Does Ozempic® Affect Oral Health?

Ozempic and other GLP-1 medications were originally developed to treat type 2 diabetes. But when patients reported losing weight after being prescribed the medication, it became a breakthrough drug for those whose long-term battles with obesity and overweight had never been won. Although most people focus on the advantages of these medications, every prescription drug can have adverse side-effects—including GLP-1 medications. Now, questions about their potential impact on oral health are emerging, with the term “Ozempic mouth” being used to describe symptoms associated with the use of GLP-1 medications.

If you are one of the millions benefiting from a GLP-1 medication for type 2 diabetes or weight loss, here’s what you need to know to keep your mouth healthy!

How Ozempic and Other GLP-1 Medications Work

Semaglutide is the generic ingredient in Ozempic and Wegovy®. It belongs to a class of medications known as glucagon-like peptide-1 receptor agonists, or GLP-1 RAs. It mimics the GLP-1 hormone, released in the gut in response to eating.

As Green Pond Dental Associates explains, “Ozempic's active ingredient, semaglutide, primarily targets receptors for the naturally occurring hormone GLP-1, which plays a vital role in regulating blood sugar levels and appetite. When semaglutide binds to these receptors, it triggers a cascade of actions that mimic the effects of GLP-1.

“One critical mechanism is the stimulation of insulin release from the pancreas, particularly when blood sugar levels are high. This helps lower blood sugar levels and prevent hyperglycemia, a hallmark of diabetes. Simultaneously, Ozempic suppresses glucagon secretion, another hormone that raises blood sugar. This dual action helps maintain stable blood glucose levels throughout the day.

“Beyond its effects on blood sugar, Ozempic influences appetite by slowing gastric emptying, promoting a feeling of fullness and reducing overall calorie intake. It also acts on the brain, specifically the hypothalamus, to reduce appetite signals and cravings, leading to sustained weight loss.”

Tirzepatide is the generic ingredient in Mounjaro® and Zepbound®. It stimulates both GLP-1 and GIP (glucose-dependent insulinotropic polypeptide) receptors, offering a broader span of metabolic benefits and appetite control than semaglutide. GIP can improve the efficacy of GLP-1 receptor agonists in weight loss by enhancing appetite suppression.

Potential Oral Health Side Effects of GLP-1 Medications

If you’re taking a GLP-1 medication, be aware if you develop one or more of the following conditions:

Dry mouth (xerostomia) — A common side effect of semaglutide is dry mouth, which occurs due to reduced saliva production. This can lead to various uncomfortable symptoms, including a sticky or dry feeling in the mouth, difficulty swallowing or speaking and a burning sensation on the tongue. Saliva is crucial for washing away food particles and neutralizing acids in the mouth. Without sufficient saliva, the risk of tooth decay, cavities and gum disease increases.

Mouth ulcers and thrush — A dry mouth can weaken the immune system’s response inside the mouth, making fungal infections like oral thrush more likely. Small, painful ulcers on the tongue, gums and cheeks may occur.

Gum changes — Some patients might notice changes in their gum tissue, including increased swelling or bleeding, which can exacerbate or trigger periodontal (gum) disease.

Increased tooth sensitivity — Pain or discomfort while eating cold, hot, or sweet foods is a symptom of tooth sensitivity. Left untreated, this can lead to enamel erosion or receding gums. Our blog post—“What You Need to Know About Tooth Sensitivity”— covers this topic in detail.

Gum recession — Although GLP-1 medications do not directly cause gum recession, the dry mouth and potential for gum disease it can trigger increase the risk of developing or worsening gum recession. 

Nausea and vomiting — Nausea is another frequent side effect of GLP-1 medications, and vomiting can occur as a result. Vomiting exposes teeth to stomach acid, which can cause enamel erosion. Repeated acid exposure makes teeth more sensitive and prone to decay.

How to Protect Your Teeth and Gums if You Take a GLP-1 Medication

Being aware of the possible side effects of Ozempic and other GLP-1 medications on your oral health allows you to be proactive in mitigating them with stepped-up protective measures. Make the following part of your regular routine:

Stay hydrated — Drink water throughout the day to combat dry mouth, even if you’re not thirsty. By the way, thirst is the first sign of dehydration, so it isn’t good for your overall health if you tend to not drink until you’re thirsty! Carry a water bottle with you and sip on it regularly, especially if you experience a decrease in saliva production.

Stimulate saliva production — Chewing sugar-free gum or sucking on sugar-free hard candies can help stimulate saliva flow, keeping your mouth moist and aiding in neutralizing harmful acids. Your dentist may recommend an over-the-counter saliva substitute, or prescribe one.

Boost fluoride protection — Brush your teeth twice daily with a fluoride toothpaste. Fluoride strengthens tooth enamel, making it more resistant to decay. If you experience dry mouth, consider using a fluoride rinse for additional protection.

Last but definitely not least, inform your dentist as soon as possible if you are taking a GLP-1 medication. In her interview with Hello magazine, Dr. Sofina Ahmed emphasized the importance of doing so. “It can influence treatment decisions and monitoring plans," she said. "Early intervention is key."

Once your dentist knows that your GLP-1 medication may be a factor in oral health conditions, he or she can take additional measures to manage side effects, including the following, listed here courtesy of Parkside Dental:

Fluoride treatments — Fluoride strengthens enamel, helping protect against decay caused by dry mouth.

Dental sealants — Sealants create a protective barrier over teeth, shielding them from bacteria and decay.

Custom mouthguards for acid erosion — A custom-fitted mouthguard can protect teeth from stomach acid during vomiting episodes, preventing enamel erosion.

Desensitizing treatments for sensitive teeth — Acid erosion can cause sensitivity. Dentists may provide treatments such as desensitizing varnishes or recommend specialized toothpaste to alleviate discomfort.

Gum therapy for gingivitis or periodontal disease — If gum inflammation or disease occurs due to dry mouth, treatments like scaling and root planing can help manage the condition and prevent further damage.

Of course, twice-a-year dental examinations and cleanings will remove plaque buildup, which is more likely to occur in patients with dry mouth - while allowing your dentist to monitor any changes that need to be addressed. As we at NK Family Dental always say, your dentist is your partner in maintaining good oral health! Keeping your dentist informed about any prescription medication you take will help prevent possible side-effects from having a negative effect on your oral health so you can fully experience the benefits of the medications that are improving your overall health!

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including dental, orthodontic and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

How to Get Your Child’s Oral Health Off to a Great Start

February is National Children's Dental Health Month. The American Dental Association (ADA) made this proclamation in 1981 to bring together dentists, other healthcare providers and teachers to promote the benefits of good oral health to children, their parents and caregivers. This annual campaign helps to raise awareness about the importance of establishing healthy habits and practices early on so that they become second nature as children grow to adulthood, and enjoy a healthy smile for a lifetime!

This year’s theme is “Brush your teeth with fluoride toothpaste and clean between your teeth for a healthy smile.” But actually, setting your child up for optimum oral health begins much sooner.

Clean Your Baby’s Gums in Infancy

You may be surprised to learn just how soon you should start! As our blog post ― “How to Instill Good Oral Hygiene Habits in Your Child” ― covers, start when your child is still an infant. After your baby is finished feeding (either formula or breast milk), wipe down their gums using a moist washcloth. This eliminates bacteria in the mouth that can harm the primary teeth as they emerge ― and has the additional benefit of getting your baby used to an oral care routine that will, of course, evolve to brushing and flossing.

Since we’ve mentioned feeding, never put your baby to bed with a bottle! In addition to creating the conditions for tooth decay, it’s a choking hazard and can also cause ear infections from fluid entering the ear canal. 

Once teething starts, graduate to a finger toothbrush. This brush is made of rubber, has soft bristles and slips on to the index finger. Gently rub the finger brush along your baby’s gumline and around the emerging teeth. When the first tooth fully erupts, use the finger brush or a soft-bristle infant-sized toothbrush. Apply a tiny smear of fluoride toothpaste - no larger than a grain of rice - to brush twice a day. Most babies develop teeth between ages six and 12 months, with the full set of primary teeth erupted by age three.

Schedule Your Child’s First Visit to the Dentist When the First Tooth Erupts

According to the ADA and the American Academy of Pediatric Dentistry (AAPD), a child’s first visit should be when the first tooth erupts - or no later than age one. The ADA notes that a baby can get cavities as soon as he or she has teeth.

Ignoring pediatric dental care has serious long-term consequences. As HealthyChildren.org - a parent-oriented information website presented by the American Academy of Pediatrics (AAP) points out - “Without proper dental care, children face possible oral decay and disease that can cause a lifetime of pain and complications. Early childhood dental caries - an infectious disease - is 5 times more common in children than asthma and 7 times more common than hay fever. About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.”

Primary teeth usually begin to shed at about age six, to be fully replaced by permanent teeth by age 13. The third molars - better known as wisdom teeth - are the exception, emerging (or not) from ages 17 to 21. Primary teeth facilitate proper chewing, contribute to speech development, maintain space for permanent teeth to erupt correctly, and positively impact a child's self-esteem and overall oral health by promoting good eating habits and preventing future dental issues.

When you schedule your child’s first visit to the dentist, be sure that the dentist specializes in pediatric dentistry. Pediatric dentists have completed at least four years of dental school, plus two to three additional years of residency training in dentistry for infants, children, teens and children with special needs.

Children aren’t small-scale adults, physically or emotionally. Pediatric dentists receive instruction in child psychology - allowing them to appropriately address the emotions and energies that children bring to the chair so that the young patient is calm and cooperates with treatment. While a general dentist may relate well with adults, not all have the ability to effectively communicate with a child patient in a reassuring manner. A bad incident with a dentist in childhood can cause a dental phobia that continues into adulthood, so it’s important that children have a positive experience.

Moreover, a pediatric dentist can recognize early signs of trouble - such as tooth decay - and monitor primary teeth as they emerge to ensure they’re growing in properly positioned (and recommend orthodontic intervention if they’re not). Our blog post - “What is Pediatric Dentistry?” - covers the advantages of choosing a pediatric dentist for your child’s care in greater detail.

Teach Your Child How to Brush and Floss

Now that your child’s primary teeth are erupting, it’s time to teach the art of brushing - and eventually, flossing!

At age three ― or whenever your child can comfortably handle a toothbrush ― you can teach proper brushing technique, brushing at a 45° angle toward the gumline in a back-and-forth motion. Your child won’t have the motor coordination to handle brushing on their own, so your help will be needed. Use a pea-size amount of fluoride toothpaste, and assist with brushing for two minutes. Teach your child to spit the toothpaste out and avoid swallowing, because it can upset the “tummy.” When your child has teeth that touch, help them floss once a day.

Taking your child shopping and allowing them to pick out a toothbrush will give them a “buy-in” in the process and make them feel involved. Depending upon your child’s temperament, they may fuss at first over this new routine, but being consistent with supervision and guidance is key. Establish regular times for brushing and keep in mind that teaching proper brushing technique may be an ongoing effort. Children are too young to fully understand why they need to brush, so it’s up to you to make sure they stay on routine.

At around age eight, children can typically handle brushing on their own. They may still need assistance in flossing until their manual dexterity further develops, usually by age 10. At this stage, continue to make sure they stay on schedule and do a thorough job until they can grasp the importance of regular brushing and flossing, and have the ability to take over and assume the responsibility for themselves. Our blog post ― “How to Instill Good Oral Hygiene Habits in Your Child” ― provides additional tips for getting your youngster excited about brushing.

Fluoride is essential to building strong enamel in both primary and permanent teeth. While most major toothpaste brands contain fluoride, look for one that contains stannous fluoride, rather than sodium fluoride. Stannous fluoride is an antibacterial agent clinically proven to protect against gingivitis, plaque and tooth sensitivity, while protecting against cavities. Sodium fluoride protects against cavities, but doesn’t provide protection from these other conditions.

Your child’s dentist may also recommend an in-office fluoride varnish treatment. This consists of a concentrated form of fluoride, painted onto the top and sides of the teeth. The varnish itself is not a permanent layer - it stays on the teeth for several hours, allowing the fluoride to seep into the enamel and strengthen the teeth. Adults can benefit from this treatment, as well.

Limit Sugary Beverages and Snacks

Access to cookies, candy, snack cakes, soda, etc., should be limited to a certain time of day, followed immediately by brushing. But these are just the obvious culprits. Many packaged foods contain “hidden” sugars that are just as detrimental to oral - and general - health as those typically considered sweet treats. And while fruit juice may seem a healthy beverage, all fruit juice - whether it's apple, orange, grape or a fancy blend such as peach-mango-blueberry - is high in sugar. An eight-ounce serving of juice and cola both contain about 30 grams of sugar on average - that's almost eight teaspoons. This is true even for 100-precent natural fruit juices. Read the Nutrition Facts label on every package, bottle or can to see the amount of sugar it contains. You might be unpleasantly surprised! 

The Take-Home Message

National Children’s Dental Health Month focuses attention on the importance of establishing good oral health habits that will become established into adulthood. By making your child’s oral health a priority, every month will be National Children’s Dental Health Month - at least, in your family!

While NK Family Dental treats patients of all ages, we give children the specialized attention they deserve! The spa-like ambiance of our office creates a tranquil environment in which Dr. Nilofer Khan and her staff talk to young patients at their level of understanding, giving them a “tour” of the examination room and gently explaining each step of the procedure.

One of the many advantages NK Family Dental offers is that we can treat every member of your family under one roof, at every stage of life. The child you trust to our care from that first appointment can continue here through the teen years to adulthood, always treated by compassionate professionals.

It is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What Your Tongue Can Tell You About Your Oral Health

You probably don’t think much about your tongue, other than the role it plays in tasting and swallowing. But it also provides an important window into your oral and overall health. By paying attention to the signs and symptoms your tongue exhibits, you can potentially catch dental or health problems early on and schedule an appointment with your dentist or primary care physician.

What is the Color of My Tongue Telling Me?

In order to be aware of changes in your tongue, you need to know what a healthy tongue looks like. It is typically pink, but it can also look lighter or darker. Tiny bumps called papillae cover it, giving it a rough surface. Your tongue should also feel and appear well-moistened.

When brushing your teeth, you should brush or scrape your tongue to remove any bacteria. This is an ideal time to check your tongue in the mirror to learn what it usually looks like and be aware of any changes as they occur. Our blog post - “Should You Brush Your Tongue?” - covers this topic in greater detail.

As for colors other than pink, Caputo Dental provides the following guide to what they can indicate:

White — A white tongue may signify oral thrush, a fungal infection due to a weakened immune system, antibiotic use, or diabetes.

Orange — Poor oral hygiene is the most common cause of an orange tongue. It could also result from dry mouth, taking certain antibiotics such as rifampin, or eating foods high in beta-carotene, like sweet potatoes.

Red to purple — A red or purple tongue could be a sign of a vitamin deficiency, such as B12 or folic acid deficiency. It could also indicate a bacterial or viral infection, inflammation, or trauma to the tongue.

Yellow — A yellow tongue could indicate dehydration, oral thrush, or a medical condition, such as jaundice, psoriasis, or liver disease.

Black — A black tongue is usually caused by the buildup of bacteria, debris and dead cells on the tongue’s surface. This condition is known as black hairy tongue and can occur due to poor oral hygiene, smoking, medication use, radiation therapy, and certain medical conditions like diabetes.

Blue — A blue tongue can indicate poor circulation or oxygen deprivation. It could also be a side effect of medication or a sign of a more serious condition, such as cyanosis or methemoglobinemia.

Although your tongue itself may not change color, it could have a coating - which also can indicate oral health or medical issues. Some common tongue coatings include the following:

Thick coating — A thick coating on your tongue could indicate poor oral hygiene, oral thrush, or leukoplakia.

Yellow coating ­— A yellow coating on your tongue could mean an infection or inflammation in your mouth. It could also be a side effect of medication use, such as bismuth subsalicylate-containing medicines, or a sign of dehydration.

Gray or black coating — A gray or black coating signifies a fungal infection or an accumulation of dead skin cells. It could also be a side effect of medication use or a sign of a more serious condition, such as oral cancer.

Thick white coating ­— A thick white coating on your tongue could be oral thrush, leukoplakia, or bacterial infection. It could also indicate poor oral hygiene or a weakened immune system.

What is the Texture of My Tongue Telling Me?

Changes in tongue texture also are important to observe. According to Golden State Dentistry, “If your tongue is smooth and glossy, it could indicate a deficiency in certain vitamins or minerals. On the other hand, a rough or bumpy tongue might be a sign of a condition called geographic tongue, which causes irregular patches and can sometimes be uncomfortable.”

Other changes in texture to look out for include the following:

Scalloped edges — Scalloped edges on your tongue can be a sign of teeth grinding (bruxism), a misaligned bite, or sleep apnea. This is due to consistently pressing your tongue on your teeth to open up your airway or when clenching your teeth. The condition can be caused by dehydration, anxiety, Temporomandibular Joint (TMJ) Disorders and nutritional deficiencies. Treatment will depend on the root cause of the problem.

Thin tongue — A thin tongue indicates a thyroid disorder or malnutrition.

What are Bumps and Ulcers on My Tongue Telling Me?

Your tongue incorporates four types of papillae – which are the small, natural bumps that cover the surface of the tongue. The four types of papillae are filiform, fungiform, circumvallate and foliate. You usually don’t take particular notice of them unless they become enlarged. Colgate explains such changes as follows:

“Circumvallate and foliate papillae are normally large enough to be seen with the naked eye, but sometimes a papilla grows unusually large due to irritation or inflammation. This condition is called transient lingual papillitis. An accidental bite to the tongue or irritation from foods or chemicals can cause enlarged papillae. Transient lingual papillitis may also be caused by nutritional deficiencies, smoking, alcohol consumption, plaque build-up or dental appliances. The condition is temporary and often resolves on its own.

“Tongue bumps can appear as blisters, ulcers and lumps. According to the Merck Manual, other causes of bumps on the tongue include canker sores, bacterial infections, oral herpes, allergies, immune system disorders and oral cancer. A bump can also develop on the side of the tongue in the space created by a missing tooth. Although most cases of bumps on the tongue are harmless, unexplained white or red areas, sores or hard lumps on the tongue should be examined by a medical professional as soon as possible.”

Ulcers on the tongue also can be caused by Crohn’s disease. In addition to stomach problems, Crohn’s disease can lead to redness, swelling, or sores anywhere in your digestive system, including your mouth. Moreover, many with Crohn’s disease find it challenging to consume an appropriate amount of food to receive full nutrition. Nutrient deficiency or insufficient caloric intake can lead to an increased susceptibility to infections, including in your gums and on your tongue.

The Take-Home Message

Although it’s easy to take your tongue for granted, it provides important information about your health. Taking a close look at it during your regular oral hygiene routine will help you monitor for changes in its appearance, texture and color, as well as any abnormalities. You can then take proactive steps to maintain good oral health and address any potential issues before they become more serious.

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

A New Look At Foods That Are Bad For Your Oral Health

Avoiding sweets and sugary beverages to prevent tooth decay is considered one of the basic rules of good oral health practices. Although solid advice, it isn’t quite as simple as that. As our blog post - “Common Dental Health Myths” - reveals, sugar itself doesn’t promote cavities. The amount of time the sugar remains in your mouth is the real cause. You may think that brushing after every meal will help. It does, but many other foods contain “hidden” sugars that work in a more insidious way to undermine your oral health. Moreover, a regular diet of highly processed foods and fast foods can cause health issues that also affect oral health.

Although most people think mainly in terms of tooth decay, such foods conduct a multi-pronged attack on teeth and gums.

According to the University of Rochester’s Health Encyclopedia, “When you drink and eat starchy or sugary foods, you’re not only feeding yourself. You’re also feeding the germs (bacteria) that can cause tooth decay and gum disease in your mouth. Plaque is a thin, invisible, sticky film of bacteria and other materials. It covers all the surfaces of all your teeth. When sugars or starches in your mouth come in contact with plaque, acids form. These acids can attack your teeth for 20 minutes or longer after you finish eating. Repeated attacks can break down the hard enamel on the surface of teeth. This leads to tooth decay. The bacteria in plaque also triggers an inflammatory response. This causes the breakdown of the gums, bone, and other supporting structures of your teeth.”

For these reasons, it’s time to take a new look at foods that are bad for your oral health. Busting myths that implicate only one category of foods will - hopefully - give you the knowledge you need to reconsider what you eat (or how you eat) if you see your own pattern described here.

The Usual Suspects – Foods that Promote Tooth Decay

Starchy foods — When you chew starchy foods, your saliva breaks down the starches into sugar. Moreover, bread, potato chips, crackers, etc., tend to get stuck between teeth or cling to the gumline. As our blog post - “The Best and Worst Foods for a Healthy Smile” - notes, look for less-refined bread varieties, such as whole wheat. These contain less added sugars and aren’t as easily broken down.

Sour candies - Candy contains large amounts of sugar, but sour candy contains more and different kinds of acids that are tougher on your teeth. Most of these candies are chewy, which means they will hang around in your mouth for a while, increasing the risk of cavities.

Soda, sports drinks, and juice - Continuously sipping sugary beverages like soda or juice feeds the bacteria in your mouth. Again, when bacteria feed on the sugar on your teeth, they leave damaging acids behind. 

Pickles and pickled foods — Vinegar has acid, which is essential in the pickling process. This acid not only can cause staining but can wear away your teeth’s enamel. Most pickled foods also contain sugar.

Alcohol — Besides containing a high sugar content, alcohol dries out your mouth. This is a problem, as saliva washes away food particles that stick to your teeth and gums. Drink water between alcoholic drinks to stay hydrated - and count the number of those drinks! The short- and long-term detrimental effects of alcohol on health and well-being are well-documented.

Citrus fruits — Oranges, grapefruits and lemons contain vitamin C - which is good for you. But their acid content can erode enamel. Even squeezing a lemon or lime into water adds acid to a drink. To get their nutritional benefits, eat/drink them in moderation, then rinse with water afterward.

Dried fruits — You might assume that dried fruits are a healthy snack. But many dried fruits - apricots, prunes, figs, and raisins, to name a few - are sticky. They get stuck and cling in the teeth and their crevices, leaving behind sugar. If you eat dried fruits, rinse your mouth with water, then brush and floss after. And because they’re less concentrated with sugar, it is a better choice to eat the fresh versions instead!

The Risk of Hidden Sugars in Processed Foods

While you may have already known about hidden refined sugars in certain kinds of foods, some are very good at concealing their true identity - which is why you need to read the labels carefully!

This advice comes from The Landing Dental Spa:

“Foods that are high in any kind of sugar can lead to tooth decay. Sugar comes in many forms, but ingredients ending in ‘ose’ are usually sugars. Fructose, sucrose and glucose are three of the more well-known types of sugar that can destroy your teeth. That is why it is important to read the ingredient labels when shopping. The higher the sugar appears on the ingredients label, the more sugar is in the product. Soda, processed foods and drinks, candy, cookies and pastries are all high in sugar. 

“Remember, even if a product says ‘no added sugar’ that does not mean the product is sugar-free. According to the Oral Health Foundation, it simply means that no extra sugar has been added. These products still may contain sugar, or the sugar may be listed as carbohydrates.”

You also need to be an informed consumer when dining out. According to Ranches Family Dental, “Even though sugar is the primary cause of cavities and tooth decay, salty foods can damage your teeth as well. Salt has the tendency to dry out your mouth, but moisture is necessary for keeping your mouth clean and washing away bacteria. Having a dry mouth can contribute to bad breath, bleeding gums, and gum disease. Eating too much sodium can even lead to gum recession.

 “Most of the salty foods at fast food restaurants are processed carbohydrates, which our bodies treat as simple sugars. Bacteria in our mouths feed on these sugars and produce acid in the process, which can erode your tooth enamel over time. Whether you pair your meal with a soda, milkshake, or sweetened coffee drink, the chances are, any beverage you choose from a fast-food restaurant will contain high amounts of added sugar. Even a size small Coca-Cola from McDonald's contains 39 grams of sugar, which is greater than the American Heart Association's recommended daily sugar intake for both men and women.

 “It is not just fast-food beverages that contain staggering levels of sugar. Dipping sauces, salad dressings, and even burgers and sandwiches are often filled with sugar as well. If you regularly consume fast food, you could be putting your teeth at risk for developing cavities and decay.”

Not to mention putting yourself at risk for developing type 2 diabetes. People with diabetes are significantly more likely to suffer from gum disease due to their elevated blood sugar level. In fact, about 22 percent of diabetics also have some form of periodontal disease.

A Diet that’s Healthy for Your Teeth is Healthy for You!

An article by Colgate covers the best foods for your teeth. The highlights include the following foods and their benefits.

Leafy greens - Kale, spinach, chard, collard greens, etc., are high in calcium, folic acid, and B vitamins. If you use them in a salad, be careful with the dressing! Read the label to make sure it’s low in sugar and fat, or you’ll defeat the purpose.

Apples, carrots, and celery — Apples provide hydration and fiber. Replacing sugary treats with apples promotes good saliva production. Celery helps clean your teeth because the texture can scrape leftover food particles and bacteria away from them. Carrots and celery also are great sources of fiber, vitamin C, and vitamin A.

Dairy products - Milk, cheese, yogurt, and other related products are high in calcium and protein and promote saliva production to prevent dryness (which promotes plaque build-up). If you’re lactose-intolerant, use calcium- and protein-fortified nut milk, such as almond, soy, or cashew.

Tea, nuts, and lean proteins — Unsweetened black and green teas provide plaque-fighting ingredients. Because black tea can stain teeth, drink with a straw, if possible. Lean beef, fish, poultry, and tofu have phosphorus and protein to help keep teeth healthy. Almonds are a good source of calcium and protein while being low in sugar. 

Foods containing fluoride — Fluoride plays a vital role in building strong teeth and bones, helping prevent tooth decay. Eating foods with fluoride helps your teeth absorb this mineral, allowing it to help make your teeth acid-resistant. Most seafood is a good source of fluoride because oceans are full of natural sodium fluoride. Carrots, beets, canned pork and beans, canned tomato products, and cheeses all have some fluoride. This list of fluoride-enriched foods can be found on the USDA National Nutrient Database.

As we’ve said before, we tend to think of physical health and oral health as separate, because physicians take care of the health of our body, while dentists take care of our oral health. However, one affects the other. A diet that provides our body with proper nourishment from healthy sources will also keep our gums and teeth healthy for a lifetime of smiles!

Of course, regular dental care is essential to this effort.  At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

How to Help Your Teething Baby

Is your teething baby irritable during the day and sleepless at night - keeping you awake, as well? Unfortunately, teething is a milestone in an infant’s development that involves pain and discomfort. As a new parent, you want to make this process as comfortable as possible. Whether your baby is currently teething - or you just want to be prepared for when the time comes - our team at NK Family Dental offers this guide for what to expect and when, as well as how to help provide relief.

A Teething Timeline

Teeth begin developing in utero, with all 20 primary teeth present below the gumline at birth. Although the timing varies, teeth typically begin emerging at age six months. Primary teeth emerge in a specific order during the teething period. Colgate provides the following timeline:

Within the first year — The first teeth start emerging; they're usually the two bottom front teeth, also known as the central incisors. Next, come the top four teeth, called the central and lateral incisors.

13-14 months — Upper and lower first molars come in.

16-17 months — Upper and lower canines come in.

23-25 months — Upper and lower second molars come in.

Age three — All 20 primary teeth have emerged.

Common Symptoms of Teething

We don’t remember our own teething, but the journey that “baby teeth” make unfortunately isn’t without physical discomfort. Some babies experience no pain, although most do. Here are common symptoms to look for, courtesy of Colgate, Mayo Clinic and MouthHealthy:

Crankiness — If your baby seems cranky despite otherwise being healthy, a tooth may be pushing through.

Drooling — Some babies drool so much from teething that it soaks their clothes. They may even develop a rash on their cheeks and chin from the excess moisture. To keep your baby comfortable, gently dry their chin and change wet clothes throughout the day.

Loss of appetite — If your baby doesn’t want to nurse or eat, it may be a teething symptom, as eating can irritate sore gums. If you're concerned that your baby isn't eating enough, make an appointment with your pediatrician.

Rubbing their gums — Babies generally love to put things in their mouth, but rubbing objects on their gums may become excessive when the teething process begins.

Wakefulness — If your baby usually sleeps peacefully but has begun waking up at night or is refusing to take naps, it may be a sign of teething.

If you observe two or more of these signs, your baby is likely teething. Although teething might cause a slight rise in your child's temperature, fever is not a typical symptom. Neither is diarrhea. Immediately contact your on-call pediatrician if your child develops a fever or has diarrhea, as it could be a sign of a serious condition.

How to Treat Teething - and What Not to Do

Teething can be a cause for concern for parents (especially first-time parents), as they may not be sure if it’s the reason for their baby’s distress. After all, your baby can’t tell you what’s wrong! After becoming familiar with the general timeline for primary teeth to erupt and teething symptoms, however, teething is a safe assumption. And after the first two teeth emerge, you’ll be certain the process is underway.

So how can you make the process less uncomfortable for your baby? There are some tried-and-true tips and methods. But be careful, as there also are some “remedies” and items marketed for teething that are harmful. We begin with the following list of what to do:

Rub your baby’s gums — Use a wet gauze or clean finger to gently rub its gums. The mild pressure of this action can help ease discomfort. Be careful not to press too firmly.

Keep it cool — A cold spoon or teething ring can soothe tender gums. Refrigerate such items, but don’t put them in the freezer. Look for teethers made of solid rubber. Avoid liquid-filled teething rings, or plastic objects that can break.

Comfort your baby — Gently rocking your child while rubbing its gums, applying a cold spoon or giving a teething ring will provide reassurance and a sense of security. It may not directly relieve pain, but will help make your baby feel safe!

Ask your pediatrician about OTC pain medications — Over-the-counter pain medications such as ibuprofen or acetaminophen may help to ease the pain. WARNING: Do not administer without first consulting with your pediatrician! Only your pediatrician can provide specific recommendations and dosage information for safe pain relief.

Continuing on this cautionary note, there are things that you should not do. Some may not be obvious, as some of these remedies and items are sold in stores or promoted as teething aids. We list the following:

Numbing compounds containing topical benzocaine — Similar to the gel used by dental professionals, such products are readily available, sold by major brands. However, as Colgate notes, “The U.S. Food and Drug Administration (FDA) warns parents about the adverse, grave effects of using benzocaine for children under two years of age. So, it's essential to utilize other options. As always, you should check with your child's dentist or physician before using any product for teething relief.”

Homeopathic teething tablets — The FDA also urges parents not to use homeopathic teething tablets after lab testing found inconsistent amounts of belladonna, a toxic substance, in certain such tablets, sometimes far exceeding the amount claimed on the label.

“The body’s response to belladonna in children under two years of age is unpredictable and puts them at unnecessary risk,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research.

Homeopathic teething products have not been evaluated or approved by the FDA for safety or effectiveness, and the agency reports it is unaware of any proven health benefit of the products.

Teething necklaces, bracelets or anklets — These items pose a risk of choking, strangulation, mouth injury and infection.

And this advice from MouthHealthy:

“Also, be aware of what the teethers you choose for your child are made from. Just because something is marketed as a teether doesn't always mean it's safe. In a September 2017 report, the Center for Disease Control published a case reported of an infant who suffered lead poisoning after chewing on a bracelet. The bracelet, which the child's parents said was a homeopathic magnetic hematite health bracelet intended to help ease the child's discomfort from teething, had metal beads which contained lead.”

What About Teething Biscuits?

Teething biscuits are specially made biscuits that do not crack or crumble. Instead, they dissolve on contact with your baby's gums, stimulating and soothing them in the process. Do not introduce them before eight months of age, and supervise your baby to prevent the possibility of choking. Although teething biscuits have benefits, look for brands that don’t contain sugar. Even baby teeth are susceptible to tooth decay!

Caring for Your Baby’s Primary Teeth - Starting Good Habits for a Lifetime of Good Oral Health

As your baby’s first teeth emerge, regularly wipe teeth and gums with a warm cloth to prevent tooth decay. Our blog post - “How to Instill Good Oral Hygiene Habits in Your Child” - covers this topic in detail, as well as strategies to encourage your child to brush and floss regularly when old enough!  

As we always advocate, it is crucial to place your child under the care of a good dentist to build a lifelong commitment to oral health. According to the American Dental Association (ADA) and the American Academy of Pediatric Dentistry (AAPD), a child’s first visit should be when the first tooth erupts in the mouth - no later than age one. According to the ADA, a baby can get cavities as soon as he or she has teeth.

Pediatric dentistry is one of the specialized services we offer at NK Family Dental. We take great pride in providing a warm, welcoming environment for young patients to give them a positive experience with every visit.

It is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

How Smoking Affects Your Oral Health

By now, it’s common knowledge that smoking - as well as any type of tobacco use - has a devastating effect on health. According to a 2020 Surgeon General’s report, smoking is the leading cause of preventable death in the United States. The Centers for Disease Control and Prevention (CDC) states that smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Smoking also increases risk for tuberculosis, certain eye diseases and problems of the immune system - including rheumatoid arthritis.

What may not be as widely known is the fact that smoking has detrimental effects on oral health. As we always say at NK Family Dental, oral health is part of overall health. Keep reading to learn how smoking negatively impacts numerous aspects of oral health, how smoking leads to periodontal (gum) disease and how smokers can practice good oral hygiene to help prevent problems or ensure early diagnosis for timely treatment.

The Overall Effects of Smoking on Oral Health

We’ll start with the worst tobacco-induced oral disease - oral cancer. The American Cancer Society estimates oral cancer will claim over 11,000 lives this year, and produce about 54,000 new cases diagnosed. Our blog post - “April is Oral Cancer Awareness Month” - covers in detail the areas in which it can occur, symptoms, diagnosis and treatment. The sooner oral cancer is diagnosed and treated, the better your chance of survival. If discovered early, the cure rate is nearly 90%.

Smoking causes and exacerbates numerous other oral issues and conditions, including the following, provided courtesy of WebMD:

How Smoking Leads to Periodontal Disease

According to the CDC, smokers are twice as likely as nonsmokers to develop periodontal disease. Periodontal disease is an infection of the gums and can affect the bone structure that supports your teeth. Left untreated, it can cause your teeth to loosen and eventually fall out. Anyone who doesn't practice good oral hygiene can develop periodontal disease, but according to the National Institute of Dental and Craniofacial Research, smoking is the most significant risk factor.

As the CDC explains: “Gum disease starts with bacteria (germs) on your teeth that get under your gums. If the germs stay on your teeth for too long, layers of plaque (film) and tartar (hardened plaque) develop. This buildup leads to early gum disease, called gingivitis. When gum disease gets worse, your gums can pull away from your teeth and form spaces that get infected. This is severe gum disease, also called periodontitis. The bone and tissue that hold your teeth in place can break down, and your teeth may loosen and need to be pulled out.”

Our blog post - “Types of Gum Disease” - provides detailed information about each type and stage of periodontal disease. To reiterate, gingivitis and periodontitis are basically one and the same, with periodontitis being the advanced stage of gingivitis. 

How does smoking start this insidious process? According to WebMD, it appears that smoking interferes with the normal function of gum tissue cells. This interference makes smokers more susceptible to infections, such as periodontal disease, and also seems to impair blood flow to the gums ― which may affect wound healing.

The Pennsylvania Center for Periodontology elaborates as follows:

Dry mouth — Smoking creates a dry environment in the mouth, which makes harmful bacteria more easily attach to your teeth and under your gums.  

Weakened immune response — Smoking weakens your immune systems, which makes it harder for your body to fight the harmful bacteria that cause gum infections. 

Poor circulation — As mentioned earlier, smoking causes vasoconstriction, which is a constriction of the blood vessels. Gum tissue needs good circulation to stay healthy and resist infection.

Symptoms of gingivitis include the following:

How Smokers Can Practice Good Oral Hygiene

Our NK Family Dental team is here to help, not preach. We know that quitting isn’t easy. In fact, nicotine has been proven to be as addictive as cocaine and heroin, and may even be more addictive. Many people who smoke develop nicotine dependence, which makes quitting all the harder, especially when they try to stop smoking on their own. You already may have tried quitting once or numerous times. Therefore, it isn’t realistic to expect that you need to wait until you’re smoke-free before you can take the necessary steps to follow the best possible oral hygiene practices. Staying proactive with your oral care program and regular dental checkups is especially important to prevent or delay oral health problems, and to be diagnosed and treated in a timely manner.

Colgate and Dr. Benjamin Greene of Kirkland Family Dentistry offer the following advice on oral hygiene for smokers:

Brush at least twice a day — Floss or clean between your teeth with interdental brushes or water flossers at least once a day, and use antimicrobial mouth rinses and tongue scrapers.

Use the right type of toothbrush — Smokers need to use a toothbrush that is flexible and can reach even the hidden areas of the mouth to help prevent plaque and tartar buildup. There are toothbrushes made specifically for smokers — an online search can direct you to such brands. An electric toothbrush can also be effective.

Use a good mouthwash — While people who smoke tend to have bad breath, using a mouthwash can provide benefits beyond freshening. Therapeutic mouthwashes have active ingredients that kill bacteria and can help reduce plaque, gingivitis, cavities and bad breath. Those that contain fluoride help prevent or reduce tooth decay. Our blog post — “Is Mouthwash Necessary?” — covers different types of mouthwash, their active ingredients and how to choose the best one for your needs – in greater detail.

Schedule regular checkups with your dentist — This is important for everyone, but smokers need to be screened for signs of oral cancer, periodontal disease and the other previously described conditions to which smokers are more susceptible. Early diagnosis and treatment are essential to prevent disease progression. Although the statistic for oral cancer survival given earlier in this blog post is optimistic, please note that this only applies for cases caught in time. If cancer has already spread before diagnosis, the survival rate is only 60% after five years of treatment.

Monitor your own oral health — Perform regular self-checkups for symptoms of disease. Check for red spots, sores and swelling around the lips. Bleeding gums and lumps may also signal a serious condition. Should you notice anything out of the ordinary, do not wait for your next dental examination! Schedule an appointment immediately.

The Take-Home Message

If you smoke, maintaining your oral health requires meeting greater challenges and being more proactive in your care. As an adult, you’re well aware of the detrimental effects that tobacco use has on your overall health and life expectancy. Although we know that quitting is hard, we encourage you to resolve to take this important step and find a program or method that works for you. A good place to start is the American Cancer Society, which provides online links to resources to help you throughout the process.

Also, talk to your dentist about your tobacco use. You may have indicated that you smoke when you filled in your new patient questionnaire, but your dentist may be able to recommend specific oral care products and techniques according to your specific needs - as well as be on alert for changes that indicate oral cancer, periodontal disease or another condition.

It is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

Diabetes and Oral Health

If you are among the more than 37 million Americans living with diabetes, you already know the risk for medical complications in such areas as your heart, kidneys, eyes and skin. But did you also know that diabetes can affect your oral health? According to the American Diabetes Association, diabetes and oral health complications are connected in ways that you may not expect. As November is National Diabetes Awareness Month, we dedicate this blog post to provide information that we hope will help you manage your diabetes by building your healthcare team - which should include your dentist.

Why People with Diabetes are More Likely to Develop Oral Health Problems

The link between diabetes and oral health problems is high blood sugar. As Cleveland Clinic explains, “If blood sugar is poorly controlled, oral health problems are more likely to develop. This is because uncontrolled diabetes weakens white blood cells, which are the body’s main defense against bacterial infections that can occur in the mouth.”

In turn, according to the National Institute of Dental and Craniofacial Research (NIDCR), having gum disease may make your blood sugar harder to control - setting up a vicious cycle. Controlling blood sugar levels is crucial to reducing the risk of developing oral health problems.

Oral Health Problems Associated with Diabetes

There are several oral health problems that can be prompted by diabetes. The following are provided courtesy of Cleveland Clinic, MouthHealthy - a consumer education website presented by the American Dental Association (ADA), and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). As you will learn, many are interrelated.

Periodontal disease — Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. Left untreated, it leads to tooth loss and erosion of supporting bone structures. This is the most common dental disease affecting those living with diabetes (nearly 22% of those diagnosed). Especially with increasing age, poor blood sugar control increases the risk for gum problems.

Besides weakening white blood cells, another complication of diabetes is that it causes blood vessels to thicken. This slows the flow of nutrients to and waste products from body tissues, including the mouth - which results in the body losing its ability to fight infections. 

As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

Tooth decay - High levels of sugar in your blood can also cause it to build up in your saliva. This sugar can feed harmful bacteria that combine with food to form a soft, sticky film called plaque, which causes cavities. If you don’t remove plaque, it can also build up on your teeth near your gum line and harden into a deposit called tartar, which can cause gum disease.

Dry mouth - Poorly controlled diabetes can decrease saliva flow, resulting in dry mouth. This condition can further lead to soreness, ulcers, infections and tooth decay.

Thrush - This fungal infection of the mouth is common in people with diabetes who frequently take antibiotics to fight various infections. The fungus thrives on the high glucose (sugar) levels in the saliva of those whose diabetes is poorly controlled. A burning sensation in your mouth or on your tongue can be symptoms of thrush.

Longer healing time ­— People with poorly controlled diabetes do not heal quickly after oral surgery or other dental procedures because blood flow to the treatment site can be damaged.

Put Your Dentist on Your Healthcare Team

Tell your dentist that you have diabetes - or prediabetes. Even if you’re an established patient and haven’t mentioned it before because you didn’t think it was important, don’t feel awkward about doing so during your next visit. This is essential information for your dentist in order to provide appropriate screenings and treatment. Also let your dentist know what medications or insulins you take to control it.

This conversation also should include steps you can take to prevent diabetes-related oral complications, as well as how to identify the warning signs of their early stages.

While scheduling regular dental check-ups and cleanings is the first line of defense in good oral care, it is especially crucial for those with diabetes. In fact, practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your HbA1c. Our blog post – “Deep Teeth Cleaning: Everything You Need to Know” – covers this topic in detail.

As we always say, oral health is part of overall health! Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs.

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

How to Care for Your Teeth During the Holiday Season

The holiday season is here! Actually, it seems the season becomes longer every year, with Christmas décor decking the halls of stores starting in September. From October through December, candy, treats, holiday meals and party foods (and adult beverages) are in abundant supply, all tempting us to not only overindulge, but to neglect our oral care routine. The extra sugary and acidic foods - plus changes in our routine - set the stage for tooth decay. How you navigate the holidays has an effect on your smile, as well as your overall health. Here’s our guide to taking care of your teeth throughout holiday festivities, so you can enjoy a bright, healthy smile throughout the next year!

Don’t Forget to Brush

For at least nine months of the year, you follow a routine that (hopefully) includes brushing and flossing at least twice a day. But come holiday season, that routine can be disrupted by trips to visit family, rounds of dinners and parties, etc. In addition, you’re more likely to be eating foods high in sugars and starches - and eating them more frequently than usual. When you’re away from home, especially, brushing may be more infrequent.

Unfortunately, such a change in schedule and diet can increase your risk of interproximal cavities - that is, cavities that occur between teeth. Absolute Dental offers a practical solution.

“If you are like most, chances are good you won’t find yourself at home twiddling your thumbs too often during the upcoming holidays. And you certainly won’t be eager to carve out time when you do finally get home each night for brushing, flossing, and gargling.

“So what to do? One of the hands-down best compromises is to pack a little to-go teeth cleaning kit that you can take to parties with you. Not only will this make you rescue-ready if you end up with spinach dip wedged between your two front teeth, but it will help you remember to care for your teeth during this particularly hectic time of year.”

However, if brushing isn’t an option, WebMD recommends chewing sugarless gum, which boosts saliva, helps flush out food debris and more.

Don’t Use Your Teeth as Tools

There’s a lot of activity and bustle during family gatherings and parties, so you may be tempted to forgo looking for a bottle opener, nutcracker or pair of scissors and use your pearly whites, instead. Don’t! Nothing spoils a celebration like a dental emergency, which is what you’ll have if you crack a tooth (or more than one).

If you believe in being prepared and you know that your dental office will be closed during the holidays, ask your dentist for a referral for emergencies. Know the location of the nearest emergency dental clinic. WebMD advises getting treatment as soon as possible, as waiting until the new year to fix a broken tooth or replace a lost filling could make the problem worse. If you're traveling, call a local dental office for an appointment if you need emergency care. Most dentists set aside time for emergencies even for people who aren't regular patients. Our blog post - “How Can You Tell If It’s A Dental Emergency?” – covers this topic in greater detail, and focuses on those that occur during the holidays.

Holiday Treats to Watch Out For

No matter which holidays you celebrate this time of year, most involve treats that can backfire on you if you’re not careful. Berdy Dental Group and Brad Judy DDS provide the following list:

Sticky candies — These are really tough on teeth because as you eat them, they stick all over the surface of your teeth and won’t budge. Dried fruits - like holiday favorites cranberries and raisins - actually have the same effect, as they will stay stuck in the grooves of your teeth. The longer the contact the sweets have with the teeth, the more acid gets produced by bacteria, leading to cavities.

Canned fruit — While it may seem like a delicious side dish at your holiday dinner table, canned fruit can be surprisingly unhealthy. Most are packaged in syrup and coated in sugar, making them practically the same as a piece of candy.

Popcorn — This snack is notorious for cracking teeth when biting down too hard on a half-popped kernel. Unfortunately, the pieces of husk cause a big problem too, as they can get lodged in your gums and cause pain. Sugary, caramel-coated variations of the snack can cause a perfect storm of problems for your teeth.

Candy canes — This popular stocking-stuffer can crack your teeth if you bite down wrong. It may be better to let candies dissolve to prevent any chipping or other damage - but be sure to brush thoroughly after eating candy of any kind, or at least rinse your mouth with water. The same applies to peanut brittle and toffee. As far as potential damage to teeth is concerned, candy apples —which are popular for Halloween - perhaps deserve their own category in the treats-to-avoid list.

Sweet coffee drinks — Coffee is something you sip on and enjoy slowly, which actually creates a bigger problem for your teeth. Constant exposure to milk and sugar over the course of an hour or more make it difficult for the saliva to combat the sugars and acids produced by the bacteria in our mouths. Your saliva helps protect teeth from decay, but it can’t do its job as you continually sip from your coffee cup.

Seltzer — While this low-calorie drink is especially trendy right now, it is unfortunately not great for your teeth. In fact, a study from the University of Birmingham found that exposure to carbonated waters, like seltzer, can be as damaging for teeth enamel as orange juice - so you may want to let up on the bubbly beverages during your holiday celebrations.

Sodas and sweet tea — These beverages are certainly not limited to the holidays. Because they tend to be consumed regularly, they are perhaps among the biggest threats to your oral health. Did you know a can of Coke has about 12 teaspoons of sugar? Sweet tea is not much better. Stick to water or unsweetened tea as much as you can.

Enjoy the Holidays in Good Oral Health!

While it may seem we’ve emphasized the “don’ts” in our guide, here’s one more: Don’t feel that you need to forgo having fun! Maintaining good oral hygiene doesn’t require much extra effort, and will pay off with both optimum oral and physical health to achieve all you want to during the coming year!

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

Are Energy Drinks Ruining Your Teeth?

Many people depend on energy drinks to power them through their demanding day. Although popular for their ability to enhance energy levels, physical alertness and performance, energy drinks have come under scrutiny for their adverse effects on health when consumed in excess. According to the Centers for Disease Control and Prevention (CDC), the potential dangers include the following:

While you may be aware of such risks, you might not know that energy drinks also can promote tooth decay. We at NK Family Dental believe that knowledge is power, and the more you learn about good oral health practices, the better you’ll be able to keep your teeth for a lifetime!

How Do Energy Drinks Lead to Tooth Decay?

 The ingredients in a typical energy drink provide obvious clues. The CDC defines an energy drink as “A beverage that typically contains large amounts of caffeine, added sugars, other additives, and legal stimulants such as guarana, taurine, and L-carnitine. These legal stimulants can increase alertness, attention, energy, as well as increase blood pressure, heart rate, and breathing.”

Sugar has long been implicated as a culprit in tooth decay, but as our blog post - “Common Dental Health Myths” - covers, sugar itself doesn’t promote cavities. How long the sugar remains in your mouth is the real cause. Sugars introduced into the mouth cause bacteria to produce acids that slowly eat away at your tooth enamel, making your teeth more susceptible to cavities. Of course, if tooth decay goes untreated, it can cause pain, infection, and eventually, tooth loss.

However, the high acidity levels of energy drinks combine with the high sugar levels to deliver a one-two punch. According to Dental Choice, drinks that are high in sugar and acidity can cause irreversible damage to tooth enamel, which leaves teeth more susceptible to sensitivity and decay. Enamel is the hardest substance in the human body but is vulnerable to dissolving due to prolonged exposure to an acidic environment.

Energy drinks essentially bathe tooth enamel in a highly acidic liquid. It doesn’t help that the bacteria naturally present in your mouth consumes sugar as it comes in contact with your saliva. Once the sugar mixes with the bacteria, it produces acids that break down enamel and leave teeth susceptible to sensitivity and decay. And energy drinks contain a lot of sugar - about 55 grams depending on the brand, according to the DentalNegligenceTeam. 

The human mouth has a natural pH level of 6.8 to 7, but energy drinks can cause it to plummet. According to Bobby J. Grossi, DDS, in his interview with Healthline, “In all my years in dentistry, I’ve found the leading cause of tooth decay in children to be juice, and in adults, it is energy drinks. Energy drinks, with a pH of roughly 3.2, are almost as acidic as battery acid, which has a pH of 1.”

In addition, according to Nammy Patel, DDS, in her interview with Healthline, energy drinks can spur more acid reflux production, which can, in turn, cause more cavities. Still, says Dr. Patel, cavities aren’t the only risk to your teeth that over-consumption of energy drinks can lead to. “Because people are so wired after drinking an energy drink, they grind their teeth. That sometimes causes tooth breakage and tooth loss.”

Should You Give Up Energy Drinks to Maintain Good Oral Health?

If you’ve been reading between the lines, you should get the message that relying on energy drinks to achieve peak mental or physical performance on a regular basis isn’t good for your health at any level. Unfortunately, it is possible to develop a physical addiction to energy drinks. Healthline’s excellent article about energy drink addiction notes that there is no official definition for an energy drink addiction, but it can be considered as drinking excessive amounts of energy drinks without being able to control your consumption.

An addiction to energy drinks can involve addictive symptoms that are related to brain and nervous system function, such as the following:

Another sign is experiencing withdrawal symptoms when abstaining from energy drinks, such as headaches, irritability, fatigue, and a depressed mood. The Healthline article provides steps for breaking your dependence - including how to manage withdrawal symptoms.

What Are Good Alternatives to Energy Drinks?

Giving up energy drinks doesn’t mean you have to slog through the day. Fruits and vegetables are great sources of vitamins and trace elements that are beneficial for your teeth and overall health. DentalChoice and Healthline offer the following healthy alternatives:

The Take-Home Message

In today’s fast-paced world, the demands of work, school, or life, in general, can prompt us to look for an edge to help keep up. Energy drinks are readily available and fast to consume - which has made them popular, but pose risks to dental and overall health because of their chemical composition and the strong possibility of developing an addiction or dependency. If such drinks are a regular part of your day, you should consider replacing them with healthy alternatives while taking any other steps necessary to wean yourself off.

During this time of stepping down from energy drinks, be especially diligent about your oral care. Brush three times a day, and rinse your mouth well with water after finishing an energy drink if you are unable to brush. While energy drinks increase your risk for cavities, there are other conditions that can also do so. Our blog post - “Causes of Tooth Decay & How to Stop It” - covers this topic in greater detail.

Scheduling twice-yearly dental examinations are fundamental to good oral health. If you consume energy drinks on a daily basis, tell your dentist, as this is important information necessary for your short- and long-term treatment. Regular examinations allow the dentist to observe changes or conditions that need treatment before they become critical, and remove plaque that brushing alone can’t accomplish.

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomate of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What You Need to Know About Dental Care During Pregnancy

As an expectant mom, you have a lot going on – not the least of which are the physical changes you’re experiencing. While you’re scheduling regular visits with your obstetrician to ensure a healthy pregnancy, be sure you also take care of your oral health during this important time!

Is it Safe to Visit the Dentist During Pregnancy?

Yes! In fact, it’s highly recommended! The American Dental Association (ADA), the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics all encourage women to get dental care while pregnant. A study published in the Journal of the American Dental Association (JADA) concluded that it’s safe for pregnant women to undergo dental treatment, including procedures that use local anesthetics. According to the study’s lead author, Aharon Hagai, D.M.D., "[Pregnancy] is a crucial period of time in a woman’s life, and maintaining oral health is directly related to good overall health." 

How Pregnancy Can Affect Your Oral Health

Even if you typically enjoy good oral health, the hormonal changes that pregnancy causes can trigger certain conditions – such as periodontal disease and tender gums that bleed easily – or make some existing conditions worse. Our blog post – “What is Periodontal Gum Disease?” – covers this topic in detail.

Not every woman experiences issues during pregnancy, but you should be aware of the following, provided by MouthHealthy – an ADA website that provides consumer information about oral health topics.

Pregnancy gingivitis – Some women develop a condition known as “pregnancy gingivitis,” an inflammation of the gums that can cause swelling and tenderness. According to WebMD, 40 percent of women will develop gingivitis sometime during their pregnancy. Your gums also may bleed a little when you brush or floss. Left untreated, gingivitis can lead to more serious forms of gum disease. Your dentist may recommend more frequent cleanings to prevent this.

Increased risk of tooth decay – Pregnant women may be more prone to cavities for a number of reasons. If you’re eating more carbohydrates than usual, this can cause decay. Morning sickness can increase the amount of acid your mouth is exposed to, which can eat away at the outer covering of your tooth (enamel).

Brushing twice a day and flossing once can also fall by the wayside during pregnancy for many reasons, including morning sickness, a more sensitive gag reflex, tender gums and exhaustion. It’s especially important to keep up your routine, as poor habits during pregnancy have been associated with premature delivery, intrauterine growth restriction, gestational diabetes and preeclampsia.

Pregnancy tumors – In some women, overgrowths of tissue called “pregnancy tumors” appear on the gums, most often during the second trimester. It is not cancer but rather just swelling that happens most often between teeth. They may be related to excess plaque. They bleed easily and have a red, raw-looking raspberry-like appearance. They usually disappear after your baby is born, but if you are concerned, talk to your dentist about removing them.

Why You Should Visit Your Dentist During Pregnancy

Don’t skip your regular dental examination and cleaning because you’re pregnant. As an article by Dental Associates notes, “Your dentist can help discuss changes in oral health during pregnancy and what to look for. There is a connection between your health during pregnancy and your baby’s health, so visiting your dentist during pregnancy is essential.”

When you schedule your appointment, tell the receptionist or scheduler to inform the dentist that you’re pregnant – or think that you might be. If a procedure needs to be performed, tell your dentist the names and dosages of all drugs you are taking – including prenatal vitamins, as well as medications. Also mention any specific medical advice your doctor has given you, as your dental treatment plan may need to be altered.

Also be assured that X-rays can be taken with no risk to you or your baby. Your dentist or hygienist will cover you with a leaded apron that shields the abdomen, and a leaded collar to protect your thyroid. X-rays are important because they can reveal unseen oral health issues that are crucial to diagnose and treat before it affects you and your baby. Because the mouth is the gateway to the body, an infection in the mouth can spread to other parts of your body – including your baby.

Should a filling, root canal or tooth extraction be necessary, the numbing medications used during the procedure are safe. Of course, discuss any concerns you may have with your dentist.

Oral Hygiene During Pregnancy

At-home care is also essential to keeping your mouth healthy! Dental Associates offers the following tips:

By the way, did you know that your baby’s teeth start developing between the third and sixth month of pregnancy? Although they won’t start to erupt until your baby is about six months old, they’re already forming! So by taking care of yourself through proper medical and dental care – as well as good nutrition – you’re already giving your baby a great head start toward a lifetime of good oral health.

The Take-Home Message

While you’re concerned about keeping your baby safe during pregnancy, maintaining good oral health is a very important part of this worthy objective. Keep an eye out for any changes that could indicate an issue, and make an appointment with your dentist as soon as possible. Even if – hopefully – no conditions develop, continue with your regular examination and cleaning schedule.

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomate of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!