Posts for: September, 2018
September is National Gum Care Month, an ideal time to talk about how to keep your gums healthy. Unfortunately, nearly half of adults have gum disease, which can damage the soft tissue and bone supporting the teeth. In fact, advanced gum disease is the number one reason for tooth loss among adults, and it’s associated with other health problems, including cardiovascular disease, diabetes and pregnancy complications. But there’s good news—gum disease is preventable and, in its early stages, even reversible. Here are some tips for taking care of your gums:
Keep up a good oral hygiene routine
Gum disease begins with plaque buildup, so attack the plaque in your mouth with good dental hygiene. Spend two minutes morning and night brushing all surfaces of your teeth, and floss once a day to get rid of plaque that forms between teeth.
Use a soft toothbrush
The American Dental Association recommends brushing gently with a soft toothbrush. Hard bristles can damage your gums and cause them to pull away from the teeth.
Swish with a mouth rinse
Consider using a mouth rinse. Over-the-counter and prescription oral rinses are available to help wash away food debris, reduce plaque and fight gum inflammation.
Say no to tobacco
Smoking is one of the biggest risk factors for developing gum disease. And it’s not just cigarettes but all forms of tobacco, including e-cigarettes, pipes and chewing tobacco, that raise your risk of gum disease.
Eat a healthy diet
For the best gum health, avoid refined carbohydrates (sugary and starchy foods) and make sure you are getting enough vitamin C, vitamin D and antioxidants (found in berries and green tea, for example). In addition, studies suggest that a diet rich in omega-3 fatty acids may reduce your risk of gum disease and other inflammatory conditions. These healthy fats are found in many fish, nuts, seeds, soy products and vegetable oils.
Come in for regular cleanings
Professional dental cleanings can remove plaque from the tiny spaces that are difficult to reach by simply brushing and flossing. And once plaque hardens to form calculus (tartar), it cannot be removed during your regular oral health care routine at home. Further, at the dental office we can detect gum disease in its early stages—and the earlier gum problems are caught, the more easily they can be reversed.
If you’re about to undergo orthodontic treatment, you’re going to face a challenge keeping your teeth and gums clean wearing braces. That in turn could increase your chances for tooth decay or periodontal (gum) disease, which could diminish your future dental health and disrupt your current orthodontic treatment.
The main hygiene tasks of brushing and flossing are more difficult with braces because of the fixed hardware on the teeth. Your toothbrush or floss can’t always easily maneuver around the wires and brackets, increasing the chances you’ll miss some areas. These neglected areas can then accumulate dental plaque, a thin film of bacteria and food particles that’s most responsible for disease.
But although difficult, effective oral hygiene isn’t impossible. First and foremost, you’ll need to take more time to be thorough with brushing and flossing than you might normally without braces.
Second, there are some specialized hygiene tools to make the job easier. Instead of a regular toothbrush try an interproximal brush. This special brush has a long and thin bristled head (resembling a pipe cleaner) that can maneuver in and around orthodontic hardware much easier than a regular brush.
For flossing, use a floss threader, a device through which you thread floss on one end and then pass the other sharper end between your teeth. Once through, you release the floss from it and floss as usual, repeating the process with the threader for each tooth. Another option is an oral irrigator, a device that emits a pressurized spray of water between teeth to loosen plaque and flush it away. Many orthodontic patients have found this latter option to be quite effective.
Finally, continue seeing your regular dentist for regular appointments in addition to your orthodontist. Besides cleaning those hard to reach areas, your dentist can also provide other preventive measures like topical fluoride for strengthening enamel and prescription mouth rinses that inhibit bacterial growth. You should also see your dentist immediately if you notice signs of disease like spots on the teeth or swollen or bleeding gums.
Keeping your teeth clean while wearing braces is a top priority. Doing so will help ensure your new smile after braces is both an attractive and healthy one.
If you would like more information on dental care during orthodontics, 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 “Caring for Teeth during Orthodontic Treatment.”
Periodontal disease may start in the gums’ superficial layers, but it’s not likely to stay there. As the disease moves deeper it can wreak havoc on tooth roots and bone as well as gum tissue attachments. Teeth with multiple roots are in particular peril because of the “forks” called furcations that form where the roots separate from each other. Infected furcations can be very difficult to treat.
We primarily treat gum disease by removing its main source, a thin film of bacteria and food particles called dental plaque that builds up on teeth. To remove it we most often use special hand tools or ultrasonic equipment to vibrate it loose. As the plaque and tartar diminish, the infection begins to wane.
But we can’t be completely successful in stopping the disease if any lingering plaque deposits remain. This especially includes furcations where the infection can cause significant damage to the roots. Although cleaning furcations of plaque can be difficult, it’s not impossible with the aforementioned tools and antimicrobial substances to disinfect the area.
The real problem, though, is access—effectively getting to the furcations to treat them. We may need to perform a surgical procedure called flap surgery where we create a hinged flap in the gum tissue to move it aside and access the root area beneath. Afterward we replace the flap and suture the tissue back in place.
In some cases, the infection may have already caused significant damage to the tissue and underlying bone. We may therefore need to graft gum or bone tissues to these damaged areas to stimulate re-growth. We may also need to surgically reshape the gum attachments around a tooth to make it easier in the future to access and clean the area.
These additional treatments around furcations can be very involved and labor-intensive. That’s why the best outcomes occur if we’re able to start treatment in the early stages of an infection. So, if you notice red, swollen or bleeding gums contact your dentist as soon as possible. Treating gum disease as early as possible will help ensure your tooth roots won’t suffer extensive damage.
If you would like more information on treating 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 “What are Furcations? Branching Tooth Roots can be Periodontal Nightmares.”