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What causes tooth loss?

January 29th, 2015

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Wortzel Integrative Dental Care.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Robert Wortzel and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Robert Wortzel every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Robert Wortzel at our Mountainside, NJ office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

HPV and Oral Cancer

January 22nd, 2015

Human papillomavirus, or HPV, is best known as a sexually transmitted infection. In the United States, HPV is the most common sexually transmitted disease, with 79 million Americans currently infected, according to the Centers for Disease Control and Prevention. In addition to increasing risk for cervical cancer, HPV is a contributing factor in some cases of oral cancer. Each year an estimated 1,700 women and 6,700 men develop oropharyngeal cancer, which affects the tongue and throat.

Connection between HPV and oral cancer

There are more than 40 strains of HPV that live in the skin and mucosal areas. Some of these affect the genitalia, while others are found in the mouth and throat. Of the strains of oral HPV, only one, called HPV16, increases the risk of oral cancer, the Oral Cancer Foundation reports. A retrospective study conducted found that oral cancer developed an average of 15 years after exposure to HPV, making it a relatively slow-growing form of cancer.

In general, 80% of Americans will have an HPV infection at some point in their lifetimes, while 99% develop no ill effects. Getting oral HPV is associated with multiple sexual partners and engaging in oral sex; however, even some individuals who have been with only one partner may contract the infection. Although overall risk of oral cancer from HPV infection is low, it is essential to be proactive about oral health.

How to prevent HPV-related oral cancer

Scientists continue to study how HPV infections lead to oral cancer, so little is known about the progression of the disease. However, one recent study found that poor oral health, including gum disease and poor oral hygiene, is associated with oral cancer risk. Thus, being vigilant about brushing and flossing your teeth regularly may reduce HPV-related oral cancer. Getting the HPV vaccine also protects against the oral form of the virus.

Another key way to reduce mortality from oral cancer is to have regularly scheduled appointments with at Wortzel Integrative Dental Care. Having Dr. Robert Wortzel examine your mouth at least two times a year increases the likelihood that a sign of oral cancer, such as a sore or patch, will be detected. If you’re concerned about HPV-related oral cancer, please give us a call at our Mountainside, NJ office for advice about oral hygiene and disease prevention.

Aging and Dental Health

January 15th, 2015

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Wortzel Integrative Dental Care will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Robert Wortzel, please give us a call at our convenient Mountainside, NJ office!

How does The Wand® STA work?

January 8th, 2015

The Wand STA (single tooth anesthetic) is an anesthetic delivery system. The system eliminates the use of the traditional syringe-style injection for numbing your mouth before a dental procedure. If you’re afraid of needles, then the Wand STA system is perfect for you.

How the Wand STA Works

The Wand is a computer-controlled local anesthetic delivery system. By using the the Wand STA, Dr. Robert Wortzel can numb only the tooth that needs work, not your entire mouth.

Benefits of the Wand STA

The Wand STA was created to eliminate the use of the traditional syringe style injection. It has many benefits, including:

  • Minimal to no pain during the numbing process
  • It eases fear and anxiety for you if you’re afraid of needles
  • The majority of patients state they didn’t even notice when they were giving the local anesthetic
  • In most situations your mouth, tongue, lip, and cheek will not be numb, only the tooth that is being worked on

The Wand STA – What to Expect

The Wand STA is a computer unit. Dr. Robert Wortzel will deliver the local anesthetic with a tool called the hand piece; it looks very similar to a pen. We place the pen on the gum where the injection is to be given and control the flow of the injection using the computer. What you probably do not know is that the actual pain that comes from the traditional syringe injection is caused by the rapid flow of the local anesthetic. Since we control the flow with the computer, it is slow and steady, which reduces the pain of the numbing process.

It is important to visits our Mountainside, NJ office regularly to maintain good oral health. The Wand STA system is beneficial in providing a comfortable, syringe-free dental experience.

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