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What Occurs In Your Mouth During A Dental Care Examination

During a dentistry examination, the dentist examines the mouth mucosa (soft tissues) for any abnormalities or pathology (including oral cancer), the teeth for tooth decay (dental caries) or defects, the gum tissues for periodontal (gum) disease, the neck for swollen lymph nodes, the amount of plaque, tartar (dental calculus), and debris on teeth, as well as the need to replace any missing teeth or dental prostheses.

The dental examination begins with a complete dental care and medical history, including medications the patient currently is taking. The skin of the face and neck is examined for any abnormalities, especially pigment changes. The lymph nodes in front and behind the ears, under the floor of the mouth and chin, and the midline of the neck, sides, and back of the neck are palpated to determine if any swelling or tenderness is present.

Inside of the mouth, the lips, cheeks, gums, and roof of the mouth are inspected and palpated. During this process, the tip of the tongue is placed on the roof of the mouth just behind the upper teeth for inspection of the front floor of the mouth and sides of the tongue.

The back floor of the mouth, the area behind the lower wisdom teeth, and the back sides of the tongue are inspected by grasping the tip of the tongue with a small gauze sponge and pulling the tongue forward and toward the opposite side of the mouth.

To inspect the back of the throat, soft palate, and tonsil area (sides of the throat), the tongue is depressed with a dental mirror or tongue blade and then a deep breath is taken by the patient.

To detect swelling on the floor of the mouth, the area inside the mouth is felt with the finger of one hand while a finger of the other hand feels below the chin. Salivary gland enlargement, saliva flow, or xerostomia (dry mouth) are determined by milking the major salivary glands to assess the quantity and consistency of saliva.

Today's dentist has many analytic tools available to pinpoint dental and oral diseases. The basic tools are the dental instruments, lights, and radiographs (X-rays). Depending upon the dentist and the individual's dental needs, additional diagnostic tests are available. Testing for essential proteins and buffering capacity can evaluate the protective ability of saliva.

To determine mouth caries risks, microbiological testing of saliva can measure the level of caries-producing organisms. Periodontal susceptibility tests, which test for the DNA of gum disease-producing organisms, can be performed to assess an individual's risk for gum disease.

If removable dentures are present, they are checked for bite, retention, stability, and overall fit. Dental impressions or models also may be taken to study the mouth and tooth structures to initiate fabrication of prostheses. Photographs may be exposed for a variety of reasons, including before and after treatment comparisons.

The level of oral hygiene and home care practices are assessed and reviewed. Recommendations for home care devices and products may be made. Instruction and methods for maintaining a good oral hygiene regimen can also take place.

Once basic information about oral health status is gathered, the dentist will be better able to discuss dental treatment alternatives that are available.

By Denise J. Fedele, DMD, MS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Healthy Eating For Good Oral Health Can Stop Tooth Decay

What you eat affects your health destiny. You can dramatically impact your dental health by eating a well-balanced, healthful diet. Research has shown that poor nutrition jeopardizes our oral health, which puts you at risk for a number of serious dental problems.

The Food Factor For Good Oral Health

Our food choices can make a big difference in two of the most common diseases today: tooth decay and gum disease. Certain foods, especially those containing sugar, are directly linked to increased levels of cavity-causing bacteria.

Tooth decay results when acids from the bacteria attack the teeth forming cavities. While diet doesn't directly cause gum disease, a condition affecting the supporting tissues of the teeth, researchers believe the disease is more rapid and severe when poor nutrition is a factor. Gum disease is a serious problem, since it can lead to tooth loss if untreated.

Diet and Dental Health

The American Dietetic Association and the National Institutes of Health recommend eating a well-balanced diet including plenty of the following:

• fruits
• vegetables
• a good variety of breads and cereals
• dairy products
• fish
• chicken
• dried beans
• peas
• meat

Enjoying a variety of foods is the best way to get all the important nutrients needed for keeping healthy. Beware of fad diets that exclude entire food groups. This can cause nutritional deficiencies.

Snack Smart To Avoid Tooth Decay

Snacking is a favorite pastime, but certain snack choices promote tooth decay such as soft, sweet, sticky foods. Select nutritious snacks better for your teeth and general good health, especially colorful, juicy fresh fruits and crisp, crunchy vegetables. Choose your snacks based on any other dietary concerns, such as low cholesterol, low-fat, or low sodium diets.

If you snack on crackers, cookies, or chips, it's better if you eat them in combination with other foods, such as cheese with crackers, rather than alone. This is because these foods, when eaten alone, tend to produce more bacteria in the mouth leading to tooth decay. Remember, each time you snack, oral bacteria is activated. Drink plenty of water to rinse away some of the disease-causing bacteria. If possible, brush your teeth after snacking.

Select from the wide variety of foods for healthful eating -- that are good for you and your teeth and be sure to check-in with your dentist.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.