The dreaded question at the dentist: have you been flossing? While the vast majority of people answer in the affirmative, the truth is a dentist can always tell if you are fibbing. We all know the “right” answers to the questions at the doctor or the dentist’s office.
Are you exercising?
Of course!
Have you avoided soda and other surgery treats?
Without a doubt!
Have you been taking your medication as prescribed?
Every time!
You may think that you are the model patient if you answer the questions correctly; however, there is certain dental information that needs to be shared accurately and truthfully with your dentist. Besides the standard questions, you as the patient should feel empowered to raise other concerns or conditions. As a dentist, we do our best work when we know everything that we are working with. Some of the information that dentists like to have on hand is not intuitive since it doesn’t always deal directly with your teeth. To help guide you through your next appointment, we have compiled a list of information that should be shared with your dentist.
Share your medication history
Dentists see a spike in cavities in those over 45 years old. This increase is attributed to the prevalence of prescription medications taken by older Americans. Certain medications, especially those for high blood pressure, reduce salivary flow which in turn increases the risk for periodontal disease. Even if you are not on any prescriptions, a simple baby aspirin can increase your chances of tooth decay or more simply, bleeding during exams. Knowing this upfront can help your dentist make your visit comfortable.
Bleeding gums aren’t normal
Don’t try to rationalize your bleeding gums. Spitting blood when you brush your teeth is never normal and should be brought up with your dentist. Even if it occurs as a result of medications, underlying illnesses or pregnancy, these are all circumstances that need to be addressed. Bleeding gums can be an indication on an underlying periodontal disease that needs to be addressed immediately.
Acid reflux
It is estimated at least 20% of Americans suffer some sort of acid reflux on a normal basis. Acid reflux is the result of a weak esophageal sphincter that allows the contents of your stomach to flow back up your esophagus and into your mouth. Those with this disease are at a higher risk of tooth erosion due to acids from your stomach breaking down tooth enamel. The results are so apparent on the teeth that many dentists are the first to identify acid reflux in a patient. It is important to let your dentist know if you suffer from acid reflux so preventative steps can be taken to protect your teeth.
Pregnancy
If you are pregnant you do not have to cancel your cleanings. However, it is important to let your dentist know. While we understand that some patients feel uncomfortable sharing, especially in the early weeks, we want you to know that this information will be kept completely confidential and is only necessary to protect you and the baby during your visit. Some dental work such as filling cavities or placing crowns can be done during a pregnancy to prevent further complications. However, if you are concerned about your health or that of the baby please don’t hesitate to bring it up.
Having an open and comprehensive conversation with your dentist about your medical history and current medications is essential to a full dental examination. If you have any concerns about sharing sensitive information, please remember we value our relationship with each patient and will keep everything confidential.
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