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.
When you hear the word “orthodontics,” what comes to mind? Probably a young teenager whose teeth are covered by a latticework of metal. There are indeed many orthodontic patients who fit that description. However, there now exists an increasingly popular alternative to traditional metal braces: Invisalign® clear aligners.
As the name implies, Invisalign clear aligners are made of almost invisible polyurethane plastic. Rather than being cemented or bonded to the teeth as metal or clear braces are, clear aligners are completely removable — for important social occasions, for eating, and, most importantly, for tooth-brushing and flossing. This advantage can also be a disadvantage: It means you must resist the temptation to take your aligners out more than is advised. Here are some other advantages of the Invisalign system:
- Improved Oral Hygiene — With an orthodontic appliance that is removable, you will be able to clean your teeth much more easily than if you were wearing metal braces.
- A Discreet Look — If you consider your orthodontic treatment to be a private matter, or simply feel that metal braces don't fit with your self-image, a practically invisible form of orthodontic treatment might suit you.
- More Dietary Choices — To protect metal wires and braces, some diet modifications are necessary. With clear aligners, you can still bite into an apple or a crispy pizza crust.
- Comfort — The thin, flexible material of which Invisalign is made will not irritate the soft tissues of the mouth, as metal wires and braces can.
- Teeth-Grinding Protection — If you have a teeth-grinding or clenching habit, clear aligners can function as thin nightguards that will protect your teeth from excessive wear.
Clear aligner technology has been improving over the years and can correct many malocclusions that once would have been too complicated for this form of treatment. Yet there are still some situations for which traditional braces would still be best. This can be discussed in detail with you.
How Invisalign Works
Invisalign clear aligners work the same way traditional braces do: by applying carefully controlled forces to teeth to move them into a better position. But they are not made of metal; instead, they are made of clear, flexible plastic.
Here's how it works: Specialized computer software is used to design a plan for moving your teeth from their current positions into the best possible alignment. This movement will be broken down into perhaps several dozen stages. For each stage, the Invisalign company will manufacture two plastic mouth “trays” or “aligners,” one to fit over your top teeth and one for the bottom. You will wear this first set of trays for two weeks, for a minimum of 20 hours per day. You will then move on to the next set of aligners in your series to accomplish the next stage of gradual movement. You will keep doing this until your teeth are correctly aligned.
In the past several years, two features have been added to make Invisalign a more appropriate orthodontic treatment method for teenagers. Special “eruption tabs” hold the appropriate amount of space open for molars that have not fully grown in. Invisalign for teens also comes with “compliance indicators” built into the aligner material, which fade with wear. This allows parents, dentists, and the teens themselves, to make sure the trays are being worn as prescribed. Treatment with Invisalign can only be successful if this is the case.
Caring for Your Teeth During Invisalign Treatment
As mentioned above, one of the main advantages of the Invisalign system is that the trays can be removed for easy cleaning. So please don't neglect to do this! You'll need to brush your teeth after every meal or snack so that food and plaque do not get trapped in the aligners, which could promote tooth decay and gum disease. Your aligners, too, will have to be cleaned regularly; you can do this by brushing them and then rinsing them with lukewarm water.
Also, please keep in mind that while wearing clear aligners is very different from wearing braces, the importance of retaining your post-treatment results is exactly the same. You'll want to be sure to wear your retainer(s) exactly as prescribed after your treatment is completed to protect your investment in a beautiful new smile.
The Magic of Orthodontics Proper alignment of the teeth is basic to “Smile Design.” Their position dictates how they work together and affects the way you look and smile. Only orthodontic treatment can move teeth into the right position. Simply put, when things look right, they probably are right. Learn the basics of smile analysis and design and whether the magic of orthodontics will work for you... Read Article
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
Orthodontics for the Older Adult Healthy teeth can be moved at any age, so there's no such thing as “too old” for braces. In fact, nowadays about one out of every five orthodontic patients is an adult. Yet this figure represents only a small portion of adults who could actually benefit from orthodontic treatment... Read Article