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periodontal disease

Debunking Common Myths About Gum Disease

Gum disease, or periodontal disease, affects millions of people worldwide, yet misconceptions about it persist. These myths can lead to misunderstandings and delayed treatment, worsening oral health over time. Let’s address and debunk some of the most common myths about gum disease to help you take charge of your periodontal health.

Myth 1:     Gum Disease Only Affects Older Adults   

Truth: While gum disease is more common as we age, it can develop at any age, even in teenagers. Factors such as poor oral hygiene, smoking, genetics, and underlying health conditions can increase the risk, regardless of age.

Myth 2: Bleeding Gums Are Normal   

Truth: Gums should not bleed during brushing or flossing. Bleeding is often an early sign of gingivitis, the mildest form of gum disease. Left untreated, gingivitis can progress to periodontitis, leading to serious oral health issues.

Myth 3: Gum Disease Isn’t Serious 

Truth: Gum disease is a significant oral health condition that can result in tooth loss if untreated. Additionally, it’s linked to systemic health problems, including heart disease, diabetes, and respiratory issues. Treating gum disease is essential for your overall well-being.

Myth 4: Brushing More Aggressively Prevents Gum Disease 

Truth:     Brushing harder doesn’t clean teeth better; it can damage gum tissue and enamel. Use a soft-bristled toothbrush and gentle, circular motions to clean your teeth effectively without causing harm.

Myth 5: Gum Disease Is Caused Only by Poor Oral Hygiene      

Truth:     While poor oral hygiene is a leading cause, other factors like genetics, hormonal changes, stress, smoking, and certain medications can contribute to gum disease. Even those with good oral hygiene can develop it.

Myth 6:     Bad Breath Always Means Gum Disease   

Truth: While persistent bad breath can be a symptom of gum disease, it’s not the only cause. Other factors, such as dry mouth, diet, or gastrointestinal issues, can also contribute. If bad breath persists, consult your dentist or periodontist for an evaluation.

Myth 7: Gum Disease Treatments Are Painful   

Truth: Modern periodontal treatments are designed to be as comfortable as possible. Techniques like laser therapy and scaling and root planing are minimally invasive and effective at treating gum disease with minimal discomfort.

Myth 8:     Once You Have Gum Disease, There’s No Cure  

Truth: While advanced gum disease (periodontitis) may not be reversible, it is manageable with professional care and a commitment to oral hygiene. Early-stage gum disease (gingivitis) is reversible with timely treatment.

How to Protect Your Gums  

  • Brush and floss daily to remove plaque buildup.
  • Schedule regular dental check-ups and cleanings.
  • Avoid smoking and maintain a healthy diet.
  • Address symptoms like bleeding gums or bad breath early by consulting a dental professional.

Understanding the truth about gum disease is essential for maintaining your oral and overall health. By debunking dental myths, you can make informed decisions about your periodontal care and seek treatment when needed.

Contact Britten Periodontics and Implant Dentistry today to learn more about gum disease prevention and treatment. Your smile – and your health – deserve it.

Medications & Dry Mouth: The Hidden Threat to Your Oral Health

Medications used to treat conditions such as ADHD, depression, anxiety, and other psychiatric disorders can have a significant impact on oral health. One of the most common side effects of these drugs is xerostomia, or dry mouth, which can lead to a host of dental problems. The reduced saliva flow caused by these medications contributes to the development and worsening of periodontal disease, dental caries, burning mouth syndrome, and candidiasis. Understanding the risks and taking preventive measures is crucial for maintaining oral health while undergoing treatment with these medications.

Medications That Cause Dry Mouth

Several classes of medications are known to reduce saliva production, including:

  • – Adderall and Other Stimulants – Used for ADHD, these drugs increase dopamine and norepinephrine levels but also lead to dehydration and dry mouth.
  • – Antidepressants – Selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, and monoamine oxidase inhibitors (MAOIs) are known to decrease saliva production.
  • – Anxiety Medications – Benzodiazepines and other anxiolytics have a drying effect on the oral mucosa.
  • – Psychotropic Drugs – Medications used for schizophrenia and bipolar disorder, such as antipsychotics and mood stabilizers, can significantly reduce salivary flow.

 Oral Health Complications

  1. Periodontal Disease
  2. Saliva plays a crucial role in maintaining the health of the gums by neutralizing acids and providing antibacterial protection. Reduced saliva flow creates an ideal environment for bacterial overgrowth, leading to gingivitis and periodontitis. Without adequate moisture, plaque buildup increases, exacerbating gum inflammation and attachment loss.
  3. Dental Caries
  4. Dry mouth promotes tooth decay by reducing the natural cleansing action of saliva. The lack of saliva allows bacteria to thrive, increasing the risk of cavities, especially along the gumline and between teeth. Patients taking dry mouth-inducing medications should be vigilant about fluoride use and regular dental checkups to prevent decay.
  5. Burning Mouth Syndrome
  6. A persistent burning sensation in the mouth is another side effect of dry mouth. This condition is often seen in patients taking psychotropic medications, and the discomfort can be exacerbated by a lack of saliva. Burning mouth syndrome can significantly impact a patient’s quality of life, making eating and speaking difficult.
  7. Candidiasis (Oral Thrush)
  8. Saliva contains antifungal properties that help control Candida growth in the mouth. When saliva production is compromised, fungal infections become more common, leading to white patches, soreness, and discomfort. This condition is particularly problematic for individuals on long-term psychotropic or stimulant medications.

 Preventive Measures

  • To mitigate the oral health risks associated with dry mouth medications, consider the following strategies:
  • – Increase Hydration – Drinking plenty of water throughout the day can help maintain oral moisture.
  • – Use Saliva Substitutes – Artificial saliva products or sugar-free gum with xylitol can stimulate saliva production.
  • – Maintain Excellent Oral Hygiene – Brushing twice daily with fluoride toothpaste and flossing regularly can help reduce bacterial buildup.
  • – Regular Dental Checkups – Seeing a dentist regularly for professional cleanings and fluoride treatments can help prevent complications.
  • – Avoid Alcohol and Caffeine – These substances can exacerbate dry mouth and should be consumed in moderation.
  • – Strongly consider weaning off any offending medications if possible (consult with physician)

 Conclusion

Medications used for ADHD, depression, anxiety, and other psychiatric disorders can significantly impact oral health due to their drying effects. By understanding the risks and implementing preventive strategies, patients can minimize the negative effects on their teeth and gums. Consulting with both dental and medical professionals is essential for managing these side effects while continuing necessary medications.

Routine periodontal check-ups are essential for maintaining healthy gums, strong teeth, and overall oral health. These specialized visits focus on preventing, diagnosing, and treating gum disease, a common condition that can lead to severe complications if left untreated.

Benefits of Regular Periodontal Examinations  

Early Detection of Gum Disease

Periodontal disease often develops silently, with symptoms like bleeding gums or bad breath being easy to overlook. Regular check-ups allow your periodontist to identify and treat gum issues early, preventing progression to advanced stages.

Prevent Tooth Loss   

Advanced gum disease can damage the structures supporting your teeth, leading to tooth loss. Periodontal maintenance helps preserve your natural teeth by addressing problems before they escalate.

Improve Overall Health

Gum health is closely linked to systemic conditions like heart disease, diabetes, and stroke. By keeping your gums healthy, you can positively impact your overall well-being.

Professional Cleaning and Care

Even with excellent oral hygiene at home, plaque and tartar can build up below the gumline. Periodontal cleanings remove these deposits, reducing your risk of infection.

Tailored Treatment Plans   

Regular visits allow your periodontist to monitor changes in your oral health and adjust your care plan as needed, ensuring the best outcomes.

Schedule Your Next Periodontal Check-Up 

Regular periodontal check-ups are a vital part of preventive care. Whether you’re managing existing gum disease or aiming to keep your gums healthy, routine visits can make all the difference.

Contact Britten Periodontics today to schedule your appointment and safeguard your oral health for the future.

How to Prevent Periodontal Disease & When to Get Help

Preventing gum disease requires a combination of good oral hygiene, regular dental care, and healthy lifestyle choices. Here’s what you can do:

1. Practice Good Oral Hygiene

  • Brush your teeth at least twice a day with a fluoride toothpaste.
  • Floss daily to remove plaque and food particles between teeth.
  • Consider using an antimicrobial mouthwash to reduce bacteria.

2. Schedule Regular Dental Visits

  • Visit your dentist or periodontist for routine cleanings and check-ups every six months—or more often if recommended.
  • Professional cleanings remove plaque and tartar that brushing and flossing can’t eliminate.

3. Maintain a Healthy Diet

  • Eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains.
  • Limit sugary snacks and drinks, as sugar feeds harmful bacteria in your mouth.

4. Avoid Tobacco Products

  • Smoking and chewing tobacco increase your risk of gum disease and slow down healing after treatment.

5. Manage Stress

  • Chronic stress can weaken your immune system, making it harder to fight infections, including gum disease.

When to Seek Help

If you notice any signs of gum disease, don’t wait for them to worsen. Early intervention can prevent more severe issues and restore your oral health. A periodontist specializes in diagnosing and treating gum disease, so don’t hesitate to reach out for expert care.

Final Thoughts

Periodontal disease is a serious condition, but it’s also preventable and treatable with the right care. By staying vigilant about your oral health and seeking professional help when needed, you can maintain a healthy, beautiful smile for years to come.

If you have concerns about your gum health or want to learn more about preventing periodontal disease, contact Britten Periodontics today. Our team is here to help you achieve optimal oral health!

Understanding Periodontal Disease: Early Signs

Recognizing the early symptoms of gum disease is crucial for timely intervention. Here are some common warning signs:

  • Red, swollen, or tender gums
    Healthy gums are firm and pink. Inflammation may indicate early gum disease, also known as gingivitis.
  • Bleeding during brushing or flossing
    While occasional bleeding may seem harmless, it’s often a sign of gum irritation or infection.
  • Persistent bad breath
    Chronic halitosis (bad breath) can result from bacteria buildup in the mouth.
  • Receding gums
    If your teeth appear longer or your gums are pulling away, it may indicate progressing gum disease.
  • Loose or shifting teeth
    Advanced gum disease can damage the structures that support your teeth.

How to Prevent Periodontal Disease

Preventing gum disease requires a combination of good oral hygiene, regular dental care, and healthy lifestyle choices. Stay tuned for our next blog article on how to prevent periodontal disease and when to seek help!

Understanding Cemental Tears: Protect Your Oral Health

Have you ever heard of a cemental tear? It’s a rare dental condition that can have serious consequences for your teeth. Here’s what you need to know:

What is a Cemental Tear?
A cemental tear involves the separation of the cementum, the outer layer of your tooth root, from the rest of the tooth. This condition can lead to tooth sensitivity, pain, and even tooth loss if not treated promptly.

Common Causes:
– Trauma: Injuries to the teeth from accidents or sports.
– Heavy Biting Forces: Excessive force from grinding or clenching teeth.
– Dental Procedures: Complications from dental treatments, especially around previously restored teeth.

Symptoms to Watch For:
– Sudden tooth sensitivity, especially to cold.
– Unexplained toothache or discomfort.
– Increased mobility of the affected tooth.
– Swelling or inflammation around the tooth.

Treatment Options:
– Professional Cleaning: Removing plaque and bacteria around the tear.
– Restoration: Bonding or sealing the tear with dental materials.
– Surgery: In severe cases, surgical intervention may be necessary to remove the affected area (the tear itself), or if severe periodontal infection and bone damage has occurred, the tooth will have t be extracted

Prevention Tips:
– Wear a Mouthguard: Protect your teeth during sports or if you grind your teeth at night.
– Regular Check-up: Regular dental visits help catch issues early.
– Avoid Hard Foods: Be cautious with hard or crunchy foods that can cause trauma.

Maintaining good oral hygiene and regular dental check-ups are key to preventing and managing conditions like cemental tears. If you’re experiencing any unusual dental symptoms, don’t hesitate to contact your dentist!

Stay informed and protect your smile!

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Why You Should Consider Having Your Wisdom Teeth Removed

Are you or someone you know facing the decision of whether to remove your wisdom teeth? Here are some key reasons why getting your third molars (wisdom teeth) removed might be the best choice for your oral health:
 
– Prevent Crowding and Alignment Issues: Wisdom teeth can push against your other teeth as they emerge, causing crowding and shifting that can undo years of orthodontic work.
– Reduce Risk of Infection and Decay: Partially erupted wisdom teeth are prone to infection and decay because they are hard to clean. Removing them reduces the risk of painful and recurring infections.
– Avoid Cysts and Tumors: Impacted wisdom teeth can lead to the development of cysts and, in rare cases, tumors, which can damage the jawbone and surrounding teeth.
– Alleviate Pain and Discomfort: Impacted wisdom teeth can cause significant pain, swelling, and discomfort in the jaw, gums, and surrounding areas. Removal can provide relief and prevent these issues.
– Prevent Damage to Adjacent Teeth: The pressure from emerging wisdom teeth can damage adjacent molars, leading to cavities, root resorption, and even tooth loss.
– Promote Better Oral Hygiene: Removing wisdom teeth makes it easier to maintain oral hygiene since there are fewer hard-to-reach areas where food and bacteria can get trapped.
– Prevent Future Problems: Many dentists recommend removing wisdom teeth before they cause problems. Early removal can lead to a smoother recovery and fewer complications.
 
Discuss with your dentist or oral surgeon to determine the best plan for your wisdom teeth. Proactive care can save you from future pain and extensive dental procedures. Your oral health is worth it!

Mouth – Body Connection

Research studies have shown that there is a strong association between periodontal disease and other chronic conditions such as diabetes, heart disease, pregnancy complications and respiratory disease.

Periodontal disease is characterized by chronic inflammation of the gum tissue, periodontal infection below the gum line and a presence of disease-causing bacteria in the oral region.  Halting the progression of periodontal disease and maintaining excellent standards of oral hygiene will not only reduce the risk of gum disease and bone loss, but also reduce the chances of developing other serious illnesses.

Common cofactors associated with periodontal disease:

Diabetes

A research study has shown that individuals with pre-existing diabetic conditions are more likely to either have, or be more susceptible to periodontal disease.  Periodontal disease can increase blood sugar levels which makes controlling the amount of glucose in the blood difficult.  This factor alone can increase the risk of serious diabetic complications.  Conversely, diabetes thickens blood vessels and therefore makes it harder for the mouth to rid itself of excess sugar.  Excess sugar in the mouth creates a breeding ground for the types of oral bacteria that cause gum disease.

Heart Disease

There are several theories which explain the link between heart disease and periodontitis.  One such theory is that the oral bacteria strains which exacerbate periodontal disease attach themselves to the coronary arteries when they enter the bloodstream.  This in turn contributes to both blood clot formation and the narrowing of the coronary arteries, possibly leading to a heart attack.

A second possibility is that the inflammation caused by periodontal disease causes a significant plaque build up.  This can swell the arteries and worsen pre-existing heart conditions.  An article published by the American Academy of Periodontology suggests that patients whose bodies react to periodontal bacteria have an increased risk of developing heart disease.

Pregnancy Complications

Women in general are at increased risk of developing periodontal disease because of hormone fluctuations that occur during puberty, pregnancy and menopause.  Research suggests that pregnant women suffering from periodontal disease are more at risk of preeclampsia and delivering underweight, premature babies.

Periodontitis increases levels of prostaglandin, which is one of the labor-inducing chemicals.  Elevated levels prostaglandin may trigger premature labor, and increase the chances of delivering an underweight baby.  Periodontal disease also elevates C-reactive proteins (which have previously been linked to heart disease).  Heightened levels of these proteins can amplify the inflammatory response of the body and increase the chances of preeclampsia and low birth weight babies.

Respiratory Disease

Oral bacterium linked with gum disease has been shown to possibly cause or worsen conditions such as emphysema, pneumonia and Chronic Obstructive Pulmonary Disease (COPD).  Oral bacteria can be drawn into the lower respiratory tract during the course of normal inhalation and colonize; causing bacterial infections.  Studies have shown that the repeated infections which characterize COPD may be linked with periodontitis.

In addition to the bacterial risk, inflammation in gum tissue can lead to severe inflammation in the lining of the lungs, which aggravates pneumonia.  Individuals who suffer from chronic or persistent respiratory issues generally have low immunity.  This means that bacteria can readily colonize beneath the gum line unchallenged by body’s immune system.

What do Bleeding Gums Mean?

Problems such as bleeding gums can be a sign that your gumline is not being properly cared for and may need more attention. While you don’t need to panic if you notice that your gums bleed, you do need to take action to help prevent the progression to a more advanced form of gum disease. Most commonly, gingivitis (inflammation of the gums) is the result of plaque – a sticky film of bacteria forming on the teeth around the gumline or under the gums. Plaque bacteria can lead to gum disease, tooth decay, and even tooth loss.

The Most Common Cause of Bleeding Gums

In most cases, gums bleed because of the harmful plaque – and the millions of bacteria in it – found at or around the gumline being left to develop gingivitis. Gingivitis, the early, yet still reversible form of gum disease, may require treatment and an improved oral hygiene routine to help reverse it.

When gingivitis begins to cause irreversible damage to the gum tissues or bone, the diagnosis would be periodontitis, or periodontal disease.

How to Stop Bleeding Gums

There are many ways to help improve your oral health and keep your gums from bleeding. Since gingival bleeding is mainly due to inadequate plaque removal from the teeth at or around the gumline, starting an effective oral hygiene routine is a great way to help treat and prevent your gums from bleeding.

Brush at least twice a day: Make sure to brush the dentist-recommended two minutes every session to better remove any plaque that can lead to gum disease and tooth decay. Consider switching to an electric toothbrush like the Phiips Sonicare

Clean in between your teeth: Flossing, softpicks or using proxabrushes between your teeth at least once or twice a day is one of the most important ways to help prevent bleeding gums and maintain good oral health. It removes plaque and food particles that may be just under the gumline between the teeth, which is where gum disease often starts.

  • Avoid Tobacco: Tobacco use of all types can damage your gums and can also make you far more likely to develop gum disease.  ***Smoking can mask severe gum disease, as bleeding is minimal or non-existent in smokers, but the damage to the tissues is occurring faster, with the blood supply cut off to help the tissues heal. Also, tar builds up on the teeth and harbors even more harmful plaque bacteria.
  • See a Dental Professional Regularly: Harmful plaque bacteria can even lead to issues beyond gingivitis like weakened tooth enamel. Regular dental hygiene visits at your dentist or periodontist’s office will remove plaque and tartar that can’t be removed at home. This will help prevent gums from bleeding and keep your mouth healthy.
  • Maintain a Healthy Lifestyle: The American Dental Association (ADA) recommends eating a balanced diet and avoiding between-meal snacking. Also, reducing stress from your life can help prevent gum disease to keep your smile healthy.

Gum recession refers to the loss of gum tissue along the gumline. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive habits when it comes to brushing the teeth.

Why should gum recession be taken seriously?

When gum recession occurs, the root structure of the tooth becomes exposed. This means that tooth decay and other problems can affect the teeth along the gumline and beneath it. Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness. When recession occurs to the point that no firm gum tissue remains, this leaves the roots of the teeth and the underlying bone relatively unprotected, which could result in root sensitivity, bacterial penetration, decay and even loss of teeth.

A gingival graft is designed to address these problems. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gum tissue around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root, however, the main objective is to re­establish the protective barrier or layer of the gum around the tooth. Occasionally, the patient may need multiple procedures to achieve the ideal amount of root coverage.

Dr. Britten has trained in the latest minimally invasive techniques of gum grafting and can often perform the entire procedure through a pinhole incision.

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