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One of the most common clues that you might have anemia is found in your smile. If you’ve noticed that your gums are suddenly paler than they used to be, it could be a sign that you’re anemic. What does this mean for your general health—and your oral health?

There are several types of anemia, which have can be caused by different medical conditions and which can cause different symptoms. The most common form of anemia, and one of the most easily treated, is iron-deficiency anemia.

Iron is essential to our health. Why? It’s all about the red blood cells. First, some biology.

Every cell in your body needs energy to live and to function. Cells get this energy from the foods we eat, which are broken down into a simple sugar called glucose. Glucose molecules are transported by our blood cells to reach all parts of the body. But that’s only the first step.

Energy is released into the cells when the chemical bonds holding glucose molecules together are broken. And this requires oxygen. Once inside our cells, glucose and oxygen react, breaking the chemical bonds of the glucose molecules, reconfiguring their atoms to create carbon dioxide and water byproducts—and releasing energy into a form your cells can use.

So, how do we move this oxygen from our lungs to our cells to start the process? That would be our red blood cells again. But this process can’t happen without adequate iron. More biology!

Red blood cells contain a protein called hemoglobin, and hemoglobin contains iron. In fact, well over half of the iron in our body is found in our red bloods cells. And here’s the key to iron’s importance: iron attracts oxygen molecules.

Hemoglobin picks up oxygen in our lungs and delivers it throughout the body, where it becomes glucose’s essential partner in fueling our cells. Without enough iron, your body won’t be able to create the red blood cells it needs so that all of your cells, tissues, and organs can get the oxygen they need to function efficiently.

When might you suspect that you’re anemic? Your gums, the lining of the mouth, the inside of your lower eyelids, and your skin can take on a paler hue—the classic sign of anemia. But other symptoms which you might not necessarily associate with anemia are also common, including:

• Fatigue
• Heart palpitations
• Cold hands and feet
• Dizziness
• Irritability
• Difficulty Concentrating
• Pica (the desire to eat non-food items)

And because anemia affects the whole body, your oral health isn’t immune. It’s not just a matter of pale gums. Iron deficiencies can cause:

• Sores and ulcers in the mouth
• Cracks on the sides of the mouth
• Pain, redness, and/or swelling of the tongue
• Loss of papillae (those little bumps on your tongue which hold your taste buds)
• Tooth damage caused by pica
• Dry mouth, which increases your risk for cavities, gum disease, oral infections, and bad breath

Iron-deficiency anemia can have several causes, among them insufficient iron in the diet, medical conditions which cause bleeding (such as ulcers), heavy menstruation, pregnancy, or growth spurts in children and teenagers. Treatment will depend on the cause of your anemia. It might be as simple as a change in diet or an iron supplement, or it might require further treatment options. Do consult with Dr. Keith J. Fabre Jr. before taking iron supplements, as too much iron causes iron toxicity, which can be very dangerous.

If Dr. Keith J. Fabre Jr. and our team suggest that you might be anemic, or if you notice changes you think might be caused by anemia, see your physician for a simple blood test. Besides iron-deficiency anemia, there are other forms of anemia and other diseases which can mimic these symptoms, so it’s important to get a doctor’s diagnosis. If you have been diagnosed with anemia, let our Marrero dental team know.

One last “if”: If you do have iron-deficiency anemia, don’t delay treatment. The sooner your red bloods cells are back at their peak, the sooner you—and your gums—will be back in the pink!

Talking about a healthy diet usually means talking about food. After all, our teeth and gums need protein, vitamins, and minerals to stay strong and free from cavities and gum disease. But let’s not forget the part liquids play in our diets! What we drink can actually have a dramatic effect on our dental health.

Beneficial Beverages for Our Teeth and Gums

• Water, water, water!

Water is always a healthy option. Besides being a nutrient in its own right, water washes away food particles as we eat, dilutes the acids in our mouth that can lead to cavities, and often provides the fluoride, which reduces our risk of tooth decay. Also, water helps with the production of saliva, which cleanses our mouth and helps neutralize the acids which cause cavities, gum disease, and bad breath.

• Milk

Milk provides the calcium and vitamin D that are essential for bone and tooth health. If you are worried about the fat content in milk, low-fat options will still deliver the nutrients your body needs.

• Vegetable juices

These juices provide important vitamins and minerals without the sugar levels of fruit juices. If that 100%-leafy-green smoothie is a bit bitter, add a small amount of fruit to the mix, but remember to avoid too many acidic, sugary additions.

Drinks that are Less than Ideal

• Sugary beverages

Regular soft drinks, fruit juices, energy drinks, and sweetened tea and coffee provide bacteria with the sugar they use to produce acids. These acids, over time, weaken our enamel and lead to cavities.

• Acidic drinks

Any acidic beverages, such as soft drinks, sports drinks, or citrus juices, provide their own acids that can erode tooth enamel.

• Drinks that stain our teeth

Red wine, coffee, black tea, fruit juices, colas—even sports drinks!—can leave our enamel stained and discolored.

Should we give up all these problem drinks completely? Can’t we start our day with orange juice and a cup of coffee, or down an energy drink after a workout? The important takeaway here is to recognize which drinks can damage teeth and gums, and to minimize any harm they might cause. If you are going to drink something sugary or acidic, don’t sip it. Sipping lets the sugars and acids linger in the mouth. Drink with a meal. Chewing increases saliva production, which helps wash away harmful sugars and acids. Try using a straw for drinks that stain teeth. And it’s always best to rinse with water immediately after drinking anything sugary, acidic, or staining.

Best of all, try to include as many nourishing beverages as possible in your diet. Keep your mouth healthy with a steady routine of brushing and flossing for at least two minutes twice a day. Don’t forget to schedule regular checkups and cleanings at our Marrero office so Dr. Keith J. Fabre Jr. can monitor your teeth and gums and remove plaque and stains if they develop. And if you have any questions about the healthiest beverages out there, let’s have a glass of water and discuss.

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Dr. Keith J. Fabre Jr. and our team at Fabre Family Dental Care of Marrero thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Dr. Keith J. Fabre Jr. for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Dr. Keith J. Fabre Jr. about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Marrero office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Keith J. Fabre Jr. at your next appointment whether you might benefit from a topical fluoride application.