Diagnosed With Cancer? Get Your Dental Care Taken Care of Right Away

Hi. My name is Dr. Robert Antolak, the owner and president of  The Gentle Dentist located out in Shelby Township, Michigan. What’s a really important topic is for people who have been diagnosed with cancer. Cancer, especially head and neck cancer, is something that is fairly prevalent. And one very important facet of when someone has been diagnosed with cancer and they’re supposed to be having either radiation therapy or  chemotherapy is to go on and have their dental care taken care of right away, before they start. Especially when they start radiation therapy. Especially if it’s above the head and neck area.

The reason why it’s important to have your dentistry done before you go in for therapy is that the body, because of the fact that radiation is going to end up slowing and even killing off all the salivary glands and the that produce saliva. Saliva is important to keep your mouth hydrated and wet, which prevents cavities. It’s also very important because when you do that, you can get a ton of pain in your mouth. And an infection that’s very very common for people who have had oral cancer, and who’ve had treatment with that. So,  if a tooth has to come out, because it’s a bad tooth, we need to extract it before starting into therapy. Because once they start the therapy, your body’s immunity is really suppressed. You don’t have that ability to, to heal like you can. So, if teeth ever have to be removed afterwards, it’s a nightmare, it’s very difficult and it’s pretty risky, for having much more signifigant problems after that. So, when we do that we can, we can either extract your teeth, and the beauty of our office is we do, I do all phases of dentistry. So we can extract the necessary teeth if you need fillings on teeth we can do that, if we need to clean them we want to get that done very quickly after you’ve been diagnosed and then after that point on you can get your therapy doneand then work it out so that things are much more manageable at that point.

There’s a couple things that are important to know to aid in the problems with the dry mouth even afterwords is to use sugarless products, drink plenty of water, make sure you use fluorides that help to refluoridate your teeth, and avoid soda pop. That’s really a bad thing, that your mouth is dry. So you have to do these necessary things.

The key is to get in before you start your chemotherapy or radiation therapy. So our dental office is located in Shelby Township, Michigan and our phone number is 586-247-3500 and our website is thegentledentist.com. Thank you and have a blessed day.

Complete Denture Care

Question: I have dentures and it seems that I have heard different opinions about whether I should take them out at night or not.  Please clarify this for me.

Answer: For the majority of my denture patients I recommend that they remove their denture at night and soak them in water and a denture cleaner.  They also need to aggressively scrub the dentures over a water filled sink with a stiff denture brush.  This removes the excess debris and plaque bacteria.

The reason why I recommend removing them at night is because the tissues need to be neutralized and replenished with the patient’s saliva.  As the saliva bathes the tissue it provides a more stable microbiological environment on the tissues.    When dentures are allowed to remain in place all day and night without getting cleaned, yeast will start to grow and replace the good naturally occurring bacteria of the mouth.  Eventually reddish yeast infections will form on the gum and palatal tissues that support the denture. This yeast infection can create a burning sensation on the roof and corners of the mouth.  If the denture is old and worn the corners of the mouth will become red and sore.

I often use the analogy that you remove your shoes at night when going to bed.  In the same way it is necessary for the tissues to relax just as the feet need to relax.  It is also important to massage or lightly brush the gums that the denture fits on.  I recommend using a wash cloth or a soft toothbrush.  The roof of the mouth and ridges need to be stimulated using these techniques. It is also possible to soak the dentures in Listerine to kill off the bacteria.   After it has soaked in the wash I have recommended an antifungal cream be applied to the inside of the denture to fight off the yeast infection.  You will find that after using these techniques the soft tissue of the mouth will become healthier and firmer.  Once this occurs you should visit us and either have the denture relined or remade.

I will recommend that a patient keep their denture in place at night if they have concerns that their spouse “has never seen them without their teeth”, or if they can’t sleep without them.  The other reason is if their jaws are sore when they don’t wear them at night.  In these cases it is critical that they take them out at lease 1-2 hours per day sometime during the day.

Dr. Antolak treats his dental patients in a relaxed, friendly atmosphere where you are treated like a guest in the home.  His motto is to “relax while we take care of your smile”. He specializes in cosmetic dentistry, implant dentistry and general dentistry using sedation dentistry if necessary for his high fear patients. He has been treating patients for the past 21 years and is located in Shelby Township, Macomb County, Michigan.

Give us a call at (586)247-3500 or email DrAntolak@TheGentleDentist.com for more information.

Drugs in Dentistry, a recent report for dry mouth suffers

There are many oral conditions and complications that take place when patients are using many drugs.

A good website to use to research out medications is www.drugstore.com. They have a section where you can check out common side effects of medication you or someone you know may be on.  It also has a section that will list drug interactions if you are on multiple medications. 

As I have discussed in the past, the most common side effect of medications is a drying of the mouth. The biggest mistake I see patients who have a dry mouth is to suck on mints, candies, chocolates, or sodas sweetened with natural sugar. When sucking on the candies, they coat the teeth with sugar which in turn develops into a full blown case of dental decay.  Patients are shocked when I show them the destruction that these cause.  Sugar-free AquaDrops candies are a great way to stimulate saliva while not creating multiple cavities in the mouth.  You can find these in just about any pharmacy.

A good toothpaste that will help the balance in the mouth is Crest Pro-health or Biotene toothpaste.  They contains anti-fungal and anti-bacterial agents in this specially formulated toothpaste.  For dry mouth it was recommended to use Biotene oral balance gel.  This is also available over the counter.  When using this gel first swish with water, then use a small glob and move it around to lubricate the mouth.  It has been reported to cool a dry mouth and make it feel much better.