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Happy Thanksgiving 2019 Post


Wishing Everyone A Safe And Happy Thanksgiving 2019!!!

Dental Health And Thanksgiving Post



Thanksgiving is a time for family, friends, and loved ones to gather around the table for a big meal. It can also be a time that can be hazardous to your oral health. This is because a lot of the foods we consume during this time can cause damage to our overall health of our smiles. These yearly goodies can include stuffing, sugar filled treats like pies and cookies, cranberry sauce, and dinner rolls. These food items are all carbohydrate rich, sugary foods. These foods can really do damage to your oral health in a short period of time, but there are some simple ways you can help combat tooth decay and periodontal disease while still enjoying your family’s favorite recipes.

Thanksgiving Dental Health Tips

-Eat a Well Balanced Nutritious Meal. Eat a meal with an equal mix of carbohydrates, proteins, and vegetables. This will help to neutralize some of the acids that will be produced when sugars and bacteria in the mouth join together. Some of the harder vegetables (raw carrots) can act as a dental cleaning aid in your mouth as you chew and grind them. Hard vegetables can remove some of the excess food and plaque that sticks to your teeth. Cheese is great for our teeth because it contains an important item for our teeth and bones, calcium. Casein, a protein found in milk products, fortifies the surfaces of teeth, helping to prevent tooth decay. Nuts contain calcium and minerals that strengthen and re mineralize teeth.

-Sugar Limits!. These food items can include pies, cookies, and stuffing. These foods tend to stick in the grooves of teeth and lodge themselves between our teeth. This means they will stay in the mouth longer and increase our risk of tooth decay.

-No Grazing or Picking! This might be #1 of all the items listed here. Not only will you allow these bad food items to stay in your mouth longer but you will not allow your saliva to neutralize. The acidic levels in the saliva will remain all day, allowing bacteria to destroy surface enamel without interference.It’s easy to spend all day just walking around a party eating snacks and drinking, but every time you put something into your mouth, it creates acids. Spend some time NOT eating on Thanksgiving day to cut down on the buildup of cavity causing foods.

-Avoid Foods That Stain Your Teeth. Brightly colored foods and drinks are quite inviting when placed on the dinner table, but they have the ability to tarnish your pearly white smile. Be on the lookout for red wine, cranberry sauce, coffee and even white wine. Some pies (cherry and blueberry) may also leave staining on your teeth. Skip the wine and stain causing foods or if you will indulge, brush and floss after you eat your meal to limit damages.

-Come Prepared. If you are going away from home for your thanksgiving dinner bring a travel toothbrush with you even if you are just away for the day. If you are unable to brush your teeth immediately after eating…Rinse your mouth out with water to remove as much debris and neutralize the acid as much as possible. Also, bring some floss with you and floss following your meal.

-Choose Beverages wisely. Simple tap water contains fluoride which can help reverse damage to our enamel caused by acid build up in the mouth. Green and black tea kill bacteria and will help fight tooth decay and periodontal disease. Make the tea with tap water and you double your benefits for your smile.

Dental Health And Thanksgiving Conclusion

No one is trying to limit the fun of the holidays. These tips will just help you to survive the holidays with your dental health intact. See your dentist regularly for routine examinations and cleanings.

Do I Need Orthodontic Braces? Post



Orthodontic braces has always been a very popular dental service especially for children. The use of orthodontic braces can straighten our teeth, fix issues with the way our teeth fit together, and cosmetically enhance our smiles. Orthodontic braces are not just used for cosmetic reasons. Having straight teeth will improve dental hygiene and decrease chance of developing tooth decay or periodontal disease. Orthodontic braces can also help correct speech issues like a lisp.

Do I Need Orthodontic Braces?

The average age most children will see their dentist or orthodontist regarding orthodontic braces is right around age 7. In general, your family dentist will be able to evaluate when it is the appropriate time to see an orthodontist. If you see them every 6 months like expected orthodontic braces will not be a surprise. Orthodontic braces treatment is determined by the type of problems each patient presents with. Certain issues can be treated prior to all of the primary teeth coming out while others must wait until all the adult teeth are in. Obviously this is very common in adult orthodontic braces treatment.

Orthodontic Braces Las Vegas Marielaina Perrone DDSBelow you will find a list of the possible reasons many children need orthodontic braces. These include:

Early loss of primary teeth. Sometimes there will be a lag between loss of primary teeth and eruption of permanent teeth. This could be due to early tooth loss from tooth decay or genetics. Our primary teeth act as space savers and if they are not present the permanent teeth will find it harder or easier to erupt into the mouth.

Overcrowding of teeth or crooked teeth. This may seem like strictly a cosmetic issue but it is not. Overcrowding or crooked teeth will cause issues with dental hygiene issues as well as increased incidence of tooth decay and periodontal disease. Crowded teeth is the #1 issue addressed by orthodontic braces.

Too Much Space Between Teeth. Over crowding is not the only issue that can cause problems. Some patients may be missing a tooth due to genetic factors or thru loss or could have proportionally small teeth. Luckily, in most cases too much space generally makes orthodontic braces treatment a bit easier.

Jaw Development Issues. This can include a recessed lower jaw or a protruding lower jaw. Either of these are significant developmental issues that may need surgery to correct. You may experience popping or shifting of your jaws as well. This may be corrected with orthodontic braces.

Teeth Alignment Issues. This can include the molars not lining up properly which may result in you biting your inner cheeks often while chewing or it may be an overbite or underbite. An excessive overbite may cause your lower front teeth to cause trauma to the tissue on the roof of your mouth making chewing/eating extremely painful. All of these alignment issues will require orthodontic braces to correct the situation. This can also cause nutrition issues as you may have a difficult time chewing food which could lead to nutritional deficiencies.

Thumb Sucking History. A child who is a thumb sucker will likely have issues that need correcting via orthodontic braces. Generally, the upper teeth will flare out following the shape of the thumb.

Orthodontic Braces Evaluation

The American Dental Association statistics show most orthodontic braces treatment occurs between the ages of 8 and 14. Modern orthodontists have learned that sometimes treatment needs to occur in 2 phases. The first phase will make some adjustments while primary teeth are still in place setting up final phase treatment once all the permanent teeth have fully erupted. Orthodontics like dentistry is a very personalized treatment. Every patient will be different in approach and final treatment. It is recommended that most children be evaluated by age 7 to make orthodontic braces treatment easier and more efficient.

Orthodontic Braces Vs Invisalign

In today’s orthodontics, patients have choices. Gone are the days of bulky brackets and braces. Modern orthodontic braces come in many different colors as well as ones that match your teeth. Another advancement is invisalign orthodontic retainers. These clear retainers are made of a smooth, clear plastic. Another advantage to invisalign that they can be removed for dental hygiene as well as for eating (no dietary restrictions).

Do I Need Orthodontic Braces? Conclusion

Orthodontic braces are a wonderful tool for both function and cosmetics. Both kids and adults can enjoy straighter smiles for a lifetime. See your dentist today for an orthodontic braces evaluation.

Periodontal Disease Treatment With OralDNA Testing Post



Dentistry is not a one size fits all type of medicine. Dentistry is a very personalized treatment for our dental health. This includes treatment and management of periodontal disease. DNA testing is all the craze with companies like 23andMe. But did you know you can use DNA testing for oral diseases as well? The company is called OralDNA and they have developed three separate testing methods. These include early warning and detection for periodontal disease, personalized treatment for periodontal disease, and checking if you have increased risk of developing HPV related oral cancers.

OralDNA Approach To Periodontal Disease

OralDNA Henderson NV Marielaina Perrone DDS-OralDNA MyPerioPath testing. Oral DNA MyPerioPath is a diagnostic tool for the detection of the type of oral pathogens present in your mouth that can cause periodontal disease. By using this test your dentist can create a personalized care to deal with the pathogens causing the issues in your mouth. There is also evidence that knowing what oral pathogens are present can also determine a patients increased risk of developing Diabetes, cardiovascular disease, alzheimer’s disease, possible stroke, and if pregnant, risk of birth complications. Clinical studies are increasingly linking oral bacteria with systemic disease. For example, inflammation is a major factor in both periodontal disease and heart disease. recent studies have found that a high dose of a common cholesterol medication (atorvastatin) can prevent inflammation from both periodontal inflammation as well as cardiovascular inflammation. Statin family of medicines have other side effects as well not always that good. But this adds to the education that there is a connection between periodontal disease and heart disease.

The Oral DNA MyPerioPath test can determine if the following pathogens are present and in what levels:

  • (Aa) Aggregatibacter actinomycetemcomitans
  • (Pg) Porphyromonas gingivalis
  • (Tf) Tannerella forsythia
  • (Td) Treponema denticola
  • (En) Eubacterium nodatum
  • (Fn) Fusobacterium nucleatum/periodonticum
  • (Pi) Prevotella intermedia
  • (Cr) Campylobacter rectus
  • (Pm) Peptostreptococcus (Micromonas) micros
  • (Ec) Eikenella corrodens
  • (Cs) Capnocytophaga species (gingavalis, ochracea, sputigena)

The Oral DNA MyPerioPath testing should be done on an annual basis. Once at start of periodontal disease treatment and then one at end of first year to track progress of personalized treatment and if any changes need to be made to improve periodontal disease state. Oral DNA MyPerioPath is a valuable tool that can allow you and your dentist to measure success and track progress for a more personalized periodontal disease therapy.

Oral DNA MyPerioPath combined With MyPerioID. The Oral DNA MyPerioID test assesses a persons inherited genetic risk to developing periodontal disease as well as other systemic diseases as mentioned above. Combining the 2 tests can give greater control to personalized periodontal disease care and give a fuller picture to you and your dentist. Can also help determine which patients are at increased risk for more severe periodontal disease infections due to an exaggerated immunity response.

Oral DNA OraRisk HPV Test. This test can determine if there is increased risk for HPV related oral cancer. Human papillomavirus (HPV) is one of the most common virus groups inoral DNA Periodontal Disease las vegas Marielaina Perrone DDS the world (and is linked to the HPV virus in the mouth). Specific types of oral HPV are now considered to be separate and serious risk factors for developing oral cancers. Early detection and identification of the presence or absence of oral HPV is important, as early oral HPV infections do not typically cause any clinical signs or symptoms.

-Oral DNA OraRisk HPV Complete Genotyping Test. This HPV test gives data to your dentist or doctor to establish if there is increased risk for oral cancer and have the ability to make proper referral for further treatment.  Oral DNA OraRisk HPV complete genotyping has the ability to identify a total of 51 different types of oral HPV.

Oral Pathogens Associated With Periodontal Disease

Periodontal researchers have uncovered more than 350 different species of microorganisms that are present in a normal, healthy person’s mouth. Fewer than 5% of these species are linked to periodontal disease. It has also proven that these bacteria that cause periodontal disease, can be shared with your partner or loved ones.

Generally healthy and disease causing bacteria are usually placed into two distinct bacteria categories:

Gram positive aerobic bacteria. These are harmless or helpful bacteria in the mouth.

Gram negative anaerobic bacteria. These are the bacteria known to be related to periodontal disease. When periodontal disease develops, the bacterial balance in the mouth shifts over to gram negative anaerobic bacteria. Inflammation and injury cannot develop without these bacteria flourishing in the mouth.

Common bacteria involved in periodontal disease include:

Actinobacillus actinomycetemcomitans (Ag) and Porphyromonas gingivalis (Pg). These two bacteria appear to be particularly likely to cause aggressive periodontal disease. Both P. gingivalis and A. actinomycetemcomitans, along with multiple deep pockets in the gum, show increased resistance to standard dental treatments for periodontal disease. The presence of P. gingivalis may even have 2x the risk for serious periodontal disease. P. gingivalis produces enzymes, such as one called arginine-specific cysteine proteinase, that has been linked to a disruption of the immune system and lead to subsequent periodontal connective tissue destruction.

Bacteroides forsythus is also strongly linked to periodontal disease.

Other bacteria associated with periodontal disease are Treponema denticolaT. socranskii, and P. intermedia. These bacteria, together with P. gingivalis, are frequently present at the same sites, and are associated with deep periodontal pockets.

Some bacteria are related just to gingivitis, but not development of plaque. They include various streptococcal species.

As you can see there are a variety of bacteria that are linked to periodontal disease. The MyPerioPath testing can isolate the bacteria causing the issues for you. Your dentist can use antibiotic therapy and rinses to personalize care for your particular case.

How does OralDNA testing help to individualize periodontal disease treatment?

The ability to know the bacteria that is causing the issue allows treatment to target that bacteria. Periodontal disease treatment can include the following:

Scaling And Root Planing (S&RP). Also called a “deep” cleaning. The initial goal of any periodontal disease treatment must be the removal of plaque and tartar buildup that is causing irritation and inflammation development. The scaling and root planing procedure is done with this in mind as well as to allow for healing and reattachment of gingival fibers to the tooth. This healing can hopefully reduce size of periodontal pocketing (normal about 3mm).

Antibitoics Application. This can include administering this via a pill orally or placed into local areas that need help. Arestin is an antibiotic that can be placed directly into a periodontal pocket and give local therapy. This is important as it reaches places your dentist cannot but it also does not have the side effects of a systemic pill. The use of antibiotics will help control the overgrowth of the “bad” bacteria that is flourishing due to periodontal disease.

-Dental Hygiene Instructions. This is a staple of any periodontal disease treatment. This disease will be an ongoing problem that needs maintenance to stave it off. This includes proper brushing, flossing, and rinsing. Your dentist may even prescribe a prescription oral rinse to control bacteria or even Periogen. Periogen is an oral rinse that has been shown to help dissolve tartar between visits to the dentist. By lowering amount of tartar in the mouth you are hopefully also lowering the irritatation and inflammatory response.

Periodontal Disease Treatment With Oral DNA Testing Conclusion

DNA testing has been a great tool in many facets of society. It can also be one for dentistry thanks to OralDNA. There is an increased cost for this type of testing but it comes with great benefits in controlling a disease that can be difficult to manage. Any advantage will save you time and discomfort over time during treatment as well as possible tooth loss and systemic health maintenance. Periodontal disease linked to heart disease (as well as other diseases) should be motivation enough to get this under control. See your dentist at the first signs of periodontal disease and get your health back on track.