Posts for: September, 2017
The next time you visit your dentist you might see an item quite different from the other dental instruments and equipment in the office: a blood pressure cuff. Checking blood pressure is becoming a more common occurrence in dental offices across the country.
Abnormal blood pressure and some of the medications used to treat it are often a factor in some dental procedures, particularly if anesthesia is involved. But your dentist may also check your blood pressure for another reason: dental visits represent another avenue to screen for this condition that increases the risk of serious health problems.
Undiagnosed high blood pressure is a prevalent but often “silent” problem because the early stages of the condition may not display any symptoms. Many people first become aware they have an issue only after a blood pressure check at their family doctor, pharmacy or a health fair, for example. Otherwise, they could go months, even years without this vital knowledge about their health.
But while people may only visit their doctor once a year (or less) many see their dentist much more often, even twice a year, for routine cleanings and checkups. Including blood pressure screenings as a routine part of dental treatment could alert patients to a potential issue much earlier than their next doctor’s visit.
In fact, one study published in the Journal of the American Dental Association looked at a group of dental patients with no reported heart disease risk and who had not seen a doctor in the twelve months before their dental visit. During their visit their blood pressure was checked. Of those then referred to a physician for an abnormal reading, 17% learned for the first time they had an increased risk of cardiovascular disease.
It’s estimated about 80 million Americans have some form of cardiovascular disease and many don’t even know it. Diagnosing and controlling high blood pressure is a key factor in treating these life-threatening conditions. And many dentists are joining the fight by making this simple screening method a part of their dental care services.
If you would like more information on blood pressure screening, 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 “Monitoring Blood Pressure: What you don't know can hurt you.”
Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.
In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.
Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.
What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.
Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.
A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”