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

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

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