Causes of Bad Breath

If you have persistent bad breath, the problem may be more than something you recently ate. Halitosis is a common symptom of oral health problems. We at Dr. Suzanne Haeri’s South Carthay Dental office want our patients to understand that we can help them, but they need to take bad breath seriously.

Oral bacteria produce a strong odor. They may take refuge in the gum pockets and in the papillae of the tongue, where they will be able to consume food debris and form plaque. People are at greater risk of oral infections when they don’t floss deep between their teeth or scrape their tongues, as well as when they are suffering from dry mouth. Without saliva, it is harder to remove food debris and control the spread of pathogens.

Sometimes, bad breath is related to another issue, such as discharge from a nasal infection landing on the back of the tongue. People with diabetes are at elevated risk for gum infections and may have halitosis if they are going through diabetic ketoacidosis. Acid reflux can also cause dry mouth and leave a lingering odor. In addition to improving their oral hygiene, patients may try drinking more water, using mouthwash, avoiding large meals before bed, and avoiding drinks that are high in sugar and acid. When halitosis is related to a medical condition such as tonsil stones, we can at least rule out the more common causes and help manage symptoms.

Suzanne Haeri, DDS, is located at 1100 S. La Cienega Blvd., Los Angeles, California, 90035. To set up an appointment, call 310-657-2200 or visit Suzanne Haeri DDS and fill out a request.

 

Dental Avulsion - When a Tooth Gets Knocked Out

The traumatic loss of a tooth isn’t something anybody expects to happen, but it can be prepared for. We provide implants and crowns for tooth replacement at the South Carthay dental office of Dr. Suzanne Haeri, but in some cases, it may be possible for a lost tooth to be saved. To do so requires carefully following certain protocols.

When a tooth is completely displaced from its gum pocket, we call that “dental avulsion.” There may be a tooth-saving container in a nearby first aid kit, but otherwise, the tooth should be lifted by its crown and rinsed with saline. After that, a patient may try putting it back in its socket and heading for the dental office. If this cannot be done, other options are to hold in in the cheek or to transport it in a cup of milk.

The loss of a tooth is an emergency, but gashes on the face should take higher priority. A tooth that is cracked at the root cannot be reintegrated and will have to be replaced with a prosthetic. A baby tooth should also not be put back in, or else it may fuse with the jaw bone and fail to fall out when it’s supposed to. A pediatric patient may be referred to an orthodontist to keep the gap between their teeth open until the permanent tooth comes in. If an adult tooth cannot be reinserted, the patient may be given a temporary crown until a lasting solution can be provided.

Suzanne Haeri, DDS, is located at 1100 S. La Cienega Blvd., Los Angeles, California, 90035. To set up an appointment, call 310-657-2200 or visit Suzanne Haeri DDS and fill out a request.

 

Sensitive Teeth

Your teeth shouldn’t just look great; they should feel great, too! That’s our belief at the South Carthay office of Dr. Suzanne Haeri. Many people who suffer from sharp toothaches when they bite into something cold believe that this is normal. In fact, it could be a sign of a problem with their enamel. To understand why, it is necessary to know the tooth’s internal anatomy.

Dental pulp contains a highly sensitive nerve. It is surrounded by dentin, which is a porous substance that easily conducts heat. Enamel, a hard substance comprised of calcium and phosphate ions, makes up the crown of the tooth and insulates the underlying dentin. Cementum, a sticky substance, makes up the outer layer of the tooth root and is much thinner.

Dentin is yellow-brown in color and can be seen through enamel when enamel is thin. Although people with bruxism may grind down their enamel, loss of it is usually due to acid. Drinks such as soda and citrus juice contain high amounts of acid and people with acid reflux often have sensitivity on their upper back teeth. But most enamel loss, as well as most gum recession around sensitive tooth roots, is due to oral bacteria. Patients will need to brush more thoroughly (not necessarily harder) to rid themselves of acid and decay-causing bacteria, but we can help them by providing deep cleanings and examining them for signs of decay.

Suzanne Haeri, DDS, is located at 1100 S. La Cienega Blvd., Los Angeles, California, 90035. To set up an appointment, call 310-657-2200 or visit Suzanne Haeri DDS and fill out a request.

 

Alzheimer's and Gum Disease

A healthy smile is essential to health overall. We’ve learned a lot in recent years about the connection between gum disease and other health problems, including diabetes, cirrhosis, and rheumatoid arthritis. We hope that every patient at Dr. Suzanne Haeri’s South Carthay dental office is taking care of their oral hygiene. New research indicates that if they are, they may also be protecting themselves from Alzheimer’s disease.

The bacteria that cause gum disease have natural defenses. One species, Porphyromonas gingivalis, produces toxic enzymes called gingipains to fight off white blood cells. Gingipains can also trigger the formation of plaque that kills neurons, and in a recent study, scientists found them at elevated levels in the brains and spinal fluid of people with Alzheimer’s disease symptoms. The worse the symptoms were, the more gingipains were found.

Another recent study found that P. gingivalis can move from the mouth to the brain in living people. It’s long been known that people with Alzheimer’s disease have difficulty maintaining their oral hygiene, but it increasingly seems that the relationship between the diseases goes both ways. Scientists do not believe that gum disease is the only contributing factor to Alzheimer’s, but it’s become increasingly clear that deep cleanings and regular oral hygiene are a crucial defense.

Suzanne Haeri, DDS, is located at 1100 S. La Cienega Blvd., Los Angeles, California, 90035. To set up an appointment, call 310-657-2200 or visit Suzanne Haeri DDS and fill out a request.