What Causes Periodontal Disease?

what-causes-periodontal-diseasePeriodontal Disease is the most prevalent chronic disease in the world. Periodontal Disease also called Gum Disease is the leading cause of tooth loss. Gum disease starts when normal oral bacteria forms on teeth where the gum line meets teeth. In response to bacteria accumulating at the gum line, the gums become inflamed. The initial phase of the disease characterized by swollen gums is called Gingivitis. During “Gingivitis” the bacterial accumulations are above the gum line. Gingivitis progresses to Periodontitis when bacteria eat away the gum attachment to the teeth and move down below the gum line where they wreck havoc and eat away tooth-supporting bone. So there you have it, Periodontal Disease is that simple or is it?

Periodontal Disease is not simple, but rather it is more of a complex Autoimmune disease. When bacteria colonize (aka “Plaque” or “Tartar”) below the gum line they release Toxins and cause bone and gum inflammation. The bacteria and toxins also can enter into the blood stream through the thinner tissue below the gum line and cause or contribute to other systemic disease. During Gum disease progress, the immune system begins to turn against the teeth. The immune system initiates an attack on the teeth where the bone is resorbed from around the teeth and the teeth eventually get loose and fall out. Sometimes the disease attacks all the teeth, but often it is just some of the teeth. Periodontal disease does not affect all people all people the same way. In fact, some individuals with poor oral hygiene may get only a mild form of Gingivitis that never progresses to irreversible periodontitis. Periodontal disease, like many other autoimmune diseases, has a genetic component, as certain individuals are more likely to get it than others.

The Following Factors are known to affect Gum and Periodontal Disease:

  • Tobacco Use
  • Genetics
  • Stress
  • Medications
  • Clenching and Grinding of Teeth
  • Diabetes
  • Poor Nutrition

Nutrition and Periodontal Health:

Diet is important in controlling periodontal disease because bacteria in your mouth use sugars for energy and reproduction. When oral hygiene is poor and the diet is high in sugar, there will be lots of growth of disease progressing bacteria. Stress is also a major factor. Stress + Sugar = lower acidity in the mouth and an increase in Gum Disease.

The human body needs vitamins and minerals to help regulate our metabolism. A diet high in fiber and fruits and vegetables will help reverse periodontal disease naturally. Essential Fatty Acids and Proteins provide the energy to help build vital cells. To reverse gum disease naturally, we to discipline ourselves to maintain healthier eating habits (stay away from processed foods) and keep stress to a minimum.

Supplements and Gum Disease:

Vitamin C

Vitamin C is an important vitamin for healthy gums. it appears to fight bacteria and promote the formation of new healthy gum tissue. Vitamin C also reduces inflammation and infection during the progression of periodontal disease. Vegetable high in Vitamin C include Oranges, Grapefruit, Tomatoes, Broccoli, Cauliflower, Cantaloupe, Strawberries and Asparagus.

Recommended daily dose of 1000mg 3x per day

CoQ10

30mg 3x per day

Vitamin A

10,000 I.U.

Vitamin E

400mg 1x per day

Calcium/Magnesium 2:1 ratio 200mg per day

Garlic

 

 

Zeramex Zirconia Dental Implant

Zirconia Dental Implants have been on the market for several years, but Natural Dentist Associates has never been more excited about placing them until about 4 months ago when the Swiss made Zeramex Zirconia Dental Implant achieved FDA approval.

 

Zeramex Zirconia Dental Implant Advantages of the Zeramex Zirconia Implant:

  • tooth colored and very esthetically pleasing
  • etched/roughened surface to facilitate strong bone growth and integration with the implant
  • abutment connects to implant with a metal free screw, no cement is necessary
  • design of implant system enables easy replacement of a single tooth or a full mouth of teeth
  • crowns and abutments can be made/altered in the lab without the need to prepare, adjust, or drill in the patient’s mouth
  • very biocompatible with excellent gum adaption and periodontal health

 

“Design of (Zeramex Dental) implant system enables easy replacement of a single tooth or a full mouth of teeth with zirconia dental implants”. This statement is a very big deal. Many people need all their teeth replaced. The only implant option in the past when replacing a full mouth of teeth has been to use Titanium Dental Implants.

Now we can literally replace a full mouth of teeth easily with metal free Zeramex Zirconia Dental Implants, Zirconia Abutments, and Zirconia Crowns.

Titanium technology has been around a long time and is quite evolved. Titanium implant dentistry is a very tried and tested way to replace teeth, and the dental profession has had a lot of success replacing teeth with them. In recent years there has been increased demand for metal free and tooth-colored dental implant options. Solutions such as All on 4 and teeth replacement cases involving 3 or more implants and crown/bridge work are now practical and easy with the Zeramex Implant system.

Zeramex has advanced Zirconia Implant technology out of the implant “dark ages” and into todays world of implant dentistry.

The Zeramex implant has brought Zirconia Dental Implants a long way, but differences still exist between zirconia and titanium implants and zirconia and titanium dental implant procedures.

Zirconia Dental Implants are metal free and in combination with a zirconia abutment and zirconia crown, we can replace missing teeth with a full nonmetallic option.

As a matter of providing treatment plan options to our patients, we present our patients the options of either Zirconia or Titanium Dental Implants. Patients with other metals in their mouth or who need metal free options may be better served with a Zirconia Dental Implant.

Due to the healing period of dental implants (9-11 weeks for titanium and 3-4 months for zirconia) PRF treatments are recommended. PRF treatments are also very beneficial in Wisdom Tooth Extraction sites. PRF is highly recommended in areas where root canals and necrotic teeth have been removed.  Some Dental Surgeons believe PRF may soon emerge as the standard of care for all tooth extractions sites.

Porcelain Fillings

porcelain fillings

Porcelain Fillings

Introducing Composite Free or Plastic Free dental fillings. We now have Porcelain Fillings which are more Biocompatible than Plastic/Composite fillings. Composite fillings are made of tiny Plastic Particles made of the chemical Bis-GMA. Plastic Fillings often contain BPAs and have a higher incidence of patient sensitivity or allergic reactions. Porcelain Teeth Fillings contain tiny glass particles and do not cause patient sensitivities or allergies. Porcelain Fillings are tooth-colored and produce a nice cosmetic dental result. Porcelain fillings are also an ideal option when Amalgam Fillings are Removed and there is sufficient tooth structure to avoid a crown. In a ‪‎holistic or ‪‎biological dentistry‬ practice, selection of biocompatible materials is integral to overall health. ‪‎

Porcelain fillings offer additional advantages in that porcelain is inherently stronger than composite. Dentists hope to see better performance from Porcelain Fillings over Composite Fillings. Composite fillings in the past have been more susceptible to wear than normal tooth structure and dental crowns. The “glass” property of porcelain is more wear resistant than plastic and composite.  Porcelain is a lot more like enamel in structure and moves more like enamel during chewing. Composite is more flexible and stretches more than enamel in fucntion. The greater “flexibility” of composite over enamel causes stress between the composite-enamel interface, causing a higher rate of de-bonding of the composite material. Porcelain Fillings are “fillings” which are much less expensive than porcelain crowns. Porcelain Fillings are slightly more expensive than Composite Fillings, but still only 25% as expensive as Porcelain Crowns. Porcelain Fillings can also be completed in one visit versus two visits necessary for a crown. It is important to note that Porcelain filling are not a replacement when a crown becomes necessary. Crowns are necessary when more than 50% of the tooth surface area is being replaced and the tooth is in need of rebuilding and not just filling. Fillings do not add any structural strength to a tooth, but rather they rely upon the remaining tooth structure to support it. If a filling is used is a situation where a crown is necessary, the tooth will break resulting in likely nerve damage and tooth loss.

Porcelain filling material represents the most significant advancement in dental filling material in over 30 years. The german company Voco released the material after much research in 2015 after it was approved by the FDA.

Do I really need to get my teeth X-rayed at the Dentist?

x-rayed

Do I really need to get my teeth X-rayed at the Dentist? (What if I’m pregnant?)

Yes! But let us reassure you that we only take X-rays when necessary.

X-rays reveal issues that we simply can’t perceive with the naked eye. This is very important in the prevention of dental problems. The alternative of having a mouth of infected teeth is far riskier, health wise, than the supposed risk of radiation from a dentist’s X-ray machine.

At our practice, we use digital X-ray imaging. For what it’s worth, these machines emit only a tenth of the radiation given off by earlier generations of X-ray machines. To put it in perspective: You get more radiation from carrying a cell phone around in your pocket all day.

One interesting misperception that we sometimes hear is that pregnant women shouldn’t get an X-ray. Again, we don’t take X-rays except when necessary, and we care deeply about our patients’ health, but—a mother’s mouthful of infected teeth is far riskier for the health of her baby than the exposure of an X-ray machine. Studies have shown a connection between oral infections and low birth rate and premature birth.

This issue is even addressed on the American Pregnancy Association website, by the way, so you don’t have to just take our word on this:

“Preventive dental work while pregnant is essential to avoid oral infections such as gum disease, which has been linked to preterm birth…

“No single diagnostic x-ray has a radiation dose significant enough to cause adverse effects in a developing embryo or fetus.”

The site suggests that expecting mothers should perhaps wait until after the child is born to do cosmetic procedures, such as tooth whitening. We would tend to agree with that recommendation.

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC88948/

Can I trust my dentist? How do I know if I really need the work?

Can I Trust My Dentist? How Do I know if I really Need The Work?

Can I trust my dentist? How do I know if I really need the work?

Dentists hold a position of trust with their patients; dentistry, as a profession, is bound by a code of ethics.

That said, dentists are people, too, and professional opinions in this field may vary as widely as in other fields.

Some dentists will inevitably favor an aggressive approach; others will work as conservatively as possible. Most will tend to favor the methods and approaches that were drilled into them, so to speak, in dental school. Some like to try new and cutting-edge approaches, others stick to the tried-and-true. Adherents to both approaches will tell you that they’re right.

A funny fact—A study published by the British Dental Journal in 2014 found that opinions on how one should best brush one’s teeth vary widely between dentists and textbooks and toothbrush manufacturers. “Unacceptably inconsistent,” concluded the study, about this variation. Sort of embarrassing, but it does illustrate the point that there can be disagreement on even the most commonplace of issues.

At the end of the day, however, we’re dealing with issues that can be seen. When you’ve got questions, ask to take a look at your chart. If something doesn’t make sense to you, ask us to explain it again. If that doesn’t work, try getting a second opinion from a dentist in rockville.

It’s worth mentioning, also, that there’s rarely only one way to fix an issue. Whenever possible, we’ll explain the different possible approaches. If we’re suggesting a more expensive option, it’s always because we think it’ll be more effective, or cost-effective, in the long run.