"Your Mouth is Connected to your Body" Update from Dr Nijjar and Dr Ruchi

"Periodontal disease is independently associated with cardiovascular disease. Identification of periodontal disease as a risk factor for incident ischemic stroke raises the possibility that regular dental care utilization may reduce the stroke risk."

Translation? 

We already know that many people who have gum disease are also at risk for heart disease at some point in their lives. 

And now... we know that gum disease is a "risk factor" for strokes as well. This means that visiting Dr Nijjar and Dr Ruchi at their dental office in Fremont regularly -- could lower the risk of stroke. 

Yes. And there are so many other heath issues that we can be more at risk for if we do not go to the dentist regularly and control/prevent gum disease.

Here's a link to the full American Heart Association article: http://stroke.ahajournals.org/content/early/2018/01/12/STROKEAHA.117.018990

See you in the office soon. 

Keep well, Dr. Nijjar & Dr. Ruchi

Tips for Saving On Your Kids' Dental Expenses

Saving money when it comes to dental care is about preparation. Knowing what to plan for, knowing what to look out for, and when and how much to spend on recommended care. To lend a helping hand, we thought we’d lay out a few simple ways for you to stay on top of your game when it comes to keeping your kids in good health, and your hard-earned money where it belongs – in your pocket!

1. Remind Them to Wear Their Retainer: Ask any adult who has worn braces which piece of orthodontic advice they WISH they had adhered to, and overwhelmingly they’ll say they wish they wore their retainer more often. Without question, ensuring your kids wear their retainer as often as their orthodontist suggests, and in every suggested situation, is the key to avoiding an early return to shifting teeth. And while some shifting is natural as kids grow into adulthood, for those who don’t wear their retainer, that shift might come much, much sooner than desired – sometimes while they’re still in their teens. That could mean a return to some form of orthodontic appliance, another round of braces, and quite likely, if they’re still under your purse strings, another big bill.
   
2. Teach Them Proper Brushing Technique: Most kids, and most adults for that matter, still have no idea how to brush properly. And that’s a problem, because all that back’n’forth rapid-fire brushing is wearing away precious tooth enamel. Long-term, this sort of habit can lead to premature deterioration of tooth enamel, resulting in expenses to repair those teeth with bonding. Even worse: gum grafting procedures. Teach them to go soft, and in small circles. If necessary, repeat the instruction while with the dentist … and often. Ask us any of us for a customized brushing instruction for your family - ask Dr.Nijjar, Dr.Ruchi, Anisha, Asha, Gurmit or Pam anytime!
3. Promote Foods That are Good for Their Teeth: Certain kinds of foods help protect and remineralize teeth. And what’s best isn’t always what you’d think. Take cheese for example … who would have thought all that mac’n’cheese served a purpose? Good food keeps away decay, which keeps away fillings, which keeps more money in your pocket.
4. Visit the Doc: It bears mentioning that maintaining regular visits to the dentist is important. Why? Because life gets away from us and sometimes we forget. Or, when kids are young, we just think it’s not that necessary. By the time that first tooth comes in, though, they should already be visiting the dentist, and by the time they’re seven, a quick consult with the orthodontist is usually in order as well. Regular visits always help to catch small problems before they become major ones. 
5. Keep Pushing the Water: We all know kids love their energy drinks. Their teeth, on the other hand, can’t stand them, and decay and enamel wear tend to be the eventual result. So, put a wedge between decay and costly repair by ensuring your kids are drinking a lot of what mother nature has gifted us with: water. Water. Water. Water. It should be a mantra … 
6. Shop for a Mouthguard: The American Dental Association has said that 200,000 oral injuries to the mouth could be prevented each year simply by wearing a sports mouthguard. The cost of a custom guard is infinitesimal compared to the cost involved in repairing and or replacing several teeth. Get one today if you have a child who participates in sports. We can make you a customized mouthguad. This can’t be stressed enough. 
7. Stop the Comparison Game: Kids love to compare. Johnny has this, Sally has that. And, when kids start to notice their appearance, the game gets kicked up a notch. But remember when you were a kid? Before whitening agents were in seemingly every toothpaste, and when kids were actually proud of the space between their teeth? Not everything needs to be “fixed” right away. There is a time for these treatments if they’re so desired, and they’re best only when you and your family decide they are. Not when Johnny and Sally say they are. So, save your money. Remember, it’s okay to be a kid. There’s plenty of time to grow up and be “perfect” later in life. 
8. Use Your Flexible Spending Account: Many parents waste away the money in flexible spending accounts. Don’t do that. Here’s how to prepare so you don’t lose your hard-earned money.
9. Stay Educated: Good dentists are interested in creating a base of educated patients. That’s why they send out newsletters (like this one)! So be sure to read up on what’s being sent to you – it’ll help you keep abreast of concerns you need to be on the lookout for, or methods you can share with your kids to help them keep their teeth in great shape. The content here is always evolving, and designed to help you stay on top of your kids’ health and budget.

This list could really be book-length, but these are some of the biggies. Follow them, and you’ll win twice-over: good health and good finances.

Why should you care about that missing tooth?

If you are missing one or more teeth and think that you can get along fine without them, keep in mind the old adage “nature abhors a vacuum.” 

If missing teeth are not replaced with a bridge or implant, the teeth adjacent to the open space(s) will shift out of their normal positions and fill in the empty spaces on their own. Moreover, the corresponding teeth in the opposing jaw will begin to protrude, because there are no biting forces holding them down. 

As a result of all these unchecked movements, missing teeth can lead to chewing problems and looseness of remaining teeth. Instead, work with Dr Nijjar & Dr Ruchi to develop a plan to replace missing teeth  before further problems arise. 

You have options: a bridge, an implant, or a partial denture.

While a bridge may cost less than a dental implant, implants provide greater value, have a more natural look and feel, and require no preparation of surrounding teeth.

Does Gum Health Affect the Heart?

While there have been many recent studies showing that people with gum (periodontal) disease are at increased risk for heart disease, a 2012 American Heart Association review cast some doubt on this conclusion. 

However, a more recent study published in the Journal of the American Heart Association provides proof of a causal link between gum disease and heart disease. In the most recent study, researchers tracked the gum health of 420 people (average age 68) for three years by conducting clinical exams and analyzing certain bacteria that cause gum disease. This information was correlated with changes in narrowing of the arteries (atherosclerosis) in the carotid artery observed via ultrasound. They found that, as gum health improved, carotid narrowing slowed significantly. 

In addition, the study controlled for factors such as smoking, diabetes, age, blood pressure, and blood cholesterol, provides the “most direct evidence yet” that treating gum disease can prevent or slow atherosclerosis. 

Brush twice a day, floss once a day, and see Dr Nijjar and Dr Ruchi regularly to help keep your heart healthy!

When should you replace your toothbrush?

We've all heard the "3 month rule". Do you know what that rule is all about? Why do dentist's usually recommend that you replace your toothbrush after three months?

Experts say that bristles usually wear away in about 200 uses. If bristles are worn away, they may not be cleaning your teeth properly.

You should also replace your toothbrush after you have been sick. Bacteria can stick to the bristles and you do not want those bugs sticking around after you have gotten over being sick!

The most important thing you need to know about your toothbrush is: how to use it!

Check out this video of Dr Ruchi Sahota on www.mouthhealthy.org for some great tips:

Chewing ice can be dangerous

So many of our patients admit that they chew ice. 

Though it seems innocent... it can actually be very dangerous.

Be careful, continuous chewing on ice can wear and tear on the enamel of your teeth.