Dental Fillings Fail More Often for People Who Drink or Smoke Regularly

failing tooth fillings and why

Research found in Frontiers in Medicine looked into composite and amalgam fillings as well as a number of the factors which might lead to their failure.

Among the variables looked at were smoking, alcohol consumption, age, sex, diabetes, periodontal health, and genetics. 4,856 individuals’ dental records from 5 years were examined for this study.

Highlights of the paper include:

Composite and amalgam dental fillings have similar durability

Composite fillings are the more recent, white fillings, whereas amalgam fillings are the familiar silver fillings which have been in use for over one hundred and fifty years. During the duration of the study, the team found that the failure rates for composite and amalgam filings were about the same, with the more modern composite fillings doing slightly better (about two percent better).

Male smokers and people who drink have fillings fail at a higher rate

Of the lifestyle variables examined, drinking and smoking displayed the greatest link with filling failures. After having dental fillings for 2 years, the failure rate was highest in individuals who were regular drinkers and in men who were smokers.

Genes could be a factor for failed dental fillings

A gene for matrix metalloproteinase (MMP2), an enzyme found in teeth, was looked into by the study. According to the researchers, MMP2 can degrade the bond between a filling and tooth. The research team suggested that a person’s genetic background may one day be a bigger factor in dentistry. “In the future, genetic information may be used to personalize dental treatments and enhance treatment outcomes,” said Alexandre Vieira, a member of the research team.

The study lends further credence that white composite fillings can be looked at as an alternative to the older amalgam fillings. The connection between lifestyle choices and the failure rate of fillings are something patients might like to think about also.

Make your next exam with Dr. Layman or Dr. Shirman, now, especially if you haven’t had your fillings checked lately.

Canker Sores – What Are They?

different kinds of canker sores and how to treat them

Approximately twenty percent of people suffer from canker sores.

Manifesting on the inside of the mouth only (unlike cold sores), aphthous ulcers (canker sores) are not contagious.

One can recognize canker sores by their oval shape with a red border, and usually a yellow, white or gray center. Though painful, most canker sores will heal without intervention in a short time.

Possible causes:

The true causes of canker sores are unclear, though a likely factor is heredity. Women are affected almost at double the rate of men by canker sores and they tend to afflict those who are ten to twenty years old. They often happen at the site where the mouth has been injured, and connections have been discovered between stress and canker sores. A chemical found in toothpaste, sodium lauryl sulfate (SLS), has been found to be connected with canker sores as well. Additionally, canker sores might be an indicator of an immune system problem.

Canker sores come in three varieties. While most canker sores are minor ones, the other types are major and herpetiform canker sores. The Mayo Clinic has more information on these other kinds on their website.

How to treat a canker sore

If are suffering from a minor canker sore, no treatment is usually needed. There are some things you can do to avoid additional pain, however.
– Avoid spicy foods as well as those that could be scratchy or hard. These will aggravate the wound.
– Don’t brush the wound with your toothbrush.
– Consider using a toothpaste that doesn’t have sodium lauryl sulfate.


– Don’t eat foods which can irritate your mouth.
– Be sure to have good nutrition—avoid vitamin deficiency
– Defend your mouth against cuts-Orthodontic wax can help with braces.
– Reduce or eliminate stress from your life.

Check with Dr. Layman, Dr. Shirman, or your doctor if you’re suffering from a canker sore which is larger than normal or painful or one that doesn’t seem to heal.

Enlarged Periodontal Regions Could Be An Indication Of Childhood Leukemia

enlarged gums could be a sign of leukemia in children

According to a newly published case report, enlarged periodontal regions in children could be a potential indicator for intense kinds of Leukemia (AML).

Diagnosing a patient can be difficult at times; especially when you are trying to figure out what is wrong with them based on what is going on in their mouth alone. When looking for a medical diagnosis for an oral issue, it remains important for every dental practitioner to think outside of the box for sources other than just the mouth. Every oral professional should check into their patients’ medical as well as family members’ backgrounds before deciding on a proper medical diagnosis.

What is Leukemia?

Leukemia is a form of cancer that attacks the blood cells. It impacts the formation of white blood cells which, in turn, prevent the body from being able to effectively deal with various infections. Rather than normal, healthy blood cells, Leukemia causes the person to create leukemic blood cells, which can result in death from of bleeding, infection, or both. According to the case report published on Dentistry Today, dental practitioners are responsible for initiating the diagnosis of 25% of individuals with acute myelogenous leukemia and 33% of myelomonocytic leukemia.

With regards to gum-related leukemia (AML), hemorrhaging and gingivitis can be seen in instances of the enlarged gum tissue. Ulcerations and the before-mentioned hemorrhaging are much more typical in the acute forms of leukemia than in chronic cases of leukemia.

What are the solutions?

While having bigger gum tissues does not exactly imply your child has leukemia, it is essential to be conscious of the possibility when trying to find causes. Enlarged periodontal regions might also be the result of various forms of gingivitis such as puberty-based gingivitis, menstruation cycle-associated gingivitis, Crohn’s illness, lymphoma, ascorbic acid deficiency, neurofibromatosis, and many more causes.

Give Dr. Layman and Dr. Shirman a call if your kid appears to have unusually large gum regions so an appropriate diagnosis can be determined.

Chemotherapy is still considered the very best means for fighting leukemia. Individuals with bigger gum tissues as an outcome of AML and AML’s subtypes found a reduction in gum swelling as a result of radiation therapy. Blood transfusions, and also bone marrow transplants, are additionally known to be valuable combatants in children affected with leukemia.

Researchers Find Obesity and Periodontists Are Connected

Periodontal Disease and Obesity

A study conducted at New York Medical College believes to have exposed a link between periodontitis and obesity. As explained by NYMC professor of medicine and pharmacology Nader G. Abraham, PhD, DrHC, DrHC, this is the first time it’s been observed that our fat cells can be influenced by the bacteria found in our mouths.

Experts have found that fat cells can have an inflammatory reaction when under attack by viruses or bacteria (as well as some times when these microorganisms aren’t present). In obese individuals, this inflammation may result in type 2 diabetes. The investigators at NYMC performed their research on mice, infecting them with Porphyromonas gingivalis, a variety of bacterium connected with periodontal disease, and evaluated the tissue inflammation. They noticed that the bacteria had an influence on the operation of the fat cells inside of the mice in the study.

Also, the investigation found that Kavin, an extract of the kava plant, had an effect which could offset inflammation in obese individuals. Salomon Amar, DDS, PhD of NYMC proposed that use of Kavain along with good oral hygiene could lessen the health consequences of obesity.

Abraham mentioned the well-known link between oral hygiene and heart ailments and suggested that the link with obesity is yet another justification for why everybody should be sure to floss and brush their teeth on a regular basis, as well as to set up regular cleanings and exams.

Floss and Floss Again! Why Flossing Is Important.

Floss regularly from Layman and Shirman

Lots of people know of the significance of regular brushing, but we frequently hear excuses regarding why our patients don’t floss time and time again.

Some people feel that only brushing their teeth is adequate. A story from 2016 was released implying the lack of evidence done regarding investigations on the impact of using dental floss to achieve a deep clean. Others face the problem of when flossing their teeth leads to pain, discomfort, or even bloody gums.

The reality is toothbrushes are just not able to clean all surfaces of your mouth. There are areas in between your teeth where food pieces and other germs create plaque buildup. While mouth rinses with mouthwash are able to reach these spots and eliminate the bacteria, these rinses are not capable of removing the all of the plaque. Left undisturbed, plaque will subsequently turn into tartar, a hard material covering your teeth which can only be cleared away by the a dental professional with special tools.

Oral plaque builds up in spaces where your toothbrush wont reach which can bring about cavities that are difficult to detect. If plaque gets underneath the gum line it will result in inflammation and eventually result in cases such as gingivitis and gum disease. Gingivitis is normally the actual reason why your gums may bleed after using dental floss. Flossing will keep these locations clean and enables the gums to heal and return to normal.

Confused about the best way to floss your teeth? Simply grab a long piece of floss, wrap the ends around your middle fingers, and use your thumbs and index fingers to help motion the floss back and forth between each of your teeth. Don’t forget, home care isn’t enough to maintain a health smile though. Visits to your dentist are necessary so set up your dental check-up today!