Travel: Is Dental Care Abroad Safe?

If you are planning a trip out of the country it may be helpful to schedule a dental checkup before you leave, especially if you'll be traveling in developing countries or remote areas without access to good dental care. If you’re considering a vacation outside the United States for dental treatment in an attempt to save money, often referred to as "dental tourism," there are some things you should first consider. 

Question: Is dental care abroad safe? 

Answer: The procedures, equipment and drugs used by dentists in the U.S. are held to high standards. The U.S. Centers for Disease Control and Prevention has comprehensive guidelines on infection control procedures for dental health-care settings. They exist to prevent the spread of infections, including blood borne illnesses such as hepatitis and AIDS. U.S. dentists must abide by regulations for radiation safety (X-ray equipment and its use) and for proper disposal of biomedical waste. Also, the drugs and dental instruments and materials used by dentists in the U.S. are regulated by the U.S. Food and Drug Administration to ensure that they are safe. These standards are in place for your safety. 

Q: What recovery time and follow-up care will I need? 

A: Many dental procedures are surgical in nature and may require months of healing. This should be factored in to your travel plans. Significant dental procedures require follow-up care to make sure everything is healing and functioning properly. Post treatment risks after dental surgical procedures include bleeding, pain, swelling and infection. Continuity of care is important and should be a consideration when making treatment decisions. Establishing a "dental home" provides you with comprehensive oral health care so conditions such as gum disease and tooth decay can be diagnosed at an early stage when treatment is simpler and more affordable. A dentist who knows your case history can provide you with guidance on good oral health habits, preventive oral health services and diagnosis and treatment of dental disease based on your individual needs. 

Q: What qualifications are required of dental professionals? 

A: Dentists trained in the U.S. graduate from a dental school accredited by the American Dental Association Commission on Dental Accreditation. In addition, dentists must pass national examinations and meet state requirements before they earn a license to practice. Similar levels of training may exist in the country to which you are travelling, but this may be difficult to determine if that country does not have similar dental regulations. 

Q: Will my insurance cover dental procedures in other countries? 

A: If you have insurance for dental care performed outside of the U.S., you should confirm with your insurer and/or employer that follow-up treatment is covered upon your return to the U.S. You should consider arranging follow-up care with a U.S. dentist prior to travel to ensure continuity of care upon your return. If you do not have a dentist in the U.S., you can find an ADA member dentist in your area at ADA Find-a-Dentist. You should confirm with your U.S. dentist and the dental care provider in the other country that the transfer of patient records to-and-from facilities outside of the U.S. is consistent with current U.S. privacy and security guidelines.

Q: What about travel advisories?

A: The U.S. Department of State issues travel alerts to disseminate information about short-term conditions, generally within a particular country, that pose imminent risks to the security of U.S. citizens. In the spring of 2009, for example, the Department of State issued a travel alert cautioning people to avoid non-essential travel to Mexico because of an outbreak of H1N1 influenza in that country that resulted in a number of deaths. In addition, the alert recommended that travelers check the department's Web site for new travel advisories as well as the Web site of the U.S. Centers for Disease Control and Prevention for any additional information or recommendations. 

Bottom line: If you’re considering travelling for dental care, remember, saving money overseas may lead to greater expense to your health and your wallet when you arrive back home. 

The above article is from mouthhealthy.org

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

Leukoplakia: Why do you have white gums?

Below is an excerpt from an article found on crest.com

Leukoplakia: What You Should Know

Leukoplakia is an oral disease where white or gray patches show up on or around the gums, inside of the cheeks, on the bottom of the mouth, and sometimes on the tongue. These patches are the mouth’s reaction to irritation of the sensitive mucous membranes in the mouth.

If you’ve seen these patches in your mouth, you should make an appointment with your dentist or doctor. They can help identify what’s causing it as well as help you treat it.

What Causes Leukoplakia?

Outside of knowing that leukoplakia is the body’s reaction to irritation inside the mouth, there isn’t a specific cause that scientists have identified. However, there are some triggers that can make it more likely.

• Long-term tobacco usage (the most common trigger)
• Long-term alcohol usage
• Broken or ill-fitting dental appliances, fillings, or crowns
• Injury from jagged or broken teeth 
• Underlying diseases like oral cancer or HIV/AIDS

What Are The Symptoms of Leukoplakia?

White or gray colored patches on your gums or tongue, the inside of your cheeks, or bottom of your mouth are a sign of leukoplakia. These patches may be flat or irregularly textured, and can be thickened or hardened in some places. Leukoplakia isn’t usually painful, but it can be sensitive to touch, heat, irritation, and spicy or acidic foods. Unlike some other oral diseases, leukoplakia can’t be wiped or brushed away.

There is also a second kind of leukoplakia called “hairy leukoplakia.” In this variety, the patches are usually on the sides of the tongue and take on a fuzzy appearance.

In some cases, both types of leukoplakia are also accompanied by raised, red lesions, which can be a sign of other diseases.

How to Treat Leukoplakia

The best way to treat leukoplakia is to remove the source of irritation that’s causing it, either by stopping or reducing tobacco and alcohol usage or fixing dental appliances. It’s a good idea to address these issues with the help of your dentist or doctor, since they may want to run tests to rule out underlying illnesses. You will definitely need to see them in the case of hairy leukoplakia since an antiviral medication is required. And though leukoplakia usually heals on its own, you may have to have oral surgery to remove the patches.

To read the entire article visit crest.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

Tooth Extraction: Procedure, Healing, & Complications

Below is an excerpt from an article found on crest.com

A tooth extraction is an outpatient procedure performed by a dentist. In some cases pulling teeth (removing a tooth completely from its spot in the jaw bone), may be necessary to preserve or improve your dental health.

Some of the reasons for tooth extraction include:

• Pulling teeth for braces: Preparation for orthodontia (braces and retainers) often involves pulling one tooth or a few teeth.
• Pulling teeth to save space: Wisdom teeth are often removed if there is no space for them in the mouth, or if they become impacted or infected.
• Pulling teeth due to damage or decay: Tooth extraction may be the only option if a tooth is too decayed or damaged to be repaired with a filling or crown.
• Pulling teeth in radiation or chemotherapy patients: If radiation or chemotherapy to the head and neck causes teeth to become infected, pulling teeth may be necessary.

Tooth Extraction Procedure: Getting a Tooth Pulled

When you undergo a tooth extraction procedure, your dentist will numb the area with a local anesthetic. You may also receive an anti-anxiety medication or an intravenous sedative. If the dental extraction involves an impacted tooth, the tooth may be broken into pieces before it is removed.

Pulling teeth falls into two basic categories: simple and surgical. Here’s what to expect from each:

• Simple: A simple tooth extraction involves the removal of a tooth that is visible in the mouth. This could mean removing a badly damaged or decayed tooth, or removing teeth prior to getting braces. General dentists can do simple tooth extractions. When you undergo simple tooth extraction, you will receive local anesthesia. In addition, some dental professionals administer anti-anxiety medication or use conscious sedation for simple cases of pulling teeth. In most cases, over-the-counter pain medication is sufficient for pain management after these procedures.
• Surgical: Surgical tooth extraction is an operation by an oral surgeon involving removal of teeth that are not visible in the mouth, because they have not come in or because the tooth has broken off. Individuals with special medical conditions may receive general anesthesia when pulling teeth involving surgery. You may also receive prescription pain medication for use immediately after surgical teeth-pulling procedures.

Tooth Extraction Healing and Recovery

After any type of tooth extraction, be sure to follow your dental professional’s instructions for oral care, including the following tips:

• Eat Soft Foods: Stick primarily to liquids until any anesthesia wears off, and then limit your diet to soft foods for the first few days after a tooth extraction.
• Take care of your teeth: Don’t brush the teeth immediately next to the area of tooth extraction on the first day after the procedure, but do brush the rest of your teeth. Two days after a tooth extraction, get back to a good oral care routine.

Tooth Extraction Complications

“Dry socket” occurs in approximately 3-4% of teeth pulling cases. If a blood clot fails to form in the hole after pulling teeth, or if the blood clot breaks off too soon, the underlying bone is exposed, creating a dry socket. This condition can be painful and should be treated as soon as possible with a medicated bandage to promote healing.

Other potential problems associated with pulling teeth include:

• Sore Jaw: Your jaw may be sore due to anesthesia or to the strain of keeping your mouth open during the procedure.
• Numb Lips and Chin: If the reason for pulling teeth was removal of lower wisdom teeth, your lower lip or chin may be numb for several months if a nerve in that area (the inferior alveolar nerve) was traumatized.
• Infection: Infection is always a possibility after pulling teeth, but it is unlikely in individuals who have healthy immune systems.

To read the entire article visit crest.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

Promote Oral Health With Good Nutrition

Calcium And Vitamin C Promote Oral Health
Eating a variety of nutritious food is good for your overall health, including your oral health. Some vitamins in particular have demonstrated benefits to building healthy teeth, namely calcium and vitamin C, so be sure to include foods rich in these nutrients in your diet. Calcium has been shown to help build strong teeth, and vitamin C is a powerful antioxidant that also plays an important role in collagen synthesis, by which it helps you develop and maintain healthy gums.

• Calcium: Dairy products, including milk, yogurt and cheese are good sources of calcium. Many physicians recommend 1,200 to 1,500 milligrams of calcium daily for most adults, so you may want to consider a calcium supplement, especially if dairy products aren’t a regular part of your diet. Also, try switching to low-sugar or sugar-free varieties of yogurt, since sugar (and bacteria) can promote tooth decay.
• Vitamin C: Many fruits and vegetables including berries, oranges and cantaloupe, as well as green vegetables including broccoli and spinach are excellent sources of vitamin C.

Of course, in addition to eating right, it’s important to follow a consistent dental care routine of twice-daily tooth brushing and daily flossing to promote oral health. And be sure to see your dental professional regularly and talk to them if you have questions about how your diet might affect your oral health.

The above article is from: OralB.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

The Benefits of Good Oral Hygiene

The Cost Of Dental Treatments
If you develop complications from tooth decay and gum disease, you may be dealing with bills for anything from fillings or crowns to more costly and complicated procedures such as root canals or oral surgery to extract damaged teeth and place dental implants.

The Costs Vary 
The costs of dental treatments vary. For example, the cost of a root canal will depend on the location of the tooth and how many canals are in the tooth that needs the root canal treatment. 

The Cost of Oral Hygiene
By comparison, the cost of basic oral hygiene and preventive teeth cleaning is low. A toothbrush should be replaced every three months or when it appears worn, but that’s just a few dollars. The same goes for dental floss, whether you prefer specialized floss, such as Oral-B’s Ultra Floss, or standard floss. 

Points To Remember
Also, don’t forget that most dental plans cover at least one, and sometimes two, checkups and cleanings per year at little or no cost to you. It’s better to make and keep those appointments, even if you don’t think you have problems with your teeth or oral hygiene, in order to identify and manage potential problems before costly care is required. Remember that your dentist is your partner in oral health, and be sure to keep him or her informed about medications you take and changes in your overall health so your oral hygiene can be tailored accordingly to maximize your health benefits. Some types of medications (including anti-depressants and some heart medications) increase your risk for gingivitis, so be sure to let your dentist know if you start taking any new medication, even if you don’t think it will affect your oral health. 

The above article is from: OralB.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

6 Tips for Cavity-Free Holidays - continued

#5: Watch out for starchy foods 
These are sneaky because they often get trapped in your teeth. If you choose to indulge in chips and cakes, take extra care when you floss that day to remove all the food particles that can lead to plaque build-up. 

#6: You can still have fun 
So, what can you eat? Lots of stuff! Make lean protein choices, such as lean beef, skinless poultry and fish and vary your diet. Eat whole grains and choose low-fat or fat-free dairy foods. The holidays are a great time of year to start thinking about healthier habits. If you do snack, make it a nutritious choice-such as cheese, yogurt, fruits, and vegetables-for your overall health and the health of your teeth.

To read the entire article visit MouthHealthy.org.

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

6 Tips for Cavity-Free Holidays

#1: Timing matters 
Timing matters. While everything is fine in moderation, it helps to eat sweets and other sugary foods with meals or shortly after mealtime. Saliva production increases during meals and helps cancel out acids produced by bacteria in your mouth and helps rinse away food particles.  

#2: Be picky if it's sticky
When it comes to picking healthy snacks, many people put dried fruit at the top of the list. But many dried fruits are sticky and sticky foods tend to stay on the teeth longer than other types of food. If you find yourself eating a lot of dried fruits such as cranberries, make sure to rinse with water and brush carefully. 

To read the entire article visit MouthHealthy.org.

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

What is Dry Mouth?

What is Dry Mouth?
Dry mouth means you don't have enough saliva, or spit, to keep your mouth moist. Everyone has a dry mouth once in a while, especially if you're nervous, upset or under stress. But if you have a dry mouth all or most of the time, it can be uncomfortable and can lead to more serious health problems or indicate that a more serious medical condition may exist. That's because saliva does more than just keep the mouth wet -it helps digest food, protects teeth from decay, prevents infection by controlling bacteria in the mouth, and makes it possible for you to chew and swallow.

There are several reasons that the glands that produce saliva, called the salivary glands, might not function properly. These include:

• Side effects of some medications - over 400 medicines can cause dry mouth, including antihistamines, decongestants, pain killers, diuretics and medicines for high blood pressure and depression.
• Disease - diseases that affect the salivary glands, such as diabetes, Hodgkin's, Parkinson's disease, HIV/AIDS and Sjogren's syndrome, may lead to dry mouth.
• Radiation therapy - the salivary glands can be damaged if your head or neck are exposed to radiation during cancer treatment. The loss of saliva can be total or partial, permanent or temporary.
• Chemotherapy - drugs used to treat cancer can make saliva thicker, or "ropey," causing your mouth to feel dry.
• Menopause - changing hormone levels affect the salivary glands, often leaving menopausal and post-menopausal women with a persistent feeling of dry mouth.
• Smoking - many pipe, cigar and heavy cigarette smokers experience dry mouth.

To read the entire article , please visit Colgate.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

Chew on this: Six dental myths debunked

Myth 1: The consequences of poor oral health are restricted to the mouth

Expectant mothers may not know that what they eat affects the tooth development of the fetus. Poor nutrition during pregnancy may make the unborn child more likely to have tooth decay later in life. “Between the ages of 14 weeks to four months, deficiencies in calcium, vitamin D, vitamin A, protein and calories could result in oral defects,” says Carole Palmer, EdD, RD, professor at TUSDM and head of the division of nutrition and oral health promotion in the department of public health and community service. Some data also suggest that lack of adequate vitamin B6 or B12 could be a risk factor for cleft lip and cleft palate formation.

In children, tooth decay is the most prevalent disease, about five times more common than childhood asthma. “If a child’s mouth hurts due to tooth decay, he/she is less likely to be able to concentrate at school and is more likely to be eating foods that are easier to chew but that are less nutritious. Foods such as donuts and pastries are often lower in nutritional quality and higher in sugar content than more nutritious foods that require chewing, like fruits and vegetables,” says Palmer. “Oral complications combined with poor diet can also contribute to cognitive and growth problems and can contribute to obesity.”

Myth 2: More sugar means more tooth decay

It isn’t the amount of sugar you eat; it is the amount of time that the sugar has contact with the teeth. “Foods such as slowly-dissolving candies and soda are in the mouth for longer periods of time. This increases the amount of time teeth are exposed to the acids formed by oral bacteria from the sugars,” says Palmer.

Some research shows that teens obtain about 40 percent of their carbohydrate intake from soft drinks. This constant beverage use increases the risk of tooth decay. Sugar-free carbonated drinks and acidic beverages, such as lemonade, are often considered safer for teeth than sugared beverages but can also contribute to demineralization of tooth enamel if consumed regularly.

To read the entire article written by Medardo Chua, please visit IDentalAccess.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

6 Ways to Reduce Your Child's Sugary Snacking (Part 2 of 3)

Skip the Soda
Call it soda, call it pop. But sugary, carbonated beverages by any name are bad news for your child’s teeth. “One can of soda is the amount of sugar recommended for three days for a child,” Dr. Hayes says.

In fact, a February 2016 study in the Journal of the American Dental Association found a strong association between sugary drinks and poor dental health in teenagers. Researchers asked teens 14-19 in Mexico about how many sugary beverages they drank, then examined their teeth. They found 31.7% had tooth erosion, which means their enamel had been eaten away. The main culprit? Soda. 

Be Picky About Sticky Snacks
If you’ve been under the impression that gummy or sticky fruit snacks are healthy alternatives, you’re not alone. Many parents are surprised to learn they are really closer to candy than fruit, especially when it comes to sugar. “Fruit rollups and other dried fruit snacks are like nature’s candy,” Dr. Shenkin says. “It is like candy, but in some respect it’s worse than candy because it sticks to teeth longer than things like milk chocolate, which is easier to wash away.”

Foods like raisins, which are often promoted as an all-natural snack option, can be troublesome. “The raisin is one of the worst foods because they’re so sticky and they actually adhere to teeth and stay there for an extended amount of time,” he says. “The sugar in that food is being consumed by the bacteria in our mouth during that time.”

To read the entire article visit MouthHealthy.org.

Jeffrey B. Kravitz, DDS, DICOI    
417 Water Street   
Wakefield, MA 01880    
(781) 245-7714  
WakefieldFamilyDentist.com

Are You Flossing Or Just Lying About Flossing? The Dentist Knows

There's nothing like jamming a waxed piece of string between your tightest molars and sliding it back and forth. And who doesn't do that once a day, just as the dentist prescribes?

Well, a lot of us. Twenty-seven percent of adults lie to their dentists about how often they floss their teeth, a survey released Tuesday found. Not only that, but more than a third of people surveyed would rather be doing unpleasant chores than flossing their teeth daily. Fourteen percent would rather clean the toilet. Nine percent would rather sit in gridlock traffic for an hour. And 7 percent would rather listen to small children crying on a plane.

Actually, that 27 percent sounds awfully low. When we called up Dr. Joan Otomo-Corgel, a periodontist and president of the American Academy of Periodontology, which conducted the survey, she said: "Is that all?"
More than a third of Americans would rather do an unpleasant activity than floss.
American Academy of Periodontology

She's not the only oral health professional who thinks many patients are fibbing when they say they're flossing. "I am shocked," says Dr. Sally Cram, a periodontist and spokesperson for the American Dental Association, via email. "Given my experience with patients in my practice I thought it would be higher!"

To read the entire article written by Jessie Rack, please visit NPR.org

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com

More Than a Quarter of Americans Have This Untreated Disease

Let's just say, it might be time to get your pearly whites checked.

It's time for Americans to get over their fear of the dentist. According to new data published from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics, more than 25% of U.S. adults aged 20 to 64 have untreated tooth decay. Additionally, 1 in 5 adults aged 65 and older may have it as well.

And if that's not motivation enough to take a seat in the dental chair, 91% have one tooth (or more) that has been treated for tooth decay or needs to be.

To read the entire article written by Samantha Toscano, please visit GoodHouseKeeping.com

Jeffrey B. Kravitz, DDS, DICOI    

417 Water Street   

Wakefield, MA 01880    

(781) 245-7714  

WakefieldFamilyDentist.com