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Posts for tag: gum disease

By Ilya V. Freyman, DMD
November 20, 2020
Category: Oral Health
Tags: gum disease  

Because they are without major symptoms, many don't consider themselves candidates for gum disease. Periodontal disease, as it's otherwise known is exceedingly common, affecting half of the adults over 30, and many don't know they have it. There's a lot you can do to help prevent it, but you don't have to do it on your own, get in contact with Dr. Ilya Freyman of Longwood, FL, to find out more.

What to Look For

Gum disease is one of the biggest contributors to tooth loss in adults. Because it is often painless you may not even be aware that you have it. But there are some common symptoms to consider.

If you have consistent bad breath and gums that bleed easily you'll want to consult with your dentist about the possibility that you suffer from gingivitis.

Gingivitis is an early stage of gum disease

More visible, and worrisome, symptoms are gums that are red, swollen, and tender. Or if they have pulled away from your teeth, if some of them are loose, or your bite has been altered.

How Your Dentist Can Help

Genetics and certain conditions put you at greater risk of developing gum disease. But good oral health is always a good place to start when it comes to prevention.

At the early stage of the disease, it is still very much reversible. Your first step should be scheduling an appointment with your dentist.

Often it can be eliminated with professional cleaning, as long as it's followed up with daily brushing and flossing. This is because gum disease is caused by plaque, the daily buildup of bacteria that can be eliminated by these healthy oral habits. Habits which should include your twice-yearly visits with your dentist.

If your teeth are crooked and difficult to clean, a professional cleaning can help you. But your dentist may also correct these misaligned teeth through several treatments.

Gum Disease Prevention in Longwood, FL

The earlier you treat gum disease the better your chances of keeping it at bay. So make the call today. Make an appointment with Dr. Ilya Freyman in Longwood, FL, by dialing (407) 260-0224.

By Ilya V. Freyman, DMD
June 20, 2018
Category: Dental Procedures

You’ve invested quite a bit in your new dental implants. And it truly is an investment: because of implants’ potential longevity, their long-term costs could actually be lower than other restorations whose upfront costs might be less.

But to better ensure their longevity, you’ll need to keep your implants and the natural tissues supporting them clean of bacterial plaque, a sticky biofilm that can cause periodontal (gum) disease. Although the implant itself is unaffected by disease, the natural tissues around it can be.  An infection could ultimately weaken the bone supporting the implant and lead to its failure.

Such an infection involving implants could advance rapidly because they don’t have the natural defenses of the original teeth. Our natural teeth are connected to the jaw through the periodontal ligament, a collagen network that attaches to both the teeth and the bone through tiny tissue fibers. This connection also provides access to antibodies produced by the body to fight infection.

By contrast, we place implants directly into the jawbone. While this creates a very secure attachment, the implant won’t have the same connection as teeth with the body’s immune system. That means any infection that develops in surrounding tissues can spread much more rapidly—and so must be dealt with promptly.

Treating this particular form of gum disease (known as peri-implantitis) is similar to infections with natural teeth and gums, with one important difference involving the tools we use to remove plaque from them. While natural teeth can handle metal scalers and curettes, these can create microscopic scratches in the porcelain and metal surfaces of an implant and create havens for further bacterial growth. Instead, we use instruments made of plastic or resin that won’t scratch, as well as ultrasonic equipment to vibrate plaque loose.

To avoid an infection, it’s important that you brush your implants and surrounding tissues just like you would your natural teeth (be sure you use a soft-bristled brush). And keep up regular dental visits for thorough cleanings and checkups to stay ahead of any developing gum infection. Maintaining your dentures will help ensure they continue to brighten your smile for a long time.

If you would like more information on dental implants, 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 “Dental Implant Maintenance: Implant Teeth Must be Cleaned Differently.”

By Ilya V. Freyman, DMD
December 04, 2017
Category: Oral Health
Tags: gum disease   oral health  

Periodontal (gum) disease causes more than simple gum swelling—this bacterial infection can harm and destroy your teeth’s supporting structures, including the bone. Its aggressiveness sometimes requires equally aggressive treatment.

Gum disease usually begins with dental plaque, a thin film of bacteria and food particles on tooth and gum surfaces. Without proper oral hygiene plaque builds up with large populations of bacteria that can trigger an infection.

The growth of this disease is often “silent,” meaning it may initially show no symptoms. If it does, it will normally be reddened, swollen and/or bleeding gums, and sometimes pain. A loose tooth is often a late sign the disease has severely damaged the gum ligaments and supporting bone, making tooth loss a distinct possibility.

If you’re diagnosed with gum disease, there is one primary treatment strategy—remove all detected plaque and calculus (tartar) from tooth and gum surfaces. This can take several sessions because as the gums begin responding to treatment and are less inflamed, more plaque and calculus may be discovered.

Plaque removal can involve various techniques depending on the depth of the infection within the gums. For surfaces above or just below the gum line, we often use a technique called scaling: manually removing plaque and calculus with specialized instruments called scalers. If the infection has progressed well below the gum line we may also use root planing, a technique for “shaving” plaque from root surfaces.

Once infection reaches these deeper levels it’s often difficult to access. Getting to it may require a surgical procedure known as flap surgery. We make incisions in the gums to form what looks like the flap of an envelope. By retracting this “flap” we can then access the root area of the tooth. After thoroughly cleansing the area of infection, we can do regenerative procedures to regain lost attachment. Then we suture the flap of gum tissue back into place.

Whatever its stage of development, it’s important to begin treatment of gum disease as soon as it’s detected. The earlier we can arrest its spread, the less likely we’ll need to employ these more invasive procedures. If you see any signs of gum disease as mentioned before, contact us as soon as possible for a full examination.

If you would like more information on preventing 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 “Treating Difficult Areas of Periodontal Disease.”

By Ilya V. Freyman, DMD
August 17, 2017
Category: Oral Health
Tags: gum disease  

Find out if the symptoms you are experiencing are due to gum disease.gum disease

Gum disease is a bacterial infection that leads to inflammation of the gums. If left untreated this condition is one of the leading causes of tooth loss. Before tooth loss happens to you, it’s important that you visit our Longwood, FL, dentist, Dr. Ilya Freyman, once you notice any of these warning signs:

  • Sore, tender or painful gums
  • Gums that are red and inflamed
  • Gums that bleed easily
  • Chronic bad breath
  • Pain when chewing
  • Tooth sensitivity
  • Receding gums (teeth that appear longer)
  • Loose teeth (in more advanced cases of gum disease)

In the very beginning stages, you may not even notice any symptoms of gum disease. Since this is fairly common, it’s so important that everyone continues to visit their Longwood, FL, general dentist every six months for routine cleanings and exams.

Even if you aren’t experiencing symptoms, we will notice the subtlest changes in your gums. If caught early enough (when it's known as gingivitis) this condition can be completely treatable and reversed. This is why preventive dental care is crucial, no matter how healthy you think your smile might be.

If you just ignore these early symptoms then you may face more serious problems down the road. Remember, gum disease won’t just go away and it’s not curable. By coming in at the first sign of any changes we can create a treatment plan that will be able to manage your symptoms and prevent both tooth and bone loss.

How can you prevent gum disease?

There are many things that you can do to keep gums healthy and disease-free. Preventive dentistry is by far the best measure you can take. This means that you should be brushing with a fluoride toothpaste at least twice a day (in the morning and at night) and flossing daily. Consider rinsing with a mouthwash that is specifically formulated for gingivitis.

Adopt a smile-healthy diet in which you avoid sugary foods and drinks and make sure you are getting the proper nutrients that will keep your teeth, gums, and bones healthy. And don’t forget to visit us every six months.

If you are experiencing any symptoms that are indicative of gum disease, you shouldn’t put off a trip to see our Longwood, FL, family dentist. Gum disease is easily manageable with the proper care. Call our office today!

By Ilya V. Freyman, DMD
September 22, 2016
Category: Oral Health

Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.

First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.

How common is this malady? According to the U.S. Centers for Disease Control, nearly half of all  Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.

What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.

Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.”  If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.