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Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Michelle Slezewski and Dr. Paul Engibous!

Stay fresh. At Pediatric Dental Associates, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Anchorage, AK office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

Brushing your teeth properly removes the food particles and bacteria that can lead to tooth decay and gum disease. However, you do not want to scrub your teeth or gums heavily. A heavy hand can lead to tooth and gum erosion, as Dr. Michelle Slezewski and Dr. Paul Engibous and our staff see all too often.

You should also use a soft bristle toothbrush to avoid damaging the surface of your teeth. Make sure the head of the brush fits in your mouth, because if it is too large you will not be able to reach all tooth surfaces. Follow these steps to ensure you are brushing properly.

1. Use a small amount of toothpaste on your brush. The recommendation is a pea-sized amount or thin strip on the bristles.
2. Hold your toothbrush at a 45-degree angle to the surface of your teeth, angling towards your gums. Use a circular motion on all exterior tooth surfaces, and avoid back-and-forth “scrub” brushing.
3. Once you have cleaned the outer surfaces, hold the brush vertically and clean the inner teeth surfaces — the side of your teeth that face your tongue. Do not forget the inner surfaces of your front teeth.
4. Finally, finish by cleaning all the chewing surfaces of your teeth. You need to maintain a gentle touch, but make sure you get into the full depth of your molars. The entire process should take about two minutes.

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend changing your toothbrush every three to four months for best results. Do not forget to clean your tongue, which helps remove excess bacteria from your mouth. Special brushes are available just for cleaning your tongue, and they are easy to use.

Proper care of your teeth also requires flossing on a regular basis. Flossing can be performed before or after you brush. Following up with a quality mouthwash will provide you with even more protection. Do not be afraid to ask the Pediatric Dental Associates team for tips on proper brushing and flossing.

Medical doctors and dental health professionals, like Dr. Michelle Slezewski and Dr. Paul Engibous, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

• Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
• Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Pediatric Dental Associates recently put together some facts and figures to illustrate the importance of visiting our Anchorage, AK office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Michelle Slezewski and Dr. Paul Engibous and our team to conduct an oral exam during your next visit to our Anchorage, AK office.

• Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
• The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
• Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
• Oral cancer is the sixth most common cancer among men.
• Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
• Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
• About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
• The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
• For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
• It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.