Posts for: May, 2014
Periodontal gum disease is a relentless enemy to dental health that destroys gum tissue and the teeth’s attachment to the jaw. As it ravages these tissues it often creates periodontal pockets, hidden spaces between the teeth and bone that fill with infectious bacteria capable of accelerating damage to teeth and gums.
The primary treatment goal for gum disease is to create an environment that is cleansable below the gum tissues, in order to remove as much bacterial plaque from the tooth, gum and root surfaces as possible. Periodontal pockets pose a challenge to this goal as they are extremely difficult to access using standard cleaning and root planing techniques the deeper they become. Cleaning and treating these deep pockets, however, is made easier with a procedure known as periodontal flap surgery.
This procedure is not a cure, but rather a way to access the interior of a periodontal pocket to remove infection and diseased tissue. In effect, we create an opening — like the hinged flap of a letter envelope — to gain entry into the affected pocket. Not only does this opening enable us to clean out infection within the pocket, but it can also facilitate cleaning the tooth’s root surfaces.
It also provides an opening for us to insert grafting materials to regenerate lost bone and tissue. It’s nearly impossible for this tissue regeneration to occur if bacterial infection and inflammation persist in the affected area. Periodontal flap surgery provides us the critical access we need to effectively remove these contaminants that stymie healthy growth.
This procedure is normally performed with local anesthesia and usually results in little bleeding and minimal post-operative effects. Once we have finished any procedures to clean the pocket and other affected tissues, or installed grafts for future bone and tissue growth, we would then seal the flap back against the tooth using sutures and gentle pressure to promote blood clotting around the edges. We might also install a moldable dressing that re-secures the edges of the flap to their proper position and prevents food debris from interfering with healing.
Periodontal flap surgery is the result of years of research to find the best techniques for treating gum disease. It’s one of many weapons in our arsenal for winning the war against decay and gum disease, and helping you realize a healthier dental future.
If you would like more information on periodontal flap surgery, 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 “Periodontal Flap Surgery.”
Here’s a quick quiz: What recent activity did domestic guru Martha Stewart share via social media for the first time? Need a hint? Was she following the lead of other celebrities like rapper 50 Cent (AKA Curtis James Jackson III), actress Demi Moore and country music star LeAnn Rimes?
Give up? The answer is… she live-tweeted her visit to the dentist! Not only that, she also posted pictures of her mouth as she was undergoing an in-office whitening procedure.
Now, we understand that some might feel they don’t need to see close-ups of Stewart’s teeth under treatment. But we have to admire her for not trying to hide the fact that she’s had the same procedure that has benefited so many people, whether famous or not. Plus, her pictures actually provide a good illustration of how the treatment works.
In-office whitening treatments are the fastest way to brighten up your smile. In a single one-hour visit, your teeth can be lightened by three to eight shades — and that's a big difference! How can we achieve such dramatic results? When you’re under our direct supervision in an office setting, we can use the most concentrated bleach solutions safely and effectively. You can get similar results with custom-made trays and take-home lightening solutions we can prepare for you, but then the process will take longer.
If you look closely at her photos, you’ll see that Stewart’s lips, gums, and face are covered up to prevent any contact with the bleaching solution. She’s also wearing protective eyewear, which not only keeps chemicals away, but also guards her eyes against strong lights, which are sometimes used in conjunction with bleach. When we perform in-office whitening procedures, we use safeguards like these for all of our patients — not just celebrities!
We also perform a complete oral examination before starting any whitening procedure, to be sure you don’t have any underlying conditions that need to be treated before teeth whitening begins. That’s something you just can’t get from an over-the counter whitening product.
Teeth whitening is an effective and affordable way to give your smile a quick boost. But whether you decide to live-tweet your procedure — or keep your fans guessing about why your smile looks so good all of a sudden — that’s up to you.
If you would like more information about the teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
Your teeth have enemies — bacteria that feed on biofilm, a thin layer of food remnant known as plaque that sticks to your teeth, are one such example. After ingestion, these bacteria produce acid, which can erode your teeth’s protective enamel and lead to tooth decay.
Fortunately, you have a weapon against enamel loss already at work in your mouth — saliva. Saliva neutralizes high levels of acid, as well as restores some of the enamel’s mineral content lost when the mouth is too acidic (re-mineralization).
Unfortunately, saliva can be overwhelmed if your mouth is chronically acidic. Here’s how you can help this powerful ally protect your enamel and stop tooth decay with better hygiene and eating habits:
Remove bacterial plaque daily. You should floss and brush with fluoride toothpaste everyday to remove plaque. It’s also recommended that you visit us twice a year for professional cleanings to remove hard to reach plaque. We can also train you on how to properly floss and brush.
Wait an hour after eating to brush. It may sound counterintuitive, but brushing immediately after you eat can do more harm than good. The mouth is naturally acidic just after eating and some degree of enamel softening usually occurs. It takes a half hour or so for saliva to restore the mouth’s pH balance and re-mineralize the enamel. If you brush before then, you may brush away some of the softened enamel.
Limit sweets to mealtimes. Constantly snacking on sweets (or sipping sodas, sports or energy drinks) will expose your teeth to a chronic high level of acid — and saliva can’t keep up in neutralizing it. If you can’t abstain from sugar, at least limit your consumption to mealtime. It’s also a good habit to rinse out your mouth with clear water after drinking an acidic drink to flush out excess acid.
Boost saliva content with supplements. If you suffer from insufficient saliva production or dry mouth, try an artificial saliva supplement. Chewing xylitol gum can also help boost saliva production, as well as inhibit the growth of infection-causing bacteria. We’ll be glad to advise you on the use of these products.