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Ketogenic or Keto diet is a very popular low-carb, high-fat diet that offers many benefits to our health. The keto diet menu is very similar to that of the Atkin’s diet.  Many clinical studies have shown the keto diet menu can help you lose weight and improve your overall health. It has also been linked to improvements in the fight against diabetes, alzheimer’s disease, and even cancer. But is the keto diet menu good for our dental health?

What Is On The Keto Diet Menu?

The keto diet menu is rich in meats, fish, nuts, cheese and low carbohydrate vegetables (yes….some vegetables are high in carbs!). The keto diet menu involves drastically reducing intake keto diet menu Marielaina Perrone DDSof carbohydrates and placing fats into your diet. This carbohydrate reductions puts your body into a metabolic state known as ketosis. Once in the state of ketosis, your body becomes extremely efficient at burning fat for use in our energy needs. Your body will also be able to turn the fat into ketones. This occurs in the liver and can supply energy for the brain. Since, carbohydrates are reduced, your body will experience a huge reduction in blood sugar and insulin levels.

Types Of Keto Diet Menu

Standard ketogenic diet (SKD). This is a very low carbohydrate, moderate protein and high fat diet. The typical dietary ratios are 75% fat, 20% protein and only 5% carbs.
Cyclical ketogenic diet (CKD). This keto diet involves periods of higher carbohydrate consumption. An example of this is 5 ketogenic days followed by 2 high carbohydrate days.
Targeted ketogenic diet (TKD). This diet allows you to add carbohydrates around your fitness workouts.
High-protein ketogenic diet. This is similar to the standard ketogenic diet, but includes more protein. The typical dietary ratio is about 60% fat, 35% protein and 5% carbs.

Health Benefits Of A Keto Diet Menu

Research has shown that the keto diet menu can have wide ranging health benefits beyond just weight loss. These can include:

-Cardiovascular disease. The keto diet menu can increase HDL cholesterol levels (good cholesterol), decrease blood pressure, body fat, and blood sugar.

-Cancer. The keto diet menu has been used to slow tumor growth in certain cancers. Cancer thrives in a high sugar environment.

-Alzheimer’s disease: The keto diet may slow progression and reduce symptoms of Alzheimer’s disease.

-Epilepsy. Research has proven that following keto diet menu can cause massive reductions in seizures in children with epilepsy.

-Parkinson’s disease. More research needed but there have been small studies to show the diet slowed the effects of this disease.

-Polycystic ovary syndrome. Due to the keto diet menu effectiveness in reducing blood insulin levels. Increased insulin levels are believed to play a key role in polycystic ovary syndrome.

 

Research will need to continue on the keto diet menu but early results are positive.

Foods To Avoid On Keto Diet Menu

Any food that is high in carbs should be limited. Avoid carb-based foods like grains, sugars, legumes, rice, potatoes, candy, juice and even most fruits.

-Foods High In Sugar. Examples include sodas, fruit juice, candy, cake, and ice cream.

-Grains or starches. These include rice, pasta, and cereals.

-Fruit. All fruit with the exception of small portions of berries. Raspberries and blackberries contain as much fiber as digestible carbs.

-Beans or legumes. Includes Kidney beans, lentils, chickpeas.

-Root vegetables and tubers. Includes potatoes, sweet potatoes, carrots, and parsnips.

-Low-fat or diet products. Often highly processed and high in carbohydrates.

-Unhealthy fats. Limit your intake of processed vegetable oils, mayonnaise, etc.

-Alcohol: Due to their high carbohydrate content, alcohol can throw you out of ketosis.

-Sugar-free diet foods. These are often high in sugar alcohols, which can affect ketone levels in some cases.

Foods To Eat On Keto Diet Menu

-Meat. Includes red meat, steak, ham, chicken and turkey.

-Fatty fish. Includes salmon, trout, and tuna..

-Eggs. Preferred eggs are pastured or omega-3 whole eggs.

-Butter and cream.

-Cheese: Unprocessed cheese including cheddars, blue, and mozzarella.

-Nuts and seeds. Include almonds, walnuts, flax seeds, and chia seeds.

-Healthy oils. Primarily extra virgin olive oil, coconut oil and avocado oil.

-Avocados. Whole avocados or freshly made guacamole.

-Low carb vegetables. Most green veggies, tomatoes, and onions.

-Condiments. You can use salt, pepper and various healthy herbs and spices.

How Does Keto Diet Menu Affect Dental Health?

Bad Breath (also called Halitosis). Since the popularity of the keto diet menu, a new term has emerged….Keto Breath. Keto breath usually has a fruity smell. This keto breath develops from the way our bodies are able to break down the fats we are ingesting off the keto diet menu. As mentioned earlier the development of ketones occurs thru the bodies processing of a higher fat diet. One of these ketones, acetone, is unusable by our bodies processes. Acetone is released from the body via urine and our lungs. Acetone is what gives the keto diet advocates their bad breath.

Tooth Decay. While bad breath may be a negative side effect there are positive side effects of the keto diet menu to our dental health. By avoiding carbohydrates we are also avoiding processed sugars. These sugars and carbohydrates are necessary for the oral bacteria to grow and flourish and cause dental damage.  A reduction in sugar will likely equal a reduction in tooth decay.

Periodontal Disease (Gingivitis and Periodontitis).  A low carbohydrate diet may also help reduce inflammation in the mouth. Recent clinical studies have found that a diet low in carbohydrates and high in omega-3 fatty acids actually helped decrease rates of gingivitis and inflammation.

Dental Health Tips For Fresh Breath

-Chew sugar free gum for saliva stimulation and to freshen your breath.

-Make keto diet menu adjustments. Adjust your intake of complex carbohydrates (like leafy green vegetables and whole grains) while continuing to avoid refined carbohydrates.

-Brush your tongue daily with a tongue blade or separate toothbrush just for your tongue. The bacteria on your tongue is different than bacteria found in the gums. The papilla on the tongue can hold more debris increase malodor, and change the way things taste.

-Brush and floss. Just because you are eating less sugar does not mean that debris is less worrisome. While lack of sugar helps prevent decay food debris can increase plaque and periodontal problems.

-Drink Plenty Of Water Throughout The Day.

-Avoid alcoholic beverages. Alcohol will dry your mouth by decreasing saliva flow. This increases malodor.

-Try oil pulling after brushing. The oil will help lubricate your mouth, decrease bacteria, and increase saliva.

-Add fresh herbs to water and tea. Herbs such as clove, cinnamon, mint and fennel can act as natural fresheners of your breath.

Keto Diet Menu And Dental Health Conclusion

While the keto diet menu has many perks there are some drawbacks to be aware of. Following a few simple steps can make your body healthier as well as your smile. Remember to maintain regular dental visits and good dental hygiene while on any diet.

 



Gummy smile is a smile that shows an excessive amount of gum tissues under the upper lip. The goal is to create a more toothy smile. There several treatment options for those with a gummy smile. Some surgical and some non surgical. The presence of a gummy smile should not be considered an abnormal condition or even unhealthy. It is just a normal variation of our anatomy. This does not stop those with a gummy smile from feeling self conscious in the way they smile. This may cause them to refrain from wide smiles.

What Is A Gummy Smile?

A gummy smile will make our teeth look short and stumpy. In reality, the gum tissue is just showing in proportion to your teeth than the rest of us. There are a variety of reasons for this. These can include:

Gummy Smile Las Vegas Marielaina Perrone DDS-Higher than normal bone levels.

-Possibility of Incomplete Eruption Of Teeth.

-Excess Gingival Tissues.

-Abnormally Thick Gingival Fibers.

-Thin lips.

-Upper Lip pulls up too high while smiling.

The gummy smile may present challenges beyond esthetics. Dental hygiene can be a real issues for the patients with excess tissue. This can lead to increased incidence of tooth decay as well periodontal disease development. The excessive gingival tissues will hinder attempts to keep areas clean and free of plaque and tartar. People with a gummy smile tend to present with puffy, red gum tissues. This is called gingivitis and is the earliest form of periodontal disease. It is reversible. Another note, is that most people notice a gummy smile only on front teeth but it can be present on back teeth as well.

Treatment For A Gummy Smile

An experienced, well trained cosmetic dentist will be well versed in treatment for a gummy smile. In fact, the gummy smile procedure can be one of the most rewarding for both dentist and patient alike. The change is immediate and patients report increased self confidence and ability to interact socially better than before.

Below you will find detailed list of gummy smile treatment options. The procedure used will depend on why the gummy smile exists.

Surgical Treatment Of Gummy Smile

Gingivectomy (another term is gingivoplasty which includes gum contouring). This dental procedure is simply removal of excess gingival tissue from around the teeth. Removing excess gingival tissue is just the first step. Your cosmetic dentist will remove and reshape the tissues for an esthetic result. You would be surprised how little gingival tissue is actually removed in most cases. Your dentist a laser, an electrical cautery unit, or make periodontal incisions to remove and reshape the gum tissues. Local anesthetic is necessary during gummy smile procedure for comfort. This gummy smile treatment will not require any sutures and generally the gum tissues heal within 1-2 weeks following the procedure. A gingivectomy is usually the recommended gummy smile procedure when only a few teeth are affected by the gummy smile issue. In other cases, bone tissues may need to be remodeled as well.

-Crown Lengthening. This gummy smile procedure allows for your dentist to remove bone tissues as well as gum tissues. This procedure can be a bit more advanced in technique but still fairly easy for most periodontists.

Non-Surgical Treatment Of Gummy Smile

Botox For Gummy Smile. The use of Botox is fairly new for treatment of gummy smile. The botox application relaxes the muscles (levator) in the upper lip causing the lip to not curl under or lift as high upon smiling. The botox relaxes the lip for a more balanced smile. This still allows you to smile, it just limits the height of the upper lip movement. The treatment lasts about 3 months so no worries about permanent changes.

Both surgical and non surgical procedures have very low risks and are easily completed. Obviously, the botox injections will be the least invasive but in some cases botox alone will not give the desired results. Using dermal fillers along with Botox may also help those with thinner lips.

Can A Gummy Smile Be Fixed? Conclusion

Upon healing, the results of a gummy smile treatment can be quite dramatic and striking. Both patient and Doctor alike will be in awe of the change. It is that dramatic generally. This treatment can be a real change for some in their outlook on life. Study after study has shown when we feel good about ourselves it changes how others perceive us opening doors socially and in business. Most patients return and have one complaint. Why didn’t we do this sooner? Don’t wait if this is an issue for you. See your dentist and talk over the best options for your smile.



Periodontal disease is a progressive disease of the structures (bone and gingival tissues) surrounding our teeth. It is believed that about 65 million americans have some form of periodontitis. Periodontitis is the advanced form of periodontal disease. Once the disease state reaches periodontitis it means there have been some form of permanent loss of bone or gingival tissues to the disease. In those 65 and over this number jumps to 70% of that population. These numbers are startling. Luckily, there has been extensive research into periodontal disease and new treatment modes have been developed. One such method is treating periodontal disease with Arestin.

What Is Arestin?

Arestin (minocycline hydrochloride) is an antibiotic that comes in the form of micrspheres. These microspheres are placed locally into areas of concern. Periodontal disease generally hits certain areas over others initially. This gives us a chance to localize treatment of periodontal disease with arestin.

Treating Periodontal Disease With Arestin

Periodontal disease if left untreated will develop deeper and deeper “periodontal pockets” around out teeth. The normal space between our teeth, gums and bone is approximately 3 mm. When periodontal disease begins to damage these areas these pockets can widen and deepen as bone is lost and gum tissues lose their connections to our teeth. As the periodontal disease develops and progresses it is not unheard of to have periodontal pocketing in the 6-8 mm range. That is a doubling over normal pocket size. This allows food and bacteria to penetrate these areas and create even more damage to gingival tissues and bone. Once these support structures become damage they can cause our teeth to become loose and eventually lost them.

The standard course of treatment for periodontitis is scaling and root planing (S&RP). This treatment is highly effective for treatment of periodontal disease.

-Periodontal scaling of teeth with instruments involves manually removing all the plaque, tartar, and food from on and around our teeth.

-Periodontal planing can smooth out rough areas on our teeth’s roots where bacteria and plaque can attach.

Scaling and root planing has been our #1 treatment for periodontal disease for decades. Where does treating periodontal disease with Arestin come in? Combining the use of Arestin with the traditional scaling and root planing gives dentists and periodontists a real chance to reduce the periodontal pocketing around our teeth. In routine scaling and root planing, depending on depth of pockets, it may be difficult to reach to the entire depths of those pockets. Everyone’s anatomy is different so some areas are easy to reach while others might be more difficult based on root structures and how the periodontal pockets form. None are uniform. Using microspheres of Arestin allows your dentist to reach the bottom of those pockets and destroy harmful bacteria before further destruction of tissues can occur.

Treating Periodontal Disease With Arestin Procedure

The following is what to expect if you are undergoing treatment of periodontal disease with Arestin.

Diagnosis of Periodontal Disease. In its earliest form (Gingivitis) there is no damage to bone or gingival tissues and can be reversed thru professional cleaning and increased at home dental hygiene care. In periodontitis, destruction has begun. A simple professional cleaning is no longer as effective. Diagnosis of periodontal disease is achieved thru x-rays and use of a periodontal probe. This dental instrument allows your dentist or hygienist to measure around the teeth and see what areas might be affected by periodontal disease. A normal reading of 3 mm means tissues are healthy. Anything over that raises a red flag and leads to a diagnosis of periodontal disease.

-Treatment Plan To Fight Periodontal Disease. Your dentist will explain these results to you and discuss treatment necessary. The first line of defense is always a scaling and root planing (also called a deep cleaning). Your dentist may now offer Arestin in conjunction with this type of cleaning to give you a better chance of stopping this problem from developing further and also repairing tissues around our teeth.

-Treatment With Scaling And Root Planing.

-Arestin Application Following Scaling And Root Planing. The arestin is in the form of a microsphere. This allows the arestin to release the antibiotic gradually over time to fight the bacteria in the deepest depths of those periodontal pockets. It is able to target areas scaling and root planing instruments just cannot reach.

Is Arestin Effective?

Yes! Studies have shown that is more effective in treating pocket reduction when paired with Scaling and Root Planing Vs S&RP alone. In fact clinical trials have shown significant pocket reductions in as little as 1-3 months and maintenance for at least 9 months. It has also shown significant reductions in our more difficult to treat patients. Those include the smoker’s, ones with a history of heart disease, and those over age 50. The chart below shows those statistics.

Periodontal Disease With Arestin Marielaina Perrone DDS

Is Arestin A Miracle Drug? Conclusion

Arestin is not a miracle drug. But it will help controlling a very difficult progressive disease. Periodontal disease is difficult to control because it relies on many factors. The biggest one is at home dental hygiene. Patients need to understand their dental care does not begin and end inside the walls of their dental office. Fighting periodontal disease is a daily battle. Periodontal disease treatment with Arestin can help reverse some of those issues but it will not be a cure for it.

 

 



Are Dental Implants Safe? They have been a highly successful dental procedure offered by dentists around the world. As a matter of fact a well planned dental implant will have success rate over 98%. As dental implants technology has evolved materials and techniques have advanced as well. Below we will attempt to answer the question….Are Dental Implants Safe?

Are Dental Implants Safe? Benefits

EstheticsDental implants have the ability to give you a fuller, healthier smile you have always dreamed of.

Peace Of Mind. Living your life in fear of what you can and cannot eat is not a fun proposition. Dental implants can give you peace of mind that you can eat whatever you want and not worry about the social implications. Millions of patients have proven the answer is yes to the question are dental implants safe?

Improved Function. Big improvement in eating and speech. With missing teeth, eating and speaking can be quite a challenge. For those who enjoy eating or need to speak in front of others dental implants can give a huge boost.

Are Dental Implants Safe Henderson NV Marielaina Perrone DDSEliminate Health Issues. Clinical studies have shown a direct link between dental health and overall health. Dental implants can restore your mouth to a healthy state giving you an edge in maintaining overall health. Uncontrolled dental health can lead to the development and advancement of periodontal disease. This disease is quite progressive and if left untreated it can lead to cardiovascular disease (heart attacks and stroke), Alzheimer’s disease, and even diabetes. Once patients are ready for dental implants, their mouth must be in a healthy state. Dental implants will lead to better overall health.

Life Quality Improvement. Dental implants give you a natural looking smile and improve overall function. This is especially true for wearers of dentures. Dental implants will allow you to free yourself of the use of denture adhesives and relieve you of discomfort from ill fitting dentures.

Increased Self Esteem and Self Confidence. This includes being able to smile effortlessly without fear. Dental implants look and feel just like real teeth. You can laugh, smile, and just feel good about who you are and the way you look.

Are Dental Implants Safe? Risks

Dental Implants Fail To Integrate. When dental implants heal properly they integrate with the surrounding bone (this is called osseointegration). If osseointegration does not occur it will lead to dental implant failure. A well trained implant dentist will be able to evaluate and treatment plan properly to minimize the risks associated with dental implants. If a dental implant does not integrate as planned it can be removed. Once the area has healed another surgery can be attempted at a later date.

Surgical Infection. Of all the risks associated with dental implants this is the most common. This can occur from non sterile intruments, a dental implant that has been contaminated, decreased healing ability, or a pre existing infection being present. Dental implants are associated with a condition called Peri-Implantitis. This is an inflammation or swelling of the surrounding tissues where the dental implant was placed. If peri-implantitis is not treated properly and in a timely manner it can lead to implant failure and bone loss. These infections generally occur quickly after surgery but can in some rare intances occur months to years after surgery. Important to have your dental implants evaluated during routine dental examinations 2x per year.

Post Surgical Bleeding. Minimal bleeding following surgery is normal and is considered quite normal for about 1-2 days following surgery. Placing a gauze pad placed over the surgical area for 30 minutes should normally stop the bleeding. Bleeding beyond that time is not normal and you should notify your implant dentist immediately if you have concerns about your dental implants or the surgery.

Surrounding Tissue Damage. Placement of dental implants is a precise surgery. Surrounding areas can be damaged including adjacent teeth, sinus cavity, or nerves. Once again choose your implant dentist wisely. One with experience and proper training will minimize these risks. Even the most skilled implant dentist can have errors. However, the complications can be minimized as well as how they are handled if complications were to arise.

Allergies. Some patients have been known to have allergic reactions to titanium. If you know you are allergic to titanium let your dentist know during initial discussions.

-Dental Implant Corrosion. Titanium dental implants are designed to fight corrosion but it still can happen. If corrosion were to happen the dental implant likely would need to be removed. Your implant dentist will evaluate what comes next if this were to happen.

Are Dental Implants Safe? Bone Grafts

A bone graft is the replacement or addition to the bone around the teeth. Bone grafting is a term used to describe a variety of procedures used to add or build bone so that dental implants can be placed and give greater success long term.

A bone graft typically involves adding bone or bone like materials to the jaw. The bone graft can consist of your own bone (also called Autologous bone), synthetic bone, can be processed bone obtained from a cadaver (also called Allograft), or can even come from bovine/cow sources (these types are also called Xenografts). After grafting, you generally have to wait several months for the grafted material to fuse or become one with the existing bone structure.  Processed bone grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. Autologous bone transplants bone cells or a block of bone that fuses to the jaw.

Dental bone grafts for the purpose of dental implants has a very high success rate. But there is always a possibility that the bone graft will not work as planned, even if your own bone was used. Bone grafts are not rejected by the body like organ transplants. There is still some mystery as to why some bone grafts fail. We do know that certain patients (example – smokers, diabetics, and patients with poor dental hygiene) have higher risks of graft failure.

A failed bone graft will need to be removed. Once the area has healed properly, you and your dentist may choose to place a second bone graft.

Are Dental Implants Safe? Diabetes

According to a clinical study by the Journal of the American Dental Association, dental implants have been found to be safe for diabetics.

The clinical study observed dental patients with uncontrolled diabetes who also had dental implants. Following one year, none of the dental implants were lost and they found zero connection between elevated blood sugar and dental implant complications.

This does not mean that if you are a diabetic, you will not experience dental implant complications. But having diabetes should not be a major concern for you or your dentist in regards to getting a dental implant.

Are Dental Implants Safe? Conclusion

Dental Implants have proven to safe with decades of dental use. The question should not be are dental implants safe? but are dental implants right for me? Ask your dentist 89014 today for a consultation to restore your smile!