Dental Care in times of COVID-19

In these Hard times, when almost half of the world is Locked down in homes, one thing that normally misses our attention is the Dental Care or Oral Health Care. 

That can change quickly if you suddenly have a cavity or pain and you struggle to find a dentist whos working.

Generally speaking - All that is required is to brush twice a day and Floss once. 

Diet Matters

What you eat is Very Important.. 

Avoiding excessive snacking — a habit that’s all too easy to adopt when dealing with the stress and boredom inherent in self-quarantining.

Starchy foods or drinks lead to acid in our mouths, which dissolves tooth surfaces.

The more often our teeth are bathed in these acids, the weaker and softer they become.

Good hydration also is important for oral health, dentists agree.

        Resist turning to unhealthy habits to manage your stress. Overindulging in smoking and drinking can be detrimental to oral health. Smoking inhibits the blood supply to your gums and increases your risk for gum infections. High exposure to alcohol can dry out the cells in your cheeks and gums. Chewing on ice, pen caps, or fingernails as a means of stress management can cause the teeth to chip or break.

Keep your toothbrush clean

If you suspect that COVID-19 is present in your home, disinfect your toothbrush.

Every time we flush the toilet, we generate an aerosol spray.  Most people leave their brushes and other toiletries merely inches away from commodes. Try to flush with the lid closed. Keep your floss pics, brushes, and tongue cleaners covered. Soaking them in a mixture of mouthwash and hydrogen peroxide also keeps them safe.

Dental care emergencies only

As COVID-19 spreads, the Indian Dental Association advised dental offices on March 16 to restrict their operations to emergency procedures only.

Dentists have been prohibited from providing nonemergency services, including aesthetic work, exams, cleanings, and fillings.

This accomplishes three very important things - It preserves the nationwide supply of personal protective equipment for our front-line heroes, prevents the spread of this virus through congregating in dental offices, and eliminates the need for dental emergency patients from flooding into emergency rooms that are better used fighting the virus.

Many dentists including us have turned to Online/Telephonic consultation to counsel patients by phone or video conferencing.

Dentists face one of the highest risks of contracting coronavirus, even greater than nurses or paramedics.  They literally work 6 inches away from our patients’ faces during dental procedures.

As a result, expect your dentist to take additional safety measures if you do have to make a visit for an emergency procedure — for your protection as well as the safety of the dentist and their staff.

When does a Tooth Need a Crown

               I got the idea for this post from teaching at the dental college. Different instructors seem to have different criteria for when its time to treatment plan a crown. I tend to crown teeth when there is sufficient tooth structure missing to put a tooth at greater risk for a future fracture. If such a tooth needs a replacement filling I usually recommend a crown instead, since this will tend to protect the tooth from the forces involved with chewing and protect the tooth from future harm. While replacing a large restoration with a new filling may be tempting, usually this is not optimal treatment. I believe that larger fillings fail more frequently than smaller fillings and when they do it places the tooth at an additional risk for the need of endodontic treatment or  tooth loss.

                  When treatment planning a tooth with a large failing restoration, I often find  that the tooth structure will not be sufficiently supported by another possibly larger new filling.When this is the case,  it's best to restore the tooth with a crown (or an onlay). I often explain this to my patient and add that when it's time to fix a restoration, it's best to fix it right and choose the best option available.

                  Patients sometimes counter that they cannot afford to  spend the money involved with having a crown made ( or would rather not). After hearing this I often point out that we can go ahead a place a large filling but if it may put the tooth at risk of developing a more significant problem. If their tooth later ends up needing a root canal or even needs to be extracted,  a significantly greater sum will be required.              I add this information because I need to confirm that my patient truly understands the reasons for my recommendation and that I have  informed consent to proceed with placement of a large filling. Often, after some back and forth conversation, my patient may change their mind and  have a crown made instead of a filling , but if  they don't, I can often place the large filling, with a clear conscience!

Honesty is the Best Policy

        I have found my ability and the need to relate honestly is both a virtue and a curse. People who know you well may tend to trust you more if you are known for your honesty, since what they see and hear is what they get.

         People who meet you for the first time, not so much. Often people meeting someone new tend to "judge a book by it's cover, even when the cover doesn't project what's really inside. Personally I prefer to be truthful in my interactions with others. I may sometimes not tell others my every thought ( a sin of omission) but I really try to be truthful in my communications. This has for the most part worked out well but not in every instance.

             My patients who know me well, tend to know that I give them my best and most honest advice. I don't always paint an overly optimistic picture, but they can rely on me to be truthful and they know if I recommend a procedure, I truly believe it is their best option.

                  Sometimes this trait doesn't sit well with new patients who sometimes are hoping for a particular treatment plan that can be accomplished fast and good, in the most economical manner. This can at times happen, but some patients have unrealistic expectations and I will not mislead them into starting treatment with me without a discussion of what is their best option. I may include a second and even third option, but if what they want is something I can't in good conscience offer, I won't do it. These patient's either adjust their expectations or go somewhere else.

                 Sometimes  they tell me how a previous dentist was able to accomplish some dental magic, but to my mind the way that that dentist handled their treatment is not how I want to approach their treatment. Personally I enjoy sleeping soundly at night and dislike treatments that seem to be temporary in nature and may lead to worse problems. After all teeth don't grow on trees and implants are expensive replacements.

Growing Need for Cosmetic Dentistry

                 With the constant growing phenomenon that includes social media, TV, magazines, evolution of technology, more patients think about their image. It results in an extreme desire to have great selfies and an overarching desire to look younger.

For Example when a picture is posted on any social Media, no one wants to look bad. If someone scrolls through their pictures and feels that they have some extra kilos to lose; the individual will feel more pressured and motivated to lose weight to show the world that they look better than before.

This is happening all around us and is being reinforced by the cultural and societal norms of the twenty-first century. Celebrities in magazines and on TV have the desired look of tall and slim, with beautiful features, including their teeth.

          Its said that 47% of the people notice the smile first in a photograph or while talking to a person.

When a photographer takes a photo and asks the subject to smile, people don’t want to be embarrassed or ashamed of their teeth. Nowadays, the average person is more likely to invest in teeth whiteners, as well as cosmetic dentistry for the constant search of perfection.

When someone trips and cracks a tooth, their first instinct is to go running to the dentist in order to fix the broken tooth. In addition, coffee addicts are buying teeth whiteners to remove the unwanted stains on their teeth.

Everyone wants to feel and look beautiful within the definition set by the world around them. Brushing and flossing is not satisfying anymore because individuals do not believe that it does a sufficient job cleaning their teeth. Patients want bright, white, and flawless teeth, and are willing to pay extra to get them.

          Each year, the cosmetic dental industry has an increase in patients and revenue, making it a great option for individuals who have an interest in joining the dental field.

The schooling that is necessary to become a cosmetic dentist may be long and difficult, but the success afterwards makes it worth the while. Cosmetic dentists help patients feel more confident about them, which is something each dentist should pride themselves on.

Do I really require twice a year cleanings?

            This is a question asked sometimes by "self paying " patients. They are worried bout the costs of two check ups and cleanings per year. Although no one "needs" two cleanings a year ( I mean, after all it's not a life or death decision), most dentists recommend this as our standard recall schedule.                     

                That's because we feel this schedule allows us and our patients a good chance of avoiding many dental problems and helps prevent bone loss that if left unchecked can cause their patients to lose teeth. With the cost of a single tooth implant somewhere between 20000 to 50000 , not going twice a year to your dentist might not save  money over the long haul ( Sometimes cheap is expensive and expensive is cheap?).

          Most people understand the importance of having oil changes at the frequency their car manufacturers recommend but sometimes this same logic isn't as convincing  where their teeth are concerned. It should be pointed out that taking care of ones teeth is probably more important than car maintenance. A  car can be replaced with a newer and better model, but really teeth really can not.                     Fortunately  missing teeth can be replaced with dentures, fixed bridges and implants, but these approximations  are not truly as versatile as ones own teeth .

                      Teeth that are well cared for both at home and by the dentist can last a lifetime! Why not "get with the program" and have twice a year cleanings? 

What are the best ways to maintain a healthy mouth?

This article attempts to explain some of the habits that people can develop that will help insure the ongoing health of their mouths. I will list my top ten list. Most of the these are no brainers, but still i see people not following them but here goes.
1.Take responsibility for your mouth!
2.Brush and floss your teeth on a daily basis
3.Schedule regular checkups and cleanings at the dentist
4.  Ask the hygienist or dentist to check your brushing and flossing technique
5.Do not chew on bones and ice cubes 
6.Wearing a night guard is usually recommended for patients.
7. Refrain from excessive drinking of carbonated sodas
8.Diet plays a large role in keeping our teeth healthy.
9.Do not wait until you have pain to visit your dentist
10.Find a good dentist (meee) and try to stick with them

Clearly there are many additional habits that play a role, including ., not smoking, and controlling acid reflux, I invite readers to add to this list with their own suggestions in the comment section.

Wisdom Tooth Demystified

Hello All,

         Over the last one month or so, i have been flooded with problems of people over twitter and my clinic mainly with one condition.. 

Wisdom tooth. So i decided to Demystify this condition for you a little bit.. 

Wisdom tooth: Why r they known as Wisdom tooth.. Simple reason is that it erupts at the age of 18 - 25 yrs when a person is supposed to attain wisdom.. Although eruption of this doesnt guarantee any wisdom.. :) 

It is the Last of the Molar teeth which are present in our mouths and they are total 4 in number..

Why there is a problem with them everytime.? Now as we have evolved over a period of thousands of years, our eating habits have also changed and so Nature decided to give us smaller jaws to do away with these wisdom teeth. So whenever a person has smaller jaw, these wisdom teeth shall not get a proper space for them to erupt and so hence the problem.. If we see the ratio now 30% of females dont have one or more wisdom teeth (Now that again doesnt mean they have less wisdom but just that they are more evolved ..:) )

What are the problems that can happen because of these wisdom teeth : 

There are various problems that can develop with these teeth majorly being Impaction or failure to erupt, Pathology such as cysts or ameloblastoma, decay, Posteruption malposition, Non function, Difficulty with hygiene which in turn damages adjacent teeth also and Pericoronitis (Inflammation of gums over the tooth)

Symptoms : The most regular symptom is PAIN... Its a throbbing kind of pain and lasts for days till intervention is sought by medications or by surgery. The medications temporarily relieve the pain but it usually keeps coming back after few months..

Treatment: 

For Partially erupted or Non erupted teeth the only treatment is Extraction. Extraction should be performed as soon as the dentist determines that the tooth is impacted. Removal of Impacted teeth becomes more DIFFICULT with advancing age with the bone getting dense and more complications coming in.

The dentist should typically not recommend leaving the impacted teeth in place until they cause difficulty.

When ultimately the tooth has to be removed, better get it done rather than waiting for more days..

Precautions as a patient:

Personally I would recommend to get the tooth extraction done by an Oral Surgeon Whos a specialised dentist (MDS) for all these procedures.

       As i always say with other dental treatment, Even Tooth Extractions DO NOT PAIN.. With anesthesia It is as easy a procedure as all others are.. After extractions there shall be some discomfort n some precautions to be taken which shall be explained by the dentist.

       Any other queries or doubts i shall be more than happy to clarify.. Connect me through
www.dentalclinicnoida.in
www.facebook.com/dentistnoida
https://twitter.com/#!/princebds

My crown broke, What should I do?

               If your crown breaks, you should call a dentist and get an appointment as soon as you are able. Hopefully your dentist will see you within a day or two. If they can't see you within a week, I would call a different dentist or better yet ask them 'nicely' if they can refer you to a good dentist who will be able to see you sooner.

               It is best to see a dentist soon, because it is often hard for a patient to evaluate the extent of his damage. Sometimes, a patient without much pain has sustainned a significant injury to a tooth. Fortunately, most times having your crown break isn't such a big a dental emergency. Most times when the patient is seen the crown either needs to be replaced or smoothed.

                Some times the remainder of the crown is sharp and can irritate or cut the tongue.
If the underlying tooth is exposed, sometimes the tooth is sensitive to air or cold liquids. That means the pulp inside the tooth is still alive(a good thing!). Although this is anoying and can be a pain, nothing will happen to the tooth in twenty four to 48 hours. Teeth do not decay in one week. It takes time for decay to develop

               Occasionally, when a patient calls and says "my crown broke", what actually has occured is the tooth under the crown has broken off and the crown has come out. This can be a bigger emergency. When the patient does come in, the remainder of the tooth has decay and sometimes it requires endodontic treatment. Often these teeth do not hurt, since the pulp is already dead. Some teeth have sustained vertical fractures and in a worst case scenario the tooth needs to be removed.

Teeth Whitening Case

Hello,

       Well just putting out a recent case showing how easy it is to get those stains removed which stop from making us smile...

        This patient came to us quite very Unhappy about the stains that he had got from a continuous 10 yrs of smoking, paan and gutka chewing... 

        Finally after my insistence he decided to kick off this Bad habit and for this firstly for motivation he thought of getting his teeth in order.. We did a normal cleaning and polishing of his teeth and then we proceeded to get on with Bleaching to remove those stains of his teeth..

Pre - Operative Photograph

And after giving him 45 mins of a single sitting have a look of what his teeth have turned into...

Post - Operative Photograph

To Read more about what TEETH WHITENING is all about Click Here

"If nothing hurts me my mouth must be OK, right?"

               This is a line of reasoning I hear from patients at my dental office too often. The patient is usually explaining why they have waited so long to come in and they explain that they assumed nothing was wrong since they had no pain. 

              Unfortunately most dental problems don't hurt until they are rather advanced .Most often dental interventions are best performed at the beginning of the problem when they can't be taken care more easily and inexpensively. 

             Sometimes by the time the patient becomes aware of a problem it is too late for the dentist to come up with a "simple fix". If a small cavity is detected a dentist can easily repair the tooth with a small filling, but a tooth with a large cavity may require a root canal or a crown or even an extraction. 

              Early detection of dental problems is key to keeping your mouth healthy and happy and frequent cleanings and check-ups allow dentists to achieve this worthwhile goal!  

          A HEALTHIER MOUTH FOR HEALTHIER YOU!!!  


For details please go to www.dentalclinicnoida.in   

BAD TEETH RUNS IN FAMILY

            Patients commonly explain that 'Bad teeth run in the family" and also they say that Since childhood their teeth condition has been very bad…  The implied message is that they themselves are not to blame for the state of their mouths.

To be very blunt, "bad teeth" are almost always a result of bad habits..

              My grandmother & grandfather wore two full dentures by the time they were middle aged… Although I do not know for sure, I believe the choices they made and maybe their lack of a good dental IQ are the reasons for their extensive tooth loss… And my parents do have some problems, but now since they have been under my strict care, things are better..

                 Although I am far from perfect, I do not smoke; I brush regularly with a tooth brush, floss and get regular cleanings. These habits are most likely responsible for overcoming any 'genetic predisposition' that might lead to tooth loss.

              While genetics obviously plays a role in determining the likelihood of developing all sorts of health problems, so do a person's habitual patterns of behaviour.

                 While "crooked" or misaligned teeth are most often genetically influenced, the actual health of the teeth and gums is more affected by how we take care of them, than any other factor.  Brushing at least twice per day, flossing regularly, not using tobacco products, and limiting sugar intake are key elements in oral health.  It is also generally accepted that seeing your dental professional at least twice per year for examination and cleaning is necessary to prevent dental health issues.  This routine will also allow your dentist to "catch" problems when they are small, easier to treat, and less costly in the long run.

Remember a Stitch in time saves Nine…. 

Digital Dentist

Advantages of Digital Dental Radiography

            Well, our office has been using the digital radiography since September of 2009 and I thought this topic might be good one for a blog post.

        

For sure, not having to develop film saves a lot of time every day and my patients almost universally approve of my upgrade to digital radiography. They like being able to easily view images of their teeth and are happy when they hear that the images are achieved with much lower radiation settings. This is the most obvious advantage of digital radiography; Patients receive a much lower dose of radiation(90% less) than they would from the use of traditional X ray films. I find I can produce usable images with a Tenth of the radiation that I used to produce film images.

Another feature of digital radiography is their ability to easily produce enlarged images of the teeth. In the last year I have found that found that showing enlarged images of their teeth to patients makes it much easier for them to understand my treatment recommendations and the digital enhancement features of my software program (Vatech) I use can help with the visualization of problems.

I also appreciate of the ease of emailing these images to specialists. I am able to get almost "instant second opinions" for my patients. Almost every day I send a radiograph to either my endodontist, prosthodontist or oral surgeon, in order to get their input for one of my patients. This is a great service since not only do my patients not have to pay an additional fee for the consultation, but prior to this I would have mailed their film to the specialist and I would have waited several days for the feedback.

Although I must confess that I sometimes miss the "richness" old fashioned film produced images, there is no going back for me. The advantages of digitally produced dental images far out way any disadvantages and I am fully committed to this new digital age!

Gum Disease and Human Health

             This post is a result of a sad news I heard on twitter in the morning that a middle aged man had a sudden heart attack and he couldn't survive that. 

             Now we all know of the common reasons of why we have BP, Heart problems, Diabetes and we all so much take care of the reasons and feel happy of taking low fat Ice creams, Diet coke, Exercising, Yoga, Meditation and what not. But there's some other major reason which i thought we should all know bout.

             So i decided to shed some light on the relation of Dental problems and in particular Gum Problems with our very common diseases that we so so commonly see now a days.

There's a whole new subject on this now, calling it Periodontal Medicine which deals with the inter relationship of Dental problems with the other chronic disease of the body.

  

Gum Problems and Diabetes

                                         Too much glucose in the blood for a long time can cause diabetes problems. This high blood glucose, also called blood sugar, can damage many parts of the body, such as the heart, blood vessels, eyes, and kidneys. Heart and blood vessel disease can lead to heart attacks and strokes.

                                          Tooth and gum problems can happen to anyone. A sticky film full of germs, called plaque, builds up on your teeth. High blood glucose helps germs, also called bacteria, grow. Then you can get red, sore, and swollen gums that bleed when you brush your teeth. People with diabetes can have tooth and gum problems more often if their blood glucose stays high. High blood glucose can make tooth and gum problems worse. You can even lose your teeth

                                          Gum Problems have been listed as a Side effect of Diabetes long ago and they are interrelated in both ways. Uncontrolled Diabetes leads to higher rate of gum problems and more gum diseases leads to Uncontrolled Diabetes.

Gum Problems and Heart Disease

                                  Gum disease and heart disease appear to be related, thanks to several extensive studies in the early 2000s which suggested that people with periodontal disease were twice as likely to also have coronary artery disease, along with other heart-related health conditions.

                    People with severe gum disease often experience bleeding gums, and nicks and cuts in the gums can provide a way for bacteria to enter the bloodstream. If the bacteria is not attacked by the immune system in time, it can reach the heart and may cause an infection such as endocarditis or damage other organs.

                     In addition, some oral bacteria appear to secrete sticky proteins which can allow them to adhere to the walls of the arteries, rather than being swept away by the flow of blood. As the bacteria accumulate, they contribute to the narrowing of the arteries called Atherosclerosis also called "hardening of the arteries," develops when deposits of fats and other substances in your blood begin to stick to the sides of your arteries. These deposits, called plaques, can build up and narrow your arteries, clogging them like a plugged-up drain. If these plaques ever block the blood flow completely, you could have a heart attack or stroke, depending on the location of the blockage.

                     So now it comes down to How do u prevent it...  Well Prevention is as simple as maintaining a good oral health.. 

                      To maintain the best oral health, you should:

• Establish and maintain a healthy mouth. This means brushing and flossing daily and visiting your dentist regularly.
• Make sure your dentist knows you have a heart problem.
•         Carefully follow your physician's and dentist's instructions, and use prescription medications, such as antibiotics, as directed.

Other Problems which are affected by Dental Problems and have been conclusively established

Pregnancy -  The birth weight of the baby gets affected and the mother can go for a Pre term labor because of the Gum Disease

Osteoporosis - Because Gum Disease can cause loosening of teeth and also resorption of bone around the teeth it also can result in increase in osteoporosis specially for females.

Respiratory Disease - Bacterial respiratory infections are thought to be acquired through aspiration (inhaling) of fine droplets from the mouth and throat into the lungs. These droplets contain germs that can breed and multiply within the lungs to cause damage.

What to Eat After Dental Surgery?

                   Good diet and nourishment is of utmost significance especially when a person is recuperating from a dental surgery. If one knows what to eat and eats the appropriate diet, it guarantees quick recovery and also reduces the possibility of excessive dry socket and blood loss. Post oral surgery phase is a very critical stage and must not be managed without the supervision of dental specialists. In case the patient has been prescribed some antibiotics, he may have to exclude dairy products from his diet chart. In fact, for a couple of days following the surgery the patient should go in for either drinking beverages such as tea or water or foods that are soft.

• In the post dental surgery period, a person needs to know what to eat and must include sufficient amount of fibre and protein in the diet. Liquids should also form a predominant part of the diet. Good dietary liquids include nourishing fruit and vegetable juices, milkshakes, energy drinks, instant breakfast drinks and fruit smoothies.
• Immediately after oral surgery, oatmeal, soft scrambled eggs, soft fruits, well cooked rice and cream of wheat should be included in the diet of the patient.
• Avoid carbonated or aerated beverages, hot fluids and spicy food after oral surgery.
• The patient must eat those food items that do not cause irritation to one’s surgery spot. Foods such as puddings, yoghurt, custard, vegetable broth, ice-creams, applesauce, cream soups, and mashed potatoes are soothing to the spot of surgery.
• Anything that needs to be sucked should be stringently avoided as this can hinder the blood clot formation in the mouth, resulting in excessive bleeding.
• Though meat and the dairy products are an excellent source of protein and energy, they need to be avoided. Instead, you can eat mashed potatoes, soft cheeses and tofu. Moreover, food items including canned fish, poached fish, hummus, meat loafs, mashed pinto beans and shredded meat are supposed to be included in the diet as they do not require much of chewing. Peanut butter, seed and nut oils are also recommended.

What to eat after dental surgery is an important query that needs to be addressed to every patient. The latest innovations in the field of medicine and pharmacy have made the surgical methods and process less agonising and more tolerable on the part of the patient. As the patient is under the influence of medication when he returns home, he must ensure that he sticks to the prescribed painkillers and must not eat anything without the approval of the doctor.

A Periodontal case

A Male pt aged 46 yrs came to us with a problem of swelling in his Lower right Back tooth region.. Pt had a history of a previous flap surgery with bone grafting done around 4 yrs back.. On examination he had deep pockets generalised, expecially in the molar areas.. we had an OPG of 2009 and we again advised for a latest OPG.. and this is wat we got...

OPG - 2009

OPG - 2011

This is wat we did for the Right Lowers for the Patient..

We did a Root Resection for the patient... the tooth is Grade I mobile but it is stable and we r reviewing it closely...
This photo is at the end of 2 weeks of the procedure.
After 1 yr the tooth is still in a very good condition..
Heres an Xray after 1 yr of the procedure..

This a great way to save teeth if the patient is willing to go the long way and if he trusts the Dentist..

3 Common Causes of Teeth Grinding

When someone is suffering from teeth grinding they clench their teeth unconsciously, especially while sleeping. This disease or habit is both noticeable in children as well as in adults. The latter group is given more attention than the former because it is believed that children have milk (i.e temporary) teeth. It is adults that are usually the group that is the major concern of the dentists and other professionals that have to do with this type of teeth issues because their teeth are permanent. If care is not taken a sufferer can grind away the outer covering of the teeth almost completely. This result, I want to believe you will agree with me, is not good in health and socially for the affected person.

1. Stress

Stress is a cause of 'Bruxism' (teeth grinding) that is regarded as one of the most common causes. Most doctors are of the belief that stress is a primary cause of this teeth problem especially during sleep. Stress is most likely to disrupt a persons sleep cycle. When this disruption of ones sleeping cycle occur the affected person might end up clenching their teeth unconsciously and intermittently while sleeping. Because this explanation is the most common research is being carried out extensively on this area to find out more facts

2. Aggressive Personality

This cause is related to frustration and suppressed anger which represents another cause of this disease or habit. This has a cause that involves enormous emotions in the form of expressed anger. The person concerned here lets out his frustration and anger towards their intended subject. This person might unconsciously expressing teeth clenching in the process

3. Abnormal Teeth Alignment

When the lower and upper teeth are not properly in alignment with we have a situation called Malocclusion. This is a physical cause of teeth grinding.

The abnormal alignment of the teeth in this situation usually results in involuntary grinding of the teeth when they make contact. Though this is a realistic cause of this dental problem, or habit, clinical studies is yet to confirm it

Implant case

Hello Guys.... Just posting a Implant case with gr8 results....

         Pt with Lower Molar missing and replaced with implant and crown.... Its been 5 yrs now that the implant has been placed...

People With Stress are more Likely to get Dental Disease

People who are live high-stress lifestyles can benefit from re-evaluating their situations in order to prevent many health complications, include dental care problems.

One dental-related issue linked to too much stress is developing mouth sores. Bacteria and viruses that develop in the mouth can lead to fatigue, allergies and immune system complications, according to WebMd.com

Dealing with too much stress can also lead to teeth grinding, which can cause joint degeneration in the jaw and the breakdown of enamel. If the problem persists, it is recommended to see a dentist and have them mold a custom mouth guard.

Being overly busy can also cause people to put proper dental care at the bottom of their busy schedules, the website reports. This could include postponing or canceling dental appointments, and if a person isn't taking preventative measures at home, they could develop more severe dental problems, such as gum disease.

For example, more than 8 percent of all adults in the U.S. aged 20 to 64 years have been diagnosed with gum disease.

Next Set of ONE liners.....

Where does the dentist get his gas?...At the filling station


Why didn't the dentist ask his secretary out?...He was already taking out a tooth

What did the dentist say to the computer?...This won't hurt a byte

Mother: Has your tooth stopped hurting yet?...Son: I don't know. The dentist kept it

What did the tooth say to the departing dentist?...Fill me in when you get back

Anyone know the six most frightening words in the world ??? "The Dentist will see you now."

DENTAL ONE liners.....

Dentists are incapable of asking questions that require a simple yes or no answer.

Did you hear about the dentist who planted a garden?
A month later he was picking his teeth

What does the dentist of the year get?...A little plaque

What game did the dentist play when she was a child?...Caps and robbers

What does a dentist do on a roller coaster?...He braces himself

What did the dentist see at the North Pole?...A molar bear

What was the dentist doing in Panama?...Looking for the Root Canal