At Periodontal Associates, we take pride in giving back to our community through our partnership with Donated Dental Services (DDS), a program under the Dental Lifeline Network. This incredible initiative provides free, comprehensive dental care to our nation’s most vulnerable individuals—those with disabilities, the elderly, and those who are medically fragile. Many veterans, who have selflessly served our country, also receive much-needed dental care through this program. For those who cannot afford necessary treatment and lack access to public aid, DDS is a lifeline.

One such individual we recently had the privilege of helping is Fred. Fred’s circumstances had made it nearly impossible for him to receive the dental care he desperately needed. Through the DDS program, Dr. Douglas Heller, Dr. Eric Beckman, and our dedicated team were able to step in and make a difference in his life. Fred’s treatment was a collaborative effort that not only improved his oral health but also had a positive impact on his overall well-being.

The DDS program operates through a vast volunteer network of 12,500 dentists and 3,200 dental labs across the United States. Since its inception in 1985, DDS has surpassed $500 million in donated dental therapies, transforming the lives of 170,000 people. We are honored to be a part of this life-changing program.

At Periodontal Associates, our commitment extends beyond just providing treatment—we are dedicated to ensuring our patients understand their oral health and the treatment options available to them. If you have questions or would like to schedule an appointment with our periodontists in Aurora, Colorado, please contact us at 303-755-4500. We are here to help you smile with confidence!

The post Donating Dental Services Under the Dental Lifeline Network first appeared on Periodontal Associates.

Teigan Heller

When you feel good, you can be healthy. However, achieving a healthy lifestyle isn’t always “As easy as it looks!! Many people don’t frequently visit the dentist. This is a problem. Periodontal Associates works to aid a healthy lifestyle.

A few days ago, I came to my dad’s office (Doug Heller’s office). He had scheduled a teeth cleaning for me and my brother, Rigley.  As one of his associates cleaned my teeth, I kept on thinking about the result. When the mirror shined on my face, my teeth were as clean as ever! It is so easy to get lost in time while you’re at Periodontal Associates because everyone there is super nice to me and my brother.

A healthy lifestyle is important and if you wish to achieve it, visit Periodontal Associates. A healthy lifestyle can be described in so many unique ways; it’s almost…undefinable.

Written by Teigan Heller Age 11 3/7/24

Rigley Heller

A healthy lifestyle requires overall physical, mental and emotional well being. It involves making different choices to maintain a healthy lifestyle. Here are some things you should do in order to have a healthy lifestyle.

Balanced Nutrition: Make sure that you eat a wide variety in order to stay healthy, such as protein, to help build muscle.

Constant Exercise: This makes it so you can improve health and strengthen muscles. If you lack exercise join a sport or run for about 20 minutes a day.

Sleep: This helps repair your body and recharge you for the next day. Without sleep, you will deal with stress and tiredness.

Hydration: The body is more than 70% water, meaning that you should drink water constantly. That means that adults should drink 8-10 glasses a day.

Written by Rigley Heller 3/7/24

Conclusion

In conclusion, the insights shared by Teigan and Rigley Heller provide a refreshing perspective on leading a healthy lifestyle. Their observations remind us that while the path to well-being might differ for each person, the underlying principles remain the same. Their wisdom, beyond their years, serves as an inspiration for both young and old to prioritize health in all aspects of life.

The post The Heller Siblings’ Secrets to a Healthy Life first appeared on Periodontal Associates.

Biomimetic dentistry is a modern approach to restorative dentistry that aims to mimic teeth’ natural structure, function, and aesthetics. The term “biomimetic” comes from the Greek words “bios,” meaning life, and “mimesis,” meaning imitation. Biomimetic dentistry seeks to replicate healthy teeth’ natural properties to restore damaged or decayed teeth to their original strength and beauty.

Biomimetic dentistry is based on the principles of minimally invasive dentistry, which focuses on preserving as much natural tooth structure as possible while restoring function and aesthetics. Biomimetic restorations are designed to bond to the tooth structure, creating a seal that mimics the natural enamel and dentin layers of the tooth. This approach avoids the need for aggressive tooth preparation or removal, which can weaken the tooth structure and increase the risk of future problems.

Drs. Heller, Beckman, and Thousand eagerly await to assist you with any dental problems or queries you might have. Get in touch by calling us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) or visit our website periodontalhealth.com.

What are the paradigms of biomimetic dentistry?

Biomimetic dentistry is a modern approach to restorative dentistry that seeks to preserve natural tooth structure and function as much as possible. It is based on three main paradigms:

Minimally invasive dentistry: The first paradigm of biomimetic dentistry is minimally invasive dentistry. This approach involves removing only the damaged or decayed portions of the tooth structure while preserving as much healthy tooth structure as possible. This approach helps to maintain the natural strength and function of the tooth, which can reduce the need for more extensive restorative procedures in the future.

Biomechanical principles: The second paradigm of biomimetic dentistry is the use of biomechanical principles in the design and fabrication of restorations. Biomimetic restorations are designed to mimic the natural structure and function of teeth, which can improve their longevity and durability. These restorations are also designed to distribute forces evenly across the tooth, reducing the risk of fracture and other issues.

Adhesive bonding: The third paradigm of biomimetic dentistry is the use of adhesive bonding techniques. Adhesive bonding involves attaching restorative materials to the remaining tooth structure using a special bonding agent. This technique creates a strong and stable bond that can improve the longevity and durability of the restoration. Adhesive bonding in biomimetic dentistry involves selective bonding techniques that target the most stable and durable layer of the tooth structure while avoiding the more sensitive and porous dentin layer.

Some of the techniques used in biomimetic dentistry include:

Layered restorations: Biomimetic restorations are often created in multiple layers to mimic the natural structure of teeth. This can include using different shades and translucencies of composite resin or ceramic materials.

Preservation of tooth structure: Biomimetic dentistry focuses on preserving as much natural tooth structure as possible while restoring function and aesthetics. This approach avoids the need for aggressive tooth preparation or removal, which can weaken the tooth structure and increase the risk of future problems. This can include using conservative techniques such as inlays, onlays, and partial crowns to restore damaged or decayed teeth.

Biocompatibility: Biomimetic materials are designed to be biocompatible with the natural tissues of the mouth. This reduces the risk of allergic reactions, sensitivity, and other adverse effects.

Biomimetic dentistry has recently gained popularity as a conservative and effective approach to restoring damaged or decayed teeth. It can be used to treat a wide range of dental problems, including cavities, fractures, wear, and discoloration.

Long-term stability: Biomimetic restorations are designed to provide long-term stability and resistance to wear and fracture. This can help reduce the need for future repairs or replacements.

Functional and aesthetic integration: Biomimetic restorations are designed to restore both the function and aesthetics of the tooth. This can include matching the color, shape, and contour of the natural teeth.

What are the advantages of practicing biomimetic dentistry?

There are several advantages of practicing biomimetic dentistry, including:

Preservation of natural tooth structure: Biomimetic dentistry focuses on preserving as much natural tooth structure as possible, which helps to maintain the strength and integrity of the tooth. This can reduce the need for more extensive and invasive treatments, such as root canals or extractions.

Reduced risk of future problems: Biomimetic restorations are designed to mimic the natural structure and function of teeth, which helps to reduce the risk of future problems, such as fractures or decay. This can help to minimize the need for future repairs or replacements.

Improved aesthetics: Biomimetic restorations are designed to match the color, shape, and contour of the natural teeth, which helps to create a more natural and aesthetically pleasing result.

Increased patient comfort: Biomimetic restorations are designed to be biocompatible with the natural tissues of the mouth, which helps to reduce the risk of sensitivity, discomfort, or allergic reactions.

Long-term stability: Biomimetic restorations are designed to provide long-term stability and resistance to wear and fracture, which helps to minimize the need for future repairs or replacements.

Cost-effective: Biomimetic dentistry can be a cost-effective approach to restoring damaged or decayed teeth, as it can often be done using more conservative and less invasive techniques.

To sum up everything stated above, practicing biomimetic dentistry can help to provide a conservative and effective approach to restoring damaged or decayed teeth while maintaining their natural strength, function, and aesthetics. This can help to improve patient outcomes, reduce the need for more invasive treatments, and provide long-term stability and durability.

If you have any questions or would like to find out more about this branch of dentistry that’s taken the dental world by storm, please don’t hesitate to get in touch with Drs. Heller, Beckman, and Thousand by calling us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton).

For Dentists

Polymerization Shrinkage: A Huge Problem with Traditional Composite Restorations

Polymerization shrinkage is a significant problem in traditional dentistry because it can cause a range of complications that can compromise the success and longevity of dental restorations. Polymerization shrinkage occurs when composite resins, which are commonly used in dental restorations, shrink as they cure, leading to gaps between the restoration and the tooth structure.

These gaps can create several problems, including:

Microleakage: Gaps between the restoration and the tooth structure can allow fluids, bacteria, and other debris to seep into the space, leading to inflammation, decay, and other complications.

Sensitivity: Polymerization shrinkage can create stress on the tooth structure, leading to sensitivity, pain, and discomfort for the patient.

Marginal failure: Gaps between the restoration and the tooth structure can weaken the bond between the two, leading to marginal failure or complete failure of the restoration.

Recurrent decay: Microleakage can lead to recurrent decay, which can compromise the tooth structure and require additional restorative work.

Weakened tooth structure: Preparing a tooth for restoration can weaken the tooth structure, and polymerization shrinkage can further weaken the tooth, increasing the risk of fracture or other damage.

How does biomimetic dentistry overcome this problem?

Biomimetic dentistry can reduce polymerization shrinkage in several ways:

Incremental layering: Biomimetic restorations are often created in multiple layers, which allows for incremental curing of each layer. This reduces the amount of shrinkage that occurs during the curing process, as each layer can be cured separately before adding the next layer.

Low-shrinkage materials: Biomimetic dentistry utilizes low-shrinkage materials, such as composite resins that contain modified monomers or pre-polymerized particles. These materials have a lower shrinkage rate than traditional composite resins, which helps to reduce the overall polymerization shrinkage.

Reduced light intensity: Biomimetic dentistry may also use reduced light intensity during the curing process, which can reduce the amount of shrinkage that occurs. This is because a slower curing process allows for more time for the resin to flow and adapt to the tooth structure, reducing the amount of shrinkage.

Bonding to dentin: Biomimetic restorations are designed to bond to the dentin of the tooth, which can help to reduce the amount of shrinkage that occurs. This is because the bonding process can create a more stable and integrated restoration that is less likely to shrink or deform.

Biomimetic dentistry takes a more holistic approach to restorative dentistry, using materials and techniques that are designed to mimic the natural structure and function of teeth. By reducing polymerization shrinkage, biomimetic restorations can provide a more durable and stable restoration that is less likely to fail or require replacement.

Better Adhesion

Biomimetic dentistry focuses on preserving as much healthy tooth structure as possible and restoring it using materials and techniques that mimic the natural structure and function of teeth. To achieve this goal, biomimetic dentistry relies on a different approach to adhesion than traditional dental adhesion.

In traditional dental adhesion, the bonding agent is typically applied to the entire preparation surface, including the dentin and enamel. This approach can result in a strong bond, but it can also lead to issues such as microleakage, postoperative sensitivity, and bond failure over time.

In contrast, biomimetic dentistry uses a selective bonding approach that targets the most stable and durable layer of the tooth structure. The selective bonding approach involves applying the bonding agent to the enamel layer only while leaving the dentin layer untouched. This approach helps to create a more stable and durable bond by avoiding the more porous and sensitive dentin layer.

Selective bonding in biomimetic dentistry can be achieved through various techniques, including the use of air abrasion, which selectively removes the decayed or damaged enamel, leaving behind a clean and stable surface for bonding. Other techniques include the use of selective etching agents and the use of resin-based liners to protect the dentin and promote a stronger bond.

To sum it all up, adhesion in biomimetic dentistry is different from traditional dental adhesion in that it focuses on selective bonding techniques that target the most stable and durable layer of the tooth structure while avoiding the more sensitive and porous dentin layer. This approach helps create a stronger and more stable bond, which can drastically improve the longevity and durability of the restoration.

Improved Bond Strength

Bond strength refers to the ability of a dental material to adhere to the tooth structure. The bond strength between a restoration and the tooth structure is crucial for the long-term success of the restoration.

Biomimetic dentistry can improve bond strength by using adhesive materials and techniques that are designed to mimic the natural bonding mechanisms of teeth. For example, biomimetic restorations typically involve the use of resin-based composite materials that bond to the tooth structure. These materials contain a range of components, including bonding agents and fillers, that work together to create a strong and durable bond.

Biomimetic dentistry also emphasizes the use of minimally invasive techniques, which can help to preserve more of the natural tooth structure. This, in turn, can help to improve the bond strength between the restoration and the tooth structure, as there is more surface area available for bonding.

In addition, biomimetic dentistry can improve bond strength by using materials that are compatible with natural tooth structures. For example, biomimetic restorations typically use materials that have a similar coefficient of thermal expansion to natural teeth. This means that they expand and contract at a similar rate in response to changes in temperature, helping to prevent stress on the bond between the restoration and the tooth structure.

In summary, biomimetic dentistry can improve bond strength by using adhesive materials and techniques that mimic the natural bonding mechanisms of teeth, preserving more natural tooth structure, and using materials that are compatible with natural tooth structure. These factors can contribute to a stronger and more durable bond between the restoration and the tooth structure, improving the long-term success of the restoration.

To learn more about biomimetic dentistry, get in touch with Drs. Heller, Beckman, and Thousand by calling (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton). They have a treasure of knowledge that they’re very much looking forward to sharing with you!

The post Everything You Need to Know About Biomimetic Dentistry first appeared on Periodontal Associates.

If you’ve been experiencing regular headaches, jaw pain, ear pain, and neck pain, and your doctor has ruled out all other problems, chances are you’re probably suffering from bruxism.

Bruxism is a condition characterized by the grinding, gnawing, or clenching of teeth. You may have developed a habit of grinding your teeth while you’re awake and conscious or unknowingly be doing it in your sleep. Regardless of when you do it, this condition can cause a vast array of problems that can cause extreme discomfort and pain. Some of these are listed below:

• Headaches (dull pain that starts from the temples)
• Tooth abrasion, leading to tooth pain and sensitivity
• Facial pain
• Ear pain (though there is no ear problem)
• Tense facial and jaw muscles
• Sore jaw and facial muscles
• Damage on the inside of your cheeks (from chewing too hard)
• Clicking or popping sounds when you open or close your mouth
• Loose teeth (due to too much force exerted on them while grinding)
• Gum recession

Here’s the answer to why you wake up with sore jaw and face muscles: the regular clenching or grinding of teeth tends to overwork your jaw muscles and stresses them to the degree that invariably results in muscle tenderness and pain. If left unaddressed, it can cause so much damage that it can completely wreck your teeth, restorations, and TMJ, cause infection, and even damage the tooth nerve!

Now here’s the solution to your problem: a night guard

If you’re experiencing similar pains, call us today at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) to book an appointment. Doctors Heller, Backman, and Thousand will be more than happy to assist you.

What are night guards?

Night guards are protective devices designed to be worn orally at night or during the day, depending on when you most commonly clench your teeth. It fits on your teeth the same way that an orthodontic retainer does. A night guard works by posing a barrier between your teeth, minimizing the damage to your teeth caused by strain from excessive grinding forces. A night guard basically functions as a cushion between your upper and lower teeth. This helps to reduce tension on the jaw muscles, thus preventing not only jaw and facial pain, but also tooth abrasion (that could potentially damage your tooth enamel).

Who needs a night guard?

A night guard is recommended for both children and adults who have a habit of teeth grinding. They are also recommended for anyone participating in sports that might pose a risk of injury to the mouth (such as contact sports).

Types of night guards:

Night guards are generally classified into hard, dual/hybrid, and soft types. Your dentist will recommend one for you that’s best suitable to your needs.

Soft night guards:

This is the type of night guard most commonly used. It is perfect for mild cases of bruxism in which people only clench, and don’t grind their teeth. Soft night guards provide a comfortable fit as they’re made of a softer, more flexible material. On the downside, they wear out faster and so need to be replaced more often. They will generally last you anywhere from 6 months to 2 years.

Dual/hybrid night guards:

These are ideal for people suffering from moderate cases of bruxism. They’re soft on the inside and hard on the outside, making them better able to withstand heavy forces than the soft type of night guard. It’s comparatively more difficult to get used to than the soft ones, but they’re longer-lasting and provide more protection. They may last for 1-3 years.

Hard night guards:

This type of night guard is reserved for people with severe cases of bruxism who usually also suffer from TMJ issues. They’re made out of acrylic and are hence very rigid and provide the most protection against teeth grinding. Though not as comfortable as soft night guards, they’re more likely to last longer as they’re not easily prone to wearing out. They can generally last anywhere from 2 to 5 years before replacement.

How to care for your night guard?

To care for your night guard, be sure to follow the instructions listed below:

• Cleaning: Always keep your night guard clean to ensure that there is no transfer of bacteria into and out of your mouth. Rinse it before and after each use using cold water or a mouthwash. You can also clean it using soap and a toothbrush like you would clean a denture.

• Storage: It is advisable to keep your night guard stored in a perforated box to permit air circulation and prevent it from damage. If it’s made of acrylic, always store it in fresh clean water.

• Temperature: Protect the night guard from high temperatures (such as hot water, hot surfaces, or direct sunlight) to prevent distortion of its shape.

• Inspect for signs of wear if you’ve been wearing it for a long time. If it has worn out and become loose, get it replaced.

Have it examined by your dentist at each dental visit to make sure that everything is okay!

How long do night guards last and when should I get mine replaced?

The longevity of a night guard depends on various factors, such as the intensity and frequency of your teeth grinding, the quality of your night guard, and how well you take care of it, to name a few. In general, however, they tend to last somewhere between 3 months to 6 years.

It is very important that know when to get it replaced so it can efficiently perform its function and protect your teeth. Here’s a list of some signs to look out for:

The night guard is loose and no longer fits your teeth

You begin to notice cracks, tears, or holes in the night guard

The night guard causes discomfort

You notice irritating sores in your mouth (caused by cracks in the night guard)

The best way to tell whether you need to throw your old ones out is by consulting a dentist. Your dentist will examine your night guard and your oral cavity to check the fit and decide whether you need a new one.

What can happen if you wear an ill-fitting night guard?

It is imperative for the good health of your teeth that you wear a night guard that fits perfectly well. If it’s a poor fit, there are a number of serious problems that can arise.

Shifting of teeth:

You might not believe it but an ill-fitting night guard can actually cause your teeth to shift. A night guard should be easy to wear and fit perfectly around your teeth without causing any discomfort. If you notice that you have to push it with force, and it hurts your teeth when you do, it’s a sign that the night guard is quite possibly a wrong fit. An ill-fitting night guard will exert uneven pressure on your teeth while clenching and grinding and consequently cause your teeth to shift.

Jaw misalignment:

An ill-fitting night guard can change the way you hold your jaw and thus lead to jaw malalignment over time. This can result in TMJ issues that can be very bothersome and difficult to treat.

To avoid these issues, it is best that you always opt for custom-made nightguards instead of going for ones that are available over the counter. Your dentist will have them made for you according to your fit and will also make any necessary adjustments for you to make sure they’re comfortable for you.

To find out more about bruxism and night guards, you can always get in touch with our super helpful doctors Heller, Beckman, and Thousand by calling us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton).

The post Everything you need to know about bruxism and night guards first appeared on Periodontal Associates.

What is the connection between vaping and gum disease?

According to the latest research by the NYU College of Dentistry, e-cigarette users possess a unique collection of microorganisms that’s different from that of smokers and non-smokers. Some bacteria commonly known to be linked with gum disease are found to be prevalent in the mouths of vapers. These include the Fusobacterium, Bacteroidales, and Porphyromonas.

How are oral bacteria important to us?

The oral cavity is a window to the body and is home to many microbial species that reside in our respiratory and digestive tracts. Studies have shown that changes in the community of bacteria and other microorganisms inside our mouth contribute to several systemic health issues, such as diabetes, cardiovascular disease, and cancer, as well as several oral health problems like halitosis, caries, and gum disease.

Vaping alters the microbial environment inside our mouths. The dysfunctional oral microbial environment affects our body’s ability to fight off disease by altering the levels of some cytokines (proteins that regulate the host immune response). Certain cytokines are associated with an imbalance in oral bacteria and can increase the risk for gum disease. One of these, TNF alpha, was found to be significantly elevated among vapers. Certain cytokines (for example, IL-4) are also normally reduced in individuals with gum disease and begin to increase during healing after treatment. Oddly enough, the levels of  IL-4 and IL-1? were found to be decreased in e-cigarette smokers. This suggests that some bacteria living in the oral environment of vapers actively suppress the body’s immune responses. Vapers with a compromised immune response are more prone to developing gum inflammation and infection.

The Takeaway

Need another reason to ditch the nicotine from your vape juice? Your oral health may be at risk.

Although dentists still debate whether vaping is more harmful to your gums than smoking, one thing is for sure: there is a strong link between vaping and gum disease. The main culprit is nicotine, of course, but the other components of e-liquids, such as propylene glycol, glycerin, and flavorings, when combined can wreak havoc on your gum health. Albeit it’s a safer alternative to smoking, it doesn’t come without risks of its own. Gum disease can turn into a serious oral health concern if it goes untreated. Thankfully, it can be treated if caught in its early stages by cutting out bad habits, following a strict oral hygiene routine, and seeing your dentist regularly. Quitting vaping can seem impossible, but it’s totally doable with the right tools, self-control, and support. And trust me, the benefits are worth it!

References:

https://www.nyu.edu/about/news-publications/news/2020/february/vaping-changes-oral-microbiome.html

https://www.sciencedaily.com/releases/2022/02/220222151907.htm

https://www.sciencedirect.com/science/article/pii/S2589004220300687

The post The Role of Vaping in Gum Disease first appeared on Periodontal Associates.

Actively listens to the patient:

A good dentist always wants to tell you the solution to your problems but a great dentist is the one who actively listens to the patient’s chief complaint first and takes the complete history of their complaint. Proper history-taking skills help the dentist in diagnosis and it also helps the patient to feel comfortable in the clinic. The dentist should take the past medical and past dental history of patients and put them in notes.

Cleanliness:

The mouth is one of the easiest ways germs can enter your body, so it’s important that anything working inside it is clean and sterilized properly according to dental industry standards. The dentist and the assistant should be wearing gloves while working on you and all the instruments should be placed in the clean and sanitized prep area.

Manual dexterity:

The first thing that comes in handy for a dentist is manual dexterity, the ability to make incredibly precise movements in the mouth while maintaining a sense of coordination throughout the procedure. The mouth is a relatively small space to work in. Hence, having fine motor skills and the ability to manipulate tools accurately in a small space with a steady hand is a really valuable skill.

Educate the Patients:

A good dentist explains the diagnosis and treatment plan to patients properly and in doing so he/she educates the patients about their oral health. It is the job of the dentist to guide the patients on proper brushing techniques, and preventive measures for caries and provide oral hygiene instructions.

Respect and Trust:

A good dentist will make you feel at ease in the dental clinic and make you feel like part of the family. The receptionist and dental assistants will be kind and caring. The dentist will greet you by name, ask you how you’re doing, and wish you well. Everyone will remember you from your last visit. This helps in winning patients’ hearts and making them comfortable in the clinic.

Punctuality:

Like in any other profession, being on time is very important in the dental clinic as well. The dentist should be available at the appointment time and the dental chair should be sanitized and prepared for the patient before he or she is seated on it. This helps patients in saving their valuable time.

Updated technology:

Dentistry is a field that is advancing at a very high rate. The materials and techniques keep on changing as we move into the future. For example, digital x-rays are now used to diagnose tooth issues, they emit less radiation and are quicker. This means that a patient is exposed to less radiation and this quick process helps in decreasing the appointment time.

Good treatment planning:

A good dentist includes the patient’s opinions in making a treatment plan. The dentist makes a treatment plan and provides the patient with different treatment options to choose from. The chief complaint is solved first and then the other procedures are followed if needed. The procedures which require multiple visits to the dentist are properly explained to patients orally and in written form with their risks and benefits. The estimated cost and appointment dates are provided to the patient beforehand.

Good interest:

A good dentist only tells you what is necessary. They do not ask you to undergo procedures you do not require. They counsel the patients and help them understand the real problem rather than making them make wrong decisions regarding their teeth.

Follows up:

After you are done with your dental procedure, a dentist or their staff should keep a check on you by following up through calls or texts. Knowing the patient is doing okay after their dental visit is very important. It helps the dentist know of any complications that may happen after the procedure.

The post How to Tell That You’re in Good Hands first appeared on Periodontal Associates.

How exactly is oral health related to systemic disease?

If you’re wondering how the health of your teeth and gums is related to the well-being of your body, here’s a simple explanation of the correlation for you to understand:

Periodontitis is an infection of the gums. It is a chronic inflammatory disease triggered by bacterial microorganisms that have been allowed to accumulate on your teeth and gums. Did you know that your mouth can act as a portal of entry for infection? Yes, you heard that right. Bacteria from the oral cavity can enter the bloodstream from the infected gum tissue. They can then spread through the circulation and infect other organs, such as the heart and lungs.

Research has shown that the treatment of gum disease has a significant impact on lessening or decreasing the severity of other systemic diseases, hence emphasizing the existence of a correlation between the two.

I will discuss in detail the relation of the two most common systemic diseases with periodontitis below.

Periodontitis and diabetes:

Diabetes mellitus is an exceptionally significant disease from a periodontal standpoint. Research studies have shown that diabetes increases the risk for and severity of gum diseases. This is mainly owed to the fact that diabetic people are more prone to contracting infections.

However, the relationship between diabetes and periodontitis goes both ways. Periodontitis can worsen diabetes by causing blood sugar levels to rise and making it increasingly difficult to bring them under control. This drastically increases the risk of developing diabetic complications.

Prevention and treatment of periodontitis can help improve blood sugar control. Doctors Heller, Beckman, and Thousand always emphasize the importance of regular dental check-ups, as early detection and treatment of periodontal problems is key to maintaining good oral and systemic health.

Be vigilant about your oral and systemic health. Call (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) to book an appointment today!

Periodontitis and heart health:

Could better oral hygiene habits such as brushing, and flossing give you a healthier heart? Is the plaque on your teeth related to the plaque in your arteries? Let’s find out.

We all know that the plaque around teeth is definitely not the same as the plaque that builds up inside arteries. Periodontitis begins as the bacteria-laden biofilm starts accumulating around the teeth and gums. An entirely different kind of plaque, consisting of fat, cholesterol, and calcium, builds up inside arteries and is responsible for causing atherosclerosis. However, there may be a connection between the two.

Studies have shown that people with periodontitis are at an increased risk of experiencing an adverse cardiovascular event, such as a heart attack or stroke. So how are they related?

Here are some possible theories that attempt to explain the connection between the two inflammatory conditions.

1. The bacterial influx from the oral cavity may be responsible for triggering inflammation and damage to blood vessels. As a result, blood clots may form and occlude the arteries, leading to stroke or a heart attack. In support of this theory, studies have found remnants of oral bacteria in atherosclerotic blood vessels in places distant from the oral cavity.
2. In contrast to the former theory, this theory holds the body’s natural immune response to inflammation accountable, rather than bacteria causing the problem. Cardiovascular disease, diabetes, and arthritis are examples of chronic inflammatory diseases meaning that low-grade inflammation is the root of these diseases. The body responds to inflammation by offsetting a cascade of events that eventually cause damage to blood vessels throughout the body, including the brain and heart.

Put simply, the more bacteria you have in your system, the greater the degree of inflammation and the more your heart will be affected.

The Bottom Line

While you cannot entirely prevent heart disease by preventing gum disease, you can certainly control its progression. The relationship between the two conditions is reciprocal. When you control your blood sugar levels, there is an immediate improvement in your periodontal health. Similarly, when you treat periodontal disease, the need for insulin is reduced (as diabetes increases insulin resistance). You must show up for your regular dental cleaning appointments so Doctors Heller, Beckman, and Thousand can make sure your oral cavity isn’t contributing to the bacterial burden in your body. Go on, take good care of your choppers by brushing and flossing them well, and your heart might thank you, too!

If you haven’t yet had a chance to book your appointment, it’s never too late. Reach us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) and schedule yours today!

The Takeaway

Periodontitis or gum disease is linked to a host of chronic health conditions, including heart disease, diabetes, and rheumatoid arthritis, among many others.

As a result of numerous research studies, we are now aware of a synergistic relationship between your oral health and overall well-being. Oral health is a key indicator of your overall health and well-being. Your dentist can have one look into your mouth and detect any red flags that may reveal underlying health issues. Remember: Oral health is a window to your overall health. It is crucial to maintain your oral health for better systemic health.

If you have any queries or want to find out more about how you can improve your oral health, please feel free to contact us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton).

The post Gum Disease and Systemic Health first appeared on Periodontal Associates.

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Wisdom teeth are the third molars located at the back of your mouth. They may erupt in both the upper and lower arches of both sides, usually between the ages of 17-25.

We commonly tend to associate wisdom teeth with pain and swelling around the mouth. This is because most people do not have enough space in their jaws to accommodate a third set of molars. Hence, when their last molars erupt, they push against the other teeth, causing them to shift. This can lead to several problems such as pain, discomfort, and even infection. However, in some people, third molars continue to erupt normally without causing any problems at all.

Your dentist might recommend that you get them extracted as soon as possible to prevent potential future problems.

Why is it necessary to get them removed?

When there isn’t enough room for a third molar to erupt into the mouth normally, it becomes impacted. By definition, an impacted tooth is one that fails to erupt within the usual range of expected time. The tooth becomes impacted because the adjacent teeth, overlying bone, excessive soft tissue, or a genetic abnormality may prevent its eruption. Because they have failed to erupt, they will stay unerupted in your jawbone unless surgically removed.

Wisdom teeth may erupt partially, meaning that a part of them remains embedded in the bone while a portion erupts through the gums. Partially erupted wisdom teeth are more prone to become infected as they allow an opening for the bacteria to enter around a tooth and cause infection. This inevitably results in pain, swelling, infection, and can even lead to general illness such as fever. They’re also hard to clean because of their awkward positioning and are hence more vulnerable to decay.

An impacted tooth may grow in a variety of directions, such as

• At an angle towards the adjacent tooth (second molar)
• At an angle towards the back of the mouth
• At a right angle to the other teeth (in a horizontal position)
• Straight up, like the other teeth, but trapped in the jawbone

Poor alignment of wisdom teeth can damage adjacent structures, such as teeth, jawbone, or nerves.

Do I need to have my wisdom teeth removed?

The simple answer is this: If they’re causing problems, then yes. If not, then no.

Having your wisdom teeth removed is not always necessary.

If your wisdom teeth aren’t causing pain, it’s likely because they’re not causing any problems. But you can’t be sure unless your doctor has taken an x-ray of your wisdom teeth. An x-ray can reveal whether the tooth is impacted, causing damage to other teeth, or is not a cause for concern at all.

Some dentists take out healthy wisdom teeth at a younger age to prevent problems later on. Symptom-free wisdom teeth could still harbor disease. As you age, it becomes difficult to extract your wisdom teeth and more complications are bound to occur.

Doctors Heller, Beckman, Thousand, and Hyer are here to help and give you their professional advice on whether or not you need to get your wisdom teeth removed!

Call now at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) to book an appointment with us today.

When is wisdom tooth extraction needed?

It becomes necessary to get them removed as they can cause many serious problems if left unaddressed. Listed below are some of them:

• They trap food and debris, leading to the gums around the wisdom tooth becoming infected and swollen
• Cause pain and severe discomfort
• Cause tooth decay in the adjacent tooth as they hamper adequate cleaning of second molars
• Cause infection in the gums (periodontal disease)
• Cause damage to the surrounding bone
• May cause the development of a cyst
• May cause problems with the orthodontic treatment required to straighten other teeth

How is a wisdom tooth extracted?

Wisdom tooth extraction is an outpatient procedure that takes around 45 minutes or less. An outpatient procedure means that you arrive at the office and leave the same day, without the need for being admitted overnight.

Your dentist starts by taking a detailed history, inquiring about your medical health, medications, and habits.

You’re given local anesthesia or sedation during surgery to numb your tooth and the surrounding tissue. Local anesthesia is administered as a shot of either novocaine, lidocaine, or mepivacaine. If you have anxiety issues, you may be given nitrous oxide, or laughing gas to calm you down. The effects start to wear off shortly after the procedure.

An IV sedation includes injecting an anesthetic through a vein in your arm. It keeps you asleep throughout the procedure.

To gain access to your wisdom tooth, your dentist will need to cut through your gums and bone. This requires sutures to close the wound after the tooth is pulled out. Your dentist will stitch the wound back together to help it heal quickly. The stitches easily dissolve on their own in a few days.

What to expect after surgery and how to care for your wound:

Some pain and swelling are completely normal after the procedure. These symptoms subside on their own in about three days.

Here are some easy ideas to help curb the swelling and pain:

• Place an ice-pack on your face to reduce swelling
• Eat soft foods like pasta, rice, or soup
• Drink plenty of fluids
• Start brushing your teeth on the second day after surgery
• Take your pain medication on time
• Call your doctor if your pain and swelling don’t improve within 5-7 days
• Rinse your mouth with saltwater starting from the second day after surgery. Saltwater is a great antiseptic and works to reduce the load of bacteria in your mouth

Make sure that you DON’T do the following:

• Do not sip through a straw. Doing so might dislodge the blood clots that have formed to heal the wound and start bleeding
• Do not spit often
• Do not chew on hard foods as they can hurt the wound
• Do not rinse your mouth using a lot of force, if you really need to it, do it very gently
• Do not smoke as it delays healing

Take a good rest and avoid any strenuous activity that might cause physical exertion for at least two to three days following your surgery. Over exhaustion can hinder your healing and lead to more bleeding.

Pain and swelling are common complaints after any invasive procedure. To reduce discomfort, your doctor might prescribe anti-inflammatory medication. Apply ice or cold compress to your face to reduce swelling. Take your pain medication as soon as you are instructed to, even if you don’t yet feel pain.

Make sure to eat a soft, nutrient-rich diet. It is very important to keep your mouth clean, especially after you eat to remove any food particles that may be left in your mouth.

Understand that complete healing takes anywhere from a few weeks to a few months following extraction. However, after the first or second week, enough healing will have occurred for you to comfortably resume eating and be completely pain-free in the area of extraction.

Drs. Heller, Beckman, Thousand, and Hyer, here at Periodontal Associates are skilled at performing atraumatic wisdom teeth extraction procedures. Call now at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton) and get in touch!

Are there any risks involved with this procedure?

When it comes to the risks associated with this procedure, there isn’t much to worry about as long you’re following the post-operative instructions given by your doctor. There is a slight chance of infection, just as with any other surgical procedure, but easily preventable given that you’re meticulous about post-op care.

Dry socket:

A not-so-common complication following a wisdom tooth extraction is a dry socket. It occurs when either a blood clot fails to form in the extraction site, or it becomes dislodged due to poor post-op care. Without clot formation, healing is invariably delayed. A dry socket is typically on the 3rd or 4th-day post-extraction. Common symptoms are dull aching pain accompanied by a foul mouth odor. If this happens, go to your dentist immediately. Your dentist will treat it by placing medication in your extraction socket.

Bleeding from the surgical site is another uncommon finding after the procedure. There’s no need to be alarmed if you experience bleeding from your gums at any time after the surgery. Know that it will take time to heal, just like any other wound.

You may experience insensitivity of the lower lip, tongue, or chin (caused to damage to a nerve during the procedure). This may last a few days, weeks, months, or even be permanent.

Since this procedure entails removing the gum tissue, you are bound to feel some degree of sensitivity to hot or cold temperatures. It will get better with time.

Be patient and take extra care of your oral hygiene.

Your dental health matters the most to us! If you have any questions regarding your wisdom teeth, please do not hesitate to contact us at (303)-755-4500 (Aurora) or (303)-795-5700 (Littleton). Doctors Heller, Beckman, Thousand, and Hyer would be more than happy to answer all your queries!

The post All You Need To Know About Wisdom Teeth first appeared on Periodontal Associates.

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