The Monthly Minute
with Dr. Alan M. Smolen 
October  2009
Quick Links
 
Did You Know...? 
 
In the Middle ages people believed that dogs' teeth boiled in wine made an excellent mouth rinse to prevent tooth decay. 
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100 years ago one half of all adult North Americans were toothless - today less than 10% of adults over 65 have lost their teeth
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Greetings!
Dr. Alan M. Smolen
 
It is said that the eyes are the windows to the soul but to look into your physical health, just open wide.  Your teeth and gums say a mouthful!
Dental Detectives
 
Many times it is the dental professional who first identifies a systemic health problem based on what they see in the patient's mouth.
 
Receding or inflamed gums, cavities, tooth loss and other dental problems can indicate the presence of serious health problems. 
Your Physical Health & the "Clues" Your Dentist Looks For
 
* Upper Respiratory Disorders   Viruses can produce lesions or sores in the mouth.

* Bulimia   Induced vomiting causes a chemical erosion of the tooth enamel making them more sensitive and more susceptible to decay and fracture.

* Anemia   Some of the earliest signs of anemia are seen in the mouth.  These include a burning and red tongue, inflamed mucous membranes  and difficulty swallowing.
 
* Acid Reflux (GERD) and Hiatal Hernia   People with these conditions have repeated introduction of digestive acids into their mouths. This can erode tooth enamel causing sensitivity and a bitter taste in their mouths.

* Osteoporosis   The same loss of bone density affects your jawbone and teeth.  This can be visualized on your periodic dental x-rays.

* Diabetes   Inflammation, infection, dry mouth, a burning tongue, persistent gingivitis, multiple lesions, thrush and "acetone breath", which produces a sweet smell that is associated only with diabetes.
 
* Kidney Problems   In adults, dry mouth, inflammation, bad breath, metallic taste and ulcers on  the tongue and gums may be signs of poorly functioning kidneys.
 
* Vitamin Deficiencies   Low iron can cause sores at the corners of the mouth, the taste buds to become small or can lead to a sore tongue.  Advanced deficiency can lead to anemia and may cause scarring of the throat and esophagus, making swallowing difficult.  Vitamin C deficiency cause gums to bleed and bruise easily and can lead to tooth loss.  Vitamin D deficiency boosts the risk of jaw fracture and gum disease. 
 
Your Oral Examination
 
The mouth-body connection stresses the importance of that long-preached advice:  See your dentist regularly!  Remember, as your dentist, I am not just checking your teeth and gums,
I am looking for those clues that will help to keep you healthy.
 
Your Partner in Health,
Alan M. Smolen, DDS