Archive for the ‘Other Diseases’ Category


Archive for the ‘Other Diseases’ Category

Stress Doesn’t Help Your Teeth

Tuesday, December 20th, 2011

I, like a lot of other people, are convinced that periodontal disease is linked to the whole body.  Not only does research after research show this, but I see it in my private practice as well. We see the links most dramatically between periodontal disease and the systemic diseases such as heart issues, COPD, cancers, arthritis & diabetes.

However, sometimes those without any of these diseases still have gum disease. It may be their stress level that is causing the perio problems. This too can be backed up by research showing those living with high degrees of stress also have periodontal disease. Stress taxes the body and lowers one immune system.

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This leads to gums being inflamed and gum disease to set in.

In addition, when one is stressed, they are less likely to follow good hygiene procedures and may neglect their daily oral care. Another reason is that those with stress often gravitate towards foods high in sugar content. Whether you are stresses out or not, take good care of your teeth by providing them with meticulous oral hygiene. It makes a difference to your whole body.

 

CRP or Cytokines

Tuesday, October 4th, 2011

CRP (C-reactive protein) is an indicator for general inflammation in the body. It is one of several cytokines and is often used interchangeably when talking about either. Cytokines are the invisible enemy; the higher the number, the higher the level of inflammation in the body. Periodontal disease creates biofilms which creates infection which creates higher levels of cytokines.

In the presence of infection, the blood cells (that are racing around looking for infections) release the cytokines and tell the body to manufacture more blood cells. Periodontal disease is chronic so there is a never ending call for the body to manufacture more blood cells and release more cytokines.

This merry-go-round is what is stressing out the body. Unfortunately, these cytokines inflame all the internal lumens of arteries (not just the gums and tissue around the teeth) and are responsible for a cascade effect for many systemic diseases, such as heart disease, cerebral vascular disease, diabetes, pancreatic cancer, respiratory diseases, oral and throat cancer, lung cancer, prostatitis, erectile dysfunction, children with low birth weight, chronic fatigue syndrome and most recently osteoporosis and breast cancer, These cytokines interact with the whole body’s system causing inflammatory immune response or stress.

Professional dental cleanings strip the biofilm in the mouth, similar to cutting down a forest. In literally hours, the biofilm is trying to reorganize.

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 Left unchecked, the new biofilm (forest) is reorganized (re-grown) in seventy days. Microscopic destruction occurs within a week. Ten times the amount of damage to the body is done between the third to the sixth month after a cleaning versus the first to the third month after a cleaning.

That is why three month professional dental cleanings are so important. The cleanings gets rid of the biofilm, gets rid of the inflammatory process and gets rid of the cytokines, which is taxing the entire system. Professional cleanings will not do it on its own. Three dimensional home cleaning (around each tooth) is essential to maintaining low levels of inflammatory response.

New Role For Dentists

Thursday, September 22nd, 2011

 

Hundreds of years ago it was the barber who treated teeth. Then the body of knowledge grew to create the dental profession. Today, you usually think of the dentist as the doctor who handles teeth and gums. But so much recent evidence is pouring in – to not only increase our knowledge but to change the way we think in how diseases in the mouth affect the body – that the dentist may enter a new role in the future. That role is to aid in reducing the risk of heart disease, stroke, diabetes, COPD, and cancer. How? By preventing and treating periodontal disease.

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Patients with heart disease, stroke, diabetes, COPD, and cancer have increased levels of C-reactive protein (CRP) in their blood. CRP is an indicator of widespread inflammation in the body. Physicians agree that measuring levels of CRP is important in evaluating the risks to these diseases as well as monitoring their success in treatment. In fact CRP levels were found to be more accurate in predicting heart issues than cholesterol levels.

 

Current research indicates that periodontal disease contributes to increased levels of CRP. Periodontal disease is infection in the gums that produces oral bacterial byproducts that enter the blood stream and trigger the liver to make proteins.

 

Treating periodontal disease reduces the CRP levels and it is believed is as important in reducing the risk to systemic diseases as is weight control, exercise, and not smoking. Of all the ways to keep your body healthy and reducing the risk to systemic diseases, getting your teeth cleaned every three months (instead of the traditional six months) is by far the easiest for individuals and perhaps one of the best.

 

 

Cleaner Teeth May Increase Longevity

Monday, May 23rd, 2011

There is one more way to increase the longevity of your life besides the common platitudes to stop smoking, lose weight, eat more fruits and vegetables, and exercise. An often overlooked and under publicized tip to a healthier body is to keep your teeth clean. The U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, reports that 80 percent of all adults have some degree of periodontal disease.

Periodontal disease is linked to or is a potential risk factor for those with damaged heart valves, heart disease, stroke, diabetes, respiratory disease and behavioral and psychosocial conditions according to The American Academy of Periodontology, which has been reviewing the data. It is the most pervasive infectious disease on earth.

The cause of this insidious disease stems from the plaque-producing bacteria, found among the almost 500 species of bacteria in the mouth. The bacteria that cause periodontal disease live in the absence of air, like it warm, dark and acidic. They provide the furry feeling on teeth upon awakening. The acidic bio-film forms a sticky, water resistant shield around the tooth, called plaque. Water alone (swishing or oral irrigating) cannot penetrate this grease barrier to remove plaque. In addition, gums act like a gasket around the tooth, further preventing air or water to reach the “air hating” bacteria along the gum line, making cleaning especially difficult.

Restorations, crowns, bridges, orthodontic appliances, wisdom teeth, implants, periodontal disease, or not flossing, will sustain dangerous levels of bacteria even after brushing. Bacteria (good or bad) reproduce exponentially every hour.  This means that if you start off with a bacteria population of 1x (1x being the amount of bacteria in your mouth after a professional cleaning – which you can’t achieve in the home), after one hour you have double the population of bacteria, and after two hours you have 4x, then 8x, 16x, etc. Poor cleaning in a few areas will leave heavy concentrations of plaque that can repopulate other areas of the oral cavity.

You may start with a bacteria population of 10,000x and in a few hours bacteria will quickly race out of control. To reduce the plaque-producing bacteria in the mouth, one must a) break through the sticky shield with an abrasive, b) cleanse the site, c) aerate the site, and d) neutralize the acid.

Normal cleaning methods, like brushing and flossing, have a difficult time accessing the sites between the teeth or can’t break through the sticky film, don’t aerate those sites, and don’t neutralize the acid.

The American Dental Society reports that only 5% of the population flosses their teeth. Drawbacks to flossing are possible gum lacerations and the floss can act as a contaminant bringing infection from one tooth to the other.

Flossing does not aerate the site nor neutralize the acid. Tooth brushing is over aggressive on the cheek-side surfaces of teeth causing toothbrush abrasion and ridges along the gum line, resulting in sensitivity to hot and cold, while still not accessing in between the teeth. Tooth brushing also does not aerate the sites to change the environment.

It’s not easy to keep the population of bacteria in the mouth low and your teeth really clean. Meticulous routine twice daily cleaning is necessary. Professional cleanings at least twice a year assist in this task.

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The effort it takes will facilitate your overall health. There is lots of evidence suggesting that one way to live longer is to clean your teeth better.

Ref: (http://www.perio.org/consumer/mediahg1.html)

 

 

The Link Between Periodontal Disease and Diabetes

Monday, May 16th, 2011

Diabetes affects about 24 million Americans or about 8% of the population. It is a disease that is characterized by high levels of blood sugar caused by malfunctioning insulin production. An insulin resistant individual becomes diabetic when the pancreas can no longer put out sufficient insulin to lower the blood sugar and the organ becomes exhausted. The pancreas is controlled by hormonal feedback mechanisms.

Acute and chronic infections create hormonal chaos in the body. Periodontal disease is the most widespread infectious disease on the planet, consequently provokes a great deal of chaos.

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The sugars found in the mouth aid in gum disease. The constant introduction and presence of sugar in the mouth (like a sippy cup with juice), feed the bacteria that leads to periodontal disease. Blood vessels in a diabetic are also compromised. They thicken and slow the delivery of oxygen to the extremities. Likewise, they slow the removal of waste from these tissues. All of which lowers the defense to infection, including periodontal infection.

A Dentistry Today publication detailed the link between periodontal disease and diabetes. Those with diabetes have more severe periodontal issues and those with periodontal disease have a more difficult time controlling their diabetes. The link is found in both adults and children. About 50 percent of children have periodontal disease according to the Lucile Packard Children’s Hospital at Stanford University Medical Center.

Unfortunately the symptoms of periodontal disease are often not noticeable until the disease is advanced. A dentist can diagnose the disease in the early stages, prior to parents realizing their children have it. Thus, it is important that children with diabetes receive regular oral checkups.

A study at the School of Dental Medicine at the University at Buffalo found that obesity is significantly related to periodontal disease through the pathway of insulin resistance. Sara Grossi, director of the UB Periodontal Disease Research Center and lead author of the study said, “Now we see a relationship between obesity, insulin resistance and periodontal disease in a large, population-based cohort. This relationship is significant because obesity is an important risk factor for Type 2 diabetes and heart disease.” (http://www.sdm.buffalo.edu/news/20000408_obesity.html)

Today, adults and children with diabetes have a better chance of keeping this disease under control. Besides diet, it also takes diligence and thoroughness in oral health. One of the best ways to do that is by using the Dental Air Force system, which combines tooth brushing and flossing, by cleaning between teeth and around the gums.

 

Keep Your Immune System Healthy

Monday, April 25th, 2011

Respiratory infections can be caught at any time of the year.

The standard advice for the prevention of these sicknesses is to wash your hands and keep your immune system healthy by eating properly and exercising regularly. Washing your hands is one way of keeping the hundreds of different bacteria and viruses from getting into your system. Individuals with lower immune systems are more susceptible to infections, since your immune system helps to defend the body, if and when a virus slips in.

In addition to the standard advice, a less publicized approach to healthy living and avoiding a respiratory infection is to keep your teeth clean. Here’s why:

1. There are 400-500 species of bacteria that live in your mouth. Viruses can use bacteria as “factories” to grow and multiply. If a virus makes its way into your mouth (usually from touching your hands to your mouth or biting your nails), the fewer bacteria in your mouth, the less likely the virus will grow.

2. Periodontal disease is caused by plaque producing bacteria. The body in defense of the periodontal disease releases cytokines. These cytokines trigger your blood-making organs to constantly fight or defend themselves, thus weakening the body’s immune system to fight other infections.

3. Periodontal disease is a potential contributing factor for respiratory diseases, according to the American Academy of Periodontology.

The bacteria that cause periodontal disease and are taxing your immune system are breeding right now in the perfect environment of your mouth. They love the cozy, moist, dark, warm and acidic ecosystem, which is constantly being fed by carbohydrates. The areas between the teeth are particularly good breeding grounds because the damaging bacteria thrive in the absence of oxygen. The bacteria grow rapidly – actually doubling their count every hour. There are more bacteria in your mouth than people on the planet Earth. The excrement or bi-product of the bacteria is what forms the sticky film that is a constant challenge to remove and what is called plaque.

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Symptoms of periodontal infection are often not noticeable until the disease is advanced. Some of the symptoms include: bad breath that will not go away, red or swollen gums, tender or bleeding gums, loose teeth, or sensitive teeth. A dentist can diagnose the disease in the early stages, prior to individuals realizing they have it.

Because 85% of the population have some degree of periodontal disease, it is extremely important to get regular dental checkups. Professional cleanings at a dental office are recommended every six months. Periodontal disease is the most widespread disease on earth.

Visiting a dentist is only one half of the prevention equation. Daily home care is as important. Periodontal disease is prevented by thoroughly cleaning your teeth, requiring the removal of the resilient bacteria. A toothbrush does a good job in removing the bacteria from the high spots, but unfortunately, not in between teeth. In addition, most conscientious individuals who try to do a “better” job at cleaning their teeth, end up with toothbrush abrasion.

This ridge between the tooth and gum line expose the root. The area then is sensitive to hot, cold, sweets and acids, and requires composites that must be repeatedly replaced.

Flossing is important both in the prevention and the control of periodontal disease according to the American Dental Association (ADA). Because it is a laborious task to floss, most people don’t. The ADA reported that only about 5% of the population actually flosses. In addition, only 18 – 35% of the plaque between teeth is removed when one does floss, according to The Journal of Clinical Periodontology. Flossing can also move the contagious periodontal disease from an infected site to an uninfected site. Although oral irrigators are meant to replace flossing, they can’t cut through plaque’s sticky biofilm since they only use water.

Once afflicted, patients with periodontal disease control it by a disciplined and meticulous oral cleaning regimen, both at the dental office and at home. Professional treatment may require below the gum line scraping, three-month checkups instead of the traditional six-month, and a prescription oral rinse.

Oral health is critical to total health. There is evidence that point to a link between periodontal disease and Chronic Obstructive Pulmonary Disease (COPD), among which is emphysema and chronic bronchitis. Sixteen million Americans suffer from COPD and it is the 6th leading cause of mortality in the US. Studies published in the Journal of Periodontology found that patients with periodontal disease have a 1.5x greater risk of COPD.

The American Academy of Periodontology reported that, “Bacteria that grow in the oral cavity can be aspirated into the lung to cause respiratory diseases such as pneumonia, especially in people with periodontal disease.” The bacteria that are multiplying in the mouth are not only being used as factories for the viruses but are also being breathed into the susceptible lungs.

The U.S. Department of Health and Human Services suggests that there are over 1 billion respiratory infections each year in the US. Avoid illness – wash your hands, keep them out of your mouth, eat healthy, exercise AND clean your teeth.

Dental Problems Linked To Systemic Diseases

Monday, April 18th, 2011

More and more evidence surfaces each year linking periodontal disease and other systemic diseases that are not in the mouth. In the presence of periodontal disease, the risk is much higher in contracting one or more of the other diseases.

Periodontal infection is the advanced stages of gum disease that causes bone loss. The bone loss is irreversible. Gingivitis is the early stage of gum disease and with early detection, treatment and proper oral hygiene can be reversed. Periodontal infection has been associated with other systemic disorders that would not on the surface appear related.

Periodontal disease is a potential risk factor for:

¨ infective endocarditis (damaged heart valves)

¨ cardiovascular diseases (arteriosclerosis, coronary thrombosis ischemic heart disease, stroke)

¨ diabetes

¨ respiratory problems (COPD)

¨ pancreatic cancer

¨ breast cancer

¨ osteoporosis

¨ lung cancer

¨ children with low birth weights

¨ prostate inflammation

In addition to the link between periodontal infections and systemic disorders, periodontal disease is infectious or communicable and can be passed between family members. On the surface, it is logical that infection in the mouth is able to find its way to other parts of the body.

Initially it was thought that the bacteria in the mouth that cause periodontal disease were directly infecting different sites in the body, like the heart or lungs or artificial implants. This is true. However, there is more to it than that. The body recognizes the bacteria in the mouth as a chronic infection and uses its defense mechanism to fight it. The body calls upon itself to manufacture blood constituents, such as neutrophils, eosinophils, and mast cells, to physically fight the infection.

This process occurs with all infections. The problem is that as an infection becomes chronic, the body continues to manufacture these blood constituents, and release a pseudo hormone called C-reactive protein. It is this protein that inflames the internal walls of the arteries and compromises blood flow in areas

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that may have a redisposition.

The Research, Science and Therapy Committee of The American Academy of Periodontology (AAP) 1998 reviewed numerous studies and found periodontal disease and gingivitis as potential contributing factors for infective endocarditis (damaged heart valves), cardiovascular diseases (atherosclerosis, coronary thrombosis, ischemic heart disease, stroke), diabetes, respiratory disease, and behavioral  and psychosocial status.

Patients with periodontal disease have a 1.5 – 2.0 times greater risk of incurring a fatal cardiovascular disease. “Importantly, dental infections appear to increase the risk of coronary artery disease to a degree similar to the classical risk factors for cardiovascular disease including age, smoking, diabetes, hypertension and elevated serum triglycerides.”

Diabetics are more susceptible to contracting infections, which is the likely reason they are more apt to have periodontal disease than those without diabetes. In fact, the AAP considers periodontal disease the sixth complication of diabetes and states that controlling this gum disease may help you control your diabetes.

Some 16 million Americans suffer from Chronic Obstructive Pulmonary Disease (COPD), and it is the sixth leading cause of death in the United States. F. Scannapieco, D.M.D., lead researcher of a study published in January 2001 Journal of Periodontology, found that patients with periodontal disease have a 1.5 times greater risk of COPD. (http://www.joponline.org/doi/abs/10.1902/jop.2001.72.1.50?prevSearch=allfield%3A%28copd+periodontal+disease%29&searchHistoryKey=)

This means that if you have diabetes, heart disease, potential for strokes, COPD, pancreatic disease, kidney disease you have poor circulation to these sites. The periodontal disease can push this problem into a more severe and even life threatening situation.

The National Institute of Dental and Craniofacial Research (NIDCR) (http://www.nidcr.nih.gov/) states, “Gum disease is a threat to your oral health. Research is also pointing to possible health effects of periodontal diseases that go well beyond your mouth.” If you are interested in longevity, keep your teeth impeccably clean.

 

Mercury Contaminant

Tuesday, February 1st, 2011

Our dental office (www.ppierodds.com) was one of the first in the country to collect the mercury fillings (as well as all contaminants in the office systems). Municipalities were removing 99.9% of the contaminants prior to the dental offices being first asked, then legislated to remove them. The reason was that the federal government felt that the contaminants should be removed at the source (ie: dental office). Our office has not placed a mercury filling in 25 years, although we remove the old fillings. Today every dentist office in the country will be forced to install a “pump out” system. As you can imagine this is very costly and drives the cost of dentistry up.

However, in the name of energy efficiency, fluorescent light bulbs have widely taken over the old incandescent bulb. These are a major source of mercury.

One bulb has the potential for contaminating 6,000 gallons of water when not of properly. How many people throw these bulbs away, instead of physically taking them to a hazardous material recycling center? Every bulb that winds up in the garbage (even the “recycle” part of the trash collection) and breaks (which is probably every one of them), contaminates the air, water and soil.

There are over a billion of these bulbs that are thrown away every year! Go to http://www.ehow.com/list_6525988_dangers-curly-fluorescent-light-bulbs.html?utm_source=outbrain&utm_medium=test11 for lots of details.

I know there are not a billion mercury fillings that are being removed and disposed of in the country every year.

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So what is the bigger source of contaminant – the mercury filling or the fluorescent light bulb???? The dental industry had a recovery and removal system in place through the municipality’s water treatment systems. The Federal government has added an extra cost of containment to this issue when the system already had a very good solution.

The fluorescent bulb issue does not have a containment system in place that is effective, and is far worse than the dental mercury issue. How many mercury fillings to you have in your mouth ? And how many fluorescent light bulbs do you have in your house?

Keep Teeth Clean & Live Longer

Tuesday, August 3rd, 2010

There is one more way to increase the longevity of your life besides the common platitudes to stop smoking, lose weight, eat more fruits and vegetables, and exercise.

An often overlooked and under publicized tip to a healthier body is to keep your teeth clean. The U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, reports that 80 percent of all adults have some degree of periodontal disease.

Periodontal disease is linked to or is a potential risk factor for those with damaged heart valves, heart disease, stroke, diabetes, respiratory disease and behavioral and psychosocial conditions according to The American Academy of Periodontology, which has been reviewing the data. It is the most pervasive infectious disease on earth.

The cause of this insidious disease stems from the plaque-producing bacteria, found among the almost 500 species of bacteria in the mouth. The bacteria that cause periodontal disease live in the absence of air, like it warm, dark and acidic. They provide the furry feeling on teeth upon awakening. The acidic bio-film forms a sticky, water resistant shield around the tooth, called plaque.

Water alone (swishing or oral irrigating) cannot penetrate this grease barrier to remove plaque. In addition, gums act like a gasket around the tooth, further preventing air or water to reach the “air hating” bacteria along the gum line, making cleaning especially difficult. Restorations, crowns, bridges, orthodontic appliances, wisdom teeth, implants, periodontal disease, or not flossing, will sustain dangerous levels of bacteria even after brushing.

Bacteria (good or bad) reproduce exponentially every hour. This means that if you start off with a bacteria population of 1x (1x being the amount of bacteria in your mouth after a professional cleaning – which you can’t achieve in the home), after one hour you have double the population of bacteria, and after two

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hours you have 4x, then 8x, 16x, etc. Poor cleaning in a few areas will leave heavy concentrations of plaque that can repopulate other areas of the oral cavity.  You may start with a bacteria population of 10,000x and in a few hours bacteria will quickly race out of control.

To reduce the plaque-producing bacteria in the mouth, one must a) break through the sticky shield with an abrasive, b) cleanse the site, c) aerate the site, and d) neutralize the acid.

Normal cleaning methods, like brushing and flossing, have a difficult time accessing the sites between the teeth or can’t break through the sticky film, don’t aerate those sites, and don’t neutralize the acid. The American Dental Society reports that only 5% of the population flosses their teeth. Drawbacks to flossing are possible gum lacerations and the floss can act as a contaminant bringing infection from one tooth to the other. Flossing does not aerate the site nor neutralize the acid.

Tooth brushing is over aggressive on the cheek-side surfaces of teeth causing toothbrush abrasion and ridges along the gum line, resulting in sensitivity to hot and cold, while still not accessing in between the teeth. Tooth brushing also does not aerate the sites to change the environment.

It’s not easy to keep the population of bacteria in the mouth low and your teeth really clean. Meticulous routine twice daily cleaning is necessary. Professional cleanings at least twice a year assist in this task. The effort it takes will facilitate your overall health. There is lots of evidence suggesting that one way to live longer is to clean your teeth better.

 

Periodontal Disease is a Chronic Infection

Tuesday, June 8th, 2010

The body recognizes the bacteria in the mouth as a chronic infection and uses its defense mechanism to fight it. The body calls upon itself to manufacture blood constituents, such as neutrophils, eosinophils, and mast cells, to physically fight the infection. This process occurs with all infections.

The problem is that as an infection becomes chronic, the body continues to manufacture these blood constituents, and release a pseudo hormone called C-reactive protein.

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It is this protein that inflames the internal walls of the arteries and compromises blood flow in areas that may have a predisposition.

With periodontal disease creating this chronic infection, the heart becomes weakened and the body’s immune system is lowered.