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Oral cancer is divided into two categories – those occurring in the oral cavity (your lips, the inside of your lips and cheeks, teeth, gums, the front two-thirds of your tongue and the floor and roof of your mouth) and those occurring in the oropharynx (middle region of the throat, including the tonsils and base of the tongue).

Early detection may result in better treatment outcomes and help keep you or someone you love from becoming one of the 11,230 people whose lives may be claimed this year by the disease. The 5-year survival rate of those diagnosed is approximately 60 percent.

Where Can Oral Cancer Appear?

The oral Fincludes your lips, cheek lining, gums, the front part of your tongue, the floor of the mouth beneath the tongue and the hard palate that makes up the roof of your mouth. The throat (pharynx) starts at the soft part of the roof of your mouth and continues back into your throat. It includes the back section of your tongue, as well as the base where the tongue attaches to the floor of your mouth.

What Are the Symptoms of Oral Cancer?

It’s important to be aware of the following signs and symptoms and to see your dentist if they do not disappear after two weeks. 

• A sore or irritation that doesn’t go away
• Red or white patches
• Pain, tenderness or numbness in mouth or lips
• A lump, thickening, rough spot, crust or small eroded area
• Difficulty chewing, swallowing, speaking or moving your tongue or jaw
• A change in the way your teeth fit together when you close your mouth

Some people complain of a sore throat, feeling like something is caught in their throat, numbness, hoarseness or a change in voice. If you have any of these symptoms, let your dentist know, especially if you’ve had them for two weeks or more.

What Are the Risk Factors for Oral Cancer?

Research has identified a number of factors that increase the risk of developing oral cancers. Men are twice more likely to get oral cancer than women. Smokers and excessive alcohol drinkers older than 50 are the most at-risk. 

The human papilloma virus (HPV), which is sexually transmitted, has also been associated with throat cancers at the back of the mouth. HPV-positive head and neck cancers are related to the rise in throat cancers in non-smoking adults. HPV-positive head and neck cancers typically develop in the throat at the base of the tongue and in the folds of the tonsils making them difficult to detect. Although people with HPV-positive cancers have a lower risk of dying or having recurrence than those with HPV-negative cancers, early diagnosis is associated with the best outcomes. Regular dental check-ups that include an examination of the entire head and neck can be vital in detecting cancer early.  

How Can My Dentist Help Detect Oral Cancer Early?

During your regular exam, your dentist will ask you about changes in your medical history and whether you’ve been having any new or unusual symptoms.

Then, your dentist will check your oral cavity. This includes your lips, cheek lining, gums, the front part of your tongue, the floor of your mouth and the roof of your mouth. Your dentist will also examine your throat (pharynx) at the soft part at the roof of your mouth, including your tonsils, the back section of your tongue and where your tongue attaches to the bottom of your mouth. The dentist will then feel your jaw and neck for any lumps or abnormalities.

What Happens If My Dentist Finds Something Suspicious?

Stay calm. Your dentist won’t be able to tell right away if what he or she is looking at is cancerous, so he or she may refer you for testing. Your dentist might also reexamine you a week or two later to see if questionable spots are healing on their own before recommending additional follow-up. Together, you and your dentist can create the best strategy for diagnosis, treatment and prevention.

What Can I Do to Prevent Oral Cancer?

The most important thing is to be aware of your risk factors. Men are twice more likely to get oral cancer as they get older. If you smoke, drink excessive amounts of alcohol or have a poor diet, changing these habits can decrease the chances of developing oral cancer.

Certain strains of HPV can also put you at risk. The CDC recommends that 11- to 12-year-old boys and girls get two doses of HPV vaccine to prevent cervical and other less common genital cancers. It is possible that the HPV vaccine might also prevent head and neck cancers – since the vaccine prevents an initial infection with HPV types that can cause head and neck cancers – but the studies currently underway do not yet have sufficient data to say whether the HPV vaccine will prevent these cancers. Routine vaccination can be started as early as 9 years of age, according to the CDC. 

If you have had oral cancer before, you may be more likely to develop it again so keep up those regular visits.

https://www.mouthhealthy.org/en/az-topics/o/oral-cancer

Why would I need an x-ray?

Early tooth decay does not tend to show many physical signs. Sometimes the tooth looks healthy, but your dental team will be able to see from an x-ray whether you have any decay under the enamel, any possible infections in the root, or any bone loss around the tooth.

X-rays can help the dental team to see in between your teeth or under the edge of your fillings. Finding and treating dental problems at an early stage can save both time and money.

In children, x-rays can be used to show where the adult teeth are and when they will appear. They are also used in the same way for adults when the wisdom teeth start to come through.

How often should I have x-rays?

If you are a new patient, unless you have had dental x-rays very recently, the dental team will probably suggest having x-rays. This helps them assess the condition of your mouth and to check for any hidden problems. After that, x-rays may be recommended every 6 to 24 months depending on the person, their history of decay, their age and the condition of their mouth.

Who do the x-rays belong to?

X-rays are an essential part of your health records. If you are entitled to copies of your records, you may have to pay for these copies. If you change dentists, your x-rays and records will not usually be needed by your new dentist. However, if they are important, your new dental team will let you know. They will either ask for your permission to send them or ask you to fetch them yourself.

What will an x-ray show?

X-rays can show decay that may not be seen directly in the mouth: for example, under a filling, or between the teeth. They can show whether you have an infection in the root of your tooth and how severe the infection is.

In children, an x-ray can show any teeth that haven’t come through yet, and show the dental team whether there is enough space for the teeth to come through. In adults, it can show any impacted wisdom teeth that may need to be removed, before they cause any problems.

Are x-rays dangerous?

The amount of radiation received from a dental x-ray is extremely small. We get more radiation from natural sources, including minerals in the soil, and from our general environment.

With modern techniques and equipment, risks are kept as small as possible. However, your dental team will always take care to use x-rays only when they need to.

NEW TECHNOLOGY- DEXSHEILD X-RAY SHEILD

The DEXsheild is a black ring that focuses the radiation produced by an X-Ray beam to the exact dimensions of our digital sensors.

When receiving medical, dental, or pharmaceutical care, safety is everyone’s main concern. Adverse reactions, side effects, and allergies can all make a treatment undesirable or unrealistic for your personal needs. As such, our office is always looking for new ways to minimize any potential risks while maximizing our patients’ wellness. Most recently, we have updated our X-Ray safety protocol to include the new DEXsheild radiation shield.

For starters, it is important to note that dental X-rays are an extremely safe and useful diagnostic tool. A standard dental X-ray produces roughly a quarter of the radiation you would receive on any given day. Yearly, it represents a negligible fraction of radiation exposure that our bodies absorb from the sun, consumer electronics, and other sources. At our office, we further minimize any risks by utilizing high-sensitivity digital X-ray sensors, radiation aprons with thyroid collars, and modern X-ray beams. In short, we make sure every patient is safe and protected to standards exceeding those laid out by the ADA and other governing bodies.

The DEXsheild fits into our current safety standards by narrowing the beam of radiation that the patient is exposed to. We have always used devices called collimated X-ray beams. Here, a thick metal tube essentially focuses the radiation produced by the beam on the oral region. While the sensor can detect and develop an image, the rest of your body is largely unexposed to any X-rays. The DEXsheild works by taking the place of a standard targeting ring (the red, blue and yellow rings we have on the outside of the sensor holders) and blocking the released radiation to the exact dimensions of the sensor. It essentially functions as a secondary safety apron, but for your mouth!

X-rays represent an indispensable tool at any dental office. The information provided from a few quick photographs can give us a fantastic perspective into if a tooth is healthy, why it might be hurting, or what we can do to repair it. We also understand that many patients are concerned about radiation exposure and want to know how we are keeping them safe. If you have any questions or concerns about ANY of our safety protocols, please give us a call. Our patient’s safety is our primary concern and we are happy to alleviate any of your worries!

https://www.thousandoaksfamilydentistry.com/blog/tag/dental+x-ray

What is a cracked tooth?

A cracked tooth is a tooth that has become broken.

Do all teeth crack in the same way?

No. Teeth can crack in several different ways:

Cracked tooth

This is when a crack runs from the biting surface of the tooth down toward the root. Sometimes it goes below the gum line and into the root. A cracked tooth is not split into two parts but the soft, inner tissue of the tooth is usually damaged.

Craze lines

These are tiny cracks that affect only the outer enamel of the tooth. They are common in all adult teeth and cause no pain. Craze lines need no treatment.

Cracked cusp

The cusp is the pointed part of the biting surface of the tooth. If a cusp becomes damaged, the tooth may break. You will usually get a sharp pain in that tooth when biting.

Split tooth

This is often the result of an untreated cracked tooth. The tooth splits into two parts. Vertical root fractures are cracks that start in the root and go up towards the biting surface.

Why do teeth crack?

Many things can cause teeth to crack, such as:

• Excessive tooth grinding can put the teeth under enormous pressure.
• Large fillings weaken the tooth.
• Chewing or biting on something hard: for example ice, boiled sweets, fruit stones or meat bones.
• A blow to the chin or lower jaw.
• Gum disease, if there has been a bone loss. This could make the teeth more likely to suffer from root fractures.
• Sudden changes in mouth temperature.

What Are Some of the Causes of a Cracked Tooth?

There are a number of reasons that a tooth might crack. These reasons include:

• Biting down on hard foods like ice, hard candies, and nuts
• Stress that leads to jaw clenching or grinding
• Chewing unevenly
• Loss of tooth structure due to wear or large fillings
• Exposure to temperature extremes (such as eating hot food and then immediately washing it down with an ice-cold glass of water)
• Brittleness of teeth following a root canal

What Are Some Signs that I May Have Cracked My Tooth?

Unfortunately, identifying a cracked tooth on your own may be difficult. Oftentimes, there is a vertical hairline fracture that may be nearly invisible to the human eye. Sometimes, these tiny cracks cannot even be seen on X-Rays. However, there are 5 warning signs of a cracked tooth of which you should be aware:

1. Tooth pain when biting or chewing. This can be a good indicator of a cracked tooth; although you might not experience the pain every time you eat. It may only occur when you eat certain foods or bite down in a certain way.
2. Lack of constant pain. Unlike a cavity or an abscess, the pain of a cracked tooth is sporadic. If you are not experiencing chronic pain, you are likely to have a tooth fracture.
3. Increased sensitivity. You may notice that you experience pain when biting into hot foods or drinking cold liquids. Possibly, you may even experience sensitivity when eating sticky, sweet, or sour foods as well. Increased sensitivity may be a sign of a cracked tooth.
4. Infection. At times, a cracked tooth can lead to an infection in the gum line around the area of the fracture. This infection would look like a small bump on the gum near the tooth.
5. No visible signs. Often with a cavity, you can spot signs of decay. For instance, you might see a dark spot on the tooth’s surface or a hole where the enamel has eroded. If you are experiencing tooth pain but you cannot see any obvious sign, this may be another indicator that you have a cracked tooth.

How is a Cracked Tooth Treated?

Treatment for a cracked tooth depends on the location and severity. Tiny cracks are common and typically do not even require any treatment. However, cracks that affect the cusp of a tooth may require a treatment procedure – possibly a crown.

Roughly 20% of cracked teeth require a root canal, and in some severe cases, the cracked tooth may need to be removed altogether. In that case, we can replace the tooth with an implant or a bridge.

What Should I Do If I Discover a Cracked Tooth?

Early treatment is important with a cracked tooth. If treatment is delayed, the crack will worsen and may result in tooth loss.

https://akronsmile.com/blog/5-signs-cracked-a-tooth/

What is a mouthguard?

A mouthguard is a specially made, rubber-like cover that fits exactly over your teeth and gums, cushioning them and protecting them from damage.

When would I need a mouthguard?

It is important to wear a professionally made mouthguard whenever you play a sport that involves physical contact or moving objects. This includes cricket, hockey and football – which can cause broken and damaged teeth; and American football, boxing and rugby – which can all cause broken or dislocated jaws. A mouthguard will help protect against these happening.

Where can I get one made?

Your dental team will be happy to make you a custom-made mouthguard, which will fit your mouth exactly and protect your teeth and gums properly. Custom-made mouthguards can prevent damage to the jaw, neck and even the brain – helping to prevent concussion and damage caused by a heavy blow.

How much will it cost?

Costs can vary from dentist to dentist. Ask your dental team about mouthguards and always get an estimate before starting treatment. When you consider the cost of expensive dental work and the risk of losing teeth, it is a small price to pay for peace of mind.

How long do custom-made mouthguards last?

Depending on your age, your mouthguard may need replacing fairly regularly. If you are still growing, new teeth will come through and move into position. So the mouthguard may become too tight or loose, and will need to be remade to fit the new shape of your mouth.

Types of Mouth Guards

As Healthline so helpfully explains, there are three distinct types of mouthguards. They are stock mouthguards, boil and bite mouthguards, and custom-made mouthguards. Now, you’ll really only see the first two types in your local sporting goods store. These keep you or your kids from losing a tooth or biting through their tongue during any serious impact.

Stock

Stock mouthguards are essentially one-size-fits-all, and you’ll usually see them in organized sports. You may need to clip the back ends of the guard for smaller mouths. Still, remember it isn’t intended to fit perfectly.

Boil and Bite

Boil and bite guards are more common in martial arts due to the sheer number of times you’re likely to be hit in the face while sparring. In this case, you take a standard boil and bite guard. First, you need to place it in boiling water for a specified amount of time. Then, you fish it out, let it cool for a few seconds, and put it around your teeth. To help the guard form the shape of your mouth, use clean fingers and your tongue to gently push the guard against your teeth. Creating a little suction helps as well.

Custom and Dental

However, if you’re recommended a mouthguard due to a health concern, you will probably need to make an appointment with your dentist. For chronic grinding and sleep apnea, you will need to have a customized mouthguard made specifically for you.

Cleaning your Mouth Guard

Every human mouth contains about six billion bacteria, so all mouthguards should be cleaned after every use. You should also consider keeping two cases, one where you store your mouthguard after use and one where you store it once it has been cleaned to avoid cross-contamination.

To clean your mouth guard, avoid using hot water. Most mouthguards are made of rubberized material, so using hot water risks warping its shape. Instead, rinse it with mouthwash and brush it with a toothbrush and toothpaste. Additionally, make sure your case(s) provide ventilation, as a wet mouthguard is a perfect breeding ground for bacteria and other potential pathogens.

The American Dental Association suggests using this cleaning ritual to check for any damage, which could undermine the efficacy of your mouthguard. The ADA also suggests bringing your mouthguard with you to dental office visits. This will allow your dentist to inspect it with a trained eye. He then can help you determine whether it needs to be replaced.

Continued Mouthguard Care

Keeping your mouthguard clean and dry will help it last much longer and continue to do its job. Remember that if you have kids that wear mouthguards, it is imperative that you help them to understand how important hygiene is in this case. Inappropriate care and mouthguard sharing can lead to the transmission of dangerous diseases, so it may be worth your time to have your dentist or physician explain the importance of keeping their mouthguard clean. You can only control how it’s cared for once they get home. So, they need to correctly care for it on the field or in the ring.

https://my.clevelandclinic.org/health/articles/10910-mouthguards