Scaling and Root Planing for Gum Disease

Below is an excerpt from an article found on mouthhealthy.org

Scaling and root planing is a deep cleaning below the gumline used to treat gum disease.

Why Do I Need It?
Gum disease is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if they aren’t cleaned well, the bacteria in plaque can cause your gums to become inflamed. When this happens, your gums will pull away from your teeth and form spaces called pockets. Plaque then gets trapped in these pockets and cannot be removed with regular brushing. If untreated, gum disease could lead to bone and tooth loss.

If gum disease is caught early and hasn’t damaged the structures below the gum line, a professional cleaning should do. If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed.

A July 2015 study in the Journal of the American Dental Association finds that scaling and root planing is beneficial to patients with chronic periodontitis (gum disease that has advanced past gingivitis). Chronic periodontitis affects 47.2% of adults over 30 in the United States.

What Happens During Scaling and Root Planing?
This deep cleaning has two parts. Scaling is when your dentist removes all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your dentist will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth. Scaling and root planing may take more than one visit to complete and may require a local anesthetic.

After Care Tips
After a deep cleaning, you may have pain for a day or two and teeth sensitivity for up to a week. Your gums also may be swollen, feel tender and bleed.

To prevent infection, control pain or help you heal, your dentist may prescribe a pill or mouth rinse. Your dentist may also insert medication (subantimicrobial-dose doxycycline) directly into the pocket that was cleaned.

Your dentist will schedule another visit to see how your gums have healed and measure the depth of your pockets. If they have gotten deeper, more treatment may be needed.

Good dental care at home is essential to help keep gum disease from becoming more serious or recurring.  Brush your teeth twice a day with a soft brush, clean between your teeth daily, eat a balanced diet, avoid using tobacco and see your dentist regularly.

To read the entire article visit mouthhealthy.org

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com

Water Flossing

Below is an excerpt from an article found on mouthhealthy.org

Water flossing is a way to clean between and around your teeth. A water flosser is a handheld device that sprays streams of water in steady pulses. The water, like traditional floss, removes food from between teeth. 

Water flossers that have earned the ADA Seal of Acceptance have been tested to be safe and effective at removing a sticky film called plaque, which puts you at a higher risk for cavities and gum disease. Water flossers with the ADA Seal can also help reduce gingivitis, the early form of gum disease, throughout your mouth and between your teeth. Get a list of all ADA-Accepted water flossers. 

Water flossers can be an option for people who have trouble flossing by hand. People who have had dental work that makes flossing difficult—like braces, or permanent or fixed bridges—also might try water flossers. 

Cleaning between your teeth once a day is an important part of your dental hygiene routine. You should also brush your teeth twice a day for two minutes and see your dentist regularly.

To read the entire article visit mouthhealthy.org

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com

New Year, Healthier Mouth

Below is an excerpt from an article found on mouthhealthy.org

What does ringing in the new year have to do with being mouth healthy? 

More than you may think. Did you know that you should replace your toothbrush every three to four months? Bristles that become frayed and worn are less effective at cleaning your teeth. That means, celebrating the new year with a brand new toothbrush is actually smart dental hygiene.

Here are MouthHealthy resolutions:

• Start brushing 2min2x. Always brush twice a day for two minutes for healthier teeth, good breath, fewer cavities, and to avoid painful dental problems. 
• Floss daily. Flossing is part of being mouth healthy.
• Chew sugarless gum. Chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.
• Eat a healthy diet. Eat a balanced diet and limit between-meal snacks.
• Drink fluoridated water. Fluoride helps prevent cavities by making teeth more resistant to the acid attacks that cause cavities.
• See your dentist. Regular dental visits will help you be Mouth Healthy for Life.  

To read the entire article visit mouthhealthy.org

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com

How To Limit The Effects Of Sugar On Teeth

Cookies, cakes, candies and sodas – everywhere you go, there are sugary treats to tempt you and your kids. The effects of sugar on teeth may not be noticeable right away, but too much can lead to tooth decay if you don't stay on top of it. Here's how sugar can harm your family's dental health and what you can do to prevent it.

Acid Attacks

When you eat or drink sugary foods – refined, processed or in the form of carbohydrates – you're feeding the beast. Bacteria in your mouth digest the foods you eat and specifically feed on the sugar, producing acids that can slowly dissolve tooth enamel and cause tooth decay. According to the National Institute of Dental and Craniofacial Research (NIDCR), these acids do the most damage to your teeth for 20 minutes after eating; this is what is known as an "acid attack." So the more sugary foods you eat throughout the day, the more your teeth are exposed to decay-causing acids.

Sensible Food Choices

What can you do to protect your family from these ubiquitous acid attacks? Eliminating sugars completely from your family's diet is unrealistic, because most of your foods contain some form of sugar or starch. However, you can still control the amount of sugar you and your family consumes and reduce the total time your teeth are susceptible to bacterial acids. Consider the following dietary adjustments:

• Eat a nutritious and balanced diet of grains, fruits, vegetables, protein and low-fat dairy.
• Check food labels for "hidden" sugars.
• Limit between-meal snacks.
• Avoid sugary foods that stay in your mouth for a long time, like hard, sticky or chewy varieties of candy.
• Offer healthy snacks, such as cheese, fruits, yogurt, peanut butter, chocolate milk and sugarless gum.
• Save your sugary treats for the end of a meal or before a tooth-brushing session, rather than throughout the day.
• Substitute water for sugar-laden sodas and fruit juices.

Oral Hygiene Is a Good Defense

Brushing your teeth thoroughly after eating cleans recent sugary foods and existing bacteria off of your teeth, and flossing once a day will clean between your teeth – a prime spot for bacteria to hide. For those times when you aren't at home to brush off an acid attack, disposable toothbrushes like the Colgate® Wisp™ mini-brush can be taken to work or packed with your kids' lunches. Have your family use fluoride toothpaste as an added defense to strengthen their teeth, making them more resistant to harmful acids in the future.

Preventive Care and Early Detection

Schedule regular dental checkups and cleaning appointments for your family; this way, any signs of tooth decay can be taken care of early. The Academy of General Dentistry's (AGD) George McLaughlin, DMD, recommends placing sealants on children's permanent first molars as soon as they appear in the mouth. This thin coating acts as a barrier on the chewing surface of the tooth, and protects it from decay-producing acids. Other preventive measures for children include fluoride treatment and varnishes.

There is no denying that people love their sugar. In fact, the NIDCR suggests the average person in the U.S. eats about 147 pounds of it a year – that produces an enormous potential for tooth decay. Make the necessary changes in diet and dental hygiene now, so the effects of sugar on teeth don't come when your family is preoccupied with bigger life events.

To read the entire article visit colgate.com

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com

Plaque

Your teeth are covered with a sticky film called plaque that can contribute to tooth decay and gum disease. Plaque contains bacteria, which following a meal or snack containing sugar can release acids that attack tooth enamel. Repeated attacks can cause the enamel to break down, eventually resulting in cavities. Plaque that is not removed with thorough daily brushing and cleaning between teeth can eventually harden into calculus or tartar. This makes it more difficult to keep your teeth clean.

When tartar collects above the gum line, the gum tissue can become swollen and may bleed easily. This is called gingivitis, the early stage of gum disease. You can prevent plaque buildup and keep your teeth cavity-free by regularly visiting the dentist, brushing twice a day with a fluoride toothpaste and cleaning between your teeth with dental floss daily.

To read the entire article visit MouthHealthy.org

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com

All About Cavities

Below is an excerpt from an article found on Colgate.com that was Reviewed by the Faculty of Columbia University College of Dental Medicine

What's in Your Mouth? 
To understand what happens when your teeth decay, it's helpful to know what's in your mouth naturally. Here are a few of the elements: 

• Saliva - Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria. 
• Plaque - Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there's enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease. 
• Calculus - If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard. 
• Bacteria - We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth. 

To read the entire article visit Colgate.com.

The remainder of the article details the following:

• How Your Teeth Decay
• Types of Decay
• Preventing Cavities

Josh McCormick, DDS   
4455 Cowell Road   
Concord, CA 94518   
(925) 685-3043   
MyEastBayDentist.com