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Periodontal disease, comes in two (2) forms gingivitis (earliest form and reversible) and periodontitis (treatable but non reversible), is an infection of the gums caused by bacteria found in plaque. Recent studies have shown between 50-75% of people have some form of periodontal disease. More statistics show that approximately 30% of Americans are at an increased risk of developing periodontal disease due to genetic factors. These statistics show how much a health concern periodontal disease can be especially when you add in even more research showing periodontal disease links with systemic diseases.

Factors in Development of Periodontal Disease

-Poor Oral Hygiene.

Tobacco Use.

Medications.

-Teeth Grinding or Bruxism.

-Genetics.

-Poor Immune System

-Systemic disease.

The earliest and mildest stage of gum disease is gingivitis, where the gums redden and bleed easily. If not treated, inflammation of the tissue occurs, resulting in progression of  the disease to periodontitis. Gingivitis is characterized by receding gums, loose teeth, sores, sensitive gums, swollen gums, red or discolored gums, chronic bad breath, change in teeth alignment and teeth movement. The ultimate consequence of advanced periodontal disease is loss of teeth, which occurs when the tissue and bone supporting the tooth breaks down.

Periodontal disease was previously thought to affect only the teeth and gums, but researchers have discovered that periodontal disease influences the overall health and well-being of an individual. Research has shown that gum disease is a risk factor for many health conditions throughout the body. The gum disease causing bacteria that normally resides around the teeth can enter the blood stream and reach other organs and tissues in the body. Once there, the bacteria  release disease-causing agents that can lead to chronic inflammatory conditions that can include:

Diabetes Mellitus (or simply Diabetes)

Periodontal disease impairs the body’s ability to maintain blood sugar levels making you more prone to diabetes or making diabetic symptoms worse. On the other hand, diabetic patients are more likely to suffer from periodontal disease due to a weakened immune system, making it easier for them to catch infections, viruses, and exhibit delayed wound healing.

Stroke

According to scientific studies, gum disease increases the risk of stroke and coronary artery disease. A chronic infection of the gums can be directly related to an increased risk of reduced blood flow to the brain. Stroke and gum disease have similar risk factors and severe inflammation from periodontal disease increases the risks of having a stroke.

Heart Disease

Having periodontal disease puts you at higher risks of heart disease. Just like periodontal disease, heart disease is a chronic inflammatory disease which can be greatly impacted by periodontal disease. The more severe the periodontal infection, the higher the risk of developing heart conditions such as high blood pressure, high cholesterol and acute coronary syndrome.

Respiratory Infections

When the bacteria in the plaque that causes gum disease goes to the lungs, it can cause respiratory diseases such as pneumonia. This explains the increased cases of pneumonia and other respiratory conditions in people with periodontal disease. This also is in conjunction with patients with lowered immune systems which makes it easier for them to be susceptible to these bacterial attacks.

Cancer

After considering risk factors for cancer including age, diabetes, smoking, BMI and more, experts found periodontal disease as a risk factor for lung, kidney, pancreatic, head, neck and hematologic cancers. Inflammation caused by periodontal disease is a major contributing factor to these cancers.

Bad Breath (Halitosis)

Periodontal disease can result in chronic bad breath which is more of a social issue than a medical one. Bacteria deposits on the tongue can also cause bad breath. This is one of the few conditions caused by periodontal disease that can be treated at home by practicing proper dental care to control halitosis (brushing, flossing, mouthrinses, tongue scraping).

Complications with Birth and Pregnancy

Periodontal disease in pregnant mothers has been shown to increase the risk of premature delivery and low birth weight. The  periodontal bacteria involved cause inflammation of the uterus and cervix. Periodontal disease also increases the risk of developing preeclampsia, a condition characterized by high blood pressure and excess protein.

Rheumatoid Arthritis

Rheumatoid arthritis is a painful chronic inflammatory disease that affects the joints. The relationship between rheumatoid arthritis and periodontal disease goes both ways as each increases inflammation in the other. Patients with rheumatoid arthritis are faced with increased risks and severity of periodontal disease and treating periodontal disease can relieve some of the symptoms of rheumatoid arthritis.

Conclusion

The best and easiest way to prevent and control periodontal disease is by maintaining a good oral hygiene program which includes regular dental visits as well as diligent at home care. This includes brushing, flossing, use of mouth rinse, and tongue scraping. Your health is important, taking care of your dental health is a great way to start taking care of your overall health.





Dental implants have revolutionized dentistry and patient’s lives for almost 60 years. In the early days of dentistry, patients with lost teeth had limited options that came with drawbacks. Dental implants have given patients the ability to restore a natural looking and comfortable feeling smile. Implants can replace single teeth, multiple teeth, or your full dentition with great long term success and stability.

What Are Dental Implants?

Dental implants are an artificial tooth root ( made of titanium) that a periodontist or oral surgeon places into your jaw to support restorations that resemble a tooth or group of teeth. Dental implants can replace a single tooth, support multiple teeth as a bridge, or support a denture (making it more comfortable and secure).

Dental implants are an ideal option for people in generally good oral health who have lost a tooth or teeth due to periodontal disease, injury, fracture or decay. Dental implants are actually more tooth saving than traditional crowns and bridges, since dental implants do not cut down healthy teeth or rely on adjacent teeth for support.

Sufficient bone, and good overall health will give you the best prognosis for ideal oseointegration, (the way bone fills in around the implant for strength). Dental implants are intimately connected with the underlying bone and gum tissues in the mouth. So, proper fit, good occlusion, and excellent oral hygiene are necessary for long term success. With technique and material advances, dental bone grafts are now more successful than ever and can be used to augment your natural bone. Periodontal disease, diabetes, bleeding problems, etc. can cause difficulty in placement, healing and longevity of the dental implants. Be upfront with your dentist regarding health issues so that the proper steps can be taken to give you the highest chance of success. There is an increased risk of failure in patients who are smokers. For this reason, dental implants are frequently placed only after a patient has stopped smoking.

Top Reasons For Dental Implants

-Cosmetics. Dental implant restorations, (crowns and bridges) are matched to your existing teeth. The only two people in the world who should know you have dental implants should be you and your dentist.

-Stability. Traditionally, many patients opted for removable dentures when missing multiple teeth. This led to compromises in esthetics and function. Dental implants can replace individual teeth but can also be used as support for a removable denture. This makes them as stable as your own natural teeth.

-Maintain Dental Health. Dental implants help to maintain bone levels of the jaws. This will allow your face to maintain its natural structure as long as possible.

-No Worries. Dental implants are stable so you won’t have to worry about them falling out, rocking, or not feeling stable enough to eat what you want. Although dental implants can have complications, they are few and far between. You will never need a root canal on a dental implant nor will you ever get tooth decay.

-Longevity. Dental implants have an over 98% success rate and should (with proper care) last a lifetime.

-Cost. Initially, many think that an implant is way too expensive. Think about these facts, replacing 1 tooth with an implant is only slightly more expensive than a cemented bridge. Bridges generally last 10-20 years if you are diligent with your oral hygiene. The implant will not decay, and usually will last a lifetime with care. In the long run, it is less expensive and does not further damage surrounding teeth.

Dental Implants Conclusion

Dental implants should always be considered as an option  when a missing tooth or teeth are involved. There are great ways to have the smile you want, an implant may be the perfect way to give you back what you’ve lost. An informed, educated patient will make the best choice for his/her dental care.




A happy, healthy smile is the universal language we all share around the globe.  Having a smile you are happy with allows you to give off an air of self confidence and self esteem. This makes you feel more attractive to others and appear more successful. According to recent surveys, about 1/3rd of all Americans are unhappy with their smile. Luckily, for most of us this situation is easily correctable with some simple and some more involved cosmetic dentistry procedures.

Easy Cosmetic Dentistry Fixes For That Perfect Smile

For many of us, the imperfections that bother us can be quite small and easily correctable with cosmetic dentistry. These simple cosmetic dentistry procedures can include:

Teeth Whitening. This is the most popular cosmetic dentistry procedure in the U.S. and the world. It can dramatically alter ones smile and also ones perception of themselves. Teeth whitening can be achieved in a variety of ways with varying results. One of the most popular ways to whiten is, the use of teeth whitening strips. These strips can give your smile a brighter look for very little cost but they do not work for everyone, and may not get your teeth as white as you’d hoped.  The dentist can offer an at home teeth whitening kit or a one hour procedure in office. Professional whitening is very effective but comes at a higher financial cost. Professional whitening procedures can whiten your smile by as much as 4-6 shades in as little as an hour.

Dental Bonding. While a bit more extensive than teeth whitening. Dental bonding can usually be completed in under an hour and give a dramatic effect if one or more teeth are affected by tooth decay or fractures. A good cosmetic dentist will be able to make the dental bonding appear natural and no one should be able to tell you have any dental bonding present. This has been a staple of cosmetic dentistry for many years.

Tooth and Gum Recontouring. Many people are unhappy with one or two teeth which may be out of alignment. The dentist can recontour one or more teeth to give them the look of being more in line with one another. Uneven gums can also make teeth appear to be longer or shorter.  You would be amazed at how simple it is to reshape and contour teeth and gums to give a beautiful appearance. Recontouring is often overlooked by patients and by many general dentists. A good cosmetic dentist will look at the teeth and face as one big picture allowing them to make adjustments in the big scope of things.

Snap-On Smile. This is a fairly recent advancement in cosmetic dentistry. It allows for a prosthetic to be fabricated that fits over the existing teeth. This procedure requires little to no tooth preparation and can be a cost effective option. This procedure is far less expensive than permanent changes to teeth, and can be completed in just a short time. Snap on Smile patients are happy to leave with  the smile they wanted at reduced cost and chair time.

More Complex Cosmetic Dentistry Fixes For An Imperfect Smile

Porcelain Veneers. When you see an “A” list celebrity in magazines or in movies, chances are they have had porcelain veneers placed on their front teeth.Porcelain veneers are wafer thin custom fabricated shells made of modern dental porcelain that are adhered to the outer surface of your natural teeth.  Porcelain veneers are also referred to as “instant orthodontics”. This is because the cosmetic dentist is able to change the shape, width, length, and alignment of your teeth. In extreme cases of misalignment, your cosmetic dentist may recommend a porcelain crown or orthodontics prior to doing porcelain veneers.  When completed properly, no one but you and your dentist should know that you have porcelain veneers.

Orthodontics. This is not just for kids any more. Adults are often turning to orthodontics to get the smile they dream of. Having straight teeth helps in chewing function, decreases wear and fracture, and has the benefit of being cosmetic. Straight teeth are beneficial for optimum hygiene,  it allows you to be able to clean your teeth more effectively since you will not trap as much food particles when they are properly spaced.

Dental Implants. Many do not consider dental implants to be a part of cosmetic dentistry but they play a very big role in modern dentistry. Replacing a lost tooth will not only improve function but will also return your smile to its original form. A lost tooth, to many, is a sign of old age, poor hygiene, and low dental priority. Having a full complement of teeth can give someone a youthful, healthy looking appearance.

Periodontal Plastic Surgery. Many of us have a smile that shows too much gums or might have some areas with receding gums. This can be corrected with surgical addition of or removal of  gingival tissues to the areas of concern.

Cosmetic Dentistry Conclusion

It is so important to feel good about smiling. There are so many options to help with most of your dental concerns. Cosmetic dentistry has come a long way over the last 10-15 years, making the procedures more affordable to many. Choosing a good cosmetic dentist along with the use of high quality modern dental materials you can assure yourself of getting the smile you have always dreamed of. A good cosmetic dentist will be able to advise you of what cosmetic dentistry procedures would be best for you to fulfill your wants and desires.  You can achieve your perfect smile, and confidently show it off to the world!




Cosmetic surgery is an extremely popular specialty of medicine that has been growing quite rapidly for decades. Youth is associated with vitality and beauty. For many of us, aging is not an easy thing to do and we seek out help to keep us looking and feeling younger and more vibrant. When seeking out cosmetic surgery, many often overlook the role our teeth play in our appearance. As we age, our teeth become darker, get worn down, and may even change alignment. This can create not only cosmetic issues but functional ones as well. These functional issues can lead to Temperomandibular Joint (TMJ) issues, headaches, and muscle pain.

How Can My Dentist Make Me Look Younger?

As our teeth wear over time, it can result in a shorter looking face, longer looking teeth, and darker teeth. The resulting appearance may make some of appear to age prematurely. The breakdown can be caused by tooth erosion (high acid wear), attrition (flattening and fracturing due to grinding and oral habits), and abrasion (overly aggresive brushing), recession (loss of gum tissue making teeth appear longer) . The length and shape of our faces and teeth, as well as the position of the jaw are determined by the teeth, skeletal bones, and a person’s bite. So, when a person’s teeth wear down it will give the appearance of a shorter face. Pain and discomfort are often associated with wearing down of teeth and gums, as they become more sensitive, prone to increased fractures, and to development of TMJ and headache pain.

Your dentist can give you the ability to change all of this, allowing the patient to look more youthful while correcting dental issues.  The patients oral hygiene must be good and the mouth should be in a healthy state before any work can be completed.  This should include control of periodontal disease, removal of any loose teeth, addressing gum loss issues, ascertaining desired whiteness, and correcting dangerous oral habits, .  Great care must be taken while returning someone to their proper tooth height (vertical dimension) as it can create even more TMJ and headache issues if not done properly.

Some of the procedures involved in making you look younger include:

Porcelain Crowns. These crowns will give the cosmetic appearance most patients are seeking but also give the strength and stability to open one’s bite .  One type of strong porcelain which is used where teeth grinding has been a problem is a Bruxzir crown. When placed properly, a patient will begin to see an immediate improvement in their bite and in the cosmetic appearance in the skin around the face as wrinkles will lessen.

Porcelain Veneers. A staple of cosmetic dentistry but used in conjunction with porcelain crowns to lengthen and restore the length of front teeth. Porcelain veneers are less invasive and more conservative than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers can adequately lengthen and reshape, and change the color of your smile.

Orthodontics. Limited or full orthodontics may be necessary to remove any bite issues that can cause undue stress or trauma to the teeth before new restorations are placed.

Dental Bonding. Used to restore any teeth that have been damaged by tooth decay, staining or slight wear. Dental bonding is a cosmetically pleasing option that will look very natural when completed.

Crown Lengthening. A surgical process to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in severe grinding cases.

Gum and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to work with, and more cosmetically appealing.

Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration.

Conclusion

Cosmetic dentistry will change not only how your teeth function but how you feel about yourself. Many dentists often overlook the relationship between our teeth and our bite. If the bite is not in alignment, your teeth and face will never look and feel their best.