Nonsurgical Treatment of Gum Disease – Alhambra, CA

Posted November 14th, 2011 by Dr. Chao and filed in Gum Disease

We use procedures like laser-assisted scaling and root planing in cases of gum disease and our technique has been quite effective. The scaling will help remove the tartar which has built up between the gum and the teeth and thus will remove the destructive bacteria that accompanies this.

In addition to this, we also use anti-bacterial home therapy coordinated with an intense, in-office program of infection control to address severe or hopeless cases. Most importantly, our success has been built upon our relationship with our patients. Our patients with severe, hopeless gum disease are informed of their critical role in infection control. We consistently teach our patients on various new ways to clean and remove infection from their teeth and gums with special FDA devices. We especially emphasize the need for regular follow-up treatment that is indispensable to a successful outcome. We are grateful for so many diligent, compliant patients with severe, hopeless gum diseases who have been able to save their teeth for the long-term without surgical intervention.

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 Treatment – Gum Lift to correct “long tooth” syndrome in California

Gum Lift Before

Gum Lift Before

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.” 

Dr. Chao is the inventor of a soon-to-be published “breakthrough” method designed to treat gum recession in a minimally invasive way with minimal postoperative symptoms and without palatal grafting.  Trademark and pending patents have been obtained both for the instruments as well as the method.    It is expected that this method will be published world-wide in the near future.  At this time this ground-breaking method of treating gum recession is only available at Dr. Chao’s office for selected patients.   Prospective patients are invited to call our office at 626-308-9104 for important information.

Gum Lift After

Gum Lift After

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

Gum Treatment Reduces Pain of Rheumatoid Arthritis

“After gum treatment my arthritis pain is at least 65% better.” Mary, age 36, has been suffering from rheumatoid arthritis (RA) for five years. She has been suffering particularly from pain and swelling in the joints of the wrists, hands and toes. Because of the severity of the symptoms, her rheumatologist insisted that she see the dentist for treatment for noticeable oral infections. Her rheumatologist told her that removing sources of infection from the oral cavity may very well lessen the severity of her condition. Having been a reader of this column for many years, she chose to come to this Instant Knockout office for treatment. Of course she was thrilled that pain had subsided by so much after uneventful non-surgical gum treatment. Mary also said that she felt more energetic and definitely more enthusiastic about life. Even her complexion cleared up. Although we cannot predict the exact effect of gum treatment in every case involving rheumatoid arthritis, Mary’s experience is not uncommon in my practice. We have seen many cases just like Mary’s. In fact this association between rheumatoid arthritis and gum treatment has been reported in the various medical and dental journals for at least the past ten years.

One of the most recent research studies on this subject was published in the June, 2009, issue of the Journal of Peridontology titled, “Periodontal Therapy Reduces the Severity of Active Rheumatoid Arthritis in Patients Treated With or Without Tumor Necrosis Factor Inhibitors.” This study is a collaborative project between the Division of Rheumatology, University Hospital Case Medical Center, Cleveland, Ohio, and the Department of Periodontology, School of Dentistry of Case Western Reserve University. This study involved forty rheumatoid arthritis patients who also had been diagnosed for moderate or severe gum disease. Twenty received non-surgical gum treatment and the other twenty received no gum treatment. Six weeks of objective observation by rheumatologists and blood tests were done. Based on the results, the authors of this study concluded that “non-surgical therapy had a beneficial effect on signs and symptoms of RA (rheumatoid arthritis)…”

How are these two disorders related? According to the summary of the literature, as reported in this article, rheumatoid arthritis and periodontitis (gum disease) share some common characteristics. Rheumatoid arthritis is an inflammatory disease wherein the autoimmune system attacks the hard and soft tissue of the joints. Periodontitis is a bacterially incited inflammatory disease wherein the autoimmune system attacks and hard (bony) and soft (gum) tissue around the teeth. Bacteria that cause gum disease have been found in the joints of patients with rheumatoid arthritis. Patients with rheumatoid arthritis have been shown to have more antibodies against bacteria that cause gum disease that those patients without rheumatoid arthritis. Artificially induced rheumatoid arthritis has been associated with development of gum disease in some laboratory experiments.

Thus it came as no surprise that another study showed that patients with rheumatoid arthritis may have a higher risk for gum disease (periodontitis). For example, in an article published in January, 2008, in the Journal of Rheumatoid Arthritis, called ”Association of periodontal disease and tooth loss with rheumatoid arthritis in the US population,” it was concluded that “RA (rheumatoid arthritis) may be associated with tooth loss and periodontitis.” This study involved 4461 patients.

Hence it appears that studies reported in both medical and dental journals acknowledge the association between rheumatoid arthritis and periodontitis. Although there is no scientific basis to definitively conclude that there is a “causal” relationship as yet, there is no downside risk in having one’s gum disease treated, no matter whether you have rheumatoid arthritis or not. Furthermore there is no dispute that removing infection from the gums and the mouth will not only save teeth, but also certainly improve one’s general health. In conclusion, for the rheumatoid arthritis patient who has gum disease and everybody else, only good can come out of seeing the dentist. So see your dentist regularly. You can’t lose.

NEW NON-SURGICAL SYSTEM CAN SAVE LOOSE, HOPELESS TEETH

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 SAVEsystem.  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.