Posts for: May, 2019

By Kyle Weedon, DDS
May 25, 2019
Category: Oral Health
Tags: gum disease  
RecreationalMarijuanaCouldIncreaseYourRiskofGumDisease

In 2016, voters in three states—California, Massachusetts and Nevada—joined Alaska, Colorado, Oregon, Washington and the District of Columbia in legalizing the use of recreational marijuana.┬áThese referenda moved the country closer to what may soon be a monumental political showdown between the states and the federal government, which still categorizes marijuana as a controlled substance.

But there’s another angle to this story often overshadowed by the political jousting: is increased marijuana use a good thing for your health and overall physical well-being?

When it comes to your dental health, the answer might be no. The Journal of Periodontology recently published a study that included frequent marijuana users showing increased signs of periodontal (gum) disease. This harmful bacterial infection triggered by plaque buildup can cause weakening of gum attachment to teeth and create the formation of large voids between teeth and gums called periodontal pockets. Left untreated, the disease can also cause supporting bone loss and eventually tooth loss.

The study looked at the dental treatment data of over 1,900 adults of which around one-quarter used marijuana once a month for at least a year. Marijuana users in the study on average had 24.5% of pocket sites around their teeth with depths of at least eight millimeters (an indication of advanced gum disease). In contrast, non-users averaged around 18.9% sites.

To be sure, there are several risk factors for gum disease like genetics, oral hygiene (or lack thereof), structural problems like poor tooth position or even systemic conditions elsewhere in the body. This published study only poses the possibility that marijuana use could be a risk factor for gum disease that should be taken seriously. It’s worth asking the question of whether using marijuana may not be good for your teeth and gums.

If you would like more information on the effects of marijuana on dental health, please contact us or schedule an appointment for a consultation.


3ThingsYouNeedtoKnowaboutEasingAnxietyOverDentalVisits

Although dental visits are routine for most people, it’s a different experience for a few. About one in ten adults have high anxiety or fear of going to the dentist and may avoid it altogether—even when they have an acute situation.

If you’re one of those with dental visit anxiety there’s good news—we may be able to help you relax and have a more positive experience. Here are 3 things you need to know about reducing your anxiety at the dental office.

It starts with the dentist. While every patient deserves a compassionate, understanding dentist, it’s especially so if you suffer from dental visit anxiety. Having someone who will listen to your concerns in a non-judgmental way is the first step toward feeling more comfortable in the dentist’s chair. It also takes a sensitive practitioner to work with you on the best strategy for relaxation.

Relaxation often begins before your visit. There are various degrees of sedation (which isn’t the same as anesthesia—those methods block pain) depending on your level of anxiety. If you experience mild to moderate nervousness, an oral sedative an hour or so before your appointment could take the edge off and help you relax. Oral sedatives are also mild enough for use with other forms of sedation like nitrous oxide gas, and with local anesthesia.

High anxiety may require deeper sedation. If your level of anxiety is greater, however, we may recommend IV sedation to induce a much more relaxed state. The sedation drugs are delivered directly into your blood stream through a small needle inserted into a vein. Although you’re not unconscious as with general anesthesia, we can place you into a “semi-awake” state of reduced anxiety. The drugs used may also have an amnesiac effect so you won’t remember details about the procedure. This can help reinforce positive feelings about your visit and help reduce future anxiety.

If you’re anxious about dental visits, make an appointment with us to discuss your concerns. We’re sure we can work out a strategy to reduce your anxiety so you can receive the dental care you need.

If you would like more information on sedation therapy, 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 “IV Sedation in Dentistry.”


ChewingTobaccoisJustasAddictiveandDangerousasSmoking

Ask people about the “Great American Smoke-Out,” and many could tell you about this annual promotion encouraging tobacco smokers to quit. Ask them about “The Great American Spit-Out,” though, and they may look puzzled. That’s because most of society’s attention is on quitting smoking; but the truth is smoking isn’t the only tobacco habit that needs to be kicked.

Whether chewing tobacco or the more finely ground snuff, smokeless tobacco is a popular habit especially among young athletes. It doesn’t receive the attention of smoking tobacco because it’s perceived as less dangerous. The truth is, though, it’s just as hazardous — especially to your oral health.

While any form of tobacco is considered a carcinogen, smokeless tobacco in particular has been linked to oral cancer. This is especially dangerous not only because oral cancer can lead to physical disfigurement and other negative outcomes, but it also has a dismal 58% survival rate five years from diagnosis.

And because it too contains highly addictive nicotine, smokeless tobacco can be just as difficult to quit as smoking. Fortunately, the same techniques for smoking cessation can work with chewing habits. Nicotine replacements like nicotine gum, lozenges and patches, as well as Zyban, a cessation medication, have all been shown helpful with quitting smokeless tobacco.

Often, however, it takes a change in perception — taking chewing tobacco down from its pedestal of “coolness” and seeing it for what it is: a dangerous habit that increases the risk of cancer, cardiovascular disease and even decreased sexual arousal and function. And although not life-threatening, it can also give you bad breath, dry mouth and an assortment of dental problems that incur financial and social costs. Teeth and gums in that environment aren’t so cool.

The first step is to consider the consequences of continuing the chewing or dipping habit and making the decision to quit. You may also benefit from the help of others: counselors experienced with tobacco cessation programs or a support group of others trying to quit. Following through aggressively will help ensure smokeless tobacco won’t lead to the loss of your teeth, health or life.

If you would like more information on quitting smokeless tobacco, 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 “Quitting Chewing Tobacco.”




Kyle Weedon, DDS, PLLC
620 E. Broad Street, Suite 1
Mineola, TX 75773

(The white building next to the Mineola Post Office.)
 

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