Preventative Dentistry to Avoid Gum Disease

Posted on by
Reply

Preventative dentistry relies on good oral hygiene and regular dental care that is essential throughout your life, whatever your age. By practicing good oral hygiene at home and visiting the doctor regularly, you will help prevent dental problems and aid in early detection of problems such as gum disease, tooth decay, and tooth loss. In the process, you can save your teeth and gums. You should visit your dentist every 6 months for routine cleanings and check ups. A complete program of preventive dental begins with regular cleanings to control plaque and calculus, which cause tooth decay and periodontal disease.

Gum disease is an infection of the tissues that support your teeth. It is a major cause of tooth loss in adults. Because gum disease is usually painless, you may not know you have it. It is caused by plaque, a sticky film of bacteria that constantly forms on teeth. The bacteria create toxins that will damage gums. At each regular checkup the dentist will measure the depth of the shallow v-shaped crevice between your tooth and gums to identify whether you have gum disease.

Periodontal diseases are classified according to the severity of the disease. The two major stages are gingivitis and periodontitis. Periodontal diseases attack just below the gum line, where they cause the attachment of the tooth and its supporting tissues to break down. As the tissues are damaged they develop into a pocket; generally, the more severe the disease, the greater the depth of the pocket. With gingivitis, the gums become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by daily brushing and flossing. In the more advanced stages of gum disease, called periodontitis, the gums and bone that support the teeth become seriously damaged. The teeth can become loose, fall out, or have to be removed by a dentist.

Tooth decay or cavities can develop on all surfaces of any tooth. A decaying tooth may not cause you pain, so you may have a cavity and not realize it. The dentist checks for tooth decay at your regular check-ups and will periodically use x-rays to check for decay between teeth. The dentist treats tooth decay by cleaning out the cavity and placing a restoration or filling in the tooth.

By fighting plaque you can keep your teeth for a lifetime. You can start fighting plaque and keeping your gums and teeth healthy at any age by following some simple guidelines:

  • Schedule regular check-ups. Visit the doctor regularly for professional cleanings and oral exams.
  • Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste to remove food particles and plaque from the tooth surfaces.
  • Clean between your teeth daily with floss. Flossing removes plaque and food particles from between the teeth and under the gum line.
  • Eat a balanced diet with limited snacks. Nutritious foods such as raw vegetables, plain yogurt, cheese or a piece of fruit should be chosen for snacks.
  • Ask the doctor about dental sealants, a protective plastic coating that can be applied to the chewing surfaces of the back teeth where decay often starts.

Mouth Infection Sources

Posted on by
Reply

A mouth infection can have several causes ranging from a minor problem to something very serious. It can involve the teeth, gums, cheeks, lips and tonsils. It’s rare that the tongue or the floor of the mouth becomes infected. When they do it’s usually from trauma. There can be pain, bad breath, difficulty chewing which can aggravate a TMJ problem or systemic disease.

Periodontitis is a common chronic bacterial infection of the supporting structures of the teeth. The host response to this infection is an important factor in determining the extent and severity of the disease. Systemic conditions may modify the extent of periodontitis principally through their effects on normal immune and inflammatory mechanisms.

An ulcer is a hole that forms in the lining of the mouth when the top layer of cells breaks down and the underlying tissue shows through. An ulcer appears white because of the dead cells and food debris inside the hole. Because the normal flow of saliva helps protect the lining of the mouth, any condition that decreases saliva production makes mouth sores more likely. Any sore that lasts for 10 days or more must be examined by a dentist or doctor to ensure that it is not cancerous.

An infection of the cheek or lip is often of viral origin and difficult to treat. Two very common problems involving the cheeks, lips and the gums are apthous ulcers, canker sores and herpes. Fortunately, they normally run their course and disappear 7 to 10 days later. Herpes stomatitis is caused by the herpes virus which also causes cold sores. The first herpes incident that a child has can be severe. It is most common in children 1-2 years old and causes many small, sore, open blisters inside the mouth and on the gums and tongue along with a fever.

Small amounts of the candida fungus are present in the mouth, digestive tract, and skin of most healthy people and are normally kept in check by other bacteria and microorganisms in the body. However, certain illnesses, stress, or medications can disturb the delicate balance, causing the fungus candida to grow out of control, causing infection. It appears as a white patch, which can easily be stripped off to leave a red, bloody area. If you’re an adult with oral thrush, you may be able to control the infection by eating unsweetened yogurt or taking acidophilus capsules or liquid. Acidophilus is available in natural food stores and many drugstores. Some brands need to be refrigerated to maintain their potency. Yogurt and acidophilus don’t destroy the fungus, but they can help restore the normal bacterial flora in your body. If this isn’t effective, your doctor or dentist may prescribe a mild antifungal medical mouth rinse.

Heredity also plays a role in mouth health. The overall strength of teeth is generally passed on from parent to child. Other risk factors such as neglect and poor nutrition are controllable factors. Long term mouth disease can lead to serious complications such as, chronic fatigue, blood infections, septic poisoning, and even death in rare cases. Complications from undiagnosed conjoining diseases are innumerable.

Laser Periodontics

Posted on by
Reply

Periodontics is the branch of dentistry concerned with the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth. Periodontists are also expert in the placement and maintenance of dental implants. Today there are two dozen indications for use with various dental laser devices; and the clinical applications continue to increase, making the laser one of dentistry’s most exciting advances with unique patient benefits. Laser-assisted new attachment procedure (LANAP™ ) is therapy designed for the treatment of periodontitis through regeneration rather than resection. This therapy and the laser used to perform it have been in use for more than a decade. In surgery a variable dental laser is used by a trained and certified Elk Grove dentist or periodontist to treat the periodontal pocket. The laser energy selectively removes diseased or infected pocket tissue from the underlying connective tissue. Since the laser energy is quite selective for pocket epithelium, the underlying pleuropotential connective tissue is spared, thereby permitting healing and regeneration rather than formation of a pocket seal by long junctional epithelium.

Each wavelength has a somewhat unique effect on dental structures, due to the specific absorption of that laser energy in the tissue. Some lasers are only absorbed by blood and tissue pigments, while others are only absorbed by water as well as hard tissue, like enamel, dentin, and bone. More specifically, the wavelengths can be categorized into three groups. Diode and Nd:YAG wavelengths target the pigments in soft tissue and pathogens as well as inflammatory and vascularized tissue. Carbon Dioxide lasers also easily interact with free water molecules in soft tissue as well as vaporizing the intracellular water of pathogens. Erbium lasers are sometimes called all tissue instruments because of their very short temporal emission mode and absorption in the water of soft and hard tissue.

Lasers produce light energy that can be absorbed by a target tissue, and this absorption process produces a thermal reaction in that tissue. Depending on the instrument’s parameters and the optical properties of the tissue, the temperature will rise and various effects will occur. In general, most non-sporulating bacteria, including anaerobes, are readily deactivated at temperatures of 50 degrees C. The inflammatory soft tissue present in periodontal disease can be removed at 60 degrees C; moreover, hemostasis can also be reached within the same heat parameters. Soft tissue excisional or incisional surgery is accomplished at 100 degrees C, where vaporization of intra- and extra cellular water causes ablation, or removal of biological tissue. Likewise, the aqueous component of tooth structure and bone also boils at this temperature; thus cavity preparation, calculus removal, and osseous contouring can proceed.

After the procedure, most patients experience new root surface coating and new connective tissues formation  on teeth roots, preventing tooth loss. Pocket depth reduction is comparable to that achieved by conventional pocket reduction surgery, but without the gingival recession normally associated with osseous surgery. Significant post-operative reduction in gingival indices, gingival inflammation, and bleeding on probing are also common desirable results of using lasers in periodontics. Lasers use spares more healthy tissue than scaling and root planing, patients experience minimal post-operative recession and disfigurement or root sensitivity. These results reduce the future risk of root caries and dental decay of the tooth root. Minimal pain is easily controlled through the use of ibuprofen. Patients are encouraged to improve and maintain standards of oral hygiene to prevent further active periodontitis.

What Receding Gum Treatments are Available in Sacramento?

Posted on by
Reply

Although some people are predisposed to receding gums due to heredity, prematurely receding gums may be prevented with proper oral hygiene — daily brushing, flossing and regular visits to the dentist. Many dentists will advise patients to focus on proper flossing, saying that it is even more important than brushing alone. For people that suffer receding gums due to overly exuberant brushing, consider switching to a softer bristled toothbrush and ask your dental hygienist for tips to improve your technique. Receding gums are typically a normal part of the aging process, many people may notice them much earlier than usual. Gums may recede due to genetics but they may also be caused by periodontal or gum disease. Sometimes receding gums can be identified at first glance, but they may be detected by feeling the top of the teeth at the gum line. If the tooth feels notched at the gum line, then the gums are likely receding, thus hastening the decay of healthy teeth.

Treatment should start with addressing the problem that caused the gum recession. If poor plaque control was a contributing factor, improved oral hygiene must be performed, combined with regular professional dental cleanings. If severe tartar was the cause, then a procedure called scaling and root planing may be necessary to clean the teeth and heal inflammation in the gums. If malocclusion or incorrect bite was a factor, a bite adjustment or bite splint may be recommended. Receding gums may also be caused by teeth that are misaligned, or by excessive plaque build-up at the gum line. Misaligned teeth can be addressed by an orthodontist through the application of braces or other treatments. Regular cleanings to remove plaque build up as well as treatments for possible periodontal disease should be undertaken where appropriate. New research is focused on using stem cells to culture the patients’ own gums to replace receded gums.

For those with severely receded gums, a graft from another part of the mouth may be the only option for treatment. For others with healthy teeth and gums, there are currently two methods for the treatment of receding gums. In one treatment, the dentist drills holes in the teeth and then fills them with a material that helps keep the gums from receding further. This is perhaps the most commonly used method by dentists in the United States. The second, and newer method for the treatment of receding gums has not yet been approved by the American Dental Association. Instead of drilling holes in the teeth, the smooth surface of the tooth is roughened with a dental drill. A light coating of adhesive or filling material is then applied to the tooth and allowed to dry slightly. After this step, the teeth are “cured” by exposing them to a special blue light at a high intensity. This is followed with another layer of adhesive material.

Treating receding gums is important, not only for comfort, but also to preserve the health of your teeth. When gums recede, the exposed portion of the tooth is much more sensitive, causing discomfort when consuming hot or cold foods and liquids. It can also lead to greater risk of tooth decay and other oral conditions such as a poor bite, sore jaw, periodontal disease and tooth loss.