Oral Health During Pregnancy: Essential for Both Mother and Baby

Oral Health During Pregnancy: Essential for Both Mother and Baby

During the nine months of pregnancy, women experience physiological changes that can affect the health of their gums and teeth.

The increase in circulating oestrogen levels leads to a thickening of the mucous membranes and a heightened tendency towards fluid retention, placing additional strain on the gums. Redness and bleeding are the classic signs of pregnancy gingivitis.

Clinical evidence has also highlighted a connection between gum disease and the risk of preterm birth. In other words, women who suffer from periodontal issues during pregnancy show a higher incidence of premature delivery.

Hormonal fluctuations also alter saliva composition. Saliva becomes more acidic and richer in glycoproteins, making it thicker and more viscous. This prevents it from carrying out one of its main protective functions: buffering acids and helping prevent tooth decay.

Frequent nausea and/or acid reflux further contribute to an increasingly acidic environment, which can lead to enamel erosion.

The use of Cariex®, a completely natural product based on Bicarbonate and Xylitol, allows for an immediate rise in pH, reducing the risk of Cavities, Dental Erosion, and Gingival Sensitivity. A professional Oral Hygiene session is also recommended before the 35th week of pregnancy.

Thrush in Infants: 4 Ways to Get Rid of It

Thrush in Infants: 4 Ways to Get Rid of It

Children who become irritable, who cry inconsolably for no apparent reason, who refuse to eat despite being hungry… but what is going on? As parents, we often feel helpless in the face of these mysterious ailments that torment our little ones.
However, when a yawn from a baby or infant reveals a white coating on the tongue, the answer may be within reach: it could be oral thrush.

What is Oral Thrush?

Oral thrush is an infection of the oral cavity affecting on average 7 out of 10 children. Due to their still-developing immune system, infants up to 10 weeks of age are particularly susceptible to oral thrush, although this type of infection can also affect older children and even adults.

The microorganism responsible for this unpleasant condition is a fungus — Candida albicans — naturally present on the skin and in healthy mucous membranes. Generally this fungus is harmless, but when it begins to proliferate uncontrollably, infections can develop. This can occur, for example, following antibiotic treatment that lowers the body’s defences, or — as mentioned — in young children, where the immune system is not yet capable of properly controlling the multiplication of the fungus. Candida can proliferate in various parts of the body, with a preference for warmer and more humid areas, such as the nappy area. Particular attention should be paid to breastfeeding mothers: Candida can in fact pass from the baby’s mouth to the mother’s breast, infecting the mother as well.

Although it is a very common infection, certain groups of children may be more susceptible. Premature babies or those born with a very low birth weight, for example, may have a particularly fragile immune system and therefore be less equipped to fight off Candida.
In some cases, Candida can be transmitted to the baby during natural childbirth if the mother is affected by vaginal candidiasis.

Thrush: 4 Steps to Get Rid of It!

Although it does not generally represent a serious threat to their health, oral thrush is very distressing for young children, and it is important to resolve it as quickly as possible to allow our little ones to sleep soundly again. The most evident symptom is the appearance of whitish spots and patches on the mucosa of the tongue, the inner cheeks, and the gums. These patches should not be confused with milk residues, which are washed away spontaneously by saliva and cause no discomfort whatsoever. Oral thrush in children can make the mouth sore and inflamed. As a consequence, the child may drool excessively, become irritable, or even refuse food.
Oral thrush lesions must absolutely not be scraped off in an attempt to remove them: doing so would only worsen the inflammatory state, leading to the development of reddened and painful areas and causing the child even greater distress.

So, how can we deal with this condition? Here are four helpful tips to combat oral Candida in children.

prevention

As we have already seen, Candida is a microorganism that naturally lives on our children’s bodies without causing harm, so it is neither possible nor necessary to eliminate it entirely. It is however advisable to pay particular attention to the cleanliness of everything that comes into contact with our children’s mouths, in order to avoid creating fertile ground for its proliferation. It can therefore be very useful to sterilise dummies and bottle teats frequently, favouring materials such as silicone, which are less susceptible to microbial attack and better able to withstand high temperatures. The same treatment should be applied to toys.

Nutrition

In older children who have already completed weaning, diet can provide concrete help in combating oral candidiasis. Like many harmful microorganisms, the one responsible for oral thrush also has a particularly strong “sweet tooth”. Let us teach our children to favour healthy, low-sugar foods: it is therefore best to keep consumption of snacks, biscuits, chocolate, and sweets to a minimum, and to keep a watchful eye on fruit intake — paying particular attention to grapes, figs, and bananas, which are very high in sugar!

Medical Treatment

Thrush often resolves on its own, but when it is persistent and disrupts the day-to-day life of your little ones (and yours as a parent!), it may be necessary to consult your family pediatrician. Oral Candida infections can be treated with antifungal medications, which must be taken only under medical prescription and supervision. Never self-medicate!

Helping Relieve Oral Discomfort

Saliva substitutes can play an important role in supporting oral well-being in young children affected by thrush. These products can be used after meals to reduce oral acidity and restore a neutral pH, creating an environment that is unfavorable for Candida growth. Normally, saliva performs this buffering function, but it takes about 40 minutes to do so; using a saliva substitute immediately after eating helps bridge this “gap” in saliva activity.

These products are also designed to provide immediate relief from inflammation. Ideally, choose formulations that adhere to the mucosa, prolonging the soothing effect. Spray formats are especially convenient, as they are easier to use with younger children who may be less cooperative.

Xerostomia: An Effective Saliva Substitute

Xerostomia: An Effective Saliva Substitute

Oral dryness is a rather complex condition – often underestimated and, above all, quite frustrating for those who experience it. It is very common among older adults, especially women, and affects roughly a quarter of the population.

Saliva plays a crucial role in many processes: it not only keeps the mouth moist, but also aids digestion, protects teeth from decay, prevents infections by controlling oral bacteria, and makes chewing and swallowing possible.

This issue can range from a mild, temporary reduction in salivary flow – often linked to stress or nervousness – to more complex conditions that compromise oral health, involving both hard and soft tissues.

Dry mouth, also known as Xerostomia, is in fact just a symptom of a range of diseases that affect the salivary glands and alter their ability to produce saliva.

Although a direct scientific link between reduced salivary flow and age has not yet been established, there is a clear correlation between pharmacological therapies and the lack of salivary flow in elderly patients. Several conditions are also associated with the presence of xerostomia, including Sjögren’s Syndrome, Diabetes, Rheumatoid Arthritis, and Systemic Lupus Erythematosus, as is observable in individuals undergoing radiotherapy treatment.
The lack of salivation is an increasingly pressing issue that can prove particularly distressing for those who suffer from it. To date, none of the saliva substitute products available on the market has proven capable of effectively controlling the symptoms associated with oral dryness.

With this in mind, Cariex® was developed in collaboration with the University of Insubria in Varese. It is a new spray, suitable for use at any time of day and also during the night. The product is based on bicarbonate, ensuring excellent control of salivary pH, lubrication of the oral mucosa, and therefore an immediate sensation of relief for those suffering from xerostomia or hyposalvation.

Sodium bicarbonate dissolves in water and carbon dioxide in the presence of acidity, meaning Cariex® can be used repeatedly throughout the day and during the night by applying the spray directly to the oral mucosa, with no contraindications or side effects. Cariex® is also capable of resolving issues of oral Candidiasis and Halitosis frequently associated with reduced salivation. Furthermore, by controlling acidity, Cariex® reduces the occurrence of cavities and erosion typically observed in those suffering from xerostomia.

Cariex® serves as a reliable saliva substitute. In addition to restoring a neutral pH in the oral cavity, its combination with xylitol helps combat bacteria and infections.

The presence of hyaluronic acid further supports tissue healing, keeps mucous membranes hydrated, and reduces discomfort. It is simple to use: just three sprays whenever dryness occurs and after each meal.

 

© 2016 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd: “Impact of a sodium carbonate spray combined with professional oral hygiene procedures in patients with Sjogren’s syndrome: an explorative study” – Alessio Gambino, Roberto Broccoletti, Adriana Cafaro, Marco Cabras, Paola Carcieri and Paolo G. Arduino. Department of Surgical Sciences, CIR – Dental School, University of Turin, Turin, Italy.

Dry Mouth and Diabetes: a Common Pairing

Dry Mouth and Diabetes: a Common Pairing

The feeling of having a dry mouth is a common discomfort that can stem from many different causes. One of the conditions that deserves particular attention is diabetes, which often includes so-called xerostomia among its symptoms.

Diabetes mellitus is one of the most widespread diseases in the world, and according to the World Health Organization, it affects over 340 million patients. The most common symptoms of diabetes are an uncontrolled increase in the sensation of hunger and thirst, physical malaise, and — in blood tests — an elevated blood sugar concentration. In patients with diabetes, a malfunction occurs in the glucose metabolisation process due to insufficient or absent production of the hormone responsible for this process: insulin.

Some complications of diabetes are well known and routinely monitored, such as vision problems or issues related to peripheral circulation. However, the oral cavity can also be affected. This often results in infections of the oral mucosa or, indeed, xerostomia.

In general, dry mouth can be caused by reduced saliva production by the salivary glands or by changes in the composition of the saliva itself. In the case of diabetes, both factors contribute to the discomfort affecting the oral mucosa.

What’s the connection between diabetes and dry mouth?

Dry mouth is a very common condition, affecting up to one-third of the population. However, in people with type 1 and type 2 diabetes, the incidence of xerostomia increases significantly, reaching as high as 50% of diabetic patients.

In the case of individuals affected by diabetes, a true vicious cycle develops: high blood sugar levels lead to an equally high concentration of glucose in the saliva. The harmful microorganisms that naturally inhabit the mouth — and are normally kept under control by the immune system and the action of saliva — feed precisely on sugars. Faced with a particularly abundant feast, they therefore thrive, leading to conditions such as stomatitis or oral thrush. Furthermore, the presence of these pathogenic microorganisms acidifies the oral cavity; in the absence of the correct buffering action of saliva, this acidity damages tooth enamel.

There are several causes behind dry mouth in people with diabetes, and all should be considered as part of proper disease management.

Patients with diabetes are more susceptible to dehydration. In the presence of this disease, glucose — a type of sugar — tends to accumulate in the blood. The kidneys are therefore forced to work overtime to filter and absorb this excess sugar. If diabetes is not correctly managed with the appropriate therapy, the kidneys may struggle to perform this task: the excess glucose is then expelled together with urine, drawing further fluids from the tissues through osmosis. This leads to dehydration, which is further exacerbated by the tendency towards more frequent urination in diabetic patients.

This overload on the kidneys can, over time, compromise their function. One of the most frequent complications of diabetes is in fact progressive renal insufficiency. If left untreated, renal insufficiency can result in severe kidney failure; even in the early stages, however, the condition leads to difficulties in the management of bodily fluids and, as a side effect, the sensation of dry mouth.

Another major warning sign – and one of the most serious conditions linked to diabetes – is elevated blood sugar levels. Hyperglycemia carries several risks, including long-term vision loss. But even at earlier stages, excess blood sugar can translate into a high concentration of glucose in the saliva as well. This consequently makes people with uncontrolled diabetes more susceptible both to xerostomia as a symptom of hyperglycaemia, and to diseases that count dry mouth among their symptoms. Oral candidiasis or oral thrush, for example, thrives in sugar-rich environments… and for people with diabetes, this can be a matter of considerable concern!

Finally, some medications used to treat diabetes may also list dry mouth as a side effect.

How to Relieve Dry Mouth When You Have Diabetes

A persistent feeling of dry mouth is one of the symptoms that may suggest the presence of diabetes. Therefore, if the condition does not resolve with a few simple measures, it is advisable to consult a doctor for further investigation.

In cases where diabetes has already been diagnosed, the first essential step is adhering to the treatment plan prescribed by a specialist. Taking insulin and other medications used to control blood sugar levels as directed is the foundation for maintaining overall health – and, consequently, oral health as well.

People with diabetes can also adopt healthy habits – always under medical supervision – that help keep the mouth properly hydrated. These include limiting salty or spicy foods and caffeine, avoiding smoking, and paying special attention to oral hygiene. As we’ve seen, the mouth is particularly vulnerable in diabetes, so extra care is often needed.

While certain medications can stimulate saliva production, quick relief from the burning sensation of dry mouth can also be achieved through simple, natural remedies – such as oral sprays like Cariex®. Oral sprays made with natural ingredients, such as baking soda to reduce acidity, xylitol to support dental health, and hyaluronic acid – an intensely hydrating molecule naturally present in our cells – provide fast and soothing comfort. When in doubt, it’s always best to seek professional advice. Living well with diabetes is absolutely possible, and keeping your mouth healthy is everyone’s right.

Dry Mouth at Night: How to Prevent the Condition

Dry Mouth at Night: How to Prevent the Condition

After a long night’s sleep, waking up may not always be a pleasant experience. Opening your eyes only to find your mouth dry and sticky is certainly not an agreeable sensation! Dry mouth at night is not in itself a disease, but rather a symptom that can be managed with a few simple measures and a helping hand from nature.

But what causes this bothersome symptom?

Causes of Dry Mouth

One of the most common causes of waking up with a dry mouth… isn’t directly related to the mouth itself! In the presence of nasal obstruction caused by a cold, sinusitis, or a deviated nasal septum, it is quite normal to find oneself sleeping with the mouth open. This habit results in the evaporation of the saliva that naturally lubricates the oral cavity. As a consequence of this sleeping pattern, the mucous membranes of the mouth, the cheeks, and the surface of the tongue dry out, giving rise to that unpleasant sticky sensation upon waking.

This situation is further aggravated in those who suffer from sleep apnoea — that is, those who have a tendency to hold their breath during sleep. This is a breathing disorder, very common among those who tend to snore frequently at night. Problems of this kind result in a tendency to resort to mouth breathing, and — as in the case of nasal obstruction — this leads to dehydration of the oral mucosa during sleep.

Sometimes the cause of dry mouth at night is not related to physical problems but to poor habits that can be addressed — such as insufficient fluid intake. Saliva is composed almost entirely of water; while during the day it is easy to drink frequently and therefore provide enough “raw material” for saliva production, at night we can only rely on the reserves accumulated during waking hours. Thus, if we do not drink enough during the day, oral hydration will suffer during sleep and the mouth will feel unpleasantly dry upon waking.
Still in relation to the body’s hydration level and its effect on nocturnal dry mouth, it is advisable to refrain from consuming caffeine and alcohol before going to bed. Not only can these substances interfere negatively with sleep, but they are also dehydrating, thereby worsening the condition of dry mouth.

Certain diseases — such as diabetes, Sjögren’s Syndrome, and autoimmune disorders such as rheumatoid arthritis — count dry mouth among their symptoms. During the night, this symptom can become more pronounced. The same can be said for certain medications, from common antihistamines used for allergies to various chemotherapy and radiotherapy drugs.

Finally, all of these causes have an even greater impact in the case of older individuals. On one hand, reduced fluid intake during the day — with consequent generalised dehydration — becomes more common with age; on the other, it has been scientifically demonstrated that as we age, the composition of saliva changes, making it less effective in its role of maintaining oral hydration.

Natural Remedies for Nighttime Dry Mouth and Healthy Habits

A first, simple remedy for waking up free from the discomfort of dry mouth is to make the bedroom a healthy and comfortable environment. It is important to ensure that the place where we spend our nightly hours has an adequate level of humidity, as dry air is a significant factor in the dehydration of the mucous membranes. The use of a simple room humidifier may be sufficient to achieve this.

Pay attention to the oral care products you use: many mouthwashes contain alcohol, which – even when used locally and not ingested – can contribute to drying out the mouth.

Drink plenty of fluids during the day, favoring water, herbal teas, and unsweetened infusions. It’s also helpful to keep a glass or bottle of water on your bedside table so that, if you get thirsty during the night, you can take a few sips without getting up. Sometimes a little convenience makes all the difference!

Another good daytime habit to promote restful sleep is limiting very salty foods (which benefits the whole body, not just the mouth) as well as spicy or heavily seasoned foods, especially at dinner.

Finally, if we wish to get the most out of these healthy habits — or if lifestyle changes alone prove insufficient to remedy the discomfort of dry mouth during sleep — nature offers a solution that can transform our nights: Cariex®, an oral spray that compensates for the insufficient action of saliva. This spray contains natural active ingredients, including bicarbonate — useful for balancing oral acidity — xylitol — indicated for restoring tooth mineralisation — and hyaluronic acid — a moisturising agent naturally present in our cells. Just a few sprays can help keep the mouth well hydrated, reducing the sensation of dry mouth upon waking.

Dry, Sticky Mouth: A Common Discomfort

Dry, Sticky Mouth: A Common Discomfort

We all know that unpleasant feeling: you wake up in the morning with a dry, parched tongue, or you’re getting ready for a night out and suddenly realize – horror – that your lipstick is sticking to your teeth. So annoying!

Dry mouth, often described as a sticky or cottony feeling, can be a brief and harmless nuisance, but at times it may hint at something more significant. The good news? There are several simple ways to ease this irritating symptom and feel better quickly.

What causes that dry, sticky-mouth feeling? More than you might think

There are many reasons your mouth can feel dry or “cottony.” Some are completely harmless or linked to everyday habits, while others are associated with specific health conditions. At the root of it all, though, is always the same issue: a lack of saliva, which means your mouth isn’t staying properly hydrated.

Most of us have, at some point, slept with our mouth open. Whether it’s because of a nasty cold or due to airway issues that lead to snoring, the result is the same – you wake up with your mouth feeling sticky and parched. Addressing the underlying cause can greatly help reduce that uncomfortable sensation.

As we get older, our bodies naturally struggle more to stay hydrated. This may be attributed to the tendency of older individuals to drink less, but also to the fact that, as we age, more medications are taken — which, as we shall see shortly, can affect saliva production. Therefore, while dry mouth is not a direct consequence of ageing, it does become a widespread issue among the older population.

Numerous medications count dry mouth among their side effects. Some are widely used for common conditions, such as antihistamines used to combat allergies or those prescribed to lower blood pressure; others are essential for treating more serious conditions, such as Parkinson’s disease medications or the many radiotherapy and chemotherapy drugs used in cancer treatment. Others still, such as those used to control urinary incontinence, are more frequently used by older individuals. This further amplifies the problem of dry mouth in older age, as we have seen previously.

And then there’s smoking. We all know it’s harmful, but its impact on oral health is often underestimated. Cigarette smoke doesn’t just stain your teeth – it also contributes to dehydration in the mouth, triggering or worsening that sticky, dry feeling.

On the contrary, drinking water… is beneficial! Maintaining the correct level of hydration by consuming an adequate quantity of fluids throughout the day is essential to avoid the effects of dry mouth. This is even more the case in high temperatures and during intense physical activity: when bodily fluids are “diverted” towards other functions — such as perspiration — the mouth will inevitably suffer. A word of caution, however: yes to fluid intake, but no to sugary or alcoholic beverages. Water or unsweetened herbal infusions are the ideal choice for staying hydrated. Alcoholic beverages, on the other hand, only increase dehydration — and the mouth suffers as a result!

We have already touched on this, and now we go into further detail: beyond these age-related or habit-related conditions, there are various diseases that include dry mouth among their symptoms. Certain psychiatric disorders, such as anxiety or depression, may present with dry mouth as a symptom — a symptom also common to conditions such as Parkinson’s disease, AIDS, and Sjögren’s Syndrome.

Symptoms of dry mouth: from mild discomfort to more serious issues

While the unpleasant feeling alone is enough to make anyone seek relief, a persistently dry mouth can sometimes lead to more significant problems.

One of the most common symptoms is bad breath, caused by bacterial growth that is normally kept in check by saliva. Lips, oral tissues, and the surface of the tongue can become so dry that they crack, leading to small but painful sores or even ulcers.

Saliva plays a fundamental role in keeping the mouth clean. In the case of insufficient production, the effects can go beyond simple lack of lubrication: if the delicate balance of the oral bacterial flora is disturbed, certain harmful microorganisms may gain the upper hand. As a result, what begins as a simple sensation of dry mouth can progress to candida infections (oral thrush), cavities, gingivitis, or stomatitis.

And there’s more – saliva is essential for tasting food properly. Excessive dryness can alter taste perception, a condition known as dysgeusia, often leaving a persistent unpleasant flavor in the mouth.

Finding relief: healthy habits and a little help from nature

Some causes of dry mouth are related to lifestyle choices. Small changes – quitting smoking, drinking more water, reducing sugary drinks, and limiting alcohol – can make a big difference. Using a bedroom humidifier can also help by preventing your mouth from drying out while you sleep.

For added support – or when dry mouth stems from factors you can’t control natural-ingredient oral sprays can offer effective relief. Hyaluronic acid, for example, helps maintain hydration and supports the natural moisturizing action of saliva. Products like Cariex® help soothe dryness, ease discomfort, and leave your mouth feeling fresher and healthier.