Category: Gum Disease

Yes, definitely! A three second kiss has been shown to transmit about 40 million saliva bacteria and parasites. It is important to get your spouse or anyone you kiss treated to avoid reinfecting yourself after treatment. Periodontal bacteria, caries bacteria, and parasites can also be transmitted to your children starting when they are young.

You can also get periodontal disease bacteria and parasites from your dog or cat, since they have a high rate of periodontal infection. Those lovable face licks can transmit periodontal disease. Ideally, start brushing your pet’s teeth when they are very young to get them used to it.

In addition, periodontal bacteria and parasites can be picked up from food and water, especially in the Caribbean. Drink only bottled water and avoid uncooked food in most developing countries. (See pages 23-24 for a questionnaire regarding the possible contamination sources for bacteria and parasites causing periodontal disease.)

Is Periodontal Disease Hereditary?

No. It is a bacterial and protozoan infection transmitted from others as discussed above. However, an increased susceptibility to this infection can be inherited. According to one recent study, up to 50% of the population may have some genetic susceptibility to periodontal disease. A commercially available test has recently been developed to test for eight genetic markers, genetic variations involved in bone resorption and the inflammatory response. (See next page.) We advise this test when patients tell us they have several family members with periodontal problems. In addition to heredity, other major risk factors are smoking and diabetes. However, if you control the bacteria and protozoans causing the infection, no periodontal disease will occur even if you have any of these risk factors.

For More information, read “Diagnosing and Treating Oral Diseases and Orofacial Pain”.

There are seven key questions we advise patients to ask when searching for a periodontist.

1. Does the periodontist treat the actual bacterial cause of periodontal disease, or does the periodontist just cut away at the resultant pockets? (See Laboratory Report of a culture that identifies the actual cause of periodontal disease and the appropriate antibiotic to use on page 20.)

2. When treating periodontal disease, does the periodontist use the state-of-the-art Laser Assisted New Attachment Procedure (LANAP), which causes minimal discomfort and stimulates the growth of new bone? (See X-rays on following page.) Or does the periodontist use conventional painful cutting and stitching surgery?

3. For unsightly gum recession, does the periodontist use the much gentler Chao Pinhole gum rejuvenation technique which uses no scalpels? Or does the periodontist use conventional surgery that creates a painful wound on the roof of the mouth?

4. Is the periodontist very concerned about my comfort? Does the periodontist offer sedation for anxious patients? Or does the periodontist only use local anesthetic shots?

5. Is the periodontal practice privately-owned and operated in the community for many years focusing first on my needs? Or is it a corporately-owned practice managed by MBAs from afar focused on daily production goals?

6. Is the periodontist available in one office five days a week to attend to my concerns? Or does the periodontist travel to many different offices and only visit my dentist’s office a couple of days per month?

7. Are the periodontist and staff friendly and personable and have great Google reviews? Do they take the time to listen to my concerns, and then do a comprehensive examination and tailor a treatment plan specific to my needs and desires?

To learn more, read “Saving Your Teeth, Implants, and Your Health,” by Dr’s. McCawley.

Yes, Definitely. It’s Called Peri-Implantitis. 

Implants are just as susceptible to periodontal disease as teeth, especially if the other teeth present have periodontal disease. The same bacteria that infect teeth and cause periodontal disease also infect implants and cause peri-implantitis. Once periodontal disease starts on implants, bone loss can be more rapid than on teeth. This is because implants, unlike teeth, lack fibers that attach directly to the bone to resist the down-growth of infection. Your dentist or hygienist can detect it with a periodontal probe and X-rays which may reveal pockets, bleeding, pus and bone loss.

Several studies have found that as many as 56 percent of patients will develop peri-implantitis. A survey of periodontists reported that up to ten percent of implants must be removed because of peri-implantitis.

Once the implant threads are exposed, peri-implantitis is treated the same way as periodontal disease on teeth, including bacteria and parasite control (See TFBI2 on page 27), ultrasonic scaling and bite adjustment. Special attention is devoted to removing any retained cement on the implant crowns. New laser treatments, such as the Laser Assisted Peri-Implantitis Procedure (LAPIP), and bone grafting techniques show promise if the bone loss is not too severe.

Left: An X-ray of implants infected with peri-implantitis. Right: An X-ray showing new bone growth after LAPIP laser treatment.

For more information on this or any other dental procedure , contact our offices located in Fort Lauderdale, Florida to schedule an appointment to speak with either Dr. Mark or Dr. Tom.

Also, you can read more about the different diagnosis and treatments of various oral diseases by downloading a copy of Drs. Mark and Tom McCawley’s book “Saving Your Teeth, Implants And Your Health”.

Dentists commonly tell their patients to watch out for gingivitis. Gingivitis, also referred to as gum disease, affects many people. There are many causes for gingivitis, and many symptoms to look for. Overtime, gingivitis can turn into periodontal disease, and even worse, tooth loss, so it is important to stay on top of your oral health.

Gingivitis has the first symptoms of bleeding gums at the occurrence of brushing your teeth or flossing. This does not automatically mean you are suffering from gum disease, but the two generally go hand in hand. If your bleeding does not go away within a few days to a week, you should set up an appointment with your dentist to ensure you do not have the start of gum disease. Another typical symptom associated with gingivitis is red and sensitive soft tissue. If your gums are tender to the touch, or hurt to brush, you should see your dentist.

It is important to know that gingivitis can be turned around, so seeking dental attention at the earliest symptom is important and necessary.

Along with symptoms of gingivitis, you should make yourself aware of the causes. Gum disease, as previously stated can be caused by a number of things, but usually occurs because of plaque buildup. Lack of proper oral care, and left behind plaque causes a buildup which could lead to tartar. Tartar is a hardened plaque, which is hard to remove. Tartar left on teeth causes decay and soft tissue problems. Another cause could be family history. You may be predisposed to gum disease, so let your doctor know of any preexisting family medical history.

If you want to prevent gingivitis and periodontal disease to the best of your ability, you should floss and brush your teeth daily, with a recommendation of twice: morning and night. It also is a good idea to rise out your mouth after eating foods that are sugar dense or acidic because of the lingering debris.

If you feel as if these are symptoms you are feeling or words you have heard in the past about your oral health, set up a consultation with your dentist to get it fixed as soon as possible.

If you notice your gums are bleeding while you’re brushing your teeth that could be an alarming sight to see. There are many possible causes why this may be happening. Regardless of which factor it is, it’s better to know some common causes of bleeding gums so you can identify future oral infections and ailments. Take a look at the list below to further your understanding of why your gums may be bleeding.

Gingivitis

This is what people typically think of when they see their gums bleeding. Gingivitis is the first stage of gum disease and often occurs when plaque and other bacteria have built up around and in between your teeth and underneath your gum line. Luckily, you can reverse the effects of this stage by simply brushing and flossing thoroughly and scheduling regular checkup appointments with your dentist.

Certain medications

Blood-thinning medications are amongst the top-rated medications known for causing gums to bleed. This information is based on a list that the American dental association published stating that these medications decrease the blood’s ability to clot therefore making it easier for you to bleed in general. Speak with your doctor and your dentist about these medications to make sure they are not harmful to you to continue using.

New dental routine

Starting a new dental routine or purchasing new dental products that you have yet to be a custom with can also be a reason for causing your gums to bleed. Things like a thicker type of floss that you haven’t used before or firmer bristles on your toothbrush that doesn’t agree with your mouth are examples of this.

Pregnancies

Yes, this is hard to believe, but women that are pregnant do experience swollen gums and bleeding during their pregnancy. This is classified as a hormonal shift throughout the trimesters leading up to the child’s birth, according to the American pregnancy association. These symptoms do clear up shortly after the pregnancy.

Learn more

Regardless of the reasons why your gums may be bleeding be sure to schedule regular appointments and speak to your dentist and other medical physicians to make sure that this does not cause any long-term damaging effects to your oral wellbeing. For more information and tips to identify oral other issues, please visit us at our Ft. Lauderdale Florida offices.

The human body is a complicated machine, that we have to take care of all the time to remain healthy. As our overall health remains a priority, our oral health needs to be maintained as well for our body to function well, constantly. This means we need to be brushing and flossing our teeth regularly, and treated well. If we maintain oral hygiene, precautions will be in place so that disease prevention is constant. That is why it is imperative to brush our teeth twice a day and floss daily.

If we don’t keep our mouth clean every day, bacteria start to form. The bacteria in our mouth, along with other substances, such as mucus and plaque begin to accumulate.  Plaque forms around our teeth, and if not removed can turn into tartar, which is more damaging to our teeth. The tarter that forms will make our gums swell and tender to the touch. When this occurs and your gums become inflamed, gingivitis has most likely set in.  The inflamed gums usually tend to bleed easily when they become irritated. If you don’t get it treated at this point, it will lead to periodontitis, which is the accelerated disease of gingivitis. The gums will become so sensitive and loose, your teeth at this point are vulnerable to become damaged. It could then harm your jawbone and tissues surrounding the gum.

It is important to visit your dentist as soon as you experience symptoms of sensitive gums and loose teeth. When you feel as if you could be suffering from any form of gum disease, whether it be gingivitis or periodontitis, your dentist will know how to treat it and help you attack this problem. If your specific dentist can no longer handle how far the disease has progressed, they will send you to a recommended periodontist – someone who is a specialist for that specific disease.

Visit your dentist to learn more about your symptoms and how to prevent gum diseases. They are preventable and curable, so make sure you seek professional attention to resolve the problem.

Gum disease is usually caused by severe plaque buildup and bacteria entering the gums, inflaming them. Without proper care, gum disease, otherwise known as gingivitis, can turn worse and cause periodontitis. Lack of care when you are someone with gum disease can lead to tooth decay and potentially losing teeth and jawbone dimension.

If you think you may be predisposed to having gum disease, here are some things to keep note of:

Smoking

It is a known fact that smoking causes cancer, as well as many other deadly diseases. But many of us might not know that it can also cause gum diseases. It has been shown that tobacco users (smokers and those who chew tobacco) are most prone to periodontitis. Smoking not just cigarettes but even cigars or a pipe is equally dangerous to periodontal health. Even after the treatment for the diseases is started, smoking cigarettes will hinder the healing process.

Genetics

Studies have shown that as high as 30% of the whole population may have hereditary trace of periodontitis. These unlucky percentages of people are six times more at risk of getting gum disease even if they take good care of their teeth and gum. These people can however get preventive care beforehand by finding out if they have genetic traces of the gum diseases.

Stress

Stress is something that has been a link to many diseases. The reason stress is a cause for diseases is because stress is a trigger to the brain. If you are prone to high levels of stress, your brain sends signals to your whole body, which controls diseases like hypertension and cancer. Because stress is so closely tied to the body, it is why it’s one of the causes for gum disease. When you are overly stressed, your body has a hard time fighting off diseases.

Medicines

If you have ever wondered why your dentist asks about medicines you take, they may be the cause of gum disease. Medicines like oral contraceptives, anti-depressants, medicine for cancer treatment and some heart medicines can cause the gum disease. It is important for you to inform your dentist of all the medicine you are taking for other illnesses too, for this reason.