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Why do most dentists want you to come in for a cleaning at least every 6 months?? While it might not seem like it is necessary, these regular and routine dental visits are

Cosmetic Dentist Marielaina Perrone DDS

Regular Dental Visits Are The Key To Good Dental Health

an essential requirement for monitoring and maintaining healthy teeth and gums. Early changes can be detected, and they can be addressed in a timely manner. Recent scientific research has also shown how important it is to maintain a healthy mouth for our general health as well. There are many disease states related to poor dental health. These systemic diseases include heart disease, cancer, diabetes, and even, alzheimer’s disease.

The Six Month Dental Visit

What goes on in the dental office is only a small portion of oral health maintenance. Most of the work is done at home through maintaining a good oral hygiene regimen to keep our teeth and gums as clean and healthy as possible. A six month dental visit will include a professional cleaning as well as a thorough dental examination. There are many facets to this appointment. Most people would be surprised at how many different items the dentist and hygienist are actually checking.

What Does The Dental Examination Include?

Your teeth are just one part of a routine, thorough dental examination. Your dentist will evaluate the health of your teeth, your gums, TMJ, and entire inner tissues of the mouth and upper throat. They will also examine your mouth, tongue, lips, and skin for any signs of  disease, like oral cancer or diabetes.

The Head And Neck Examination

Your dentist will start off by looking for symmetry, irregularities, swellings, etc. by:

-Examining your face

-Examining your neck

-Checking your lymph nodes. They are specifically looking for any abnormal swellings or changes to one side and not the other. Also noting the presence of any tenderness.

-Checking your Temperomandibular Joint (TMJ) for any clicking, popping, or irregularities. As we age, the TMJ, like any joint can begin to deteriorate and give us issues. A good dentist will be able to note the presence of TMJ disorder even without symptoms developing.

 The Teeth And Gums Examination

Next, your dentist examine the state of your teeth and gums by:

-Taking x-rays ( radiographs) as needed. Radiographs are generally taken once per year. These radiographs allow the dentist to see some areas that are not visible to the naked eye and are not felt by an instrument. This allows for early detection of tooth decay, as well as determination of infection, or bone loss. Unfortunately, fillings and crowns, depending upon location of breakdown,  still hide many areas of decay or fracturing., Such areas are generally found later due to discomfort, discoloration, or other changes.

-Examining the gum tissue for the presence of periodontal disease, infection, systemic disease. The symptoms can include bleeding, inflammation, recession, redness and irritation, swelling, sloughing tissue, and bone loss around the teeth.

Marielaina Perrone DDS Velscope-Checking if any teeth are becoming loose or show any sense of movement.

-Looking at the tissues inside of your mouth. This will include all sides of the tongue, the tonsils, the hard and soft palate, and inside your cheeks and lips. The dentist will look for tissue abnormalities that could be suspected to be oral cancer. Many dentists use the VELscope to detect oral cancer as early as possible. The VELscope is a special light that allows the dentist to see changes in tissue that occur when oral changes, such as cancer, are present.

-Checking the way your teeth fit together, how well you bite, if you clench or grind, signs of sleep apnea.

-Looking for the presence of tooth decay. This is achieved through the use of radiographs and by checking each tooth individually to see if there is any decay visibly, tactilely, or radiographically, present or beginning to form.

-Checking for broken teeth, fracture lines, chipping, wear.

-Checking for older dental restorations that need to be replaced. Generally when an older dental restoration begins to fail there is staining present around the margins where food and bacteria are leaking inside the restoration. Also, the dentist will examine any dental crowns present to check for decay and to see that the fit is still acceptable.

-Evaluating any previous dental appliances you might have. This can include retainers, nightguards, sport guards, dentures or snore/apnea appliances. The dentist will ensure they are still fitting properly and that they are in good condition.

The Dental Cleaning

The dental cleaning is generally completed by the hygienist but some dentists do clean teeth as well. This part includes the following:

Cosmetic Dentist Marielaina Perrone DDS

6 Month Dental Visits For The Whole Family

-Checking the state of your teeth and gums.

-The use of an ultrasonic device to remove the pellicle, plaque, and tartar. The pellicle is a protein layer, much like a cuticle, that allows plaque and bacteria to more easily wick up and under the gum. The hygienist uses both an ultrasonic cleaning tool (called a cavitron) as well as using hand instruments. These tools allow the hygienist to remove substantial plaque and bacteria, and all of the pellicle, from above and below the gumline.

-Polishing your teeth with prophylaxis paste. This paste is slightly abrasive to remove any extrinsic stains that might be present. Polishing also helps to smooth surface roughness so that plaque will not stick as easily.

-Fluoride treatment. This is not just for kids! There are many types of fluoride with many different applications. Some of us are more susceptible to cavities, some of us have white spots, sensitive spots, or stubborn periodontal pockets. Different types of fluorides can help with all of these.

-Reviewing oral hygiene instructions for you to practice at home away, and from the office. This includes recommended brushing and flossing techniques as well as what products might work best for you.

Conclusion

Upon completion of the examination and cleaning, your dentist will be able to advise you of any further treatment needed. If nothing abnormal is found, you will set up your next appointment in 3- 6 month,s knowing you have been doing a great job at home with your dental care. If something is found, you should have it taken care of as soon as possible. You should try not to put off  dental work, as it will get worse over time. Remember, by seeing your dentist every 6 months and following daily oral hygiene practices at home, you have a better chance of keeping your teeth and gums healthy. Being healthy will  save you time, discomfort, and money in the long run. Prevention is always the goal!

Recent research has uncovered that humans from the stone age had healthier teeth than modern man. Even though dentistry was limited back then, it is believed thatCosmetic Dentist Marielaina Perrone DDS dietary factors helped stone age humans maintain their oral health. As man has evolved and industrialized our world it has changed many things including the way we eat.

As we went from a hunter society and began industrialized farming some 150 years ago, the makeup of our oral bacteria has changed slowly. With the introduction of processed sugars and flours to our diet, researchers have seen a dramatic decrease in the diversity of our oral bacteria. This has allowed cavity causing strains to dominate the oral cavity.

Research Study Findings

The research team examined 34 prehistoric skeletons from northern European human skeletons. They gathered the DNA for testing from calcified dental plaque that was found on the subjects teeth. They used these samples to enable them to analyze how the oral bacteria has changed from stone age times all the way up to modern human times. As human society has evolved, they were able to show a negative impact on our dental health.

Further research is now being undertaken to include other time periods to see what changes happened in those times as well.

How To Stop Periodontal Disease and Tooth Decay?

Maintaining healthy teeth and gums is not very difficult but it needs to become a habit and performed on a daily basis. Below are some tips to maintain good oral health:

Brush Twice a Day – We should all strive to brush our teeth for a minimum of 2 times per day for 2-3 minutes each time. Preferably, following every meal but that is not always possible.

Dental Hygiene Marielaina Perrone DDSFlossing – This is very important to reach those areas that brushing along cannot reach. Flossing regularly will lead to healthier checkups over your entire life.

Use An Antibacterial Rinse – Another tool that can help reach areas that brushing and flossing cannot. Using a good rinse will also lower the numbers of harmful bacteria in the mouth thus decreasing chances of developing tooth decay and periodontal disease.

Maintain regular dental visits – for a thorough dental examination and professional cleanings.

Conclusion

The important note to remember is to maintain good oral hygiene regimen along with regular visits to the dentist to keep your teeth and gums as healthy as possible. We live in a modern age with modern tools to combat anything that comes our way.

 




Periodontal disease can be very difficult to manage once it begins to progress past its initial reversible stage of gingivitis. The treatment of periodontal disease requires diligence on the part of the patient to

Periogen Marielaina Perrone DDS

Periogen + Waterpik = Healthier Mouth!

maintain regular dentist appointments and routine home care. Professional dental cleanings go a long way to preserving your teeth and gums, but once patients leave the office they need to maintain their oral hygiene so the disease state does not progress further. Many patients just need to develop a regular routine of brushing, flossing, and rinsing with antiseptic mouthwash regularly. So, how can we improve at home care to make it more effective and efficient for the patient?

Can You Improve Dental Hygiene?

Let’s face it, most patients do not like to floss. So what do we do to get patients to maintain their dental hygiene? One of the most effective and most popular products on the market today is the waterpik flosser. The waterpik flosser works by delivering a combination of water pressure and pulsation. This allows the waterpik to remove debris and bacteria lodged between the teeth and below the gum line. It is also able to massage and stimulate the gums to improve blood circulation and help promote healthy gums.

The waterpik has also been extensively studied in clinical trials and shown that it is clinically proven 50% more effective than traditional dental floss.

SO…what can make the waterpik even better? The answer is in a new rinse called Periogen. Periogen is a patented oral rinse that has been proven capable of dissolving tartar buildup between professional cleanings and dentist 89052 visits. Periogen works by exploiting a weakness (discovered by the research team at the Periogen Company) in the fundamental structure  of oral tartar, and the way it sticks to our teeth.

Tartar (or calculus as it is sometimes called) can be found above and below the gum line. Tartar above the gum line is referred to as supra gingival tartar and tartar below the gum line is referred to as sub gingival tartar. Dental Tartar is comprised almost entirely of Calcium Phosphate Salt. Calcium Phosphate is also the basic component of tooth material.

Periogen Marielaina Perrone DDS

Periogen Oral Rinse

Calcium phosphate salt differs from calcium phosphate in its electron structure. The calcium phosphate salt has two less electrons than the calcium phosphate which makes it electrically unstable. This process of losing electrons happens in nature all the time. The best comparison is the buildup of lime deposits in water pipes and faucets. Microscopically, tartar is layer upon layer (can be in the tens of thousands layers) of  calcium salts and bacterial debris.

The tartar is a main cause of periodontal disease. Breakdown of gum and bone tissue is caused by toxins released by bacteria in plaque and tartar, and by the body. The toxins cause the body to react by starting the inflammatory process thereby destroying healthy gum tissue and supporting bone structures. Periodontal disease is progressive. Without proper treatment, periodontal disease will lead to tooth loss and infections throughout the mouth.

Periogen is used as an oral rinse 1-2 times per day between professional cleanings to reduce the level of tartar buildup and stain. This will in turn, make for an easier dental visit. It also maintains a healthier state in your mouth for your teeth and gums to heal. Periogen should in no way replace brushing and flossing, or visits to the dentist but just works as an accessory between professional dental cleanings to give you a more effective way to reduce tartar and fight periodontal disease .

periogen




Gingivitis is simply inflammation of the gum tissue in the mouth. It is a reversible, non-destructive form of periodontal disease. While there are many causes of gingivitis, the

Gingivitis Marielaina Perrone DDS

Gingivitis Can be Prevented!

number one cause is poor dental hygiene.

Gingivitis can develop as

-a side effect to medication

-surges in hormones

-mouth breathing

-dry mouth

-poor nutrition

-disease state

-tobacco use

-poor oral hygiene.

When dental hygiene is not sufficient, bacteria in dental plaque release acids that stimulate the inflammatory response by the body. This in turn cause the gums to appear puffy, red, and bleed easily upon brushing. It takes some work to restore the gums back to a healthy state. Frequent professional cleaning along with regular tooth brushing and flossing can help to remove plaque and keep it from building up on the teeth and gums.

Signs Of Gingivitis

-swollen, shiny, and tender gums

-blood on toothbrush while brushing

– pink toothpaste when spitting out

-pus around teeth

-bad breath

-gum redness

-visible tartar deposits

-bad taste in mouth

-gums bleed easily

-gum ulcers

Other Causes Of Gingivitis

Medications. Many prescription and over-the-counter medications come with the side effect causing dry mouth or xerostomia, and sometimes gum overgrowth. Saliva is important to help keep your teeth clean by controlling the growth of bacteria as well as maintaining a neutral environment to prevent tooth decay. That means that the less saliva you have, the greater your risk for gingivitis (and tooth decay!). Many common medications including antidepressants, blood pressure meds,  asthma inhalers, and cold medications can reduce the amount of saliva in your mouth. Seizure medications, and some blood pressure medications can cause the gum tissue to grow. This extra tissue, makes it more difficult to keep clean. It is important you always read the side effects for any medications you are taking to ensure you take the proper steps like drinking more water and brushing more often following meals.

-Infection/ Disease: Various types of viral infections or fungal infections can cause periodontal disease. Oral Thrush is an example. Thrush occurs when a type of fungus that occurs normally in the mouth gets out of control and forms lesions that can infect the tongue and gums. Also, an infection caused by the herpes virus can cause

Gingivitis Marielaina Perrone DDS

periodontal disease. It is important to get these infections under control as soon as possible as they are quite treatable in most cases. There are also other diseases that can effect the oral tissue, such as oral cancer, and diabetes.

-Nutrition: If you follow a fad diet or a diet that is severely lacking in calcium and vitamins B and C, you may be at increased risk for periodontal disease.

Mouth Breathing: leaving the mouth open to breathe while awake or sleeping, dries the mouth substantially. Oral dryness  allows gingivitis to occur more readily.making healing more difficult

Tobacco use: Smoking directly effects the gums by decreasing blood circulation and thereby increasing inflammation. Smokeless tobacco cause irritation in direct response to the product eroding the tissue.

Hormone surges: Hormonal imbalance during puberty, menstruation, pregnancy, and menopause can cause gingivitis. The drastic hormone changes allow gum tissues to become inflamed quite readily.

Possible Complications From Gingivitis

In most cases, if gingivitis is properly treated and the patient follows good dental hygiene there will be no complications. However, if left untreated, gingivitis can worsen and develop into a more advanced version of periodontal disease called periodontitis. This form of periodontal disease is quite destructive and will cause loss of bone and eventually loss of teeth.

Possible complications from gingivitis can include:

-Abscess in the gum tissues.

-Abscess in the jaw bones.

-Infection in the jaw bone or gum tissues.

-increased susceptibility to heart disease.

-Loss of esthetic gum contours. The points of gum tissue between the teeth disappear, leaving behind a “black triangle”. Red, jelly-roll margins at the gum line of the tooth. Pink stippling disappears.

-Periodontitis.

-Recurrent gingivitis.

-Trench mouth, or ANUG.  Ulcerations of the gums caused by bacterial infection.

Gingivitis can cause damage in other areas of the body if allowed to remain untreated. The bacteria from the gums can enter the bloodstream and cause infections elsewhere. Periodontal disease has been linked to heart disease, stroke and erectile dysfunction. It may also cause the delivery of premature infants as well as low birth weight infants to gingivitis-infected mothers. Those with diabetes may have problems controlling blood sugar levels if they also suffer from gingivitis.

Prevention of Gingivitis

Gingivitis may be prevented or cured by following some simple preventative measures:

-Brush teeth, gum line, and tongue daily. Teeth should be brushed at least twice a day. Both morning and night and after meals when possible.Gingivitis Marielaina Perrone DDS

-Use a soft bristled toothbrush, which is less likely to damage teeth or gums. Replace toothbrush every three months or sooner if needed.

-Use a fluoride toothpaste.

– Do not snack in the middle of the night. Chew gum after daytime snacks.

-Floss at least once a day.

-Rinse with an effective mouthwash, such as listerine.

-Visit the dentist at least once every six months for cleaning and examination to keep gingivitis away.

-Avoid sugary foods, tobacco and drinking excessive amounts of alcohol.

Conclusion

Gingivitis is very treatable. The first step, is understanding what is making it occur. Following a regular dental hygiene regimen will keep gingivitis at bay and not allow it to progress to periodontal disease. A few minutes a day is all it takes to maintain a healthy teeth and gums. Remember to visit your dentist regularly for dental examinations and professional cleanings to avoid the onset of gingivitis.