Posts for tag: gum disease

By Sandusky and Lexington Dental Care
February 05, 2022
Category: Oral Health
Tags: gum disease  
WhyStoppingGumDiseaseShouldbeaTopDentalCarePriority

According to the U.S. Centers for Disease Control (CDC), nearly half of U.S. adults over 30 are afflicted with some form of periodontal (gum) disease—and one in five could be classified as severe. What's more, the incidence of disease only increases with age.

February is Gum Disease Awareness Month, a subject well worth its own focus month. The disease can be highly destructive and ultimately affect your overall well-being.

The various forms of the disease all have a common origin—dental plaque, a thin, bacteria-laden food film that naturally accumulates on teeth. The multiplying bacteria within plaque can first infect the surface tissues of the gums, especially around the gum line.

Although the body initiates an inflammatory response and releases antibodies to fight the infection, it's often not enough. Fueled by plaque, the infection can continue to advance into the gums and ultimately reach the tooth roots and supporting bone. If this occurs, the outcome could be devastating to both your oral and general health.

For one, an infection can weaken the periodontal ligaments that help secure teeth in place. This can cause them to detach from the teeth, creating infection-filled voids between the teeth and gums called periodontal pockets. The gums may also pull back or recede from the teeth, further exposing their roots to infection.

The spreading disease may also directly infect and damage tooth roots and the supporting bone. As a result, both the teeth and bone can lose a substantial amount of their structure.

As this process continues, the affected teeth may eventually pay the ultimate price and become lost. Losing teeth affects not only a person's appearance, but their overall dental function as well.

Given the odds of an encounter with this disease and the potential devastation that may follow, it's well worth doing everything possible to avoid it. The most important thing you can do is to eliminate the regular accumulation of plaque through daily brushing and flossing, as well as dental cleanings at least twice a year.

It's equally important to remain alert to any signs of infection. If you notice your gums are red or swollen, or if they bleed easily when you brush, call us as soon as possible for a closer examination.

Hopefully, your personal oral hygiene and regular dental care will keep you out of the reach of this harmful oral infection. And, should gum disease occur, the sooner we catch it and begin treating it, the less likely your mouth suffers extensive damage and tooth loss. Your oral health and well-being depend on it.

If you would like more information about preventing and treating periodontal disease, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “How Gum Disease Gets Started.”

By Sandusky and Lexington Dental Care
December 27, 2021
Category: Oral Health
Tags: gum disease  
TroublingDataSaysSmokingMarijuanaCouldWorsenGumDisease

It seems with each new election cycle another U.S. state legalizes marijuana use. It remains a flashpoint issue that intersects politics, law and morality, but there's another aspect that should also be considered—the health ramifications of using marijuana.

From an oral health perspective, it doesn't look good. According to one study published in the Journal of Periodontology a few years ago, there may be a troubling connection between marijuana use and periodontal (gum) disease.

Gum disease is a common bacterial infection triggered by dental plaque, a thin biofilm on tooth surfaces. As the infection advances, the gum tissues become more inflamed and lose their attachment to teeth. This often results in widening gaps or "pockets" between the teeth and gums filled with infection. The deeper a periodontal pocket, the greater the concern for a tooth's health and survivability.

According to the study, researchers with Columbia University's College of Dental Medicine reviewed data collected from nearly 2,000 adults, a quarter of which used marijuana at least once a month. They found the marijuana users had about 30 individual pocket sites on average around their teeth with a depth of at least 4 millimeters. Non-users, by contrast, only averaged about 22 sites.

The users also had higher incidences of even deeper pockets in contrast to non-users. The former group averaged nearly 25 sites greater than 6 millimeters in depth; non-users, just over 19. Across the data, marijuana users appeared to fare worse with the effects of gum disease than those who didn't use.

As concerning as these findings appear, we can't say that marijuana use singlehandedly causes gum disease. The condition has several contributing risk factors: diet, genetics, and, most important of all, how well a person manages daily plaque removal, the main driver for gum disease, through brushing and flossing.

Still, the data so far seems to indicate using marijuana can make gum disease worse. Further studies will be needed to fully test this hypothesis. In the meantime, anyone using marijuana should consider the possible consequences to their oral health.

If you would like more information on marijuana and oral health, please contact us or schedule an appointment for a consultation.

By Sandusky and Lexington Dental Care
September 18, 2021
Category: Oral Health
Tags: oral hygiene   gum disease  
PlaqueRemovalistheTopPriorityforPreventingorTreatingGumDisease

Tooth loss is often the unfortunate conclusion to a case of untreated periodontal (gum) disease—incentive enough to try either to prevent it or aggressively treat an infection should it occur. In either case, the objective is the same: to remove all plaque from dental surfaces.

Dental plaque (and its hardened form, tartar) is a thin buildup of bacteria and food particles on tooth surfaces. It's a ready food source for sustaining the bacteria that cause gum disease. Removing it can prevent an infection or “starve” one that has already begun.

Your first line of prevention is brushing and flossing your teeth daily to remove any accumulated plaque. Next in line are dental cleanings at least twice a year: This removes plaque and tartar that may have survived your daily hygiene.

Plaque removal is also necessary to stop an infection should it occur. Think of it as a more intense dental cleaning: We use many of the same tools and techniques, including scalers (or curettes) or ultrasonic devices to loosen plaque that is then flushed away. But we must often go deeper, to find and remove plaque deposits below the gums and around tooth roots.

This can be challenging, especially if the infection has already caused damage to these areas. For example, the junctures where tooth roots separate from the main body of the tooth, called furcations, are especially vulnerable to disease.

The results of infection around furcations (known as furcation involvements or furcation invasions) can weaken the tooth's stability. These involvements can begin as a slight groove and ultimately progress to an actual hole that passes from one end to the other (“through and through”).

To stop or attempt to reverse this damage, we must access the roots, sometimes surgically. Once we reach the area, we must remove any plaque deposits and try to stimulate regrowth of gum tissue and attachments around the tooth, as well as new bone to fill in the damage caused by the furcation involvement.

Extensive and aggressive treatment when a furcation involvement occurs—and the earlier, the better—can help save an affected tooth. But the best strategy is preventing gum disease altogether with dedicated oral hygiene and regular dental visits.

If you would like more information on preventing and 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?

By Sandusky and Lexington Dental Care
August 24, 2021
Category: Oral Health
Tags: gum disease  
PeriodontalProbingCanTellUsaLotAbouttheSeverityofaGumInfection

The red and puffy gums that sometimes accompany the onset of periodontal (gum) disease don't always catch your attention. You may not even get any symptoms at all, in fact, until the disease has become well advanced.

That's why regular dental visits are so important for gum health: For while you may not notice anything abnormal about your gums, we have a simple procedure known as periodontal probing that can help diagnose the condition of your gums.

Gum disease is a common bacterial infection that affects millions of people worldwide. It most often begins with plaque, a filmy, bacterial buildup on teeth. These bacteria feed and multiply on the remnant food particles in the film, increasing the chances for an infection.

As it grows—as well as the inflammation the body initiates to fight it—the infection weakens the gum attachment to teeth. This can cause the miniscule gap between gums and teeth at the gum line to widen, forming a void called a periodontal pocket. The deeper and wider the pocket, the more advanced the gum infection.

We may be able to verify the presence of a periodontal pocket by using a long, thin probing instrument with millimeter gradations. We gently insert the probe at various locations around a tooth as far as it will comfortably go. We then record the depth by reading the gradation measures lined up with the top of the gums, as well as observing how snug or loose the probe feels within the gum space.

One to three millimeters signifies a healthy attachment between the tooth and gums—anything more than that usually indicates gum disease. Measurements of 5mm indicates a problem, the higher the number, the more advanced is the periodontal disease.

We use these probe readings and other factors to guide our treatment approach in individual cases of gum disease. With a less-advanced infection we may only need to remove plaque and calculus adhering to the crown and just below the gum line. More advanced gum disease infecting the root area may require surgical access through the gums.

All in all, keeping up with regular dental visits can increase the chances of early diagnosis, when the disease is still in its initial stages. And daily oral hygiene to remove harmful plaque may help you avoid gum disease altogether.

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 “Understanding Periodontal Pockets.”

By Sandusky and Lexington Dental Care
August 19, 2021
Category: Oral Health
Tags: gum disease  
GumDiseaseCouldbeMakingOtherDiseasesWorse

Half of adults over age 30, and an astounding 70% over 65, have had some form of periodontal (gum) disease. Unchecked, a bacterial gum infection can spread into the supporting bone and destroy attachments between the teeth and gums. Because of its rapidity and aggressiveness, gum disease is the number one cause of tooth loss among adults.

But there may be even more harm caused by gum disease beyond losing teeth: There's growing evidence gum disease may worsen other diseases like diabetes, heart disease or rheumatoid arthritis. Patients with gum disease are also more likely to suffer from one or more of these systemic conditions.

The link between gum disease and these other diseases appears to be inflammation. When tissue becomes injured or diseased, swelling (inflammation) occurs to isolate these tissues from the rest of the body. Under normal circumstances, this is a critical defense mechanism to protect the body overall.

But this response is a temporary measure—if it becomes chronic, it can actually damage the tissues it's trying to protect. This often happens with gum disease as inflammation can't overcome the gum infection, and both sides settle into a kind of trench warfare. The same story plays out with other diseases with an inflammatory response. And if the body is waging war with a gum infection, it can worsen these other conditions.

It's important then to take care of your gums and the rest of the body to minimize chronic inflammation. You can help prevent a gum infection by brushing and flossing every day and getting your teeth cleaned professionally at least every six months. You should also see your dentist if you notice swollen, reddened or bleeding gums, often the first signs of gum disease.

It can also benefit your gums if you're addressing other inflammatory issues in your body. Besides regular medical care, you can reduce your risk for other systemic diseases by eating a healthy diet, keeping your weight at an optimum level and avoiding smoking.

The individual parts of your body aren't isolated islands: Diseases that affect one can eventually affect all. By preventing or treating gum disease as early as possible, you'll also help reduce the effects of other systemic diseases.

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



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