Ketosis Breath: When Your Diet Affects Your Oral Health

The ketogenic diet has created buzz in the health community and for good reason. Many have found success in restricting their carb intake so that the body burns fat instead of glucose to lose weight. If you're following a keto diet, you might notice some unpleasant side effects that accompany the positive changes on the scale. For example, so-called ketosis breath is a common complaint. Understanding keto breath is the first step to ensuring your diet doesn't impair your oral health.

Ketosis and Your Breath

If a lower-carb lifestyle is supposedly healthy, then why does it result in foul-smelling breath? The answer is in how your body breaks down fats. After swapping a typical carb-heavy diet for one that promotes fats and protein, your body goes into ketosis. As the University of California, San Francisco explains, ketosis is a process wherein your body begins to burn fat for energy, since glucose stores (your body's preferred source of energy) aren't readily available. While in ketosis, your body converts fat cells into three types of ketones, which are fat byproducts. One of these ketones, called acetone, is essentially unusable for your body's energy stores. 

Therefore, your body releases it via your urine and lungs, notes Medscape. It's acetone that gives your breath that distinctive "ketosis" smell, which, according to Medline Plus, can be compared to an overly sweet, fruity scent.

Keto Diet and Oral Health

When swapping carbs for healthy fats and proteins, your body undergoes several changes. While ketosis breath is often associated with a low-carb lifestyle, the diet may also have a positive effect on your oral health. After all, in avoiding carbs, you're also avoiding processed sugars, which the American Dental Association counts among the worst foods for oral health. Because oral bacteria thrive on sugar, reducing your sugar intake may reduce cavities.

A low-carb diet may also help reduce inflammation. A study in BMC Oral Health found that a diet low in carbohydrates and high in omega-3 fatty acids resulted in lower rates of gingivitis and inflammation in patients. So while going low-carb may make your breath smell, it may actually help improve your overall oral health.

Freshening Up

If you've noticed that you have keto breath and you still want to continue your keto diet, consider some of these methods to deal with the smell:

• Chew sugar-free gum to help stimulate saliva and freshen your breath.
• Adjust your intake of complex carbohydrates, such as leafy green vegetables and whole grains, while continuing to avoid refined carbs.
• Fill a water bottle and sip throughout the day.
• Continue good oral health habits. A keto lifestyle, while beneficial for oral health, is not a substitute for daily brushing and flossing.
• Add fresh herbs to water and tea. Herbs such as clove, cinnamon, mint and fennel are natural breath fresheners.

Starting and continuing a ketogenic lifestyle should only ever be done with the supervision and approval of a qualified health care professional. While it's true that a keto diet may offer benefits for oral health, it has a few drawbacks as well. By addressing some of the roadblocks, you can make sure that your keto diet is as healthy as it is successful. To keep you on track, lessen the smelly side effects by brushing with Colgate Total Fresh Mint Stripe Gel toothpaste. It has a minty blend of gel and paste that leaves your mouth clean and fresh. 

The above article is from colgate.com

Honolulu Smile Design   
John Ha, DDS   
1481 S. King Street, Suite 303 
Honolulu, HI 96814   
(808) 941-2088   
HonoluluSmileDesign.com

Dental Emergency

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.

Here are some tips for common dental emergencies: 

• For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away. 
• For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. 
• If you bite your tongue or lip, clean the area gently with water and apply a cold compress. 
• For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues. 
• For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments. 

When you have a dental emergency, it’s important to visit your dentist or an emergency room as soon as possible.

Here are some simple precautions you can take to avoid accident and injury to the teeth:   

• Wear a mouthguard when participating in sports or recreational activities. 
• Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. 
• Use scissors, NEVER your teeth, to cut things. 

Most dentists reserve time in their daily schedules for emergency patients. Call your dentist and provide as much detail as possible about your condition.

The above article is from mouthhealthy.org

Honolulu Smile Design   
John Ha, DDS   
1481 S. King Street, Suite 303 
Honolulu, HI 96814   
(808) 941-2088   
HonoluluSmileDesign.com

New Year, Healthier Mouth

Below is an excerpt from an article found on mouthhealthy.org

What does ringing in the new year have to do with being mouth healthy? 

More than you may think. Did you know that you should replace your toothbrush every three to four months? Bristles that become frayed and worn are less effective at cleaning your teeth. That means, celebrating the new year with a brand new toothbrush is actually smart dental hygiene.

Here are MouthHealthy resolutions:

• Start brushing 2min2x. Always brush twice a day for two minutes for healthier teeth, good breath, fewer cavities, and to avoid painful dental problems. 
• Floss daily. Flossing is part of being mouth healthy.
• Chew sugarless gum. Chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.
• Eat a healthy diet. Eat a balanced diet and limit between-meal snacks.
• Drink fluoridated water. Fluoride helps prevent cavities by making teeth more resistant to the acid attacks that cause cavities.
• See your dentist. Regular dental visits will help you be Mouth Healthy for Life.  

To read the entire article visit mouthhealthy.org

Honolulu Smile Design   
John Ha, DDS  
1481 S. King Street, Suite 303
Honolulu, HI 96814  
(808) 941-2088  
HonoluluSmileDesign.com

Finding A Dentist

Below is an excerpt from an article found on colgate.com

How Do I Look for a Dentist? 

A good place to start is by asking for a referral from people you trust — your friends, family, acquaintances, work associates, pharmacist or family doctor. Ask them how long they've gone to their dentist, how comfortable they feel asking questions, what type of dentist they go to (general or specialist). It is important that you find a dentist with whom you feel comfortable.

Other ways to find a dentist include:

• Calling your local dental society for a list of recommended dentists in your area. Your local dental society can be found in the Yellow Pages under "dentist."
• Searching online for dentists in your area. More and more dentists have websites explaining their approach and treatment methods.

What Kind of Dentist Should I Look for?

General dentists are trained to do all types of treatment. If you have difficult or unusual problems, your dentist may refer you to one of the following specialists:

• Pediatric Dentists/Pedodontists specialize in pediatric (children's) dentistry.
• Endodontists diagnose and treat diseased tooth pulp and perform root canal work (many general dentists also perform root canals).
• Prosthodontists specialize in crowns, bridges and dentures.
• Oral pathologists use laboratory procedures to diagnose diseases of the mouth. They also specialize in forensic dentistry.
• Oral/Maxillofacial surgeons perform surgical treatments, such as removing cysts, tumors and teeth. They can correct fractures or other jaw problems that require surgery, including temporomandibular joint (TMJ). They also use methods similar to those of plastic surgery to treat cosmetic problems of the jaw and face.
• Orthodontists correct improperly positioned teeth, using braces and other appliances to move teeth into a better position.
• Periodontists specialize in the diagnosis and treatment of gum disease.

How do You Become a Practicing Dentist?

A general practitioner or specialist can be degreed as either a D.D.S. (Doctor of Dental Surgery) or a D.M.D. (Doctor of Dental Medicine), depending on the school from which he/she graduated. The requirements for each degree are identical: four years of post-graduate study for general practice plus one to two years of advanced study for a particular specialty. A graduate must then pass a state licensing examination in order to begin practice.

To read the entire article visit colgate.com

Honolulu Smile Design   
John Ha, DDS  
1481 S. King Street, Suite 303
Honolulu, HI 96814  
(808) 941-2088  

HonoluluSmileDesign.com

Root Canals: FAQs About Treatment That Can Save Your Tooth

If you have a severely damaged, decaying tooth or a serious tooth infection (abscess), your dentist may recommend a root canal treatment. Root canals are used to repair and save your tooth instead of removing it. 

What’s Involved in Root Canal Repair?

The pulp is soft tissue inside your tooth that contains nerves, blood vessels and provides nourishment for your tooth. It can become infected if you have: 

• A deep cavity
• Repeated dental procedures that disturb this tissue
• A cracked or fractured tooth
• Injury to the tooth (even if there’s not a visible crack or chip)

If untreated, the tissues around the root of your tooth can become infected. When this happens, you will often feel pain and swelling and an abscess may form inside the tooth and/or in the bone around the end of the root of the tooth. An infection can also put you at risk of losing your tooth completely because bacteria can damage the bone that keeps your tooth connected to your jaw.

Can I Get This Treatment Done During My Regular Check-up Visit?

Your dentist will need to schedule a follow up appointment, or you may be referred to a dentist who specializes in the pulp and tissues surrounding the teeth. This specialist is known as an endodontist.

What Should I Expect?

A root canal treatment usually takes 1 or 2 office visits to complete. There is little to no pain because your dentist will use local anesthesia so you don’t feel the procedure. Once the procedure is complete, you should no longer feel the pain you felt before having it done. 

Before treatment begins, your dentist will:

• Take X-rays to get a clear view of your tooth and the surrounding bone. 
• Numb the area around and including your tooth so you are comfortable during the treatment. 
• Put a thin sheet of latex rubber over your tooth to keep it dry, clean and protected from viruses, bacteria and fungus that are normally in the mouth.

During treatment, your dentist will:

• Create an opening in the top of your tooth.
• Remove the tooth’s nerve from inside the tooth and in the areas in the root, known the root canal. 
• Clean inside the tooth and each root canal. Your dentist may treat the tooth with germ-killing medicine.
• Fill the root canals with a rubber-like material to seal them against future infection.
• Place a temporary filling on the tooth to protect it until a definitive restoration like a permanent filling or crown can be placed at the earliest opportunity.

After root canal treatment:

• Your tooth and the area around it may feel sensitive for a few days. You can talk with your dentist about how to relieve any discomfort you may have.
• Your dentist may prescribe antibiotics if the infection spread. Use as directed, and follow up with your dentist if you have any problems taking it.

You will need a follow-up visit after the root canal treatment. At this visit, your dentist will remove the temporary filling on the tooth and replace it with a regular filling or a crown to protect your tooth from further damage. A metal or plastic post may also be placed in the root canal to help make sure the filling materials remain in place. This helps support a crown if you need one.

How Long Will a Root Canal Filling Last?

With proper care, your restored tooth can last a lifetime. Make it a point to brush twice a day for two minutes with fluoride toothpaste, clean between your teeth once a day and see your dentist regularly to make sure your teeth are strong and healthy.

To read the entire article visit mouthhealthy.org

Honolulu Smile Design   
John Ha, DDS  
1481 S. King Street, Suite 303
Honolulu, HI 96814  
(808) 941-2088  
HonoluluSmileDesign.com

Dentist: Doctors of Oral Health

Learn more about what the American Dental Association has to say about the role played by Dentists!

The above video is found on the American Dental Association YouTube Channel.

Honolulu Smile Design   
John Ha, DDS  
1481 S. King Street, Suite 303
Honolulu, HI 96814  
(808) 941-2088  
HonoluluSmileDesign.com

Difference Between DDS and DMD

Below is an article found on MouthHealthy.org.

If you’re looking to find a dentist you may notice that while most are listed with a “DDS”, some may be listed as “DMD”. They both mean the same thing-your dentist graduated from an accredited dental school. The DDS (Doctor of Dental Surgery) and DMD (Doctor of Medicine in Dentistry or Doctor of Dental Medicine) are the same degrees. Dentists who have a DMD or DDS have the same education. It’s up to the universities to determine what degree is awarded, but both degrees use the same curriculum requirements.

Did you know that the level of education and clinical training required to earn a dental degree is on par with those of medical schools?
Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. Upon completion of their training, dentists must pass both a rigorous national written exam and a state or regional clinical licensing exam in order to practice. In order to keep their licenses, they must meet continuing education requirements for the remainder of their careers so that they may stay up to date on the latest scientific and clinical developments. Additional post-graduate training is required to become a dental specialist, such as an orthodontist, periodontist or oral and maxillofacial surgeon.

To read the entire article visit MouthHealthy.org.

The article also contains links about: 

• Looking for a dentist? 
• Interested in a dental career?

Honolulu Smile Design   
John Ha, DDS   
1481 S. King Street, Suite 303 
Honolulu, HI 96814   
(808) 941-2088   
HonoluluSmileDesign.com

Top Dental Symptoms: Cracked or Broken Teeth

A cracked or broken tooth can happen for a variety of reasons- brittle teeth, teeth grinding, injury. The crack may be invisible to the naked eye and even X-ray, but they can be incredibly painful and create bigger problems if left untreated. If you experience pain when chewing see your dentist. They can diagnose the cause and develop a plan for treatment.

Above article from: MouthHealthy.org

Honolulu Smile Design   
John Ha, DDS   
1481 S. King Street, Suite 303 
Honolulu, HI 96814   
(808) 941-2088   
HonoluluSmileDesign.com

Dentist Honolulu HI

John Ha, DDS, is pleased to be able to offer beautiful smiles to his neighbors in Honolulu and the surrounding communities.

Dr. Ha earned his bachelor's and dental degrees from Creighton University, where he also completed a dental post-baccalaureate program. He has engaged in extensive postgraduate education, with specific training in dental implant placement and restoration, endodontics (root canal treatment), restorative dentistry, and cosmetic dentistry. Certifications in CEREC™ one-visit crowns, Invisalign™ clear aligners, and the Inman Aligner™ demonstrate his achievements in education and training that allow him to provide many options for his patients to obtain the smiles of their dreams. Recent programs in advanced bone grafting and complex implant restoration mean even more patients can receive full-mouth implant restorations without having to be referred to another office. Dr. Ha's commitment to lifelong education means he is constantly evaluating emerging dental methods and technologies in order to provide his patients with the best results in the least invasive manner with a high emphasis on comfort. This commitment ensures the highest level of care, both today and tomorrow.

Dr. Ha is a member of the American Dental Association and the Academy of General Dentistry. He is proud to mentor newly graduated dentists, and he has served as a dental volunteer for Project Homeless Omaha, One World Community Health Services, Give Kids a Smile, and We Serve Day. He has been featured in Dentaltown magazine and Austin MD magazine. In his spare time, Dr. Ha enjoys spending time with his wife Julie and their rescue dog Calvin, running, and cooking new foods.

Honolulu Smile Design
John Ha, DDS
1481 S. King Street, Suite 303
Honolulu, HI 96814
(808) 941-2088
HonoluluSmileDesign.com