Every time we provide care, we're observing many different aspects of your overall health. Most people are surprised at the large amount of surface area that lines the mouth. While this lining repairs itself quickly, it is susceptible to changes that may require monitoring or further evaluation.

Oral cancer can afflict anyone although tobacco users put themselves at significantly higher risk than non-users. Chewing tobacco contains up to 3000 different chemicals, including the same compounds used in pesticides and embalming fluid. Cellular changes below the surface aren't always detectable until they've advanced to a critical stage.

However, early detection and treatment of oral cancer significantly increase the chance of a positive outcome. The American Cancer Society reports that about 7,000 deaths result from oral cancer out of 30,000 cases diagnosed annually.  If we suspect any unusual changes in your mouth tissue, we may suggest a biopsy and microscopic analysis by a qualified lab.

Many other non-cancerous changes can occur in your mouth's tissue, from oral warts to autoimmune lesions. Dr. Bueno and Dr. Sellick draw on their background in oral pathology to determine if any abnormalities should be removed or simply monitored.

As a side note, we understand tobacco holds powerful addictive powers over many health-conscious people. If you're determined to quit, we want to be a supportive partner in your efforts. Talk to your hygienist or Dr. Bueno and Dr. Sellick about strategies and resources for kicking the habit.

A healthy smile is highly dependent on what happens between visits to see us. Good oral care habits can be established by anyone committed to carving a few minutes out each day to make it happen. Like regular exercise, consistency builds on previous efforts to enhance your health.  At least two brief sessions of brushing and cleaning between your teeth daily set a foundation for optimum health.

With so many products available to consumers today, your hygienist serves as a personal trainer when it comes to dental home care. We'll quickly narrow down the endless options and form a plan that fits you. Would a Waterpik make more sense and reach deeper than floss for your condition? Should you use a prescription toothpaste due to high risk from a reduced saliva condition?  Many factors fit into a plan that makes your time and effort work for you.

Some patients identified with high risk for dental problems benefit from even more personalized routines. Simple, inexpensive additions can transform the environment of your mouth and dramatically reduce disease activity. For example, Xylitol is a naturally-derived sweetener that can reduce cavity activity in children and adults when used in the right dosages and exposure times. 

While dental emergencies can strike anyone, our patients who commit to regular preventive care present with significantly fewer problems over time.  Professional cleanings with a registered dental hygienist allow us to bring a blend of proactive efforts to you. Deposits of mineralized plaque, known as tartar, adhere to certain areas of the teeth, even with your best efforts. These deposits offer suitable housing for millions of harmful bacteria to reside. Left unchecked, they produce a flood of toxins into the gums. This frequently cascades into devastating chronic problems, even resulting in loss of the teeth.

When you visit us periodically, we can gently remove the deposits from the tooth surfaces. Without sitting undisturbed, bacterial tartar doesn't have the same opportunity to produce irreversible damage. Furthermore, we use professional-strength polishing paste that gently buffs away stain and microscopic plaque, leaving your teeth ultra-smooth and shiny. Since discoloration settles into the enamel of your teeth over time, this helps slow yellowing while maintaining a glassy surface for better cleansing.

Periodontal disease, commonly known as gum disease, is the most common adult dental affliction. About 30% of the population experiences gum disease, and it's the number one cause of tooth loss in adults. Many denture cases begin as a result of the ravages of this condition. While not curable, it is controllable. But it requires a focused strategy, similar to managing other chronic conditions such as high blood pressure or diabetes.

Gum disease can advance in stealth mode with few signs or symptoms in early stages. Many patients diagnosed with this condition find themselves surprised at the quiet damage progressing in their mouths. In simple terms, consider the gums and bone around your teeth as the foundation where they sit. Just like a house, the foundation must be sound regardless of the beauty of the house. When the foundation crumbles, the rest of it goes too.

Regular dental exams, professional cleanings, and good oral hygiene practices at home are essential to detecting and strategically managing periodontitis.

WHAT CAUSES GUM DISEASE?

Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacteria form a sticky substance, plaque, that adheres to the teeth.  Brushing and flossing aim at removing plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria and adds to their population, pumping out toxins into the gums.

Gums react to this bacterial invasion with an inflammatory response under the direction of the immune system. Around the base of each tooth, a small collar of gum tissue exists that forms a small crevice or pocket. This warm, dark environment provides a perfect habitat for deeper tartar and bacterial penetration, with their toxins seeping into the base of the collar. 

Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed successfully create a chronic infection in the gum collar. In many cases, the bone begins to deteriorate around the teeth as the bacteria burrow deeper into the gums. While gums may be slightly tender at this stage, there's generally minimal discomfort as the bone dissolves.

More than 50% of the bone around your teeth can disappear before any signs of looseness or pain begin to appear. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper into the gums. Untreated gum disease leads to abscess and generalized tooth loss in many advanced cases.

DIAGNOSIS

We draw on objective clinical data to form a gum disease diagnosis and to grade the condition. The small collar of gum around each tooth usually sits 2-3 millimeters deep, a small crevice easily cleaned by floss or toothpicks. Dr. Bueno and Dr. Sellick or our hygiene team can measure and chart multiple areas using a small measuring device. If these measurements register beyond 3 millimeters and include bleeding areas, the disease is present. Deeper findings indicate more advanced disease than shallower readings.

Dr. Bueno and Dr. Sellick will also consider the texture and shape of your gums, and any movement detectable in each tooth. It's also vital to examine the levels, shape, and density of the bone around your teeth on digital x-rays. By drawing together numerous findings,  a clear picture forms about your gum condition. 

TREATMENT

After establishing a diagnosis defining the severity of gum disease, a personalized treatment plan can be developed with you.  In milder forms with little or no bone loss, one or two visits with our hygiene team may bring the condition under control. When you leave our office with a strategy for daily home care and an established schedule for maintenance, little additional treatment may be needed.

If the inflammation has advanced with measurable bone loss, a proactive approach halting the destruction should be strongly considered. Often we will suggest gentle numbing of your gums for your comfort during the deeper cleaning process. One area at a time undergoes meticulous cleaning above and below the gum line, usually over several visits. The infected collar or pocket around each tooth, including the mineralized tartar, must be carefully cleaned out with hand and ultrasonic instruments. Polishing of the teeth to establish glassy surfaces that help repel stain and plaque accumulation usually finishes this initial therapy.

Dr. Bueno and Dr. Sellick may suggest a medicated rinse, an electric toothbrush, a Waterpik, or other specific strategies to help you with your ongoing efforts. Remember, gum disease can be controlled but not cured.  Dedicated daily efforts must be consistent to control the disease.

MAINTENANCE MATTERS

Regular home care is critical to arrest the progression of gum disease. Within a few hours of a careful cleaning, the bacteria begin to repopulate and adhere to the teeth. Plaque left undisturbed will start to harden and mineralize within 24 hours. And deeper gum pockets require even more diligence to prevent the bacteria from burrowing further into the foundation of your teeth.

Since the deepest sections of gum pockets previously damaged by bacteria can be difficult to reach at home, a particular maintenance schedule with us proves essential. We can customize your plan to include 2, 3 or 4 visits a year depending on the severity of disease and its response to treatment and home care.

If our combined efforts don't halt your gum disease, we will suggest referral to a trusted specialist, known as a periodontist. With specialized training in many gum conditions, further treatment may be recommended.

MOUTH-BODY CONNECTION

Current research continues to establish clear links between bacterial disease in your mouth and ailments in other parts of the body. Studies show a link between oral bacteria and conditions such as heart disease, stroke, arthritis, Alzheimer's, and certain types of cancers. The integration of oral and general health has never been better understood than it is currently.

Bleeding gums provide a direct pathway into the bloodstream, a journey that toxic oral bacteria can quickly take. In fact, if bleeding gums connected into one single patch, it would create a 2 x 2-inch square. If an open wound of this size existed on your skin, infection would be a concern.  Bleeding, infected gums offer this open door to your body and sit saturated in colonies of bacteria. This helps explain why researchers continue to identify oral bacteria deposits in various areas of our bodies.

Diabetes and other auto-immune disorders lower the body's ability to fight infection, allowing uncontrolled gum disease to advance faster and with more destruction. Research also confirms that the inflammation in the mouth can aggravate diabetes, making it harder to control. This two-way relationship between two chronic conditions emphasizes the importance of optimal oral health.