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Jul 01 2009

Clean Teeth Could Mean Clean Arteries – Less Chance of Stroke

toothpasteMore and more evidence points to the relationship between strokes and periodontal (perio) disease. Studies in the Infectious Diseases Unit, Hospital Luigi Sacco, Milan, Italy have reported that the thickness of the carotid arteries was reduced after treatment for mild to moderate gum disease.
 
Strokes are caused by blockage in a blood vessel (most common) or bleeding of a vessel. The studies that were conducted showing a link between strokes and periodontal issues were those strokes caused by blockages. These occur when there is a thickening of the carotid and other arteries. Deposits of calcium and cholesterol – that are in blood vessels and arteries – break off and block the blood from reaching the brain. (The deposits are often referred to as plaque deposits. This is not to be confused with periodontal plaque.)
 
The bacteria found in periodontal disease are the perpetrator. The protein in the bacteria is similar to that found in periodontal disease. While the bacteria are in the mouth, the body sets up a defense mechanism to attack the disease. The chemical given off by the body first attacks the periodontal disease then attacks the proteins in the blood vessels. This in turn builds up the deposits in the arteries. When the fatty substances break off the lining of the blood vessels they can travel to the brain and block the blood, causing the stroke.
 
There are about 800,000 strokes in the US each year, with over 140,000 deaths. It is the third leading cause of death. Strokes strike both men and women and can occur at any age.
 
Perio disease is a chronic infection of the soft tissue around the teeth. The gum tissue is destroyed and pockets are formed around the tooth. Symptoms include loose teeth, deep pockets, bad breath that won’t go away, painful or bleeding gums and red or swollen gums. There are no symptoms in the early stages of periodontitis. Professional dental visits are necessary to insure the disease is caught early. Periodontitis is caused by the plaque (in this case dental plaque) build up from not keeping the area around the teeth and in between teeth clean.
There are risk factors for stroke that one cannot control. These include age, gender, and family history. There are risk factors, however, that can be controlled. One factor is periodontal disease. This can be managed successfully by individuals. Although oral surgical procedures may be necessary for severe cases, most treatment requires good oral hygiene. The American Dental Association (http://www.ada.org/public/topics/cleaning.asp) recommends brushing teeth twice a day, flossing once a day, and professional cleanings twice a year.
 
The National Center for Biotechnology Information who published the study showing the link between strokes and periodontal disease, reported that the thickening of the carotid arteries “are positively influenced by periodontal treatment.” (http://www.ncbi.nlm.nih.gov/pubmed/19074511?dopt=Abstract)
 
This information reinforces the belief that many in the dental profession have known for years, that there is a significant link between oral health and overall health.

Want to learn more on how to have a white and healthy smile and manage periodontal disease? I have designed and developed a home dental cleaning system that uses the technology of the professional Prophy-Jet to power wash between your teeth and around the gum line.

I invite you to sign up for my articles at http://dentalairforce.com

From P., Piero DDS a practicing dentist and inventor of Dental Air Force® and “Baci The Dental Dog”.

Follow ppierodds on Twitter at http://twitter.com/ppierodds

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Jun 26 2009

Gum Disease – Battling the Almost Inevitable Gum Disease

flossingChances are high that you will have periodontal disease or gum disease in your lifetime. Over 80% of adults do. With those odds, it may seem inevitable that you will have it, but why not be in the 20% that don’t? You can, all it takes is diligent, thorough and proper oral care.  

First – THE DESCRIPTION: periodontal disease is the chronic infection of the soft tissue around the teeth caused by plaque producing bacteria. The gums hold the teeth in place. As the gums become infected, they loosen their hold on the teeth and pockets are formed. These pockets collect debris and cause more infection and bone loss to the tooth. Imagine the tooth as a fence post in the ground, cemented in place. The post starts out sturdy and strong with no movement. The cement is doing its job. Now imagine that chemicals (from acid rain or blowing debris or winter salt trucks) start to erode the cement. Soon the post becomes wobbly and the wood under the ground starts to rot. The cement in this example is the gum tissue and the post is the tooth. Unfortunately, gum disease is worse than one rotting fence post. It is infectious and contagious. It can spread from tooth to tooth in the mouth and from one person’s mouth to another through saliva.  

Second – THE SYMPTOMS: This is not so easy. Often gum disease has no symptoms so it is left untreated until it becomes so bad irreparable bone loss occurs. Outward signs of periodontitis are:

  • Bad breath that won’t go away
  • Red or swollen gums
  • Bleeding gums especially after tooth brushing
  • Tender or sore gums
  • Loose teeth
  • Receding gums

 Third – THE DIAGNOSIS: During regular six month cleanings, a dentist can diagnose periodontal disease in its very early stages. Xrays determine if any bone loss has occurred. Periodontal probing determines the depth of the pockets or space that the gums have loosened around the tooth. High levels of plaque or tartar build up that have spread to below the gum line is another indication.  

Fourth – THE TREATMENT: If you have perio issues, there are several steps that a dentist may recommend depending on the severity of the case. The most important action is meticulous at home daily oral care. Teeth must be brushed twice or more times each day for at least two minutes and flossed at least once per day. Other treatments include prescription oral rinses, three month perio cleanings, scaling and root planing (SRP) and surgery.  

Last but not least – PREVENTION: The most important preventative measure to avoid the insidious gum disease is to take excellent care of your teeth. Proper cleaning at least twice a day is imperative. The goal is to keep the bacteria that cause the plaque at very low levels.   Not everyone gets gum disease, make sure you are among those that don’t.

Want to learn more on how to manage periodontal disease and have a white and healthy smile? I have designed and developed a home dental cleaning system that uses the technology of the professional Prophy-Jet to power wash between your teeth and around the gum line. The Dental Air Force® combines both tooth brushing and flossing.

I invite you to sign up for my articles at http://dentalairforce.com From P., Piero DDS a practicing dentist and inventor of Dental Air Force® and “Baci The Dental Dog”.

Follow ppierodds on Twitter at http://twitter.com/ppierodds

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Jun 08 2009

Cleaning Your Teeth Help Keep Your Immune System Healthy

Published by Jennifer under Dental Health, Featured

teeth-cleaningRespiratory infections can be caught at any time of the year. The standard advice for the prevention of these sicknesses is to wash your hands and keep your immune system healthy by eating properly and exercising regularly. Washing your hands is one way of keeping the hundreds of different bacteria and viruses from getting into your system. Individuals with lower immune systems are more susceptible to infections, since your immune system helps to defend the body, if and when a virus slips in.

In addition to the standard advice, a less publicized approach to healthy living and avoiding a respiratory infection is to keep your teeth clean. Here’s why:

1.   There are 400-500 species of bacteria that live in your mouth. Viruses can use bacteria as “factories” to grow and multiply. If a virus makes its way into your mouth (usually from touching your hands to your mouth or biting your nails), the fewer bacteria in your mouth, the less likely the virus will grow.

2.  Periodontal disease is caused by plaque producing bacteria. The body in defense of the periodontal disease releases cytokines. These cytokines trigger your blood-making organs to constantly fight or defend themselves, thus weakening the body’s immune system to fight other infections.

3.  Periodontal disease is a potential contributing factor for respiratory diseases, according to the American Academy of Periodontology.

The bacteria that cause periodontal disease and are taxing your immune system are breeding right now in the perfect environment of your mouth. They love the cozy, moist, dark, warm and acidic ecosystem, which is constantly being fed by carbohydrates. The areas between the teeth are particularly good breeding grounds because the damaging bacteria thrive in the absence of oxygen. The bacteria grow rapidly – actually doubling their count every hour. There are more bacteria in your mouth than people on the planet Earth. The excrement or bi-product of the bacteria is what forms the sticky film that is a constant challenge to remove and what is called plaque.

Symptoms of periodontal infection are often not noticeable until the disease is advanced. Some of the symptoms include: bad breath that will not go away, red or swollen gums, tender or bleeding gums, loose teeth, or sensitive teeth. A dentist can diagnose the disease in the early stages, prior to individuals realizing they have it. Because 85% of the population have some degree of periodontal disease, it is extremely important to get regular dental check ups. Professional cleanings at a dental office are recommended every six months. Periodontal disease is the most widespread disease on earth.

Visiting a dentist is only one half of the prevention equation. Daily home care is as important. Periodontal disease is prevented by thoroughly cleaning your teeth, requiring the removal of the resilient bacteria. A toothbrush does a good job in removing the bacteria from the high spots, but unfortunately, not in between teeth. In addition, most conscientious individuals who try to do a “better” job at cleaning their teeth, end up with toothbrush abrasion. This ridge between the tooth and gum line expose the root. The area then is sensitive to hot, cold, sweets and acids, and requires composites that must be repeatedly replaced.

Flossing is important both in the prevention and the control of periodontal disease according to the American Dental Association (ADA). Because it is a laborious task to floss, most people don’t. The ADA reported that only about 5% of the population actually flosses. In addition, only 18 – 35% of the plaque between teeth is removed when one does floss, according to The Journal of Clinical Periodontology. Flossing can also move the contagious periodontal disease from an infected site to an uninfected site. Although oral irrigators are meant to replace flossing, they can’t cut through plaque’s sticky biofilm since they only use water.

Once afflicted, patients with periodontal disease control it by a disciplined and meticulous oral cleaning regimen, both at the dental office and at home. Professional treatment may require below the gum line scraping, three-month check ups instead of the traditional six-month, and a prescription oral rinse.

Oral health is critical to total health. There is evidence that point to a link between periodontal disease and Chronic Obstructive Pulmonary Disease (COPD), among which is emphysema and chronic bronchitis. Sixteen million Americans suffer from COPD and it is the 6th leading cause of mortality in the US. Studies published in the Journal of Periodontology found that patients with periodontal disease have a 1.5x greater risk of COPD.

The American Academy of Periodontology reported that, “Bacteria that grow in the oral cavity can be aspirated into the lung to cause respiratory diseases such as pneumonia, especially in people with periodontal disease.” The bacteria that are multiplying in the mouth are not only being used as factories for the viruses but are also being breathed into the susceptible lungs.

The U.S. Department of Health and Human Services suggests that there are over 1 billion respiratory infections each year in the US. Avoid illness – wash your hands, keep them out of your mouth, eat healthy, exercise AND clean your teeth.

Want to learn more on how to manage periodontal disease and the problems that it can cause? I have designed and developed a home dental cleaning system that uses the technology of the professional Prophy-Jet to power wash between your teeth and around the gum line.

I invite you to sign up for my articles at http://dentalairforce.com.

From P., Piero DDS a practicing dentist and inventor of Dental Air Force® and “Baci The Dental Dog”.

Follow ppierodds on Twitter at http://twitter.com/ppierodds.

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Feb 27 2009

Put Your Money Where Your Mouth Is

dental-careBrush Up on Your Oral Health Today for a Healthier Tomorrow

(ARA) – With the economy taking a nose dive, Americans are cutting back on spending — from food and travel to even medical treatments. Both health care and dental care are taking a back seat to more urgent needs.

According to a recent survey by Cigna, a leading provider of health benefits, 41 percent of Americans are taking worse care of their health because of the economy. In fact, nearly half of Americans report that someone in their household has skipped necessary health care in the past year due to the cost, according to a recent Kaiser Foundation Poll. A recent study published in “Health Services Research” found that an increase in unemployment may be associated with fewer preventive care visits.

Even though times are tough, it is still important to take care of your body, particularly your oral health. With 92 percent of adults ages 20 to 64 experiencing dental caries — which can lead to cavities — in their permanent teeth at some point in their lives, proper oral care routines and preventive dental care visits are more essential than ever for achieving a cleaner, healthier mouth.

New York-based dentist Dr. Gregg Lituchy advises “include a fluoride rinse in your daily oral care routine to help protect your teeth against cavities. I recommend my patients use an anti-cavity fluoride rinse that delivers multiple benefits, such as Listerine Total Care Anticavity Mouthwash from the makers of Listerine Antiseptic, a product that has been trusted for more than 100 years and has more than 50 clinical studies supporting its safety and efficacy.”

Dr. Lituchy offers four easy tips to help reduce the risk of oral care problems and maintain a beautiful smile — without hurting your wallet:

* Multitask. Rinse your mouth with an anti-cavity mouthwash while you’re washing your face.

* Avoid sticky situations. Foods that stick to your teeth create an environment for bacteria to thrive, so the best strategy is to brush your teeth after meals and snacks.

* Don’t skip your dental check-ups. Visiting your dental professional at least twice a year is the best way to maintain good oral health and detect problems early on that could cause you more economic pain in the future.

* Technique matters. Learn the proper way to brush and floss. Ask your dental professional or visit the American Dental Association Web site, www.ada.org, which offers educational tutorial videos.

Courtesy of ARAcontent

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Sep 28 2008

What is the Cost of Dental Implant Surgery?

Published by Author under Dental Implants

If you are one of the many people who are considering having dental implant surgery performed, of course one of the first things you are going to be concerned with is the cost of dental implant surgery. Because this surgery is often considered as being cosmetic, your benefits if any will probably not cover it or at least not the full cost, so you will need to be prepared to spend some money out of your own pocket.

The cost of dental implant surgery depends on a few things. For one the cost of dental implant surgery will depend on the particular type of dental implant that is used. Some are more expensive than others, and also the work that will go into the placing of a certain dental implant may be more costly.

As with many surgical procedures, dental implant fees will vary from one doctor to another, so you will have to ask your particular dentist what their cost of dental implant surgery is. They will be able to quote you their cost of dental implant surgery and if it is a bit high you may want to shop around to a few different dentists and see if you can find one offering a lower price.

Consider that there are a few costs involved here: the cost of the implant surgical procedure itself, the cost of the post which is placed on the healed implant, and the cost of the crown which is the tooth that is placed on top of the post. You should ask in detail what all the costs will be, and it is important to note that there may even be financing options available which will be helpful if you are not able to pay for the entire cost of the procedure all at once.

What to Expect

Although dental implant surgery is considered as being much milder than most other similar procedures, you should still know what to expect because you will generally have at least remote pain after the procedure. You need to be prepared for dental implant surgery pain and be aware of what the most common symptoms are as a result of the procedure. You should have a few appointments with your dentist before going in for the procedure, where they will talk with you and make sure that you are educated and comfortable with the procedure and are sure that you want to follow through with it.

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Sep 24 2008

How To Care For Pain After Dental Implant Surgery

Published by Author under Dental Implants

Don’t let anyone fool you; you will have some pain after dental implant surgery.  On the scale of pain where the levels coincide with Hell’s depths as described by Dante, pain after dental implant surgery would be experienced in the second layer of Hell. For those of those of you who have read that and are still wondering how much pain after dental implants is there, it’s not that bad, although not that good, either.

I Want A New Drug

Don’t hope that you will be prescribed some of the more fun legal painkillers on the market to dull your pain after dental implant surgery.  Your pain just won’t be that bad.  Depending on your views of legal painkillers, this will be either good news or bad news.  But taking morphine for pain after dental implant surgery is a bit like killing a mosquito with a Howitzer.  Sure, it kills the mosquito, but then you’re going to have deal with a mighty unhappy person that mosquito was sitting on.

You might also be comforted to know that over the counter painkillers will be more than adequate to remove any pain after dental implant surgery that you will experience.  This doesn’t mean that your pain or discomfort is anything somehow “less” than someone with a mild headache.  This means that over the counter painkillers are a lot more effective than sometimes we give them credit for.

You will most likely get a prescription from your dentist or oral surgeon for antibiotics.  This is standard procedure anytime you have a body part that goes under the knife.  When your body is open, it’s party time for any wandering bacteria, including bacteria that hang out on the skin and are otherwise benign.

When You’re Sore

After mouth surgery, your mouth is going to be sore and maybe a bit swollen.  Don’t paint it with Anbesol.  Just use an ice pack to help reduce the swelling and the pain.  You also want to remember that this pain after dental implant surgery is not going to be a permanent thing in your life.  Eventually, it will go away.  The first week is generally the worst, and then it gradually gets better.

And then one day you wake up, go throughout your day and are just about getting back into bed when you suddenly realize that your mouth hasn’t been bothering you.  There won’t be any dramatic fanfares, but the pain will go away.

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Sep 20 2008

Why Undergo a Tooth Implant Procedure?

Published by Author under Dental Implants

Do you constantly smile with your mouth close in pictures? Hate opening your mouth too wide all because of missing teeth? You can get your teeth and your confidence back with a tooth implant procedure. Basically, what this does is place titanium implant into your gum so that a crown can be fitted permanently in place.

A tooth implant procedure differs slightly from other method of replacing missing teeth. The benefits extend beyond superficial reasons. You can prevent bone loss with an implant, something that doesn’t happen with dentures. If taken care of properly you can use your artificial crown for the rest of your life.

Dentures vs. Implants

People have been using dentures for years without complaint when faced with missing teeth. So why should you have a tooth implant procedure, a procedure much more invasive and painful than having dentures.

The reasons are simple. Having a tooth implant procedure solves the disadvantages of dentures. With dentures you may have to remove your dentures prior to eating certain foods. It can be slightly embarrassing and inconvenient. Dentures can also cause pain in the gums and inflammation of the gums when biting down on something.

With an implant you don’t have to worry about this. You never have to take out your crown. Dentures unfortunately do not stop the loss of bone in the jaw that occurs when a tooth falls out. This may not seem to have much effect at first but you will eventually begin to notice the loss of bone. Particularly when your skin sags and you begin to look older.

Dentures need to be cleaned regularly, when you undergo a tooth implant procedure you treat it as a normal tooth. You brush, and floss just like you would with the rest of your teeth. Regular dentist’s appointments are also part of maintaining healthy teeth and implants.

Undergoing tooth implant surgery means that you only replace the missing tooth. With dentures you may sometimes need to extract healthy teeth to have dentures fitted. With implant surgery there is no need for the other teeth to be involved. It is a completely independent surgery.

Dental implants also have the advantage of looking exactly like your natural teeth. Dentures can sometimes stand out from your other teeth or come loose. You can be sure that this won’t happen if you have a tooth implant procedure. Cosmetically speaking dental implants are a better idea than dentures. You will also get better function out of your implants.

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Sep 16 2008

What to Expect After Dental Implant Surgery

Published by Author under Dental Implants

Dental implants are very realistic and natural feeling, and dental implant surgery is recognized as being one of the most commonly performed dental procedures in the world today. If you are having problems with your teeth, whether you have broken a tooth or are having gum problems, dental implant surgery may be the perfect choice for you.

The surgery is performed on an outpatient basis, meaning that the patient does not have to stay overnight, and is usually able to be released right after the surgery and carry on their regular day to day activities. Specifically, how the surgery is performed depends on the type of implant that is used, and you will have to determine this with your dentist beforehand. Keep in mind that if your jawbone is not thick enough or if it is too soft, you may need to have bone grafting done before you will be able to proceed with the surgery. All of these issues will be discussed and figured out beforehand.

After Dental Implant Surgery

It is important to be prepared for what happens after dental implant surgery, just as you would with any other type of procedure. After dental implant oral surgery, whether you have the surgery in one stage or multiple stages you may experience some discomfort.

You may notice that you have swelling of your gums and face after dental implant surgery, or that there is bruising of your skin and gums. Another common complaint after dental implant surgery is pain at the implant site, which is completely normal and you should be able to take over the counter pain medication such as Tylenol or Advil to help with the pain if you need it.

There are also rarer symptoms that one may experience after dental implant surgery which are also normal. Stiffness of the jaw muscles for one, which may occur, or an inability to fully open your mouth.

If you are experiencing any symptoms that are painful or uncomfortable enough that you think something may be wrong or need stronger pain medication, you should make an appointment with your dentist as soon as possible so they can take a look at the dental implant site and check that everything is okay. The risk of infection from this procedure is very rare but could cause serious complications if left untreated so if you are experiencing more pain than is normal you should definitely seek a medical professional’s opinion.

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Sep 12 2008

Is It Normal To Have Pain After Dental Implants?

Published by Author under Dental Implants

It is normal to have some pain after dental implant procedures for fitting bridges, dentures, anti-snoring plates or any other kind of implantation.  However, the pain should not be crippling.  If it is crippling pain, then something has gone wrong and you need to contact your dentist immediately (or have a friend or family member make the call for you).  But, on the whole, pain after dental implant procedures tends to be more annoying than painful.

Will Drugs Be Involved?

Usually, dental implants and pain do not necessitate you being prescribed any kind of major narcotic painkiller (Sorry).  The pain after dental implant procedures just isn’t that bad.  Usually, over the counter painkillers will be able to take care of the discomfort, or at least tone it down to a dull roar.

There are times, depending on the procedure, that you may be prescribed antibiotics.  They won’t kill pain, but they do great at killing an infection that would cause crippling pain.  Anytime when you are prescribed antibiotics, you must take all of the pills in the bottle, even if you feel fine.  Otherwise, you won’t do your body much good.

What Should I Expect?

Ideally, you should have someone drive you to and from your dentist or oral surgeon.  You will be too loopy on Novocain and anesthetic in order to safely drive yourself.  Worse comes to worse, get a taxi.  It will be worth the money for the cab fare.  The immediate pain after dental implant procedures won’t be so bad, because you’ll still be loopy.

The pain after dental implant procedures starts some time after you recover from the Novacain and any anesthetic begins to wear off.  You can expect a lot of blood, swallowing blood and nausea from swallowing blood.  You might vomit the blood up.  If you keep vomiting blood up after three days, you need to scream at your dentist.

Your mouth will be sore and probably swell a bit.  You can help with swelling by using an ice pack wrapped in a towel against your mouth.  You might also feel cotton padding, which will feel uncomfortable more than painful.  Each person has their own rate of recovery.  Some people can go back to school or work the day after their dental implant procedure.  Other people take a bit more time.

Getting used to your new dental implants is a bit like breaking in a new pair of shoes.  It takes time for your mouth to adjust. It is during an adjustment period of a few weeks that you will have the most trouble and discomfort.

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Sep 10 2008

The Big Question: What do Dental Implants Cost?

Published by Author under Dental Implants

Dental implants are small dental appliances that are inserted into the upper and lower jaws in order to help restore a mouth that has little to no non-restorable teeth. Dental implants are very different from other types of artificial teeth, and the best thing about them is that they are screwed right into the gums and so they are permanent and you will not have to worry about them falling out as you would with dentures, for instance.

If you have broken, missing or gapped teeth, you may want to consider having the dental implant surgery performed, and will need to speak to your dentist to have a proper assessment done and receive more information on this. They will be able to talk about all the ins and outs with you and make sure that you know what you are getting into.

What do Dental Implants Cost?

If you are one of the many people out there who is wondering what do dental implants cost, you need to know that the cost of dental implants will vary, depending on a few factors. For instance, if you have insurance and are wondering what do dental implants cost, know that you will probably be getting part of the cost taken off with your benefits.

If you are getting multiple dental implants installed then obviously you will most likely be paying more than you would for a single implant. So, you will need to keep this in mind as well when you are considering the question of what do dental implants cost.

If you are interested in learning specific answers on what do dental implants cost, you will need to speak to your dentist. They will be able to make an assessment on your teeth and inform you of all fees and charges before heading into the surgery, so you know how much money you have to get together or you may even realize that it is too costly and you simply cannot afford it, especially if you do not have benefits.

Of course if you have dental implant insurance or any type of dental benefits for that matter, you should receive at least some form of a discount so remember this and use it to your advantage. Maybe you are not receiving benefits now but should be, and you can figure this out by speaking to your employer and the government and asking just what you are eligible for.

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