Date Archives August 2019

Crohn’s Disease, Ulcerative Colitis, and Oral Health

Learn about how the mouth responds to Crohn’s disease, ulcerative colitis and inflammatory bowel disease.

We don’t often think of our mouth as part of our digestive track – but it is! How well we digest our food impacts our mouth, smile, and oral health. That’s why diseases in the digestive tract and other stomach problems can lead to poor oral health. Some signs and symptoms that occur in the mouth point to an exact stomach condition; others tell doctors that an inflammatory disease is present, but not exactly what that disease is. Over three million adults in the US have a form of inflammatory bowel disease (IBD). The two main forms of IBD are Crohn’s disease and ulcerative colitis (UC), which both impact the mouth. This makes dentist visits that much more important for individuals with these conditions.

Women are slightly more prone to IBD. While the condition can occur at any age, diagnosis often occurs after the age of 15. People with these diseases report:

  • poorer quality of life
  • long periods of illness
  • hospitalizations
  • surgical procedures

Our oral and overall health are very interconnected, and these diseases are no exception. Crohn’s disease and ulcerative colitis cause similar changes in the mouth. Small, white tags called “mucosal tags” or “epithelial tags” are one oral sign of disease. They are not connected with one specific disease or diagnosis and arise from the internal inflammation of the digestive tract.

When surveyed against a control group, one study of people with an inflammatory bowel disease found that they self-reported “significantly more mouth-related problems.” They said they experienced more cavities and more bleeding of the gums than the control group.

Crohn’s Disease and The Health of Your Mouth

Crohn’s disease is the second-most common IBD. A dentist can be the first to diagnose Crohn’s disease by signs in the mouth if the patient has not seen a physician. The parts of the mouth most affected by oral Crohn’s disease include the lips, inside of the cheek, tissue behind the molars, gums, and even the tissues in our ears. Because this stomach condition can cause oral lesions, it’s another important reason to visit your dentist regularly. Signs and symptoms of the disease in the mouth are discovered first about 7% of the time.

So, how does this translate to dental care? One study of dental patients with Crohn’s disease saw that they have significantly more dental procedures than an individual without an IBD. Adults with Crohn’s disease were 65% more likely to have removable dentures, 52% more likely to have fillings in front teeth, and 46% more likely to have tooth-saving procedures done.

Ulcerative Colitis and The Health of Your Mouth

There are many similarities in the mouth when we look at patients with Crohn’s disease and those with UC. But UC differs in a few ways. It’s the most common IBD. Additionally, it has an oral “marker” in the mouth that signals to dentists and doctors what the patient may have. There is a very strong connection between an oral condition called “Pyostomatitis Vegetans” (PV) and UC.

To put it simply, PV is when the tissue inside the mouth, the skin on the lips, or the corners of the mouth become reddened, swollen, and have lacerations. Unlike the majority of the oral wounds, PV is a specific marker pointing to UC. Click here to see what PV looks like in the mouth.

What to Do?

Keeping up with dental appointments allows us to maintain our oral health. It’s even more important when we have a disease like IBD that compromises the health of our mouth and body. Tell your dentist about all the medications you’re taking and any diagnoses from your physician. You dentist may want to see you more often to keep an eye out for changes in your oral health.

Click here to learn about how you can receive additional benefits from Delta Dental of Wisconsin through their Evidence-Based Integrated Care Plan.

Some kinds of mouthwash and rinses offer only temporary relief for mouth sores, so speak with your doctor and physician at the first signs of change in your mouth. It’s necessary to treat the underlying condition that is causing your oral symptoms, and not just keep those symptoms at bay.

Click here to find a dentist in your area today.

Pregnancy and Dental Care | Oral Health Changes to Anticipate During Pregnancy

Pregnant moms have a lot to keep up with. Between extra doctor visits and preparing for a new family member, oral health care can fall by the wayside. Remind yourself or the expectant mom that oral health during pregnancy should still be a priority. Visiting the dentist consistently allows you to keep tabs of any changes in the mouth’s health. Since pregnancy can impact oral health, it’s even more important to attend your regularly-scheduled appointments and let your dentist know of any changes in your life. Your dentist may even want to see you more frequently during your pregnancy since it can change the mouth’s health. Did you know that some oral health conditions can impact a baby’s own oral health?

All pregnancies are different; you’ve probably already heard that. Some women go their whole time without having any dental problems. But, others experience oral health problems during pregnancy. A dentist visit can help you be mindful of what can happen in the mouth in case you start to experience any oral symptoms.

These are a few of the most common dental health problems during pregnancy that can occur.

Pregnancy Gingivitis

Hormones change quite a bit during pregnancy, causing hot flashes, fatigue, mood changes, and even changes in oral health. If you experience sensitivity or bleeding, swollen gums during pregnancy, you could be experiencing what’s called “pregnancy gingivitis.” A rapid increase in estrogen and progesterone can increase the flow of blood to your gum tissue. Hormonal changes also have the ability to impact the way the body fights infection, too. Because of this, it’s crucial to maintain good daily oral health habits and dental visits during your pregnancy.

Bleeding gums when brushing or flossing is an early symptom of gum inflammation or gingivitis. If left untreated, gingivitis can lead to more serious conditions and impact your health and possibly the health of your baby.

If you’ve had gingivitis before, you’re more likely to get it while pregnant. Discuss with your dentist about what the best plan is for your oral health during pregnancy.

Tooth Decay

There are a few changes that happen in the body during pregnancy that can leave your teeth more susceptible to harm. If your cravings are for carbohydrates or sweets, those snacks will lead to tooth decay faster than healthier options like fruits and veggies. Additionally, if you’re experiencing morning sickness and are prone to throwing up, your mouth is getting more exposure to acid than normal. The acid can erode the enamel on the inner surface of the teeth, usually the front teeth. Rinsing with water afterwards can substantially help reduce enamel erosion.

Salivation can also change in some women when they become pregnant. The decreased flow of saliva can cause dry mouth. A lack of saliva prevents food particles and bacteria from being washed away in the mouth, which is why having a dry mouth over time can lead to a greater risk for tooth decay.

Tissue Overgrowths

One oral health change some pregnant women experience is more alarming than it is dangerous. Tissue overgrowths in the gums can happen, often during the second trimester. Don’t be frightened, as many mistake this for a form of cancer. Rather, this is a side-effect of swollen gums and can be related to excess plaque. Talk to your dentist if you think you’re experiencing this symptom for reassurance. Though they usually disappear when the baby is born, your dentist can help you decide if you’d like to address it before then.

Tips for Dental Care During and After Pregnancy

The American Pregnancy Organization’s website provides insightful advice for pregnant or new moms looking for the best way to approach their dental care:

  • After adjusting to the news of your new baby, give your dentist a call to let them know you’re expecting.
  • Your dentist will likely recommend you have some preventive exams and cleanings scheduled. See if your plan includes additional benefits during pregnancy; many of our plans do!
  • Postpone non-emergency dental work until the second trimester or after delivery, if possible.
  • Maintain good circulation by keeping your legs uncrossed while sitting in the dentist’s chair.
  • Bring a pillow along if you’d like – this can help keep you and the baby more comfortable.
  • Listen to your favorite music with headphones to turn a necessary appointment into a relaxing endeavor.

Additionally, the American Dental Association (ADA) urges pregnant women and new moms to eat a balanced diet, as we all should.

There is no risk in visiting the dentist while pregnant. American Pregnancy.org shares that some women may elect to avoid dental work during the first trimester knowing this is the most vulnerable time of development. However, there is no evidence suggesting harm to the baby for those electing to visit the dentist during this time frame.

Procedures like cavity fillings when pregnant are safe and shouldn’t be avoided. Additionally, your dentist can help you understand and correct any pregnancy-related dental problems you may be experiencing. Routine X-ray examinations can be delayed until after the birth, so discuss your options with your dentist.

Looking for a dentist in your area? Click here.

Interest in learning about baby dental care? Check out The Basics of Baby Bottle Tooth Decay.

How your mouth influences your health from head to toe

A healthy smile improves social interactions, communication, and the ability to perform well in work and school. But there are many more reasons to maintain great oral health. The National Academy of Medicine reports that oral health is connected to good overall health and oral diseases can worsen health problems outside of the mouth.

Links to Other Diseases

Studies have found that oral health complications can lead to an increased risk of heart disease. People with gum disease have nearly double the risk for heart disease as those with healthy gums, according to the American Academy of Periodontology. Chronic inflammation from gum disease may also raise cholesterol levels. Poor dental health can also increase your risk of a bacterial infection in the blood stream, which can affect your heart valves.

Gum disease appears to be more frequent and severe in diabetics. In addition, people with gum disease have more difficulty controlling their blood sugar levels.

Additional Effects

Untreated oral diseases can lead to problems with eating, speaking, learning, and productivity for children and adults. Oral problems can also lead to bad dietary choices that can damage overall health.

Additional issues connected to oral health include a link between premature birth and low birth weight to expectant mothers with gum disease. Additionally, American children miss millions of school days and adults miss an estimated 164 million hours of work due to oral health problems each year. Oral diseases that are mostly untreated (and often preventable) send more than 2.1 million Americans to the emergency department each year.

Preventing Gum Disease

Gum disease, along with most oral diseases, is almost entirely preventable. Be sure to brush your teeth twice a day, floss daily, and visit your dentist regularly. With an oral exam, your dentist can potentially detect signs of more than 120 diseases, including heart disease and diabetes. Early detection can make treatment easier, less costly and even lifesaving.

People with Dental Benefits are Healthier

Can a smile be a window to someone’s overall health? More studies over recent years show a connection between oral health and overall health in both adults and children. This connection is due in large part to an association with periodontal (gum) disease and systemic diseases. Cardiovascular disease, stroke, cancer, and respiratory disease all impact an individual’s oral health. Since the health of our mouth impacts our overall health, can we reason that people with dental benefits are healthier? In many cases across the country, it’s not only about having dental benefits, but also having easy access to dental care that determines their oral and overall health.

Access to Dental Care

We are proud to say that Delta Dental of Wisconsin is backed nationally by the largest network of dentists. Families with dental insurance are almost twice as likely to get preventive care as those without it. We understand why it’s important to you and your family that your provider is someone you trust. It’s also important that they are close to where you live or work. If you have dental benefits and a conveniently-located dentist, you are more likely to get the care you and your family need for a healthy smile.

Oral and Overall Health Connection

As we know, proper oral health care reduces the harmful bacteria in our mouths. That means you should brush twice per day for two minutes, floss once per day, and regularly visit the dentist. Not only do bacteria in our mouths adversely affect our oral health, but they are connected with diseases like endocarditis and pneumonia, according to Mayo Clinic.

With good oral health care, along with the body’s natural defenses, we can keep harmful bacteria and acids under control. But without good oral health care and regular visits to the dentist, these bacteria can reach levels that lead to infections.

Quality of Life and Good Oral Health Care

Tooth decay, tooth loss, or fractured teeth can have a substantial impact on your self-esteem. The good news is that these conditions are nearly 100% preventable with proper at-home oral health care and regular visits to the dentist. Good oral health practices and regular dental visits have a direct connection to the appearance of your smile; your ability to interact with people, pronounce words, and chew food; and your quality of life.

People with Dental Benefits are Healthier

There is confirmed connection between having dental benefits and being healthier. Because those without coverage are less likely to see the dentist for regular cleanings and checkups, they experience gum disease and other oral health-related problems. These problems can be uncomfortable or painful, and lead to overall health concerns.

“Delta Dental’s research shows that people continue to recognize the importance of their oral health in relation to their overall health,” said Dr. Greg Theis, Director, Dental Services at Delta Dental of Wisconsin. “It isn’t surprising that nearly 85% of Americans believe having dental insurance provides peace of mind.”

The Adult’s Oral Health & Well-Being Survey, sponsored by Delta Dental, shows that Americans with dental insurance are 40% more likely than the uninsured to visit the dentist on a yearly (or more frequent) basis (77% vs. 46%).

“The benefits of healthy teeth and gums go well beyond the ability to eat comfortably or smile with confidence; a healthy mouth transcends into a healthier quality of life,” Dr. Theis said. “Dental insurance promotes the routine and preventive care to maintain our healthy smiles.”