Ten Tips To Treat Dry Mouth

Prescription drugsDry mouth  (Xerostomia) is a problem faced by many folks which can be difficult to diagnose and treat. The most common cause among adults is various prescription medications. Sometimes our well meaning physicians prescribe medications independently of each other, the result being a multitude of dry mouth causing medications that potentiate each other, making the problem that much worse.

There are over 400 medications that cause dry mouth! Please speak with us as soon as possible if you are experiencing any of these problems. In the meantime, here are some tips to deal with dry mouth!

  1. Frequent sips of water will keep the mouth moist.
  1. Sleeping with a humidifier nearby will help moisten nasal passages.
  1. Only use alcohol free mouth rinses. (Alcohol dries out the oral tissues.)
  1. Avoid caffeine, alcohol and carbonated beverages, all of which can cause dry mouth.
  1. Chew Xylitol sweetened gum to stimulate salivary flow.
  1. Use over the counter (OTC) products like Biotene (toothpaste, mouth rinse, gum spray and   mouth moisturizer.)
  1. Avoid tobacco in all forms. Tobacco encourages the growth of oral bacteria   and irritates the nose and sinuses making them more vulnerable to infection.
  1. Check to make sure any medications you are taking do not cause dry mouth.
  2. Ask your dentist, physician about prescription medications that can increase salivary flow.
  3. See your dentist regularly!!

In the meantime, if you have any questions regarding dry mouth, don’t hesitate ask us the next time you visit our office Dr. Laurence Stone in Doylestown, PA , or feel free to contact me or the staff at my office any time at 215-230-7667.

Photo courtesy of cdc.gov


Do “Bad Teeth” Run in the Family?

Now that’s a great question! Patients often tell me that their siblings or parents had bad teeth or lost their teeth and they often feel that they’re doomed to a similar fate. Nothing could be further from the truth! Take me for example.My father lost all of his teeth and his father before him (Do bad teeth run in the familymy grandfather) lost all of his teeth. I have all of my teeth and as a dentist I’m going to make sure I keep them.

Yes, there are some complicated hereditary factors that can contribute to poor dental health, but the fact is that poor dental care habits are more likely to be “inherited” and contribute to the demise of one’s dentition. Unhealthy snacking and inadequate oral hygiene practices are much more likely to cause tooth decay and periodontal disease (the number one cause of tooth loss in adults).

Please feel free to to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667with any specific questions relating to this topic. Everyone’s circumstances differ a little, and we are more than happy to provide customized recommendations for you to help maintain a healthy oral environment.

6 Tips to Help With Tooth Sensitivity

tooth sensitivityTooth sensitivity is one of the most common complaints I encounter in the office, especially at this time of year when the weather gets frigid outdoors. Sensitivity results from exposure of the nerve endings that connect to the pulp tissue inside the tooth, commonly referred to as “the nerve”. This typically occurs when the protective tooth structure insulating the pulp is eroded or abraded away. So here are some tips that may help if you are experiencing this problem.

  1. Use a toothpaste designed to reduce sensitivity.

There is only one FDA approved active ingredient to reduce sensitivity – 5% potassium nitrate! This is contained in Crest Sensitive, Sensodyne Pronamel and several other over the counter toothpastes. The effectiveness of these toothpastes depends on regular usage over an extended period of time. Always check the ingredient labels to make sure they contain 5% potassium nitrate!

  1. Use a soft tooth brush.

As mentioned, sensitivity occurs when the protective outer layers of the teeth are lost from abrasion or wear. Overzealous scrubbing with a hard tooth brush is one cause that is easily avoided by using a soft brush and gently moving it in a circular motion along the gum lines. You will remove the disease causing dental plaque without promoting sensitivity.

  1. Keep up your routine

Those of you who have been with me for a while know that I give “homework” to our patients. Do it! Slacking off, i.e. around the holidays or while away at school, allows the bacteria in dental plaque to produce acids that further erode tooth structure. This promotes tooth decay, gum disease and of course, sensitivity.

  1. Make sure you are not grinding your teeth

Many of us grind our teeth when stressed, especially at night. Grinding (bruxism) creates premature and excessive wear on the teeth. This results in increased sensitivity and often sore jaw muscles. Check with your sleeping partner to make sure you’re not doing this at night. It’s more common than you think and is a major contributor to sensitivity.

  1. Avoid whitening toothpastes

Whitening toothpastes contain carbamide peroxide and frequently very abrasive compounds that wear away tooth structure. Carbamide peroxide becomes hydrogen peroxide in the mouth and promotes sensitivity. It should be avoided or at least done with professional supervision.

  1. Avoid acidic foods

Energy drinks, sodas and other acidic foods and beverages chemically erode tooth structure just like the bacterial plaque that live on our teeth. This promotes sensitivity. Occasionally when I indulge, as many of us do, I will rinse with water or chew some gum sweetened with xylitol to neutralize the acids immediately and then wait 30 minutes before brushing. Brushing too soon after consuming acidic foods can increase the amount of tooth wear!

I hope these few tips will help if you are experiencing tooth sensitivity. As always, please check with us if you experiencing this issue as sensitivity can also be a symptom of other and more serious problems. If you’re not certain about your technique, please ask us the next time you are in the office Don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667. We are only too happy to help. We look forward to seeing you soon!

7 Good Tooth Brushing Techniques for a Healthy 2017

Tips for Tooth BrushingStart the new year off right with these tips from the American Dental Association.

  1. Change your brush as soon as the bristles start fraying, about every 3 months, or sooner if needed. Also change your brush after recovering from an illness.
  2. Brush for 2 minutes at least twice a day. Most people only brush for about 45 seconds, which is why I like electric toothbrushes! Most of them have a timer and run for 2 minutes. That’s how much time it takes to do a thorough job of cleaning your teeth.
  3. Don’t brush too hard, another common mistake. It’s not how hard you brush that counts…it’s how thoroughly you brush. Disease causing plaque comes off easy enough with the right technique!
  4. Wait 30 minutes after eating before brushing, especially if you’ve been eating acidic foods like citrus or sodas. Rinse with water or chew xylitol sweetened gum if you must to prevent acid erosion from brushing too soon.
  5. Store your toothbrush upright and in the open air so that it can dry properly and not promote bacterial growth. Also, don’t store your brush adjacent to someone else’s, which could allow cross contamination.
  6. Don’t use a hard bristled brush, which can erode the outer surface of the teeth, especially along the gum line. Remember, it only takes soft bristles to remove the plaque.
  7. Always use proper technique when brushing. Brushing each surface of the tooth while holding the brush at a 45 degree angle toward the gum will ensure that you remove all of the plaque without causing damage to the teeth or gums.

If you’re not certain about your technique, please ask us the next time you are in the office Don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667. We are only too happy to help.

Best wishes for a happy and dentally healthy New Year!

How to avoid dentai issues due to holiday stress

Holiday stress

The holiday season can be stressful and even difficult for some, me included. I also see a lot of folks at this time of year with dental manifestations of stress. So, here are some suggestions on how to hopefully stay on an even keel and perhaps enjoy this time of year a little more and better preserve your dental health:

  • Reduce stress by continuing to exercise and by trying to remain more tolerant. For me, this means sticking to my Pilates class schedule, walking as much as I can, and trying to avoid antagonizing my sister!
  • Stick to Healthy Habits. Exercise and watch your caloric intake and alcohol consumption. Trying to keep my weight gain to a minimum can be a challenge but at least I’m paying attention to it. A few lighter meals thrown in can make all the difference when you know you are facing elaborate dinner parties!
  • Stick to a budget. Financial woes can be among the most detrimental stressors affecting anyone. Don’t get overextended  trying to make things better for everyone around you. It just seems to come back to bite you in the end.
  • Relax your face and jaw muscles. I always see a lot of folks with stress-induced  jaw pain around this time of year. It’s usually related to spasms of the masticatory (chewing) muscles related to stress. Remember the rule: Lips together and teeth apart! A little facial massage can often help. Tell me if you are clenching or grinding. In addition to damaging the teeth, these habits can also cause scores of seemingly unrelated symptoms. I have some easy exercises and tips for reducing  clenching and  preventing the damage that can result from grinding.

I hope these tips help you to enjoy your best holidays ever!

In the meantime, I’d be more than happy to address any of your concerns regarding the health of your teeth. Don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

6 Ways to Keep Your Smile Bright for the Holidays

Hermey the ElfIt’s that time of year again! Hermey, Santa’s Elf, who aspires to become a dentist, has offered a few suggestions along with the ADA for keeping that smile bright for the holidays:

  1. For those of us with unused dental benefits for the year, it’s still not too late to take advantage. If  you need treatment, or if it’s been more than 6 months since your last cleaning, call today to get an appointment before the end of the year.
  2. Consider “Smile Friendly” stocking stuffers. Tooth brushes, floss, and tooth paste make great stocking stuffers! You might also consider the gift of an electric toothbrush. Most of the stores have great deals at this time of year. We also have rebate coupons for some of the more popular brushes here at the office!
  3. Hum a Christmas Carol or any song of your choice while brushing. We’re supposed to brush for 2 minutes and most songs are about 2 minutes long. (Most people don’t brush for 2 minutes unless they are using an electric toothbrush with a built-in timer!) And don’t forget to floss in between all the teeth at least once a day.
  4. Don’t open gifts with your teeth (or otherwise use them as tools). Most of the chipped front teeth I encounter are the result of some unintended use, i.e. biting fingernails, chewing ice, etc.
  5. For whiter teeth, you can use over the counter toothpastes or whitening strips, but for best results, have it done in the office. The toothpastes whiten mostly by using abrasives, which ultimately wear the enamel away. This can leave teeth actually looking gray or darker from the exposing the underlying tooth structure.
  6. Stick to your routine! With all the holiday parties and sweet treats, don’t deviate from your normal home care routine. Brush and floss regularly to keep the Grinch at bay!

I’d be more than happy to address any of your concerns regarding the health of your teeth, or provide you with rebate coupons on electric toothbrushes during your next visit. Don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

Happy Holidays!

Procrastination and Fear! What running and dentistry have in common.

JoggingI just read a very enjoyable article by Mark Remy in the August issue of Runner’s World (“Drill, Baby, Drill,” pp.26-28). In the article Mark likens “speed training” to a dental visit. Not exactly flattering, but both can be equally anxiety producing and both necessary for improvement, whether it be for your performance as a runner or for your health. (I ran both in high school and then in college at Temple University many years ago).

It’s been estimated that there are 80 million suffering from dental phobia in this country. That’s almost ¼ of the population! The psychologists have a term for it. It’s called  “experiential avoidance”. Basically, it’s a process involving excessive negative evaluations of unwanted private thoughts, feelings, and sensations, an unwillingness to experience these private events, and deliberate efforts to control or escape from them. Sounds like a dental visit for a lot of people I know!

The bottom line is, procrastination tends to compound itself.  The longer we put something off, the worse it becomes in our mind, which itself is a form of suffering.  A dental visit is rarely as bad as one might have imagined before actually experiencing it. All these years in dentistry has taught me one thing for sure, ignoring your dental health is a certain way to ensure painful and costly problems. Be true to your teeth, or they’ll be false to you!

I’d be more than happy to discuss any of your concerns regarding trips to the dentist and how we can help you during your next visit. Don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

Coffee Anyone?

Coffee and Health

I’ve been a coffee drinker for years and really haven’t given it too much thought. Just like you, I’ve read the articles for and against this practice every few years. However, a recent article in the publication General Dentistry (Gen Dent 2016; 64 July/August): 20-23), published by the Academy of General Dentistry, finds that moderate coffee drinking ( 3-5 cups/day) may be more beneficial than detrimental to dental patients!

On the plus side, recent studies have shown that coffee drinkers:

  1. Are 72% less likely to develop hepatocellular carcinoma than non- coffee drinkers
  2. Show decreased alanine transferase levels (a biomarker for liver damage)
  3. Are less likely to develop metabolic syndrome and type 2 diabetes
  4. Are less likely to develop Alzheimer and Parkinson’s Diseases
  5. Show decreased levels of depression
  6. Show decreased instances of blood clots and strokes

On the negative side, coffee drinking can increase the chances of miscarriages and can certainly stain tooth enamel and tooth colored fillings. Since my front teeth are porcelain veneers and incapable of staining, I think I’ll stick with my coffee habit. I just wish I could find a cup of coffee as good as the French coffee I had last summer!

I’d be more than happy to discuss any of your thoughts regarding your coffee consumption the next time you are in the office. In the meantime, if you have any questions regarding your oral health, don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

Defining Oral Health – I Couldn’t Have Said It Better Myself!

For decades it seems, I’ve been trying to convey to people the importance of oral health. I’ve tried to personalize it, sensationalize it, communicate it in any meaningful way I could, perhaps not giving enough importance to the reality that “oral health” may mean different things to different people.

And now, finally, the FDI World Dental Federation launched a new definition of “oral health”. As defined by FDI, oral health:

Orral health

  1. Is multifaceted and includes the ability to speak, smile, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex.
  2. Is a fundamental component of health and physical and mental well-being. It exists along a continuum influenced by the values and attitudes of individuals and communities.
  3. Reflects the physiological, social and psychological attributes that are essential to the quality of life.
  4. Is influenced by the individual’s changing experiences, perceptions, expectations and ability to adapt to circumstances.

This “new” definition of oral health perfectly describes my passion for dentistry. This is basically why I get up and come to work every day!

I’d be more than happy to discuss any of your thoughts regarding oral health the next time you are in the office. In the meantime, if you have any questions regarding your oral health, don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

The Staggering Cost of Undiagnosed Obstructed Sleep Apnea

According to a recent article posted by News Medical, a report reveals the staggering cost of undiagnosed obstructive sleep apnea in the U.S. The American Academy of Sleep Medicine (AASM) released a new analysis, titled “Hidden health crisis costing America billions,” that reveals the staggering cost of undiagnosed obstructive sleep apnea. A companion report was also released, titled “In an age of constant activity, the solution to improving the nation’s health may lie in helping it sleep better,” which summarizes the results of an online survey completed by patients currently being treated for obstructive sleep apnea (OSA). Both reports were commissioned by the AASM and prepared by the global research and consulting firm Frost & Sullivan.

Cost of Obstructed Sleep ApneaOSA is a chronic disease that is rising in prevalence in the U.S. Frost & Sullivan estimates that OSA afflicts 29.4 million American men and women, which represents 12 percent of the U.S. adult population. They also calculated that diagnosing and treating every patient in the U.S. who has sleep apnea would produce an annual economic savings of $100.1 billion.

Treating sleep apnea improves productivity and safety while reducing health care utilization, notes AASM Immediate Past President Dr. Nathaniel Watson. His editorial about the report is published in the August issue of the Journal of Clinical Sleep Medicine.

Frost & Sullivan calculated that the annual economic burden of undiagnosed sleep apnea among U.S. adults is approximately $149.6 billion. The estimated costs include $86.9 billion in lost productivity, $26.2 billion in motor vehicle accidents and $6.5 billion in workplace accidents. Untreated sleep apnea also increases the risk of costly health complications such as hypertension, heart disease, diabetes and depression. The report estimates that undiagnosed sleep apnea also costs $30 billion annually in increased health care utilization and medication costs related to these comorbid health risks.

To learn more about the Sleep Group Solutions protocol, which bring physicians and dentists together to screen and treat Obstructive Sleep Apnea, check out their live 2-day lectures.

I’d be more than happy to discuss any of your thoughts regarding sleep apnea the next time you are in the office. In the meantime, if you have any questions regarding sleep apnea, don’t hesitate to contact me or the staff at my office, Dr. Laurence H. Stone, DDS, any time at 215-230-7667.

Image used in this blog is courtesy of the AASM. Blog courtesy of http://join.sleepgroupsolutions.com/staggering-cost-undiagnosed-osa/