Oral Health Affects and Reflects the Health of the Whole Body

Many are choosing to maintain their oral health routines not only for the sake of a picture perfect smile, but also because the mouth exhibits warning signs for more serious health issues. Good oral health is beneficial to the whole body, not just the mouth.

Poor oral health may lead to a variety of ailments that affect the mouth, including gum disease and tooth decay. If left untreated, the bacterium that causes plaque and tooth decay builds up in the mouth and is swallowed and absorbed into the bloodstream where it can clog arteries and damage the heart, according to Medical News Today.

Those with diabetes are advised to take extra care of their mouth and teeth. Diabetes inhibits the body from making insulin, which turns sugar into energy. The inability to control sugar levels in the saliva exposes those with diabetes to more frequent and severe gum and bone infections, say health experts at the Mayo Clinic. This could potentially cause those with diabetes to lose more teeth than someone without diabetes. According to the American Dental Association, diabetes also causes a weaker immune system, which can lengthen healing time after any major dental procedure.

Maintaining oral health is especially important in children. The World Health Organization warns that poor oral health in children can cause chronic infections and poor nutrition due to the inability to eat without pain or discomfort. Pain from infections can lead to sleeplessness and affect growth and weight gain, as can poor nutrition. A healthy diet is important for providing children with the proper vitamins and nutrients that are needed for proper growth of teeth, gums and a strong immune system, says the ADA.

The mouth is the gateway to the rest of the body and can exhibit warning symptoms that something bigger might be wrong. Dry mouth can be common when you are thirsty or on certain medications, but can also be a sign of Parkinson’s disease, anxiety disorders, depression and diabetes, according to the Mayo Clinic. It is important that you get your mouth checked regularly for any symptoms that might be a sign of something bigger, especially for patients with braces.

You should be able to differentiate symptoms that appear in the mouth regularly and when to be alarmed. It is common for women to have swollen gums and cold sores before their expected time of menstruation, but those normally go away once menstruation begins. Swollen and inflamed gums are also a side effect of some oral contraceptives. Gingivitis is also common during pregnancy and expecting mothers should be sure to stick to their dental hygiene routine to ward off any extra plaque that may build up.

It is important for people with crooked teeth to seek help from an orthodontist. Crooked teeth can add to the severity of oral diseases and potentially affect the way a person eats, breathes and talks. When left untreated, these issues can lead to more serious issues like bite problems, sleep apnea and speech impediments, just to name a few. New braces can irritate the mouth, but it is important to be able to differentiate bigger warning symptoms from normal braces irritation.

Keeping up with oral health not only benefits your smile, but your entire body. It is especially important for teeth to be clean if a patient has braces, even if the braces- invisible braces such as Invisalign- are removable. Good oral health reduces the risk of tooth decay, which may slow down treatment time for orthodontics patients.

Maintaining good oral health is as simple as flossing and brushing teeth twice a day with a fluoride toothpaste.

Dental Plans Versus Dental Insurance, What’s the Difference?

If staying healthy is not your top priority, you need to rearrange your list, stat. Individuals who eat nutritious food, exercise regularly and properly follow and oral care regime, are going to reap the benefits in the long run. All those behaviors will not only reduce the odds of getting heart disease, cancer, diabetes and other illnesses they can save thousands of dollars in medical and dental expenses as the healthier a person is, the less money they will have to pay to maintain their well-being.

Admittedly, good behavior does not always come cheaply. Healthy food may not be readily available in your community and may require more time, money and effort to find. Gym memberships are costly and only worth the investment if actually used. Brushing and flossing are an inexpensive way to maintain your gum health, however dental visits and associated treatments can be very expensive.

Consumers looking to offset the expenses generally choose between buying dental insurance or a dental plan. There are differences between the two that need to be evaluated before buying one or the other:

DENTAL INSURANCE
Dental insurance provides coverage for dental services either under a group or individual policy. They are usually cost prohibitive to consumers unless provided by an employer as a job benefit. Like any other type of insurance policy, dental insurance has premiums that have to be paid, deductibles that need to be met and limit caps on the dollar amount of claim reimbursement. These limitations have discouraged people from seeking their own individual policies and there are approximately 45 million Americans without dental coverage.

DENTAL PLANS
Dental plans were developed as a way to make dentistry more affordable for those who cannot afford the luxury of dental insurance. Hundreds of thousands of dentists actively participate in dental networks and consumers who purchase the products are rewarded with significant discounts on their dental care. Cleanings, check ups, cavities, cosmetic dentistry, root canals and a plethora of dental issues are typically covered by dental plans, however the discounts offered can vary based on procedure and dentist.

Affordable Dental Care in Istanbul, Turkey

The magnificent historical city of Istanbul, the capital of the Roman, Byzantine and Ottoman Empires, has become a preferred location for low-cost dental care for medical tourists from all over the world. The city provides affordable dental treatment and world-class medical facilities to tourists who flock to the city to enjoy the unparalleled beauty and cultural richness of Istanbul, while availing the cost-effective dental care that the city has to offer. It is estimated that one can save up to 70% on dental care in the dental clinics in Turkey, as compared to the cost of a similar dental treatment in U.S.A and U.K.

A number of dental Clinics in Turkey are situated in the capital city of Istanbul. Many of the dentists placed in the dental clinics in Istanbul have obtained their medical degrees at reputed institutions abroad and stay abreast of the latest developments in dentistry. They are also well adept in dealing with international tourists. Language is not a barrier as the staff at the dental clinics is well versed in the English language. Some of the popular dental clinics in Istanbul are Capa Orthodontocs, Longevita Cosmetic Dentistry, Universaldent Clinics and Istanbul Dental Health Clinic. Some of the dental treatments that are popular among the medical tourists who visit Istanbul for dental care include veneers, bleaching, bonding and gum recontouring.

Istanbul : The Perfect Medical Tourism Holiday Destination

One of the most famous tourist places in the World, Istanbul caters well to the visiting medical tourists. With thousands of hotels to choose from, ranging from 3 Star hotels to Five Star hotels, the medical tourists can select their lodgings without digging deep in their pockets. One can also arrange to be picked up from the airport and taken to their hotels.

During and after the dental treatment, the tourists can visit a number of places in Istanbul that will be of special interest to any tourist. “Blue Mosque”,also known as the Sultan Ahmed Mosque, is one of the famous historical sites of Istanbul. Other famous places in Istanbul include the Basilica Cistern, Galata Tower, Pera Palace Hotel and the Dolmabahce Palace.

Istanbul is also famous for its shopping centers that are located in the Metrocity and Cevahir Mall. Cevahir Mall is also the largest mall in Europe. Besides, there are several museums and sporting events that attract the attention of the tourists.

For those who have a fascination for the historical places, a visit to the historical landmarks like Hagia Sofia and Galata Tower is a unique experience. A boat tour from the turquoise Bosporus waters gives an amazing view of the Ottoman architecture. Dental tourists may also travel to the Turkish Riviera, the Southern and Southwestern coast of Turkey. A string of exotic beach resorts are situated along the Turkish Riviera.

Advantages of Dental Treatment in Istanbul

The dental clinics in Istanbul are aesthetically designed buildings which are centrally air-conditioned, with spacious rooms and a very clean environment. Bereft of the hustle and bustle of metros, the clinics in Istanbul boast of a relaxed and serene atmosphere that is truly rejuvenating for the dental tourists.

The dental clinics in Istanbul are members of the Turkish Association of Dentists. They are managed by the Ministry of Health, which regulates them according to the Turkish Health Standards. The dental material employed for implants, fillings and other dental procedures is usually procured from Europe and USA. The tools are sterilized by the use of autoclaving machines and dental sterilizers.

Most of the well-known clinics in Istanbul can be accessed online. This makes it convenient for the medical tourist to discuss the exact nature of their dental treatment with the dentist. One can also ask for full details, testimonials and any other information required from the clinic for one’s complete satisfaction. Many clinics may agree to fill out a Dental Agreement Form that will include the terms and conditions, along with the details of expenditure and time required to complete the dental treatment.

The Advantages and Disadvantages of a Health Spending Account

Nowadays, a lot of people are more concerned about their health than anything else. They are more careful in choosing the foods they eat because of the fact that most diseases nowadays involve in the lifestyle of man. Well, some people are also practicing a work-home routine to avoid any accidents that might happen to them when they are outside of their house. But sometimes, some unexpected things really do happen and having a health spending account is the best option that you could get.

Sure you can get a traditional health insurance plan where you pay each month and your employer may even cover some or all of this type of plan. With these traditional health insurance plans there are certain requirements and restrictions. For example, there are certain requirements that you need to follow for you to become eligible. A qualified applicant must be 65 years old and below and have a high-deductible health insurance plan. The plan should only be your insurance coverage as well, if you are covered by any other health insurance plans, then you do not pass their requirements. That includes health insurance plans for vision, dental and long term care. These plans typically only cover 80% of traditional health expenses, such as medical and dental visits. You are responsible for paying out of pocket for the rest. Non traditional health expenses such as massage therapy, Chiropractic care, dental surgery, private health clinics, etc are not even covered.

As an employee, the advantages of having a HSA are that you have full control to the money that you will be spending. A certain amount of money is set aside by your employer in your HSA to be used as you deem fit to cover a large variety of routine health care expenses for you, your spouse, or your dependents. From the employer perspective this is a valued and economical way to provide tax free health benefits to employees, and all the money invested by the employer is 100% tax deductible (including any fees). With this result, still a lot of people prefer to have HSA because everyone has different health needs and no one should be able to dictate that only traditional types of health treatments are right? Owning or managing a business sometimes means you need to travel to other provinces in Canada, or to other countries to do business. An HAS gives you the flexibility to travel and still obtain coverage for the type of health treatments that are most relevant for you. As long as the health practitioner is licensed in the location you happen to be in, you can rest assured things will be covered. An HAS is an ideal small business health plan. It doesn’t matter what type of business you own, as long as you are a Canadian incorporated business, Although an HSA is good at covering a large variety of routine health care costs, it is not provide an insurance component to cover accidents or medical emergencies, although you can purchase a fixed term travel insurance plan and run this through your HSA. If you require true accidental or emergency coverage then there are plenty of options out there to investigate, including a stripped down traditional health insurance plan, or visiting one of many financial institutions who provide this type of emergency coverage.

Dental Case Study – MS Patient

49 year old married female with multiple sclerosis. She is very open to discuss her disease and the impact it has on her life. She practises yoga and relaxation therapy. A friend of hers mentioned that MS was caused by mercury toxicity from dental amalgam fillings. Her chief complaints were sensitivity to hot, cold in her upper left lower right quadrant, bleeding gums, possible amalgam removal and dry mouth. Client used to see her dentist regularly for dental check ups but stopped all of a sudden. Her last dental visit was at a Dental Hygiene College 3 years ago. In 1976 She reported to have trigeminal neuralgia that lasted about 2 months, and previous use of cigarettes and marijuana from (1974 to 1988). She also reported to have problems with urine leakage. She sees her physician and neurologist bi-annually. Her vital signs were within normal limits, she was hospitalized two times due to acute MS episodes one in 1978 and the other in 1992. She reported taking medication to prevent the progression of MS, and gets injected every other day with Betaseron 5mg and Copaxone 20mg; diazepam 1mg twice daily; ibuprofen 800mg three times a day and baclofen 10 mg four times a day. Dry mouth is a frequent side effect of these medications. Client is disabled she must use a walker to walk. Fatigue has affected her oral hygiene before bedtime so she often brushes only in the morning. This client lacks manual dexterity and coordination due to the numbness and pain in her hands. Her diets consist of fried foods and lots of soda.

Clinical Assessment Data

On the first appointment the following things were completed. Extra and intraoral, periodontal hard tissue examination, a full mouth serious, intraoral photographs were taken and homecare practices were observed and discussed. Significant findings included the following.

Extraoral: Unilateral swelling on the right side of the face; bilateral firm masseter muscles; TMJ crepitation; occasional pain upon opening mouth in the morning and nocturnal bruxing.

Intraoral: Linea Alba bilateral 6mm on both sides; small tori on the palate and decreased salivary flow. Moderate subgingival calculus with grayish extrinsic stains.

Periodontal: Generalized 2-6 mm probing depth and localized 5mm readings on the posterior interproximal areas; furcations located on 16,14,47,46. Bleeding upon probing on all posterior teeth.

Hard Tissue: Generalized slight attrition. Multi surface restorations on most posterior teeth.

Plaque Control Record: Plaque-free score 75%; Radiographs: Generalized bone loss 10 to 30% horizontal bone loss; localized slight vertical bone loss in posterior; visible calculus spicules; suspected caries on #15 under restoration.

Nutrition: Meal pattern consist of breakfast, snack, lunch, snack, dinner, snack. Calorie intake is inadequate. Food Groups consumed daily are mainly Meat and alternatives. Fat intake high. Body weight above healthy. Activity level low.

Social: Regardless of having MS client feels her overall health is good. The client has no insurance, so that’s why she has been avoiding dental care but she is ready to make a lifestyle change. She has a support system to aid her with transportation

Dental hygiene treatment care plan

1. Take vital signs at each appointment to ensure that V/S are WNL

2. Update medical history for any possible contraindication to treatment.

3. Review her medication intake to determine any side effect that might compromise the treatment.

4. Book the patient at morning appointments since morning appointments tempt to be less stressful to patients with neurological problems.

5. Ensure a quite and relaxant environment for the patient during the appointment.

6. Allow multiple brakes during the appointment to help relaxing her facial muscles and allow necessary frequent urination.

7. Minimize fatigue by complying with the patient daily regime and comfort during treatment (positioning the chair in the most comfortable position for the patient).

8. Monitor oral conditions that are associated with client at every appointment and make referral if necessary, (to determine any intra extra oral changes that might compromise treatment or patient health).

9. Use clorhexidine prior to treatment to reduce bacterial flora within the oral cavity.

10. Debridement of calculus and plaque by ultrasonic (One quadrant at the time) to reduce the scaling time. 1-2 appointments.

11. Debridement by hand scaling ( one quadrant at the time) to make sure that all the calculus and dental plaque left after using ultrasonic is removed. 1-2 appointments

12. Selective polishing to selectively remove intristic stain. (Whiter teeth are associated with beauty and a healthier lifestyle)

13. Use fluoride rinse Neutral sodium 2% to help re mineralize clients teeth.

14. Take an impression on lower anteriors to fabricate a mouthguard that will prevent further attrition on the lower anteriors due to buxism.

15. Referral to DDS for restoration due to clients request to replace old amalgam fillings with white restoration material

16. Diet counseling to increase salivary flow. ( during intra oral examination xerostomia was evident possibly from medication side effects)

17. Consider Local anesthetic ( Lidocaine 2% in case Topical anesthetic 2% is not enough in making client comfortable during the appointment.

OSC planning

1. Prescribe antisensitivity toothpaste to eliminate sensitivity to hot and cold.

2. Suggest increasing of H2o consumption to increase salivary flow in the oral cavity.

3. Client will be educated in the relationship that MS has on her oral cavity to increase her cognitive knowledge towards OSC (for example bruxism, subluxation, crepitation, xerostomia).

4. Discuss the relation between MS patients and the high risk of caries activity.

5. Demonstrate floss and brushing aids to the client. ( proxy brush, floss aid, modified brush handles.) to improve patients OSC skills.

6. Use disclosing agent to show to the client the problematic areas that are missed during at home oral self care. This will increase the awareness of the client to the present oral situation.

7. Suggest powered toothbrush to increase the brushing time due to clients compromised plaque removal skills.

8. Suggest different modifications to the OSC aids that client will feel comfortable with, to increase comfort in grasping oral aid handles

9. suggest water pick to allow a certain degree of independence in cleaning interproximal areas from plaque.

10. Suggest different physical activities ( like yoga) to improve the dexterity that will help client with self oral care.

Multiple Sclerosis and Dental Hygienist

Treating patients with MS provides dental hygienists with many opportunities to learn. The multiple links between oral conditions and MS symptoms enable dental hygienists to fulfill their roles as primary holistic health care providers. MS is the most prevalent demyelinating disease of the CNS, and the third leading cause of neurological disability in the United States. For patients presenting with MS, the dental hygienist can contribute by promoting both physical and oral comfort. Appointments that accommodate special physical needs and treatment plans that offer meaningful health promotion and disease prevention plans are ways to foster MS patient compliance. Current knowledge about MS symptoms, etiology, physical limitations, treatments, and CAM will aid the dental hygienist in providing optimal care.