Tandlægerne Mikkelsen

11/05/2026

17/04/2026

Bruxism Highyield Points ⬇️

Definition
🔹 Parafunctional grinding/clenching/rubbing of teeth
🔹 Can be awake or during sleep

Types
🔹 Awake bruxism: stress/anxiety-related clenching
🔹 Sleep bruxism: centrally mediated sleep-related movement disorder

Etiology
🔹 Central factors most important: stress, anxiety, psychosocial factors, sleep micro-arousals
🔹 Drugs: SSRIs (fluoxetine, sertraline), amphetamines, co***ne
🔹 Associated conditions: OSA, Parkinson disease, GERD
🔹 Occlusion is not a primary cause

Clinical features
🔹 Teeth: attrition/wear facets, fractures, hypersensitivity, abfraction, ↓ VDO
🔹 Muscles: masseter hypertrophy → square jaw, morning pain/fatigue
🔹 TMJ: pain, clicking, popping, limited opening
🔹 Soft tissue: linea alba, scalloped tongue

Management
🔹 Goal: protect teeth, reduce muscle activity
🔹 Hard acrylic night guard
🔹 Soft splints usually avoided
🔹 Stress control, biofeedback, relaxation, sleep hygiene
🔹 Severe cases: cyclobenzaprine short term or Botox
🔹 Suspect OSA → sleep study; suspect SSRI-induced → physician review

High-yield pearl
🔹 SSRI + new bruxism = classic board association
🔹 Square jaw + wear facets + scalloped tongue = bruxism

31/01/2026

18/12/2025

This is what an untreated cavity really looks like — from the inside.

The dark area at the top is advanced dental caries, where bacteria have destroyed the enamel and dentin. Beneath it lies the pulp chamber, rich in nerves and blood vessels — shown here inflamed and exposed.

Once decay reaches this depth, pain is no longer just “toothache.” It is nerve infection, inflammation, and a gateway for bacteria to enter the bloodstream.

At this stage, a simple filling is no longer enough. Treatment usually requires root canal therapy or extraction — both more complex, costly, and invasive than early care.

17/12/2025

En syg mund giver en syg krop.

Hvis man har caries og gingivitis som barn, har man forhøjet risiko for diabetes og hjerte-karsygdom som voksen.

38 % af den voksne befolkning har caries (huller i tænderne).
50-90 % af befolkningen har gingivitis (tandkødsbetændelse).
40 % af den voksne befolkning har parodontitis (betændelse i tandkød, støttevæv og knogle).

Inflammation ét sted i kroppen nærer inflammation andre steder i kroppen. Parodontitis giver lavgraderet systemisk inflammation i kroppen.

Hvis man har parodontitis, har man forhøjet risiko for bl.a.: diabetes, hjerte-karsygdom, leddegigt, Alzheimers, Parkinsons, kræft, hjerneabscesser, lungesygdomme, leversygdomme, nyresygdomme, psoriasis, erektil dysfunktion, graviditetskomplikationer samt social ulighed, ensomhed, arbejdsløshed.

Vi ved fra forskningen at behandling af parodontitis fx kan forbedre langtidsblodsukkerværdierne sv.t. hvad man får ud af medicinsk behandling af diabetes, og forkorte helingsperioden og reducere antibiotikaforbruget efter en operation eller hospitalsindlæggelse.

Tandkødsbetændelse og parodontitis bør anses som præ-diabetes, præ-hjertekarsygdom, præ-gigt og præ-alt-muligt-andet!

En syg mund giver en syg krop.

Og en syg krop har høje omkostninger for samfundet. Især ender regningen i resten af social- og sundhedsvæsenet.

Men alligevel er mundhulen og behandling af tandsygdomme stadig ekskluderet fra diverse tilskudsordninger og nu også tandkonto).

Kh Anne Mette Stougaard
En frustreret tandlæge og hovedbestyrelsesmedlem i Tandlægeforeningen

DEL DETTE OPSLAG, hvis du synes budskabet trænger til at blive udbredt (fx til vores politikere).

(Foto: Bui et al 2019)

28/11/2025

https://www.facebook.com/share/17Lezbtx94/?mibextid=wwXIfr

Brushing before bed does more than keep your mouth clean — it may also support your heart. Overnight, oral bacteria multiply and can slip into the bloodstream, triggering inflammation that plays a role in heart disease.

Maintaining a nightly brushing habit lowers bacterial buildup, keeping gums healthier and reducing the chance of these microbes entering circulation. A cleaner mouth means less internal stress on the heart.

Research from the National Library of Medicine links consistent nighttime brushing with a lower risk of cardiovascular complications. A small daily habit could contribute to stronger long-term heart health.

13/10/2025

🦷 New Study Finds Oral Bacteria Inside Heart Arteries — Suggesting a Direct Link Between Dental Biofilm and Heart Attacks 🦠🫀

A recent study published in the Journal of the American Heart Association (August 2025) has identified DNA from oral bacteria—specifically Viridans streptococci—within nearly half of examined coronary artery plaques. Researchers analyzed arterial samples from patients who had suffered heart attacks and discovered that these bacteria were organized as biofilms, not free-floating cells.

Biofilms are dense bacterial communities encased in a protective matrix. Once formed, they can evade immune defenses and persist for long periods. The study suggests that when these biofilms are disturbed, they may trigger localized inflammation and plaque rupture, both critical events that can lead to myocardial infarction.

This research strengthens the growing evidence that poor oral hygiene and untreated gum infections may have systemic consequences far beyond the mouth. While a direct cause-and-effect pathway is still being studied, the findings highlight how oral microorganisms can infiltrate the bloodstream and integrate into vascular tissues—potentially linking chronic dental biofilm with cardiovascular disease progression.

The study underscores an emerging scientific perspective: the mouth may serve as an entry point for bacteria involved in heart pathology, redefining how both dental and cardiovascular health should be understood in the context of whole-body disease prevention.

🔬Sources:
Karhunen PJ, Pessi T, Karhunen V, et al. Viridans Streptococcal Biofilm Evades Immune Detection and Contributes to Inflammation and Rupture of Atherosclerotic Plaques. Journal of the American Heart Association. 2025

28/09/2025

Tandbørstning er ikke kun godt for et smukt smil. Så de få minutter hver dag, hvor du børster dine tænder, gør faktisk en stor forskel, fortæller hun.

Få tandlægens bedste råd til, hvordan du holder din mund sund via linket i kommentarsporet.

17/07/2025

Klinikken holder sommerferie fra d. 18.7. Vi er tilbage igen 11.8., og ønsker alle en dejlig sommer.