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.
Laser technology is becoming quite commonplace in a wide variety of areas throughout the healthcare industry; but did you know that it can now be used to detect tooth decay? Today, using a small, handheld device, it is possible to detect tooth decay that is not yet visible and would otherwise be undiagnosed by conventional methods alone.
Plus, traditional methods of detecting tooth decay are much more accurate and efficient when laser technology is included by your dentist. You can expect:
- dramatically improved early cavity detection
- reduced size and possibly number of fillings that might be needed, thus possibly lowering the cost of dental treatments
- reduced chances of unnecessary exploration of teeth that are suspected to have cavities
Here's how it works
Using this noninvasive technology, your teeth are scanned to examine their structure. Laser cavity detection is based on the fact that healthy tooth structure reflects light, or “fluoresces,” differently than does decayed tooth structure. Healthy teeth will have little-to-no fluorescence while teeth with decay display with a higher level of fluorescence. And the higher the fluorescence, the more advanced the tooth decay. Once the scan is complete, the fluorescence readings are converted into a digital numeric output. You will also “hear” when you have decay present, as changes in fluorescence and numeric value are emitted as an audio signal that goes up in tone as it denotes the presence of decay.
Why is this so important?
Tooth decay may be more difficult to detect today than it was in the past. Why? It's probably due in part to improved oral hygiene, and, ironically, the increased use of fluoride in toothpaste and in tap water. While fluoride has proven invaluable at protecting teeth by hardening their outer enamel surface, that increased hardness can sometimes conceal even aggressive decay. As a result, tooth decay can be difficult to find, even with the use of traditional x-rays.
Furthermore, prior to using a laser scanner, dentists depended upon x-rays and using fine picks to identify cavities. However, using laser technology provides about a 90% accuracy rate for identifying suspicious areas and cavities. This translates to earlier detection, less tooth structure loss resulting in stronger teeth, less time spent in the dental chair, and, ultimately, a financial savings to you.
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