Scaling and root planning is often referred as a ‘Deep Cleaning’. Scaling and root planning is treatment of choice in patients with an infectious disease of the gum tissue and underlying bone termed periodontal disease. This process is also standard treatment for a patient who has healthy bone level, though has not had a regular dental cleaning over a period of time and simply has presence of moderate amounts of calculus (tartar) present below the gum line.
Periodontal disease typically starts with plaque left on the teeth and around gum line. When plaque mixes with saliva is creates calculus over time. Eventually, calculus containing bacteria will irritate gum tissues by attaching to teeth and root surfaces and releasing toxins resulting in inflammation and infection of gums. If untreated, this can ultimately lead to distraction of the bone (bone loss) that surrounds teeth further possible mobility or loss of teeth.
Scaling and root planning is the only non surgical treatment to help treat periodontal disease by mechanically removing all calculus and paired bacteria from teeth and root surfaces. To properly diagnose the presence of periodontal disease in a patient, it is important to get necessary radiographs (X-rays) and detailed measurements of all gum tissues that surround teeth. When bacteria resides in the mouth, it compromises the ligaments that attach gum tissue to root surfaces, therefore creating deeper pockets. Areas that measure greater than 3mm in depth are indicative of periodontal disease. Overall these measurement are imperative to understand severity of this bacterial infection throughout mouth.
In office treatment for deep cleaning can be done in one or two visits. These cleanings are completed by the dentist or dental hygienist by mode of ultra sonic scaler and/or hand instruments. In addition to the deep cleaning, antibacterial agents such as Arestin placement under gum tissue to help further reduce pocketing or Chlorhexidine rinse to reduce bacteria can be used. It is common to administer local anesthetic or other anesthetics for optimal patient comfort during and following procedures.
Maintenance program. It is standard protocol to keep periodontally involved patients on 3 or 4 month recall intervals. This means more frequent cleanings in a year’s time to properly combat periodontal disease and ensure stability of gum tissues and underlying bone. Every case varies, though periodic scaling and root planning may be needed after initial deep cleaning due to more compromised bone level. It is essential that all patients practice proper daily dental hygiene at home for best overall outcome and health of teeth and surrounding structures.
My Dentist told me I have Gum Disease!
Gum disease is more common than you think. Gum disease, also known as (gingivitis) periodontal disease is an inflammation of the gums. Inflammation can vary from moderate to severe. Severe inflammation can lead to the loss of the tissues holding your teeth in place. Making sure you brush your teeth everyday will help prevent plaque to stick on your teeth. If the plaque isn’t removed it can cause your gums to retract (recede) from your teeth and form a pocket. Pockets then collect bacteria.
What do I do now??
(Gingivitis) Periodontal disease can often be treated in early stages with scaling & root planning. Scaling & root planning removes the plaque & tartar beneath the gumline. Usually local anesthetic is given.
What should I do at home?
Make sure you brush your teeth in the morning & at night. Floss, there are many different kinds out there, the best one is the one you will use! Ask your dental professional to show you how to brush and floss PROPERLY, many people do it wrong! Keep up on your cleaning appointments.
Future dental appointments, will they change?
As a “Perio Patient” you will stick to a 3 month check up. This will help you maintain your oral health.
*Reference: ADA & Colgate website
“Mom I am so tired,” “But daddy my favorite cartoon is on,” we all heard every excuse on the planet. Whether its 6 o’clock in the morning or 8 o’clock at night, most kids try to get out of brushing and flossing. Here are a few tips to encourage brushing & make it a daily routine.
It takes 21 days or 3 weeks to form a habit. Having a routine will help make this habit form.
Start them young
Its never to early to teach your children good oral health! Cleaning the gums around 6 months can guide you in the right direction. Never put a baby down with a bottle of any liquid other than water!
There are many apps to help aid your child in brushing. Apps are fun and interacting. Disney Magic Timer, Oral-B & Happy teeth are examples of some. Disney Magic Timer helps track time but also teaches children about oral health!
6 month check ups
It is very important your child stays up to date on his/hers 6 month cleaning appointments. Not only does your healthcare professional clean your child’s teeth but they also teach your child how to maintain a healthy smile. We teach patients how to brush, floss & eat healthy.
Disclosing Solution is in a liquid or tab form and makes the plaque on your child’s teeth stain a bright color. Wherever the teeth are stained is where the child forgot to brush. Children usually have fun trying this out! (TIP: have the child brush first then use the tab/liquid to see exactly where the child missed, then brush again.)
WE LOVE GUMCHUCKS!
Have you ever heard of nunchucks? Chances are you have. Resembling miniature nunchucks, Gumchucks feature disposable tips that are equipped with a 3/4 inch piece of dental floss. Proper flossing requires making a “C” shape, Gumchucks help this happen. Gumchucks are made for adults & children, they even make special handles for people in braces! Gumchucks with help improve dexterity & extend your reach. They are a one of a kind flossing system.
Benefits include: Easier & faster than traditional floss, Reaches the back teeth without putting fingers in the mouth, Safe & hygienic!
We now sell GUMCHUCKS in our office- ask us for a demo! 🙂
Let’s talk Mouthguards
Is your child a hockey player? Maybe a basketball player? Baseball? If you answered YES to any of these sports, you need to read this article. Although any sport involving a hit to the face would benefit from the use of a mouthguard, baseball & basketball are the two main sports involving dental injuries. Athletes can help prevent oral trauma!
What’s the different kinds of Mouth guards?
A stock mouthguard is a “one size fits none” appliance. A stock mouthguard is only held in place by the athlete biting down, so when the athlete collides with another teammate the mouthguard shifts. This is the least protective type of appliance & also the most uncomfortable.
Boil and bite mouthguards have the same similarities as a stock mouthguard as they are sold at almost any drug store. When comparing the Stock and Boil & bite, the boiled mouthguard will adapt to the teeth better however, it does not have much thickness, which leads to variations in the amount of protection/force throughout the mouth.
Custom-made vacuum-formed mouthguards are fabricated using a “suck down/vacuum” machine. This mouthguard will be more protective than a stock or boil & bite. The big down fall is the thickness of the material. The material of a vacuum-formed mouthguard is very thin.
Custom-made pressure-formed mouthguards are vacuum-formed but provide multiple layers of material. The custom-made mouthguards fit snug, and improve adaptation to the teeth and gums, making the athlete comfortable. The more comfortable the appliance, the more likely an athlete is to use it.
The National Youth Sports Foundation for the Prevention of Athletic Injuries estimates that during a single season of play, athletes have a 10% chance of sustaining an injury to the face or mouth!
Reference: The journal of multidisciplinary care/Decisions in Dentistry
Oral hygiene is important. Brushing at least twice a day, flossing at least once a day, and visiting the office for your cleanings every six months go a long way toward keeping your teeth and gums in tip top shape. Besides keeping those chompers in check, good oral health is a good defense against various diseases.
Poor Oral Health Can Lead to These Diseases
Healthy Gums Equal Healthy Lungs: The air we breathe is moisturized with water droplets in our mouths. Bacteria in your mouth can attach to those droplets and end up in your lungs, causing pneumonia. Those who skip their yearly cleanings are 86 percent more likely to contract pneumonia than those who make it to the office every six months.
Want a Healthy Heart? Keep Your Teeth Clean: According to the National Institute of Health, keeping your mouth clean and healthy can reduce risk of heart attack. In a study focused on 128 adults, patients underwent a comprehensive health screening before they filled out a questionnaire about their dental health habits. Upon analysis of the data, scientists were able to find a significant link between good oral hygiene habits and cardiovascular risk factors.
Poor Oral Health May be Linked to Alzheimer’s Disease: According to WebMD, the same bacteria that exacerbates gingivitis may be linked to Alzheimer’s disease. In a 2013 study, scientists analyzed 10 brains of patients with Alzheimer’s, and 10 brains of patients without Alzheimer’s. In 4 out of 10 Alzheimer’s patients, scientists found the same type of bacteria that causes gingivitis. “We are working on the theory that when the brain is repeatedly exposed to bacteria and/or debris from our gums, subsequent immune responses may lead to nerve cell death and possibly memory loss,” says Sim Singhrao, PhD.
If you’re keeping up with your regular dental hygiene, you are taking steps to improve your overall health. If it’s been a while since you’ve had a dental cleaning, don’t hesitate to make an appointment at Alrez Family Dentistry.
AP recently created a hubbub by claiming that the effectiveness of daily flossing hasn’t been solidified by research.
It all started with a document the USDA releases every five years that is filled with research-backed health advice, the Dietary Guidelines for Americans. AP noticed that in 2015’s dietary guidelines, flossing had been quietly removed. AP reached out to the US government, which admitted that the effectiveness of flossing was not adequately researched.
The American Dental Association (ADA), and Dr. Alrez, maintain that cleaning between teeth is important. Using floss is a sure-fire way to disrupt and remove plaque. Forty percent of your teeth’s surface is located in between the teeth, so flossing is a necessary step for removing bacteria. In order to keep your teeth and gums healthy, you need to clean 100, not just 60 percent of them!
While dental experts have acknowledged that the research that supports flossing is inadequate and outdated, they add that the research oversight is due to flossing being so obviously necessary, an updated study on its effectiveness would be a waste of resources.
As put by ADA spokesperson, Dr. Matthew Messina, “Nobody’s done a study to say using a parachute jumping out of an airplane is safer than not using a parachute. I’m still going to use a parachute, because we just know that that’s going to work.”
Flossing prevents cavities, gum disease, and bad breath. So keep flossing every day, and your teeth will thank you!
If you haven’t heard, WE’RE MOVING! Don’t worry we’ll still be close to the old office (just over a mile away). Construction has begun on our new location. The official opening day is scheduled for Thursday May 7th!
So where’s our new location going to be? Drumroll please…
Our new address is:
11 Regency Plaza
Glen Mills, PA 19342-1000
It’s in Brinton Lake, right in front of Costco and Crozer and on the same side/next door to The Shoppes at Brinton Lake.
If you’re afraid of change, you won’t need to worry. We’ll be bringing all of our state-of-the-art equipment over to our brand new office. Plus, you can expect to receive the same high level of care that we have always provided. The only thing that’s changing is our location, and we couldn’t be more excited to move into the new office!
Take a look at the current construction and prepare to be amazed when we soon release the “after” photos.