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Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Worcester staff members.

You and your endodontist are partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, seeing your dentist regularly, and making an appointment with Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants whenever endodontic treatment is needed.

And one more essential step you can take for your dental health? Let Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications that cause xerostomia allows Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants to both monitor the condition and suggest the most effective treatment options to counteract these unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you are taking can provide essential information for Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants to diagnose and treat these conditions.

Medications Interact

Medication might be needed for your endodontic treatment. Because certain drugs and supplements can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you are taking to arrive at your best treatment options.

• There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables us to choose an antibiotic option that won’t interact with your other medications.
• Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants can prescribe an alternative local anesthetic or adjust the dosage as needed.
• If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants to know if any of your medications will affect your treatment.

Anticoagulants, for example, are medications which prevent blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing clots. Because these medications prevent the blood from clotting, we need to know if you are taking such drugs before oral surgery.

If needed, Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

Your endodontist needs the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants:

• Diagnose and treat any side effects from non-dental medications which have affected your oral health,
• Prevent drug interactions from occurring, and
• Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our Worcester office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to partner with Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants for your best dental health!

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

• Avoid drinks that contain alcohol or caffeine
• Avoid tobacco use, or lower your consumption of tobacco
• Floss after every meal
• Brush your teeth after every meal using a fluoride toothpaste
• Avoid foods that have a high level of salt
• Stay hydrated and drink water frequently
• Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Worcester office a call or make sure to ask Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants during your next visit!

If you suffer from sensitive teeth, you already know the frustration of having a type of pain that is hard to deal with. Because tooth sensitivity is sometimes unpredictable, you can't necessarily take medication to ward off the pain like you could if you just felt a headache coming on.

However, there is still something you can do about sensitive teeth. Use the following tips to help put your sensitivity and pain problems with your teeth behind you!

Use the Right Toothbrush: Select a toothbrush made just for sensitive teeth, or the softest bristles possible. This helps you avoid putting any extra pressure on your teeth or gums.

Choose a Special Toothpaste: There are several good options for toothpastes made just for sensitive teeth today. Usually, toothpaste formulated for sensitive teeth will be fluoridated and use a non-abrasive formula. The toothpaste will help with the pain usually associated with brushing and flossing if you use it regularly.

Avoid Trigger Foods: You may have noticed certain trigger foods that cause tooth sensitivity and pain for you. Avoid these foods whenever possible, and if you absolutely must eat them, try to consume them in very small quantities. Trigger foods may include:

• Foods with high acid content for example citrus fruits
• Very hot or very cold foods
• Hard or crunchy foods

Visit Our Office

If your sensitive teeth problem is too serious to manage on your own, a visit to our Worcester office may be in order. There are a couple of ways Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants can help:

• Fluoride Treatments: We can put a special fluoride formula on the most sensitive areas to help make your enamel stronger and to help lower pain levels.
• Sealing Exposed Roots:In some cases, your roots become exposed due to a receding gumline, which in turn causes teeth sensitivity and pain. We can apply a dental sealant that protects the exposed roots and reduces your pain dramatically.