The Mouth-Body Connection: 6 Ways Oral Hygiene Helps Keep You Well
Taking good care of your mouth -- teeth and gums -- does more than help ensure you have a bright, white smile.
A healthy mouth and healthy body go hand in hand. Good oral hygiene and oral health can improve your overall health, reducing the risk of serious disease and perhaps even preserving your memory in your golden years. The phrase "healthy mouth, healthy you" really is true -- and backed by growing scientific evidence.
Recommended Related to Oral Health
Posttransplantation Dental Treatment
Caution should be given relative to oral treatment for transplant patients for at least the first year posttransplant. Even though hematologic parameters including complete blood count and differential may be documented as within normal limits, functional abnormalities may still be present. Patients should not resume routine dental treatment, including dental scaling and polishing, until adequate immunologic reconstitution has occurred; this includes recovery from graft-versus-host disease. The...
It's never too early to start teaching your children to take care of teeth and gums -- healthy habits learned in childhood can pay off in adulthood. And, if you're tempted to shrug off your good oral hygiene habits -- brushing, flossing, and seeing your dentist regularly -- remember that you're a role model for your kids. Keep in mind these six ways having healthy teeth and gums helps boost overall health.
Boosts Your Self-esteem and Confidence
Decayed teeth and gum disease are often associated not only with an unsightly mouth but very bad breath -- so bad it can affect your confidence, self-image, and self-esteem. With a healthy mouth that's free of gum disease and cavities, your quality of life is also bound to be better -- you can eat properly, sleep better, and concentrate with no aching teeth or mouth infections to distract you.
May Lower Risk of Heart Disease
Chronic inflammation from gum disease has been associated with the development of cardiovascular problems such as heart disease, blockages of blood vessels, and strokes.
Experts stop short of saying there is a cause-and-effect between gum disease and these other serious health problems, but the link has shown up in numerous studies. The findings of these studies may suggest that maintaining oral health can help protect overall health.
Preserves Your Memory
Adults with gingivitis (swollen, bleeding gums) performed worse on tests of memory and other cognitive skills than did those with healthier gums and mouths, according to a report in the Journal of Neurology, Neurosurgery & Psychiatry.
Those with gingivitis were more likely to perform poorly on two tests: delayed verbal recall and subtraction -- both skills used in everyday life.
Reduces Risks of Infection and Inflammation in Your Body
Poor oral health has been linked with the development of infection in other parts of the body. In one study, poor oral hygiene and periodontal disease was associated with the development of pneumonia in older people. Bacteria in the mouth can travel into the lungs, causing infection or worsening of lung conditions.
Other research has found an association between gum disease and rheumatoid arthritis, an autoimmune disease that causes inflammation of the joints. Experts say the mechanism of destruction of connective tissues in both gum disease and RA is similar. Eating a balanced diet, seeing your dentist regularly, and good oral hygiene helps reduce your risks of tooth decay and gum disease. Make sure you brush twice a day and floss once a day. Using an antibacterial mouthwash or toothpaste can help reduce bacteria in the mouth that can cause gingivitis.
Helps Keep Blood Sugar Stable if You Have Diabetes
People with uncontrolled diabetes often have gum disease. Having diabetes can make you less able to fight off infection, including gum infections that can lead to serious gum disease.
And some experts have found that if you have diabetes, you are more likely to develop more severe gum problems than someone without diabetes.
That, in turn, may make it more difficult to control blood sugar levels.
Reducing your risk of gingivitis by protecting your oral health may help with blood sugar control if you have been diagnosed with diabetes.
Helps Pregnant Women Carry a Baby to Term
Women may experience increased gingivitis during pregnancy. Some research suggests a relationship between gum disease and preterm, low-birth-weight infants.
Not all studies have found a solid link, but maintaining good oral health is still the best goal. If you're pregnant, visit your dentist or periodontist as part of your prenatal care. Consider it good practice for the role modeling that lies ahead for all new parents.
Dr. James Miller is a Scottsdale AZ Family dentist http://www.drjamesmiller.com/lanap.html
Thursday, December 30, 2010
Wednesday, December 29, 2010
Sex Hormones May Explain Higher Incidence of Periodontal Disease in Men
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Sex Hormones May Explain Higher Risk of Gum Disease in Men
ScienceDaily (Nov. 1, 2010) — Sex hormones may be the biological reason why men are at greater risk than women for destructive periodontitis, an infection of the gums, according to researchers at the University of Maryland Dental School.
--------------------------------------------------------------------------------
See Also:
Health & Medicine
•Dentistry
•Chronic Illness
•Diseases and Conditions
•Parkinson's Research
•Alzheimer's Research
•Joint Pain
Reference
•Periodontal disease
•Hormone replacement therapy
•Human skeleton
•Hysterectomy
To establish better management and risk assessment models for periodontal disease, Harlan Shiau, DDS, DMedSc, assistant professor, and Mark Reynolds, DDS, PhD, MA, professor at the Dental School, have published the first comprehensive review of gender differences in the development and progression of the destructive periodontal disease.
In a review paper in the Journal of Periodontology, the authors examine evidence for a biologic basis for a sexual dimorphism, or the differences in susceptibility, to periodontal disease between men and women. They conclude that sex steroids exert effects on multiple ways on the immune system regulation of inflammation. They also conclude that the root of the difference may be genetic.
"Differential gene regulation, particularly in sex steroid-responsive genes, could likely play a part in the observed sexual dimorphism of destructive periodontal disease," said Shiau.
"We think it is a plausible explanation," he added. The observation of men "having worse gum disease than women" was generally accepted by dental clinicians previously, says Shiau, "but we wondered if the traditional explanations were adequate. This study provides health care professionals with important comparative data for estimating gender-related differences in risk for destructive periodontal disease."
Prior to the current review paper, the researchers conducted a systematic review of published population studies on the prevalence of periodontal disease. In their analysis they established that men, indeed, have a greater prevalence of periodontal disease than women globally.
Shiau and Reynolds explored potential biologic explanations by drawing from the extensive body of literature in autoimmune disease research, where there also exists sexual dimorphism in disease prevalence.
"Also, we considered the competing hypothesis that the environment explains the dimorphism, such as the observation that men have worse oral hygiene and compliance than women. However, there exist population studies, which control for potential co-variants, like these, and have still yielded significant gender effects." Shiau explains.
"The innate immune response plays a considerable role in the pathogenesis of periodontal disease. The literature seems to indicate that a heightened innate immune response in men compared to women, as well as potential differences in regulation of amplification and termination of inflammation, provide a sound biologic basis for sex differences in periodontal disease progression," says Shiau.
Email or share this story:
More
--------------------------------------------------------------------------------
Story Source:
The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by University of Maryland Baltimore.
--------------------------------------------------------------------------------
Journal Reference:
1.Harlan J. Shiau, Mark A. Reynolds. Sex Differences in Destructive Periodontal Disease: Exploring the Biological Basis. Journal of Periodontology, 2010; : 100701094910009 DOI: 10.1902/jop.2010.100045
For more information on gum disease and it treatment www.drjamesmiller.com/lanap.html
Sex Hormones May Explain Higher Risk of Gum Disease in Men
ScienceDaily (Nov. 1, 2010) — Sex hormones may be the biological reason why men are at greater risk than women for destructive periodontitis, an infection of the gums, according to researchers at the University of Maryland Dental School.
--------------------------------------------------------------------------------
See Also:
Health & Medicine
•Dentistry
•Chronic Illness
•Diseases and Conditions
•Parkinson's Research
•Alzheimer's Research
•Joint Pain
Reference
•Periodontal disease
•Hormone replacement therapy
•Human skeleton
•Hysterectomy
To establish better management and risk assessment models for periodontal disease, Harlan Shiau, DDS, DMedSc, assistant professor, and Mark Reynolds, DDS, PhD, MA, professor at the Dental School, have published the first comprehensive review of gender differences in the development and progression of the destructive periodontal disease.
In a review paper in the Journal of Periodontology, the authors examine evidence for a biologic basis for a sexual dimorphism, or the differences in susceptibility, to periodontal disease between men and women. They conclude that sex steroids exert effects on multiple ways on the immune system regulation of inflammation. They also conclude that the root of the difference may be genetic.
"Differential gene regulation, particularly in sex steroid-responsive genes, could likely play a part in the observed sexual dimorphism of destructive periodontal disease," said Shiau.
"We think it is a plausible explanation," he added. The observation of men "having worse gum disease than women" was generally accepted by dental clinicians previously, says Shiau, "but we wondered if the traditional explanations were adequate. This study provides health care professionals with important comparative data for estimating gender-related differences in risk for destructive periodontal disease."
Prior to the current review paper, the researchers conducted a systematic review of published population studies on the prevalence of periodontal disease. In their analysis they established that men, indeed, have a greater prevalence of periodontal disease than women globally.
Shiau and Reynolds explored potential biologic explanations by drawing from the extensive body of literature in autoimmune disease research, where there also exists sexual dimorphism in disease prevalence.
"Also, we considered the competing hypothesis that the environment explains the dimorphism, such as the observation that men have worse oral hygiene and compliance than women. However, there exist population studies, which control for potential co-variants, like these, and have still yielded significant gender effects." Shiau explains.
"The innate immune response plays a considerable role in the pathogenesis of periodontal disease. The literature seems to indicate that a heightened innate immune response in men compared to women, as well as potential differences in regulation of amplification and termination of inflammation, provide a sound biologic basis for sex differences in periodontal disease progression," says Shiau.
Email or share this story:
More
--------------------------------------------------------------------------------
Story Source:
The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by University of Maryland Baltimore.
--------------------------------------------------------------------------------
Journal Reference:
1.Harlan J. Shiau, Mark A. Reynolds. Sex Differences in Destructive Periodontal Disease: Exploring the Biological Basis. Journal of Periodontology, 2010; : 100701094910009 DOI: 10.1902/jop.2010.100045
For more information on gum disease and it treatment www.drjamesmiller.com/lanap.html
Monday, December 27, 2010
Gum Disease and Heart Health
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Next »
Periodontal Disease and Heart Health
Heart Disease (Coronary Artery Disease) Slideshow Pictures
Dental Dangers: Plaque and Your Heart
Heart-Healthy Foods Slideshow Pictures
Brushing and flossing may actually save your life.
WebMD Feature
Reviewed By Charlotte Grayson
If you're worried about heart disease, you can easily spend thousands of dollars each year trying to prevent it, paying hand over fist for prescription medicines, shelves of healthy cookbooks, fitness machines for your home, and a gym membership.
Or maybe not. A number of recent studies suggest that you may already have a cheap and powerful weapon against heart attacks, strokes, and other heart disease conditions. It costs less than $2 and is sitting on your bathroom counter. It is none other than the humble toothbrush.
"There are a lot of studies that suggest that oral health, and gum disease in particular, are related to serious conditions like heart disease," says periodontist Sally Cram, DDS, a spokeswoman for the American Dental Association.
So can preventing periodontal disease, a disease of the gums and bone that support the teeth, with brushing and flossing prevent heart disease?
The evidence isn't clear yet, experts say, but it's intriguing. According to the American Academy of Periodontology, people with periodontal disease are almost twice as likely to have coronary artery disease (also called heart disease). And one study found that the presence of common problems in the mouth, including gum disease (gingivitis), cavities, and missing teeth, were as good at predicting heart disease as cholesterol levels.
Evidence Links Periodontal Disease and Heart Health
When it comes to the connection between periodontal disease and heart disease, epidemiologist Moise Desvarieux, MD, PhD, is used to dealing with skeptics.
"One of the talks I give is called, 'Investigating the Links Between Periodontal Infection and Vascular Disease: Are We Nuts?'" says Desvarieux, from Columbia University's Mailman School of Public Health. "It's not a connection that people naturally think of."
Desvarieux was the lead author of a recent study published in Circulation: Journal of the American Heart Association that studied 657 people without known heart disease. He and his co-authors found that people who had higher blood levels of certain disease-causing bacteria in the mouth were more likely to have atherosclerosis in the carotid artery in the neck. Clogging of the carotid arteries can lead to stroke.
Atherosclerosis, also called "hardening of the arteries," develops when deposits of fats and other substances in your blood begin to stick to the sides of your arteries. These deposits, called plaques, can build up and narrow your arteries, clogging them like a plugged-up drain. If these plaques ever block the blood flow completely, you could have a heart attack or stroke, depending on the location of the blockage.
(Note: Not all plaque is alike. The plaques in your arteries have nothing to do with dental plaque your dental hygienist scrapes off your teeth. Dental plaque is a sticky residue of bacteria, acid, and food particles that can irritate your gums and eat away at tooth enamel.)
So what might hardening of the arteries have to do with gingivitis, that minor villain of toothpaste and mouthwash commercials?
No one is sure yet. Experts know that bacteria from the mouth can enter the bloodstream through the gums. These same bacteria have been found clumped in artery plaques. So one theory is that these bacteria stick to the fatty plaques in the bloodstream, directly contributing to blockages.
Other possibilities lie in the body's own defense mechanisms against bacteria. One of the body's natural responses to infection is inflammation (swelling). It's possible that as these oral bacteria travel through your body, they trigger a similar response, causing the blood cells to swell. This swelling could then narrow an artery and increase the risk of clots.
For more information please go to www.drjamesmiller.com/lanap.html
Next »
Periodontal Disease and Heart Health
Heart Disease (Coronary Artery Disease) Slideshow Pictures
Dental Dangers: Plaque and Your Heart
Heart-Healthy Foods Slideshow Pictures
Brushing and flossing may actually save your life.
WebMD Feature
Reviewed By Charlotte Grayson
If you're worried about heart disease, you can easily spend thousands of dollars each year trying to prevent it, paying hand over fist for prescription medicines, shelves of healthy cookbooks, fitness machines for your home, and a gym membership.
Or maybe not. A number of recent studies suggest that you may already have a cheap and powerful weapon against heart attacks, strokes, and other heart disease conditions. It costs less than $2 and is sitting on your bathroom counter. It is none other than the humble toothbrush.
"There are a lot of studies that suggest that oral health, and gum disease in particular, are related to serious conditions like heart disease," says periodontist Sally Cram, DDS, a spokeswoman for the American Dental Association.
So can preventing periodontal disease, a disease of the gums and bone that support the teeth, with brushing and flossing prevent heart disease?
The evidence isn't clear yet, experts say, but it's intriguing. According to the American Academy of Periodontology, people with periodontal disease are almost twice as likely to have coronary artery disease (also called heart disease). And one study found that the presence of common problems in the mouth, including gum disease (gingivitis), cavities, and missing teeth, were as good at predicting heart disease as cholesterol levels.
Evidence Links Periodontal Disease and Heart Health
When it comes to the connection between periodontal disease and heart disease, epidemiologist Moise Desvarieux, MD, PhD, is used to dealing with skeptics.
"One of the talks I give is called, 'Investigating the Links Between Periodontal Infection and Vascular Disease: Are We Nuts?'" says Desvarieux, from Columbia University's Mailman School of Public Health. "It's not a connection that people naturally think of."
Desvarieux was the lead author of a recent study published in Circulation: Journal of the American Heart Association that studied 657 people without known heart disease. He and his co-authors found that people who had higher blood levels of certain disease-causing bacteria in the mouth were more likely to have atherosclerosis in the carotid artery in the neck. Clogging of the carotid arteries can lead to stroke.
Atherosclerosis, also called "hardening of the arteries," develops when deposits of fats and other substances in your blood begin to stick to the sides of your arteries. These deposits, called plaques, can build up and narrow your arteries, clogging them like a plugged-up drain. If these plaques ever block the blood flow completely, you could have a heart attack or stroke, depending on the location of the blockage.
(Note: Not all plaque is alike. The plaques in your arteries have nothing to do with dental plaque your dental hygienist scrapes off your teeth. Dental plaque is a sticky residue of bacteria, acid, and food particles that can irritate your gums and eat away at tooth enamel.)
So what might hardening of the arteries have to do with gingivitis, that minor villain of toothpaste and mouthwash commercials?
No one is sure yet. Experts know that bacteria from the mouth can enter the bloodstream through the gums. These same bacteria have been found clumped in artery plaques. So one theory is that these bacteria stick to the fatty plaques in the bloodstream, directly contributing to blockages.
Other possibilities lie in the body's own defense mechanisms against bacteria. One of the body's natural responses to infection is inflammation (swelling). It's possible that as these oral bacteria travel through your body, they trigger a similar response, causing the blood cells to swell. This swelling could then narrow an artery and increase the risk of clots.
For more information please go to www.drjamesmiller.com/lanap.html
Vitamin D and Periodontal Health
Does vitamin D enhance periodontal health?
December 1, 2010 -- Vitamin D supplements can play a positive role in supporting and improving periodontal health in older adults and pregnant women, according to two new studies in the Journal of Periodontology (JOP, September 1, 2010).
Try Anti-Cavity Toothpaste and Get Free Product from 3M ESPE!
Buy 3 cases of ClinproTM 5000, and get a FREE 50-pack of VanishTM 5% Sodium Fluoride White Varnish with TCP!
In 2009, researchers from Saint Louis University, Southern Illinois University, and Washington University found that patients in periodontal maintenance programs taking vitamin D and calcium supplementation trended toward better periodontal health compared with patients not taking supplementation (JOP, September 2009, Vol. 80:9, pp. 1433-1439).
And this is just one of many cross-sectional studies and secondary data analyses in the last few years that reached similar conclusions, according to Charles Hildebolt, DDS, PhD, study co-author and director of radiology at the Mallinckrodt Institute of Radiology at Washington University.
Vitamin D stimulates the production of natural antibiotics -- antimicrobial peptides -- and bacteria and viruses have a hard time developing a resistance to them, he told DrBicuspid.com.
“It is very difficult to get too much vitamin D.”
— Charles Hildebolt, DDS, PhD,
Mallinckrodt Institute of Radiology "Periodontal disease is largely an immune response to bacteria in the biofilm, so if vitamin D stimulates production of natural antibiotics, this might be good in preventing periodontal disease," he said.
Dr. Hildebolt and his colleagues acknowledge, however, that the effects of vitamin D and calcium supplementation on periodontal disease have not been completely clarified in the scientific literature.
"Although a number of early studies suggested that vitamin D and calcium supplementation reduced tooth loss and alveolar ridge resorption, most of these studies included heterogeneous populations or did not directly measure periodontal diseases status," they wrote. More recently, however, analyses of the Third National Health and Nutrition Examination Survey, which included 12,000 adults, revealed significant associations between periodontal health and and calcium intake, they noted (JOP, July 2000, Vol. 71:7, pp. 1057-1066).
Even so, the National Institute of Dental and Craniofacial Research (NIDCR) wants more evidence on the effects of vitamin D on periodontitis before it will fund randomized clinical trials on this topic, according to Dr. Hildebolt. And on November 30, the Institute of Medicine (IOM) released a report that, while increasing the recommended daily intake of vitamin D and calcium, said that the current body of research does not offer the evidence needed to confirm that vitamin D has the larger positive health effects its proponents claim it does.
The IOM's report is a move in the right direction, Dr. Hildbebolt said. But he also believes there is enough evidence to support research into the effects that higher levels of vitamin D may have on periodontal disease.
"There have been many, many randomized clinical trials that have shown the benefits of vitamin D and calcium in preventing bone loss below the head, and everyone agrees that you need an adequate intake of vitamin D to promote calcium absorption," he told DrBicuspid.com. "So it seems reasonable that bone in the head is not too much different from bone in the rest of the body. If it is beneficial to those bones, it is probably also beneficial to the alveolar bone."
One-year findings
In an effort to convince the NIDCR of this, Dr. Hildebolt and colleagues went back to the same patient group from the 2009 JOP study to see if the trends they had initially found in the relationship between periodontal health and vitamin D and calcium supplements persisted after one year.
Their latest JOP study followed the original 51 patients (men and women age 50-80), who had moderate to severe chronic periodontal disease (at least two interproximal sites with at least 3 mm of clinical attachment loss) and were enrolled in maintenance programs at two dental clinics.
The patients were divided into two groups: 23 had been taking vitamin D (at least 400 international units [IU] per day) and calcium (at least 1,000 mg per day) supplements for more than 18 months at the time of their baseline visits, while the other group (28) had been taking no supplements and had daily dietary intakes of calcium and vitamin D below 1,000 mg and 400 IU, respectively.
All patients were clinically assessed using probing and CEJ-GM (cemento-enamel junction - gingival margin) measurements at baseline, six months, and one year. Clinical measurements were taken at six sites (buccal, lingual, me = 0.049), siolingual, mesiobuccal, distolingual, and distobuccal) for each mandibular posterior tooth. In addition, bitewing radiographs of the mandibular posterior teeth were taken at baseline, six months, and one year.
All subjects from both groups received periodontal maintenance therapy at three-month intervals. Treatment consisted of scaling and root planing, polishing, reinforcement of oral hygiene procedures, and a general dental exam.
For subjects who did not take oral supplements, the mean daily calcium intake was 642 mg and the mean daily vitamin D intake was 156 IU. For subjects who did take oral supplements, the mean daily calcium intake was 1,769 mg and the mean daily vitamin D intake was 1,049 IU.
Clinical parameters of periodontal health improved with time in both groups (p < 0.001). When clinical measures were considered collectively, the differences between supplement takers and nontakers had the following p values: baseline (p = 0.061), six months (p = 0.049), and 12 months (p = 0.114).
"This study suggests that periodontal health improves in patients attending regular periodontal care programs, regardless of their dietary calcium or vitamin D supplements," the authors wrote. "However, taking calcium and vitamin D supplementation is associated with better periodontal health relative to taking no such supplements."
The researchers observed less bleeding on probing and less inflammation in supplement takers, a difference that was evident at baseline and remained significant for one year while subjects underwent periodontal maintenance therapy.
"Our findings do not deny the possibility that vitamin D supplements may reduce the severity of periodontal disease if used at doses higher than 800-1,000 IU daily, thus supporting the rationale for testing the potential beneficial role of vitamin D on periodontal disease in more powerful, randomized clinical trials," they concluded.
Good for pregnant women too
Lack of vitamin D is also associated with maternal periodontal disease during pregnancy, according to researchers from the University of North Carolina at Chapel Hill and Harvard Medical School (JOP, September 1, 2010). In fact, maternal periodontal disease is found in up to 40% of pregnant women and is associated with adverse pregnancy outcomes, including preterm birth, preeclampsia, and late miscarriage, the authors noted.
In their case-control study, 117 cases of pregnant women with moderate to severe periodontal disease (15 or more tooth sites with 4 mm or more of gingival pocket depth) were compared with 118 pregnant women who were periodontally healthy. All the women had been prescribed a prenatal vitamin containing 400 IU of vitamin D.
Their serum 25-hydroxyvitamin D (25[OH]D) levels were measured and compared between the case and control groups to determine the prevalence of vitamin D insufficiency (defined as < 75 nanomoles per liter [nmol/L]). A serum concentration of 75 nmol/L or greater appears to support bone mineral density and dental health, the authors noted, and 90-100 nmol/L has been suggested as the optimal vitamin D level (American Journal of Clinical Nutrition, July 2006, Vol. 84:1, pp. 18-28).
The researchers found that the case group had lower median 25(OH)D levels than the control group (59 versus 100 nmol/L, p < 0.001) and were more likely to have vitamin D insufficiency (65% versus 29%, p < 0.001).
"The relationship between maternal vitamin D status, periodontal disease, and adverse pregnancy outcomes requires more study before definitive conclusions can be made," they wrote. "However, our data provide evidence that improvement of vitamin D status is a potential intervention to improve oral health among a vulnerable group of pregnant women."
Given the role of vitamin D in inflammatory responses and integrity of the innate immune response, vitamin D supplementation could improve maternal oral health, the researchers concluded.
Dr. Hildebolt believes that the best way to determine if patients are getting enough vitamin D from sunshine and diet is to test their blood for serum 25(OH)D levels. If less than 75 nmol/L of serum 25(OH)D is present, then a supplement may be warranted.
"There is a lot of hype about vitamin D right now," Dr. Hildebolt said. "It's not the magic bullet that will cure all forms of cancer, but it is much better to have too much than not enough. And it is very difficult to get too much vitamin D, and to get enough just from diet alone."
Copyright © 2010 DrBicuspid.com
By: Kathy Kincade, Editor in Chief
For more information on Gum Disease and it treatment options please go to www.drjamesmiller.com/lanap.html
December 1, 2010 -- Vitamin D supplements can play a positive role in supporting and improving periodontal health in older adults and pregnant women, according to two new studies in the Journal of Periodontology (JOP, September 1, 2010).
Try Anti-Cavity Toothpaste and Get Free Product from 3M ESPE!
Buy 3 cases of ClinproTM 5000, and get a FREE 50-pack of VanishTM 5% Sodium Fluoride White Varnish with TCP!
In 2009, researchers from Saint Louis University, Southern Illinois University, and Washington University found that patients in periodontal maintenance programs taking vitamin D and calcium supplementation trended toward better periodontal health compared with patients not taking supplementation (JOP, September 2009, Vol. 80:9, pp. 1433-1439).
And this is just one of many cross-sectional studies and secondary data analyses in the last few years that reached similar conclusions, according to Charles Hildebolt, DDS, PhD, study co-author and director of radiology at the Mallinckrodt Institute of Radiology at Washington University.
Vitamin D stimulates the production of natural antibiotics -- antimicrobial peptides -- and bacteria and viruses have a hard time developing a resistance to them, he told DrBicuspid.com.
“It is very difficult to get too much vitamin D.”
— Charles Hildebolt, DDS, PhD,
Mallinckrodt Institute of Radiology "Periodontal disease is largely an immune response to bacteria in the biofilm, so if vitamin D stimulates production of natural antibiotics, this might be good in preventing periodontal disease," he said.
Dr. Hildebolt and his colleagues acknowledge, however, that the effects of vitamin D and calcium supplementation on periodontal disease have not been completely clarified in the scientific literature.
"Although a number of early studies suggested that vitamin D and calcium supplementation reduced tooth loss and alveolar ridge resorption, most of these studies included heterogeneous populations or did not directly measure periodontal diseases status," they wrote. More recently, however, analyses of the Third National Health and Nutrition Examination Survey, which included 12,000 adults, revealed significant associations between periodontal health and and calcium intake, they noted (JOP, July 2000, Vol. 71:7, pp. 1057-1066).
Even so, the National Institute of Dental and Craniofacial Research (NIDCR) wants more evidence on the effects of vitamin D on periodontitis before it will fund randomized clinical trials on this topic, according to Dr. Hildebolt. And on November 30, the Institute of Medicine (IOM) released a report that, while increasing the recommended daily intake of vitamin D and calcium, said that the current body of research does not offer the evidence needed to confirm that vitamin D has the larger positive health effects its proponents claim it does.
The IOM's report is a move in the right direction, Dr. Hildbebolt said. But he also believes there is enough evidence to support research into the effects that higher levels of vitamin D may have on periodontal disease.
"There have been many, many randomized clinical trials that have shown the benefits of vitamin D and calcium in preventing bone loss below the head, and everyone agrees that you need an adequate intake of vitamin D to promote calcium absorption," he told DrBicuspid.com. "So it seems reasonable that bone in the head is not too much different from bone in the rest of the body. If it is beneficial to those bones, it is probably also beneficial to the alveolar bone."
One-year findings
In an effort to convince the NIDCR of this, Dr. Hildebolt and colleagues went back to the same patient group from the 2009 JOP study to see if the trends they had initially found in the relationship between periodontal health and vitamin D and calcium supplements persisted after one year.
Their latest JOP study followed the original 51 patients (men and women age 50-80), who had moderate to severe chronic periodontal disease (at least two interproximal sites with at least 3 mm of clinical attachment loss) and were enrolled in maintenance programs at two dental clinics.
The patients were divided into two groups: 23 had been taking vitamin D (at least 400 international units [IU] per day) and calcium (at least 1,000 mg per day) supplements for more than 18 months at the time of their baseline visits, while the other group (28) had been taking no supplements and had daily dietary intakes of calcium and vitamin D below 1,000 mg and 400 IU, respectively.
All patients were clinically assessed using probing and CEJ-GM (cemento-enamel junction - gingival margin) measurements at baseline, six months, and one year. Clinical measurements were taken at six sites (buccal, lingual, me = 0.049), siolingual, mesiobuccal, distolingual, and distobuccal) for each mandibular posterior tooth. In addition, bitewing radiographs of the mandibular posterior teeth were taken at baseline, six months, and one year.
All subjects from both groups received periodontal maintenance therapy at three-month intervals. Treatment consisted of scaling and root planing, polishing, reinforcement of oral hygiene procedures, and a general dental exam.
For subjects who did not take oral supplements, the mean daily calcium intake was 642 mg and the mean daily vitamin D intake was 156 IU. For subjects who did take oral supplements, the mean daily calcium intake was 1,769 mg and the mean daily vitamin D intake was 1,049 IU.
Clinical parameters of periodontal health improved with time in both groups (p < 0.001). When clinical measures were considered collectively, the differences between supplement takers and nontakers had the following p values: baseline (p = 0.061), six months (p = 0.049), and 12 months (p = 0.114).
"This study suggests that periodontal health improves in patients attending regular periodontal care programs, regardless of their dietary calcium or vitamin D supplements," the authors wrote. "However, taking calcium and vitamin D supplementation is associated with better periodontal health relative to taking no such supplements."
The researchers observed less bleeding on probing and less inflammation in supplement takers, a difference that was evident at baseline and remained significant for one year while subjects underwent periodontal maintenance therapy.
"Our findings do not deny the possibility that vitamin D supplements may reduce the severity of periodontal disease if used at doses higher than 800-1,000 IU daily, thus supporting the rationale for testing the potential beneficial role of vitamin D on periodontal disease in more powerful, randomized clinical trials," they concluded.
Good for pregnant women too
Lack of vitamin D is also associated with maternal periodontal disease during pregnancy, according to researchers from the University of North Carolina at Chapel Hill and Harvard Medical School (JOP, September 1, 2010). In fact, maternal periodontal disease is found in up to 40% of pregnant women and is associated with adverse pregnancy outcomes, including preterm birth, preeclampsia, and late miscarriage, the authors noted.
In their case-control study, 117 cases of pregnant women with moderate to severe periodontal disease (15 or more tooth sites with 4 mm or more of gingival pocket depth) were compared with 118 pregnant women who were periodontally healthy. All the women had been prescribed a prenatal vitamin containing 400 IU of vitamin D.
Their serum 25-hydroxyvitamin D (25[OH]D) levels were measured and compared between the case and control groups to determine the prevalence of vitamin D insufficiency (defined as < 75 nanomoles per liter [nmol/L]). A serum concentration of 75 nmol/L or greater appears to support bone mineral density and dental health, the authors noted, and 90-100 nmol/L has been suggested as the optimal vitamin D level (American Journal of Clinical Nutrition, July 2006, Vol. 84:1, pp. 18-28).
The researchers found that the case group had lower median 25(OH)D levels than the control group (59 versus 100 nmol/L, p < 0.001) and were more likely to have vitamin D insufficiency (65% versus 29%, p < 0.001).
"The relationship between maternal vitamin D status, periodontal disease, and adverse pregnancy outcomes requires more study before definitive conclusions can be made," they wrote. "However, our data provide evidence that improvement of vitamin D status is a potential intervention to improve oral health among a vulnerable group of pregnant women."
Given the role of vitamin D in inflammatory responses and integrity of the innate immune response, vitamin D supplementation could improve maternal oral health, the researchers concluded.
Dr. Hildebolt believes that the best way to determine if patients are getting enough vitamin D from sunshine and diet is to test their blood for serum 25(OH)D levels. If less than 75 nmol/L of serum 25(OH)D is present, then a supplement may be warranted.
"There is a lot of hype about vitamin D right now," Dr. Hildebolt said. "It's not the magic bullet that will cure all forms of cancer, but it is much better to have too much than not enough. And it is very difficult to get too much vitamin D, and to get enough just from diet alone."
Copyright © 2010 DrBicuspid.com
By: Kathy Kincade, Editor in Chief
For more information on Gum Disease and it treatment options please go to www.drjamesmiller.com/lanap.html
Monday, November 22, 2010
Breast Cancer and Gum Disease Link
Breast cancer linked to perio disease and tooth loss
November 18, 2010 -- As the body of research linking periodontitis with a host of other disease states -- including diabetes, cardiovascular disease, rheumatoid arthritis, surgical complications, and risk of fetal death -- a new study has added yet another to the list: breast cancer (Breast Cancer Research and Treatment, October 19, 2010).
"To our knowledge, this is the first study on the association between periodontitis and breast cancer," Birgitta Söder, DrMedSc, PhD, Lic Odont Sc, RDH, a professor emeritus at Karolinska Institute, told DrBicuspid.com
The American Cancer Society estimates 209,060 cases of invasive breast cancer in 2010, with more than 40,000 deaths. Breast cancer is rarer in men than women, accounting for less than 1% of breast cancer diagnoses, but both men and women should report any changes in breast tissue to their doctors.
“This is the first study on the association between periodontitis and breast cancer.”
— Birgitta Söder, DrMedSc, PhD,
Karolinska Institute Periodontal disease affects 15% to 35% of adults in industrialized countries. Most often caused by poor hygiene and bacterial infection, disease-active periodontitis also seems to be closely associated with human cytomegalovirus and Epstein-Barr virus co-infection. It is believed that these viruses act together to suppress immune response to bacterial challenges. Herpes viruses may also contribute to chronic periodontitis, leading the authors to conclude that these viruses and bacteria act together to lead to low-degree chronic inflammation and carcinogenesis.
"In severe periodontitis, probably there will be co-infection closely associated with a virus," Dr. Söder said.
The prospective study by Dr. Söder and colleagues followed 3,273 randomly selected subjects from 1985 to 2001 who were 30-40 years of age at baseline. At baseline, 1,676 individuals underwent a clinical oral examination (group A); 1,597 subjects were not clinically examined but were registered (group B).
In total, 26 subjects in group A and 15 subjects in group B had breast cancer. The incidence of breast cancer was 1.75% in subjects who had periodontal disease and/or any missing molars, and 0 in subjects who had periodontal disease but had no missing molars. For periodontally healthy subjects with no missing teeth, the breast cancer incidence was 1%. For group B, the incidence was 0.94%.
Of the subjects with periodontal disease and any missing molars in the mandible, 5.5% had breast cancer, compared with 0.5% of the subjects who had periodontal disease but no missing molars in the mandible (p < 0.02). Chronic periodontal disease indicated by missing molars seemed to associate statistically with breast cancer, the researchers concluded.
Smoking a risk factor?
The link between smoking and cancer has not been fully accounted for in many studies relating periodontal disease to cancer, according to Suellan Go Yao, DMD, and James Burke Fine, DMD, of Columbia University (Compendium of Continuing Education in Dentistry, July/August 2010, Vol. 31:6, pp. 436-444).
"Smoking is a known risk factor for many cancers as well as for periodontal disease and tooth loss," they wrote.
In the Karolinska study, the researchers controlled for smoking as a confounding variable by using multiple logistic regression and dichotomizing smokers into ever smokers (current and former smokers) and never smokers, and found no statistical difference between the two groups. Of the subjects with breast cancer, 42.8% were smokers, 17.9% were former smokers, and 39.3% had never smoked. These numbers were similar to the group with no breast cancer.
Similarly, a study by the American Association for Cancer Research also showed smoking to be a less significant variable than periodontal disease with head and neck squamous cell carcinomas (Cancer Epidemiology, Biomarkers, and Prevention, September 2009, Vol. 18:9, pp. 2406-2412).
And in 2007, researchers from the Harvard School of Public Health found periodontal disease to be independently associated with an increased risk of pancreatic cancer overall, including in people who had never smoked (Journal of the National Cancer Institute, January 17, 2007, Vol. 99:2, pp. 171-175).
"Periodontitis in its advanced form can be viewed as a hyperinflammatory response to bacteria," Dr. Fine told DrBicuspid.com. "The byproducts of this oral inflammation enter the bloodstream and can create problems at distant sites. Inflammation may enhance cellular proliferation and mutagenesis, allowing for the development and spread of cancer."
Copyright © 2010 DrBicuspid.com
By: Erin Archer, R.N., DrBicuspid.com contributing writer
For more information on gum disease and its treatment please go to www.drjamesmiller.com/lanap.html
November 18, 2010 -- As the body of research linking periodontitis with a host of other disease states -- including diabetes, cardiovascular disease, rheumatoid arthritis, surgical complications, and risk of fetal death -- a new study has added yet another to the list: breast cancer (Breast Cancer Research and Treatment, October 19, 2010).
"To our knowledge, this is the first study on the association between periodontitis and breast cancer," Birgitta Söder, DrMedSc, PhD, Lic Odont Sc, RDH, a professor emeritus at Karolinska Institute, told DrBicuspid.com
The American Cancer Society estimates 209,060 cases of invasive breast cancer in 2010, with more than 40,000 deaths. Breast cancer is rarer in men than women, accounting for less than 1% of breast cancer diagnoses, but both men and women should report any changes in breast tissue to their doctors.
“This is the first study on the association between periodontitis and breast cancer.”
— Birgitta Söder, DrMedSc, PhD,
Karolinska Institute Periodontal disease affects 15% to 35% of adults in industrialized countries. Most often caused by poor hygiene and bacterial infection, disease-active periodontitis also seems to be closely associated with human cytomegalovirus and Epstein-Barr virus co-infection. It is believed that these viruses act together to suppress immune response to bacterial challenges. Herpes viruses may also contribute to chronic periodontitis, leading the authors to conclude that these viruses and bacteria act together to lead to low-degree chronic inflammation and carcinogenesis.
"In severe periodontitis, probably there will be co-infection closely associated with a virus," Dr. Söder said.
The prospective study by Dr. Söder and colleagues followed 3,273 randomly selected subjects from 1985 to 2001 who were 30-40 years of age at baseline. At baseline, 1,676 individuals underwent a clinical oral examination (group A); 1,597 subjects were not clinically examined but were registered (group B).
In total, 26 subjects in group A and 15 subjects in group B had breast cancer. The incidence of breast cancer was 1.75% in subjects who had periodontal disease and/or any missing molars, and 0 in subjects who had periodontal disease but had no missing molars. For periodontally healthy subjects with no missing teeth, the breast cancer incidence was 1%. For group B, the incidence was 0.94%.
Of the subjects with periodontal disease and any missing molars in the mandible, 5.5% had breast cancer, compared with 0.5% of the subjects who had periodontal disease but no missing molars in the mandible (p < 0.02). Chronic periodontal disease indicated by missing molars seemed to associate statistically with breast cancer, the researchers concluded.
Smoking a risk factor?
The link between smoking and cancer has not been fully accounted for in many studies relating periodontal disease to cancer, according to Suellan Go Yao, DMD, and James Burke Fine, DMD, of Columbia University (Compendium of Continuing Education in Dentistry, July/August 2010, Vol. 31:6, pp. 436-444).
"Smoking is a known risk factor for many cancers as well as for periodontal disease and tooth loss," they wrote.
In the Karolinska study, the researchers controlled for smoking as a confounding variable by using multiple logistic regression and dichotomizing smokers into ever smokers (current and former smokers) and never smokers, and found no statistical difference between the two groups. Of the subjects with breast cancer, 42.8% were smokers, 17.9% were former smokers, and 39.3% had never smoked. These numbers were similar to the group with no breast cancer.
Similarly, a study by the American Association for Cancer Research also showed smoking to be a less significant variable than periodontal disease with head and neck squamous cell carcinomas (Cancer Epidemiology, Biomarkers, and Prevention, September 2009, Vol. 18:9, pp. 2406-2412).
And in 2007, researchers from the Harvard School of Public Health found periodontal disease to be independently associated with an increased risk of pancreatic cancer overall, including in people who had never smoked (Journal of the National Cancer Institute, January 17, 2007, Vol. 99:2, pp. 171-175).
"Periodontitis in its advanced form can be viewed as a hyperinflammatory response to bacteria," Dr. Fine told DrBicuspid.com. "The byproducts of this oral inflammation enter the bloodstream and can create problems at distant sites. Inflammation may enhance cellular proliferation and mutagenesis, allowing for the development and spread of cancer."
Copyright © 2010 DrBicuspid.com
By: Erin Archer, R.N., DrBicuspid.com contributing writer
For more information on gum disease and its treatment please go to www.drjamesmiller.com/lanap.html
Monday, November 15, 2010
Periodontal Disease and Sex Hormones
'Landmark' Study Points to Role of Sex Hormones in Higher Risk of Gum Disease in Men
TEXT SIZE By: University of Maryland Baltimore
--------------------------------------------------------------------------------
Newswise - Sex hormones may be the biological reason why men are at greater risk than women for destructive periodontitis, an infection of the gums, according to researchers at the University of Maryland Dental School.
To establish better management and risk assessment models for periodontal disease, Harlan Shiau, DDS, DMedSc, assistant professor, and Mark Reynolds, DDS, PhD, MA, professor at the Dental School, have published the first comprehensive review of gender differences in the development and progression of the destructive periodontal disease.
In a review paper in the Journal of Periodontology, the authors examine evidence for a biologic basis for a sexual dimorphism, or the differences in susceptibility, to periodontal disease between men and women. They conclude that sex steroids exert effects on multiple ways on the immune system regulation of inflammation. They also conclude that the root of the difference may be genetic.
"Differential gene regulation, particularly in sex steroid-responsive genes, could likely play a part in the observed sexual dimorphism of destructive periodontal disease," said Shiau.
"We think it is a plausible explanation," he added. The observation of men "having worse gum disease than women" was generally accepted by dental clinicians previously, says Shiau, "but we wondered if the traditional explanations were adequate. This study provides health care professionals with important comparative data for estimating gender-related differences in risk for destructive periodontal disease."
Prior to the current review paper, the researchers conducted a systematic review of published population studies on the prevalence of periodontal disease. In their analysis they established that men, indeed, have a greater prevalence of periodontal disease than women globally.
Shiau and Reynolds explored potential biologic explanations by drawing from the extensive body of literature in autoimmune disease research, where there also exists sexual dimorphism in disease prevalence.
"Also, we considered the competing hypothesis that the environment explains the dimorphism, such as the observation that men have worse oral hygiene and compliance than women. However, there exist population studies, which control for potential co-variants, like these, and have still yielded significant gender effects." Shiau explains.
"The innate immune response plays a considerable role in the pathogenesis of periodontal disease. The literature seems to indicate that a heightened innate immune response in men compared to women, as well as potential differences in regulation of amplification and termination of inflammation, provide a sound biologic basis for sex differences in periodontal disease progression," says Shiau.
Mark Reynolds is chair of the Dental School's Department of Periodontics.
For more information contact
www.drjamesmiller.com/lanap.html
TEXT SIZE By: University of Maryland Baltimore
--------------------------------------------------------------------------------
Newswise - Sex hormones may be the biological reason why men are at greater risk than women for destructive periodontitis, an infection of the gums, according to researchers at the University of Maryland Dental School.
To establish better management and risk assessment models for periodontal disease, Harlan Shiau, DDS, DMedSc, assistant professor, and Mark Reynolds, DDS, PhD, MA, professor at the Dental School, have published the first comprehensive review of gender differences in the development and progression of the destructive periodontal disease.
In a review paper in the Journal of Periodontology, the authors examine evidence for a biologic basis for a sexual dimorphism, or the differences in susceptibility, to periodontal disease between men and women. They conclude that sex steroids exert effects on multiple ways on the immune system regulation of inflammation. They also conclude that the root of the difference may be genetic.
"Differential gene regulation, particularly in sex steroid-responsive genes, could likely play a part in the observed sexual dimorphism of destructive periodontal disease," said Shiau.
"We think it is a plausible explanation," he added. The observation of men "having worse gum disease than women" was generally accepted by dental clinicians previously, says Shiau, "but we wondered if the traditional explanations were adequate. This study provides health care professionals with important comparative data for estimating gender-related differences in risk for destructive periodontal disease."
Prior to the current review paper, the researchers conducted a systematic review of published population studies on the prevalence of periodontal disease. In their analysis they established that men, indeed, have a greater prevalence of periodontal disease than women globally.
Shiau and Reynolds explored potential biologic explanations by drawing from the extensive body of literature in autoimmune disease research, where there also exists sexual dimorphism in disease prevalence.
"Also, we considered the competing hypothesis that the environment explains the dimorphism, such as the observation that men have worse oral hygiene and compliance than women. However, there exist population studies, which control for potential co-variants, like these, and have still yielded significant gender effects." Shiau explains.
"The innate immune response plays a considerable role in the pathogenesis of periodontal disease. The literature seems to indicate that a heightened innate immune response in men compared to women, as well as potential differences in regulation of amplification and termination of inflammation, provide a sound biologic basis for sex differences in periodontal disease progression," says Shiau.
Mark Reynolds is chair of the Dental School's Department of Periodontics.
For more information contact
www.drjamesmiller.com/lanap.html
Gum Disease and Prostitis Link
News in Brief
Prostatitis Linked to Periodontitis
Delicia Honen YardJune 10, 2010 Print Email Reprint Permissions
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Men with the most severe form of prostatitis also showed signs of periodontitis, raising the possibility that the inflammation characterizing the two conditions may be related. In an online report publish in the Journal of Periodontology, Nabil F. Bassada, DDS, MSD, of Case Western Reserve University School of Dental Medicine in Cleveland, and colleagues noted that in their small study of 35 men, those with moderate or severe prostatitis and poor periodontal health had significantly higher mean PSA levels than those with neither or only one condition.
For more information concerning periodontal disease and the LANAP procedure to treat the disease go to www.drjamesmiller.com/lanap.html
Prostatitis Linked to Periodontitis
Delicia Honen YardJune 10, 2010 Print Email Reprint Permissions
More In Urology•Cardiovascular Events Halt Study of Testosterone Gel
•New Varicocele Technique Shows Promise
•Research on a New Drug For Nocturia Advances
•Robotic Pyeloplasty Has Advantages
•CT Preferred for Defining Adrenal Masses
Men with the most severe form of prostatitis also showed signs of periodontitis, raising the possibility that the inflammation characterizing the two conditions may be related. In an online report publish in the Journal of Periodontology, Nabil F. Bassada, DDS, MSD, of Case Western Reserve University School of Dental Medicine in Cleveland, and colleagues noted that in their small study of 35 men, those with moderate or severe prostatitis and poor periodontal health had significantly higher mean PSA levels than those with neither or only one condition.
For more information concerning periodontal disease and the LANAP procedure to treat the disease go to www.drjamesmiller.com/lanap.html
Wednesday, November 10, 2010
Possible Link Between Gum Disease and Alzheimer's
Gum disease may increase Alzheimer’s risk
New research finds that periodontal disease may contribute to Alzheimer’s disease, brain inflammation, and neurodegeneration. (Credit: iStockphoto)
NYU (US)—Periodontal (gum) disease may increase the risk of cognitive dysfunction associated with Alzheimer’s disease in healthy individuals as well as in those who already are cognitively impaired.
Researchers examined 20 years of data and found fresh evidence that links gum disease to brain inflammation, neurodegeneration, and Alzheimer’s disease.
“The research suggests that cognitively normal subjects with periodontal inflammation are at an increased risk of lower cognitive function compared to cognitively normal subjects with little or no periodontal inflammation,” says Angela. Kamer, assistant professor of periodontology and implant dentistry at New York University.
The study builds on earlier research that found that subjects with Alzheimer’s disease had a significantly higher level of antibodies and inflammatory molecules associated with periodontal disease in their plasma compared to healthy people.
The latest findings are based on an analysis of data on periodontal inflammation and cognitive function in 152 subjects in the Glostrop Aging Study, which has been gathering medical, psychological, oral health, and social data on Danish men and women.
Kamer’s team compared cognitive function at ages 50 and 70, using the Digit Symbol Test, or DST, a part of the standard measurement of adult IQ. The DST assesses how quickly subjects can link a series of digits.
Periodontal inflammation at age 70 was found to be strongly associated with lower DST scores at age 70. Subjects with periodontal inflammation were nine times more likely to test in the lower range of the DST compared to subjects with little or no periodontal inflammation.
This strong association held true—even in those subjects who had other risk factors linked to lower DST scores, including obesity, cigarette smoking, and tooth loss unrelated to gum inflammation—and also for those who had a low DST score at age 50.
Kamer plans to conduct a follow-up study involving a larger, more ethnically diverse group of subjects, to further examine the connection between periodontal disease and low cognition.
Researchers from Copenhagen University contributed to the study.
For more information concerning gum disease and the latest treatment go to www.drjamesmiller.com/lanap.html
New research finds that periodontal disease may contribute to Alzheimer’s disease, brain inflammation, and neurodegeneration. (Credit: iStockphoto)
NYU (US)—Periodontal (gum) disease may increase the risk of cognitive dysfunction associated with Alzheimer’s disease in healthy individuals as well as in those who already are cognitively impaired.
Researchers examined 20 years of data and found fresh evidence that links gum disease to brain inflammation, neurodegeneration, and Alzheimer’s disease.
“The research suggests that cognitively normal subjects with periodontal inflammation are at an increased risk of lower cognitive function compared to cognitively normal subjects with little or no periodontal inflammation,” says Angela. Kamer, assistant professor of periodontology and implant dentistry at New York University.
The study builds on earlier research that found that subjects with Alzheimer’s disease had a significantly higher level of antibodies and inflammatory molecules associated with periodontal disease in their plasma compared to healthy people.
The latest findings are based on an analysis of data on periodontal inflammation and cognitive function in 152 subjects in the Glostrop Aging Study, which has been gathering medical, psychological, oral health, and social data on Danish men and women.
Kamer’s team compared cognitive function at ages 50 and 70, using the Digit Symbol Test, or DST, a part of the standard measurement of adult IQ. The DST assesses how quickly subjects can link a series of digits.
Periodontal inflammation at age 70 was found to be strongly associated with lower DST scores at age 70. Subjects with periodontal inflammation were nine times more likely to test in the lower range of the DST compared to subjects with little or no periodontal inflammation.
This strong association held true—even in those subjects who had other risk factors linked to lower DST scores, including obesity, cigarette smoking, and tooth loss unrelated to gum inflammation—and also for those who had a low DST score at age 50.
Kamer plans to conduct a follow-up study involving a larger, more ethnically diverse group of subjects, to further examine the connection between periodontal disease and low cognition.
Researchers from Copenhagen University contributed to the study.
For more information concerning gum disease and the latest treatment go to www.drjamesmiller.com/lanap.html
Wednesday, October 27, 2010
LANAP: What is it?
What is L.A.N.A.P.?
Laser Assisted New Attachment Procedure ( L.A.N.A.P. ) is an amazing breakthrough in gum ( periodontal ) treatment. If you have been told you need periodontal surgery, involving a scalpel and sutures, L.A.N.A.P. is a laser alternative you need to learn about. Did you know that 50% of Americans has periodontal disease.
Periodontal disease starts off as plaque, an opaque film that is constantly forming in our mouths. The plaque eventually hardens, forming tartar or calculus. These calculus deposits harbor bacteria which infects the gums. In early stages, this is called Gingivitis, characterized by red, swollen gums that bleed when you brush your teeth. Many people experience bad breath and an unpleasant taste in their mouths as well. Without treatment, Gingivitis progresses to Periodontitis, a much more serious form of gum disease where periodontal pockets are formed, separating teeth from the gums and supporting bone structure. Without treatement, the infection becomes severe and the pockets deepen, eventually, resulting in tooth loss.
To repair the damage caused by gum disease is to get rid of the infection and close the periodontal pockets. Until now, this meant surgery and sutures. But today, LASER PERIODONTAL THERAPY OR LANAP, a patient friendly, minimally invasive procedure that is a great improvement over traditional gum surgery.
Dr. James Miller will schedule you a complimentary consultation to explain how the laser works and give you a demonstration. If you a candidate ( you have gum disease) for LANAP the first treatment involves a local anesthetic to eliminate any possible discomfort. A general anesthetic is not necessary as LASER PERIODONTAL THERAPY OR LANAP is much less traumatic. A tiny laser (about the thickness of three hairs) is inserted between the tooth and gum, and the infection is cleared away. The procedure is fast, it takes just two 2-hour sessions. One half of the mouth is treated at a time...most patients feel good enough to back to work afterwards.
Dr. James B. Miller is a Licensed Arizona General Dentist praciticing in Scottsdale Arizona. He can be reached at james@drjamesmiller.com or at www.drjamesmiller.com/lanap.html
Laser Assisted New Attachment Procedure ( L.A.N.A.P. ) is an amazing breakthrough in gum ( periodontal ) treatment. If you have been told you need periodontal surgery, involving a scalpel and sutures, L.A.N.A.P. is a laser alternative you need to learn about. Did you know that 50% of Americans has periodontal disease.
Periodontal disease starts off as plaque, an opaque film that is constantly forming in our mouths. The plaque eventually hardens, forming tartar or calculus. These calculus deposits harbor bacteria which infects the gums. In early stages, this is called Gingivitis, characterized by red, swollen gums that bleed when you brush your teeth. Many people experience bad breath and an unpleasant taste in their mouths as well. Without treatment, Gingivitis progresses to Periodontitis, a much more serious form of gum disease where periodontal pockets are formed, separating teeth from the gums and supporting bone structure. Without treatement, the infection becomes severe and the pockets deepen, eventually, resulting in tooth loss.
To repair the damage caused by gum disease is to get rid of the infection and close the periodontal pockets. Until now, this meant surgery and sutures. But today, LASER PERIODONTAL THERAPY OR LANAP, a patient friendly, minimally invasive procedure that is a great improvement over traditional gum surgery.
Dr. James Miller will schedule you a complimentary consultation to explain how the laser works and give you a demonstration. If you a candidate ( you have gum disease) for LANAP the first treatment involves a local anesthetic to eliminate any possible discomfort. A general anesthetic is not necessary as LASER PERIODONTAL THERAPY OR LANAP is much less traumatic. A tiny laser (about the thickness of three hairs) is inserted between the tooth and gum, and the infection is cleared away. The procedure is fast, it takes just two 2-hour sessions. One half of the mouth is treated at a time...most patients feel good enough to back to work afterwards.
Dr. James B. Miller is a Licensed Arizona General Dentist praciticing in Scottsdale Arizona. He can be reached at james@drjamesmiller.com or at www.drjamesmiller.com/lanap.html
Fatty Fish and Nuts May Prevent Gum Disease
Fatty Fish, Nuts May Prevent Gum Disease
Study Shows Diet High in Polyunsaturated Fatty Acids May Reduce Risk for Periodontitis
By Jennifer Warner
WebMD Health NewsReviewed by Laura J. Martin, MDOct. 26, 2010 -- A new study suggests eating foods rich in polyunsaturated fatty acids (PUFAs), such as salmon and nuts, may help prevent gum disease or periodontitis.
Periodontitis is a common type of gum disease in which the gum tissue separates from the teeth and allows bacteria to build up. If untreated, the condition can lead to bone and tooth loss.
Researchers found that people whose diets were rich in PUFAs were as much as 30% less likely to have gum disease than those who ate little or none of this type of fat.
“We found that n-3 fatty acid intake, particularly docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), are inversely associated with periodontitis in the U.S. population,” says researcher Asghar Z. Naqvi, MPH, MNS, of Beth Israel Deaconess Medical Center in Boston, in a news release.
"A dietary therapy, if effective, might be a less expensive and safer method for the prevention and treatment of periodontitis," says Naqvi. “To date, the treatment of periodontitis has primarily involved mechanical cleaning and local antibiotic application."
Researchers say polyunsaturated fats have already been shown to have beneficial effects on other types of inflammatory conditions, such as heart disease, and they may also play a role in fighting the inflammation that causes gum disease.
"Given the evidence indicating a role for n-3 fatty acids in other chronic inflammatory conditions, it is possible that treating periodontitis with n-3 fatty acids could have the added benefit of preventing other chronic diseases associated with inflammation, including stroke as well,” says Naqvi.
Slideshow: Top Problems in Your Mouth
PUFAs and Your Gums
In the study, published in the Journal of the American Dietetic Association, researchers compared fatty acid intake and risk of gum disease in 9,182 adults who participated in the National Health and Nutrition Examination Survey from 1999 to 2004.
The results showed those who ate moderate to high amounts of the fatty acid DHA through diet or fish oil supplements were up to 30% less likely to have gum disease than those who ate lower amounts. Those whose diets were rich in the EPA had up to a 23% lower risk of periodontitis.
Researchers found that even modest levels of these PUFAs (equivalent to less than 40 milligrams per day for DHA and 10 milligrams per day for EPA) were enough to significantly reduce the risk of gum disease.
Foods that are naturally high in polyunsaturated fatty acids like DHA and EPA include fatty fish, nuts, margarine, and peanut butter.
For more information on gum disease and it treatment please visit www.drjamesmiller.com/lanap.html
Study Shows Diet High in Polyunsaturated Fatty Acids May Reduce Risk for Periodontitis
By Jennifer Warner
WebMD Health NewsReviewed by Laura J. Martin, MDOct. 26, 2010 -- A new study suggests eating foods rich in polyunsaturated fatty acids (PUFAs), such as salmon and nuts, may help prevent gum disease or periodontitis.
Periodontitis is a common type of gum disease in which the gum tissue separates from the teeth and allows bacteria to build up. If untreated, the condition can lead to bone and tooth loss.
Researchers found that people whose diets were rich in PUFAs were as much as 30% less likely to have gum disease than those who ate little or none of this type of fat.
“We found that n-3 fatty acid intake, particularly docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), are inversely associated with periodontitis in the U.S. population,” says researcher Asghar Z. Naqvi, MPH, MNS, of Beth Israel Deaconess Medical Center in Boston, in a news release.
"A dietary therapy, if effective, might be a less expensive and safer method for the prevention and treatment of periodontitis," says Naqvi. “To date, the treatment of periodontitis has primarily involved mechanical cleaning and local antibiotic application."
Researchers say polyunsaturated fats have already been shown to have beneficial effects on other types of inflammatory conditions, such as heart disease, and they may also play a role in fighting the inflammation that causes gum disease.
"Given the evidence indicating a role for n-3 fatty acids in other chronic inflammatory conditions, it is possible that treating periodontitis with n-3 fatty acids could have the added benefit of preventing other chronic diseases associated with inflammation, including stroke as well,” says Naqvi.
Slideshow: Top Problems in Your Mouth
PUFAs and Your Gums
In the study, published in the Journal of the American Dietetic Association, researchers compared fatty acid intake and risk of gum disease in 9,182 adults who participated in the National Health and Nutrition Examination Survey from 1999 to 2004.
The results showed those who ate moderate to high amounts of the fatty acid DHA through diet or fish oil supplements were up to 30% less likely to have gum disease than those who ate lower amounts. Those whose diets were rich in the EPA had up to a 23% lower risk of periodontitis.
Researchers found that even modest levels of these PUFAs (equivalent to less than 40 milligrams per day for DHA and 10 milligrams per day for EPA) were enough to significantly reduce the risk of gum disease.
Foods that are naturally high in polyunsaturated fatty acids like DHA and EPA include fatty fish, nuts, margarine, and peanut butter.
For more information on gum disease and it treatment please visit www.drjamesmiller.com/lanap.html
Tuesday, October 26, 2010
Want To Be Sexier....Improve your Oral Hygiene
If you're thinking about being romantic tonight, you might want to make sure your oral hygiene is in check. Based on a new survey, oral hygiene is significantly preferred over the traditional romantic overtures to set the mood, such as dimming the lights, lighting candles, wearing perfume or playing romantic music.
"The results of this study reinforced some of what we already knew - that most consumers simply don't like to floss with string - but we were surprised at how important oral hygiene was in order to be attractive to your significant other"
The national survey, which was fielded by Kelton Research, examined Americans' views on oral healthcare and revealed that a clean mouth was most important in maintaining a healthy relationship. Close to six in ten, or 59 percent, would be most disturbed by their partner not brushing or flossing his or her teeth for a week, as compared to only 24 percent who would be most perturbed if their significant other passed on wearing deodorant. Far fewer were bothered by their partner skipping shaving, hair combing or trimming toe nails for a week, at nine percent, six percent and two percent, respectively.
The Waterpik® Sexy Smile Survey also found that while they are quick to judge the flossing habits of their significant others, the majority of Americans actually have a lot of ups and downs in their own relationship with floss. Key findings on flossing and oral healthcare include:
- Only When I'm Desperate. Americans are most likely to floss just before visiting the dentist (51 percent), and when they have food stuck in between their teeth or have bad breath (64 percent), which could mean their mouths are not as fresh as they should be most other times!
- Below Grade. Nearly six in ten (58 percent) Americans say they deserve a C or lower for the efforts they make to floss their teeth on a daily basis. In fact, about one in five (18 percent) give themselves a failing grade.
- Unpleasant Act. Among people who floss their teeth, close to six in ten (57 percent) say that floss makes their gums bleed, it gets stuck between their teeth, (52 percent), and it caused little bits of food to fly onto the mirror (42 percent). Yuck!
- We Want an Alternative. In fact, Americans would pay an average of $53 for an alternative to regular string floss (which you can usually get for free from your dentist) if it meant that the process was faster, easier and more effective.
"The results of this study reinforced some of what we already knew - that most consumers simply don't like to floss with string - but we were surprised at how important oral hygiene was in order to be attractive to your significant other," said Jay McCulloch, Vice President of Marketing for Water Pik Oral Health Products. "The Waterpik® Water Flosser is a great option for those who are struggling with traditional floss. It's easy to use, it's clinically proven to be significantly more effective than string floss, and it takes only one minute per day."
The Waterpik® Water Flosser utilizes pulsating water to clean deep between teeth and below the gumline to remove plaque and debris where traditional brushing and flossing can't reach.
About The Water Survey
The Waterpik® Sexy Smile Survey was conducted by Kelton Research between September 10 and September 16, 2010 among 1,001 U.S. adults using an email invitation and an online survey. Quotas are set to ensure reliable and accurate representation of the total U.S. population ages 18 and over. Results of any sample are subject to sampling variation. The magnitude of the variation is measurable and is affected by the number of interviews and the level of the percentages expressing the results. In this particular study, the chances are 95 in 100 that a survey result does not vary, plus or minus, by more than 3.1 percentage points from the result that would be obtained if interviews had been conducted with all persons in the universe represented by the sample.
Source:
Kelton Research
Water Pik, Inc.
For more information about periodontal disease please visit www.drjamesmiller.com/lanap.html
"The results of this study reinforced some of what we already knew - that most consumers simply don't like to floss with string - but we were surprised at how important oral hygiene was in order to be attractive to your significant other"
The national survey, which was fielded by Kelton Research, examined Americans' views on oral healthcare and revealed that a clean mouth was most important in maintaining a healthy relationship. Close to six in ten, or 59 percent, would be most disturbed by their partner not brushing or flossing his or her teeth for a week, as compared to only 24 percent who would be most perturbed if their significant other passed on wearing deodorant. Far fewer were bothered by their partner skipping shaving, hair combing or trimming toe nails for a week, at nine percent, six percent and two percent, respectively.
The Waterpik® Sexy Smile Survey also found that while they are quick to judge the flossing habits of their significant others, the majority of Americans actually have a lot of ups and downs in their own relationship with floss. Key findings on flossing and oral healthcare include:
- Only When I'm Desperate. Americans are most likely to floss just before visiting the dentist (51 percent), and when they have food stuck in between their teeth or have bad breath (64 percent), which could mean their mouths are not as fresh as they should be most other times!
- Below Grade. Nearly six in ten (58 percent) Americans say they deserve a C or lower for the efforts they make to floss their teeth on a daily basis. In fact, about one in five (18 percent) give themselves a failing grade.
- Unpleasant Act. Among people who floss their teeth, close to six in ten (57 percent) say that floss makes their gums bleed, it gets stuck between their teeth, (52 percent), and it caused little bits of food to fly onto the mirror (42 percent). Yuck!
- We Want an Alternative. In fact, Americans would pay an average of $53 for an alternative to regular string floss (which you can usually get for free from your dentist) if it meant that the process was faster, easier and more effective.
"The results of this study reinforced some of what we already knew - that most consumers simply don't like to floss with string - but we were surprised at how important oral hygiene was in order to be attractive to your significant other," said Jay McCulloch, Vice President of Marketing for Water Pik Oral Health Products. "The Waterpik® Water Flosser is a great option for those who are struggling with traditional floss. It's easy to use, it's clinically proven to be significantly more effective than string floss, and it takes only one minute per day."
The Waterpik® Water Flosser utilizes pulsating water to clean deep between teeth and below the gumline to remove plaque and debris where traditional brushing and flossing can't reach.
About The Water Survey
The Waterpik® Sexy Smile Survey was conducted by Kelton Research between September 10 and September 16, 2010 among 1,001 U.S. adults using an email invitation and an online survey. Quotas are set to ensure reliable and accurate representation of the total U.S. population ages 18 and over. Results of any sample are subject to sampling variation. The magnitude of the variation is measurable and is affected by the number of interviews and the level of the percentages expressing the results. In this particular study, the chances are 95 in 100 that a survey result does not vary, plus or minus, by more than 3.1 percentage points from the result that would be obtained if interviews had been conducted with all persons in the universe represented by the sample.
Source:
Kelton Research
Water Pik, Inc.
For more information about periodontal disease please visit www.drjamesmiller.com/lanap.html
Wednesday, October 20, 2010
Six Signs of Periodontal Disease
Six Signs of Periodontal Disease
July 28th, 2010, By Dental Health Magazine Staff
Share This Dental Story
Print This Post
Related Dental Articles
5 Steps to Good Oral Health
Xylitol: Sugar Substitutes May Be Good for Your Teeth
Tips and Techniques for Eliminating Bad Breath
The Truth About Halitosis, Bad Breath
Save Your Life – Visit Dentist
Many people are completely unaware that they even have periodontal disease. Prior to the occurrence of a pain and a major symptom, this problem may have already begun.
For people who don’t get a dental checkup every six months, they may be well on their way to losing their teeth and to contributing to other significant health problems.
Prior to this problem becoming severe, there are six easy ways to tell if it is a problem for you.
The Six Signs of Periodontal Disease:
1. Halitosis that refuses to go away.
2. Swollen or red gums.
3. Bleeding or tender.
4. Chewing that is painful
5. Loose teeth
6. Sensitive teeth
The first sign of periodontal disease is bad breath that won’t go away. If you have chronic bad breath, make sure to rule out a systemic disease, like diabetes.
There are other causes of bad breath that not be the result of periodontal disease such as medication and diet. There are also some sources of bad breath that can come from the stomach, sinus, and lungs.
These factors should also be considered. But, because the majority of the population suffers from periodontal disease, that is the most likely that bad breath.
Red or purple gums that are swollen are another sign of periodontal disease, especially the gums around the teeth. The surface of healthy gums show stippling and are pink.
DENTAL ADVERTISING
Gums that bleed easily and are tender to the touch is another sign of periodontal disease. The gums shouldn’t bleed when flossing or brushing. Gums that bleed are an indication that infection is setting in.
Another sign of periodontal disease is chewing that is painful. A sharp pain that is located in only one tooth may be the need for a root canal, a cracked tooth, or a cavity. Non localized or overall pain is usually the result of periodontal disease.
Loose teeth in the mouth from periodontal disease are the result of deposits of plaque under and along the gum line around the bone of the teeth.
The bone will begin to deteriorate and the tooth loses its support in the jaw. The, pockets will form around the tooth and collect further bacteria and thus exacerbate the problem.
Teeth that are sensitive to cold air, sour, sweet, cold, and hot can also be a sign of periodontal disease. Gums that recede as a result of the disease expose the surfaces of the root which are covered with tiny tubes that lead into the nerve in the tooth.
When the external stimulus is introduced to the exposed portion of the tooth, the nerves feel the pain.
While the late stages of periodontal disease have these signs, the early stages don’t. You should make an appointment with your dentist before these signs appear.
For more information concerning periodontal disease and its treatment www.drjamesmiller.com/lanap.html
July 28th, 2010, By Dental Health Magazine Staff
Share This Dental Story
Print This Post
Related Dental Articles
5 Steps to Good Oral Health
Xylitol: Sugar Substitutes May Be Good for Your Teeth
Tips and Techniques for Eliminating Bad Breath
The Truth About Halitosis, Bad Breath
Save Your Life – Visit Dentist
Many people are completely unaware that they even have periodontal disease. Prior to the occurrence of a pain and a major symptom, this problem may have already begun.
For people who don’t get a dental checkup every six months, they may be well on their way to losing their teeth and to contributing to other significant health problems.
Prior to this problem becoming severe, there are six easy ways to tell if it is a problem for you.
The Six Signs of Periodontal Disease:
1. Halitosis that refuses to go away.
2. Swollen or red gums.
3. Bleeding or tender.
4. Chewing that is painful
5. Loose teeth
6. Sensitive teeth
The first sign of periodontal disease is bad breath that won’t go away. If you have chronic bad breath, make sure to rule out a systemic disease, like diabetes.
There are other causes of bad breath that not be the result of periodontal disease such as medication and diet. There are also some sources of bad breath that can come from the stomach, sinus, and lungs.
These factors should also be considered. But, because the majority of the population suffers from periodontal disease, that is the most likely that bad breath.
Red or purple gums that are swollen are another sign of periodontal disease, especially the gums around the teeth. The surface of healthy gums show stippling and are pink.
DENTAL ADVERTISING
Gums that bleed easily and are tender to the touch is another sign of periodontal disease. The gums shouldn’t bleed when flossing or brushing. Gums that bleed are an indication that infection is setting in.
Another sign of periodontal disease is chewing that is painful. A sharp pain that is located in only one tooth may be the need for a root canal, a cracked tooth, or a cavity. Non localized or overall pain is usually the result of periodontal disease.
Loose teeth in the mouth from periodontal disease are the result of deposits of plaque under and along the gum line around the bone of the teeth.
The bone will begin to deteriorate and the tooth loses its support in the jaw. The, pockets will form around the tooth and collect further bacteria and thus exacerbate the problem.
Teeth that are sensitive to cold air, sour, sweet, cold, and hot can also be a sign of periodontal disease. Gums that recede as a result of the disease expose the surfaces of the root which are covered with tiny tubes that lead into the nerve in the tooth.
When the external stimulus is introduced to the exposed portion of the tooth, the nerves feel the pain.
While the late stages of periodontal disease have these signs, the early stages don’t. You should make an appointment with your dentist before these signs appear.
For more information concerning periodontal disease and its treatment www.drjamesmiller.com/lanap.html
Wednesday, October 13, 2010
Gum Disease = Poor Health
Periodontal disease and poor health outcomes
Peter N Galgut, clinical periodontist
Clinicians must recognise the risks and refer patients for periodontal care
Periodontal diseases are localised gingival infections that affect most adults at some time in their lives. They are broadly divided into two groups. Gingivitis is related to dental plaque and manifests as superficial redness, swelling, and bleeding of the gums. Periodontitis occurs when the infection spreads into the deeper tissues surrounding the roots of the teeth, and it causes breakdown of the gingival tissues and alveolar bone resorption.
Evidence shows that periodontal diseases can have systemic effects.1 2 3 Oral infection can result in the formation of sites that favour colonisation by blood borne microbes—a locus minoris resistentiae. A well known example of this phenomenon is heart valves that are damaged by rheumatic fever, which are more susceptible to bacterial infection from blood borne bacteria.
Dr. James Miller is a Scottsdale dentist utilizing LANAP laser gum therapy using Periolase MVP-7 laser. For more information on gum disease visit www.drjamesmiller.com/lanap.html
Peter N Galgut, clinical periodontist
Clinicians must recognise the risks and refer patients for periodontal care
Periodontal diseases are localised gingival infections that affect most adults at some time in their lives. They are broadly divided into two groups. Gingivitis is related to dental plaque and manifests as superficial redness, swelling, and bleeding of the gums. Periodontitis occurs when the infection spreads into the deeper tissues surrounding the roots of the teeth, and it causes breakdown of the gingival tissues and alveolar bone resorption.
Evidence shows that periodontal diseases can have systemic effects.1 2 3 Oral infection can result in the formation of sites that favour colonisation by blood borne microbes—a locus minoris resistentiae. A well known example of this phenomenon is heart valves that are damaged by rheumatic fever, which are more susceptible to bacterial infection from blood borne bacteria.
Dr. James Miller is a Scottsdale dentist utilizing LANAP laser gum therapy using Periolase MVP-7 laser. For more information on gum disease visit www.drjamesmiller.com/lanap.html
Thursday, September 30, 2010
Gum Disease More Prevalent Than Previously Thought
THURSDAY, Sept. 30 (HealthDay News) -- Officials have underestimated the prevalence of gum disease in the United States by as much as 50 percent, new research suggests.
"This study shows that periodontal disease is a bigger problem than we all thought. It is a call to action for anyone who cares about his or her oral health," Dr. Samuel Low, professor of periodontology at the University of Florida College of Dentistry and president of the American Academy of Periodontology, said in a news release from the organization.
But the chronic inflammatory condition known as periodontal disease can do more than harm the gums and the structures that support the teeth. Without treatment, serious diseases that affect the entire body can develop, including diabetes, heart disease and rheumatoid arthritis, the authors of the news release explained.
"Given what we know about the relationship between gum disease and other diseases, taking care of your oral health isn't just about a pretty smile. It has bigger implications for overall health, and is therefore a more significant public health problem," Low added.
In the study by Paul Eke of the U.S. Centers for Disease Control and Prevention and colleagues, periodontists examined the mouths of more than 450 people older than 35 years of age. They found more cases of gum disease overall than previous research indicated people had, suggesting that the older studies had high levels of misclassification of periodontitis cases and thus have low validity for surveillance and research.
Low said the findings highlight the importance of gum health. "Not only should you take good care of your periodontal health with daily tooth brushing and flossing, you should expect to get a comprehensive periodontal evaluation every year," he said.
The study, by researchers at the CDC and the American Academy of Periodontology, was published in the Sept. 21 online edition of the Journal of Dental Research.
More information
For more information on gum disease and treatment options click on www.drjamesmiller.com/lanap.html
"This study shows that periodontal disease is a bigger problem than we all thought. It is a call to action for anyone who cares about his or her oral health," Dr. Samuel Low, professor of periodontology at the University of Florida College of Dentistry and president of the American Academy of Periodontology, said in a news release from the organization.
But the chronic inflammatory condition known as periodontal disease can do more than harm the gums and the structures that support the teeth. Without treatment, serious diseases that affect the entire body can develop, including diabetes, heart disease and rheumatoid arthritis, the authors of the news release explained.
"Given what we know about the relationship between gum disease and other diseases, taking care of your oral health isn't just about a pretty smile. It has bigger implications for overall health, and is therefore a more significant public health problem," Low added.
In the study by Paul Eke of the U.S. Centers for Disease Control and Prevention and colleagues, periodontists examined the mouths of more than 450 people older than 35 years of age. They found more cases of gum disease overall than previous research indicated people had, suggesting that the older studies had high levels of misclassification of periodontitis cases and thus have low validity for surveillance and research.
Low said the findings highlight the importance of gum health. "Not only should you take good care of your periodontal health with daily tooth brushing and flossing, you should expect to get a comprehensive periodontal evaluation every year," he said.
The study, by researchers at the CDC and the American Academy of Periodontology, was published in the Sept. 21 online edition of the Journal of Dental Research.
More information
For more information on gum disease and treatment options click on www.drjamesmiller.com/lanap.html
Tuesday, September 28, 2010
Smoking and Sleep Affect Oral Health
Smoking and Sleep Affect Oral Health
Study: Smoking and Lack of Sleep Are Among Factors in Periodontal Disease
By Jennifer Warner
WebMD Health NewsReviewed by Brunilda Nazario, MD May 18, 2007 -- Smoking may be public enemy No. 1 when it comes to the health of your teeth and gums.
A new study shows smoking was the leading lifestyle factor affecting the progression of periodontal disease. Second to smoking in terms of worsening periodontal disease was not getting enough sleep.
"This study points out to patients that there are lifestyle factors other than brushing and flossing that may affect their oral health. Simple lifestyle changes, such as getting more sleep, may help patients improve or protect their oral health," says Preston D. Miller Jr., DDS, president of the American Academy of Periodontology, in a news release. "It is also important to keep these in mind as the body of evidence linking oral disease with systemic diseases continues to grow because ultimately these lifestyle factors might impact a patient's overall health."
Smoking Affects Periodontal Disease
Periodontal disease, which affects the teeth and gums and can ultimately lead to loss of teeth, is thought to be caused by an imbalance of bacteria in the mouth. But recent research has suggested that other factors may also play an important role.
In the study, Muneo Tanaka, DDS, and colleagues at Osaka University Graduate School of Dentistry, followed a group of 219 factory workers from 1999 to 2003 to examine the relationship between periodontal disease and different lifestyle factors.
Researchers analyzed the impact of a variety of lifestyle factors on the progression of periodontal disease among the workers, including physical exercise, alcohol use, tobacco use, hours of sleep, nutritional balance of the diet, mental stress, hours worked, and eating breakfast.
Out of all the lifestyle factors examined, researchers found the No. 1 one factor affecting the progression of periodontal disease was smoking.
The results, published in the Journal of Periodontology, also showed that more than 41% of those who experienced a worsening of their periodontal disease were current smokers.
Lack of sleep was the second most important lifestyle factor affecting periodontal disease with those who received seven to eight hours of sleep per night showing less periodontal disease progression than those who received six or fewer hours of sleep per night. High stress levels and daily alcohol consumption also had an impact on periodontal disease progression.
For more information on the treatment of gum disease visit www.drjamesmiller.com/lanap.html
Study: Smoking and Lack of Sleep Are Among Factors in Periodontal Disease
By Jennifer Warner
WebMD Health NewsReviewed by Brunilda Nazario, MD May 18, 2007 -- Smoking may be public enemy No. 1 when it comes to the health of your teeth and gums.
A new study shows smoking was the leading lifestyle factor affecting the progression of periodontal disease. Second to smoking in terms of worsening periodontal disease was not getting enough sleep.
"This study points out to patients that there are lifestyle factors other than brushing and flossing that may affect their oral health. Simple lifestyle changes, such as getting more sleep, may help patients improve or protect their oral health," says Preston D. Miller Jr., DDS, president of the American Academy of Periodontology, in a news release. "It is also important to keep these in mind as the body of evidence linking oral disease with systemic diseases continues to grow because ultimately these lifestyle factors might impact a patient's overall health."
Smoking Affects Periodontal Disease
Periodontal disease, which affects the teeth and gums and can ultimately lead to loss of teeth, is thought to be caused by an imbalance of bacteria in the mouth. But recent research has suggested that other factors may also play an important role.
In the study, Muneo Tanaka, DDS, and colleagues at Osaka University Graduate School of Dentistry, followed a group of 219 factory workers from 1999 to 2003 to examine the relationship between periodontal disease and different lifestyle factors.
Researchers analyzed the impact of a variety of lifestyle factors on the progression of periodontal disease among the workers, including physical exercise, alcohol use, tobacco use, hours of sleep, nutritional balance of the diet, mental stress, hours worked, and eating breakfast.
Out of all the lifestyle factors examined, researchers found the No. 1 one factor affecting the progression of periodontal disease was smoking.
The results, published in the Journal of Periodontology, also showed that more than 41% of those who experienced a worsening of their periodontal disease were current smokers.
Lack of sleep was the second most important lifestyle factor affecting periodontal disease with those who received seven to eight hours of sleep per night showing less periodontal disease progression than those who received six or fewer hours of sleep per night. High stress levels and daily alcohol consumption also had an impact on periodontal disease progression.
For more information on the treatment of gum disease visit www.drjamesmiller.com/lanap.html
Monday, September 27, 2010
WebMD LANAP Laser Video
Check out this Web MD video concerning LANAP laser treatment.
http://www.webmd.com/video/new-treatment-gum-disease
For more information on LANAP go to www.drjamesmiller.com/lanap.html
http://www.webmd.com/video/new-treatment-gum-disease
For more information on LANAP go to www.drjamesmiller.com/lanap.html
Smoking and Gum Disease
Smoking and Sleep Affect Oral Health
Study: Smoking and Lack of Sleep Are Among Factors in Periodontal Disease
By Jennifer Warner
WebMD Health NewsReviewed by Brunilda Nazario, MD May 18, 2007 -- Smoking may be public enemy No. 1 when it comes to the health of your teeth and gums.
A new study shows smoking was the leading lifestyle factor affecting the progression of periodontal disease. Second to smoking in terms of worsening periodontal disease was not getting enough sleep.
"This study points out to patients that there are lifestyle factors other than brushing and flossing that may affect their oral health. Simple lifestyle changes, such as getting more sleep, may help patients improve or protect their oral health," says Preston D. Miller Jr., DDS, president of the American Academy of Periodontology, in a news release. "It is also important to keep these in mind as the body of evidence linking oral disease with systemic diseases continues to grow because ultimately these lifestyle factors might impact a patient's overall health."
Smoking Affects Periodontal Disease
Periodontal disease, which affects the teeth and gums and can ultimately lead to loss of teeth, is thought to be caused by an imbalance of bacteria in the mouth. But recent research has suggested that other factors may also play an important role.
In the study, Muneo Tanaka, DDS, and colleagues at Osaka University Graduate School of Dentistry, followed a group of 219 factory workers from 1999 to 2003 to examine the relationship between periodontal disease and different lifestyle factors.
Researchers analyzed the impact of a variety of lifestyle factors on the progression of periodontal disease among the workers, including physical exercise, alcohol use, tobacco use, hours of sleep, nutritional balance of the diet, mental stress, hours worked, and eating breakfast.
Out of all the lifestyle factors examined, researchers found the No. 1 one factor affecting the progression of periodontal disease was smoking.
The results, published in the Journal of Periodontology, also showed that more than 41% of those who experienced a worsening of their periodontal disease were current smokers.
Lack of sleep was the second most important lifestyle factor affecting periodontal disease with those who received seven to eight hours of sleep per night showing less periodontal disease progression than those who received six or fewer hours of sleep per night. High stress levels and daily alcohol consumption also had an impact on periodontal disease progression.
To find out more about gum disease and its treatments go to www.drjamesmiller.com/lanap.html
Study: Smoking and Lack of Sleep Are Among Factors in Periodontal Disease
By Jennifer Warner
WebMD Health NewsReviewed by Brunilda Nazario, MD May 18, 2007 -- Smoking may be public enemy No. 1 when it comes to the health of your teeth and gums.
A new study shows smoking was the leading lifestyle factor affecting the progression of periodontal disease. Second to smoking in terms of worsening periodontal disease was not getting enough sleep.
"This study points out to patients that there are lifestyle factors other than brushing and flossing that may affect their oral health. Simple lifestyle changes, such as getting more sleep, may help patients improve or protect their oral health," says Preston D. Miller Jr., DDS, president of the American Academy of Periodontology, in a news release. "It is also important to keep these in mind as the body of evidence linking oral disease with systemic diseases continues to grow because ultimately these lifestyle factors might impact a patient's overall health."
Smoking Affects Periodontal Disease
Periodontal disease, which affects the teeth and gums and can ultimately lead to loss of teeth, is thought to be caused by an imbalance of bacteria in the mouth. But recent research has suggested that other factors may also play an important role.
In the study, Muneo Tanaka, DDS, and colleagues at Osaka University Graduate School of Dentistry, followed a group of 219 factory workers from 1999 to 2003 to examine the relationship between periodontal disease and different lifestyle factors.
Researchers analyzed the impact of a variety of lifestyle factors on the progression of periodontal disease among the workers, including physical exercise, alcohol use, tobacco use, hours of sleep, nutritional balance of the diet, mental stress, hours worked, and eating breakfast.
Out of all the lifestyle factors examined, researchers found the No. 1 one factor affecting the progression of periodontal disease was smoking.
The results, published in the Journal of Periodontology, also showed that more than 41% of those who experienced a worsening of their periodontal disease were current smokers.
Lack of sleep was the second most important lifestyle factor affecting periodontal disease with those who received seven to eight hours of sleep per night showing less periodontal disease progression than those who received six or fewer hours of sleep per night. High stress levels and daily alcohol consumption also had an impact on periodontal disease progression.
To find out more about gum disease and its treatments go to www.drjamesmiller.com/lanap.html
Thursday, September 23, 2010
Gum Disease Major Health Concern
The prevalence of periodontal disease in the United States may be significantly higher than originally estimated. Research published in the Journal of Dental Research from the Centers for Disease Control and Prevention (CDC) and the American Academy of Periodontology (AAP) suggests that the prevalence of periodontal disease may have been underestimated by as much as 50 percent. The implication is that more American adults may suffer from moderate to severe gum disease than previously thought.
In a National Health and Nutrition Examination Survey (NHANES) pilot study, funded by the CDC's Division of Oral Health, a full-mouth, comprehensive periodontal examination was conducted on over 450 adults over the age of 35. Periodontal disease was classified according to definitions determined by the CDC in collaboration with the AAP. The prevalence rates were then compared against the results of previous NHANES studies which used a partial-mouth periodontal examination. Historically, NHANES has served as the main source for determining prevalence of periodontal disease in US adults. The pilot study finds that the original partial-mouth study methodology may have underestimated true disease prevalence by up to 50 percent.
Periodontal disease is a chronic inflammatory disease that affects the gum tissue and other structures supporting the teeth. If left untreated, it can lead to tooth loss, and may also interfere with other systems of the body. Several research studies have associated gum disease with other chronic inflammatory diseases such as diabetes, cardiovascular disease, and rheumatoid arthritis.
"This study shows that periodontal disease is a bigger problem than we all thought. It is a call to action for anyone who cares about his or her oral health." said Samuel Low, DDS, MS, associate dean and professor of periodontology at the University of Florida College of Dentistry, and president of the American Academy of Periodontology. "Given what we know about the relationship between gum disease and other diseases, taking care of your oral health isn't just about a pretty smile. It has bigger implications for overall health, and is therefore a more significant public health problem."
Dr. Low explained that the increased prevalence of periodontal disease makes it essential to maintain healthy teeth and gums. "Not only should you take good care of your periodontal health with daily tooth brushing and flossing, you should expect to get a comprehensive periodontal evaluation every year," he advised. A dental professional, such as a periodontist, a specialist in the diagnosis, treatment and prevention of gum disease, will conduct the comprehensive exam to assess your periodontal disease status.
According to Paul Eke, MPH, PhD, epidemiologist at the CDC and lead author of the study, the findings have significant public health implications. "The study suggests we have likely underestimated the prevalence of periodontal disease in the adult US population," he said. "We are currently utilizing a full-mouth periodontal examination in the 2009/10 NHANES to better understand the full extent and characteristics of periodontal disease in our adult population." Dr. Eke added, "Research suggests a connection between periodontal health and systemic health. In light of these findings, understanding the relationships between periodontal disease and other systemic diseases in the adult U.S population is more crucial than ever."
Source:
American Academy of Periodontology
Find out more about gum disease and treatment at www.drjamesmiller.com/lanap.html
In a National Health and Nutrition Examination Survey (NHANES) pilot study, funded by the CDC's Division of Oral Health, a full-mouth, comprehensive periodontal examination was conducted on over 450 adults over the age of 35. Periodontal disease was classified according to definitions determined by the CDC in collaboration with the AAP. The prevalence rates were then compared against the results of previous NHANES studies which used a partial-mouth periodontal examination. Historically, NHANES has served as the main source for determining prevalence of periodontal disease in US adults. The pilot study finds that the original partial-mouth study methodology may have underestimated true disease prevalence by up to 50 percent.
Periodontal disease is a chronic inflammatory disease that affects the gum tissue and other structures supporting the teeth. If left untreated, it can lead to tooth loss, and may also interfere with other systems of the body. Several research studies have associated gum disease with other chronic inflammatory diseases such as diabetes, cardiovascular disease, and rheumatoid arthritis.
"This study shows that periodontal disease is a bigger problem than we all thought. It is a call to action for anyone who cares about his or her oral health." said Samuel Low, DDS, MS, associate dean and professor of periodontology at the University of Florida College of Dentistry, and president of the American Academy of Periodontology. "Given what we know about the relationship between gum disease and other diseases, taking care of your oral health isn't just about a pretty smile. It has bigger implications for overall health, and is therefore a more significant public health problem."
Dr. Low explained that the increased prevalence of periodontal disease makes it essential to maintain healthy teeth and gums. "Not only should you take good care of your periodontal health with daily tooth brushing and flossing, you should expect to get a comprehensive periodontal evaluation every year," he advised. A dental professional, such as a periodontist, a specialist in the diagnosis, treatment and prevention of gum disease, will conduct the comprehensive exam to assess your periodontal disease status.
According to Paul Eke, MPH, PhD, epidemiologist at the CDC and lead author of the study, the findings have significant public health implications. "The study suggests we have likely underestimated the prevalence of periodontal disease in the adult US population," he said. "We are currently utilizing a full-mouth periodontal examination in the 2009/10 NHANES to better understand the full extent and characteristics of periodontal disease in our adult population." Dr. Eke added, "Research suggests a connection between periodontal health and systemic health. In light of these findings, understanding the relationships between periodontal disease and other systemic diseases in the adult U.S population is more crucial than ever."
Source:
American Academy of Periodontology
Find out more about gum disease and treatment at www.drjamesmiller.com/lanap.html
Healthy Gums May Help Prevent Pancreatic Cancer
Healthy Gums May Prevent Pancreatic Cancerfrom FitSugar by FitSugar
All cancer is bad news, but what makes pancreatic cancer so awful is that only 5% of people diagnosed with it will live another 5 years.
There are no recommended screening tests, early warning signs or symptoms to alert a person or their doctor that they have pancreatic cancer.
Some risk factors that could make you more susceptible to pancreatic cancer include cigarette smoking and possibly diabetes and obesity.
Oddly enough, periodontal disease (gum inflammation) and tooth loss may also be associated in some way with an increased risk of pancreatic cancer.
The connection it seems is that over time, the bacterial infection that causes gum disease can also cause loss of the bone that anchors the teeth. The inflammation from the infection may set the stage for other serious diseases, like pancreatic cancer.
There has also been recent interest in a possible link between gum disease and coronary artery disease, based on the theory that gum disease may lead to increased levels of inflammation throughout our bodies.
Fit's Tips: So take care of your teeth and gums people. Get regular dental cleanings twice a year, and whatever you do - don't forget to floss.
If you would like to learn more about gum disease and gum disease treatment go to www.drjamesmiller.com/lanap.html
All cancer is bad news, but what makes pancreatic cancer so awful is that only 5% of people diagnosed with it will live another 5 years.
There are no recommended screening tests, early warning signs or symptoms to alert a person or their doctor that they have pancreatic cancer.
Some risk factors that could make you more susceptible to pancreatic cancer include cigarette smoking and possibly diabetes and obesity.
Oddly enough, periodontal disease (gum inflammation) and tooth loss may also be associated in some way with an increased risk of pancreatic cancer.
The connection it seems is that over time, the bacterial infection that causes gum disease can also cause loss of the bone that anchors the teeth. The inflammation from the infection may set the stage for other serious diseases, like pancreatic cancer.
There has also been recent interest in a possible link between gum disease and coronary artery disease, based on the theory that gum disease may lead to increased levels of inflammation throughout our bodies.
Fit's Tips: So take care of your teeth and gums people. Get regular dental cleanings twice a year, and whatever you do - don't forget to floss.
If you would like to learn more about gum disease and gum disease treatment go to www.drjamesmiller.com/lanap.html
Monday, September 20, 2010
LANAP Laser Gum Therapy vs. Conventional Gum Surgery
It can be a difficult decision for people who have diagnosed with gum or periodontal disease. Firstly, patients are often surprised at their diagnosis. Periodontal disease is a very common, yet, sadly, is widely underdiagnosed ( another topic altogether). It is estimated that over 100 million people in the U.S. have some form of periodontal disease. When it comes to treating gum disease there are essentially two options - traditional gum surgery or LANAP laser gum therapy. Unfortunately, LANAP laser gum therapy option is often not presented to patient because of lack of knowledge of the LANAP procedure. My goal is to compare LANAP with traditional gum surgery so people can make an informed decision of the treatment choices.
Comparison of Procedures
With traditonal gum surgery, a scalpel is used to "flap" the gums back in order to expose the roots of the teeth and the jawbone. This allows the dentist to clean all the tartar from the roots and view the bone that supports the teeth. If there are any bony defects, the bone is reshaped or bone graft material is placed. The gums are then sutured back in place. The gums may also be excised (cut) in order to achieve a periodontal pocket that is 3mm deep to allow the patient to clean effectively. For example, if you had a 6mm pocket reading, then 3mm of gum tissue would have to be removed to create a 3mm pocket.
In LANAP laser gum therapy, there are no scalpels or sutures. The gums are not "flapped" back of the teeth and the bone. Instead, the laser fiber is placed between the teeth and gums into the periodontal pocket. The LANAP laser then selectively ablates (removes) the scar tissue lining the gums in the pocket and kills the bacteria as well. The roots are then cleaned using an ultrasonic devise. Then the LANAP laser is used again to seal around the cuff of the tooth. This creates an environment that allows your own body to heal and actually regenerate the attachment of the gum to the tooth.
Essentially, the difference is LANAP laser gum therapy promotes regeneration to reduce the periodontal pocket depths while Traditional gum surgery amputates the gums to attain a healthy periodontal pocket depth.
Post Operative Differences
Since LANAP laser gum therapy is less invasive than traditional gum surgery the downtime is dramatically reduced. It is typical for a LANAP patient to have downtime in the 24 -48 hr range. Compared to 2-4 weeks with traditional surgery. With LANAP there is less pain and less chance of infection.
Treatment Outcome Differences
While both LANAP and Traditional gum treatments will produce healthier gums, there are some major differences. Since Traditonal surgery removes gum tissue to produce shallower periodontal pockets, this exposes the roots of the teeth to the oral environment. Aesthetically, the teeth look longer as more of the teeth are exposed. By exposing the roots of the teeth, this often produces teeth that are sensitive to cold and hot temperatures. Also, the roots of the teeth are not as strong as the enamel of teeth. By exposing the roots it increases the risk of getting cavities on these root surfaces.
LANAP laser gum therapy does not remove gum tissue, it promotes regeneration of the gums attachment to the tooth. With LANAP we see very little gum recession. This means the roots do not get exposed, so the sensitivity and cavity risks are minimized, and aesthetics are maintained because we see very little gum recession with LANAP.
Time and Cost Differences
The time frame for LANAP consists of 2 two hour appointments scheduled one week apart. Traditional gum surgery usually take longer, with a longer time frame between surgeries. The cost is for each procedure is typically about the same.
If you would like to read more on LANAP laser gum therapy please click on the following link www.drjamesmiller.com/lanap.html .
Comparison of Procedures
With traditonal gum surgery, a scalpel is used to "flap" the gums back in order to expose the roots of the teeth and the jawbone. This allows the dentist to clean all the tartar from the roots and view the bone that supports the teeth. If there are any bony defects, the bone is reshaped or bone graft material is placed. The gums are then sutured back in place. The gums may also be excised (cut) in order to achieve a periodontal pocket that is 3mm deep to allow the patient to clean effectively. For example, if you had a 6mm pocket reading, then 3mm of gum tissue would have to be removed to create a 3mm pocket.
In LANAP laser gum therapy, there are no scalpels or sutures. The gums are not "flapped" back of the teeth and the bone. Instead, the laser fiber is placed between the teeth and gums into the periodontal pocket. The LANAP laser then selectively ablates (removes) the scar tissue lining the gums in the pocket and kills the bacteria as well. The roots are then cleaned using an ultrasonic devise. Then the LANAP laser is used again to seal around the cuff of the tooth. This creates an environment that allows your own body to heal and actually regenerate the attachment of the gum to the tooth.
Essentially, the difference is LANAP laser gum therapy promotes regeneration to reduce the periodontal pocket depths while Traditional gum surgery amputates the gums to attain a healthy periodontal pocket depth.
Post Operative Differences
Since LANAP laser gum therapy is less invasive than traditional gum surgery the downtime is dramatically reduced. It is typical for a LANAP patient to have downtime in the 24 -48 hr range. Compared to 2-4 weeks with traditional surgery. With LANAP there is less pain and less chance of infection.
Treatment Outcome Differences
While both LANAP and Traditional gum treatments will produce healthier gums, there are some major differences. Since Traditonal surgery removes gum tissue to produce shallower periodontal pockets, this exposes the roots of the teeth to the oral environment. Aesthetically, the teeth look longer as more of the teeth are exposed. By exposing the roots of the teeth, this often produces teeth that are sensitive to cold and hot temperatures. Also, the roots of the teeth are not as strong as the enamel of teeth. By exposing the roots it increases the risk of getting cavities on these root surfaces.
LANAP laser gum therapy does not remove gum tissue, it promotes regeneration of the gums attachment to the tooth. With LANAP we see very little gum recession. This means the roots do not get exposed, so the sensitivity and cavity risks are minimized, and aesthetics are maintained because we see very little gum recession with LANAP.
Time and Cost Differences
The time frame for LANAP consists of 2 two hour appointments scheduled one week apart. Traditional gum surgery usually take longer, with a longer time frame between surgeries. The cost is for each procedure is typically about the same.
If you would like to read more on LANAP laser gum therapy please click on the following link www.drjamesmiller.com/lanap.html .
Monday, August 30, 2010
LANAP Laser Gum Therapy One Year Results
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| December 2008- Note the amount of bone loss between the teeth. Approximately only 2mm of bone supporting the tooth. |
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| January 2010. Patient presents with significant reduction in pocket depths and evidentce of approximately 3-4 mm new bone formation. |
This particular patient came to our office originally in December 2007. This was before I had been providing the LANAP laser gum therapy. The patient's periodontal condition, particularly the bottom front teeth, were in poor to hopeless condition. My original plan was to extract the four bottom incisors and replace them with a bridge. The depth of the periodontal pockets ranged from 8-12mm deep (normal is 3mm)! The teeth were mobile. Fortunately I began performing the LANAP procedure in September of 2008. This patient jumped at the opportunity to treat his periodontal condition using the Periolase MVP-7 laser and the LANAP laser gum therapy procedure. The LANAP procedure was performed in December of 2008. Since we do not want to damage the new gum attachment, we do not measure the gums for at least nine months. In January 2010, we measured the bottom front teeth, we were ecstatic with the results. Where there was a 12mm periodontal pocket now measured a 4mm, where there was an 8mm pocket now there was a 3mm. We also took an X-ray of the area to compare. This blew me away! We see evidence of new bone formation (approximately 3-4mm new bone) growing. Using the LANAP laser gum therapy is the only way I know about that can produce these types of results.
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Dr. James Miller is a Arizona licensed general dentist. His practice is located in Scottsdale Arizona. For more information concerning LANAP click on the following link http://www.drjamesmiller.com/lanap.html |
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