The PearlFection Blog
Posts for: February, 2019
Dealing with a toothache? You might need a root canal.
A root canal is one of the most commonly performed dental treatments and yet, it has gotten such a bad reputation over the years. Of course, despite all the negative hype and myths surrounding this treatment it actually offers major benefits for a smile that is dealing with an infected or damaged tooth. Our dentists at Pearlfection Dentistry in Frederick, Maryland and Urbana, Maryland could even end up saving your tooth in the long run thanks to performing this simple endodontic procedure.
A root canal is a procedure done by a dentist where the tooth is opened up and a small flexible rotary tool is inserted into the tooth's canal(s), where the nerve and pump reside. The rotary action of the tool, along with other techniques will remove the pump and nerve. This will result in a tooth with no more sensitivity.
We recommend root canals being done by a trained endodontist with advanced training in root canal therapy. Every dentist licensed in Maryland is allowed to do root canals but when selecting a dentist to perform the procedure, ask them how many root canals they do weekly and if they are a board certified or board eligible endodontist. If they say they are a board certified or board eligible endodontist, you will know they have advanced training in endodontic treatment. Also, make sure your root canal is performed by a doctor with an endoscope. This is an advanced piece of equipment with a microscope that allows the doctor to very accurately see inside the tooth and make sure he or she has cleaned out all the canals. Many teeth have multiple canals. Missing one of the canals will likely mean you will need the root canal to be done again at additional expense.
Here are some warning signs that you might need a root canal:
A toothache is certainly not something you want to ignore as it’s trying to tell you something is wrong with your tooth. A toothache doesn’t just happen without a reason. While a toothache can have many causes, including a cavity, abscess and infection, a cracked tooth or nerve damage, it could also mean that the inside of your tooth is inflamed or infected and requires root canal treatment. Some folks are simply more prone to toothaches than others.
If you notice that your tooth suddenly hurts when you put pressure on it or is particularly sensitive to hot or cold foods or drinks this is something that you should have your Frederick and Urbana, MD dentist examine as soon as possible. The sooner dental treatment is done, usually the better and less expensive the outcome. Waiting usually only makes things worth and can infect other teeth and cause irreversible bone loss, which further limits a patient's options for treatment.
If tooth sensitivity suddenly appears and doesn’t go away this might be a sign of damaged tooth roots, which will not heal on its own. To prevent the damage from spreading to other areas of the tooth our endodontist will need to go in and remove the bacteria and infection.
Discoloration in the Tooth
While yellowing teeth often happen as we get older or as a result of the food and drinks we consume, sometimes if the tooth suddenly appears darker this could mean that there is nerve damage. When damage occurs to the nerve and blood vessel (the dental pulp), we will need to open up the tooth to remove the affected pulp. An endodontist can perform both internal bleaching and external bleaching of the tooth, during the root canal procedure.
Even though gum inflammation is usually synonymous with gum disease, if you only notice swollen gums around the problem tooth or a pimple-like growth develops on the gums then you need to get your tooth evaluated right away by a dentist.
If you are experiencing a toothache it’s important that you seek dental care as soon as possible. Luckily, our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, and Dr. Nikta Pashai, periodontist Dr. Ashley Seals, prosthodontist Dr. Amos Chi, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Stephen Tigani at Pearlfection Dentistry in Frederick and Urbana, MD, can handle your dental problem, no matter whether it’s an emergency or not. Call us today. The office is located 45 minutes from Washington, DC, and 45 minutes from Baltimore. We are the number one reviewed dentist in the state of Maryland and all your work can be performed in one location. We also do IV sedation for those patients who are extra nervous. And if you want the entire aesthetic treatment, our doctors will even do Botox treatment at your 6 month cleanings.
Gum infection linked to Alzheimer's disease, new study suggests
Alzheimer’s disease could be caused by a gum infection, according to a new study.
The study, published this week in the peer-reviewed journal Science Advances, suggests the bacteria Porphyromonas gingivalis that destroys gum tissue in the mouth is linked to dementia and Alzheimer's.
Researchers observed the bacteria in the brains of people with Alzheimer's disease. They also conducted tests on mice that showed the gum infection led to an increased production of amyloid beta, a part of the amyloid plaques associated with Alzheimer's disease.
"Despite significant funding and the best efforts of academic, industry, and advocacy communities, clinical progress against Alzheimer's has been frustratingly slow," Casey Lynch, author on the paper and CEO of pharmaceutical company Cortexyme, said in a statement. "The Science Advances publication sheds light on an unexpected driver of Alzheimer's pathology."
Cortexyme, which funded the research, is designing a series of therapies to treat the gum infection that plan to go to Phase 2 and 3 clinical trials.
In this file photo, the brain of an older individual shows the early stages Alzheimer's disease. A new study suggestions a gum infection might be linked to the disease. (Photo: NONE, XXX DEPARTMENT OF ANATOMY AND NE)
While there have been previous studies linking periodontal disease and Alzheimer’s, researchers who aren't affiliated with the paper say there isn't clear enough evidence linking the two.
"In research we’ve supported to uncover the key risk factors for Alzheimer’s disease, gum disease hasn’t emerged as a major cause for concern," James Pickett, the head of research at Alzheimer’s Society who was not involved in the paper, said in a statement.
No cure currently exists for Alzheimer's disease, the most common type of dementia. The disease that begins with memory loss affects as many as 5 million Americans, according to the Centers for Disease Control and Prevention.
Does Gum Disease Increase Risk of Heart Disease?
Recently, dentists, researchers, and doctors have begun to examine the link between oral health and overall health. One area they’ve focused on is the relationship between gum disease and heart disease.
Gum disease, also called periodontal disease, is inflammation of the gums. It can lead to the breakdown of the gums, teeth, and bone tissues that hold them in place. Heart disease refers to a broad set of conditions, including heart attack and stroke. Heart disease is caused by the narrowing or blockage of important blood vessels.
Keep reading to learn more about how these two conditions are related and what you can do to reduce your risk.
Gum diseases and other diseases
Gum disease and oral health may be related to other conditions, as well, such as:
- Osteoporosis: Some research suggests that lower bone density leads to bone loss in the jaw. This may eventually lead to tooth loss due to a weaker underlying bone.
- Respiratory disease: Bacteria in the mouth can move to the lungs and cause infections such as pneumonia. This is more common for people with periodontal disease.
- Cancer: Some research suggests that gum disease may increase the risk of certain forms of cancer, such as kidney, pancreatic, and blood cancers. More research is needed in this area.
- Rheumatoid arthritis (RA): Early research shows an association between RA and gum disease. However, more research is needed.
There are also some conditions that may increase your risk of developing gum disease. Research indicates that people with diabetes are at increased risk of developing gum disease. This is likely due to increased inflammation and greater risk of infections in general. The risk lowers if you manage your diabetes.
Pregnant women are also at increased risk of gum disease due to hormonal changes and increased blood flow.
Symptoms and diagnosis
Gum disease symptoms
Regular visits to your dentist can help with early diagnosis and treatment of gum disease. You should also let your dentist know if you have any symptoms of gum disease, including:
- persistent bad breath
- swollen, red gums
- tender gums that bleed easily
- pain with chewing
- highly sensitive teeth
- receding gums or sunken teeth
- loose teeth or changes in bite
Just because you have one or several of these symptoms doesn’t mean you have gum disease. A dentist will make a formal diagnosis by reviewing the severity and duration of your symptoms. They will also evaluate your teeth and review your medical history. During your visit, they may:
- measure your gums with a tiny ruler to check pocket depth
- evaluate your gums for signs of inflammation and plaque buildup
- take X-rays of underlying jaw bone to look for bone loss
- examine sensitive teeth for receding gums
Heart disease symptoms
If your doctor suspects heart disease, they will make a diagnosis based on your medical history, the severity and duration of your symptoms, and the results of a physical examination. The following are common symptoms of heart disease:
- chest pain, also known as angina, resulting from your heart not getting enough oxygen
- arrhythmia, also known as irregular heart beat
- shortness of breath
- unexpected fatigue
- dizziness and lightheadedness
- sudden confusion or impaired thinking
- excess buildup of fluid, known as edema
- heart attack
The doctor will also evaluate your blood and examine risk factors for heart disease, such as family history and body weight. They can confirm a diagnosis with the following tests:
- EKG to record the heart’s electrical activity
- chest X-ray to visualize the heart and other organs in the chest
- blood tests to evaluate levels of proteins, lipids, and glucose
- stress test to document abnormal changes in your heart beat and breathing during exercise
What’s the outlook?
Research shows some connection between gum disease and heart disease. Bacteria buildup and inflammation in the oral cavity eventually leads to narrowing and blockage of blood vessels. However, more research is needed to better understand the connection.
There are many healthy lifestyle habits you can use to maintain good oral hygiene and reduce your risk of gum and heart diseases.
- Brush your teeth and tongue at least twice per day with a fluoride toothpaste. Ask your dentist to demonstrate the correct technique for brushing.
- Floss between your teeth and gums at least once per day.
- Use mouthwash regularly.
- Only use teeth cleaning products that have the American Dentist Association’s seal of approval.
- Refrain from smoking or chewing tobacco.
- Drink water that contains fluoride.
- Eat a diet high in vegetables, high-fiber foods, low-sugar fruits, and vegetable-based proteins.
- Maintain healthy levels of blood sugar, especially if you have diabetes.
- See a dentist twice per year for regular cleanings and checkups.
- Be mindful of early signs of gum disease, such as bleeding gums and constant bad breath. Let your dentist know if you have any of these symptoms.
Q&A: Gum disease
Can I reverse the damage caused by gum disease?
Yes, gum disease can still be reversed if you are in the gingivitis stage of the disease, but not from the advanced form of the disease. To improve your gum health, brush your teeth twice per day with a fluoride toothpaste. Floss regularly using string floss, a water flosser, or special dental brushes and picks. Use mouth rinses, and have regular dental checkups and professional cleanings.
If gum disease is in the more advanced form, called periodontitis, you can take measures to control it. Scaling and root planning (deep cleaning), reduction of gum pockets (surgical treatment), and medication may be necessary.
- Christine Frank, DDS
Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.