Board Certified Periodontist Geneva
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To schedule a consultation to learn how dental implants can change your life, call Dr. Noruzi at (630) 232-7400.

Dr. Kamy Noruzi is listed in the Consumers' Research Council of America "Guide to America's Top Dentists" 2009 Edition

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Question: How can I tell if I have gingivitis or periodontitis (gum disease)?

Answer:  Four out of five people have periodontal disease and don’t know it!  Most people are not aware of it because the disease is usually painless in the early stages.  Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms.  Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.

Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums.  The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone.  Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.

Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:

  • Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.
  • Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
  • Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives.  Some medications have side effects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
  • Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
  • Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
  • Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis.  Patients with a family history of tooth loss should pay particular attention to their gums.

Signs and Symptoms of Periodontal Disease

  • Red and puffy gums – Gums should never be red or swollen.
  • Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
  • Persistent bad breath – Caused by bacteria in the mouth.
  • New spacing between teeth – Caused by bone loss.
  • Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
  • Pus around the teeth and gums – Sign that there is an infection present.
  • Receding gums – Loss of gum around a tooth.
  • Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

 

What are your Periodontal Risk Factors?

Periodontal risk is the interplay of different factors that increase the likelihood of both the development and severity of periodontal disease.  Knowing which factors you have is an important part of preventing and treating periodontal disease. 

Lifestyle Factors

Smoking

Tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease,as well as numerous other health problems.  What you may not know is that tobacco users also are at increased risk for periodontal disease.  Tobacco use is the most significant lifestyle risk factor in the development and progression of periodontal disease.

Enrollment in a cessation program increases your odds of success in quitting smoking.

(www.quitnet.org or 1-866-QUIT-YES)

BMI

The second highest lifestyle risk factor is a BMI (body mass index) higher than 30.  Obesity affects hostimmunity and decreases nutrient flow in periodontal tissues, which promotes the development of periodontitis.  Lowering your BMI points can significantly impact your oral health. 

                       BMI=                   Weight in Pounds______   X 703    

                                     (height in inches Xheight in inches)   

Stress

Stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems.  Stress can make it more difficult for the body to fight off infection, including periodontal diseases.Limiting stress is not always easy but managing your stress through meditation and other stress relief actions is key.

Self Care and Nutrition

Because periodontal disease is a serious infection, poor nutrition and plaque build up can worsen the condition of your gums.  Supplements, especially calcium and vitamins B, C and E, have been shown to both protect and foster healing of gums. Thorough oral hygiene that includes interproximal cleaning is necessary.

Family History/Genetics

The tendency for gum disease to develop can be inherited.  Research proves that up to 30% of the population may be genetically susceptible to gum disease.  Professional care along with daily flossing is key as certain genetic tendencies cause an over reaction to the presence of plaque and calculus.

Age and Hormones

Any time the body experiences hormonal changes such as puberty, pregnancy or menopause,the tissues in your body can become affected.  Men also experience hormonal changes as they age which affect their tissues and ability to fight infection.  75% of adults over the age of 35 have some form of periodontal disease.  Increased self care and more frequent dental cleanings help in periodontal maintenance.

Diabetes

Approximately 16 million Americans have diabetes; however, more than half have not been diagnosed with this disease.  If you are diabetic, you are at a higher risk for developing infections, including periodontal disease. Those with untreated periodontal disease have a harder time keeping insulin levels stable.  Controlled insulin, diet, and BMI levels is key to management of diabetes.             

Other Immunosuppressant Diseases or Medications

A compromised immune system makes it harder to prevent and treat gum disease. Some drugs, such as oral contraceptives, anti-depressants, and certain heart medications, can affect your oral health. Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.

Clenching or Grinding Your Teeth

Has anyone told you that you grind your teeth at night? Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed. Talk to your Dentist about a protective guard to be worn while you sleep.