Smoking and Pulpitis

Smoking is harmful to a patient’s immune system. There are also several reasons why it is harmful to oral health, including that it causes oral cancer and bad breath, but recently, scientists found evidence of a new way in which its interactions with the immune system are harmful to teeth, specifically. We at the Midtown dental practice of Dr. Joseph Dallessandro want our patients to be fully aware of the health hazards they’re facing, so we thought we’d take a moment to talk about dental pulp infections.

Pulpitis is the condition in which the sensitive pulp of a tooth is swollen, resulting in soreness. Like other forms of inflammation, it is an immune system response that traps disease-spreading bacteria and concentrates white blood cells and antimicrobial peptides. The latter are acids which latch onto bacteria, allowing them to be killed, and they’re one of the body’s most important defenses against infection. But according to a new study, smokers lack antimicrobial peptides in their dental pulp, putting them at risk for longer, more severe, and recurring infections.

Dental pulp infections are a serious concern. If they progress, they can cause facial abscesses and blood poisoning. Root canal therapy, in which dental pulp is extracted and replaced with a sealant, can be effective at treating them. But patients who wish to avoid severe pulp infections would do well to abandon smoking. The study also found that after a patient quits, peptides can sometimes return.

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.

 

Research into Filling Failure

We work hard to stay up-to-date on new medical research at the Upper East Side dental office of Dr. Joseph Dallessandro. Recently, scientists examined data on people who had suffered from premature filling failures to look for common features, and they were surprised by what they found.

The bonding used to secure dental fillings has an expected lifespan of ten years, but the people in the study required replacements after five years, at most. The researchers found that they were likelier than people with successful fillings to be smokers or to use alcohol. They also found a strong correlation between filling failure and a particular DNA sequence. The possibility that people could be more predisposed toward filling failure because of their genetics merits further investigation, but in the meantime, people whose relatives have struggled with poor oral health should be especially vigilant about maintaining their regular check-ups.

Another major finding was that resin bonding is just as successful as amalgam fillings. This is significant because resin is the same color as natural teeth and lacks mercury, making it a more popular option. Knowing that it is not prone to higher failure rates will contribute to its increasing popularity.

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.

 

Oral Cancer and Alcohol

We provide oral cancer screenings at Dr. Joseph Dallessandro’s Upper East Side dental office and are a vital part of the care teams of oral cancer patients. As part of our prevention efforts, we want to publicize a new study by the American Society of Clinical Oncology which found alcohol to be one of the causes of oral cancer.

That may not sound like a new discovery since alcohol in combination with smoking was already known to be a risk factor, but the new study was unusual for looking at alcohol in isolation. It found that new cancer cases, including oral cancer, can be attributed to alcohol about 5% of the time. Although heavy drinking created a greater risk, the type of alcohol consumed was apparently irrelevant and drinking lightly or in moderation also presented a risk.

It is still unclear how alcohol causes mouth cancer, specifically. Scientists hypothesize that alcohol breaks down soft tissues in the mouth, which then have to rebuild, with a risk of forming cancerous material each time. But one thing which is clear from the research is that when people stop drinking, their risk of developing oral cancer decreases.

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 and fill out a contact sheet.