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.
If you have lost any of your teeth, you no doubt realize there are consequences to living without them: Your smile may not look the way you want it to; eating, speaking and intimacy may be more difficult; and your self-confidence may fade. Though serious, these are not the only impacts. There are hidden consequences of losing teeth that affect not only your appearance but also your health.
Importantly, a loss of jawbone inevitably follows tooth loss. Bone needs stimulation to maintain its form and density. In the case of the jawbone, that stimulation comes from the teeth, which make hundreds of fleeting contacts with each other throughout the day. The small stresses produced by these contacts are transmitted to the bone, prompting it to regenerate constantly. When a tooth is lost, the stimulation it provided disappears. In just the first year of tooth loss, there is a 25% decrease in bone width. This is followed over the next few years by an overall 4 millimeters decrease in height. If enough teeth are lost, and as bone loss continues, the distance from nose to chin can decrease and the lower third of the face partially collapses. With a lack of structural support, the lips sag; that's why toothless people often appear unhappy. Also, extreme loss of bone can make an individual more prone to jaw fractures.
You may also find that some of your remaining teeth actually shift into the spaces left open by your missing teeth. This in turn can cause additional bite problems and even jaw joint (TMJ) pain. Finally, compromised nutrition and poor general health can result if eating healthy foods like raw fruits and vegetables becomes too difficult without teeth.
Now here's the good news: Dental implants — the state-of-the-art tooth-replacement method preferred by dentists — can prevent all this.
How Dental Implants Prevent Bone Loss
Besides helping a person without teeth look and feel great again, dental implants actually prevent bone loss. That's because they are made of titanium, which has a unique ability to fuse to living bone. By actually becoming a permanent part of the jawbone, dental implants stabilize and stimulate the bone to maintain its volume and density.
Dental implants are placed during a minor surgical procedure using local anesthetic and then, after a healing period, topped with a lifelike dental crown. Together, these precision components look, feel and function exactly like your natural teeth. Dental implant success rates exceed 95% — the highest of any tooth-replacement option.
Other Options for Tooth Replacement
Other than dental implants, your tooth-replacement options include fixed bridgework that incorporates or uses the adjacent teeth, and removable dentures. You should be aware, however, that the disadvantage of both of these options is that they may damage the anatomical structures on which they rest. For example, fixed bridges rely on support from two adjacent, possibly healthy teeth, which must be filed down and capped; this can make them susceptible to decay and root canal problems. Removable partial dentures hook onto existing teeth, which may become loose over time. And full dentures press on the bony ridges that used to support the teeth, accelerating the bone loss that began when the teeth were lost in the first place.
The above tooth-replacement options are all less expensive than dental implants, but only when viewed in the short term. Since bridgework and dentures may cause new problems and will likely need replacement themselves, they don't offer the same long-term value. When viewed as an enduring investment in your comfort, health and well-being, implants offer the best return by far.
The Hidden Consequences of Losing Teeth For those missing even one tooth, an unsightly gap is actually the least significant problem. What's of far greater concern is the bone loss that inevitably follows tooth loss. Dental implants can preserve bone, improve function and enhance psychological well-being. Learn how implants serve both as anchors to support replacement teeth and preserve bone... Read Article
Dental Implant Surgery Many people are surprised at how relatively easy dental implant surgery is because they let their imaginations get the better of them before they go through the actual procedure. The reality is that most patients experience no pain during the surgery and very little discomfort afterward. Let's back up and start with the basics to increase your understanding and allay any apprehension... Read Article