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Why Dentists Say No To Smokeless Tobacco

"Dip" ... "Chew" ... "Pinch" ... "Snuff" ... "Dirt" ... "Plug" ... all are different names for smokeless tobacco, a finely ground version of processed tobacco. No matter the name, smokeless tobacco is harmful and puts your health at risk. Chew on these facts (Don't believe it? Talk to dentists):

• About 30,000 new cases of oral cancer will be diagnosed in 1999.*
• More than 8,000 oral cancer patients will die this year.
• Tobacco products cause about 75% of oral cancers affecting the mouth, tongue, lips, throat, and parts of the nose and larynx.
• Nearly 30 cancer-causing substances have been found in smokeless tobacco.
• One can of smokeless tobacco a day delivers as much nicotine as 60 cigarettes!
• You have a 50% greater risk of developing oral cancer with long-term use of smokeless tobacco.
• Cancer Facts and Figures, American Cancer Society, 1999

Smokeless tobacco has been glorified over time by images of "macho" men performing feats of fame and prowess, whether as athletes, rodeo cowboys, or country music stars. In reality, many want to kick the habit, but nicotine is addictive. It's hard for them to quit.

In a survey of major league baseball players, more than a third reported they had mouth sores, white patches, or gum problems. Nearly 60% said they wanted to quit. The nicotine actually decreases performance, causing dizziness and slowed reaction time.

Smokeless tobacco causes problems for your oral health:

• White, leathery patches in your mouth or lips
• Painful sores that may be pre-cancerous or cancerous
• Yellow teeth and permanent tobacco-stained teeth
• Exposed tooth roots from receding gums, likely to become decayed, sensitive, and painful
• Cavities from the sugar added to the tobacco
• Bad breath
• Greater risk for developing oral cancer

Additionally, smokeless tobacco can affect your general health causing:

• Increased blood pressure and heart rate
• A greater risk of heart attack
• Withdrawal symptoms ranging from headaches, moodiness, and problems concentrating when you try to quit
• Cancer that can be fatal

If you use smokeless tobacco, chew all these facts over. Choose to quit. Your health is serious business. Talk to dentists about getting help to quit. Make the right choice -- it's for your body, your health, and maybe even your life.

By Thomas Warner, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Learn How Plaque And Gum Disease Relate To Older Adults

The proverbial way of referring to older people as being "long on the tooth" suggests that it is predetermined that as we get older our teeth get "longer" or "no longer." This is not true.

Periodontal disease, plaque and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.

Risk factors that make older adults more susceptible to periodontal disease include:

Systemic diseases: Certain systemic diseases such as diabetes may decrease the body's ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Medications: Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva's ability to neutralize plaque.

Immunosuppressants and other disease-fighting medications may reduce the body's ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Dry mouth: Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease.

Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems.

Frequent sips of water or eating candy may be helpful as long as it doesn't contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.

Dexterity problems: Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease.

Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.

Estrogen deficiency: Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.

It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem.

Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime -- no matter how "long" that may be!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.