Archive for the ‘Mouth pain’ Category

Periodontal Disease and Chronic Inflammation Treatment

Do you have bad breath, bleeding gums when brushing or flossing, loose teeth or history of tooth loss?  If you answer yes to any of these questions, then you may have periodontal disease. Gum disease is very common. Unfortunately most people don’t even know that they have periodontal (gum) disease.  It isn’t until it is too late when their teeth start getting loose that they want to do something about it and many times it is too late and they have to have their teeth removed or need extensive treatment.  In fact, with recent research linking the risk of heart disease, diabetes, stroke and low birth weight babies with periodontal disease and bleeding gums it is critical to have your mouth assessed for this infective disease. The bacteria in the gums leach out in the blood stream requiring the body’s immune system to constantly fight off these invaders.

This constant and chronic immune response is not a good thing because it causes chronic inflammation. Over the past 3-4 years research has been showing that chronic systemic inflammatory diseases such as periodontal disease can increase the level of a substance called c-Reactive protein. The liver releases this substance in response to systemic inflammation.  As the level of c-reactive protein increases so does the risk of cardiovascular diseases such as stroke, heart attack, and diabetes according to multiple clinical studies. In fact, testing for C-reactive protein in a blood test may be an effective early warning test for asymptomatic, or presymptomatic heart disease.

Listed are chronic systemic diseases that can increase the c-Reactive protein levels in the blood.

  • acne allergies and sensitivities
  • Alzheimer’ss disease
  • arthritis/rheumatoid arthritis
  • asthma
  • atherosclerosis
  • bronchitis
  • cancer
  • carditis
  • celiac disease
  • chronic pain
  • Crohn’s disease
  • cirrhosis
  • colitis
  • dementia
  • dermatitis
  • diabetes
  • edema
  • emphysema
  • eczema
  • fibromyalgia
  • gastroenteritis
  • gingivitis
  • heart disease
  • hepatitis
  • high blood pressure
  • interstitial cystitis
  • myositis
  • nephritis
  • obesity
  • osteopenia
  • osteoporosis
  • Parkinson’s disease
  • periodontal disease
  • polyarteritis
  • polychondritis
  • psoriasis
  • rheumatoid arthritis
  • scleroderma
  • sinusitis
  • spastic colon
  • syndrome X
  • systemic candidiasis
  • tendonitis
  • UTI
  • vaginitis

We find that the c-reactive protein levels can significantly fall once the periodontal disease is treated which in effect can reduce their risk for heart attacks, stroke, diabetes and low weight preterm babies. In addition to the treatment in our office, we work to boost the body/s immune system by using anti-oxidants. For smokers, we highly suggest to them that they become part of a smoking cessation program. If you are in a high risk category and don’t know your status of periodontal disease then have it evaluated.  The c-reactive protein levels are evaluated by blood tests and since this is important indicator your periodontal status should also be tested.  This is to protect you and your heart.  If you don’t have a dentist you can contact our office at (586) 247-3500.  Our Dental Office is located in Shelby Township, Michigan — Southeast Michigan in Macomb County.

Dentures – The emotional and physical ramifications discussed.

Dentures – The emotional and physical ramifications discussed.

Even though this article may not pertain to you there is most likely someone in your life who has dentures or will need them in the future.  There are around 40 million Americans who are denture wearers so this is applicable to many readers.

When a person needs to have their teeth removed due to dental decay or periodontal disease there are both physical and emotional issues that need to be addressed. If at all possible it is usually best to save the teeth and fabricate a removable partial denture (sometimes referred to as a bridge) that attaches to the remaining natural teeth.  If this is done properly and maintained with regular dental visits and cleanings it should provide years of service to the patient.  If for some reason the natural teeth can’t be saved then dentures are inevitable.

  • Emotional: Loosing a tooth or many teeth is a significant event on one’s life as it may lead to the feeling of getting older, depression because they experience the loss of one of their body parts, or the fact that they are so embarrassed because they feel like a failure which can lead to depression and the need for themselves to become recluse.  A huge fear that denture wearers have is that if they sneeze or laugh too much that the denture will fall out.   This is a reality and a huge embarrassment for those who have a loose fit in their dentures.  It is necessary to be supportive to those who we love when they go through this process.  It also takes time to adjust to dentures since they are foreign plastic plates that are only held in by suction on the top denture and just sit there on the lower.  Lower dentures sit on top of the bone with the lips pushing them one way and the tongue pushing them the other.  Food doesn’t taste the same with dentures because the upper plate covers the palate and therefore temperature is not transferred. Denture wearers can only generate about 25% of the biting force as those who have natural teeth so it is very difficult to bite down hard to chew hard food.
  • Physical: There are many changes that take place after loosing teeth.  After a tooth is lost the bone that used to support it starts to collapse into the hole.  Placing an implant in the extraction site can preserve the bone and be used to hold a denture in with a snap in fit.
  • Effects of bone loss: Over time as bone shrinks the face can become more sunken in because there isn’t enough support for the lips and face so things start to sag.  Dentures can be made to add needed underlying support to look more youthful and natural. It amazes me when a denture is properly made what a difference it makes.  It is also necessary to place the teeth in the proper position so the patient looks natural and not like their teeth are too long or too short.

It is obvious that those who are currently using dentures or those who will be in need of them in the future are literally dental handicaps.  These are prosthetic and are only a substitute for the natural teeth.  If at all possible we will attempt to use at least some of the natural teeth to support the denture.  Everyone is different and their mouths present with different issues.

It becomes apparent to those who are neglecting their teeth that they need to make a decision for their future by taking care of them and getting them examined.  I have seen a number of young adults who sip on pop and sports drinks throughout the day who have decay throughout the mouth.  Unfortunately some of them will need to have their teeth removed and the shame is that this is all preventable.

What is common is that everyone wants to look nice, eat well and avoid embarrassment.  Even though dentures are difficult to get used to and aren’t like natural teeth a well made set can make a difference.  Contact our dental office in Shelby Township, Michigan (Macomb County) at (586)247-3500 for a free dental consultation to see if we can help you out.

Tension Headache and Poor Bite Treatment.

This patient has been suffering from headaches and has sought treatment from five dentists in the course of two years.  She was told that it was just because she grinds her teeth and they couldn’t do anything for her. Tension  Headaches and migraines are very common when the bite is altered many times with dental procedures and crowns that aren’t adjusted properly.  Missing teeth, crowns, bridges, and even fillings that aren’t properly adjusted after they have been placed will stress the muscles, teeth and TMJ.

The body attempts to alter the shape and size of these restorations but in an attempt to do so the muscles become stressed and this affects the jaw joint and teeth.

Things to look for are:

  • Sensitive teeth especially when waking up.
  • loose teeth
  • headaches which originate from the temporal area on the side of the head.
  • neck pain
  • Migraine pain
  • Clicking in the jaw which leads to jaw pain.

If these listed symptoms describe you and if it may have started after braces, after a filling, crown or bridge has been placed then give us a call at (586)247-3500.  More than likely we can help you.  You can also email us at Info@TheGentleDentist.com.

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