133 Franklin Corner Road Lawrenceville, NJ 08648
(609) 896-0700

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 22, 2019
Category: Dental Procedures
Tags: gum recession  
GumDiseasecanPreventYourGumsfromProtectingYourTeeth

Your mouth is a lot like the Wild West — home to millions of bacteria and other microbes, some of which are definitely not “the good guys.” But your teeth are well-protected from these hostile forces and their acidic waste products: with enamel shielding the visible part of your tooth, your gums protect the parts you can’t see.

As effective as they are, though, your gums aren’t invincible: their greatest threat is periodontal (gum) disease. This bacterial infection arises from plaque, a thin film of bacteria and food particles accumulating on teeth due to inadequate brushing and flossing.

The infected tissues soon become inflamed (red and swollen), a natural defensive response from the immune system. The longer they’re inflamed, however, the more likely they’ll begin detaching from the teeth. The gums may eventually shrink back or recede from the teeth, often causing them to appear “longer” because more of the tooth is now exposed to view.

Gum recession doesn’t bode well for your teeth’s survival: the exposed tooth and underlying bone can become even more susceptible to infection and damage. In the end, you could lose your tooth and portions of the supporting bone.

Treatment depends on the severity of the gum recession. In mild to moderate cases, we may only need to perform the standard gum disease treatment of removing plaque and calculus from all gum and tooth surfaces (including below the gum line) with special instruments. This helps reduce the infection and allow the gums to heal and re-establish attachment with the tooth. In more advanced cases, though, the recession may be so extensive we’ll need to graft donor tissue to the area using one of a variety of surgical techniques.

Although the right treatment plan can help restore your gum health, there’s another approach that’s even better — preventing gum disease in the first place. You can reduce your disease risk by practicing daily brushing and flossing and visiting your dentist regularly or when you see symptoms like gum swelling or bleeding. Taking care of your gums won’t just save your smile — it might also save your teeth.

If you would like more information on diagnosing and treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession.”

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 13, 2019
Category: Dental Procedures

Periodontal disease affects millions of Americans every year. Stemming from the oral bacteria that thrives in plaque and tartar, gum Gum_Diseasedisease causes tooth loss and aggravates conditions such as diabetes, heart disease, dementia, and others. Fortunately, here at Lawrenceville Dental Implant Center and Periodontics in Lawrenceville, NJ, your periodontists, Dr. John Lu and Dr. Raul Figueroa, offer non-surgical periodontal therapy and other treatments to make your gums healthy again.

 

How gum disease starts

You may have heard the age-old expression, "Little things mean a lot." When it comes to dental health, this adage couldn't be more accurate. After all, countless strains of microscopic oral bacteria live in our mouths. In fact, Dear Doctor reports that of the possible 600 types of oral microbes, only 400 have been identified. Whatever the final count may be, too many of these tiny germs can create the big problems of tooth decay and its equally dangerous counterpart, gum disease.

Gum disease—from gingivitis to advanced periodontitis—originates in the tiny germs that just love carb-based plaque and tartar. As the bacteria grows, so does damaging inflammation and infection that leads to:

  • Bad breath
  • Redness
  • Tenderness
  • Swelling
  • Pus
  • Loose teeth
  • Changes in how teeth bite together
  • Dark gum color
  • Periodontal pockets (spaces between teeth and gums) which measure more than three millimeters in depth

 

How to detect gum disease

The American College of Periodontology states that early on, gum disease often goes unnoticed; however, over time, the symptoms become much more noticeable and destructive. Fortunately, at our office in Lawrenceville, NJ, your periodontist can spot the initial signs of gum disease and put together a care plan to help restore gum health.

 

Non-surgical periodontal therapy

Gingivitis (the earliest stage of gum disease) responds well to routine brushing and careful flossing at home. Dr. Lu and Dr. Figueroa also advise a thorough in-office cleaning to remove plaque and tartar. Additionally, the doctors may prescribe topical antibiotics instilled in gum pockets or antimicrobial rinses used at home to quell bacterial growth.

Other therapies include scaling and root planing. Also termed "deep cleaning," this procedure scrapes tartar from tooth surfaces and roots. It eliminates the environment that bacteria thrives in and allows gum tissue to re-attach to teeth.

Finally, your periodontist may adjust your dental bite by simply reshaping the biting surfaces of your teeth. Some patients require a metal or composite resin splint to stabilize mobile teeth. Your treatment plan will be tailored to your specific needs.

 

Concerned about your dental health? Give us a call

Phone Lawrenceville Dental Implant Center and Periodontics for more information or to book a consultation: (609) 896-0700.

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 12, 2019
Category: Oral Health
DentalInjuryIsJustaTemporarySetbackforBasketballStarKevinLove

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 02, 2019
Category: Dental Procedures
YouMayNeedYourGumsCheckedMoreFrequentlyAfterGumDisease

After a dental examination revealed you had periodontal (gum) disease, you began undergoing treatment. Now after several cleaning sessions, the infection has subsided and your gums have returned to a healthy shade of pink.

But your gum care isn’t over — depending on the infection’s severity you may need to visit us more often than the normal six months between regular checkups.

Gum disease arises from dental plaque, a thin film of bacteria and food remnants built up on tooth surfaces due to poor oral hygiene. The bacteria cause an infection in the gums, which initiates a response from the body’s immune system that triggers inflammation.

Without proper treatment, periodontitis can come back in which the infection spreads deeper below the gum line. Pockets of infection can reoccur as gum tissues weaken and lose their attachment to teeth. This continuing damage can ultimately lead to both tooth and bone loss.

To stop the disease it’s necessary to remove all the infection-causing plaque and calculus (hardened plaque deposits) from tooth surfaces, including around the roots. This is performed manually and could require surgery once again to access areas below the gum line.

To guard against this it’s necessary for you to undergo regular periodontal maintenance (PM). Besides cleaning, PM gives us an opportunity to check for signs of returning gum disease and, if found, plan for another round of treatment.

Although not written in stone, the interval between PM appointments that seems the most effective for preventing recurrence is every three months. In cases of advanced, aggressive gum disease, appointments may need to occur at even shorter intervals, for example every two months.

PM for susceptible patients with decreased resistance to disease require extra time and effort for the hygienist, along with a renewed daily hygiene habit of effective brushing and flossing by you to keep the disease at bay. But preventing another occurrence of gum disease and its consequences is well worth this extra attention for the health of your teeth and gums.

If you would like more information on dental care after gum disease treatment, please contact us or schedule an appointment for a consultation.

By Lawrenceville Dental Implant Center And Periodontics, LLC
October 23, 2019
Category: Oral Health
Tags: gum disease  
TreatingGumDiseasearoundToothRootsisHard-butNotImpossible

Periodontal disease may start in the gums’ superficial layers, but it’s not likely to stay there. As the disease moves deeper it can wreak havoc on tooth roots and bone as well as gum tissue attachments. Teeth with multiple roots are in particular peril because of the “forks” called furcations that form where the roots separate from each other. Infected furcations can be very difficult to treat.

We primarily treat gum disease by removing its main source, a thin film of bacteria and food particles called dental plaque that builds up on teeth. To remove it we most often use special hand tools or ultrasonic equipment to vibrate it loose. As the plaque and tartar diminish, the infection begins to wane.

But we can’t be completely successful in stopping the disease if any lingering plaque deposits remain. This especially includes furcations where the infection can cause significant damage to the roots. Although cleaning furcations of plaque can be difficult, it’s not impossible with the aforementioned tools and antimicrobial substances to disinfect the area.

The real problem, though, is access—effectively getting to the furcations to treat them. We may need to perform a surgical procedure called flap surgery where we create a hinged flap in the gum tissue to move it aside and access the root area beneath. Afterward we replace the flap and suture the tissue back in place.

In some cases, the infection may have already caused significant damage to the tissue and underlying bone. We may therefore need to graft gum or bone tissues to these damaged areas to stimulate re-growth. We may also need to surgically reshape the gum attachments around a tooth to make it easier in the future to access and clean the area.

These additional treatments around furcations can be very involved and labor-intensive. That’s why the best outcomes occur if we’re able to start treatment in the early stages of an infection. So, if you notice red, swollen or bleeding gums contact your dentist as soon as possible. Treating gum disease as early as possible will help ensure your tooth roots won’t suffer extensive damage.

If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “What are Furcations? Branching Tooth Roots can be Periodontal Nightmares.”





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Lawrenceville, NJ Periodontist
Lawrenceville Dental Implant Center And Periodontics, LLC
133 Franklin Corner Road
Lawrenceville, NJ 08648
(609) 896-0700
 

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