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Posts for: February, 2020

By Periodontal Associates
February 22, 2020
Category: Oral Health
GiveYourChildAddedProtectionAgainstCavitiesWithTopicalFluoride

Keeping your child’s teeth and gums healthy may sometimes seem like “one step forward, two steps back.” You do all the right things like daily brushing and flossing, and keeping sugar consumption to a minimum. But they’re still getting too many cavities.

We can add something else to what you’re already doing to decrease their cavity rate: apply a concentrated fluoride mixture (stronger than what’s found in toothpaste or drinking water) directly to their teeth. Studies have shown that topical fluoride is effective at reducing the risk of new cavities in children at high risk for decay, and may even reverse early decay.

Topical fluoride can be applied as a gel, foam or varnish. The particular method used depends on factors like the child’s age or the preference of the dentist. But any of the three methods can deliver a short-term, high dose of fluoride to the teeth.

As a result, the burst of fluoride strengthens tooth enamel against decay, with plenty of evidence of its effectiveness. As such, the American Dental Association recommends periodic topical fluoride applications for children older than 6, and especially those that appear to be at higher risk for decay.

You might, however, be concerned about the long-term health effects of these stronger concentrations of fluoride. Again, research indicates that the only long-term hazard associated with too much fluoride is a condition called fluorosis, which produces heavy tooth staining. Fluorosis, though, is more of an appearance issue and doesn’t harm the tooth itself. And it can be avoided in the case of topical fluoride by performing the procedure correctly and conservatively.

There’s also a short-term risk of a reaction to the fluoride mixture if the child swallows too much during the procedure, which could cause stomach upset and pain, vomiting or headaches. We can avoid this by using precautions like dental dams and other isolation methods to prevent the child from ingesting it.

Using proper precautions and procedures, topical fluoride is a safe and effective way to give your child added protection against decay. Avoiding this destructive disease can help ensure they’ll enjoy good dental health for the rest of their lives.

If you would like more information on keeping your child’s teeth and gums healthy, 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 “Fluoride Gels Reduce Decay.”


By Periodontal Associates
February 12, 2020
Category: Oral Health
Tags: gum disease   oral health  
ThisFebruaryShowaLittleLovetoBothYourHeartandYourGums

It’s February and time for a little heart love. And not just the Valentine’s Day kind: February is also American Heart Month, when healthcare providers promote cardiovascular health. That includes dentists, because cardiovascular health goes hand in hand with dental health.

It just so happens that February is Gum Disease Awareness Month too. If that’s a coincidence, it’s an appropriate one: Although different in nature and health impact, heart disease and gum disease are linked by a common thread: chronic inflammation.

Inflammation (or tissue swelling) in and of itself is beneficial and often necessary. When cells in the body are injured or become diseased, the immune system isolates them from healthier cells through inflammation for the protection of the latter. Once the body heals, inflammation normally subsides.

But conditions surrounding both heart disease and gum disease often prevent a decrease in inflammation. With heart disease, for example, fatty deposits called plaque accumulate within blood vessels, impeding blood flow and triggering inflammation.

A different kind of plaque plays a pivotal role with gum disease. Dental plaque is a thin biofilm that builds up on tooth surfaces. It’s home to bacteria that can infect the gums, which in turn elicits an inflammatory response within those affected tissues. Unless treated, the infection will continue to grow worse, as will the inflammation.

The bad news is that these two sources of chronic inflammation are unlikely to stay isolated. Some recent studies indicate that cardiovascular inflammation worsens gum inflammation, and vice-versa, in patients with both conditions.

The good news, though, is that treating and managing inflammation related to either condition appears to benefit the other. Patients with cardiovascular disease can often reduce their inflammation with medical treatment and medications, exercise and a heart-friendly diet.

You can also ease gum disease inflammation by undergoing dental plaque removal treatment at the first signs of an infection. And, the sooner the better: Make a dental appointment as soon as possible if you notice swollen, reddened or bleeding gums.

You can lower your gum disease risk by brushing and flossing daily to remove accumulated plaque, and visiting us at least twice a year for more thorough dental cleanings and checkups. If you’ve already experienced gum disease, you may need more frequent visits depending on your gum health.

So this February, while you’re showing your special someone how much you care, show a little love to both your heart and your gums. Your health—general and oral—will appreciate it.

If you would like more information about gum health, please contact us or schedule a consultation.


By Periodontal Associates
February 02, 2020
Category: Oral Health
Tags: oral health  
YouDontHavetoLiveWithUncomfortableCrackedMouthCorners

While a relatively minor health issue, cracked mouth corners (medically known as angular cheilitis) can certainly be irritating. Fortunately, you don't have to live with it—we can help reduce the discomfort and even make it less likely to happen in the future.

 Angular cheilitis is most characterized by redness and fissures (or cracks) in the skin at the corners of the lips. It commonly happens in younger ages (children to younger adults) because of drooling or complications from wearing braces. Older adults can also develop cracked mouth corners due to wrinkling around the mouth. The immediate causes are usually localized to the mouth and lip region, but it can sometimes arise from systemic conditions.

A case of angular cheilitis can also become infected, usually with a strain of yeast known as “candida albicans,” which then intensifies inflammation and discomfort. This is usually due to interaction between saliva and the open fissures, helped along by people's tendency to habitually lick these cracks (hence the other name for cracked mouth corners, perleche, from the French “to lick”).

The best way to treat angular cheilitis is with a series of applications of oral or topical antifungal medication. These may also be combined with steroid ointments that help retard redness and inflammation. If the infection involves the inside of the mouth, you may also need to use an antibacterial rinse until it clears up.

There are also things you can do to minimize future occurrences. Be sure to have missing teeth replaced or loose dentures refitted, and stay vigilant with daily brushing and flossing. You might also consult with a dermatologist about ways to treat wrinkling around the mouth. And easing those wrinkles could not only minimize your chances of developing angular cheilitis, but also give you a more youthful appearance.

Cracked mouth corners can be unnerving. But with a few simple steps we can help relieve any current discomfort and help you reduce the chances of another occurrence.

If you would like more information on cracked mouth corners and other oral irritations, 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 “Cracked Corners of the Mouth.”