Gum Disease Treatment

Gum disease is fairly common, especially if the patient in concern does not make regular visits to the dentist. One of the most common forms of gum disease is gingivitis. Gingivitis occurs when bacterial plaque starts to build up in the gaps between the gum and the teeth. This buildup is called tartar, and although it may only be in small amounts, the bacteria the tartar carries can produce toxins to the body that cause the gums to inflame. If this form of gum disease is not addressed properly, the gaps between the teeth and the gums can become larger.

This is something you really want to avoid because if the tartar buildup is too great it can eventually lead to tooth loss and even bone loss in the jaw. Regular cleanings can help you avoid this situation, but we can also help you if your gum disease is more advanced. We have a number of different non-surgical methods.  As with all of our procedures, these procedures are extremely comfortable. You do not have to fear having to decide between losing your teeth or undergoing painful surgery.

Gum Lifts – Alhambra CA

Gingivectomy, also known as gum-lifts,  involve the removal of gum to make the teeth appear longer, and the gum-line even. People who have excess gum covering the front teeth and an upper lip that comes up high when they smile are often self-conscious about their “gummy” smile. An uneven gum-line can make the teeth appear to have different lengths, which takes away from the appearance of an attractive smile.

Gum Treatment Reduces Risk Of Preterm and Low-Weight Baby

Gum Treatment Reduces Risk Of Preterm and Low-Weight Baby

When “pregnancy gingivitis” is treated, risk for a preterm and low-weight baby is reduced by 68%, according to a recent study published in the November, 2005, issue of the Journal of Periodontology. Gingivitis is the early stage of gum infection that leads to tooth loss in later stages (periodontitis). Gingivitis that develops because of hormonal changes during gestation is called pregnancy gingivitis. This study suggests that gingivitis is an independent risk factor for preterm and low weight babies. Therapeutic intervention through teeth cleaning and dental hygiene instruction reduces preterm birth and low-weight infant rates significantly.

This study is consistent with two other well-known studies which reported on reduced incidences of preterm and low weight birth rates when more advanced forms of gum disease were treated during pregnancy. The reduction in risk ranged from 71% to 84%.

Based on these studies it recommended that if periodontal infection is diagnosed at any time during pregnancy, treatment should be started as soon as possible to reduce risk of preterm birth and low birth weight. Those contemplating becoming pregnant should also be evaluated for gum disease and dental problems prior to becoming pregnant.

These studies are more evidence that oral health is intricately interconnected with general health. Previous studies suggest that heart and respiratory disorders are associated with gum infection.

That your great smile gives the impression of vitality and health is based on good science. So brush at least twice a day and see your dentist regularly.

Gum Disease Treatment – Alhambra CA

Gum disease is fairly common, especially if the patient in concern does not make regular visits to the dentist. One of the most common forms of gum disease is gingivitis. Gingivitis occurs when bacterial plaque starts to build up in the gaps between the gum and the teeth. This buildup is called tartar, and although it may only be in small amounts, the bacteria the tartar carries can produce toxins to the body that cause the gums to inflame. If this form of gum disease is not addressed properly, the gaps between the teeth and the gums can become larger.

This is something you really want to avoid because if the tartar buildup is too great it can eventually lead to tooth loss and even bone loss in the jaw. Regular cleanings can help you avoid this situation, but we can also help you if your gum disease is more advanced. We have a number of different non-surgical methods.  As with all of our procedures, these procedures are extremely comfortable. You do not have to fear having to decide between losing your teeth or undergoing painful surgery.

Gum Lifts – Dr. John Chao

Gingivectomy, also known as gum-lifts,  involve the removal of gum to make the teeth appear longer, and the gum-line even. People who have excess gum covering the front teeth and an upper lip that comes up high when they smile are often self-conscious about their “gummy” smile. An uneven gum-line can make the teeth appear to have different lengths, which takes away from the appearance of an attractive smile.

Gum Disease Treatment – Accurate Diagnosis

gum-disease-treatment-caAccurate diagnosis allows for precision in treatment and minimization of discomfort and complications. The latest of our technological innovations, in the form of a 3-D cone-beam-computerized-tomography (CBCT) machine, has given a quantum leap to precision in diagnosis and treatment of dental conditions, such as periodontitis (gum disease), abscessed teeth needing endodontic treatment (root canal treatment), TMJ (disorders of the jaw joints), loss of teeth needing implant placement, oral lesions (tumors) as well as screening for such medical disorders such as sleep apnea. Dr. Chao also brings to his patients special expertise, knowledge and experience in the oral appliance treatment of sleep apnea and the use of mini dental implants for the stabilization of dentures. He has been treating sleep apnea with oral appliances since the ‘80’s and has been using mini dental implants for hundreds of denture patients since the introduction of mini-implants in 2001.

Gum Disease Treatment Alhambra CA

Posted September 27th, 2011 by Dr. Chao and filed in Gum Treatment

gum-disease-caGum disease is fairly common, especially if the patient in concern does not make regular visits to the dentist. One of the most common forms of gum disease is gingivitis. Gingivitis occurs when bacterial plaque starts to build up in the gaps between the gum and the teeth. This buildup is called tartar, and although it may only be in small amounts, the bacteria the tartar carries can produce toxins to the body that cause the gums to inflame. If this form of gum disease is not addressed properly, the gaps between the teeth and the gums can become larger.

NON-SURGICAL SYSTEM CAN SAVE LOOSE TEETH BY BONDING

non-surgical gum treatement of loose teethBased on well-accepted, evidence-based advances in the field of dentistry, an innovative, non-surgical approach to treatment of gum disease, devised by the author of this column, can save even hopelessly loose front teeth.  This non-surgical method of saving severely diseased or hopeless teeth is called the SAVE system.  SAVEis an acronym for Stabilization, Anti-bacterial, Viricidal and Effort.  Viricidal refers to anything that kills viruses. 

The above example illustrates how a patient suffering from severe gum disease was treated with the SAVE system.  His extremely loose front tooth was repositioned into its original location and stabilized by bonding (gluing) it to the adjacent teeth. Gaps between the teeth were filled in and tooth-colored composites were added to give me a total smile makeover.  This was all done in only two hours. When the patient saw the result in the mirror, he said, “Wow! This is crazy!”  Then he added, “Words cannot describe how I feel…I’m so happy.”  In subsequent appointments he underwent full-mouth disinfection.  This consisted of diagnostic bacteriological testing, targeted systemic antibiotic therapy,  scaling and root planing (deep cleaning), irrigating infected gums pockets with powerful antiseptics,   laser  disinfection treatment,  intensive home care instruction and frequent, regular re-treatment of recurring infection both at the office and at home.   Furthermore, discrepancy in the patient’s bite was corrected by polishing off minor high spots.  All procedures are based on well-accepted evidenced-based published data and/or FDA certification.  The infection in his mouth has resolved, the gums have healed, all his teeth are now firm and he can now eat comfortably.  He has regained his original personality and appears much healthier than when he first came in.  His wife loves his new smile.  So does he.

The first step in the SAVE system, is stabilization and, coincidentally, smile makeover.   In most cases, only a small number of teeth are extremely loose, while others are firm or somewhat firm. When loose teeth are splinted together with other firmer teeth they become, as a group, much stronger.  It is similar to tying boards together to make a fence.  You might conceivably knock one board standing by itself, but not the entire fence when the boards are tied together. 

Once the teeth have been stabilized procedures that remove, treat infection can begin.  This is the antibacterial and viricidal aspect of the SAVEsystem. Antibacterial therapy consists of scaling and root planing, also known as “deep cleaning,” and the prescribing of appropriate anti-bacterial and viricidal medications.  First, a highly trained and experienced dental hygienist numbs up a few teeth at a time and delicately, yet thoroughly, removes “plaque” and other tenacious bacterial deposits attached to the roots of the teeth underneath the gum line.  The white and brown surrounding the root of the loose tooth in the photograph one the left is “plaque” and pus.   It is always amazing to the patient how quickly the gums heal around the root once the infection is removed. 

As the hygienist performs deep cleaning, she “lavages” or irrigates the spaces underneath the gum line with antiseptic solutions, such as iodine, chlorohexaine, sodium hypochorde and hydrogen peroxide.  Lavaging with such powerful antiseptics further reduces bacterial and viral burden under the gums.   

Additionally lasers that targets pigmented-bacteria and infected tissue are employed by the hygienist to further disinfect and remove bacterial debris. 

While deep cleaning, lavage and lasers can thoroughly disinfect spaces underneath the gum line, bacteria and viruses that have already invaded the gums and bone around the teeth still remain.    Since many toxic bacteria in the oral cavity are resistant to wide-spectrum antibiotics, it is important to perform a culture test to find out what specific bacteria are causing the infection and what antibiotic would be effective in against them.  Since it is known that viruses play an active part in gum infections, the patient is sometimes prescribed an anti-viral medication along with the appropriate antibiotic called for by the culture test results.

At this point the oral cavity is infection-free.  Patient is now ready to enter into second stage treatment, which is actively directed by maintaining the mouth infection-free.  Every three weeks for as long as six months, or sometimes one year, patient returns for treatment of areas where infection has recurred.  Patient also uses various methods and devices to clear infection on a daily basis.  This is the “Effort” aspect of the SAVE system, and arguably the most important part of the system.  When proper follow-up steps are adhered to, the SAVE system consistently yields excellent results for patients with moderate or severe gum disease, without surgery. 

For more details, visit AlhambraDental.com  or call 626-308-9104.

Gum Recession from Periodontitis – Treatment Options

gum lift caThe condition that most often underlies most gum recession problems is periodontitis, a genetic inflammatory disease condition associated infection caused by certain kinds of oral bacteria (periodontal pathogens). An aberration or glitch in the immune system leads to destruction of the connective tissue (gums and bone) supporting the teeth by one’s own inflammatory process. White blood cells, instead of aiding the immune system to destroy infection-causing bacteria, undergo a process that results in the destruction of bone and gums. This process affects the gum line and causes the gums to recede. When the gums recede, the roots of the teeth are exposed. When the protective surface of the roots, called cementum, is worn away by over-brushing or decay, the teeth will become hypersensitive to cold and touch.

What can be done to restore the gum line to its normal position? First of all, the possible causes of gum recession must be dealt with. Proper brushing habits must be taught and learned. Bite guards should be worn consistently, if clenching and grinding is habitual. Periodontitis must be treated and then controlled by good home care followed by regular dental maintenance visits as prescribed.

Secondly, a “root coverage” procedure can be considered. There are a variety of surgical procedures to restore the gum line to its original position. The “gold standard” is the “connective tissue graft.” This method incorporates two separate procedures. First, a thin piece of tissue is removed or “harvested” from the palate. Since this tissue comes from the patient, it is called an “autogenous” graft. The second part of this method requires a surgical procedure that makes a tissue flap. A flap is made by an incision extending from the recession site the adjacent teeth. Then the gums are “elevated” or peeled away from the underlying gum or bone. This filleting effect allows for a “pouch” in the gum into which the graft tissue is placed and stitched or sutured into place.

Non-Surgical Treatment of Gum Disease in California

Gum disease is fairly common, especially if the patient in concern does not make regular visits to the dentist. One of the most common forms of gum disease is gingivitis. Gingivitis occurs when bacterial plaque starts to build up in the gaps between the gum and the teeth. This buildup is called tartar, and although it may only be in small amounts, the bacteria the tartar carries can produce toxins to the body that cause the gums to inflame. If this form of gum disease is not addressed properly, the gaps between the teeth and the gums can become larger. This is something you really want to avoid because if the tartar buildup is too great it can eventually lead to tooth loss and even bone loss in the jaw. Regular cleanings can help you avoid this situation, but we can also help you if your gum disease is more advanced. We have a number of different non-surgical methods.  As with all of our procedures, these procedures are extremely comfortable. You do not have to fear having to decide between losing your teeth or undergoing painful surgery. Visit our website for more information.

Periodontal Disease