Periodontal Disease Detection

A study conducted in 2012 estimates that 47% of all adults over the age of 30 have some degree of periodontal disease. This can range from mild to serious. Periodontal disease starts with plaque. Plaque comes from the bacteria which resides in our mouths. Bacteria love the mouth because it is wet, warm, and has a food source.

When plaque is not removed from the teeth it hardens and forms tartar which can only be removed with a professional dental cleaning. When plaque stays on the teeth, it becomes slowly more detrimental to the mouth. Eventually this plaque build-up, which is full of bacteria, causes an inflammation of the gums known as gingivitis.

Though gingivitis can be treated and reversed with proper dental care, if it is not treated it will turn into Periodontitis. This causes the gums to pull away from the teeth and form pockets. These pockets are prone to infections. Since the body is treating the infection with its natural defenses, the connections the teeth have get destroyed. The connective tissues, bones, and gums all get broken down and loose teeth need to be removed.

Of course, anyone who has been diagnosed with gingivitis is at a high risk for developing Periodontal disease, but even without a diagnosis there are warning signs that could indicate periodontitis is present. Having bad breath or a bad taste in your mouth could be an indication that there is an abundance of bacteria building up in the mouth. Bacteria produce endotoxin which is part of their own metabolism. This is the cause of gum inflammation. These pockets full of endotoxin burrow deeper into the gum line and eventually the jaw. If too much of the jaw bone is lost then teeth have no stability and will either be lost or need to be removed.

Changes to the gum line can indicate the presence of periodontal disease. This is especially true if gums are swollen, bright red, purple, tender to the touch or if they recede down making the teeth look longer than normal. Sometimes these symptoms are dramatic and obvious, in milder cases though, they may appear in a less severe manner.

Because the gum line is physically pulling away from the teeth, new spaces and gaps may appear in between existing teeth. This is usually accompanied by loose teeth, a change to the bite pattern or the way teeth fit together. When the area is infected there will often be a pus build up between the teeth or between the gums and teeth.

Do not make the mistake of thinking that these symptoms will go away on their own. If left untreated, tooth loss and other serious symptoms can occur at an alarming rate. Aside from having gingivitis, periodontitis has other risk factors. Poor oral hygiene, a hereditary predisposition, diabetes, tobacco use, medications, substance abuse, hormonal changes, and poor fitting restorations can all increase a persons odds of getting periodontal disease. Do not take chances with your teeth. If you have any risk factors and/or symptoms of periodontal disease, see your dentist, sooner rather than later.

Copyright Dr.Jean-Jacques Edderai – 2015

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Experimental Dental Procedures

We live in a world where new breakthroughs in technology, medicine, and dentistry are being made everyday. One hundred years ago, the world of dentistry was very limited. Teeth were either pulled or filled with toxic substances. A formula has not yet been devised which will regrow teeth, but there are advancements which can fix almost any smile. Some of these procedures have not been perfected yet, but the possibilities are definitely exciting.

The process of installing zygomatic implant may prove an option for those who want implants, but have insufficient jawbone structure to support them. These implants would be installed into the cheek bone. This procedure was first done by Dr. Maria Papageorge and was made possible through a grant from Tufts University.

The studies need to be continued to determine the longevity of the implants, but the university is offering it to a select few patients for roughly $11,000. This is less than 25% of the tradition $45,000 price tag which comes with implants. It is too early to say if this will become a less expensive solution for tooth loss. But, since it requires fewer connection, this may become the case.

Dentistry is usually associated with the painful and loud sound of dental drill. A new technique called Air Abrasion may change that. Instead of using a metal drill, a stream of particles is aimed at the decaying area of a tooth. In this particle mixture is aluminum oxide, baking soda, and silica, these are run through a blast of air which exits out of the hand piece.

The Air Abrasion technique is a lot quieter than a drill and does not produce pressure or vibration. It can still cause pain though, especially in patients who are sensitive to pressure. This technique reduces the amount of anesthesia needed for shallow cavities. The metal drill will still have its place because fittings for crowns can not be prepared using air abrasion. It also cannot be used for root canals. Some dentists ultimately believe that the use of air abrasion will reduce the risk of chipping and dental fractures as well.

Think about the countless times that the use of anesthesia has left you numb for hours afterwards. It is awkward to eat and drink until that numbness goes away. In fact, in some cases it can take up to five hours for the effects to be completely gone. A new medication called OraVerse reverses the effects of the anesthesia and can take the time for the numbness to wear off down to about an hour.

This is great news for those who scheduled dental visits before picking kids up from school, between errands, or any other time when full oral function will be necessary. The phentolamine which is in OraVerse works by opening up blood vessels to restore blood flow to the mouth. The medication is injected immediately after the procedure is over. Since the numbness in effect, there is no need to be concerned over pain.

All of these techniques have the potential to change how we think about modern dentistry. Making it more convenient and less painful should encourage more people to tend to their teeth properly and no longer fear those dental check ups.

Copyright Dr.Jean-Jacques Edderai – 2015

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Oral Hygiene Tips for Camping

The return of the summer months brings about camping, amusement parks, and vacations. It also brings with it a plethora of ice cream, s’mores, and sweet summer treats. Going on vacation does not mean that oral health goes on vacation too. Simple steps can be taken to ensure that you and your family are all tending to your teeth.

While thinking of snacks for the family, thing not only healthy, but healthy and crunchy. Carrot and celery sticks are not only full of vitamins, but their texture simulates a brushing motion when they are chewed. Juices are a good choice to wash those down, but only those that have no added sugar. Keep in mind that many rest areas and gas stations have little that passes for healthy. By having snacks prepared and ready in a cooler, not only do healthy snacks stay an option, but it will save on travel expenses.
On extra-long trips, anything where the family will be stuck in a car for a couple days, it is wise to have scheduled brushing breaks. So, every time you pull over to stretch your legs or use a restroom, pull out the brushes, toothpaste, and mouthwash. Think about how morning breath develops… a warm, wet mouth which is a breeding ground for bacteria. The same thing happens in the car. Especially when snacks and beverages are used to help tame restless children.

Get a dental checkup before the trip. Even if it is a week or two before the trip, it gives you a chance to get a full cleaning and treat any unexpected dental problems. Getting one for every family member can help you have a trip which is safe from those tooth pains and more fun for everyone.
There are special toothbrushes which are designed for camping. They have a plastic lid and are available in many colors. Even better, they each come with a tube of paste. Because they are color coded, each family member will know which one is theirs. The lid keeps dirt and bacteria off of the brush and the family toothbrushes can be left at home where they won’t get lost or dirty. Some even have a hole for a clip. Most are available for a buck or two.
While you are away, assume it will not be easy to find a dentist if an emergency occurred. This means you should avoid opening packages with your teeth or crunching ice. These are bad practices anyway, but on vacation they can open you up to a whole world of pain. So avoid these at all costs.

Do not vacation on the health of your mouth. Unlike sharks, we only get one row of teeth. Once the adult teeth are gone, they are gone for good. When in doubt, brush, rinse, and/or floss and have your family do the same. This will keep teeth healthy, now and in the future, which means you will be free to enjoy all the road trips to come.

Copyright Dr.Jean-Jacques Edderai

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The Best Foods for Oral Health

Back when mankind was still in its infancy, foods were a lot simpler. They were also a lot less tasty. These tasty foods often come with a price… the health of your mouth. Dental techniques have advanced a lot over the last several decades. The effect that foods have on the overall health of the body and the mouth has been a focus in recent years. Luckily, foods can be both healthy and delicious. Some foods will actually help your teeth strengthen themselves.

Tea, especially green tea, is one of the best beverages for your mouth. Both black and green teas contain polyphenols, compounds which help kill bacteria in the mouth. Green tea also contains catechins, another natural anti-biotic. When bacteria grows it can lead to bad breath, cavities, and gum disease. The unsweetened varieties of teas are better for you. A lot of sugar will counter the beneficial attributes of the tea.

As we age, the collagen in our gums begins to break down. This is especially true if we do not get enough Vitamin C. Everyone knows that oranges are high in Vitamin C, but there are foods which have a higher Vitamin C count. Peppers, specifically bell peppers and chili peppers, have a high Vitamin C level and can be eaten in many different dishes. Other foods charged with Vitamin C are Kale, Papayas, Broccoli, Strawberries, Pineapple, and Kiwi.

Milk is well know for its overall health benefits. One of its byproducts, cheese, helps balance out the pH levels in the mouth. Because the acidity is taken out of the mouth, the enamel of the teeth is preserved. Research has shown that teenagers who ate cheese had had lower acid levels in their mouth than teens who drank milk or ate sugar-free yogurt.

In the animal kingdom, plaque is stripped away by chewing on sticks and stalks. When we eat healthy crunchy foods, such as apples, celery, and carrots, the extra plaque is scraped away and bacteria are forced out of the mouth. Chewing also increases saliva production. Which brings us to the next healthy food… sugarless gum.
Saliva is our mouth’s way of neutralizing the acids of the mouth. The important thing to remember here is that the gum needs to be sugarless. When the gum is chewed from side-to-side, extra food can be dislodged between brushings. Some gums have bonus ingredients which aid cavity prevention and even strengthen other areas of the mouth.
Eating any of these foods, or all of them, is no substitution for brushing and flossing. Eating healthy will benefit the mouth, the body, and the mind. When a mouth is healthy, it is easier to keep the rest of the body healthy. There are so many recipes that can be made in a way that makes them truly succulent. Experimenting with recipes means limitless possibilities await. There is no reason that all the benefits these foods offer cannot be fully embraced one bite at a time.

Copyright Dr.Jean-Jacques Edderai 2015

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Ways to Keep Kids Brushing

Kids want to have fun. From the time they wake up until nap time, they are playing, learning, and growing. Scientists say that the vast majority of learning which will take place in our lifetime happens before puberty. This makes it a perfect time in the life of your child to institute great oral hygiene habits.

Using a kids imagination can help make brushing teeth into an exciting adventure. Having your kids open their mouth like a hippopotamus or a roaring lion encourages them to brush those back teeth. Kids tend to focus on their front teeth, the teeth that they can see. This means improper bushing of the molars. Tell them to get all of their “lion teeth” when they brush.

Picking a fun toothbrush makes kids more excited to brush their teeth. Whether it is Nemo, Elsa, dinosaurs, or My Little Ponies, picking a toothbrush your kids will enjoy makes the brushing process more like a game. More fun = more likely to do. Kids toothbrushes need to have a smaller head for their little mouths and will have soft bristles.

There are many apps and websites which are specially geared to help kids want to brush their teeth. Two of the largest toothpaste companies have “sing-a-long” videos which play for two minutes. When the song is over the child is done brushing. The videos have animated characters making them fun for kids of many ages. Similar apps are available through app stores. They will play a song or keep a musical timer to keep your kid on track.
Adults and kids have different taste buds. Your toothpaste may taste refreshing to you, but to a seven year old it is “icky.” Kids toothpaste comes in many different flavors, often with beloved characters on the tube. By letting your kids pick their own toothpaste, they get to be grown up and make a decision. They relive the excitement when they use the toothpaste they picked out by themselves. Keep in mind, the toothpaste they pick should still be approved by the American Dental Association.

Having oral hygiene occur at the same time everyday creates consistency. Set it at a time that will be convenient throughout the week. If bedtime is 8pm, teeth brushing could be at 7:30. Or, it could be right before story time and it could be right after potty time in the morning.

Kids love to imitate their parents. Whatever mommy and daddy do, kids will want to do too. If you take good care of your teeth, they are more likely to take care of their own. Teach your kids how to make sure they got all of their teeth and help them out until they are able to brush on their own.
Just like potty training, oral hygiene skills need to be taught. It takes patience, but is infinitely valuable in life. Remember that kids teeth, especially baby teeth, do not need to be brushed hard, just thoroughly. Do not skip days, bad patterns are more easily picked up than positive ones.

Copyright Dr.Jean-Jacques Edderai 2015

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All about toothpaste: Which one is best for you?

Everyday people are bombarded with decisions: Where to eat? What to wear? What to order at the coffee place? The sad part is that one of the most important choices gets less that a fraction of a second’s thought… what toothpaste to get.

Many people buy the brand their mom used or whatever is on sale. With all of the toothpaste out there, making a choice may seem like a moot point but when it comes to toothpaste they are all designed for specific needs and have different purposes. All toothpaste are not created equal.

All the terms floating around like “whitening,” “For sensitive teeth,” “cavity fighting” makes a person feel like they have to choose just one of these for their smile. The main ingredient in toothpaste is some type of fluoride. With children’s toothpaste, the concentration of fluoride is usually lower than in paste designed for adults.

Any adult toothpaste with a level of 1,000 ppm or higher of fluoride is effective in cavity protection. A whitening toothpaste contains a mild abrasive which scrubs the discoloration from teeth. This is not the best choice for those who already have cavities as the abrasives can ultimately expand the area of the cavity. There is still some controversy about the long term effects of whitening toothpaste.

Those who smoke will often find their dentition taking on a darker hue than normal. The stains on a smokers teeth require a stronger abrasive for removal. The tar which deposits is thicker than coffee stains. Smoker’s toothpaste should be used with a cavity-fighting toothpaste.

While anti-plaque toothpaste removes plaque, it also reduces the damage done by existing plaque. There are several ingredients which are active in plaque reducing pastes. Most will use Zinc Citrate or Triclosan. Since plaque is responsible for forming cavities and is one of the reasons that teeth fade, it is a good general choice if you don’t have a purpose beyond a healthy mouth.

Weak enamel and the forming of cavities can both lead to teeth sensitivity. Teeth may be sensitive to heat, cold, and/or pressure. Since these issues have a root cause (pun intended) it is important to consult a dentist to determine or more work is needed.

Elderly people should consider a toothpaste designed to fight receding gums. If gums recede the patient can experience sensitivity and risk exposing the roots of their teeth to food and bacteria. There are toothpaste which are specially designed for almost any dental condition.
Triple action toothpaste is the trifecta, they whiten, fight cavities, and will aid in the freshening of breath. Still, when the focus of the patient is on just one of these, it is beneficial to use a specific toothpaste-type between regular brushings.

Always remember that once teeth are gone, they are gone forever. Proper care in every stage of life is the best way to ensure that teeth remain intact for a lifetime. It is much easier to prevent it than to try to fix the damage later. Before changing an existing dental care regimen be sure to consult with a dentist.

Copyright Dr.Jean-Jacques Edderai 2015 ©

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