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Thank you for selecting bouldersmiles as one of the Top Dentists (as chosen by their peers) in the Denver and Boulder, Colorado area - featured in 5280 Magazine. #‎TopDentists‬
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Study: Oral hygiene can aid heart attack recovery

By Tony Edwards, editor in chief

April 24, 2018 -- Can good oral hygiene help your patients recover from a heart attack? The same bacteria that cause periodontitis also inhibited blood vessel healing in an animal study, presented at the Frontiers in CardioVascular Biology congress in Vienna, Austria, on April 20.

Cardiovascular disease is a leading cause of death worldwide. French researchers tested their theory that Porphyromonas gingivalis bacteria enter a patient's bloodstream through bleeding gums and then attach to atherosclerotic or clogged arteries, which hampers the healing process after a heart attack or similar event.

"Our previous research in rats found periodontal bacteria in severely atherosclerotic arteries, suggesting that these bacteria may be the link between gum disease and cardiovascular disease," noted Sandrine Delbosc, PhD, in a statement by the European Society of Cardiology (ESC).

Frontiers in CardioVascular Biology is the annual congress of the ESC Council on Basic Cardiovasuclar Science. Dr. Delbosc is affiliated with the French Institute of Health and Medical Research.

Oral health not considered

Previous research has found evidence that periodontal disease may increase the risk of cardiovascular disease in patients, particularly those with atherosclerosis. Cardiovascular disease prevention has focused on risk factors such as hypertension, diabetes, and other conditions, while not taking into account a patient's oral hygiene, according to the French researchers.

“Good oral health could significantly improve the outcome of patients who have an acute cardiovascular event.”

— Sandrine Delbosc, PhD

They wanted to see what happened if P. gingivaliswas injected into the bloodstream of mice with atherosclerosis once a week for four weeks. A control group received a saline solution injection.

Almost 70% (23 out of 34) of the mice injected with bacteria died compared with 35% of the control mice (8 out of 23; p < 0.05). In their congress poster presentation, the researchers reported that death was caused by impaired aortic healing and a resulting rupture of the aorta. Mice injected with bacteria had P. gingivalis at the site of aortic rupture.

A subsequent analysis in mouse cells showed that gingipain, an enzyme produced by P. gingivalis, inhibited immune cells' repair function. The role of gingipain was crucial, Dr. Delbosc noted.

"Our study shows that the bacteria that cause gum disease impair the healing and repair of arteries," she stated. "This impaired healing may be due to an enzyme produced by the bacteria that stops the body's immune cells from repairing the arteries."

However, this was an animal study that needs to be replicated in humans, according to Dr. Delbosc. Her research group is designing such a study.

The researchers concluded, though, that brushing and flossing can help patients who had an acute cardiovascular event.

"Periodontitis can be prevented with flossing and brushing," Dr. Delbosc stated. "Our study suggests that good oral health could significantly improve the outcome of patients who have an acute cardiovascular event."
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Everyone wants to have a great smile which is why good oral hygiene is important! Having poor oral hygiene can lead to a variety of dental and medical problems in the future such as gum disease, infection, bone loss, heart disease, strokes and more. Regular check-ups and cleanings can prevent these problems as well as provide you with good oral hygiene.

Here is a list of 10 Dental hygiene steps you can take to promote great oral hygiene.

1. Proper Brushing

One of the easiest steps to do to help your teeth keep clean. When brushing your teeth, position the bristles at an angle of 45 degrees near the gum line. Both the gum line and the tooth surface should be in contact with the bristles. Brush the outer surfaces of the teeth using a back-and-forth, up-and-down motion, making sure to be done gently in order to avoid bleeding. To clean the inside surfaces of the teeth and gums, place the bristles at a 45-degree angle again and repeat the back-and-forth, up-and-down motion. Lastly, brush the surfaces of your tongue and the roof of your mouth to remove bacteria, which might cause bad breath.

Try to brush at least twice a day to prevent acid buildup from the breakdown of food by bacteria. However, if your work or activities prevent you from doing this, thoroughly rinse your mouth with water after eating to minimize the amount of food that would serve as substrate for the bacteria.

2. Flossing!

We know, it’s a chore and a lot of times forgetful after brushing if rushing out the door or heading to bed. However, flossing can help you remove food particles and other detrimental substances that brushing regularly cannot. Flossing allows you to reach deep between your teeth where the toothbrush bristles cannot reach or even mouthwash cannot wash away. We recommend flossing at least once a day.

3. Avoid Tobacco

This will be a big favor to your teeth. One, it will save you from oral cancer and periodontal complications. Two, it will save you from the countless ill effects caused by the agents used to mask the smell of tobacco. For example, if you smoke a cigarette, you may use candies, tea or coffee to mask the smoky breath and odor. This doubles the amount of damage caused.

4. Limit Sodas, Coffee and Alcohol

Although these beverages contain a high level of phosphorous, which is a necessary mineral for a healthy mouth, too much phosphorous can deplete the body’s level of calcium. This causes dental hygiene problems such as tooth decay and gum disease. Beverages containing additives such as corn syrup and food dye can make pearly white teeth appear dull and discolored. Therefore, it is best to choose beverages like milk, which helps strengthen teeth and build stronger enamel, giving you a healthy, beautiful smile and water which hydrates your body longer than sugary drinks.

5. Consume Calcium and other Vitamins that are good for the body

You need plenty of calcium for your teeth. It is essential for the teeth as well as your bones. It is better to drink milk, fortified orange juice and to eat yogurt, broccoli, cheese, and other dairy products. You can also take a calcium supplement, taking different doses according to your age and necessity as per prescription. Calcium and Vitamin D are necessary for maintaining the health of gums and teeth. Vitamin B complex is also essential for the protection of gums and teeth from cracking and bleeding. Copper, zinc, iodine, iron and potassium are also required for maintaining healthy dental hygiene.

6. Visit Your Dentist

You should visit your dentist at least twice a year to have a full hygiene treatment performed. Also at these appointments, a comprehensive exam is taken with x-rays to help detect and prevent future dental treatments from occurring.

7. Use Mouthwash along side brushing and flossing

Mouthwash is not particularly necessary and not all mouthwashes are useful. Mouthwashes containing Listerine or chlorine dioxide are very helpful because they help to kill and maintain the bacteria in your mouth. It can help maintain good breath as well as help maintain strong teeth. Mouthwash cannot do all the work but if your are already brushing, flossing, visiting the dentist and eating well, mouthwash is the cherry on top that will make your dental health great.

8. Having a toothache or noticing other dental symptoms

If you are having tooth and jaw pain make appointment as soon as possible. Your dentist needs to diagnose the underlying cause and correct it before it turns into a greater problem.

9. Look at the Big Picture

Everyone understands that you should take care of your teeth to avoid toothaches, maintain your looks and keep dental bills at bay. Many people, however, don’t understand how crucial oral health is to our total health picture. Tooth problems can lead to diabetes, heart disease, systemic infections, an inability to eat or speak properly and other maladies – some life-threatening. Crooked or crowded teeth can contribute to gum disease that can eventually lead to tooth loss. Straight teeth are no longer just for looks.

10. Clean your tongue

Clean the surface of your tongue daily. By using a professional tongue cleaner you remove countless bacteria that otherwise live, particularly on the rougher top surface of your tongue. These can contribute to bad breath (halitosis) and negatively affect your dental health.
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Cleaner Teeth Can Brush Away Health Risks

Prevent diabetes, cancer and more by spending more time with your toothbrush

by Kimberly Rae Miller, AARP Bulletin, October 2018

Think twice the next time you’re tempted to skip brushing your teeth — you might just save your life. When gums are inflamed and bleeding, it’s often gingivitis; a dentist’s care and good daily teeth cleaning can reverse it. But let the problem continue and the bones and tissue that hold your teeth in place begin to get damaged. That’s called periodontitis. Once it sets in, you’re at risk of something much larger than a few missing teeth. “Periodontal disease is a chronic inflammatory disease that stimulates the body’s immune system,” says Jeffrey R. Lemler, a periodontist in New York City. Bleeding gums allow bacteria and inflammation to enter the body and wreak havoc. Where? Pretty much everywhere.

Poor dental habits can have a surprising ripple effect throughout your body.

Sharper brain

People with severe periodontal disease were three times more likely to have Alzheimer’s disease, according to a statistical review. In another study, stroke patients had higher levels of certain bacteria in their saliva, demonstrating a link between oral hygiene and stroke risk.

Clearer lungs

If you find yourself headed to the hospital, bring your toothbrush. A recent study found that providing patients with oral care decreased instances of hospital-related pneumonia by 39 percent.

Lower cancer risk

Postmenopausal women who’ve experienced periodontal disease are at increased risk for breast, esophageal, gallbladder, skin and lung cancers, according to a 2017 study.

Healthier kidneys

The correlation between poor periodontal health and atherosclerosis has been well established for a few decades now. Atherosclerosis can be the root of a bunch of health problems you want nothing to do with, like chronic kidney disease.

For expert tips to help you feel your best, get AARP’s monthly Health newsletter.

Fatter wallet

Every time you brush and floss, it’s like adding to your 401(k). The average 20-year dental expense for an American 65-plus is about $15,340. At-home tooth care can help avoid a large chunk of that cost.

Stronger heart

Endocarditis is an infection or inflammation of the inner lining of the heart chambers and valves, caused by germs invading the bloodstream. While fairly uncommon, it can be fatal. The National Institutes of Health warns that “poor dental hygiene and unhealthy teeth and gums increase your risk for the infection.”

Lower blood sugar

People with diabetes and periodontal disease may have a harder time controlling their blood glucose levels, according to some studies. Let your dentist know if you have diabetes, and if you wear dentures, make sure they fit properly.

Lifelong sex

Men suffering from erectile dysfunction were three times more likely to have been diagnosed with chronic periodontal disease, according to a recent large-scale review. Chronic inflammation can damage the lining of blood vessels, including those in the penis.
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Keeping Teeth Healthy for Longer

Simple tips for heading off the common dental problems that come with age

by Hallie Levine, AARP, October 22, 2018

Growing up, it may have seemed as if tooth loss was an inevitable part of aging — remember grandma’s dentures grinning at you from her night table? Times have definitely changed: 75 percent of people over the age of 65 now keep at least some of their teeth, according to the American Dental Association (ADA). But there’s still a lot of room for improvement: 20 percent of older adults have untreated tooth decay, more than two-thirds have gum disease, and nearly 1 in 5 has lost all of their teeth, according to the Centers for Disease Control and Prevention (CDC). “It’s important to take care of your teeth, not just because it makes you look better and makes it easier to eat, but because untreated gum disease has been linked to conditions such as heart disease, Type 2 diabetes and even possibly certain types of cancer,” says Judith Jones, a professor of dentistry at the University of Detroit Mercy and a spokeswoman for the ADA. Here are six ways to keep your choppers sparkling and in tip-top shape.

1. Brush twice a day

The most important thing you can do is brush your teeth for two minutes, twice a day, with a fluoridated toothpaste, advises Karyn Kahn, a dentist at the Cleveland Clinic. If possible, use an electric toothbrush. Compared with manual toothbrushes, powered ones — whether electric or sonic — reduced dental plaque 21 percent more and gingivitis (gum inflammation) 11 percent more after three months of use, according to an analysis of 56 studies published between 1964 and 2011 by the research organization Cochrane. Just don’t get carried away with brushing, as too much pressure can wear down tooth enamel and erode gums. And know that whitening toothpastes can similarly wear down enamel.

2. Don’t forget the floss

More than one-third of Americans would rather do an unpleasant activity like wash dirty dishes, clean the toilet or sit in traffic than floss. But flossing once a day does seem to reduce gingivitis, or mild gum disease, according to a 2011 review of 12 studies by Cochrane. “Flossing reaches the area between your teeth that is inaccessible to a toothbrush, breaking up dental plaque there before it becomes organized enough to do its damage,” explains Kahn. This is particularly important as you age, since gum tissue between teeth shrinks, leaving bigger gaps where food can get stuck. If you have arthritis in your hands, which makes it difficult to use floss, you can also try using an interdental brush, a small brush which is specially designed to clean between teeth and is easier to hold than floss. For best results, floss before brushing — it’s much more effective in reducing plaque between your teeth and in your mouth than doing the reverse, according to a study published this past August in the Journal of Periodontology.

3. Monitor your mouth

Dry mouth — a condition in which the salivary glands in your mouth don’t produce enough saliva to keep your mouth moist — is more common with age, especially if you take medications to treat conditions like urinary incontinence, depression, insomnia and high blood pressure, according to a 2017 review in the Journal of the American Geriatrics Society. But this condition is more than just a nuisance: Saliva helps prevent tooth decay by washing away food particles and neutralizing acids produced by enamel-destroying bacteria, explains Jones. “This is one reason why some people who never had cavities when they were younger start developing them in their 50s and 60s,” she says. If you’re noticing a persistent sticky, dry feeling in your mouth, speak to your dentist. You can alleviate symptoms by switching to other medications and using over-the-counter mouthwashes for dry mouth that contain xylitol, such as Biotene Dry Mouth Oral Rinse or Act Dry Mouth Mouthwash. If you have severe dry mouth, your dentist can prescribe a saliva-stimulating medication such as pilocarpine (Salagen) or cevimeline (Evoxac).

4. Eat the right foods

Try to get three or four servings of dairy products such as low-fat milk, yogurt and cheese daily. These foods are rich in both calcium and phosphorus, which help promote strong teeth, says Jones. Another must-eat: citrus fruits, tomatoes, peppers and leafy greens. They’re all rich in vitamin C, which promotes gum health. Avoid dried fruit; while it might seem like a healthy snack, it’s sticky, which means it can stay on your teeth and thereby damage them. (If you do eat some, just make sure to rinse your mouth with water afterward). Make your beverage of choice water — sodas, even diet ones, are acidic and therefore bad for your teeth, and alcohol can cause dry mouth, especially over time. Finally, don’t overdo it on the snacking. The more often you eat, the more acid you introduce on your teeth. Try to rinse your mouth out after any meals or snacks to get rid of food particles, and avoid snacking late at night, which has been linked to greater tooth loss.

5. See your dentist at least once a year

Even if you’ve gone through your first half-century with nary a cavity, you should still keep seeing your dentist for annual checkups. “As you age, the nerves inside your teeth become smaller and less sensitive, so by the time you feel pain from something like a cavity, the condition may have advanced so much that you’ll lose a tooth or require a more costly and extensive treatment,” explains Jones. “You can also be completely cavity-free and still have early-stage gum disease.” Your dentist can also screen you for oral cancer, which is more likely to occur with age. If you have other conditions such as existing gum disease, if you are a smoker, or have Type 2 diabetes, your dentist may want to see you even more frequently — say every three to six months. And don’t forget the x-rays. If you don’t have cavities or gum disease, you still need to bite down on those wings every two to three years, according to the ADA.
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Older women who suffer tooth loss more likely to develop high blood pressure


December 4, 2018


Oxford University Press USA


A study indicates that postmenopausal women who experience tooth loss are at higher risk of developing high blood pressure.

Science News from research organizations


A new study in the American Journal of Hypertension indicates that postmenopausal women who have experienced tooth loss are at higher risk of developing high blood pressure. Multiple studies have suggested an association between periodontal disease and tooth loss with hypertension, but the relationship remains unclear.

Study participants were 36,692 postmenopausal women in the Women's Health Initiative-Observational Study, in the US, who were followed annually from initial periodontal assessment in 1998 through 2015 for newly diagnosed hypertension.

The study observed a positive association between tooth loss and hypertension risk among postmenopausal women. Specifically, these women had approximately 20% higher risk of developing hypertension during follow-up compared to other women. The association was stronger among younger women and those with lower BMI.

There are several possible reasons for the observed association. One possible explanation is that as people lose teeth, they may change their diets to softer and more processed foods. These changes in dietary patterns could be associated with higher risk of hypertension. There was no association found between periodontal disease and hypertension.

The study suggests that older postmenopausal women who are losing their teeth may represent a group with higher risk for developing hypertension. As such, the researchers involved in the study believe that improved dental hygiene among those at risk for tooth loss as well as preventive measures such as closer blood pressure monitoring, dietary modification, physical activity, and weight loss may reduce the risk of hypertension. The findings also suggest that tooth loss may serve as a clinical warning sign for increased hypertension risk.

"These findings suggest tooth loss may be an important factor in the development of hypertension," said the paper's senior author, Jean Wactawski-Wende. "Further research may help us to determine the underlying mechanisms by which these two common diseases are associated."

Story Source:

Materials provided by Oxford University Press USA. Note: Content may be edited for style and length.

Journal Reference:

1. Joshua H Gordon, Michael J LaMonte, Jiwei Zhao, Robert J Genco, Thomas R Cimato, Kathleen M Hovey, Matthew A Allison, Charles P Mouton, Jean Wactawski-Wende. Association of Periodontal Disease and Edentulism With Hypertension Risk in Postmenopausal Women. American Journal of Hypertension, 2018; DOI: 10.1093/ajh/hpy164
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How to Avoid Cavities – Cavity Prevention Tips for Adults

Bacteria causes tooth decay. This main culprit is called Streptococcus mutans. The S. mutans can stay alive in an acidic environment and withstand attacks from the body’s defenses. It produces acid from the sugars you consume. The acid can also cause the phosphorus and calcium in the teeth to dissolve. Every time you eat foods with sugar, you are feeding S. mutans. The plaque’s acid content increases sharply and then returns to harmless levels after about 20 minutes.

Decay weakens and makes the enamel more porous, eventually breaking it. The damage then spreads into the softer, bonelike material underneath the enamel or the dentin. If not stopped immediately, the decay will move into the tooth’s pulp that contains blood vessels and nerves. You will feel pain and need to undergo root canal therapy to save your tooth.

The body has its own defenses against decay-causing bacteria. The saliva washes away acid-producing bacteria. It also contains antibodies that hinder the bacteria. Saliva has chemicals that kill bacteria and neutralize the acid by destroying bacterial cell walls. The teeth can also repair themselves over time. Phosphorus and calcium are dissolved away when acid levels are high, but these minerals return later to remineralize the tooth. In other words, the enamel weakens and restores itself as the mouth’s level of acid rises and falls. The remineralization process occurs faster and creates a stronger enamel structure if the saliva contains fluoride.

Tooth decay is preventable. Regular dental visits can help catch tooth decay before it becomes a serious issue. Here are some ways to avoid cavities and prevent tooth decay.

Dental Visits

You should visit your dentist at least two times a year. During your appointment, you will undergo x-rays and a comprehensive examination to determine any dental problems and prevent it from getting worse, if there is any. Dental visits can help you avoid dental problems in the first place.

brushing-teethFlossing and Brushing

You should brush your teeth at least twice a day and floss daily. Food particles won’t be trapped between the teeth. This can help prevent cavities from developing. You can also use mouthwash. Those with chlorine dioxide can help kill dangerous bacteria in the mouth and maintain strong teeth. You can add it to your routine of flossing, brushing and visiting the dentist to keep your teeth and gums healthy.

Clean Your Tongue

You also have to clean your tongue daily. Use a high-quality tongue cleaner to remove bacteria that stay on the rough top surface of the tongue. These bacteria can cause bad breath or halitosis and harm your dental health.

Dental Sealants

Dental sealants have a plastic resin that attaches to the grooves of chewing surfaces. These grooves are filled when the teeth are sealed. The surface becomes smoother and prevents plaque from developing. Dental sealants protect the chewing surfaces, but you still need to floss to prevent decay between teeth completely.

Practice Healthy Eating

healthy-eatingYou need proper nutrients to keep your gums and teeth healthy. A well-balanced diet will provide your gums and teeth with the nutrients and minerals necessary to stay strong and avoid infections. Many drinks and foods that contain starch and sugar work with bacteria in the mouth to wear down the enamel and form plaque on the teeth. Coffee has tannic acids that wear down the enamel and can stain the teeth. Lemons, oranges, limes and citrus fruits contain citric acid that can erode the enamel.

Soda has carbonation, acids, and sugar that can cause tooth decay and enamel erosion. Candy has plenty of sugar that can cause cavities to form. Avoid or reduce consumption of these foods and drinks. Fluoride from toothpaste and water can help in the fight against plaque.

You have to take good care of your teeth and gums to prevent toothache, minimize dental bills and maintain a beautiful smile. Many people, however, don’t pay attention to their dental health. Crowded or crooked teeth can lead you to have a gum disease, which can result in tooth loss later on. You can’t concentrate on what you are doing when you’re enduring a toothache. Straight teeth improve not only your looks but also your health. If you don’t want to lose any tooth, be sure to follow the tips stated above!
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Top 10 Dental Tips for Adults

There is much more to make out about dental health than just brushing double a day to catch white, cavity free teeth, accordingly we have compiled a top 10 dental tips which covers all you want to concern about oral care.

Top 10 Dental tips

#1 Brushing

It is vital to brush first obsession in the morning to take away bacteria and plaque that have built up overnight & to brush final thing at night as saliva dries up while we sleep. Toothbrushes must come with a tiny head and flexible bristles. Put a timer for two minutes, hold the brush at a rourty five degree angle.

#2 Waterjets

Tests have shown which if you utilize a water-jet in conjunction with every day brushing, you will remove ninety nine% more plaque better than via brush alone. Gum health is as well advanced by up to 93% compared to brushing only and calculus and gingivitis is radically reduced after only two–four weeks of use.

#3 Flossing

Apply dental floss to fresh in-between the teeth wherever plaque collects. Floss before the brush to remove every plaque from these regions. Roughly 90% of troubles arise from parts between your teeth so it is significant to floss efficiently.

#4 Avoiding dry mouth

Saliva gives an essential protection against tooth decay & periodontal disease. Where there is inadequate saliva dangerous dental health troubles can arise. Persistent dry mouth can be an indication of a disease or a negative effect of definite medicines.

#5 Electric toothbrushes

Electric toothbrushes are suggested by a large figure of dental tips for their bigger performance when compared to physical brushing. Electric toothbrushes like to have little brush heads which cup around the tooth & are faster and extra efficient in cleaning parts of the mouth where plaque and bacteria collect.

#6 Fresh breath

There is an amount of causes of awful breath, the most familiar of that is poor oral care. By keeping debris and plaque in ensuring bacteria have less to nourish on and reproduce less regularly.

#7 Whiter teeth

A white smile eludes happiness and health but mainly difficult to get for those who smoke, drinking red wine & other tannin including drinks. Luckily there is an amount of products available which will enable.

#8 Use of mouthwash

This will have the result of reducing the number of saliva present, and build your teeth extra susceptible to bacteria. The profits of a mouthwash are which they can get into areas not touched by brushing only. Rinse two times a day – one time in the morning and end thing at night and for all time after brushing.

#9 New toothbrush

If the toothbrushes are using out before 2 months then you are most likely brushing too cruelly. Ask the dentist to show you the right way of brushing. Always choose a toothbrush with soft not tough bristles as hard bristles may be causing harm to the soft tissue in the mouth counting your gums.

#10 Clean your tongue

A main cause of awful breath can really come from bacteria building up on the tongue with a big percentage of it collected at the back, making it solid to reach. Use a suitable tongue scraper each morning to take away tongue plaque and freshen the breath.
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