Periodontal disease, or gum disease, and Rheumatoid Arthritis (RA) are a systemic inflammatory disorder, which is how they have a connection. Both diseases frustrate the immune system and attack its own tissues, eventually leading to tooth loss and pain of joints. Learn about the connection and what you can do to protect your overall health.

Studies show a strong connection between RA and gum disease, an inflammatory condition that can lead to tooth loss and other health complications. Both diseases have inflammation in common, which explains the connection. Inflammation is a protective immune system response to viruses and bacteria. RA is an autoimmune disease which causes it to mistakenly trigger inflammation even if there are no viruses or bacteria present. Also, Brushing and flossing can be challenging for those with RA. In the journal PLoS Pathogens, they found that the bacteria that causes periodontal disease, Porphyromonas gingivalis, increases the severity of rheumatoid arthritis, leads to an earlier onset of the disease, and causes symptoms to progress quickly.

It is important for patients with rheumatoid arthritis (RA) to be brushing, flossing, and seeing your dentist regularly. It is very important to work with your doctors to find out what works best for you.  People who have both gum disease and RA should have an informed care team composed of both a physician and a periodontist. If you don’t have a periodontist, you should get an evaluation from your dentist every year to monitor the status of your gums. Research has found that when patients with RA successfully treat gum disease, pain and other symptoms get better.

For patients with RA, one must pay close attention to oral health and schedule regular dental exams, eat healthy and always brush and floss. If you have trouble taking care of your teeth due to stiff, painful hands or jaws, speak to your dentist or therapist about ways to make dental care easier. Here are some tips as to how you can make dental care easier to manage:

•       Toothbrush: add a tennis ball or bicycle grip to better handle your toothbrush
•       Floss: experiment with different type of floss
•       Toothpaste: using toothpaste in a pump may be easier for you than toothpaste you have to squeeze

If you have any questions or concerns regarding periodontal disease and rheumatoid arthritis, contact our office to schedule a consultation and what we can do for you.

It seems like there is a new headline nearly every week featuring someone who swears their teeth are whiter and brighter due to their natural home remedy for stain removal. These articles showcase the idea that whitening can be cheap and easy, if in some cases unpleasant. It can be tempting to consider trying for brighter, whiter teeth without investing time and money on in-office or at-home whitening under a dentist’s care. However, before you pin your hopes on one of these “natural whitening” methods, take a look at the truth behind some of the recent fads.

Fad 1: Oil Pulling

Oil pulling has been cropping up in headlines for months with claims of a wide variety of potential health benefits. It is a very old folk remedy in which a person swishes a tablespoon of edible oil, such as coconut, sunflower, olive, etc., in their mouth and between teeth for up to 20 minutes daily.

Despite the number of years this practice has existed and the number of health issues it purports to treat, there is no evidence that oil pulling whitens teeth or improves health.

Fad 2: Fruits

Due to celebrity endorsement, some people have begun to try rubbing mashed strawberries on their teeth to try to achieve a whiter smile. Others are using lemon or orange peels, and still others tout the virtues of eating pineapple or swishing apple cider vinegar.

However, there is no science to support any of these claims. In fact, one recent study found that brushing with a mixture of baking soda (which is known to have whitening effects on teeth) and strawberries did not whiten teeth. Even worse, the citric acids found in all of these fruits and vinegars can actually be harmful to the enamel on your teeth.

Fad 3: Hydrogen Peroxide

While it is true that many forms of in-office and over-the-counter teeth whitening make use of hydrogen peroxide, there is more to consider before opening a bottle. The hydrogen peroxide used in professional teeth whitening, whether in-office or at-home, is mixed with other substances and provided in a form designed for use in teeth whitening.

Simply swishing from a bottle of hydrogen peroxide will have little or no effect on the whiteness of your teeth, but may cause irritation to your gums and mouth and can be dangerous if accidentally ingested.

If you want whiter, brighter teeth, there are safe and effective ways to achieve your goal. Talk with our doctor for a recommendation for what kind of whitening will be best for your needs. For more information about whitening, contact our office.

Periodontal (gum) disease is a progressive inflammation of the gum tissue. It is most frequently caused by bacterial infection. Left untreated, gum disease can have serious consequences for your oral and overall health.  However, one of the biggest challenges for early detection and treatment of gum disease is its silence. Gum disease can often begin and progress with few or no symptoms until reaching an advanced stage. 

Gum disease is caused when the bacteria found in plaque builds up between the teeth and gums. As the bacteria grow, the gums can become inflamed and pull away from the teeth. When gum disease is not treated promptly, it can worsen, leading to increased gum recession, infection, and bone loss. In addition, periodontal disease is the leading cause of tooth loss in adults. 

Gum disease also impacts other aspects of your overall health. Research has found links between gum disease and diabetes, heart disease, stroke, and other serious inflammatory illnesses. To help prevent gum disease, ensure you are practicing strong oral hygiene habits, including brushing, flossing, use of mouthwash, and regular dental examinations. Be aware of your risk factors for developing gum disease, such as age, tobacco use, genetics, stress, medications, grinding, obesity, or other inflammatory diseases, among others. Consider having an annual periodontal evaluation. 

While symptoms may not appear until later stages of the disease, it is important to watch for the warning signs of gum disease. Some of these include: 

• Red, swollen, or tender gums 
• Mouth pain 
• Bleeding gums caused by brushing, flossing, or eating hard foods 
• Loose or separating teeth 
• Pus between gums or teeth 
• Mouth sores 
• Chronic bad breath 
• Gums receding or pulling away from teeth 
• Changes in your bite or the fit of dentures 

Gum disease can start silently, but may cause great damage if left untreated. Once gum disease has started, it can be effectively treated, but not fully cured. Protect your oral and overall health with preventive care and regular periodontal screenings. For more information about gum disease or to schedule your periodontal screening, contact our office. 

Alveolar osteitis, more commonly known as dry socket, is a temporary complication that can occur following a tooth extraction. Fortunately, it is rare, preventable, and short-lived. Here are some tips to help avoid dry socket after oral surgery and ensure a quick and comfortable recovery. 

What is Dry Socket? 

When your tooth is extracted, a blood clot forms in the space left behind. This clot helps to block the underlying bone, gum tissue, and nerves from bacterial infection or food debris while the extraction site heals. In rare cases, the clot can be dislodged or not formed correctly, which can leave the site exposed. This is a dry socket.  

The most common sign of dry socket is a throbbing, deep-set discomfort from within the extraction area. A foul smell may emanate, causing bad breath as well as an unappealing taste in your mouth. If this occurs, contact our office right away. 

Risk Factors and Prevention 

Developing dry socket is rare, but certain factors can put you at increased risk. Tobacco use, oral contraceptives, poor oral hygiene, or gum infection around the extraction site can increase your chances. To prevent dry socket, avoid using straws, brushing the extraction area, or rinsing your mouth vigorously during healing. Follow your post-treatment instructions and contact our office if you have questions. 

Treatment and Recovery 

If you do develop dry socket, we will provide quick, effective treatment. Our team will flush the area to remove any debris, and pack the extraction site with gauze or other dressing. Medication may be prescribed to help reduce discomfort. It is important to attend follow-up appointments to ensure your timely recovery. 

Dry socket is rare, and is temporary and treatable when it does occur. Our experienced team will guide you throughout your recovery. For more information on post-extraction care, contact our office. 

If you have received a dental implant, you have invested both time and money into the future of your smile. It is important to protect this investment in order to maintain good oral health. There are certain steps you should take after undergoing a dental implant procedure in order to care for your mouth. 

After the procedure, your mouth might be tender at first. This tenderness only lasts about ten to fourteen days. Your dentist recommends a diet of warm soup, soft foods, and cold foods during this time. Additionally, you should refrain from smoking. Although the healing time for a dental implant tends to vary depending on the patient and the situation, it generally takes between two and four months for your mouth to fully heal after receiving a dental implant. You will not experience discomfort throughout this period, though. 

Once your mouth has healed, caring for an implant is very similar to caring for a natural tooth. Although an implant cannot develop a cavity, it can still undergo the same wear-and-tear as a normal tooth. When not maintained properly, there is a risk for peri-implantitis to occur, which is similar to periodontal disease. However, this is easily preventable through regular check-ups, as well as daily brushing and flossing. 

 In order to maintain good oral health, it is important to continue to regularly visit your dentist. Your dentist can clean the areas that you are unable to reach. Additionally, they will be able to check the surrounding gums and bone to ensure that they are healthy. 

As always, your dentist recommends thorough brushing and flossing on a daily basis. Paying  attention to your oral hygiene will ensure that your implant survives. If you continue to maintain good oral hygiene, your implants can last for the rest of your life without a need for replacement.  For questions or to schedule an appointment, please contact our dental office.