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Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

• Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

• Professional Dental Care

Be sure to visit our West Chester, Pennsylvania office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make Dr. Milillo, and Dr. Saldivar part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Milillo, and Dr. Saldivar.

When you have a tooth extracted, your body immediately sets to work to help protect the affected area. The blood that collects at the site of the extraction clots to cover and protect the wound. This is a normal response, and protects the nerves and bone that have been exposed with the removal of your tooth. Normally, the gum tissue will close over the area within a few weeks.

But sometimes the clot becomes dislodged or moved before you have a chance to heal. The result is that the nerves and bone in the extraction site are exposed to air and outside substances. Bacteria can contaminate the wound and lead to pain, infection, and further damage. This condition is known as dry socket.

There are certain activities that should definitely be avoided so you are not at risk for dry socket.

• Straws and suction: The action of using a straw causes suction that can dislodge the clot. You can still enjoy the soothing coolness of a milkshake, but use a spoon.
• Spitting: You might be tempted to rinse and spit immediately to clean your mouth, but spitting can also dislodge the clot. We will let you know how to clean your mouth and teeth for the next few days.
• Smoking: Not only does smoking provide a suction effect that can remove the clot, but smoking and chewing tobacco can slow healing as well.

There are also steps you can take to aid the healing process.

• Caring for your extraction site

Dr. Milillo, and Dr. Saldivar will give you instructions on caring for your mouth and teeth for the next few days. Gentle care for the extraction site is vital. And treat yourself gently as well. Rest if you need to, and avoid activities that might impact your wound.

• Think about your diet

Stick to soft foods for the first day or so and chew on the side opposite your extraction site. Carbonated and caffeinated beverages should be avoided, as well as food like peanuts or popcorn that lodge in the teeth.

• Watch for symptoms of dry socket

How do you know if you have a dry socket? Monitor your pain and the appearance of the site after the extraction. For the first few days, you might feel some pain in the immediate area. Pain that intensifies after three or four days is usually not a result of the extraction. An unpleasant odor or taste in your mouth could be a sign of dry socket. You might look in the mirror and notice that the clot is no longer there, or appears to have been dislodged. If any of these symptoms occur, call our West Chester, Pennsylvania office at once. If you are experiencing dry socket, the extraction site needs to be cleaned and protected from further injury, and we can prescribe antibiotics if needed.

Dry socket is a rare occurrence, but if you have any symptoms that concern you, we want to hear about them. We will work with you to make your extraction go as smoothly as possible. Talk to us about your concerns before any procedure, and we will provide detailed information for the healing process. Keep us in the loop as you recuperate, and we will work together to make your recovery a speedy one.

October 31—Halloween. Fourth Thursday in November—Thanksgiving. And, in between these two favorite autumn holidays, we have November 1—National Brush Day!

Okay, okay. Maybe National Brush Day isn’t quite as well-known as Halloween or Thanksgiving, but we take any opportunity to celebrate your dental health. So, let’s celebrate brushing!

After all, brushing is vital for healthy teeth and gums.

• Brushing is your first line of defense against plaque. Plaque forms all day long. Plaque sticks to your teeth. Plaque is filled with bacteria which produce cavity-causing acids. Brushing regularly means plaque won’t stay on your teeth long enough to cause serious tooth decay.
• Brushing is also important for your gum health. Angling your brush to carefully clean plaque and bacteria away from your gum line helps prevent gum disease.
• Tooth decay is the most common chronic disease among children and young adults. The leading cause of tooth loss in adults is gum disease. Good brushing habits help prevent tooth decay and gum disease—a win/win when it comes to your oral health.

To make the most of the time you spend brushing, let’s take a moment to review some basics on National Brush Day.

Are You Brushing Correctly?

• Big, broad brushstrokes aren’t the answer. Instead, use small up-and-down or circular strokes over each tooth and each tooth surface—outside, inside, and on the flat surfaces of your molars.
• Because plaque forms all day, you need to keep on top of it. Brushing at least twice a day for two minutes each time is a good general rule. Dr. Milillo, and Dr. Saldivar will let you know the best brushing schedule for your individual needs.
• Brushes are meant to clean, not to scrub. You don’t need a heavy hand for cleaner teeth.
• Which also means, there’s almost never a good time to brush with a hard-bristled brush. Hard bristles, along with hard brushing, can actually damage your enamel and gum tissue. Stick to a soft-bristled brush for dental TLC.

Are You Taking Care of Your Brush?

• To clean away bacteria and viruses you might have picked up during the day, wash your hands before brushing and flossing.
• Shake your brush dry when you’re finished and then let it air dry upright with the handle pointing down. Only use a case for travel, and make sure it has air holes for ventilation. (Bacteria thrive in a wet environment.)
• If your toothbrush lives in the bathroom, close the toilet seat before flushing to avoid airborne particles.
• No matter how close you are to your family members or roommates, don’t share your toothbrush. Sharing doesn’t mean caring in this case—it means sharing germs. Your brush should keep a healthy distance from other brushes as well.
• And no matter how fond you are of your brush, be prepared to replace it often! Most brushes last three to four months at best, because bristles start to fray and can’t clean effectively after several months of use.

It’s no coincidence that National Brush Day comes right after Halloween, the most sugar-filled holiday of them all. So, how can we mark the occasion?

Treat yourself to a new toothbrush! Take a moment to review your brushing habits. If you have young children at home, spend two minutes brushing together to make sure they’re brushing effectively–they might even have some tips for you! Brushing your teeth properly is one of the easiest things you can do to protect your oral health. That’s something to celebrate!