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 the vast majority of orthodontic patients, wearing fixed appliances (commonly called braces) will be a major part of treatment — and those braces, for the most part, will be the familiar silvery-metal type. But while they're still quite popular, traditional-looking metal braces are no longer the only game in town! Let's have a look at some of the options available in orthodontic appliances.
First, we should distinguish between fixed and removable appliances. Fixed appliances like braces are attached to the teeth by metal bands or special cement. They aren't normally taken off until treatment is complete. Removable appliances, such as clear aligners, are typically worn some 22 hours per day, but may be easily taken off as needed. While clear aligners can be effective in treating mild to moderate orthodontic problems, fixed appliances are generally needed for more comprehensive treatment.
Typically made of high-grade stainless steel, traditional metal braces remain by far the most common type of fixed orthodontic appliances. They consist of metal bands that wrap around the molars in back, and smaller metal brackets that are cemented to the front surfaces of the other teeth. A thin, springy metal wire, running through the brackets, gently guides the teeth into a proper position. This archwire may be fixed to the brackets by flexible elastics, metal ties, or other types of clasps.
There are many good reasons why time-tested metal braces remain popular — because they offer a reliable, effective and economical treatment option. In contrast to the appliances of the past, today's braces are actually smaller, lighter, and more comfortable to wear. If you want a less traditional look, you may be able to choose colorful elastics for the brackets, or other modifications.
Clear ceramic braces are a new variation on the traditional system that provides a far less noticeable method of treatment. They use the same components as traditional braces — except that the brackets on the front side of the teeth are made of a translucent ceramic material that blends in with the tooth's natural color. This system has become a favorite for adults (including some well-known celebrities) because, unless you look closely, it's hard to notice they're there.
Several types of ceramic braces are currently available, and the technology is constantly improving. Their aesthetic appeal is undeniable... but there are a few tradeoffs. The ceramic brackets can be less durable than their metal counterparts; plus, while the brackets themselves don't stain, the elastic bands that attach them to the archwire do (however, these are generally changed each month.) Ceramic braces also cost more than metal — but for many people, the benefit of having an inconspicuous appliance outweighs the costs.
While ceramic braces certainly offer a less conspicuous look, there is still another system that allows fixed braces to be truly invisible. In some situations, special appliances called lingual braces can be placed on the tongue side of the teeth. They work the same way other metal braces do — but even though they're made of metal, they can't be seen, because they're hidden behind the teeth themselves!
Lingual braces aren't the proper treatment for every orthodontic condition. Special training is required to install them, and they're significantly more expensive than standard braces. They also generally require a bit more time for the wearer to get used to them, and they may slightly prolong treatment. But if you want the least visible type of fixed appliance — and if you're a candidate for this treatment option — then lingual braces may be just what you're looking for.
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Clear Aligners for Teenagers Teens who regard traditional braces as restrictive, confining, and obstructive to their lifestyles now have another choice for orthodontic treatment: clear aligners. This advanced dental technology, originally geared toward adults, has recently evolved to treat a greater variety of bite problems in younger people. These improved orthodontic appliances can help teens function normally during a difficult phase of life... Read Article