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Posts for tag: gum disease

By John Kelmenson, D.D.S.
November 03, 2021
Category: Oral Health
HowaToothCausedHannahBronfmansMysteryAilments

Hannah Bronfman, well-known DJ and founder of the health and beauty website HBFIT.com, took a tumble while biking a few years ago. After the initial pain and bruising subsided, all seemed well—until she started experiencing headaches, fatigue and unexplained weight gain. Her doctors finally located the source—a serious infection emanating from a tooth injured during the accident.

It's easy to think of the human body as a loose confederation of organs and tissues that by and large keep their problems to themselves. But we'd do better to consider the body as an organic whole—and that a seemingly isolated condition may actually disrupt other aspects of our health.

That can be the case with oral infections triggered by tooth decay or gum disease, or from trauma as in Bronfman's case. These infections, which can inflict severe damage on teeth and gums, may also contribute to health issues beyond the mouth. They can even worsen serious, life-threatening conditions like heart disease.

The bacteria that cause both tooth decay and gum disease could be the mechanism for these extended problems. It's possible for bacteria active during an oral infection to migrate to other parts of the body through the bloodstream. If that happens, they can spread infection elsewhere, as it appears happened with Bronfman.

But perhaps the more common way for a dental disease to impact general health is through chronic inflammation. Initially, this defensive response by the body is a good thing—it serves to isolate diseased or injured tissues from healthier tissues. But if it becomes chronic, inflammation can cause its own share of damage.

The inflammation associated with gum disease can lead to weakened gum tissues that lose their attachment to teeth. But clinical research over the last few years also points to another possibility—that periodontal inflammation could worsen the inflammation associated with diseases like heart disease, diabetes or arthritis.

Because of this potential harm not only to your teeth and gums but also to the rest of your body, you shouldn't take an oral injury or infection lightly. If you've had an accident involving your mouth, see your dentist as soon as possible for a complete examination. You should also make an appointment if you notice signs of infection like swollen or bleeding gums.

Prompt dental treatment can help you minimize potential damage to your teeth and gums. It could also protect the rest of your health.

If you would like more information about the effects of dental problems on the rest of the body, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Link Between Heart and Gum Diseases.”

By John Kelmenson, D.D.S.
July 20, 2020
Category: Oral Health
StopGumDiseaseBeforeitThreatensYourDentalImplant

Teeth-replacing dental implants not only look life-like, they’re made to last. For one thing, the metals and dental materials used in them are impervious to bacterial infection.

But that doesn’t mean implants are impervious to failure. Implants depend on the bone and other natural mouth structures for support. If the bone becomes weakened due to disease, the implant could become unstable and ultimately fail.

Peri-implantitis, the condition that can lead to this kind of failure, is a major concern for implant longevity. It’s a type of periodontal (gum) disease triggered by plaque, a thin film of food particles that can build up quickly in the absence of adequate brushing and flossing. The gum tissues around the implant become infected and inflamed.

If the infection isn’t properly treated with renewed oral hygiene and clinical plaque removal, it could spread below the gum line and begin to damage the underlying gum tissues and bone. This could destroy the all-important connection between the titanium implant post and the bone. The implant could eventually loosen and become completely detached from the bone.

The key is early intervention before the bone becomes damaged. Besides plaque removal we may also need to apply antibiotics in some form to control the growth of disease-causing bacteria. If the disease has fairly advanced we may also need to consider surgical repair to strengthen the attachment between implant and bone.

You can help to avoid peri-implantitis altogether by practicing consistent daily brushing and flossing around all your teeth including the implant, and seeing your dentist at least twice a year for cleanings and checkups. And by all means see your dentist if you notice any signs of gum swelling, redness or bleeding. Staying on top of your gum health will help not only the natural tissues and remaining teeth in your mouth, it will help preserve your implants for decades to come.

If you would like more information on maintaining your dental implants, please contact us or schedule an appointment for a consultation.

By John Kelmenson, D.D.S.
July 21, 2019
Category: Oral Health
Tags: pregnancy   gum disease  
WhyDentalCareisEvenMoreImportantWhenYourePregnant

Learning you’re pregnant can be a joyous moment. But it also means life is about to change as you focus on protecting you and your child from anything that endangers your health.

Because of these new concerns you might even hesitate about receiving dental care, especially involving anesthesia. But several medical organizations representing doctors, OB-GYN physicians and dentists wholeheartedly recommend continuing regular dental visits during pregnancy.

In fact, you should continue them because you’re pregnant: physical and hormonal changes during pregnancy could increase your risk of dental disease.

For, example, your consumption of carbohydrates (like sugar) could increase, which in turn increases your risk of tooth decay. You’ll also need to be more concerned about dental plaque, a thin bacterial film on your teeth that can cause disease. Hormonal changes during pregnancy may make you more sensitive to plaque, and thus more susceptible to disease — especially periodontal (gum) disease.

In fact, a specific form of gum disease called pregnancy gingivitis affects around 40% of expectant women at some point in their pregnancy. And if you already have gum disease, pregnancy could worsen it. Left untreated the disease could develop into more severe periodontitis, which may significantly damage your teeth’s support structures far below the gum line, leading to bone loss, which could result in the eventual loss of your teeth. Daily brushing and flossing, regular cleanings and checkups and, if your dentist prescribes it, antibacterial mouth rinses can help you stay ahead of it.

But what about other procedures while you’re pregnant? It may be best to wait on elective treatments for cosmetic purposes until after the baby is born. But some situations like deep tooth decay that could require a root canal treatment may become too serious to postpone.

Fortunately, several studies have shown it’s safe for pregnant women to undergo many dental procedures including tooth fillings or extractions. And receiving local anesthesia doesn’t appear to pose a danger either.

The important thing is to remain diligent with your own personal hygiene — brushing and flossing — and making other healthy choices like eating a nutritious diet. And be sure to let your dentist know about your pregnancy to help guide your dental treatment over the next few months.

If you would like more information on taking care of your teeth and gums during pregnancy, please contact us or schedule an appointment for a consultation.

HaveaLooseToothYoullNeedThisTwo-PhaseTreatmenttoSaveIt

Although periodontal (gum) disease usually affects your gums first, your teeth may eventually suffer. That’s because the disease can damage both attaching gum tissues and supporting bone.

One advanced sign of this is when one or more teeth become loose. A loose tooth is an alarm bell that you’re about to lose it.

Fortunately, we can often treat loose diseased teeth with a two-phase approach. First and foremost, we need to bring the gum infection under control by removing plaque and calculus (tartar) — the “fuel” for the infection — from all tooth and gum surfaces. Depending on how extensive it is, we have options: we can use specially designed hand instruments to remove plaque and calculus, ultrasonic equipment that loosens and flushes plaque and calculus away, or, if necessary, conventional or laser surgery.

Depending on the extent of the infection, in some cases we may need to use regenerative surgical techniques like gum and bone grafting to replace lost tissue. Healing takes time, though, which leads to the second phase of treatment — securing the loose tooth during gum healing.

The most common way is through a bite adjustment, where teeth are altered to equilibrate chewing forces evenly. This results in all the teeth being hit at the same time allowing the loose teeth to heal and tighten up.

Another option is splinting teeth together. Although there are different methods, the basic idea is to join the loose teeth with stable teeth like pickets in a fence. One way is to bond splinting material across the back surfaces of the involved teeth. Another way is to cut in a small channel across the teeth and insert and bond a rigid strip of metal to splint the teeth in place.

The splint is usually a temporary measure while the gums heal. In some situations, though, we may need to perform a permanent splint by crowning the affected teeth and then splinting the crowns together. If you have a grinding habit we may also prescribe a night guard to limit the damage done while you sleep.

Before deciding on which technique is best for you, we would first need to evaluate the health of the affected teeth to see whether the effort would be worth it. It could be the tooth’s supporting bone structure has become so deteriorated that it might be better to extract the tooth and consider an implant or other replacement. First, though, we would attempt if at all practical to save the tooth — and the sooner we begin treating it, the better your chances for such an outcome.

If you would like more information on loose teeth and 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 “Treatment for Loose Teeth.”

By John Kelmenson, D.D.S.
September 04, 2017
Category: Oral Health
Tags: gum disease   plaque  
TheSecrettoPreventingGumDisease-ControlBacterialPlaque

Here’s a sobering statistic: you have a 50/50 chance over your lifetime for developing periodontal (gum) disease. And it’s much more serious than irritated gums: if not treated aggressively you could experience bone loss, which can not only lead to tooth loss but actually increases your risk of heart attack and stroke.

Initially, you may not notice any symptoms unless you know what to look for: mainly red and puffy gums that frequently bleed during brushing and flossing. As the infection advances into the underlying support structures that hold teeth in place you may also notice receding gums (moving away from your teeth causing them to look longer), pus around the gums or lingering bad breath or taste. And one or more loose teeth are a definite sign the supporting structures have weakened severely.

So, how does gum disease happen? It starts with bacteria. Your mouth contains millions of these and other microorganisms, most of which are friendly and even beneficial. Unfortunately, a fraction of them can infect and harm tissues like the gums and underlying bone. Your mouth’s defenses can normally handle them if their numbers remain low. But a bacterial population explosion can quickly overwhelm those defenses.

Bacteria are like any other life form: they need a secure environment and food. Disease-causing bacteria establish the former by utilizing proteins and other components of saliva to form a sticky biofilm on teeth known as plaque. Within the safe haven of dental plaque bacteria quickly multiply and form a complex and concentrated ecosystem feeding on remnant food particles, especially sugar and other carbohydrates.

The key to gum disease prevention (as well as treatment) is to deprive bacteria of their home and food source by removing plaque and its more hardened form calculus (tartar). You can manage plaque buildup by brushing and flossing daily, seeing your dentist regularly for cleanings to remove any remaining hard-to-reach plaque and calculus, and eating a nutritious diet with fewer sweets or other carbohydrate-rich snacks.

You can further lower your disease risk by avoiding smoking and other tobacco products and moderating your consumption of alcohol. And be sure to see your dentist as soon as possible if you notice any signs of infection with your gums. Taking these steps can help you avoid gum disease’s destructiveness and help preserve a healthy and attractive smile.

If you would like more information on gum disease, please contact us or schedule an appointment for a consultation.