This section is dedicated to the latest information on oral health topics, culled from authoritative sources such as the American Dental Association.
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Poor dental hygiene can cause a host of problems outside your mouth-including your heart. Medical research has uncovered a definitive link between heart disease and certain kinds of oral infections such as periodontal disease. Some have even suggested that gum disease may be as dangerous as or more dangerous than other factors such as tobacco use. A condition called chronic periodontitis, or persistent gum disease, has been linked to cardiovascular problems by medical researchers.
In short, infections and harmful bacteria in your mouth can spread through the bloodstream to your liver, which produces harmful proteins that can lead to systemic cardiac problems. That's why it is critical to practice good oral hygiene to keep infections at bay-this includes a daily regimen of brushing, flossing and rinsing.
In some cases, patients with compromised immune systems or who fear an infection from a dental procedure may take antibiotics before visiting the dentist.
It is possible for bacteria from your mouth to enter your bloodstream during a dental procedure in which tissues are cut or bleeding occurs. A healthy immune system will normally fight such bacteria before they result in an infection. However, certain cardiovascular conditions in patients with weakened hearts could be at risk for an infection or heart muscle inflammation (bacterial endocarditis) resulting from a dental procedure.
Patients with heart conditions (including weakened heart valves) are strongly advised to inform our office before undergoing any dental procedure. The proper antibiotic will prevent any unnecessary complications.
Dentistry Health Care That Works: Tobacco
The American Dental Association has long been a leader in the battle against tobacco-related disease, working to educate the public about the dangers inherent in tobacco use and encouraging dentists to help their patients break the cycle of addiction. The Association has continually strengthened and updated its tobacco policies as new scientific information has become available.
Smoking and Implants
Recent studies have shown that there is a direct link between oral tissue and bones loss and smoking. Tooth loss and edentulism are more common in smokers than in non-smokers. In addition, people who smoke are more likely to develop severe periodontal disease.
The formation of deep mucosal pockets with inflammation of the peri-implant mucosa around dental implants is called peri-implantitis. Smokers treated with dental implants have a greater risk of developing peri-implantitis. This condition can lead to increased resorption of peri-implant bone. If left untreated, peri-implantitis can lead to implant failure. In a recent international study, smokers showed a higher score in bleeding index with greater peri-implant pocket depth and radiographically discernible bone resorption around the implant, particularly in the maxilla.
Many studies have shown that smoking can lead to higher rates of dental implant failure. In general, smoking cessation usually leads to improved periodontal health and a patient’s chance for successful implant acceptance.
For years, whenever you needed a dental crown (cap), your dentist had to make molds of your teeth which required taking an impression of your teeth. A tray filled with a goopy, putty-like material was used so that a three-dimensional model of the prepared tooth could be created. Using this mold, a dental lab could custom-craft the new crown.
However, as we journey further into the technology-driven 21st century, this traditional methodology is being replaced with virtual models — made using small, handheld “wands” that employ a digital camera and some reflective dust.
Here's how it works
The initial phase of restoration, preparing the tooth surface, remains virtually the same. First, any dental decay must be removed, and the remaining tooth must be shaped so that a crown or filling can be fitted properly. This will allow the tooth to be restored to its original shape, look, and function. Next, the area is lightly dusted with a reflective material (not a goopy impression material) so that multiple images of your tooth's surface can be recorded with a small scanning wand. Later, the computer component is connected to the scanning wand and these separate images are combined into a computer-generated 3D image.
This remarkable tool uses blue wavelength light to precisely capture the unique nooks and crannies of your tooth's surface and make a highly accurate 3D digital model. It makes it possible to instantaneously examine your tooth, and your bite. It's possible to identify any additional prep work required for new crowns, veneers and fillings right then and there; to implement any needed changes; and to rescan the tooth to create a new series of images and 3D model.
Once the image capture and prep work are satisfactory, your images are sent on to the lab for fabrication. This technique makes it possible to create a crown or a filling that can often be completed during a single office visit.
How this technology benefits you
- Finally, you can say goodbye to the goop, gagging, discomfort, and anxiety you've experienced in the past with traditional dental impression materials!
- It enables the immediate assessment of whether or not your tooth has been properly prepared for restoration.
- This technology is ideal for fabricating restorations such as new crowns, veneers and fillings for teeth — often possible in one office visit.
- It takes less time than traditional dental impressions.