Posts for tag: gum disease

By Drs. Pauls & Savarese
March 10, 2016
Category: Oral Health
DrTravisStorkDontIgnoreBleedingGums

Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.

First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.

How common is this malady? According to the U.S. Centers for Disease Control, nearly half of all  Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.

What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.

Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.”  If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.

By Drs. Pauls & Savarese
November 19, 2014
Category: Oral Health
Tags: gum disease  
ASilentDiseaseGetsRecognition

Today, many people are taking positive steps to reduce the risks posed by major health problems like cancer, cardiopulmonary diseases, hypertension, and diabetes. But there’s one disease that makes the top-ten list of worldwide health conditions, and yet isn’t thought about as much as many of the others. That malady is severe periodontal (gum) disease — and according to a new study, it’s the sixth-most prevalent health condition in the world.

The study, released by the International and American Associations for Dental Research, reveals that some 743 million people around the world — about 11 percent of the global population — suffer from severe periodontal disease; that percentage hasn’t changed significantly since 1990. The study also shows that while an individual’s chance of developing this condition rises gradually with age, there is a steep increase in people between 30 and 40 years old, with a peak at age 38.

If severe periodontal disease is such a major concern, why isn’t it “on the radar”? A 2010 report from the U.S. Surgeon General, titled “Oral Health: The Silent Epidemic,” gives some clues. For one thing, diseases related to oral health don’t always produce dramatic symptoms: Even tooth loss, for example, is sometimes (wrongly) regarded as an inevitable consequence of aging, when it’s more often the result of disease or injury. For another, these conditions disproportionately affect people whose voices aren’t always heard: children, the elderly, and the disadvantaged.

Severe periodontal disease is clearly a challenge to the public health. But what can you do as an individual? Plenty! The good news about periodontal disease is that it is largely preventable, and very treatable. Prevention is chiefly a matter of maintaining good oral hygiene.

Have you flossed lately? Is your brushing technique up to snuff? Do you avoid sugary snacks and beverages (especially between meals), and visit your dentist for regular checkups? If so, you’ve taken some major steps toward preventing periodontal disease. But despite their best efforts, it is difficult for some people to control periodontal disease without extra assistance. That’s where a periodontist can help.

Periodontists are concerned with treating problems of the gums. We use a number of methods to combat periodontal disease — including removing plaque bacteria, restoring healthy tissue, and educating people about how to maintain better oral hygiene at home. Your general dentist may refer you to a periodontist if warning signs are noticed, but you don’t need a referral to come in for an exam. If you notice the symptoms of periodontal disease — redness or inflammation of the gums, a bad taste or odor in your mouth, or any amount of bleeding when you brush — then it may be time to have your gums checked.

If you would like more information about periodontal disease, call our office for a consultation. You can learn more in the Dear Doctor magazine article “Warning Signs of Periodontal (Gum) Disease.”

UnderlyingFactorsforGumDiseaseRequireLong-TermTreatmentStrategy

You’ve been doing “all the right things” — brushing, flossing, and keeping up regular office cleanings and checkups. But you’re still struggling with gum disease — in fact, you’ve recently noticed loose teeth and other signs of infection.

While the primary cause of gum disease is dental plaque and calculus not adequately removed by regular oral hygiene and cleanings, you may also be among a small group of individuals with other risk factors that can worsen the effects of the disease. One of the most common of these factors isn’t something you can do much about — the physical characteristics you inherited from your parents. In reality, some people are more genetically prone to disease than others because their body doesn’t respond effectively to certain bacteria.

Chronic stress may also play a role in your body’s resistance level: it can both increase your risk for the disease and magnify its effects. In addition, the type of bacteria causing the disease could be a factor — our mouths contain thousands of strains, with some bacteria more difficult to control than others.

If your gum disease persists regardless of all our best efforts, we may be able to test for whether any of these other factors are involved. Determining the presence of any of these underlying factors can help us fine-tune our treatment approach.

You should know, however, that it might not be possible to effectively address every factor involved. If that’s the case, at some point it may be necessary to consider a tooth replacement option. The best choice by far are dental implants — not only are they functional and life-like in appearance, with proper care they could foster a healthier environment in your mouth by being stronger and more durable than the diseased teeth they’ve replaced.

Our ultimate goal as dentists is to alleviate gum disease and restore health and function to your teeth and gums. If that isn’t completely possible due to uncontrollable factors, we then adopt a strategy to control the disease as much as possible to preserve your teeth for as long as is prudent. This can give you time, then, to prepare yourself mentally, emotionally and financially for future teeth replacement and restoration.

If you would like more information on periodontal disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal (Gum) Treatment and Expectations.”