Posts for tag: gum disease
In the fight against dental disease and other conditions your general dentist is your first line of defense for prevention strategies and treatment. Sometimes, however, your condition may require the services of a dental specialist to restore health to your mouth.
A good example of this is an advanced case of periodontal (gum) disease. While your dentist and hygienist are quite skilled at removing plaque and calculus, there may be extenuating circumstances that may benefit from the knowledge and expertise of a specialist. In the case of gum-related issues that would be a periodontist, a dentist who specializes in the diagnosis and treatment of diseases or disorders related to the gums and bone that support teeth.
There are a number of reasons why you may be referred to a periodontist regarding your gum health. Besides advanced stages of the disease (loose teeth, periodontal pocketing or bone loss) that require surgery or other invasive techniques you may have a particular form that requires advanced treatment, or a secondary condition, like pregnancy or diabetes, which could impact your periodontal condition. There may also be a need for a periodontist’s consultation if you’re preparing for cosmetic restoration, most notably dental implants, that could have a bearing on your gum and bone health.
As your primary oral health “gatekeeper,” your general dentist is largely responsible for determining what you need to achieve optimal health. Likewise, your periodontist or other specialists for other problems will be equally committed to providing you the right care for your situation. Your general dentist and other specialists will work together to ensure that your condition will be cared for, and that you’ll continue to enjoy the highest level of oral health possible.
If you would like more information on the role of periodontics and other dental specialties in oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Referral to a Dental Specialist.”
Periodontal disease may start in the gums’ superficial layers, but it’s not likely to stay there. As the disease moves deeper it can wreak havoc on tooth roots and bone as well as gum tissue attachments. Teeth with multiple roots are in particular peril because of the “forks” called furcations that form where the roots separate from each other. Infected furcations can be very difficult to treat.
We primarily treat gum disease by removing its main source, a thin film of bacteria and food particles called dental plaque that builds up on teeth. To remove it we most often use special hand tools or ultrasonic equipment to vibrate it loose. As the plaque and tartar diminish, the infection begins to wane.
But we can’t be completely successful in stopping the disease if any lingering plaque deposits remain. This especially includes furcations where the infection can cause significant damage to the roots. Although cleaning furcations of plaque can be difficult, it’s not impossible with the aforementioned tools and antimicrobial substances to disinfect the area.
The real problem, though, is access—effectively getting to the furcations to treat them. We may need to perform a surgical procedure called flap surgery where we create a hinged flap in the gum tissue to move it aside and access the root area beneath. Afterward we replace the flap and suture the tissue back in place.
In some cases, the infection may have already caused significant damage to the tissue and underlying bone. We may therefore need to graft gum or bone tissues to these damaged areas to stimulate re-growth. We may also need to surgically reshape the gum attachments around a tooth to make it easier in the future to access and clean the area.
These additional treatments around furcations can be very involved and labor-intensive. That’s why the best outcomes occur if we’re able to start treatment in the early stages of an infection. So, if you notice red, swollen or bleeding gums contact your dentist as soon as possible. Treating gum disease as early as possible will help ensure your tooth roots won’t suffer extensive damage.
If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “What are Furcations? Branching Tooth Roots can be Periodontal Nightmares.”
September is National Gum Care Month, an ideal time to talk about how to keep your gums healthy. Unfortunately, nearly half of adults have gum disease, which can damage the soft tissue and bone supporting the teeth. In fact, advanced gum disease is the number one reason for tooth loss among adults, and it’s associated with other health problems, including cardiovascular disease, diabetes and pregnancy complications. But there’s good news—gum disease is preventable and, in its early stages, even reversible. Here are some tips for taking care of your gums:
Keep up a good oral hygiene routine
Gum disease begins with plaque buildup, so attack the plaque in your mouth with good dental hygiene. Spend two minutes morning and night brushing all surfaces of your teeth, and floss once a day to get rid of plaque that forms between teeth.
Use a soft toothbrush
The American Dental Association recommends brushing gently with a soft toothbrush. Hard bristles can damage your gums and cause them to pull away from the teeth.
Swish with a mouth rinse
Consider using a mouth rinse. Over-the-counter and prescription oral rinses are available to help wash away food debris, reduce plaque and fight gum inflammation.
Say no to tobacco
Smoking is one of the biggest risk factors for developing gum disease. And it’s not just cigarettes but all forms of tobacco, including e-cigarettes, pipes and chewing tobacco, that raise your risk of gum disease.
Eat a healthy diet
For the best gum health, avoid refined carbohydrates (sugary and starchy foods) and make sure you are getting enough vitamin C, vitamin D and antioxidants (found in berries and green tea, for example). In addition, studies suggest that a diet rich in omega-3 fatty acids may reduce your risk of gum disease and other inflammatory conditions. These healthy fats are found in many fish, nuts, seeds, soy products and vegetable oils.
Come in for regular cleanings
Professional dental cleanings can remove plaque from the tiny spaces that are difficult to reach by simply brushing and flossing. And once plaque hardens to form calculus (tartar), it cannot be removed during your regular oral health care routine at home. Further, at the dental office we can detect gum disease in its early stages—and the earlier gum problems are caught, the more easily they can be reversed.
In 2016, voters in three states—California, Massachusetts and Nevada—joined Alaska, Colorado, Oregon, Washington and the District of Columbia in legalizing the use of recreational marijuana. These referenda moved the country closer to what may soon be a monumental political showdown between the states and the federal government, which still categorizes marijuana as a controlled substance.
But there’s another angle to this story often overshadowed by the political jousting: is increased marijuana use a good thing for your health and overall physical well-being?
When it comes to your dental health, the answer might be no. The Journal of Periodontology recently published a study that included frequent marijuana users showing increased signs of periodontal (gum) disease. This harmful bacterial infection triggered by plaque buildup can cause weakening of gum attachment to teeth and create the formation of large voids between teeth and gums called periodontal pockets. Left untreated, the disease can also cause supporting bone loss and eventually tooth loss.
The study looked at the dental treatment data of over 1,900 adults of which around one-quarter used marijuana once a month for at least a year. Marijuana users in the study on average had 24.5% of pocket sites around their teeth with depths of at least eight millimeters (an indication of advanced gum disease). In contrast, non-users averaged around 18.9% sites.
To be sure, there are several risk factors for gum disease like genetics, oral hygiene (or lack thereof), structural problems like poor tooth position or even systemic conditions elsewhere in the body. This published study only poses the possibility that marijuana use could be a risk factor for gum disease that should be taken seriously. It’s worth asking the question of whether using marijuana may not be good for your teeth and gums.
If you’ve had issues with periodontal (gum) disease, no doubt a few things have changed for you. You may be seeing us for dental cleanings and checkups more frequently and you have to be extra diligent about your daily brushing and flossing.
There’s one other thing you may need to do: change your diet. Some of the foods you may be eating could work against you in your fight against gum disease. At the same time, increasing your intake of certain foods could boost your overall oral health.
The biggest culprits in the first category are carbohydrates, which make up almost half the average diet in the Western world, mainly as added sugar. Although carbohydrates help fuel the body, too much can increase inflammation—which also happens to be a primary cause of tissue damage related to gum disease.
Of course, we can’t paint too broad a brush because not all carbohydrates have the same effect on the body. Carbohydrates like sugar or processed items like bakery goods, white rice or mashed potatoes quickly convert to glucose (the actual sugar used by the body for energy) in the bloodstream and increase insulin levels, which can then lead to chronic inflammation. Complex or unprocessed carbohydrates like vegetables, nuts or whole grains take longer to digest and so convert to glucose slowly—a process which can actually hinder inflammation.
Eating less of the higher glycemic (the rate of glucose conversion entering the bloodstream) carbohydrates and more low glycemic foods will help reduce inflammation. And that’s good news for your gums. You should also add foods rich in vitamins C and D (cheese and other dairy products, for instance) and antioxidants to further protect your oral health.
Studies have shown that changing to a low-carbohydrate, anti-inflammatory diet can significantly reduce chronic inflammation in the body and improve gum health. Coupled with your other efforts at prevention, a better diet can go a long way in keeping gum disease at bay.
If you would like more information on the role of diet in dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Carbohydrates Linked to Gum Disease.”