Causes of Bad Breath

Bad breath is no fun, and we at Dr. Joseph Dallesandro’s Midtown dental office don’t want you to suffer from it either. That’s not just because we’re the ones who clean your mouth; halitosis could also be a sign of an oral health problem.

When bacteria build up inside the mouth, it produces a foul odor. You doubtlessly knew that any food in your mouth that doesn’t become food for you becomes food for bacteria, but you may not have known that bacteria lurk on the tongue, as well as the teeth. There, they can eat nasal discharge when the patient has a stuffed or runny nose. They may also grow on oral appliances such as night guards, or in between an implanted denture and the gum line if the patient can’t clean properly.

Sometimes, food doesn’t have to be in the mouth to cause bad breath. Garlic and onions cause halitosis by releasing chemicals into the patient’s bloodstream that eventually wind up in the lungs. They, as well as red meat, alcohol, and caffeine can also trigger acid reflux, which allows acidic gas into the mouth. People with diabetes have elevated levels of sugar in their saliva, which could fuel bacteria growth. Any food or drink that causes dry mouth will also cause bad breath, since ordinary saliva is crucial to removing food debris. For that reason, one of the best defenses against halitosis is to drink lots of water.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Gum Disease and Diabetes

We’ve helped a lot of people deal with complicated oral health situations at the Midtown dental office of Dr. Joseph Dallessandro. Diabetes is one of the most common conditions that make people particularly vulnerable to gum disease. We want to assure our patients that they will receive compassionate, comprehensive care here and that we want to help raise awareness about the implications diabetes and oral health have for each other.

People with uncontrolled diabetes have weakened immune systems. Gum disease is common in the general population, but it is even more common in people with diabetes, and therefore, so are inflammation symptoms such as bleeding gums. Inflammation is not a bad thing in itself—it is the immune system’s way of providing molecular resources to white blood cells and of isolating bacteria. But people with uncontrolled diabetes suffer chronic inflammation because their bodies struggle to defeat infections, and there is increasing evidence that gum disease bacteria contribute to rises in blood sugar.

Luckily, there is also evidence that gum disease treatment can help to bring blood sugar levels back under control. People with uncontrolled diabetes may need additional consideration for major procedures because they will take longer to recover from surgery, but they are usually eligible for simple gum cleanings. Regular brushing and flossing can also help them to prevent gum disease from returning.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Gum Disease and Rheumatoid Arthritis

When people are suffering from autoimmune disorders, their dentist becomes a much more important part of their care team. At Dr. Joseph Dallessandro’s Upper East Side practice, we want to help patients with rheumatoid arthritis (RA) understand why they are at risk for periodontal disease.

A recent study found that 70% of people with RA have gum disease, twice the rate of the general population. This could be partly due to people with RA having difficulty brushing and flossing their teeth, but gum disease is also common in people whose RA had not progressed that far. Instead, scientists think it is because of the structure of the gingival tissue. RA occurs when the body’s immune system attacks a joint lining called synovium, and gum tissue shares some crucial DNA markers with synovium.

RA is caused by a combination of genetic and environmental factors. Patients can reduce their risk for it and gum disease by not smoking. If they are having difficulty with their oral hygiene, they may want to consider an electric toothbrush and floss picks. They may also find themselves in need of throat moisturizers if RA affects their salivary glands.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.