Preventative Dentistry to Avoid Gum Disease

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.

Laser Periodontics

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.