Posts for: November, 2014

By Mario A. Vilardi, DMD
November 19, 2014
Category: Oral Health
OurArsenalofWeaponsintheWarAgainstGumDisease

Advanced periodontal (gum) disease is a chronic, progressive condition characterized by bacterial infection and inflammation. Without proactive treatment, gum disease can cause extensive damage to the various tissues that hold teeth in place, and lead eventually to tooth loss.

As every war has its tactics, so the war against advanced gum disease is no different. Here’s a few of the approaches and treatments we use to stop the disease and promote healing to damaged tissues.

A Change in Behavior. Regardless of other risk factors, a film of bacterial plaque on tooth surfaces caused by a neglect of proper oral hygiene is the main culprit behind progressive gum disease. Your first step is to form new hygiene habits — brushing and flossing — that will need to be performed daily to be effective. It’s also time to end some old habits like smoking that are contributing to your gum disease.

Total Plaque Removal. Although your renewed efforts at oral hygiene are essential, it’s just as important for us to use our expertise to remove the hard deposits of plaque (known as calculus) you can’t reach with brushing and flossing. Clinging stubbornly below the gum line, these deposits will continue to be sources of infection until they’re removed. Using techniques known as scaling or root planing, we employ ultrasonic or manual instruments to access and remove as much of the offending deposits as possible. This essential step may require more than one visit to give time for inflammation to subside, and may be followed with antibiotic therapy as well.

Surgical Treatments. Although quite effective in most cases of gum disease, scaling or root planing may not be adequate in more severe cases. We still have other weapons in our arsenal, though — there are a number of surgical procedures we can use to eliminate hidden pockets of infection, or repair and regenerate damaged tissues and bone. These procedures not only help restore you to better oral health and function, but also establish a more conducive environment for maintaining future care.

Using these and other techniques, we can reduce the infection and inflammation associated with gum disease. This sets the stage for healing and renewed health, both for your mouth and your entire body.

If you would like more information on treatment for periodontal 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 “Understanding Periodontal Disease.”


DentalSealantsOneoftheChildhoodSecretsTVDesignerNateBerkusCreditsforHisBeautifulSmile

As a successful author, interior design guru (with 127 makeovers in eight years on The Oprah Winfrey Show), and host of his own television program, The Nate Berkus Show, Nate Berkus understands the important role a beautiful smile plays in one's life and career. In a recent interview with Dear Doctor magazine, Nate discussed his oral health history. Berkus credits his all natural smile — no cosmetic dentistry here — to the treatments he received as a child from his dentist. “I'm grateful for having been given fluoride treatments and sealants as a child.” He then added that, “healthy habits should start at a young age.”

Dental sealants are important because they help protect developing young teeth until the enamel has matured. Without dental sealants, the newly erupted immature enamel of teeth is more permeable, meaning that the acids produced by bacteria in the mouth can damage these teeth more easily. This makes the teeth less resistant and thus more susceptible to tooth decay.

Regardless of how much your children brush their teeth, the reality is that toothbrush bristles cannot reach down to clean out the crevices found in the deep grooves (“pits and fissures”) of teeth. And if not removed, the bacteria found in these grooves produce decay-causing acids as a byproduct of metabolizing sugar. However, when sealants are used in combination with fluoride, good hygiene and nutrition (including lower sugar consumption), the odds of having tooth decay is dramatically reduced.

We refer to dental sealants as “pit and fissure” sealants because they protect the grooves found in the top of back teeth and the back of front teeth. Sealants also may reduce the need for subsequent treatments as your child grows older — just as it did for Nate Berkus. For these reasons, sealants are definitely something that all parents and caregivers should consider for their young children.

To learn more about dental sealants, contact us today to schedule an appointment so that we can conduct a thorough examination, discuss any questions you have as well as what treatment options will be best for you or your child. Or to learn more about sealants now, you can continue reading the Dear Doctor magazine article “Sealants for Children.” And to read the entire interview with Nate Berkus, please see the Dear Doctor magazine article “Nate Berkus.”




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Mario A. Vilardi, DMD

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