Posts for: October, 2017
So, you’ve just acquired an attractive restoration with dental implants. You may be thinking at least with these teeth you won’t have to worry about dental disease.
Think again. While the implants and their porcelain crowns are impervious to decay the surrounding gums and bone are still vulnerable to infection. In fact, you could be at risk for a specific type of periodontal (gum) disease called peri-implantitis (inflammation around the implant).
Bacterial plaque, the thin bio-film most responsible for gum disease, can build up on implant crowns just as it does on natural tooth surfaces. If it isn’t removed with daily brushing and flossing and regular dental cleanings the bacteria can trigger an infection in the gums.
Besides weakening gum tissues, gum disease can also cause bone loss, of critical importance to dental implants. An implant depends on the bone they’re inserted in to hold them in place. If the bone around an implant becomes infected it could begin to be lost or dissolve (resorb), which could lead to loss of the implant.
That’s why it’s critical to keep the natural tissue structures supporting your implants infection-free. Not only is daily hygiene a must, but your implants and any remaining natural teeth should undergo professional cleaning at least twice a year or more if your dentist recommends it.
Cleanings involving implants will also be a bit different from natural teeth. While the dental materials used in the crown and implant post are quite durable, regular cleaning instruments can scratch them. Although tiny, these scratches can become hiding places for bacteria and increase your risk of infection.
To avoid this, your hygienist will use instruments (known as scalers and curettes) usually made of plastics or resins rather than metal. The hygienist may still use metal instruments on your remaining natural teeth because their enamel can tolerate metal without becoming scratched creating a smoother surface.
While keeping implants clean can sometimes be a challenge, it’s not impossible. Implants on average have a long-term success rate above 95%. With both you and your dentist caring and maintaining these state-of-the-art restorations, you may be able to enjoy them for decades.
If you would like more information on caring for dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Maintenance: Implant Teeth must be Cleaned Differently.”
If you have periodontal (gum) disease, it's important for you to know its effects aren't limited to your mouth. A number of studies demonstrate gum disease can affect the rest of your body — and what may be going on elsewhere could likewise stimulate gum disease.
Here are 3 diseases or conditions that seem to share a link with gum disease.
Diabetes. This chronic disease results from the body's inability to interact properly with insulin, the hormone necessary for turning glucose (sugar) into energy, or producing enough of it. There's clear evidence that having diabetes increases your risk of gum disease and vice-versa. If you have diabetes, it's important that you keep it under control for your gum's sake as much as for your overall health.
Cardiovascular disease. Like diabetes, this group of heart and blood vessel diseases has a related characteristic with gum disease: inflammation. This natural function of the immune system limits tissue damage caused by disease or injury. But in both CVD and gum disease, inflammation can become chronic and itself cause damage. Further, some types of bacteria associated with gum disease can contribute to a higher risk of CVD. Minimizing gum disease occurrence with good oral hygiene could positively impact your risk of CVD.
Pregnancy. While certainly not a disease, pregnancy does trigger hormonal changes in the mother that in turn could elevate her risk of gum disease, particularly pregnancy gingivitis. Not only does this pose problems for the mother's teeth and gums, some studies connect gum disease to the increased possibility of early, pre-term birth. A sharper focus on dental care during pregnancy not only benefits the mother but may also be important for the health of the baby.
These aren't the only conditions that can be affected by gum disease: others like osteoporosis, respiratory disease or rheumatoid arthritis also share links with the disease. If you have any systemic condition like these, it pays to be extra vigilant in preventing and treating gum disease.
If you would like more information on periodontal (gum) disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Good Oral Health Leads to Better Health Overall.”
Saliva probably doesn’t rate high on your amazement meter. You’re more likely to notice its absence and the dry irritation that results.
But you might be more impressed with this unsung bodily fluid if you knew all the things it does. It’s definitely a multi-tasker, performing a number of jobs (including aiding in digestion) that not only keep your oral health on track, but your general well-being too. And there are even new testing methods where saliva may even tell us when you’re not doing so well.
Here are 3 more tasks your saliva is doing for your mouth right now that truly makes it amazing.
Cleansing. Your teeth’s chewing action shreds food so it’s easier to digest. But that also leaves behind tiny particles in your mouth. Bacteria feast on these particles (especially carbohydrates like sugar) and produce acid as a byproduct, which can increase your risk of tooth decay. Saliva serves as a kind of “rinse cycle” for your mouth, helping to wash a good bit of these errant particles down your throat and away from hungry bacteria.
Defense. Speaking of bacteria, your mouth is home to millions of them. While most are harmless or even beneficial, a fraction can harm your teeth and gums. Saliva is your first line of defense, emitting an antibody known as Immunoglobulin A that targets these bacteria. Saliva also produces an antibacterial substance called lyzozyme that prevents bacteria from growing.
Enamel Protection. Although it’s the strongest substance in the body, your teeth’s enamel can’t withstand the effects of mouth acid, the by-product of bacterial feeding and growth. Acid levels naturally rise after eating; but even this sudden rise can begin the process of demineralization where minerals in enamel dissolve. Saliva saves the day by first neutralizing the acid and restoring the mouth’s normal pH in about thirty minutes to an hour. It also helps restore minerals in enamel, a process called remineralization. It’s all in a day’s work for this remarkable fluid.
If you would like more information on the importance of saliva to oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Saliva: How it is used to Diagnose Disease.”