Nov 7, 2017
As a child, you may have disliked the constant reminders from mom and dad to brush your teeth before bed, but as we get older, we realize more and more how beneficial healthy oral hygiene is to the longevity of our pearly whites, and just how right mom and dad were.
With each meal, we invite sugars and starches to engage with the natural bacteria that exists within our mouths. This combination of bacteria is the sticky film we all know as plaque. When we brush our teeth, we’re cleaning the plaque from our teeth which in turn minimizes the likelihood of developing cavities and gum disease.
What’s the difference between a cavity and gum disease? A cavity is the result of tooth decay, and gum disease is when there’s an infection in the tissues that surround and support our teeth. The term gum disease can sound pretty scary to some, but it’s actually a condition that can be very subtle and easily treatable in its early stages. Let’s review the three stages of gum disease and their side effects.
Gingivitis
This is the earliest stage of gum disease, and is best defined as inflammation of the gums. If you’re experiencing gum line inflammation, that may be a strong indicator that there is plaque buildup within the actual gums. A side effect to gingivitis (if inflammation is not prominent) is bleeding of the gums while brushing or flossing. Gingivitis is nothing to be too shook up about if caught in early stages, as the tissue and bone have yet to be affected.
Periodontitis
If gingivitis goes untreated the infection can begin to progress into a more moderate case. Periodontitis can destroy the tissue and bone surrounding the teeth. Side effects in addition to those of gingivitis are receding gum lines, spaces forming between teeth, an unpleasant mouth odor or taste, and a pus between the teeth and gums. Real tooth and gum damage are a concern with periodontitis, so treatment to prevent any further damage is highly recommended at this stage.
Advanced Periodontitis
This stage can bring an abnormally rapid deterioration of the teeth and gums. In this acute case of gum disease, tooth loss becomes an actual concern. A visit to the dentist is necessary in an effort to save the teeth and the function of chewing.
As you can see, gum disease can go from being something as mild as gum tenderness to a larger oral condition in just a few stages; however, prevention is simple and treatment options are available. Preventative care is as easy as (1) choosing the right toothbrush for your gums, (2) brushing twice a day, (3) flossing once a day, (4) monitoring sugar intake, and (5) keeping up with routine cleanings.
We understand oral health is a sensitive matter, so if after reading this you have questions regarding gum disease, Dr. Brunacini and Dr. Karagiorgos are here to help you. Please do not hesitate to call our office to schedule an appointment at 207-781-5900.
Jul 25, 2017
It’s written in the history books at this point: the best way to maintain your dental health is by brushing and flossing your teeth regularly. But in recent years, and with technology playing an increased part in our lives, the lines begin to blur as we continue to define best practices and medicine and treatment options continue to evolve.
The Waterpik and string floss are a timely example of how best practice lines blur in the dental field. Both have good and bad points, but at the end of the day, which best protects your dental health? We’ll run through a quick summary of the good and the bad of both to help you decide what method of flossing works best for you.
Flossing
Pros
- Efficient method of removing excess food/plaque from between teeth and below gum line
- Quick and easy
- Can be done anywhere
- Affordable
- Easily accessible at any pharmacy/grocery
Cons
- Difficult to reach some areas of the mouth
- Can cause bleeding if not done routinely
- Can potentially worsen or cause gum sensitivity
- Can be difficult to use or handle
All things considered, however, many dentists consider flossing to be a key part of the oral care regimen. If you find flossing painful or difficult, you should talk to us to explore alternatives and make sure there isn’t a more serious problem.
Water Flossing (aka Waterpikking)
Water flossing requires a device with a tool at the end of a hose connected to a docking station full of water – much like you may have seen before at our office. How does it work? The tool delivers a pressurized fine stream of water into the crevices between teeth and toward gums as guided by the user.
Pros
- Easy to use
- Can reach areas of the mouth that are difficult to reach with traditional floss
- Keeps your hands comparably clean throughout the process
- Certain devices also feature a massage function that can help improve gum health
Cons
- More costly than floss
- Requires countertop or storage space
- Requires electricity and water sources for operation
- Difficult to transport if you’re on-the-go
Some patients who might find the Waterpik to be a great alternative to traditional floss are those with braces or permanent and/or temporary bridges. Patients who damage their gums as a result of using traditional floss should also consider water flossing.
So which flossing method is better?
For now, the question of whether one method is better than the other remains unanswered. Both methods of flossing can lead to better oral health, but the results just have not been researched thoroughly enough compared to each other to make a generalization.
A good thing to keep in mind is that every person’s oral health situation is different, so what works for one person may not work for another. Whichever method you choose, make sure to clean between teeth and along the gum line as thoroughly as possible every day.
Are you curious about water flossing? Want to brush up on how to floss properly? Schedule your next appointment or call us today to stay on top of your dental A-game!
May 23, 2017
As dentists, we spend lots of time educating our patients about the importance of taking care of their mouth, teeth, and gums. On the surface, we want to help you prevent bad breath, tooth decay, and gum disease—all with the goal of helping you protect your teeth as you grow older. In addition to our work, researchers are discovering new reasons to brush, floss, and visit your dentist regularly. They are learning that having a healthy mouth can ward off more serious medical conditions at any stage in your life. An unhealthy mouth may increase your risk of health problems such as preterm labor, poorly controlled diabetes, and even heart attack and stroke.
Take it from Ashley, RDH, one of FDA’s own dental hygienists: “The mouth is a window to the rest of the body,” Ashley explains. “Oftentimes we see changes arise in the mouth before they are evident elsewhere in the body. Maintaining optimal oral health is crucial to overall health. Since the mouth is connected to the body we recognize that chronic inflammation or presence of disease isn’t just localized to the oral cavity, but has the potential to be linked to underlying conditions.”
Just as Ashley explains, your mouth can play a crucial role in learning more about your overall health. In fact, saliva is a great tool that can help detect a variety of substances such as certain cancer markers, cortisol levels, and can even be used to monitor bone loss in those prone to osteoporosis. Saliva is also a main defense against disease-causing organisms as it contains antibodies that can attack both viral pathogens and bacteria. However, saliva can’t always get the job done completely. Over 500 different species of bacteria thrive in your mouth at any given time and constantly form dental plaque. If you don’t brush and floss regularly, this plaque builds up along your gum line, opening the door for additional bacteria to accumulate in the space between your gums and teeth. This build-up leads to gingivitis, and can potentially lead to periodontitis.
Our gums are vascular and full of blood, so infections such as gingivitis and periodontitis can happen quickly. Once that gum layer is disrupted due to brushing, flossing, or an invasive dental treatment, bacteria can enter in the bloodstream, travel to any area of the body and potentially cause inflammation. Inflammation in the heart causes hardened arteries, or atherosclerosis, making it harder for blood to flow to the heart, increasing one’s chance of heart attack and stroke. Oral bacteria can also enter your bloodstream and stick to the lining of diseased heart valves, causing infective endocarditis.
Another important connection between oral health and overall health is that the bacteria connected to periodontal disease, streptococcus sanguis, plays a role in strokes. This bacteria can quickly spread to the heart through the gums, potentially causing a stroke. There is research to suggest that people with gum infections are at an increased risk of stroke and researchers mention that the more severe the infection, the greater the risk of stroke appears to be.
While the American Heart Association says there is no definitive, direct evidence that heart disease can be prevented by working to prevent gum disease, that doesn’t mean that it can’t help. That’s one reason why regular dental check-ups are important at any age.When was the last time you visited us? Schedule an appointment to get your gums checked out today!
May 9, 2017
In recent years, there have been lots of conversations about plastics in our every day lives. Residents in South Portland, Portland, and Falmouth have voted to manage and reduce the amount of plastic distributed by introducing fees, or even banning some plastics altogether. Polyethylene is the most common plastic in the world, but it is a problem for the environment because it isn’t biodegradable and lasts forever. At best, it breaks down into smaller particles, but still exists.
Over the past few years, skincare and toothpaste brands have been adding small beads to their products, claiming they enhance the cleaning ability of the product when in reality, they are only for decorative purposes. While seemingly harmless, these beads are actually plastic—the same plastic found in your grocery bags, trash cans, and bottles. Since these plastics don’t break down, even in water, where do they go?
Around your teeth you have channels in your gums called a sulcus, the same place where gingivitis begins. A healthy sulcus is only about 3mm deep, but is a perfect place for these microbeads of plastic to get trapped. Since they are smaller than a millimeter, hundreds of pieces can get stuck in your sulcus each time you brush.
While there is little evidence that these microbeads directly cause gum problems, the sulcus is very vulnerable. Your dental hygienist spends most of their time cleaning this small space around every tooth in your mouth. And if your sulcus isn’t healthy, then your tooth, and potentially your whole mouth, isn’t healthy. So, we think it is better to be safe than sorry!
You can check the ingredients lists to see if microbeads are lurking in your toothpaste. Check for polyethylene, polypropylene, polyethylene terephthalate, or polymethyl methacrylate. Researchers have found the following products contain either microbeads or other microplastics. We encourage you to check your bathrooms to make sure these products aren’t hiding in there!
Toothpastes that Contain Microbeads:
- Crest Pro-Health
- Crest Pro-Health for Me
- Crest Sensitivity
- Crest Complete Multi Benefit
- Crest Clinical Sensitivity Relief
- Crest 3D White Luxe
- Crest 3D White
- CVS Brilliant White
Toothpastes that May Contain Other Microplastics:
- Colgate Max Clean-Smart Foam
- Colgate Max Clean
- Elmex Anti-Cavity with Fluoride
- Glo Science, Inc. Glo Whitening Antioxidant
- Jason Naturals Sea Fresh Antiplaque and Strengthening
- Jason Naturals Powersmile Anti-Cavity and Whitening
- Tom’s of Maine Clean & Gentle Fluoride
While caution is due, do be aware that since the initial news broke on microbeads, manufacturers have been phasing microbeads out of their formulations. But if you’d like to learn more about how to counteract the presence of microbeads in your mouth – and the environment – check out StoryofStuff.org and BeattheMicrobead.org.
Do you think you’ve got microbeads in your mouth? Schedule your next teeth cleaning today by calling us at 207.781.5900.
Feb 27, 2017
Over the past few years, electronic cigarettes have become quite the topic of conversation. A trendy alternative to traditional cigarettes, many smokers have switched to e-cigarettes based on the assumption that they are safer. Chemicals found in traditional cigarettes can cause a myriad of issues for the smoker, and teeth discoloration and plaque build-up are just the tip of the iceberg. While e-cigarettes don’t contain as many harmful chemicals as traditional cigarettes, the vapor produced by e-cigarettes can still cause problems for the smoker. Since e-cigarettes have emerged on the scene, there has been an ongoing debate in the healthcare world about whether or not these cigarettes are actually safer. An important part of this conversation is the impact of e-cigarettes on oral health.
First, we should consider how e-cigarettes work. Electronic cigarettes are battery-powered devices that are designed to look and feel like a traditional cigarette. To use an e-cigarette, the user fills the cartridge with a liquid containing nicotine, flavorings, and other chemicals. The liquid inside is heated and becomes vapor, which the user inhales. Though often used by those who want to quit smoking traditional cigarettes, they are also enticing to young people because of the flavorings that one can purchase. Unlike regular cigarettes, using an electronic cigarette enables the vapor to take on a tasty – often sweet – flavor. Cotton candy, grape, peanut butter and jelly, snickerdoodle, and toasted coconut are a few popular flavors.
While e-cigarettes do not contain tobacco like traditional cigarettes, they still contain nicotine. Nicotine, no matter how it enters the body, can contribute significantly to poor oral health. For one, nicotine reduces the amount of blood that can flow through your veins. Without sufficient blood flow, the gums are unable to get the oxygen and nutrients that they need to stay healthy and eventually, the gum tissue can begin to die. The reduction in blood flow can also mask the symptoms of gum disease. Typically, gum disease is diagnosed when the gums swell with blood; so when you floss or brush, they bleed. But because of the vein constriction in the gums, this telltale symptom of gum disease can’t be observed.
Another problem that can occur is reduced production of saliva. The vapor from e-cigarettes can inhibit your ability to produce saliva, which can cause bad breath, bacteria build-up, and dry mouth. Though these side effects may seem minor, a consistent lack of saliva can ultimately contribute to tooth decay.
On the surface, it may appear that the use of an e-cigarette is safe. While it seems clear that using e-cigarettes is nominally safer than smoking traditional cigarettes, using an e-cigarette doesn’t necessarily mean you are in the clear regarding health risks. More research is being conducted to determine the extent of health risks posed by e-cigarettes. In the meantime, however, current discourse suggests that the use of e-cigarettes can have a negative impact on oral health, so we feel it’s best to play it safe. If you have concerns about e-cigarettes and their impact on your oral health, please feel free to reach out to us at 207-781-5900 or ask us during your next appointment.
