Common Dental Myths Debunked

Facts About Dental Myths

With the magnitude of information available to us these days, it’s harder than ever to separate facts from myths; especially when it comes to your health. There are a million dental related myths that might steer you in the wrong direction when it comes to a healthy smile. It’s important to be informed and know the facts. Here are a few common dental myths, followed by the facts.

Oral Hygiene Only Affects Your Teeth

Many people hear the phrase “oral hygiene” and they think of the simple act of brushing or flossing. While oral hygiene is important for keeping your teeth healthy, poor oral hygiene can be linked to several other health problems- including heart disease. Taking care of your mouth actually means taking care of a lot of things within your body. Untreated periodontal disease contributes to more low birth weight babies than both drinking and smoking combined.  Having poor oral hygiene can cause a multitude of problems- not all of them related to your teeth.

You Shouldn’t Get Your Wisdom Teeth Out Until They Start to Hurt

Typically, it’s always better to be safe than sorry, and your dentist will generally advise you of the same. If you wait for your wisdom teeth to become painful, they might have already done other damage to your gums or teeth. Many people believe that as long as they have no pain, there’s no reason to have an unnecessary surgery. In rare cases, wisdom teeth can stay intact as long as they are not interfering or causing damage. One of the most common reasons to remove wisdom teeth is because they are so difficult to keep clean and rather than incurring costly repairs to those teeth many dentists will suggest having them removed.  Frequent exams are necessary in this case to monitor and maintain your health. It’s generally better to have your wisdom teeth removed before any pain, rather than take the gamble.

White Teeth Are Healthier Teeth

Teeth are actually not meant to be pure white. Tooth color can vary widely, for example, depending on your race, pigmentation varies greatly.  Also, as you get older, your teeth will naturally take on a more faded color as things do with time, however they can still be perfectly healthy. A color beyond a light yellow could be cause for concern, but generally the pinkness of your gums is a better indication of oral health as opposed to how white your teeth are.

If Teeth Look Healthy, and Are Not Hurting, There is No Reason to Visit a Dentist

The most common mistake people make regarding their dental health is skipping regular preventive visits because they do not see or feel any problems. Even in the absence of a visible problem or discomfort, regular visits for x-ray exams, cleaning and necessary restorative care are necessary to maintain your teeth and gums for life. Discovering diseases in the mouth earlier rather than later will typically reduce cost, recovery time and severity of dental treatment that may need to be performed.

It’s important to educate yourself on the facts surrounding whole body health and well-being. Muddled information and common misperceptions can leave people confused. The best way to combat myths and augment dental health is to see and speak with your dentist regularly. Have open dialogue and productive conversations about what is and is not true. Being informed, savvy and educated will keep you and your dentist smiling.

Dr. Steven Goldy & Associates

416 N. Bedford Drive Ste 409
Beverly Hills, CA 90210

Phone: 310-550-1511

Periodontal Disease

Also referred to as gum disease (pyorrhea), it is an infection that invades and destroys the tissues that support and surround the teeth. An estimated 67 million people (nearly one in three adults) in the U.S. suffer from some degree of periodontitis. It is the leading cause of tooth loss in adults; it insidious onset and slow progression (usually); along with the fact that it is nearly always painless make it a challenge to mange and treat. Even the most successful treatment outcome allows for an "arrest" of the disease; not a cure. The common cold is the only disease known to mankind that is more prevalent than periodontitis.

Stages of Periodontal Disease

Periodontal disease most always begins as gingivitis, inflammation of the gum tissue (gingival) that has not yet advanced to the bone. Its silent progression starts with a growing colony of toxin producing bacteria called plaque. In time this plaque gets mineralized from bathing in saliva and becomes calculus (tartar). the calculus that exists underneath the gumline (subgingival) is the most destructive element of periodontal disease. Lack of proper oral hygiene and a variety of other risk factors result in an accumulation of plaque and calculus that inflames and infects the gingival and bone. A periodontal pocket forms (crevice/space between the gum and bone) forms along with swelling, bleeding and tenderness of the gum tissue; and eventually permanent gum and bone damage; and ultimately tooth loss.

Scientific research has uncovered a relationship between periodontitis and other serious health conditions such as heart disease, stroke, diabetes, respiratory disease, pregnancy; and pre-term, low birth weight babies. Genetic makeup, smoking, stress, hormonal changes and various medications are also risk factors.

Periodontal Treatments and Procedures

Early detection and appropriate treatment is the key to halting disease progression. During and after treatment; a serious long term commitment is necessary for a patient to arrest the disease process.

Treatment is basically divided into 2 types: Surgical and non-surgical. Surgical treatment is usually carried out by a periodontist; although some general dentists have been known dabble. The extent and success of Non-surgical treatment vary from dentist to dentist. I have recently organized and implemented a proactive, comprehensive Soft Tissue Management (STM) program which utilizes various modalities to offer my patients the best chance of treating their conditions without surgery.

1. Scaling: this should not be confused with a dental prophylaxis/teeth cleaning that is performed only in a healthy mouth for primarily preventive purposes.

A. Gross Scaling: carried out with an ultrasonic device, it removes the gross or large particles of calculus that can be very tenaciously adhered to the tooth/root surface.
B. Fine scaling: uses hand instruments called scalers or curettes which are intimately adapted to the root surface to remove the finer particles of plaque and calculus above and (mostly) below the gumline.

2. Root Planing: a meticulous and technique sensitive procedure to remove bacterial plaque, biofilm calculus and diseased root surface to allow for healthy reattachment of the gums. This usually requires local anesthetic.
3. Irrigation: although there are different ways to accomplish this; we use a specialized blunt tip needle (with 4 ports)  attached to a "piezo electric device which pulsates medicaments into a periodontal pocket. This device allows the solution to be warmed. The most common medicament is Chlorhexidine. It is an FDA approved antibacterial mouthrinse that is available only by prescription. The goal is obviously to minimize the amount of bacteria in the pocket. This procedure is usually carried out along with Scaling and root planing.

4. Antibiotic therapy. Although there are a few different topically applied antibiotics; we prefer "Arestin" a crystal/powder form of minocycline (cousin to tetracycline) that is manually placed ina pocket (indicated in pockets over 4 mm that do not respond to scaling/root planing alone). Arestin dissolves in the pocket over a 21 day span.

5. Personal Oral hygiene. Besides the conventional brushing and flossing, there are specialized toothbrushes (Rotadent: recommended and sold only by participating dentists) and other periodontal aids that assist in the daily removal of plaque at home. A good dental hygienist/dentist should suggest an individual program for each patient undergoing our STM program. This is essential for successful treatment.

6. Recall/Supportive periodontal therapy. There is some evidence and immense clinical observation to support the facet that 90 days is the time necessary for bacteria to re-establish to the point they can cause more damage to periodontal tissues. This time interval is often the benchmark for successful follow up aftercare from STM and conventional Scaling, Root planing. 4 months is permissible in some patients.

The goals of non-surgical periodontal therapy are as follows:
A. Gingival tissues that are not red, puffy, swollen and DO NOT BLEED.
B. Fresher tasting/better smelling mouth.
C. Continuous personalized home care/oral hygiene.
D. Healthy periodontal pocket depths.
E. Avoidance of surgical periodontal treatment.

Steven Goldy, DDS

Creating Confident Smiles

416 N. Bedford drive, suite 409

Beverly Hills, CA  90210

310-550-1511

www.stevengoldydds.com