Online Dental Education Library

Dear Doctor Magazine Digital LibraryIt is our great pleasure to provide you with the Dear Doctor – Dentistry & Oral Health Digital Library. Written exclusively by the foremost dental educators and clinicians in the field of dentistry, this library provides you with the latest developments and advancements on all aspects of dentistry to help you make the best decisions for your dental health. Such decisions can change not only your smile but your life for the better. If you have any questions after exploring the library, please feel free to ask our team.

You can get started by either searching for a dental term or procedure in the search box or you can view some popular articles below. Once the articles open, please feel free to print, email and share them with your friends and family.




Featured Article on Teeth Whitening View all
Teeth Whitening - Dear Doctor Magazine

Teeth Whitening – Brighter, lighter, whiter...
The subconscious impact of a white smile is radiant health, happiness, warmth and invitation. Today brighter, lighter, whiter teeth have become a norm. Tooth whitening by bleaching is a successful, conservative, relatively inexpensive and safe alternative... Read Article


Featured Article on Porcelain Veneers View all
Porcelain Veneers - Dear Doctor Magazine

Smile Design Enhanced with Porcelain Veneers
In part two of the series on Smile Design, Dear Doctor takes an in-depth look at Porcelain Veneers, a superior yet minimally invasive technique for smile enhancement. We'll explain not only when they're appropriate, but also when they're not... Read Article


Featured Article on Cosmetic Dentistry View all
Cosmetic Dentistry - Dear Doctor Magazine

Cosmetic Dentistry – A Time For Change
Join us as we review the myriad of possibilities available to you for cosmetic dental change. But the biggest part is not just how your smile looks, it's how you feel when you show it... Read Article


Featured Article on Dental Implants View all
Dental Implants - Dear Doctor Magazine

Dental Implants – Your Third Set of Teeth
A discovery fifty years ago paved the way for one of dentistry's most exciting, natural looking and successful tooth replacement systems. Learn how dental implants might just possibly change your life... Read Article


Featured Article on Tooth Decay View all
Tooth Decay - Dear Doctor Magazine

What is Tooth Decay? – And How to Prevent It!
Tooth Decay is an infection, and many people don't realize that it is preventable. This article is the first in a series about tooth decay, perhaps the number one reason children and adults lose teeth during their lifetime. Explore the causes of tooth decay, its prevention and the relationship to bacteria, sugars and acids... Read Article


Featured Article on Restorative Dentistry View all
Tooth Colored Fillings - Dear Doctor Magazine

The Natural Beauty of Tooth Colored Fillings
The public's demand for aesthetic tooth colored (metal free) restorations (fillings) together with the dental profession's desire to preserve as much natural tooth structure as possible, has led to the development of special “adhesive” tooth colored restorations... Read Article


Featured Article on Oral Hygiene View all
Oral Hygiene - Dear Doctor Magazine

Oral Hygiene – Dental Health for Life
The best tools for maintaining your oral health and minimizing dental problems are a quality toothbrush, toothpaste, a roll of dental floss, approved mouthwash and good diet. Unfortunately, myths and folklore abound on how and what to use to best effect. This article cuts through the confusion with a winning game plan for oral health... Read Article


Featured Article on Periodontal (Gum) Disease View all
Periodontal (Gum) Disease - Dear Doctor Magazine

Understanding Gum (Periodontal) Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article


Featured Article on Laser Dentistry View all
Laser Dentistry - Dear Doctor Magazine

Lasers Shine a Light on Dentistry
Lasers have revolutionized medicine and now they're beginning to blaze a new trail in dentistry. Today, at the dawn of the 21st century there are a variety of dental uses for lasers, from diagnosing cavities and the removal of gum and tooth structure to the treatment of disease... Read Article


Featured Article on Sedation Dentistry View all
Laser Dentistry - Dear Doctor Magazine

Oral Sedation Dentistry
Step out from under the shadow of fear and into the calm of sedation dentistry. There are safe and time-tested options available to ensure that you have a positive and painless dental experience. Your apprehension and hypersensitivity to pain melt away, yet you remain awake and in control... Read Article


Featured Article on Smile Makeovers View all
Smile Makeover - Dear Doctor Magazine

The Impact of a Smile Makeover
Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they're seeking out ways to improve their smiles. Learn why and what a change could mean for you... Read Article


Featured Article on TMD View all
TMD - TMJ - Dear Doctor Magazine

TMD – The Great Impostor
This “chameleon” of dental disorders manifests in a variety of ways, including joint pain, sinusitus, ear pain, tooth and headaches. The causes of TMD, its signs and symptoms and what can be done to treat this common disorder... Read Article


Featured Article on Oral Cancer View all
Oral Cancer - Dear Doctor Magazine

Oral Cancer
This article may just save your life. Learn how to notice any unusual lesions (sores or ulcers) anywhere in your mouth that do not heal within two-three weeks. Early detection is key... Read Article


Featured Article on Dentures View all
Implant Overdentures - Dear Doctor Magazine

Implant Overdentures for the Lower Jaw
Implant overdentures represent a major change for the dental profession and the public. The lower jaw two-implant overdenture may be considered a more appropriate starting point over regular dentures... Read Article


Featured Article on Root Canals View all
Root Canal - Dear Doctor Magazine

“I'd Rather Have a Root Canal...”
A common misconception is demystified. Get the real story about this much maligned procedure that eases pain, rather than causes it... Read Article


Featured Article on Dental Injuries

 

An estimated sixty-five percent of Americans have bad breath. Over forty-million Americans have "chronic halitosis," which is persistent bad breath. Ninety percent of all halitosis is of oral, not systemic, origin.

Americans spend more than $1 billion a year on over the counter halitosis products, many of which are ineffective because they only mask the problem.

What causes bad breath?

Bad breath is caused by a variety of factors. In most cases, it is caused by food remaining in the mouth - on the teeth, tongue, gums, and other structures, collecting bacteria. Dead and dying bacterial cells release a sulfur compound that gives your breath an unpleasant odor. Certain foods, such as garlic and onions, contribute to breath odor. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is exhaled. Brushing, flossing and mouthwash only mask the odor. Dieters sometimes develop unpleasant breath from fasting.

Periodontal (gum) disease often causes persistent bad breath or a bad taste in the mouth, and persistent bad breath may mean a sign that you have gum disease.

Gum disease is caused by plaque - the sticky, often colorless, film of bacteria that constantly forms on teeth. Dry mouth or xerostomia may also cause bad breath due to decreased salivary flow. Saliva cleans your mouth and removes particles that may cause odor. Tobacco products cause bad breath, stain teeth, reduce your ability to taste foods and irritate your gum tissues. Bad breath may also be a sign that you have a serious health problem, such as a respiratory tract infection, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.

Here are characteristic bad breath odors associated with some of these illnesses:

  • Diabetes - acetone, fruity

  • Liver failure - sweetish, musty

  • Acute rheumatic fever - acid, sweet

  • Lung abscess - foul, putrefactive

  • Blood dyscrasias - resembling decomposed blood

  • Liver cirrhosis - resembling decayed blood

  • Uremia - ammonia or urine

  • Hand-Schuller-Christian disease - fetid breath and unpleasant taste

  • Scurvy - foul breath from stomach inflammation

  • Wegner`s granulomatosis - Necrotic, putrefactive

  • Kidney failure - ammonia or urine

  • Diphtheria, dysentery, measles, pneumonia, scarlet fever, tuberculosis - extremely foul, fetid odor

  • Syphilis - fetid

Bad breath may also be caused by medications you are taking, including central nervous system agents, anti-Parkinson drugs, antihistamines/decongestants, anti-psychotics, anti-cholinergics, narcotics, anti-hypertensives, and anti-depressants.

Caring for bad breath

Daily brushing and flossing, and regular professional cleanings, will normally take care of unpleasant breath. And don't forget your often overlooked tongue as a culprit for bad breath. Bacterial plaque and food debris also can accumulate on the back of the tongue. The tongue's surface is extremely rough and bacteria can accumulate easily in the cracks and crevices.

Controlling periodontal disease and maintaining good oral health helps to reduce bad breath.  If you have constant bad breath, make a list of the foods you eat and any medications you take. Some medications may contribute to bad breath.

Improperly cleaned dentures can also harbor odor-causing bacteria and food particles. If you wear removable dentures, take them out at night and clean them thoroughly before replacing them.

If your dentist determines that your mouth is healthy and that the odor is not oral in nature, you may be referred to your family physician or to a specialist to determine the cause of the odor and possible treatment. If the odor is due to gum disease, your dentist can either treat the disease or refer you to a periodontist, a specialist in treating gum tissues. Gum disease can cause gum tissues to pull away from the teeth and form pockets. When these pockets are deep, only a professional periodontal cleaning can remove the bacteria and plaque that accumulate.

Mouthwashes are generally ineffective on bad breath. If your bad breath persists even after good oral hygiene, there are special products your dentist may prescribe, including Zytex, which is a combination of zinc chloride, thymol and eucalyptus oil that neutralizes the sulfur compounds and kills the bacteria that causes them. In addition, a special antimicrobial mouth rinse may be prescribed. An example is chlorhexidine, but be careful not to use it for more than a few months as it can stain your teeth. Some antiseptic mouth rinses have been accepted by the American Dental Association for their breath freshening properties and therapeutic benefits in reducing plaque and gingivitis. Instead of simply masking breath odor, these products have been demonstrated to kill the germs that cause bad breath. Ask your dentist about trying some of these products.


Hollis, NY Dentist
LaRoche Dental
205-07 Hillside Ave Suite #17
Hollis, NY 11423
(718) 776-0600

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