Posts for: August, 2012
Since the dawn of man, periodontal (gum) disease has impacted humans. And while dental health has dramatically improved over the generations, the facts are still clear Ã¢Â€Â” millions of Americans are suffering from gum disease and probably do not even know that they have a problem. This is because periodontal disease most often starts without any symptoms or ones that most people tend to discount or ignore.
Stage 1: Gingivitis. The first stage of gum disease is inflammation of the gingiva (gums) without bone loss. While nearly all people will develop gingivitis in the absence of good oral hygiene, only 10 to 15% of them will go on to develop more advanced stages of the disease.
Stage 2: Early periodontitis. With this stage, gingivitis progresses into the deeper periodontal structures — the tissues that attach the teeth to the bone resulting in early or beginning bone loss. About 10% of the population develops full-blown periodontitis with progressive bone loss.
Stage 3: Moderate periodontitis. The third stage of gum disease results in moderate bone loss (20 to 50%) of root surfaces of the teeth due to continued destruction of the surrounding tissues and bone. Periodontal disease is “cyclical” — it goes in cycles with bursts of activity, followed by a period in which the body tries to recover. This is called chronic inflammation, or frustrated healing.
Stage 4: Advanced periodontitis. With the final stage of gum disease, there is severe bone loss (50 to 85%) from the tooth's root. This stage includes looseness of teeth, moving teeth, abscess formation with red, swollen and painful gums. The end results — eating and even smiling is difficult and uncomfortable, and you could lose all your teeth.
You can learn more about gum disease in the Dear Doctor article, “Understanding Gum Disease.”
Have We Described Your Mouth?
If any of the above stages sounds like we are talking about your mouth, contact us today to schedule a consultation, discuss your questions and receive a thorough exam. If addressed promptly and with commitment to following your treatment plan, your mouth can return to good oral health.
Test yourself on your knowledge of this dental procedure.
- A root canal is
- A canal shaped structure in the root of your tooth
- A blood vessel carrying blood from your gum to your tooth
- An instrument used by your dentist in performing dental surgery
- Which of these are symptoms of root canal infection?
- Sharp, acute and intense pain, which is difficult to pinpoint
- Sharp pain when biting down on your tooth or on food
- Lingering pain after eating hot or cold foods
- Dull ache and pressure
- Tenderness (accompanied by swelling) in the nearby gums
- All the above
- If you don't feel any pain you do not have a root canal infection.
- Root canal treatment is a very painful experience.
- Root canal treatment is called endodontic therapy. What does this word mean?
- Bringing the end of your problems
- Inside your tooth
- Fighting gum disease
- You need root canal treatment if
- The inside or pulp of your tooth becomes inflamed or infected
- Your tooth needs to be gently moved in order to correct your bite
- Acid erosion is damaging your tooth
- During root canal treatment the canals in your teeth are cleaned out and sealed off.
- Who is qualified to perform root canal treatment?
- General dentists
- Both of the above
- a. A root canal is a canal shaped space within the root of a tooth that holds the tooth's pulp — which contains the tooth's nerves and blood vessels.
- f. — all of the above
- False. It is possible to have an infection that has stopped hurting but is still present and causing damage.
- False. Root canal treatment doesn't cause pain, it relieves it.
- b. The word comes from roots meaning “inside” and “tooth.”
- True. A small opening is made in the chewing surface of your tooth to gain access to the pulp. Dead and dying tissue is removed and the pulp is cleaned and disinfected. The canals are shaped and then sealed with filling materials to prevent future infection.
- c. All general dentists have received training in endodontic treatment and can perform most endodontic procedures. They often refer people needing complicated root canal treatment to endodontists, who have had specialized training in endodontic diagnosis and treatment.
Prior to his first appearance on the Oprah Winfrey show, interior designer Nate Berkus knew immediately that he was not there to pick sofa colors and paint chips. Instead, he was there to lift people up through the way they live. And boy, did he do just that. Over the next eight years, Berkus completed 127 makeovers and became one of America's most beloved go-to guys for inspiration on the latest design trends.
During a recent interview with Dear Doctor magazine, Nate discussed his career as well as his oral healthcare. He credits his dazzling all-natural smile — no cosmetic dentistry here — to the treatments he received as a child from his dentist. “I'm grateful for having been given fluoride treatments and sealants as a child.” He then added that, “healthy habits should start at a young age.” Nate is still in the habit of brushing his teeth two or three times a day. As for flossing his teeth, he credits his dentist with the advice he still follows: “Floss the ones you want to keep.”
Many parents and caregivers may not be aware of the important role fluoride treatments play in protecting children's teeth. Fluoride has the unique ability to strengthen tooth enamel, the hardest substance found in nature. Depending on where you live, you may have fluoridated tap water. You may also have fluoride in your toothpaste, depending on the brand you use. Both of these are beneficial, but sometimes we recommend additional fluoride treatments based on the specific needs of your children. Why? The concentrations of the topical fluorides we typically apply are much higher than what is found in toothpastes, and we apply them for a longer period of time. For example, we often apply them for four minutes per treatment session.
To learn more about fluoride treatments, contact us today to schedule an appointment so that we can conduct a thorough examination, discuss any questions you have as well as what treatment options will be best for you or your child. Or to learn more about fluoride treatments now, you can continue reading the Dear Doctor magazine article “Topical Fluoride.” And to read the entire interview with Nate Berkus, please see the Dear Doctor magazine article “Nate Berkus.”
The role of fatherhood comes without a handbook for the answers to all of life's challenges. Instead, we're left to figure everything out on our own. For most dads, this means being the primary or head of a household that ensures everyone has at a minimum the very basics — a roof over their head and food on the table everyday. However, recent research has revealed that while fathers may be providing most of that, they fall short healthwise when compared to moms in the areas of both oral and general health.
Here are some basic facts (or areas of concern) men need to understand:
- Men are more likely to have a heart attack than women.
- There is growing research that links periodontal (gum) disease and heart disease.
- Men tend to put off seeing a dentist for routine exams and cleanings but rather wait until they have a problem before making an appointment.
- Many heart and blood medications can cause dry mouth, which can increase the risk of tooth decay and gum disease.
- If you use tobacco and are an older male, you are twice as likely as women to develop oral cancer.
- And with exercise, men tend to select activities such as basketball, dirt biking, soccer and football — all of which have a greater risk for trauma to the mouth and teeth.
The Good News...
One of the first steps you can take to get your health back on track is to contact us today to discuss your questions or to schedule a consultation. Other steps you can take include:
- Asking us to teach you the proper brushing and flossing techniques so that you are equipped to prevent or combat periodontal problems.
- Making an appointment for a dental cleaning.
- Asking us about ways you can protect your teeth and mouth if you actively participate in high contact activities.
- Speaking to us about a proper diet for both your oral and general health.
- Starting a workout regimen that includes a slow start and working out for 20 minutes at least 3 or 4 times a week if you are not currently exercising regularly.
We in dentistry, advise parents to have an orthodontic evaluation some time before your child is 7 years of age. At this time, some of your child's adult teeth have come in and some primary (baby) teeth remain. This is a good time to check for developing problems. Treatment that begins while your child's teeth are coming in is called “interceptive orthodontics.” It provides an opportunity to achieve the best results in orthodontic treatment.
Once this evaluation takes place, it may mean that orthodontic treatment may need to take place in two-stages. A first phase of orthodontic treatment may prevent, intercept or minimize future orthodontic treatment. The first stage may be a process of guiding the growth of the jawbones that support the teeth. This is called “growth modification.” Then when the adult teeth have erupted through the gums, it may be time to do the second and final stage.
If a second phase of treatment is necessary it will probably require braces. These are small metal brackets that are bonded to the teeth. Thin flexible wires are threaded through them, and the wires are designed to push or pull on the teeth to provide a small amount of pressure that makes the teeth slowly reposition themselves within the jawbone. A light and controlled force pulling on a tooth causes new bone and ligament (the fibers that hold teeth in place) to be formed. These are living tissues that are constantly changing and remodeling themselves.
If you wait until your child's permanent (adult) teeth have all come in to start this process, it will be too late to correct some types of orthodontic problems, such as some types of malocclusions (“mal” – bad, “occlusion” – bite). It's better to work together with your child's stages of growth and development in order to have an optimum correction, both in looks and function.
You may be wondering whether a two-stage treatment costs twice as much. In fact, it is likely to be less expensive than a late one-stage treatment would be. Sometimes, the first stage may correct an underlying problem and make further treatment unnecessary. If a second phase is needed, it is likely to be easier and less costly.
Contact us today to schedule an appointment to discuss your questions about orthodontia for your child. You can also learn more by reading the Dear Doctor magazine article “Preventative & Cost Saving Orthodontics.”