Why Dentists continue to highly encourage flouride treatment.

Calgary Removed Fluoride from Water and Saw an Increase in Tooth Decay

  • Dan Arel – Award-winning journalist and bestselling author
Dentist in Jupiter Florida

Dentists in Jupiter Recommends Fluoride Treatment

When Calgary, Alberta decided to remove fluoride from its drinking water in 2011, the rate of tooth decay in Calgary children increased found a new study. The research, published in the journal Community Dentistry and Oral Epidemiology, compared rates of tooth decay among second-grade students in Calgary and Edmonton, a city 300 km north of Calgary that still adds fluoride to its drinking water.

The decision by cities around North America to remove fluoride from drinking water has been rather controversial. Medical research, to date, has found no harmful effects of adding fluoride to public water supplies and have long argued the benefits of doing so. Yet, opponents of the practice have continued to argue against medical science and claim that fluoride can actually lower a child’s IQ level; a claim that has long since been debunked.

“We designed the study so we could be as sure as possible that [the increased tooth decay] was due to [fluoride] cessation rather than due to other factors,” said Lindsay McLaren, a researcher at the University of Calgary’s Cumming School of Medicine who led the study. “We systematically considered a number of other factors and in the end, everything pointed to fluoridation cessation being the most important factor.”

McLaren said the cause and effect are clear because of the way they designed the study.

In 2011, Calgary’s city council voted 10-3 to remove fluoride after citing insufficient medical evidence that it was necessary or offered any benefit.

“We as a council have to show some leadership here,” Ward 3 Coun. Jim Stevenson said in 2011, after the decision to remove the fluoride. “I would really question our right to put [fluoride] in, but I don’t question at all our right to remove it.”

Dentists, however, did not agree with the decision and continued to argue for fluoridated water as an ideal and cost effective method for fighting tooth decay, especially for those who cannot afford to visit a dentist regularly.

“It’s not unusual for us to see a child with almost full-mouth decay in the population that we’re looking at, and considering that we’re in Calgary, we shouldn’t be seeing that degree of disease here and we are,” said Denise Kokaram, of the Alex Dental Health Bus. She finds the results troubling because she believes that it could have been fully prevented if not for the ill-informed actions of the city council. “And to think of that rising, and those children suffering and in even more pain, when it’s such an easy thing to remedy to remedy or, at least, assist with,” said added.

Alex Dental saw 1,700 children in Calgary last year, and Kokaram said nearly 50 percent of them suffered from tooth decay.

American cities such as Portland, Oregon have also made the decision not to add fluoride to their water supply after citing health risks, most of which are perpetrated by conspiracy theorists, and not backed by medical research. With new data coming out of Canada, one must wonder if cities in the United States and others around Canada will take note and rethink making rash decisions based on bad information. Multiple studies in the past have shown an increase in dental health was needed in lower income populations in the U.S. and coupled with the findings in Calgary, it should be clear that one solution is fluoridating the water supply.

No study as has been released looking at cities such as Portland and compared it to cities that do add fluoride to the water, but it seems the time for such a study is now. The Calgary study looked at 600 children between 2004 and 2005 before the fluoride was removed from the water supply, and then researchers looked at data from nearly 3,500 children in both cities from 2013 and 2014, after the removal. Researchers saw a significant increase in tooth decay in children whose permanent teeth had begun coming in, a finding they did not believe they would find given the short time between the removal of fluoride and the study. Researchers had set out to gather information on children primary teeth and were surprised by the significant rise in permanent, making their finds more alarming in their opinion. The benefits of doing similar studies in other parts of North America would be greatly beneficial.

The Calgary study will certainly help arm supporters of fluoridation and gives solid medical evidence that the addition of fluoride to drinking water is a positive step for public health, especially in low-income communities when visiting dentists is far rarer as it’s an unaffordable task.

Dr. Krape has always encouraged his patients to regularly use Fluoride in the prevention of tooth decay. The science and medical benefits are un-refutable. When it comes to finding a dentist that will keep you smiling BIG! Choose Dr. Krape Cosmetic and Gentle Family Dentistry!

Call: 561-257-2580 Today!

“Only Floss the Teeth You Want to Keep”! says Dr. Krape Cosmetic Dentistry, Jupiter, Florida

One of Doctor Jerry Krapes’ words of wisdom for his patients for over 40 year still rings true today. Flossing your teeth regularly is not always one of the easiest disciplines to remember, but if you can develop this as part of your daily routine it can becomes a perfunctory habit that will save you much grief, pain and expense in the future.

Like any good habit, it must start with a daily time you choose, whether you leave a note on your mirror, or a reminder alert on your phone, once you start, it only becomes easier in time.

Dr. Krape - Cosmetic Dentist

Dr. Krape Cosmetic Dentistry

Below are 7 excuses we use, and ways to overcome them.

Flossing your teeth is more important to your well-being than even brushing. So why do so many of us find reasons not to do it?

We’ve got excuses, but dentists have simple answers for them all.

Excuse No. 1: Food Never Gets Stuck In My Teeth

The main purpose of flossing isn’t to remove food from the teeth. It’s to get rid of plaque. Busting out the floss every day prevents gum disease and tooth loss. Everybody gets plaque, and it can only be removed by flossing or a deep cleaning from your dentist.

Excuse No. 2: I Don’t Know How to Floss

It’s “the most difficult personal grooming activity there is,” says Samuel B. Low, DDS, past president of the American Association of Periodontology. But it’s one of the most important to learn.

Use these tips to floss correctly:

  • Use 18 inches of floss. Wrap most of it around the middle finger of one hand, the rest around your other middle finger.
  • Grasp the string tightly between your thumb and forefinger, and use a rubbing motion to guide it between teeth.
  • When the floss reaches the gum line, form a C to follow the shape of the tooth.
  • Hold the strand firmly against the tooth, and move it gently up and down.
  • Repeat with the other tooth, and then repeat the entire process with the rest of your teeth.
  • Use fresh sections of floss as you go.

Don’t forget the back of your last molars. “By far, most gum disease and most decay occurs in the back teeth,” Low says.

Excuse No. 3: I’m Not Coordinated Enough to Floss

If you have trouble reaching the back of your mouth, ask your dentist about:

  • Plastic, disposable, Y-shaped flossers that allow for extra reach
  • Small, round brushes
  • Pointed, rubber tips
  • Wooden or plastic pics (called interdental cleaners)

A child will need your help to floss until he’s about 11 years old. Kids should start to floss as soon as they have two teeth that touch.

Excuse No. 4: I Don’t Have Time

Find a time of day that works for you. You should floss at least once a day. Two times is best.

Make it a part of your routine, morning and night. If you find you forget, store your floss with your toothbrush and toothpaste to remind yourself.

You don’t have to do it in front of your bathroom mirror. Keep some floss in your car to use while you’re in traffic. Stash some in your desk and use it after lunch. The key is to fit in flossing when it works for you.

Excuse No. 5: It Hurts

If your gums bleed or hurt, you may have gingivitis or gum disease. That’s an even bigger reason to floss.

“Flossing should not be a painful experience, but stopping flossing because of bleeding [or pain] is just the opposite of what you should be doing,” says Mark S. Wolff, DDS, PhD, chairman of cariology and comprehensive care at the NYU College of Dentistry.

If you brush and floss daily, the bleeding and pain should stop in less than 2 weeks. If it doesn’t, see your dentist.

Excuse No. 6: I’m Pregnant

It may be hard to floss if you’re tired or nauseated. But it’s important to keep up with your brushing and flossing routine. Pregnancy can cause a wide range of dental issues, from gum disease to enamel wear.

Excuse No. 7: My Teeth Are Too Close Together

Try waxed or glide floss for an easier fit. If you have recessed gums, varied gaps between teeth, or braces, you can also try a threader or loop to find an easier entry point. If your floss shreds, you may have a cavity or a problem with dental work, like a broken crown or loose filling. Ask your dentist to take a look.


Not just a toothache: periodontal disease linked to breast cancer

Postmenopausal women with periodontal disease are more likely to develop breast cancer, according to research published in Cancer Epidemiology, Biomarkers & Prevention. Those with a history of smoking are particularly affected.
Dr Krape Dentist - Jupiter, Florida

Women with periodontal disease have a higher risk of breast cancer.

Periodontal disease is a common condition that ranges from simple gum inflammation to a serious disease causing major damage to the soft tissue and bone that support the teeth, and loss of teeth.

It has also been associated with heart disease, stroke, and diabetes, as well as oral, esophageal, head and neck, pancreatic and lung cancers. Previous studies have suggested that chronic inflammation could provide the link.

Risk factors for periodontal disease include genetic predisposition, smoking and hormonal changes in girls and women, which can make gums more sensitive so that it is easier for gingivitis to develop.

People with reduced ability to fight infection due to diseases such as diabetes or treatment for cancer are also prone. Medications that limit the flow of saliva can also leave the mouth vulnerable to infections.

Regular brushing, flossing and cleaning by the dentist can help to prevent it.

Researchers led by Jo L. Freudenheim, PhD, distinguished professor in the Department of Epidemiology and Environmental Health in the University at Buffalo’s School of Public Health and Health Professions, NY, set out to investigate if there was any relationship with breast cancer.

The team monitored 73,737 postmenopausal women who were enrolled in the Women’s Health Initiative Observational Study. None of the women had previous breast cancer, but 26.1% of them had periodontal disease.

Periodontal disease raises risk of breast cancer by 14%

Previous studies have suggested that smoking impacts the development of periodontal disease, so the researchers took smoking status into account.

After a mean follow-up time of 6.7 years, 2,124 women were diagnosed with breast cancer. The researchers found that among all women, the risk of breast cancer was 14% higher in those who had periodontal disease.

Among women who had quit smoking within the past 20 years, those with periodontal disease had a 36% higher risk of breast cancer.

Women who were smoking at the time of the study had a 32% higher risk of breast cancer if they had periodontal disease, but the association was not statistically significant.

Those who had never smoked had a 6% increased risk, and those who had quit more than 20 years ago had an 8% increased risk if they had periodontal disease.

Freudenheim explains:

“We know that the bacteria in the mouths of current and former smokers who quit recently are different from those in the mouths of non-smokers.”

One possible explanation for the link between periodontal disease and breast cancer is that bacteria enter the body’s circulation and ultimately affect breast tissue.

However, further studies are needed to establish a causal link.

Limitations include the fact that women self-reported their periodontal disease status, after being asked whether a dentist had ever told them they had it.

Also, since the study focused on women who were already enrolled in a long-term national health study, they were more likely than the general population to be receiving regular medical and dental care, making them more likely to be health-conscious than the general population.

Earlier this year, Medical News Today reported that blueberry extract could be used as a treatment for periodontal disease.
Written by Yvette Brazier
Published: Monday 21 December 2015


Dr. Krape, Cosmetic and Gentle Family Dentistry highly recommends this read for all women, but especially those considered high risk. It has been no secret that good dental hygiene and especially the prevention of periodontal disease is so paramount to good overall body health. However, the risk of some of the most dangerous and aggressive cancers to especially women and the rising statistics of breast cancer should not be taken lightly.

So, the best thing you can do besides living as healthy a lifestyle as possible is to always brush, floss daily and do not neglect your routine teeth cleaning appointments. It’s a plain fact that can save you the additional expenses of more extensive and serious treatments later. But, most importantly, it can actually save your life!

Dr. Krape – You and your smile means everything to us!

Canker Sores? Causes, Remedies and Prevention – Palm Beach Gardens Dentist -Educational Article

Dr. Krape Dentistry found this article written by Markus MacGill at MNT of particular value to our patients. We often receive calls or questions regarding Canker Sores. The following is a fairly in-depth article that addresses many of your questions and concerns.

Canker sores go by a number of other names as well as the main medical one of aphthous ulcers or recurrent aphthous ulcers.

These terms include aphthous stomatitis or recurrent aphthous stomatitis, aphthae and mouth ulcers.

Aphthous ulcers are easily identified in the mouth and well known, but is there anything that can be done about them? Are there times when canker sores require medical attention? This article answers these and other questions with easy-to-understand information about canker sores.

In the UK, the term “mouth ulcer” is used instead of “canker sore.” When British people are talking about common mouth ulcers, they are typically referring to canker sores and not other forms of mouth ulcer such as herpetic ulcers.

Contents of this article:

  • What is a canker sore?
  • Treatments and prevention

Fast facts on canker sores…
Here are some key points about aphthous ulcers in the mouth.

  1. Canker sores are a very common type of mouth ulcer known as aphthous ulcers
  2. Canker sores are typically round and less than a centimeter across, with a white or gray-yellow center surrounded by a red margin.
  3. Common canker sores are easy to identify by their appearance under a bright light
  4. The main symptom of canker sores is pain at the site of the ulcer, which is irritated further by certain foods and teeth cleaning
  5. While risk factors are proposed, common aphthous ulcers have no clearly identified causes
  6. Less common types of sore do have associations with other conditions that can often be addressed, such as mouth ulcers caused by herpesvirus
  7. Most aphthous ulcers do not need medical attention and can be home-treated for the symptoms
  8. Canker sores typically heal over naturally, usually within two weeks
  9. More persistent, severe, numerous or particularly recurrent canker sores should be seen by a dentist or doctor.

What is a canker sore?

mouth-ulcer-on-lower-lipCanker sores, also known as aphthous ulcers, are a common oral health complaint.
A canker sore is a type of mouth ulcer known medically as an aphthous ulcer. Aphthous ulcers are one of the most common complaints of the mouth, occurring at any age but being more likely in younger adults and women.

A first episode often occurs during adolescence, although children as young as 2 years may develop canker sores.

Many people have only occasional aphthous ulcers. The proportion of the population affected by recurrent episodes is estimated to range between 20% and 30%.

Causes of canker sores
Research has failed to give a scientific explanation of why canker sores develop, although there are known specific factors such as viral infection.

The causes of recurrent cases of canker sore – known as recurrent oral aphthous ulcers or recurrent aphthous stomatitis – are also unclear, although there are correlations with a number of factors.

A note for readers who use “mouth ulcers” to refer to what are canker sores: people more familiar with the canker term, such as in the US, may be referring to a broader group of lesions when they say mouth ulcers.

Fever blisters (cold sores)
Herpes infection leading to fever blisters can sometimes affect the oral mucosa, the same lining inside the mouth affected by aphthous ulcers.

Mouth ulcers in the broader group that are not canker sores may have a specific cause – fever blisters, for example (due to the herpes virus), or other infections and conditions.

Ulcers are sometimes associated with other conditions needing medical attention, such as inflammatory bowel disease, compromised immunity, allergies and nutritional deficiency.

All cases of aphthous ulcers lack a cure for the canker sores themselves, and treatment of the ulcers is largely confined to managing the symptoms.

While there is no firm understanding of why canker sores occur, a number of factors are thought to have some involvement, including:

  1. Hormonal changes
  2. Physical trauma (damage to the lining of the mouth, such as during dental treatment)
  3. Drugs
  4. Food hypersensitivity
  5. Nutritional deficiencies, including of iron, folic acid or vitamin B12
  6. Stress.

A report by the US Surgeon General cites up to a quarter of the general population being affected by recurrent aphthous ulcers, noting there may be higher numbers among selected groups, such as health professional students.

Symptoms of canker sores
Canker sores have clear features. The lesions cause local pain and can be easily irritated.

There are otherwise no further symptoms in simple cases, although the pain may cause feelings of being fed up with the mouth ulcer.

Common features of canker sores include them being:

  • Usually well-defined, round, smaller than a centimeter across, and usually shallow in the mouth’s lining, its mucosal surface
  • White or yellow-gray center surrounded by an inflammatory red margin.
  • In medical terms, this means an ‘erythematous halo’ is seen around a fibrinous “pseudomembrane” formed over the mucosal ulceration (eruption/destruction)
  • Often fading to gray over time
  • Usually in the front part of the mouth, on its floor, inside of the lip (labial mouth), inside of the cheeks (buccal), or under the front or sides of the tongue
  • Sometimes affecting the gums (relatively uncommon on the surface of the back part of the mouth)
  • Persistent for typically a week or two before healing.

When to see a doctor about canker sores
Common canker sores usually heal without the need for medical treatment. More severe or recurrent cases may be eased by prescribed treatments, although these do not “cure” such ulcers.

Sometimes mouth ulcers are associated with other conditions that require medical attention. Examples are inflammatory bowel disease, compromised immunity, allergies and nutritional deficiency.

As a general guide, canker sores should be brought to the attention of a dentist or doctor when they:

  • Persist for more than 2 weeks without improvement
  • Get worse – including while being treated with home remedies
  • Recur often – 2 to 3 times a year or more – or are particularly numerous or severe
  • Are accompanied by other symptoms, such as fever, diarrhea, headache or skin rash
  • Come with any concern at all that another condition may be related to them.

For quality cosmetic dentistry at its best, please call 561-257-2580 for all your dental needs. Serving Jupiter, Tequesta, Palm Beach Gardens, Juno Beach, North Palm Beach and northern palm beach county.

Coronary heart disease patients with no teeth have nearly double risk of death!

Levels of tooth loss associated with increasing rates of death and stroke.

Gum disease is the main cause of tooth loss and is related to poor dental hygiene.

Coronary heart disease patients with no teeth have nearly double the risk of death as those with all of their teeth, according to research published today in the European Journal of Preventive Cardiology.

What your dentist sees!

The study in more than 15,000 patients from 39 countries found that levels of tooth loss were linearly associated with increasing death rates.

“The positive effects of brushing and flossing are well established.”

“The relationship between dental health, particularly periodontal (gum) disease, and cardiovascular disease has received increasing attention over the past 20 years,” said lead author Dr Ola Vedin, cardiologist at Uppsala University Hospital and Uppsala Clinical Research Center in Uppsala, Sweden. “But it has been insufficiently investigated among patients with established coronary heart disease who are at especially high risk of adverse events and death and in need of intensive prevention measures.”

This was the first study to prospectively assess the relationship between tooth loss and outcomes in patients with coronary heart disease. The study included 15 456 patients from 39 countries on five continents from the STABILITY trial.2 At the beginning of the study patients completed a questionnaire about lifestyle factors (smoking, physical activity, etc), psychosocial factors and number of teeth in five categories (26-32 [considered all teeth remaining], 20-25, 15-19, 1-14 and none).

Patients were followed for an average of 3.7 years. Associations between tooth loss and outcomes were calculated after adjusting for cardiovascular risk factors and socioeconomic status. The primary outcome was major cardiovascular events (a composite of cardiovascular death, myocardial infarction and stroke).

Patients with a high level of tooth loss were older, smokers, female, less active and more likely to have diabetes, higher blood pressure, higher body mass index and lower education. During follow up there were 1 543 major cardiovascular events, 705 cardiovascular deaths, 1 120 deaths from any cause and 301 strokes.

After adjusting for cardiovascular risk factors and socioeconomic status, every increase in category of tooth loss was associated with a 6% increased risk of major cardiovascular events, 17% increased risk of cardiovascular death, 16% increased risk of all-cause death and 14% increased risk of stroke.

Compared to those with all of their teeth, after adjusting for risk factors and socioeconomic status, the group with no teeth had a 27% increased risk of major cardiovascular events, 85% increased risk of cardiovascular death, 81% increased risk of all-cause death and 67% increased risk of stroke.

“The risk increase was gradual, with the highest risk in those with no remaining teeth,” said Dr Vedin. “For example the risks of cardiovascular death and all-cause death were almost double to those with all teeth remaining. Heart disease and gum disease share many risk factors such as smoking and diabetes but we adjusted for these in our analysis and found a seemingly independent relationship between the two conditions.”

“Many patients in the study had lost teeth so we are not talking about a few individuals here,” continued Dr Vedin. “Around 16% of patients had no teeth and roughly 40% were missing half of their teeth.”

During the study period 746 patients had a myocardial infarction. There was a 7% increased risk of myocardial infarction for every increase in tooth loss but this was not significant after adjustment for risk factors and socioeconomic status. Dr Vedin said: “We found no association between number of teeth and risk of myocardial infarction. This was puzzling since we had robust associations with other cardiovascular outcomes, including stroke.”

Gum disease is one of the most common causes of tooth loss. The inflammation from gum disease is thought to trigger the atherosclerotic process and may explain the associations observed in the study. Poor dental hygiene is one of the strongest risk factors for gum disease.

“This was an observational study so we cannot conclude that gum disease directly causes adverse events in heart patients,” said Dr Vedin. “But tooth loss could be an easy and inexpensive way to identify patients at higher risk who need more intense prevention efforts. While we can’t yet advise patients to look after their teeth to lower their cardiovascular risk, the positive effects of brushing and flossing are well established. The potential for additional positive effects on cardiovascular health would be a bonus.”

Published by MNT:
If you are trying to find a quality cosmetic dentist with all the experience and specialists under one roof in the Jupiter, Tequesta, Palm Beach Gardens, North Palm Beach and Juno Beach area, please contact us to schedule a free no-obligation consultation by calling: 561-257-2580.

8 Things Your Mouth Reveals to Your Dentist About Your Health – Palm Beach Gardens

Dr. Krape Cosmetic Dentistry serving patients in Palm Beach Gardens can determine many things about your overall health. Don’t neglect your routine Oral exams. What your dentist sees!1. What your dentist is seeing: Or in this case, smelling. You’ve got funky breath.

What it could mean: The most likely causes of less-than-minty-fresh breath are poor oral hygiene or gum disease, but halitosis can also signal a sinus infection, especially if your dentist still notices the odor when you exhale through your nose, says Mark Wolff, DDS, PhD, professor and chair of the Department of Cardiology and Comprehensive Care at New York University College of Dentistry. It can also be caused by acid reflux — a study in the Journal of General Internal Medicinefound a strong association between gastroesophageal reflux disease (GERD) symptoms and bad breath — or sleep apnea, says Ruchi Sahota, DDS, a spokesperson for the American Dental Association, because people with sleep apnea are more likely to breath through their mouths at night, which can lead to dry mouth (another cause of bad breath).

Next steps: If your dentist decides that the problem isn’t subpar brushing or gum disease, they’ll likely refer you to your primary care physician to find the underlying cause.
2. What your dentist is seeing: Your gums bleed during the flossing, just like they do at home.

What it could mean: When you get back on the flossing bandwagon after falling off and notice some bleeding for the first few days, that’s normal, Sahota says. What’s not normal is gums continuing to bleed every time you floss. “It could be an indicator that you’re pre-diabetic, diabetic and don’t know it or, if you’ve already been diagnosed with diabetes, your blood sugar isn’t under control,” she says. Though it’s not exactly clear why diabetes and gum disease are linked (or whether there’s a causal effect to the relationship), the American Academy of Periodontology says that diabetics may be more likely to develop the disease because the condition makes them more susceptible to infection.

Next steps: If you know you have diabetes and your gums keep bleeding, talk to your primary care doc about how to manage the condition better. And if your dentist is the first one to suspect diabetes, he or she will recommend you get a blood sugar test.

3. What your dentist is seeing: White patches on your tongue or inner cheek.

What it could mean: You may have a less-than-stellar immune system. Oral thrush (an overgrowth of the candida fungus, or yeast, in the mouth) can lead to creamy white patches on your tongue or inner cheeks, and it can signal an immune system that’s not up to snuff. (We all have some candida in our mouths, but it’s kept in check in healthy immune systems). People are much more likely to develop thrush if they’re undergoing chemotherapy or radiation treatment for cancer or have serious immunosuppression, such as HIV, but a dip in immunity due to a cold, a course of antibiotics or using corticosteroids for conditions like asthma can make someone more vulnerable too.

Next steps: An antifungal medication can help clear away the patches.

4. What your dentist is seeing: Worn-down teeth.

What it could mean: You’re more stressed than you realize. Stress can manifest as teeth grinding, wearing down teeth. “In really bad cases, people will flatten them out,” says Wolff. Your personality type may predispose you to grinding, too. A 2010 study in the Journal of Research in Personality found that people who rated higher on the neuroticism scale were also more likely to report that they grinded their teeth. Research in the International Journal of Oral Science in 2014 reported that sustained jaw clenching (another characteristic of bruxism, or teeth grinding) can lead to severe damage of the tissue in the joint that connects your jaw to the rest of your skull.

Next steps: Your dentist can fit you for a bite-protecting device like an acrylic mouth guard to wear at night to minimize the damage.

5. What your dentist is seeing: Squeaky-clean teeth but inflamed gums.

What it could mean: It’s rare (Wolff has only picked up on it once during his 34 years in practice), but it’s possible for certain types of acute myeloid leukemia to spread to the gums and cause bleeding, swelling and inflammation. “What would tip us off is if the gums are bright red and bleed upon touch, but the teeth themselves are immaculately clean with very little plaque,” Wolff says. That combined with weakness and weight loss merits a trip to your primary care physician for evaluation.

Next steps: If you meet these criteria, schedule an appointment with your PCP to get it checked out.

6. What your dentist is seeing: Your dental X-rays look a little off.

What it could mean: The bones of the jaw aren’t immune to the effects of osteoporosis, and on an X-ray, they may take on the appearance of ground glass, says Wolff. Osteoporosis also puts you at increased risk of tooth loss. Women with the condition had an average of 3.3 fewer teeth than women without it, noted astudy in the Journal of Clinical Periodontology.

Next steps: Ask your doctor about getting a bone-density test. If it shows you have or are at risk for osteoporosis, you can discuss medications and other ways to slow the progression.

7. What your dentist is seeing: Your mouth is really, really dry.

What it could mean: Medications like antihistamines can dry out your mouth, but an extremely dry mouth (as in, you couldn’t swallow a cracker without water) is a hallmark symptom of Sjögren’s syndrome, an autoimmune condition in which moisture-producing glands in the body come under fire from white blood cells. It’s most commonly diagnosed in people over 40, and 9 out of 10 Sjögren’s patients are women. “It gets parched in there,” says Wolff, who’ll ask patients with dry mouth whether they’re taking any medications that list dry mouth as a side effect and whether they’re also experiencing dry eyes (another Sjögren’s symptom). The lack of saliva can also lead to tooth decay.

Next steps: If he suspects Sjögren’s, Wolff refers patients straight to a rheumatologist for testing.

8. What your dentist is seeing: Lesions at the very back of your mouth.

What it could mean: You could have oral cancer, which isn’t exactly common, but it’s also not rare. The American Cancer Society estimates that 45,780 new cases of oral cavity or pharynx cancer will be diagnosed in 2015, just over half the number of expected skin cancer cases. Cancers at the base of the tongue and tonsils (called oropharyngeal cancers) are most commonly caused by the human papillomavirus infection (HPV). Although the lesions can pop up anywhere in the mouth, they’re most likely to develop under the tongue around the base and near your esophagus, says Judith Haber, PhD, principal investigator of the Teaching Oral-Systemic Health (TOSH) program at NYU College of Nursing. Oral cavity and oropharyngeal tumors are twice as likely to develop in men as in women, and the American Cancer Society reports a recent uptick in cases of oropharyngeal cancers linked to HPV.

Next steps: If your dentist notices these lesions, they may ask you about your sexual activity to assess whether you could have contracted HPV, as oral sex is one of the main reasons people get oral HPV, says Haber. They may then refer you to your doctor or an oncologist for testing.


07/29/2015 08:10 am ET | Updated Jul 29, 2015
  • Emma HaakOprah.com
  • http://www.oprah.com/app/o-magazine.html
  • Curated from: http://www.huffingtonpost.com/entry/mouth-health-signs_55b7acfbe4b0074ba5a64a9a?utm_hp_ref=dental-health

Choosing a Dentist in North Palm Beach

Just like any doctor, choosing the right dentist in the North Palm Beaches can be a crucial decision. The right choice can produce many years of happy and healthy teeth for both you and your family. The wrong choice can result in a painful and expensive experience the longer time goes on.

Do not assume the basics, but ask the right questions up front.

  1. Do they have the proper education and experience behind them?
  2. Are they using the latest that technology has to offer you?
  3. Are the doctors and staff courteous and genuinely concerned for your needs?
  4. Is the practice clean and neat?
  5. How do you personally feel in the way they treat you? Do they truly listen and take the time to explain the procedures, giving you the comfort factor you are looking for?

At Dr. Krape Cosmetic Dentistry of the North Palm Beaches, you are not just another number. We know each and every one of our patients, and they continue to come back year after year. We get to meet new wives, husbands and their children as time goes on.

Quaint historical office for Dr. Krape Cosmetic Dentistry Office

Quaint historical office for Dr. Krape Cosmetic Dentistry

Dr. Krape – Cosmetic and Gentle Family Dentistry has served the Northern Palm Beaches since 1968. We currently have 5 Dentists to tend to all your needs. We utilize the latest state-of-the-art technologies, including low level X-rays, Dental Implants, Dentures, Bridges, Veneers, Root Canals, Crowns and of course all the latest teeth whitening techniques. See all of our procedure and treatment videos at: Procedure Videos

To schedule an appointment and get to know our great staff and doctors, please call: 561-257-2580, or schedule online at: Appointment