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Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

• Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
• Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

• Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Gender: Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV)
• A diet low in fruits and vegetables

During your next visit, Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Chicago office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

It’s done a wonderful job for you, but after three or four months, the time has come to retire your toothbrush. Bristles that once easily removed food particles and plaque have become frayed and just aren’t as effective. But now that you’re regularly changing out your toothbrush, what to do with those retired brushes besides add to the local landfill? Check out some recommendations from Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar for some second career options for that old toothbrush.

Make Your Jewelry Shine

A gentle brush with your favorite jewelry cleaner and your old brush will remove dirt from small spaces and filigree that a cloth just can’t reach. Do check that brushing is safe for your jewelry—pearls, for example, are not a good candidate.

Keep Your Woodwork Dust-free

Keep the details on your wood trim dust free with an old toothbrush. Baseboards are some of the hardest places to keep clean—even vacuums have difficulty getting dust and dirt out of trim. But an old toothbrush is perfect for cleaning the top, the grooves, and the inside corners of your baseboards. You can also remove dust from around door trim and inside window tracks.

Polish Sinks and Faucets

Use a repurposed toothbrush to remove build-up where the base of your faucet meets the sink, or around levers and handles. And don’t forget the metal ring around the drain!

Clean Kitchen Gadgets

Those miniature blades in your coffee maker or blender, the tiny holes in your cheese grater, the micro-openings in your microplane—small cleaning jobs need small tools! Try an old brush the next time you have a mini-cleaning problem.

De-grease Appliances

And while we’re in the kitchen, don’t forget your appliances. A toothbrush can clean grease around dials, handles, and knobs where a sponge can’t reach.

Refresh Your Grout

There are special brushes made just for scrubbing grout, but give your old brush a try first. Use your regular cleaning solution or paste for fresh, clean grout lines on your tile floors and counters. 

Keep Your Technology Sleek

Your keyboard has a busy life and it shows! Keep the spaces between your keys dust and crumb free with a clean, dry toothbrush. The next time you’re detailing your car’s interior, try a toothbrush for cleaning around buttons and dials on your dash. And don’t forget your remote controls, or any other place where keys, knobs, and buttons collect dust.

There’s still a lot of life left in that toothbrush! If you choose to reuse, do be sure to thoroughly clean your toothbrush before it transitions to another housekeeping detail. It’s worth the effort—your old brush will prove useful in any number of new ways, and your home—and the environment—will thank you!

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

• Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
• Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

• Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
• Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
• Brush your tongue gently to remove germs that can hide there.
• Use an anti-bacterial mouthwash to kill germs that are hard to reach.
• Keep track of how well your blood sugar is controlled and let Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar know at each visit.
• Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Chicago office for regular checkups and tell Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

A strong, healthy smile is built on a strong, healthy foundation. Let’s take a moment to explore just what creates that foundation—your roots.

The Root of the Matter

The visible part of your tooth is called the crown. And while we spent the great majority of our time thinking about what goes on above the gum line—brushing, flossing, whitening, sealing, preventing cavities—the roots, the parts of the teeth below the surface, are also essential to our dental health.

• What’s inside the root?

The inside of each tooth holds pulp, which is living tissue made of nerves, blood vessels, and connective tissue. The nerves in the pulp allow us to feel pain when a tooth is damaged, decayed, or infected. Tiny blood vessels provide oxygen and nutrients to the cells.

The inside of each root also contains pulp, located in one or more root canals. These canals are small tunnels that travel from the pulp chamber to the tip of each root. Nerves and blood vessels connect pulp tissue to the nervous and circulatory systems in the body, entering and exiting the tooth from very small openings in the root tip.

• What’s outside the root?

On the outside, while roots look like crowns, they’re covered with a different protective surface. Roots are covered by cementum rather than enamel. This is a hard tissue, but not as hard as enamel. But cementum has another advantage—it not only helps protect our teeth, it helps them stay anchored in our jaws. (More on this below.)

• How many roots are we talking about?

The number varies, not just depending on the tooth, but depending on the individual. Most adults have 32 adult teeth: eight incisors, four canines, eight premolars, eight molars, and four wisdom teeth, or third molars. Because the number of wisdom teeth can range from four to zero, though, that total can be smaller.

Rooted to the Spot

The reason that you can rely on your teeth for a lifetime of chewing, biting, and grinding food is the fact that they’re so securely anchored in the jaw.

• Alveolar bone in the jaw contains a socket for each tooth.

• A thin layer of connective tissue called the periodontal ligament lines the socket and surrounds each root. It’s filled with fibers that attach to the root’s cementum covering and to the alveolar bone, holding the tooth securely in place.
• The periodontal ligament not only anchors the tooth, it cushions it from the daily pressure of biting and chewing.
• Finally, the gums surround the teeth and bone, protecting them from bacteria and plaque.

Even though this design is very secure, there are situations where the root becomes vulnerable. In that case, you should see Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar at our Chicago office right away. Our goal is for you to keep your teeth healthy and strong, and for a lifetime!