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At Fabre Family Dental Care of Marrero, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Keith J. Fabre Jr. and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Keith J. Fabre Jr. may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

• Brushing your teeth at least twice a day with a toothpaste containing fluoride
• Flossing at least once a day
• Eating a well-balanced diet
• Avoiding sugary or starchy snacks

Dr. Keith J. Fabre Jr. and our team at Fabre Family Dental Care of Marrero encourage you to visit our Marrero office and practice good oral health habits at home.

At Fabre Family Dental Care of Marrero, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Keith J. Fabre Jr. may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Keith J. Fabre Jr. if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Marrero office.

If you notice every imperfection in your smile and you are aiming for a more ideal-looking smile, veneers might be for you. Veneers are common tools in cosmetic dentistry for improving the look of your teeth. They are thin layers, either made of resin composite or dental porcelain, that go over your teeth. If you are considering dental veneers, these five reasons to choose them may help persuade you.

1. They hide imperfections.

The basis of cosmetic dentistry is providing an attractive smile, and veneers are designed to hide imperfections such as chipped, uneven, or badly aligned teeth. With veneers, teeth are even and uniformly colored.

2. They are durable.

Dental veneers can last for a decade to up to 30 years, so you do not need to continually go back to our Marrero office to replace them. On average, veneers last longer than standard fillings.

3. You can get the process done quickly.

Often, you can get a full set of dental veneers in a three visits and within a few weeks. The first appointment is a consultation to evaluate your teeth and plan your treatment. At the next visit, Dr. Keith J. Fabre Jr. and our team prepare your teeth for veneers and take an impression of your teeth so the laboratory can custom-make your veneers. During the final visit, we bond the new veneers to the surfaces of your teeth.

4. They can whiten the appearance of your teeth.

Coffee, smoking, excessive fluoride, and certain drugs can yellow your teeth over time. Dental veneers can be colored to have a bright white appearance so your teeth appear noticeably whiter. This can be especially beneficial for individuals whose teeth are naturally off-white and do not respond well to bleach-based whitening treatments.

5. They can fix minor dental problems.

Dental veneers are not solely cosmetic. They can improve a variety of dental concerns, such as teeth with uneven spaces. They can hide the appearance of chipped and broken teeth, and make more even teeth that are worn down, spaced unevenly, or shaped irregularly. Since Dr. Keith J. Fabre Jr. can manufacture the veneers to match your natural tooth color, these thin layers are more attractive than unsightly fixes such as metal fillings.

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

• Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
• Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
• Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Keith J. Fabre Jr. at our Marrero office.