Murray Grossan, MD.

Reviewed by Brunilda Nazario, MD on July 12, 2010

The above article was from a WebMD online series. Dr. Diamond wishes to thank WebMD for helping improve the medical and dental health of our patients and all who reads their studies. If you would like Dr. Diamond to evaluate you or a loved one for Halitosis and help determine it’s causes, please call or email us at (562) 430-1013 or (714) 828-5951 or drD@MyDiamondDental.com

Potassium and Your Health

Tuesday, September 28th, 2010

Are You Getting Enough Potassium?

Why you need potassium — and how much is too much, too little, or just right.
By Elizabeth M. Ward, MS, RD
WebMD Feature
Reviewed by Laura J. Martin, MD

Potassium is a key player in good health, but you may not be getting enough from food. Here’s how potassium contributes to good health, and how to get the potassium you need.

Potassium is part of every cell in the body, and life would be impossible without it.

However, potassium is often taken for granted, in spite of its role in maintaining fluid balance, and keeping your brain, nerves, heart, and muscles functioning normally on a constant basis.

It’s important to eat enough potassium every day to feel your best, and to help prevent certain chronic conditions. Falling short on potassium on a regular basis could jeopardize your long-term health in more ways that one.

Potassium Protects the Heart, Brain, and More

“Potassium in the diet lowers blood pressure. High blood pressure is the major risk factor for stroke and heart disease,” says Lawrence Appel, MD, MPH, a professor of medicine, epidemiology, and international health at the Johns Hopkins Medical Institutions.

Appel, who has studied the effects of diet on blood pressure, tells WebMD that potassium may curb elevated blood pressure by contributing to more flexible arteries, and by helping the body get rid of excess sodium. Sodium promotes fluid retention, which may result in higher blood pressure.

Potassium may bolster bone strength by helping guard against bone loss, and it helps to reduce the risk for kidney stones.

Potassium’s Partners in Better Blood Pressure

Potassium is important, but there’s more to lowering blood pressure than a single mineral.

“Diets that include foods rich in potassium are associated with lower blood pressure, but it’s not entirely accurate to give all the credit to potassium,” says Marla Heller, MS, RD.

Appel has researched the effects of the Dietary Approaches to Stop Hypertension (DASH) diet on elevated blood pressure and found that it’s capable of lowering blood pressure, often in a matter of weeks.

Heller, author of The DASH Diet Action Plan, says the relatively low-sodium DASH diet is based on large amounts of fruits and vegetables, low-fat and nonfat dairy, beans, nuts, seeds, whole grains, and lean meats, fish, and poultry.

Although the DASH diet is a treasure trove of potassium, it’s also rich in calcium and magnesium, which help reduce blood pressure.

Got Potassium?

Experts suggest 4,700 milligrams of dietary potassium a day for adults as part of a balanced diet.

But average intake is lower for U.S. adults. Men average 3,200 milligrams per day of potassium, and women average 2,400 milligrams.

“Relying on convenience and restaurants foods and not eating enough fruits and vegetables is why so many people don’t get enough potassium,” Heller says. “Fresh and lightly processed foods, including dairy and meat, have the most potassium.”

Home cooking determines potassium levels in produce, too.

Boiling depletes potassium. For example, a boiled potato has almost half the potassium of a baked potato. To preserve potassium, eat fruits and vegetables raw, or roast or lightly steam them.

When dining out, increase potassium by ordering a salad, extra steamed or roasted vegetables, bean-based dishes, fruit cups, and low-fat milk instead of soda.

Top Potassium Food Sources

Experts say food, not supplements, is the best way to meet potassium needs. 

“My preference is food because potassium is found in foods that provide other nutrients, such as fiber, that also have beneficial health effects,” Appel says.

Here’s how many milligrams (mg) of potassium you’ll get from these potassium-rich foods:                                               

  • Winter squash, cubed, 1 cup, cooked: 896 mg
  • Sweet potato, medium, baked with skin: 694 mg
  • Potato, medium, baked with skin: 610 mg
  • White beans, canned, drained, half cup: 595 mg
  • Yogurt, fat-free, 1 cup: 579 mg
  • Halibut, 3 ounces, cooked: 490 mg
  • 100% orange juice, 8 ounces: 496 mg
  • Broccoli, 1 cup, cooked: 457 mg
  • Cantaloupe, cubed, 1 cup: 431 mg
  • Banana, 1 medium: 422 mg
  • Pork tenderloin, 3 ounces, cooked: 382 mg
  • Lentils, half cup, cooked: 366 mg
  • Milk, 1% low fat, 8 ounces: 366 mg
  • Salmon, farmed Atlantic, 3 ounces, cooked: 326 mg
  • Pistachios, shelled, 1 ounce, dry roasted: 295 mg
  • Raisins, quarter cup: 250 mg
  • Chicken breast, 3 ounces, cooked: 218 mg
  • Tuna, light, canned, drained, 3 ounces: 201 mg

Source: U.S. Department of Agriculture (USDA)

You May Need More or Less Potassium

Besides being linked to the potassium in your diet, potassium levels in your body are influenced by several factors, including kidney function, hormones, and prescription and over-the-counter medications.

People who take thiazide diuretics, often used to treat high blood pressure, may need more potassium. That’s because thiazide diuretics promote potassium loss from the body. Steroids and laxatives also deplete potassium.

Other drugs used to lower blood pressure, including beta-blockers and ACE inhibitors, raise potassium levels in the body.

People with reduced kidney function may need to limit their daily potassium intake.

Ask your doctor or pharmacist about how all of the medications you take affect the potassium levels in your body, and if you need more, or less, of the mineral.

The article above was a WebMD feature approved by Dr. Larry J. Diamond. Please call or visit our office for more information regarding optimal DENTAL health. Our website is www.MyDiamondDental.com

BPA From Dental Sealants, White Fillings: Is It Safe?

Wednesday, September 8th, 2010

Sept. 7, 2010 — Parents worried about mercury in amalgam dental fillings now have a new bugbear: BPA from dental sealants and “white” fillings.

Bisphenol A — BPA — is a resin used in many kinds of plastics, including some water bottles and metal food can liners. Emerging evidence suggests, but does not prove, that BPA can have harmful effects on human health, particularly on child development.

Dental sealants and fillings don’t contain BPA, but many of them contain compounds that turn into BPA on contact with saliva. Is this a problem? That’s what one mother recently asked in a letter sent to Children’s Hospital, Boston.

To answer the question, pediatric endocrinologist Abby F. Fleisch, MD, and colleagues performed an exhaustive review of the scientific evidence. They came to two conclusions:

  • BPA does indeed form in the mouth after some dental sealants and fillings are applied. BPA can be found in the saliva three hours after dental work is completed. It’s not at all clear whether this poses a health risk.
  • A quick wipe and rinse of the completed dental work vastly decreases whatever risk there might be.

“We believe the high preventive benefits of sealants far outweigh the risk. So until the dental industry creates alternative materials, we recommend their continued use,” Fleisch tells WebMD. “But we do recommend precautionary application techniques.”

Fleisch and colleagues had hoped to be able to recommend BPA-free brands of dental sealants and composites. But manufacturers are not required to disclose all of the ingredients in their products. Moreover, many use little-studied compounds such as triethylene glycol dimethacrylate (TEGDMA) and urethane dimethacrylate (UDMA) that may or may not pose risks of their own.

Fortunately, scrubbing and rinsing sealants and fillings after they are applied removes 88% to 95% of the compounds that can become BPA.

How hard is that to do? It’s simple, says pediatric dentist Dorota Kopycka-Kedzierawski, DDS, MPH, associate professor at the University of Rochester’s Eastman Institute for Oral Health.

“If you spend 30 minutes placing a filling, scrubbing it for 30 seconds more is not going to kill you,” Kopycka-Kedzierawski tells WebMD. “I would agree it is something we can do to protect our children.”

Fleisch and colleagues report their findings in the Sept. 7 issue of the journal Pediatrics.

This is an article from a recent WebMD posting. If you have any concerns regarding sealants or composite (white) fillings, please call our office. Dr. Diamond will be happy to discuss your concerns with you. Our office happens to use a NON-BPA SEALANT for the past several years.  You can reach us at (562) 430-1013 or (714) 828-5951 or email us drd@mydiamonddental.com or visit our website www.MyDiamondDental.com  for more information.

CONNECTION BETWEEN GUM DISEASE AND ARTHRITIS

Wednesday, September 8th, 2010

A recent study from Johns Hopkins helps confirm the connection between gum disease and rheumatoid arthritis.

KIDS DENTISTS AND ADULTS DENTISTS : BABY’S HEALTHY TEETH CHECKLIST

Friday, September 3rd, 2010

1. Visit your dentist during pregnancy. Dental treatment is safe.

2. Wipe baby’s gums twice a day, in the morning and right before bed.

3. Clean pacifier and bottle with soap and water, not spit.

4. Each family member uses his or her own toothbrush, spoon, fork or cup.

5. Give only milk or water in the cup or bottle.

6. “Test” baby’s food by tasting it with your own spoon or fork.

7. Only use a dab of fluoride toothpaste every time you brush your baby’s teeth.

If you have any questions or comments about this or related subjects, please reply back on our Blog here or Website, www.MyDiamondDental.com