36075 Utica Rd. #200, Clinton Twp., MI 48035, (586) 792-4600

Archive:

Tags

Posts for tag: gum disease

DiabeticswithGumDiseaseBenefitfromCoordinatingTreatmentforBoth

If you have periodontal (gum) disease, you probably already know you’re in danger of eventual tooth and bone loss if the infection isn’t brought under control. But if you also have diabetes, the effects from gum disease could extend well beyond your mouth.

Gum disease is a bacterial infection caused by plaque, a film of food remnant that builds up on tooth surfaces mainly due to poor oral hygiene. As the infection grows, your body’s immune system responds by flooding your gum tissues with antibodies to fight it, resulting in inflammation. As the inflammation persists, though, it damages the gum and underlying bone tissue, which in turn leads to gum and bone loss from the teeth.

Diabetes also causes an inflammatory response within the body. The disease develops either as a result of the body’s decreased ability to produce insulin to balance the glucose (sugar) levels in the bloodstream (Type 1) or the body develops a resistance to insulin’s effects (Type 2). As a result diabetics experience abnormally high blood glucose levels, a condition called hyperglycemia. This triggers chronic inflammation that can lead to inhibited wound healing, increased risk of heart, kidney or eye disease, coma or death.

Gum disease can worsen diabetic inflammation, and vice versa. The effects of the oral infection add to the body’s already overloaded response to diabetes. In turn, the immune system is already compromised due to diabetes, which can then increase the severity of the gum disease.

Research and experience, though, have found that pursuing treatment and disease management for either condition has a positive effect on managing the other. Treating gum disease through plaque removal, antibiotic therapy, surgery (if needed) and renewed oral hygiene will diminish the oral infection and reduce the body’s immune response. Caring for diabetes through medication, diet, exercise and lifestyle changes like quitting smoking will in turn contribute to a quicker healing process for infected gum tissues.

Treating gum disease when you have diabetes calls for a coordinated approach on both fronts. By caring for both conditions you’ll have a more positive effect on your overall health.

If you would like more information on the relationship between diabetes and gum disease, please contact us to schedule an appointment for a consultation.

By Eric Romano DDS
September 19, 2018
Category: Oral Health
Tags: oral hygiene   gum disease  
StopGumDiseaseBeforeitGetsStartedwithDailyOralHygiene

While tooth decay seems to get most of the “media attention,” there’s another oral infection just as common and destructive: periodontal (gum) disease. In fact, nearly half of adults over 30 have some form of it.

And like tooth decay, it begins with bacteria: while most are benign or even beneficial, a few strains of these micro-organisms can cause gum disease. They thrive and multiply in a thin, sticky film of food particles on tooth surfaces called plaque. Though not always apparent early on, you may notice symptoms like swollen, reddened or bleeding gums.

The real threat, though, is that untreated gum disease will advance deeper below the gum line, infecting the connective gum tissues, tooth roots and supporting bone. If it’s not stopped, affected teeth can lose support from these structures and become loose or out of position. Ultimately, you could lose them.

We can stop this disease by removing accumulated plaque and calculus (calcified plaque, also known as tartar) from the teeth, which continues to feed the infection. To reach plaque deposits deep below the gum line, we may need to surgically access them through the gums. Even without surgery, it may still take several cleaning sessions to remove all of the plaque and calculus found.

These treatments are effective for stopping gum disease and allowing the gums to heal. But there’s a better way: preventing gum disease before it begins through daily oral hygiene. In most cases, plaque builds up due to a lack of brushing and flossing. It takes only a few days without practicing these important hygiene tasks for early gingivitis to set in.

You should also visit the dentist at least twice a year for professional cleanings and checkups. A dental cleaning removes plaque and calculus from difficult to reach places. Your dentist also uses the visit to evaluate how well you’re doing with your hygiene efforts, and offer advice on how you can improve.

Like tooth decay, gum disease can rob you of your dental health. But it can be stopped—both you and your dentist can keep this infection from ruining your smile.

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

By Eric Romano DDS
February 18, 2018
Category: Oral Health
Tags: gum disease   birth control  
SomeBirthControlDrugsCouldIncreaseRiskofGumDisease

One of the health issues pregnant women should be concerned about is a higher risk of periodontal (gum) disease. But you don’t have to be pregnant to have an increased risk — you also may be more susceptible to dental disease if you’re taking certain birth control pills.

Gum disease is a bacterial infection caused by plaque, food debris that builds up on tooth and gum surfaces due to poor oral hygiene. If left untreated gum disease can eventually lead to the breakdown of connective gum tissue and cause tooth loss.

Pregnant women are at greater risk because of an increased level of female hormones (estrogen) in their blood stream. This causes a change in the blood vessels that supply the gums, making them more susceptible to the effects of bacteria. A number of birth control options also increase estrogen levels, causing much of the same effect. To heighten the effect, you may also have a predisposition toward gum disease by your genetics or a high stress level.

There are some things you can do, however, to help lower your risk if you’re taking birth control medication. First and foremost, practice a consistent, daily habit of brushing and flossing. If you’re unsure if your technique is effective, we can provide guidance and training to make sure you’re performing these tasks properly. You should also visit us at least twice a year for office cleanings and checkups: no matter how effective you are with brushing and flossing, plaque can still accumulate in hard to reach places and form hardened deposits known as calculus.

You should also be on the lookout for signs of disease like gum redness, swelling or bleeding. If you see any of these signs, contact us as soon as possible for a thorough examination. As with many other issues involving health, the sooner we begin treatment for gum disease the better your chances of stopping it before it does too much harm.

If you would like more information on the relationship between gum disease and pregnancy or birth control, 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 “Pregnancy & Birth Control.”

By Eric Romano DDS
February 03, 2018
Category: Dental Procedures
Tags: gum disease  
AdvancingGumDiseaseRequiresYourDentistsIntervention

Your gums’ primary role is to protect your teeth and keep them firmly in place. But periodontal (gum) disease can damage your gums to such an extent you could ultimately lose your teeth.

Gum disease is a progressive infection caused by bacterial plaque built up on tooth surfaces from poor oral hygiene. The initial infection triggers inflammation, a defensive response of the body characterized by swelling, redness and bleeding of the gums. An initial form of the disease known as gingivitis occurs in most people after just a few days without brushing or flossing.

Resuming hygienic activities to remove daily plaque, along with regular dental cleanings, may be enough to stop gingivitis and restore healthy gums. If the disease is allowed to advance, however, the infected gum tissues will begin to detach from the teeth, turning the slight normal gaps between teeth and gums into wider voids known as periodontal pockets that fill with bacteria leading to infection. Your hygiene efforts will not be enough to cope with this advanced form of periodontal disease.

At this point professional techniques are required to adequately remove plaque and calculus (hardened plaque deposits), depending on the depth and location of the periodontal pockets. The most basic of these is scaling using specialized hand instruments or ultrasonic equipment to remove plaque and calculus in pockets at or just below the gum line. If plaque and calculus have extended to the roots we may then need to employ root planing, in which we “shave” offending material from root surfaces. In some cases this may require accessing the area surgically beneath the gum tissue.

As plaque removal progresses, inflammation will begin to subside and the gum tissues heal. If, however, swelling, bleeding or pus formation persists, this may indicate bacterial levels remain too high. To decrease these levels we may need to administer antibiotics, or through mouthrinses containing chlorhexidine.

Once under control, it’s crucial from then on for you to maintain a strict daily regimen of brushing and flossing to keep plaque from building up on tooth surfaces. You'll also need to visit us regularly (two or more times a year) for professional cleaning and checkups. Keeping a close eye will help prevent a reoccurrence of this serious disease and prolong the life of your teeth.

If you would like more information on treating periodontal (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 “Treating Difficult Areas of Periodontal Disease.”

By Eric Romano DDS
April 18, 2016
Category: Oral Health
DrTravisStorkDontIgnoreBleedingGums

Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.

First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.

How common is this malady? According to the U.S. Centers for Disease Control, nearly half of all  Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.

What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.

Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.”  If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.