For Immediate Release:
Dateline: Detroit,
MI
Wednesday, June 19, 2019
- Southfield Periodontist - Joseph R. Nemeth, DDS & Associateshttps://drnemeth.comSouthfield PeriodontistWed, 19 Jun 2019 19:37:12 +0000en-UShourly1- https://drnemeth.com/6054-2/Wed, 19 Jun 2019 19:36:38 +0000https://drnemeth.com/?p=6054
FLOSSING. The. Big. F. We know we should do it daily. We (mostly) all hate it. But are there other ways to effectively clean between your teeth that are easier and more convenient? The answer my friends, is YES! There are numerous ways to do the deed that are not as tedious as using traditional dental floss. You can follow your dentist’s orders without becoming a contortionist, bending this way and that to get at those back teeth. How are you even supposed to reach them? And the twisting, slipping, sliding of the floss between your fingers, cutting off the blood supply to your hands? Say good-bye to that (if you haven’t already) then, read on and try any one of the following options for great results in a faster, easier way… Water Flosser The Water Flosser directs high pressure water from the tip, to your gumline and between your teeth. The pressure and pulsing of the water actually cleans the sticky plaque and food debris! It appears that the pulsating water is more effective and efficient at cleaning than just a steady stream of water. Water Flossers are not expensive and when you consider the health of your teeth and gums, it’s a pretty inexpensive way to avoid cavities and gum disease, which can cost big bucks to treat versus maintain. Not to mention all the diseases that are linked to gum disease. And since they’re easier to use, you’re more likely to do it! Water flossers were reported to be 52% better at reducing gingivitis than manual flossing. Is a Water Flosser right for you? - Do you have braces? Water flossers can be a great option if you do. The water flosser can remove the food and bacteria from braces where the string floss can’t reach.
- Do you have poor dexterity? Flossing can be more difficult for people who lack dexterity, suffer from arthritis or other muscular diseases. The Water Flosser would be much easier if you have a hard time controlling the string floss.
- Do you suffer from sensitive gums? If your gums are sensitive and tend to bleed when you floss, a Water Flosser may be for you. Be aware that bleeding gums are not normal and if you do have them and they are unrelated to another health issue, you may be suffering from gingivitis or gum disease. Consider seeing a Periodontist to diagnose and treat, if necessary.
- Do you have spaces between your teeth?If you have large gaps between your teeth, the surfaces of your teeth are uneven or your gums are receding, it can be hard to clean adequately with floss, which may not fill the gaps properly. In these cases, brushes are more effective in removing plaque and food debris.
- Don’t like to floss? Anyone can be put off by flossing simply because they find it difficult or do not like the feel of it. If you don’t feel comfortable using floss, then WaterFlossing or interdental brushes or picks may be a better option.
How Use a Water Flosser Always read and follow the instructions that come with your device. But basically: - Place the tube/tip into the holder. Remove the tank, fill it with warm water and place it back in the base.
- Plug it in, and adjust the pressure. Start low and increase as you get accustomed to the pressure.
- Leaning over the sink, place the tip in your mouth, close your lips, and turn on the device.
- Starting at the back, aim it just above your gum line, working toward the middle of your mouth.
- Stop briefly leaving the tip between each tooth to let water run out of your mouth into the sink.
- When you’re done, just turn off the device, remove the tip, and clean it according to the instructions.
- Congratulate yourself on a job well done and repeat daily!
FLOSSING. The. Big. F. We know we should do it daily. We (mostly) all hate it. But are there other ways to effectively clean between your teeth that are easier and more convenient? The answer my friends, is YES! There are numerous ways to do the deed that are not as tedious as using traditional dental floss. You can follow your dentist’s orders without becoming a contortionist, bending this way and that to get at those back teeth. How are you even supposed to reach them? And the twisting, slipping, sliding of the floss between your fingers, cutting off the blood supply to your hands? Say good-bye to that (if you haven’t already) then, read on and try any one of the following options for great results in a faster, easier way… Interdental Cleaners Interdental Cleaners come in a variety of options from brushes to picks. Interdental Brushes Interdental brushes are small heads with short bristles that remove food and plaque. They are often more effective than string floss since they can reach areas string floss can’t. They come in a variety of sizes that you can select depending on the amount of space between your teeth. Be sure the brush fits comfortably between your teeth so you’re not using force to get it through. These are also great for use with braces. The tip can be bent to more easily reach between teeth and around braces. Gently push the brush between your teeth. You may have different space amounts between the front of your teeth and the back so you may want to look for brush heads that fit each space easily. You can use the brush multiple times; just clean it with water after each use. Replace it when the bristles are worn or the wire holding them in becomes bent. Interdental Picks Interdental Picks are similar to brushes in that they clean between teeth but are made of soft plastic with soft, short bristles or nubs. Like interdental brushes, they come in several sizes for the amount of space between your teeth. As with interdental brushes, use pressure but don’t force the pick through as it can cause gaps or black triangles between the teeth as well as damage your tissue. They’re safe for people with crowns, implants and bridges. They massage and stimulate your gums to promote gum health. They are easy to hold and manipulate to reach all teeth, front, back, top and bottom. Whatever type you choose be sure to use it daily to keep your gums and teeth healthy and clean. Keeping your mouth healthy will keep your body healthier! If you have questions about flossing or flossing products, ask us! If you have gum disease or are concerned about your oral health, see a periodontist. He/she can not only treat your gum disease but can help control your diabetes and improve your overall health. We care about improving the lives of our patients! If you would like to schedule an appointment to see us, please call (248) 304-7977 - https://drnemeth.com/5966-2/Wed, 06 Feb 2019 16:25:46 +0000https://drnemeth.com/?p=5966
The importance of taking care of our teeth and dental health is typically stressed the most when we’re young. We were taught good habits early with reminders to brush and floss, avoiding sugary treats, and maybe we even wore braces. However, as we age the importance of good oral health is often ignored, though it’s still just as important. Good Oral Care is about more than Maintaining a Great Smile As we age, our dental and oral health changes and most people don’t realize that it can impact a lot more than just our teeth and gums. It’s equally important to keep your mouth and body in tip top shape to ensure your overall health and wellness. Getting Older Doesn’t Mean Losing Your Teeth Many people think that tooth loss is just a natural part of aging. In fact, people lose their teeth due to disease and lack of good oral hygiene, not the aging process. While we typically think of cavities as something mostly concerning children, as we age, the risk of cavities increases. One reason is dry mouth, a common side effect of many medications. Dry mouth increases the chance for decay, leading to cavities. Dry mouth can also lead to fungal infections in the mouth and difficulty swallowing as there isn’t enough saliva in the mouth to soften your food. If your doctor prescribes a new medication, ask if dry mouth is a possible side effect so you can stop any problems before they happen. Not only are we susceptible to cavities, inflammation and infection as we age, the structure of our teeth and mouths change as well, impacting our health and the cosmetic appearance of our faces. We all know that as we age, gravity is not our friend, causing our skin to droop, our upper lip to become longer and the shape of our upper and lower jaw to become more narrow or crowded. When this happens, we don’t have as much facial support. These changes can start happening as early as our 30’s and 40’s and in time can lead to pain, difficulty cleaning our teeth and a big change in the aesthetics of our smile. Not to mention the stains, pits, cracks and discoloration from all that coffee, tea and soda all those years. Time shows that your smile changes more and more over time. Gum Recession is a Common Problem with Age Gum recession is another issue many people deal with as they age. Not cleaning your teeth properly leads to tarter build-up under the gums. This leads to inflammation and gum disease. Both of these cause the gums to pull away from the teeth, exposing more of the root, leading to decay and cavities as well as sensitivity. This also can give the appearance of the teeth looking longer…like the old saying ‘long in the tooth.’ Lack of good oral hygiene is a big cause of this. By simply brushing our teeth with a soft bristle toothbrush twice a day and flossing you can really make a big difference and avoid recession. What Can I Do to Keep My Facial Aging at Bay? If you’re really concerned about aging and are doing everything right from a hygiene perspective and still want to keep that youthful look, visit an orthodontist. Braces can help move the jaw, widening it again and giving back that more youthful shape. Keep in mind though, that braces may also lead to gum recession. So, think long and hard about going down that road and speak with your orthodontist about your concerns. Link between Oral Health and Overall Health We find more and more links between our oral health and overall health. Alzheimer’s disease, diabetes, heart disease, and lung cancer are only a few of the chronic diseases that have strong connections to gum disease. If you’re diabetic, you’ll have more difficulty keeping your gum disease in check and the same in reverse; having gum disease will make it harder to keep your diabetes under control. There have been links showing the same bacteria found in gum disease can also be found in the brains of people with Alzheimer’s disease. Since your mouth is the gateway to your body, any bacteria in your gums can travel throughout your bloodstream to other organs, including your heart. So good oral hygiene is critical. Brush your teeth twice daily. It’s especially important in the evening before bed. When we sleep, our mouths have less saliva allowing that tarter to build up, starting the road to decay, cavities and recession. Cleaning between teeth is also incredibly important. There are so many options available these days that are simpler and more convenient than floss. Try a water flosser, floss picks, interdental brushes, dental picks and other options that are easier to use than dental floss and make it easier to get to those hard to reach areas. These are a great choice if you have painful dexterity issues like arthritis. You can easily find these interproximal cleaners at your local pharmacy or big box store. Dentures Don’t Necessarily End Gum Issues Even if you’re a denture wearer, you still need to take care of your oral health. Take out your dentures for at least four hours a day and clean them daily with a product specifically for dentures. This will help keep the lining of your mouth healthy. Dental Care is as Important with Aging Dental care becomes more important as we grow older. When we’re younger, twice a year cleanings are fine, but as we age, more frequent check-ups and cleanings become more important. An important fact that most people don’t know is that aging causes the nerves inside your teeth become smaller and less sensitive. This means that by the time you actually start to feel pain or discomfort, the damage has already been done and the chance of losing the tooth increases. By getting regular or more frequent checkups, you are more likely to catch issues sooner. Dentists will be able to recognize the signs of oral cancer and gum disease in their earlier stages. This can save you a lot of time, money, aggravation and pain. It’s very common for older people to frequently visit their primary care physician, and other medical doctors. What is unfortunately not as common as we age, is placing as much importance in our oral health as our overall health. The ironic thing is that they’re all connected. Taking care your mouth is just as important as taking care of your body. You’ll look and feel better. Don’t forget that when you have a healthy mouth, you’ll have a healthier body even as you age. We care about improving the lives of our patients! If you have any questions or would like to schedule an appointment to see us, please call
]]> - This Little Known Fact Can Help Lower Blood Sugar and Control Diabetes!https://drnemeth.com/lower-blood-sugar-and-control-diabetes/Fri, 12 Oct 2018 20:56:36 +0000https://drnemeth.com/?p=5817
In recent years a larger and larger portion of the U.S. population suffers from metabolic syndrome, which includes diabetes, insulin resistance and lipid problems. We can attribute part of this to inflammation throughout the body. One of the initiating factors to diabetes can be chronic inflammation which occurs frequently with gum disease. Studies show that over 50% of people have gum disease and this makes you much more likely to have or develop diabetes. In one study, 82% of diabetic patients with periodontitis experienced one or more major cardiovascular, cerebrovascular or peripheral vascular events during the study period of 1–11 years, compared to only 21% of diabetic subjects without periodontitis. Periodontal diseases are among the most common diseases in humans If you are diabetic, you may not know it but there’s a very good chance you may already have periodontal “gum” disease. Because these conditions are so closely linked, they tend to work together in a downward spiral of disease. The good news is, if you get periodontal disease treated, it will most likely help lower blood sugar (A1c) and it will be much easier to control diabetes. Gum disease is caused by parasites and pathogens that get under your gums and multiply causing infection in your mouth and inflammation throughout your entire body. When you eliminate this infection, you reduce overall inflammation and your body responds in a positive way not only in regards to diabetes but also many other systemic diseases, including heart disease, respiratory disease, cancer, and so many more. Recent studies show that… Diabetes is unequivocally confirmed as a major risk factor for periodontitis. Diabetics have a higher risk of developing gum disease than people who have healthy blood sugar levels. In fact, the risk of periodontitis is increased by approximately threefold in diabetic people compared to those who are not diabetic. We’ve talked about how periodontal disease increases the risk for diabetes, but did you know… Diabetes also increases the risk for periodontal disease? For someone with diabetes it is harder to shield the body from a bacterial infection and high blood sugar levels make it easier for bacteria to thrive in the mouth. This means that not only does having diabetes make an infection harder to fight, but also having serious gum disease can make diabetes harder to keep in check. The link between diabetes and gum disease becomes even stronger when you look at the possible effect of an oral infection on your blood sugar levels. What’s happening in the mouth? The germs in plaque cause infection between the teeth and in the gums, leading to gingivitis, the first stage of gum disease. The more serious stages of gum disease are periodontitis and advanced periodontitis. If left untreated, this condition can result in destruction of tissue and eventually bone and tooth loss. When you have gum disease, your tissue tends to bleed more easily and this allows a direct point of entry for pathogens to get into your bloodstream and cause inflammation. This inflammation can clearly be seen in those who suffer from rheumatoid arthritis, which has also been linked to gum disease. Taking care of your oral health, whether you have diabetes or not, is much more important than you may think.Treating periodontal inflammation can lower blood sugar levels (with significant reported HbA1c reductions) Our patient, Juanita Barnes, is a great success story of someone who treated her gum disease and saw a huge improvement in her diabetes. When she first came to us her A1c was over 14.0! Dr. Nemeth told her that once she completed her LANAP treatment, she could expect her blood sugar levels to be significantly reduced. Once she was through with treatment, her A1c dropped to 8.6 and that was after just two months! She and her internist are thrilled with the results and she is able to control her diabetes much more easily. Ms. Barnes said, “I am just overwhelmed and ecstatic about it…it has never been this low!” She is feeling better than ever. Controlling diabetes is likely to reduce the risk and severity of periodontitis. Nearly 22% of people with diabetes have periodontal disease and as we age, poor blood sugar control escalates the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar levels. How to lower blood sugar levels If you have type 2 diabetes, keeping your gums healthy can help you control your diabetes. It also may help lower your risk of experiencing problems, such as blindness and kidney disease. While these two conditions may make each other more difficult to manage, there is still a lot that you can do to prevent and control both diabetes and gum disease. Letting diabetes go uncontrolled Diabetes patients with poor glycemic control are at greater risk for progression of periodontal destruction over time, and are more likely to have severe periodontitis than those with well controlled diabetes. If your diabetes is left untreated, the repercussions can be major. Here’s how: - You may have less saliva, causing your mouth to be dry.
- Because saliva protects your teeth, you’re also at a greater risk of cavities.
- Gums may become reddened and often bleed (gingivitis).
- You may have difficulties tasting food.
- You can face slow wound healing.
- You can be vulnerable to infections in your mouth.
- For children with diabetes, teeth may erupt at an age earlier than is typical.
https://www.youtube.com/watch?v=eMjlTA7BQio Have a Diabetes/Dental Health Plan for Yourself Having a team in place is important in keeping your oral health in check. Talk with your dentist about your health and any medications that you may be taking. You, your doctor and dentist/periodontist are your good health squad and working together can give you a healthy smile and may even slow progression of your diabetes. Here are a few other things you can do to improve and keep yourself in peak health: - Manage your blood sugar levels. Use your diabetes-related medications as directed by your doctor.
- Work toward a healthier diet.
- Exercise (more).
- Lower blood sugar levels to fight any bacterial or fungal infections in your mouth.
- Avoid smoking.
- Make sure to brush twice a day with a soft bristle brush and clean between your teeth daily.
- If you wear any type of denture, clean it each day.
- See your dentist for regular checkups
If you have diabetes (or not!) and have any symptoms of gum disease or are concerned about your oral health, see a periodontist. He/she can not only treat your gum disease but can help control your diabetes and improve your overall health. We care about improving the lives of our patients! If you have any questions or would like to schedule an appointment to see us, please call (248) 357-3100 - What is Oral Lichen Planus?https://drnemeth.com/what-is-oral-lichen-planus/Tue, 21 Aug 2018 18:45:32 +0000https://drnemeth.com/?p=5746
Oral Lichen Planus is a chronic autoimmune disorder that affects the mucous membranes in your mouth. It can cause a burning feeling, redness and swelling and you may have white patches in your mouth. If you have it, it doesn’t go away but you can control it. WHO GETS LICHEN PLANUS?Lichen Planus is more common in women than men and usually occurs in people over the age of 40; however children and young adults can get it as well. WHAT CAUSES LICHEN PLANUS?While it’s not known exactly what causes oral Lichen Planus, doctors think it could be linked to your immune system. Usually your cells protect you by attacking viruses and bacteria, but with lichen planus those cells attack the oral mucous membranes causing lesions. These lesions may be lacy in appearance, white patches of tissue, red, swollen, tender areas of tissue or open sores. They can show up on the insides of your cheeks (most common), gums, tongue, and inner tissues of your lips or on your palate. It may run in your family, however, it is NOT contagious and can’t be passed from one person to another. WHAT ARE THE SYMPTOMS OF LICHEN PLANUS?Lichen Planus can start slowly or symptoms can come on all of the sudden. Symptoms include: - Dryness in your mouth
- Burning sensation or pain
- Bleeding and irritation when you brush your teeth
- Metallic/burning taste
- Painful thick, white patches on your tongue, gums, cheeks, palate.
- They may include tiny dots or lines or a lacy pattern
- Discomfort when you talk, chew or swallow
- Redness and swelling of the gums
- There may be blistering or peeling
The sores can burn and be very painful and worsen when you eat or drink things that are salty, spicy, and acidic (like orange juice or tomatoes) or alcohol. Crispy foods (sharp edges) and caffeine can also be problematic. Medications may be factors as well, like painkillers, diabetes, and high blood pressure or malaria drugs. Dental fillings or a reaction to metal could cause a reaction or other problems in your mouth like a rough crown or tooth. An injury to your mouth or an infection may trigger lichen planus. Also, if you have a habit of biting your tongue or cheeks, this can contribute to it as well. Many people with Hepatitis C virus get lichen planus so that could be a possible link too. TREATING LICHEN PLANUSIf your symptoms are not severe and you feel only mild roughness in your mouth, you may not need any treatment at all. If you have sores or are in pain, your doctor may recommend a corticosteroid cream or in more severe cases, he/she may prescribe steroid pills. Severe oral lichen planus can increase your risk for: - Severe pain
- Stress or anxiety
- Oral cancer
- Weight loss or a nutritional deficiency
- Depression
- Secondary oral yeast or fungal infections
- Scarring from abrasive lesions
CAN I AVOID FLARE UPS?Be aware of what you eat and drink. Some foods and drinks, like those that are spicy or have citrus can make your symptoms worse. Also, too hot or too cold drinks cause discomfort. - Stress can make symptoms worse.
- Treat any issues that can trigger or worsen Lichen Planus
- Don’t smoke
- Environmental Exposure – avoid chemical vapors, paint fumes, pesticides, asthma inhalers
- Drink alcohol only occasionally
- Include lots of fruits and vegetables in your diet, though avoid those high in acid
- Have your dentist replace any damaged fillings or polish sharp teeth
- Check with your doctor to see if any of your medications could be causing it
- Brush your teeth twice daily and floss once daily
- Use a soft toothbrush and mild toothpaste
- Be sure to see your dentist twice yearly for cleanings and check-ups
While a diagnosis of oral lichen planus can be frightening, keeping on top of symptoms is key to keeping it under control. See your doctor if you notice any changes in your mouth or any symptoms that signal something feels different. Be aware of what your mouth may be telling you. As I always say, healthy mouth, healthy body! We care about our patients and their overall health. If you have any questions or would like to schedule an appointment to see us, please call (248)357-3100 - IS TMJ CAUSING YOUR HEADACHES?https://drnemeth.com/tmj-headaches/Tue, 24 Jul 2018 20:24:55 +0000https://drnemeth.com/?p=5688
So you get these annoying headaches all the time and you can’t figure out why. Is it allergies, the weather, a cold, sinus issues? Who knows? Maybe it’s one or a combination of those things, maybe not. It turns out that your oral health or TMJ (temporomandibular joint) could be the cause or contributing to your headaches or migraines! 
TMJ CAN CAUSE HEADACHES AND MIGRAINES The temporomandibular joint is a hinge that connects your jaw to the temporal bones of your skull. These are in front of each ear and they let you move your jaw up and down or side to side, so you can chew, talk, and yawn. TMJ or Temporomandibular Disorder is what can happen when there’s an injury to the jaw bone. This can happen when the mechanism of the jaw and muscles around it have been injured. Anything from whiplash, to a sports injury or even having your mouth open for too long can distress the joint and bring on TMJ headaches. There are numerous symptoms that you may not realize are associated with TMJ that could be bringing on your headaches. Other factors that can lead to TMJ are:Grinding or Clenching Your Teeth. This puts additional pressure on your joint.
– The ‘medical’ term for grinding your teeth is Bruxism. This very often happens while you’re asleep and you don’t even know you’re doing it. You may only find out when someone tells you they hear the grinding sound or if you consistently wake up with a headache that goes away soon after rising. Continued grinding can cause flattened (or worn down) teeth, cracked dental crowns and even broken or chipped teeth. Arthritis in the Joint Stress, which may cause tightening of the jaw and facial muscles or clenching
– Stress is a big cause of teeth grinding or clenching. This can cause muscle and gum inflammation which can lead to headaches and migraines. Is your jaw sore and does it click when you open your mouth?Do you have a pretty constant dull headache that starts around your temples or behind your eyes? Do you have tender teeth, difficulty opening or closing your mouth or even have indentations of your teeth on your tongue? These could be symptoms of TMJ or Bruxism and a factor in your headaches or migraines. Your ‘BITE’ is Off – Missing, loose or misaligned teeth, orthodontics and even incoming wisdom teeth can cause your bite to be ‘off’ or your teeth not meeting smoothly when your jaw is closed. This constant strain makes your jaw have to work harder to compensate for the imbalance of trying to bring your bite into the right position, to swallow or even keep your mouth closed. Here are some questions to ask yourself: 1. Do you have any teeth or crowns that have fractured, chipped, or cracked?
2. Do your teeth show wear or have they become shorter than they used to be?
3. Are your gums receding around any teeth?
4. Are any of your teeth loose?
5. Do your jaws get tired of chewing or sore?
6. Can you chew gum?
7. Do you suffer from sore/tight shoulders?
8. Are you having frequent ear pain?
9.Does your jaw pop when you open or chew?
10. Is your tongue frequently pushed against the roof of your mouth? 
If you answered yes to more than two questions, chances are pretty good that you have an alignment issue that’s contributing to your TMJ. ANOTHER SOURCE OF PAIN THAT CONTRIBUTE TO HEADACHESTOOTH INFECTION OR ABSCESS/CAVITIES OR GUM DISEASE – Very often, the pain from tooth decay or gum disease can feel like it’s a headache or migraine but it’s actually ‘referred pain’ from your mouth. The pain feels like a headache but it’s actually coming from your tooth or gums. Diagnosing your TMJ and getting the appropriate treatment for it can help not only your jaw pain and issues but also alleviate those painful TMJ headaches. TREATING HEADACHES/MIGRAINES CAUSED BY DENTAL ISSUESGet regular dental cleanings and checkups and be sure to let your dentist know about your headaches and migraines and any other symptoms you may have. There could be a simple dental procedure to correct your problem; even something as straightforward as a bite guard to alleviate your grinding or clenching. A dental checkup can even help detect a more serious oral health concern that needs treatment immediately, like an infected or abscessed tooth or gum disease. People very frequently ignore the signs or symptoms of their TMJ headaches or confuse them with a regular headache or migraine. They avoid the dentist out of fear or the expense. They may wait until the issue is so severe and painful that they have no choice but to go for help. By that time damage may be permanent or much more burdensome to treat. Visiting your dentist for regular cleanings and maintenance is not only a smart way to prevent more serious health issues; it may reveal a current problem that needs to be treated. This can avoid additional pain and suffering, more advanced health issues and spending more money than would have initially been necessary. Bottom line:
See your dentist and let him/her know about any issues you’re having. You’ll put yourself on the road to relief and a healthier, happier life! We care about our patients and their overall health. If you have any questions or would like to schedule an appointment to see us, please call - Dental Phobia – Don’t Let Your Anxiety Keep You From The Dentisthttps://drnemeth.com/dental-phobia/Thu, 28 Jun 2018 17:15:28 +0000https://drnemeth.com/?p=5615
Dental phobia is at the top of many people’s list of fears. It’s called Odontophobia and it’s a real fear and it can cause people real problems.  Dental Calculus caused by phobia
DO I REALLY NEED DENTAL CLEANINGS? If you think your teeth and gums are okay and you don’t need to go to the dentist, think again. Here’s an example of a patient who avoided the dentist for twenty years…yes TWENTY years! He had so much calculus and tarter build up that he couldn’t chew food. He could only eat soft foods and drink liquids. He had a serious problem with bad breath as well. He obviously had an extreme fear of the dentist. The impact on his daily life was unbearable and he got to a point where he had no choice but to do something. He finally overcame his dental phobia enough to come in and discuss his situation with the doctors. We worked out a plan with him to try to lessen his dental anxiety so we were able to treat him. It took close to four hours of root planing and scaling to start to get him back on track. He had several teeth that were rotten, lost a few and had some gum recession that was able to be treated. He is on the road to a more healthy life and now knows it’s a slippery slope to get back to his previous state. CHECK OUT OUR VIDEO EXPLAINING HOW WE HELPED THIS MANTHEN THERE’S THE FEAR OF PAINWhile at one time pain would have been an expectation as there were limited means for controlling it – thank goodness – those days are for the most part in the past. There are many options for pain control now so be open and honest with your dentist about your dental phobia. Your dentist can review your options with you to determine the best plan for your particular situation. Dentists understand the fear and anxieties associated with dental visits and are prepared to work with you so you’re comfortable with the process and what your appointment will consist of. FEAR OF CHOKINGPeople who have a fear of choking often feel when their mouth is open for an extended period of time, it will fill up with saliva and they will not be able to swallow it. If this is one of your concerns, let your dentist know ahead of time that you are fearful of choking. This will help your dentist to be more conscious of suctioning excess saliva from your mouth immediately. It may even be possible to arrange some sort of signal with your dentist when you would like them to suction to keep your anxiety at bay. HOW CAN I LESSEN MY ANXIETY?It’s okay to speak up. Asking questions so you know what to expect may lessen your anxiety or fear of the unknown. Many patients don’t feel comfortable discussing their pain tolerance. Don’t be afraid to interrupt your dentist during a cleaning or procedure. Before you start, make sure you discuss your concerns and the best way they can make you more comfortable.  Dental Phobia Relaxation
If you enjoy listening to music or podcasts, put on a pair of headphones.  Dental Phobia Relaxation
To keep your mind off of your dental phobia, it’s a good idea to keep yourself busy with a stress ball and try doing some breathing exercises. When I’m stressed I often stay relaxed by focusing on each muscle one at a time, releasing all the tension in my entire body. Try it. Just imagine your favorite place in the world and picture yourself there. SEDATION DENTISTRYMany dental offices have sedation dentistry to help patients with dental phobia to overcome their anxiety. Conscious sedation dentistry allows patients to relax while their dental work is being completed. Dental sedation not only helps ease the anxiety of the patient, it may also help the dentist to complete the work needed in a shorter period of time…a bonus for both of you! Many people allow their fear of the dentist to keep them from ever going to get cleanings. Going years without cleanings and maintenance can be detrimental to your teeth, gums and even your overall health! The build-up of tarter and calculus continues to progress and can lead to many issues like severe gum disease, bone and tooth loss. The bacteria in gum disease can even travel through your body contributing to: - Heart Disease
- Diabetes
- Stroke
- Breast Cancer
- Colon Cancer
- COPD/Respiratory Disease
- Erectile Dysfunction
- Premature/low birth weight
- Kidney Disease
- Osteoporosis
- Prostate problems
People with gum disease may also have: - A 1.36 fold increase in getting lung cancer
- A 21% increase in esophageal cancer
- Be 70% more likely to get dementia or Alzheimer’s disease
- Be four times more likely you could get Rheumatoid arthritis
We all need to take care of ourselves and our bodies. A serious part of that is the health of your teeth and gums. Don’t put your health at risk by allowing your dental phobia to get the best of you. Find a dentist that you feel comfortable with and talk to them about your anxieties. They’ll understand and work with you to make your visits as easy and stress free as possible. We care about our patients and their overall health. If you have any questions or would like to schedule an appointment to see us, please call (248) 357-3100 - GUM DISEASE IN CHILDRENhttps://drnemeth.com/gum-disease-in-children/Tue, 12 Jun 2018 17:50:10 +0000https://drnemeth.com/?p=5594
Believe it or not, gum disease in children is not all that rare but being on the lookout for the signs of it can help keep your child’s mouth and overall health in check. There are three types of gum disease found in children:
CHRONIC GINGIVITIS – is fairly common in children. It typically causes the gum tissue to turn red, become swollen and bleed very easily. It is completely preventable and correctable with regular brushing, flossing and appropriate dental care. If it goes untreated, it can and very likely will, progress to more serious types of gum disease. AGGRESSIVE PERIODONTITIS – can impact younger people who are overall in good health. Localized aggressive periodontitis can occur in teens and young adults and typically involves the incisors and first molars. It can cause severe loss of the bone that supports the teeth), and surprisingly, there will be very little plaque or calculus. GENERALIZED AGGRESSIVE PERIODONTITIS – may start around puberty and encompass the entire mouth. It causes inflammation or swollen gums and substantial buildups of plaque and calculus. If not treated, it can even lead to the teeth becoming loose. WHAT ARE THE SYMPTOMS OF GUM DISEASE IN CHILDREN?There are four basic signs of gum disease to watch for in children or even adults: • Bleeding Gums – gums bleed while brushing teeth, flossing or any other time
• Puffiness – gums are bright red, swollen and tender or sore
• Recession – gums have receded away from teeth and may even expose the roots
• Bad Breath – Constant bad breath that doesn’t go away even with regular brushing and flossing 
Good oral hygiene is crucial during adolescence. The hormonal changes related to puberty can put teens at greater risk for getting gum disease. An increased level of hormones, like progesterone or estrogen can cause increased blood circulation to the gums. This can add to the gum’s sensitivity and may cause a bigger reaction to any irritation, like particles of food or plaque. If this happens, the gums may turn red and become swollen and sore. The further along your teen is through puberty, the lower the susceptibility for swelling of the gums. However, it is still very important to brush and floss twice daily along with regular dental visits. In some cases, your general dentist may recommend periodontal therapy to avoid tissue and bone damage around the teeth. The key to effective treatment of gum disease is early diagnosis, so it’s important that your children get thorough periodontal exams as a part of their regular dental check-ups. Another consideration: if your child has an advanced form of gum disease, it may also be an early sign of a systemic disease. Many systemic diseases have been linked to gum disease so staying on top of their oral health can also go a long way toward keeping their overall health in check. If their advancing gum disease seems to be resistant to treatment, a general health check-up would be recommended. HOW DO I KEEP MY CHILD’S TEETH AND MOUTH HEALTHY?• Start good oral hygiene habits early! At 12 months old, you can start using toothpaste when you brush their teeth. Once the gaps between their teeth begin to close, start flossing!
• Set a positive example – Let your children see you brushing and flossing and taking care of your teeth
• Schedule regular dental visits for the whole family that include periodontal evaluations and cleanings
• Look for the signs of gum disease in your child’s mouth. Watch for red, swollen and/or bleeding gums that are receding from the teeth and bad breath. Knowing what to look for and the signs of gum disease are the first steps to keeping your child healthy – inside and out. If you notice any of the symptoms of gum disease in your child, schedule an appointment with your dentist or a periodontist right away. The sooner treatment is started, the less advanced the disease will get. We care about our patients and their overall health. If you have any questions or would like to schedule an appointment to see us, please call - WHAT ARE THE CRACKS IN THE CORNER OF MY MOUTH?https://drnemeth.com/cracks-in-corner-of-mouth/Mon, 23 Apr 2018 20:23:57 +0000https://drnemeth.com/?p=5569
ANGULAR CHEILITISSo, you have really painful cracks on the corner of your mouth. The corners of your mouth are red, swollen and cracked. And they hurt – like really hurt. It hurts to talk, smile, eat and oh, jeez, you’ll do anything to keep from yawning! Is it from the cold? Is it from chapped lips? And why doesn’t lip balm help? You, my friend, most likely have what’s called Angular Cheilitis (key-light-us). Unlike chapped lips, which are caused by dryness, Angular Cheilitis is a fungal infection which is why your lip balm isn’t doing a whole lot. WHAT CAUSES ANGULAR CHEILITIS?There are several causes or health issues that might make you more likely to get ANGULAR CHEILITIS – - Ill-fitting dentures
- Loss of teeth
- Dry Mouth or xerostomia
- Uncontrolled Diabetes
- Some Medications – like those used to treat acne or chemotherapy drugs
- Autoimmune disorders – Sjogren’s syndrome, lupus, Crohn’s disease or ulcerative colitis
- Nutritional deficiencies – lack of A or B vitamins or zinc or not enough iron (anemia)
- Malnutrition – including from frequent vomiting, bulimia or anorexia nervosa
Additionally, people with Down syndrome and elderly people may have increased odds of having cracks in the corner of their mouth. People with Down syndrome have a lower than normal muscle tone which leads to their mouths being open and their tongue distended, which irritates their lips. Elderly people may have a compromised immune system which makes it harder for them to fight infections. Additionally, as we get older, we lose muscle strength which can cause the corners of the mouth to turn down and saliva to collect there. They also suffer from over-closure of the mouth due to the loss of teeth. HOW DO I TREAT ANGULAR CHEILITIS?Having said all of that, you may not have any of these issues and still get cracked lips. So what can you do to treat it? If you think you have it, doctors recommend a 1-percent hydro cortisone cream along with an antifungal, you know, the over-the-counter stuff they use to treat athlete’s foot. You should definitely use them together since using just the hydro cortisone can decrease your immune system where it’s applied and make the infection even worse. If after a few weeks you’re still suffering from Angular Cheilitis, make an appointment with a dermatologist. You may need a stronger cortosteroid than you can get over the counter. CAN I AVOID GETTING CRACKED CORNERS ON MY MOUTH?Once you’ve had it even for a short time, you’ll want to avoid getting it again at all costs. Here are some tips for keeping it at bay: - Use a petroleum jelly at night to keep a protective seal and avoid saliva pooling in the corners of your mouth
- Stay hydrated – especially during the seemingly endless cold winter months to avoid dryness
- Keep up with your oral hygiene. Brush and floss twice daily to keep your mouth clean and healthy and less likely to allow the fungus to grow
- Try not to lick your lips. We often do that when our lips feel dry but that only makes them drier (use that lip balm/petroleum jelly instead)
- Avoid sugar – if you repeatedly get Angular Cheilitis and eat a lot of sugar, cut back. Candida yeast loves sugar (don’t we all?) See if cutting back helps to ease the reappearance of your Angular Cheilitis.
If you’ve tried these solutions and are still having issues, it may be time to see your doctor. Even though Angular Cheilitis is a common disease, each individual needs their own specific care.You may have an immune system issue that needs to be addressed. Finding the cause of your immune problem could help keep the cracks at bay. In the meantime, follow these tips to minimize the discomfort in the corner of your mouth. We care about our patients and their overall health. If you have any questions or would like to schedule an appointment to see us, please call - Gums Growing Over Braceshttps://drnemeth.com/gums-growing-over-braces/Mon, 05 Feb 2018 19:39:35 +0000https://drnemeth.com/?p=5422
Orthodontia, or braces, can greatly improve the appearance and function of the teeth and build your confidence. However, orthodontic appliances may also contribute to your gums growing over your braces, enlarged gums, or even gum recession. The fact is, wearing braces can make cleaning or brushing your teeth more difficult. When you can’t clean your teeth thoroughly, bacteria can gather and irritate the gum tissue causing it to become inflamed and overgrown or swollen. This gum tissue growing over your braces makes it even more difficult to clean your teeth causing added irritation. Gums Swelling Over BracesAnother issue that could cause your gums to grow over the braces could be the proximity of the hardware on the teeth. While your gums may return to their normal, healthy state after your braces are taken off, we do see a number of patients with persistent gum overgrowth during and after their braces are removed. You can treat this very successfully with a procedure called crown lengthening. Receding Gums Due To BracesYour braces can also contribute to the opposite problem – gum recession. With orthodontics, your teeth are moved out of their natural position and pushed into a new one. The strength used to straighten the teeth can cause stress on the surrounding bone and gum, contributing to recession. Gum recession can cause various problems including tooth decay, sensitivity, an undesirable appearance, bone loss, and possibly even tooth loss. Thankfully, your gum recession can now be treated with the minimally-invasive Pinhole Gum Rejuvenation Procedure. 
Home TreatmentIf you have this issue, you’re not alone. We get many questions on our YouTube channel asking how to stop your gums from growing over your braces without professional care. Here’s What You Can DoYou can start by brushing aggressively in the areas where your gums are growing over your braces or swelling, making sure that you clean those areas as thoroughly as possible with a Waterpik on high pressure. It may be tender or bleed at first but this is the best way to reduce the gum swelling. In the places where your gums are receding make sure you brush very gently and use the Waterpik on low pressure. Check out our video on brushing with recession. In this video, Dr. Nemeth goes into more detail about proper brushing technique: 
We care about our patients and see many during and after their orthodontia treatment. Often times they need further treatment after their braces are removed. Dr. Nemeth has helped hundreds of patients complete their smile transformation. If you’re noticing your gums growing over your braces, there are steps you can take now to reduce the rate of gum growth. For more information about hyperplasia or gum swelling or to schedule an appointment, please call (248) 357-3100. - 7 WAYS TO AVOID GETTING AND SPREADING THE FLU (2018 SEASON)https://drnemeth.com/how-to-avoid-getting-and-spreading-the-flu-2018-season/Mon, 29 Jan 2018 21:59:19 +0000https://drnemeth.com/?p=5384
This year’s flu season is already the most widespread on record!Flu cases typically start to increase in October, peaking in and February and decreasing in March and April. However, flu season started early this year and with the exception of Hawaii, the entire country is experiencing widespread and intense flu activity. Here are 7 ways to avoid the flu this year…
#1 GET A FLU SHOTIS IT TOO LATE TO GET THE FLU SHOT? Definitely not. And if you decide to get one, do it sooner rather than later. It takes up to two weeks to produce a full immune response. The vaccine can reduce illness and prevent flu-related hospitalizations. The young, elderly, pregnant and chronically ill are most at risk for the flu and are recommended to be vaccinated. Even getting the flu shot cannot guarantee you avoid the flu but it can reduce the severity of it. #2 WATCH FOR SYMPTOMS IN CHILDREN AND THE ELDERLYWatch if your kids or parents aren’t drinking, are really lethargic, have pain in a specific place in their chest or are having difficulty breathing after normal activity, such as going upstairs. Also, if they are getting better and suddenly get worse, bring them in to the hospital right away, because this could be a sign of a secondary bacterial infection. The sooner you bring them to the hospital for treatment, the better. 
#3 PREVENT THE SPREAD OF GERMSThe single most important thing to do to avoid the flu is prevent the spread of germs. Wash your hands frequently, soap up between your fingers and don’t forget your thumbs, and scrub for about 20 seconds. 
#4 REPLACE TOOTHBRUSHESIf anyone gets sick, separate their toothbrush from everyone else’s. Replace that toothbrush once they’re better. 
#5 CLEAN YOUR BED SHEETSLaunder bedding frequently in hot water and bath towels every day or two. It even helps to wash just the pillowcases every few days. #6 KEEP YOUR HUMIDIFIER CLEANBe sure your humidifier is clean. Humidifiers will help soothe nasal passages and sinuses, especially if there is chest congestion and coughing. Frequently humidifiers are used when families are sick so be sure to empty it once a day and wipe it dry. Clean it thoroughly once a week to avoid germs breeding and spraying throughout the room. 
#7 SANITIZE REMOTES AND MORE!Don’t forget to clean off all remotes. Flu patients will most likely be sprawled out on the couch sniffling, coughing and pretty much feeling sorry for themselves while they watch TV. Those remotes will be germ magnets. Clean them carefully. Have a container of anti-bacterial wipes handy so you can clean those remotes, light switches and doorknobs daily. You may even want to line a wastebasket with a plastic bag for used tissues and wipes and empty it daily. WHAT TREATMENTS ARE THERE FOR THE FLU?The best treatment for more severe cases is Tamiflu. It can lessen symptoms and decrease the duration of it. Patients should be treated as soon as possible with antiviral drugs. That is people 65 and older, young children, people with chronic conditions, such as diabetes, heart disease or asthma, and pregnant women and others more vulnerable to serious flu illness. Hopefully you and your family can avoid the flu altogether by getting a flu vaccine but if you should start to feel some symptoms, get to the ER as soon as possible for treatment. Using the tips above may help alleviate the severity and keep it from spreading to other family members. And remember; keep your kids, spouse and yourself at home if you’re feeling sick. If we all do that, maybe we can lessen the number of cases that spread to others! Your health matters to us. If you have any questions concerning this post, call us at: (248) 357-3100 today. We’re always happy to hear from our awesome patients!
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