Our Blog

Is there a link between oral health and heart health? This is a question that has been receiving a lot of attention in recent studies. While as yet there is no definitive study that proves oral health has an effect on overall heart health, there is also no definitive proof that oral health doesn’t affect heart health. So, what do we know, and, just as important, what should we do?

What do we know? One clear connection exists between gum disease and endocarditis, a rare, but potentially very serious, infection. When we neglect our gums, they bleed more easily. When gum disease advances, the gums pull away from the teeth. This creates pockets which can harbor more bacteria and plaque, leading to infection and even tooth and bone loss. And this bleeding and infection can be serious not only as a matter of dental health, but for your heart as well.

Endocarditis is an infection of the inner lining of the heart and the heart valves. When bacteria from other parts of the body, including your mouth, make their way into the blood stream, they can attach themselves to damaged areas of the heart. The resulting infection can become very serious, very quickly. If you have damaged heart valves or artificial valves, have an artificial heart, or have any type of heart defect, it is especially important to prevent gum disease from developing. Regular dental care will help prevent bleeding gums and infections, and reduce the danger of oral bacteria entering the bloodstream. Always let us know if you have any issues with heart health, and we will tailor our treatment for all of your procedures accordingly.

What else might link oral health and heart disease? Because an increased risk of heart disease has been found in patients with moderate or severe gum disease, there has been much speculation as to a possible cause-and-effect connection. For example, the plaque inside arteries which leads to heart attacks has been found to contain certain strains of periodontal bacteria. Other studies have searched for a causal relationship between inflammation resulting from gum disease and inflammation leading to heart disease.  The body’s immune response to periodontitis and its potential consequences for heart health have also been examined. So far, there has been no clear evidence that treating gum disease prevents the occurrence or recurrence of heart disease.

So what should we do? This is the easy part. Keeping your gums and teeth healthy will increase your quality of life in immeasurable ways. And it’s not difficult! Regular brushing, flossing, and dental exams and cleanings at our Hellertown, PA office are the key to lasting oral health. If this also keeps your heart healthy, that’s the best possible side effect.

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Dr. Jason P. Tosto and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Dr. Jason P. Tosto will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Tosto Family Dentistry are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Hellertown, PA office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

You’ve learned a lot from your dentist and your family about how to take care of your teeth. You brush and floss, you wear a mouthguard when you’re active, and you have regular checkups and cleanings at our Hellertown, PA office.

And everything you’re doing is wonderful! The smile you see each day in the mirror reflects your hard work.

But what about the part of your smile you can’t see? Let’s take a look beneath the surface, and talk about your roots.

While our teeth look solid from the outside, there’s really a lot going on inside each tooth.

• The outside of every tooth is covered with a hard protective surface.

Enamel is the hardest material in our bodies, and covers the crown. This is the part of the tooth we can see above our gums.

Our roots are hidden below our gums, and are covered with cementum instead of enamel. Cementum is hard, but it’s not nearly as strong as enamel.

• Just below a tooth’s enamel and cementum layers, we have dentin.

Dentin is a hard tissue, only a little softer than enamel. Most of our tooth is made of dentin. It surrounds and helps protect the center of the tooth and supports the enamel and cementum on the outside.

• Inside the center of each tooth, there’s an area called the pulp chamber.

The pulp holds tiny blood vessels and nerves. The blood vessels give the pulp nutrients, and the nerves are the reason that our teeth can feel sensitivity or pain.

Inside the roots, we also find pulp in the root canals. These canals are very small tunnels that run from the pulp chamber down through the root, ending in a tiny hole in the tip of the root. Blood vessels and nerves running through the canals connect the pulp tissue to our bodies’ blood and nervous systems.

Around your roots, there’s a lot going on, too. Smaller teeth like the incisors, our front teeth, usually have only one root. Bigger teeth, like molars, usually have two or three roots. And while you’re busy biting and chewing, what’s holding these roots in place?

• In your jaws, you have a spot where each tooth fits called a socket. But your tooth roots don’t just sit in the socket. That wouldn’t be very secure!
• Instead, you have a periodontal ligament surrounding the roots of each tooth. Think of the ligament as groups of tissue fibers that can attach to both the cementum on your root and the bone in your jaw. This double attachment holds your teeth firmly in place. The ligament also helps cushion your teeth from the heavy pressures of chewing.
• To make things even safer for your roots, your gums help cover them and protect them from bacteria and decay.

As you can see, your body is working hard to protect your roots. What’s the best thing you can do to keep your roots healthy? Do everything you’re already doing!

• Keep up with your brushing and flossing, and your visits to our office. These good habits protect the teeth and gums you can see, and also the roots that you can’t see.
• Avoid oral habits that put lots of pressure on your teeth and roots. Biting down on pencils, or ice, or nut shells, or anything not meant for regular eating means you’re risking a cracked tooth.
• Be safe! Wear your mouthguard when you’re active.
• Don’t wait to tell your adult if your tooth hurts. Remember, those nerves inside your teeth and roots are there to warn you if your tooth is damaged. Dr. Jason P. Tosto will be able to find out what’s wrong and have you feeling better in no time.

Even though you can’t see them, your roots are one important reason you have your beautiful smile. Taking good care of your teeth now is a way to make sure you have beautiful, healthy smiles for a lifetime!

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Dr. Jason P. Tosto and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

• Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
• There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
• Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

• Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
• You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
• If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Hellertown, PA office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.