Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our Hiawatha, IA office to schedule an appointment with Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

Putting off your dental visit to Blair Ridge Dental because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying, please give us a call at our convenient Hiawatha, IA office!

What’s life like for the average 60-year-old today? It’s complicated! We travel. Or we work out. Or we relax with friends. We pursue favorite hobbies or we develop new ones. We work, or start businesses, or volunteer for schools, museums, and charities. We practice the art of writing letters or we text our grandchildren. Whatever else we do, we do our best to stay healthy so we can live our lives to the fullest.

Part of living our lives to the fullest means caring for ourselves. And caring for ourselves means learning how to look out for the potential dental problems that might come with age, and how to keep ourselves in the best of dental health.

• Gum Disease

Gum disease, or periodontitis, is not uncommon in older patients. Certain medical conditions, such as diabetes, can leave you more vulnerable to gum disease. Because gum disease is often symptom free, it can remain unnoticed until the disease has progressed. Good oral hygiene and regular visits to the dentist are the best means of prevention—we are trained to discover gum disease in its earliest stages, and can treat it before the disease causes serious damage to gums, teeth and bone. But if you have delayed seeing a dentist, the good news is that there are many methods of treating gum disease available, including antibiotics, professional plaque removal, and periodontal surgery.

• Tooth Decay

As we age, our gums can recede from the teeth. The new root area that is exposed is more vulnerable to decay because it is not shielded by the hard enamel which protects the upper part, or crown, of the tooth. Maintaining your brushing and flossing routine is the best way to keep cavities from developing. If gum recession is severe, there are surgical methods we can discuss to restore gum health.

• Time

Cosmetically, teeth can yellow with age as the dentin beneath the enamel darkens and the enamel covering it thins. Years of coffee, wine, smoking and other stain-makers take their toll. If you are self-conscious about the appearance of your smile, talk to us about suggestions for whitening and brightening.

Medically, over time our teeth are subject to damage. Enamel and tooth surfaces can wear away, leaving our teeth more at risk for breaks or fractures that can lead to infection, which can result in the need for root canal work. Simple chewing puts an amazing amount of pressure on the teeth—and if you grind your teeth, there is even more stress placed on them. See us regularly for ways to maintain strong teeth, to repair damage if necessary, and to keep your gums and bones healthy if you are a denture wearer.

• Dry Mouth

Dry mouth can be a problem for older patients, often caused by medical conditions or medications. When we produce saliva, it helps remove sugar and the acids sugars produce which attack our enamel. Without normal saliva production, we are more vulnerable to cavities. Dry mouth can also lead to mouth ulcers, oral thrush, sores and infections. If you have been suffering from this condition, talk to us. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying and our team have suggestions that will help.

• Oral Cancer

Oral cancer is something we look for during every check-up. And, if you ever notice any change that causes you concern, call us immediately. Early treatment of oral cancer and other oral diseases leads to the best possible outcome.

• Keep Up With Your Dental Care

The best way to keep our teeth and mouths healthy as we age is with prevention. Regular daily brushing and flossing and office visits twice a year for an examination and a professional cleaning are habits that should last a lifetime. Make sure to tell us about any medical conditions you may have and any medications you are taking, to avoid interactions and relieve unpleasant side effects.

What’s life like for the average older person today? There is no average older person! As we age, we are free to explore our interests in any number of creative and individual ways. But there is one goal we have in common: we all want to keep our smiles healthy and attractive. Call our Hiawatha, IA office for preventative and restorative care. We want to help you work toward an ageless smile!

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

• A history of infective endocarditis
• Certain congenital heart conditions (heart conditions present since birth)
• An artificial heart valve
• A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our Hiawatha, IA office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.