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Dr. Gentry’s 10 Steps to Happy Teeth and a Happy You :-)))

Here’s a New Year’s Resolution You can Smile About! Ten Steps to Happy Teeth and a Happy You:

smile

  1. Floss once a day. Without flossing you miss 40% of the tooth surface.
  2. Brush twice a day. Brush for 2 minutes with a fluoride toothpaste, and brush your tongue.
  3. Schedule at least 2 dental check-ups and cleanings each year.
  4. Eat healthy. Cut down on sweets and eat more fruits and veggies.
  5. Stop smoking. It’s bad for everything!
  6. Drink more water. Stop drinking soda!
  7. Stress causes you to clench and grind your teeth, wearing them down and breaking your teeth. Try to relax more and have your dentist make you a nightguard if you grind.
  8. Chew sugarless gum after meals. This stimulates saliva flow to clean off your teeth.
  9. Wear a custom fit sports mouthguard when playing contact sports to prevent broken teeth and concussions.
  10. Smile more. It will boost your immune system and you will feel better :-)))

Dr-Philip-Gentry Dr.PhilipGentry

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Dental care during the holidays

 cookies

It’s true that sugar does cause cavities, but it’s not the sugar directly. The naturally occurring streptococcus bacteria that live in our mouths consume the sugar, ferment it, and produce acid such as lactic acid. It is these acids that cause demineralization of the teeth and the formation of cavities. So it’s actually the acid from the bacteria in plaque in our mouth that eats holes in our teeth and causes cavities.

What’s Worse Pie or Mints?

Here’s the interesting part, it’s not the total amount of sugar we eat, but the total amount of time the sugar is in contact with our teeth. It’s preferable to have a piece of pumpkin pie with a scoop of ice cream for Thanksgiving dessert, than to sip on a soda all afternoon. It is better to have a few sugar cookies, or slice of Christmas apple pie, than to repeatedly sip coffee with sugar all morning long. One Altoids mint or cough drop per hour throughout the day is 10 times more cavity producing than one big piece of cake for dessert, even though the cake has much more sugar and calories.

Brush & Floss

The repeated cycles of eating sugar and acid formation is the key to the problem. It’s the frequency, or the amount of time the sugar is in the mouth, not the total amount of sugar. So enjoy a few nice (and quick) holiday desserts, just please make sure to brush and floss after every meal and visit your dentist regularly.Philip Gentry
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Dr. Gentry’s editorial published in The Virginia Dental Journal

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Smokeless Tobacco Effects on Dental Health- Please Quit

With cigarette smoking becoming socially unacceptable and prohibited in many areas, some, especially high school boys, are using smokeless tobacco. Smokeless tobacco includes chew, spit, dip, snuff, snus, and any dissolvable tobacco product. Many people believe these products are safer than smoking. This is not true! With the tobacco in contact with your gums for long periods of time, you will become addicted and dangerous consequences will occur. Nicotine in tobacco is what causes the addiction. One small can of chewing tobacco contains 144 milligrams of nicotine, which is equivalent to 80 cigarettes.

Chewing tobacco will cause the following to your mouth:

  1. Stained teeth- Your teeth will look ugly.
  2. Bad breath- Your mouth will stink.
  3. Tooth decay- Tobacco juice and added sugars for flavor cause cavities.
  4. Loss of taste and smell- Can’t enjoy food.
  5. Gum recession and gum disease- Gums loss and teeth will fall out.
  6. Leukoplakia- Premalignant white patches on gums that can lead to cancer.
  7. Cancer- Tobacco contains 28 cancer causing chemicals.

If you use any type of tobacco you need to stop immediately! Smoking 1 cigarette causes 1.8 milligrams of nicotine to be absorbed into the blood, while a pinch of chewing tobacco allows 3.6 to 4.5 milligrams of nicotine to enter the bloodstream. Nicotine is highly addictive. Upon entering the bloodstream, it immediately stimulates the adrenal glands to release epinephrine, which stimulates the brain to increase blood pressure, respiration, and heart rate, giving the user a “kick”. Nicotine, just like heroin and cocaine, also increases the levels of the neurotransmitter, dopamine, which control the brain’s reward and pleasure pathways. Although there is more nicotine in chewing tobacco, research has shown the withdrawal symptoms are equivalent. Nicotine is toxic and is actually the tobacco plants natural insecticide against being eaten by insects. For centuries gardeners have used a home-made mixture of tobacco and water to kill insects.

In order to stop, you need to set up a Quit Date and come up with a Quitting Plan! In my opinion, the best way is to decide you really want to quit. Get psyched up and do it! Quit “cold turkey” or try slowly cutting back by using less and less each time and switch to a product containing less nicotine. Substitute sugar free gum or sunflower seeds. Surround yourself with a support group of people who do not use tobacco. Visit your dentist and get your teeth cleaned so your mouth feels fresh and clean. Exercise and keep busy.

Quitting will be difficult. Nicotine is about as addictive as heroin and crack cocaine, and more addictive than crystal meth, alcohol, and cocaine. You have become physically and emotionally addicted and quitting causes unpleasant withdrawal symptoms. These include:

  1. dizziness
  2. depression
  3. anxiety
  4. feelings of frustration
  5. impatience and anger
  6. irritability
  7. trouble sleeping
  8. difficulty concentrating
  9. restlessness, headaches, tiredness
  10. increased appetite, weight gain
  11. slower heart rate

For those that need extra help, consult your dentist or primary care physician to discuss if any medicines can help. Using some form of nicotine replacement therapy such as nicotine gum, patch, lozenges, inhaler, or nasal spray can double your chances of quitting. Here are some medicines to consider:

  • Commit®
  • CHANTIX*
  • Habitrol
  • Nicoderm CQ
  • Nicorette
  • Nicotrol®/Nicotrol® NS
  • NiQuitin CQ
  • Zyban
tobaccogums
gums of a 40 year old chewing tobacco user

Smokeless tobacco is just as bad as smoking cigarettes. Smokeless tobacco is disgusting, causes gum disease, and tooth decay, and is a waste of money. Smokeless tobacco users have an 80% higher risk of oral cancer and a 60% higher risk of pancreatic and esophageal cancer. If you use both tobacco and alcohol your cancer risk is 100% greater than non-users. Smokeless tobacco products increase the risk of heart attack and stroke. It even says so on the label. Please quit!     

Dr. Philip A. Gentry, DDS                                                                                                           

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health warnings

Dr. Gentry’s list of 15 foods that stain teeth.

Article published in The University of Maryland Magazinephilfoods

  1. Coffee

Your morning cup of Joe might be a necessity that you cannot live without. However, coffee contains dark pigments and healthy but acidic polyphenols, and tannins that can lead to staining and discoloration. Plus, coffee is also very acidic, and acidic foods lead to tooth decay.

  1. Tea

Tea has stain-causing tannins. If you’re constantly sipping on tea throughout the day, avoid Earl Grey and choose a lighter colored variety such as an herbal or green tea. To fight against tea stains, research published in the International Journal of Dental Hygiene says to add a little milk to your cup! The casein in milk was found to significantly prevent and reduce tea-induced stains.

  1. Red Wine

Those same troublesome tannins exist in your favorite glass of vino, too. Try pairing your glass of Pinot Noir with a handful of almonds to help counteract staining. The act of chewing hard foods like nuts can help scrub away plaque from teeth and mitigate staining. Swish out with water immediately after drinking wine.

  1. Berries

Blueberries, raspberries, and strawberries are very healthy and packed with antioxidants, but due to their darker hues, berries will cause staining of the teeth. Eat berries and brush right after.

  1. Curry

Although the exotic spices taste amazing, those yellow and red yummy spices also tint your teeth, thanks to their deep pigmentation. The best way to prevent staining here is to make curry an “every once in awhile” treat. Your smile will thank you.

  1. Hard Candies

Hard candies like Jolly ranchers might be one of the worst foods for your teeth. They are both sticky and acidic. Choose non-sticky dark chocolate instead.

  1. Tomato Sauce and Ketchup

Anything that can stain your clothes can stain your teeth. Tomatoes are also acidic. Brush after your spaghetti and meatballs.

  1. Cherry and Cranberry Juice

All fruit juice puts your teeth at risk of discoloration, especially when the fruits are richly pigmented like cherries or berries. Not to mention, fruit juice is often stacked high in sugar, which can act as a breeding site for bacteria in your mouth and lead to more dental damage and discoloration.

  1. Soda

Regular and diet soda is very acidic to the body and, as a result, is damaging to your dental health. Drinking plain water is the best choice for your teeth. Drinking through a straw may help a little.

  1. Balsamic Vinegar and Soy Sauce

Salads are healthy for you, but that balsamic may do a number on your teeth. Not only is balsamic dark in color, but it’s rather sticky and will latch onto teeth, which can lead to staining if it’s not brushed away soon after eating. Avoid too much soy sauce, it stains and contains too much sodium anyway.

  1. Beets

Whether you enjoy them in your morning veggie juice or consume them whole, beets can be incredibly staining to the teeth. Brush your teeth after eating beets. You can also try pairing them with foods that are less damaging to your mouth—like cheese! Studies show that cheese can reduce acids in the mouth.

  1. Popsicles

Popsicles may be lower in calories than other dessert options, but due to their sugar content and fruit juice base, and will stain your teeth. Chew sugarless gum instead to increase your saliva production, which helps to neutralize and counteract those acid attacks.

  1. Gatorade

Some research suggests sports drinks are even more harmful to your smile than sodas. Researchers from New York University found that excessive consumption of these types of drinks can weaken and damage the tissue in your teeth because of a combination of acidic components, sugars, and other additives.

  1. Grapes

If wine will turn your smile dark, then you better believe its main ingredient will do the same. Grapes are deeply pigmented fruits and may cause staining when eaten often. Brush after eating grapes.

  1. Lemon

Hot water with lemon in the morning has become a popular with celebrities. But citrus fruits like lemon or lime are highly acidic and can erode the enamel on your teeth—in turn, revealing yellow dentin tissue below. Avoid acids, drink water.

Coffee-Smile-Picture

Dr. Philip A. Gentry, DDS 
Fellow, Academy of General Dentistry
Dean’s Faculty, Advanced Education in General Dentistry,
Department of General Dentistry,
University of Maryland School of Dentistry
Private Practice in Arlington, Virginia
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Dr. Gentry’s Article: A New Year’s Resolution You Can Smile About

Here’s a New Year’s Resolution You can Smile About! Ten Steps to Happy Teeth and a Happy You:

  1. Floss once a day. Without flossing you miss 40% of the tooth surface.
  2. Brush twice a day. Brush for 2 minutes with a fluoride toothpaste, and brush your tongue.
  3. Schedule at lease 2 dental check-ups and cleanings each year.
  4. Eat healthy. Cut down on sweets and eat more fruits and veggies.
  5. Stop smoking. It’s bad for everything!
  6. Drink more water. Stop drinking soda!
  7. Stress causes you to clench and grind your teeth, wearing them down and breaking your teeth. Have your dentist make you a nightguard if you do.
  8. Chew sugarless gum after meals. This stimulates saliva flow to clean off your teeth.
  9. Wear a custom fit sports mouthguard when playing contact sports. This helps prevent broken teeth and concussions.
  10. Smile more. You will feel better :-)))

Dr. Philip A. Gentry, DDS

powerofsmile

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