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What is periodontal disease?
The word periodontal literally means "around the tooth." Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal diseases (gum diseases), including gingivitis and periodontitis, are serious infections that will lead to tooth loss and other problems if left untreated.

What are the signs of periodontal disease?
- Gums that bleed when brushing
- Red, swollen, or tender gums
- Persistent bad breath or bad taste
- Formation of deep pockets between the teeth and gums
- Receding gums
- Loose or shifting teeth
- Changes in the way your teeth fit together

While plaque and tartar are the primary causes of periodontal disease, there are many other contributing factors, including: tobacco use, hormonal changes, medications, poor nutrition, illnesses, clenching and grinding teeth, heredity, and diabetes.

There are many different stages of periodontal disease. After a thorough exam and evaluation, an appropriate course of treatment will be given. Below on the left is an example of gum disease with tartar on the root surface before treatment. Notice the gums are red and infected. On the right is what the teeth and gum tissues look like after treatment. Please note that the gums after treatment are a healthy pink shade and the root surface is smooth and tartar-free.

Periodontal disease is never resolved; it has to be managed after treatment. Plaque and bacteria build up faster if you have periodontal disease. Therefore, if periodontal disease is present, it needs to be treated and then maintained by visiting the dentist 3-4 times a year in order to keep the plaque and inflammation under control. Good home care is extremely important in controlling this disease. Using our products and techniques will keep periodontal disease under control.

Periodontal disease is associated with many health problems such as heart disease, stroke, respiratory disease, diabetes, and pregnancy complications. Bacteria in the mouth can be carried throughout the body. If not regularly removed, this bacteria can significantly increase the risk of heart attack and stroke.

For more information please visit American Academy of Periodontology.


Oral Cancer Screen

How common and how serious is oral cancer?
Oral cancer, the sixth most common cancer, accounts for about 3.6 percent of all cancers diagnosed, with roughly 40,000 new cases of oral cancer reported annually in the United States. The vast majority of oral cancers occur in people older than 45 years, with men being twice as likely as women to develop the disease. The most frequent oral cancer sites are the tongue, the floor of the mouth, the soft palate tissues in back of the tongue, the lips, and the gums. If not diagnosed and treated in its early stages, oral cancer can spread, leading to chronic pain, loss of function, irreparable facial and oral disfigurement following surgery, and even death. Your general dentist can perform a thorough screening for oral cancer.

What causes oral cancer?
Scientists aren't sure of the exact cause of oral cancer. However, the carcinogens in tobacco products, alcohol and certain foods, as well as excessive exposure to the sun, have been found to increase the risk of developing oral cancer. Risk factors for oral cancer may also be genetically inherited.

What are the warning signs to watch for?
Oral cancer--represented by red, white or discolored lesions, patches or lumps in or around the mouth--is typically painless in its early stages. As the malignant cancer spreads and destroys healthy oral tissue, the lesions or lumps become more painful. However, oral cancer is sometimes difficult to self-diagnose so routine dental exams are recommended. See your dentist immediately if you observe: any sore that persists longer than two weeks; a swelling, growth or lump anywhere in or about the mouth or neck; white or red patches in the mouth or on the lips; repeated bleeding from the mouth or throat; difficulty swallowing or persistent hoarseness.

How does a dentist screen for oral cancer?
Your dentist should screen for oral cancer during routine checkups. He or she feels for lumps or irregular tissue changes in your neck, head, cheeks and oral cavity, and thoroughly examines the soft tissues in your mouth, specifically looking for any sores or discolored tissues.

How is oral cancer treated?
If your dentist suspects oral cancer, a biopsy of the lesion is required to confirm the diagnosis. Surgery is required to remove the tumors, which may cause disfiguration. Radiation therapy may be used as part of the treatment.

What can you do to prevent oral cancer?
Oral cancer accounts for roughly 9,000 deaths annually (about 3 percent of all cancer-caused deaths. Of all major cancers, oral cancer has the worst five-year survival rate at about 54 percent. Because oral cancer is usually not diagnosed in its early stages, less than half of all oral cancer patients are cured. You can help prevent oral cancer by not smoking or using spit tobacco, or drinking excessive alcohol. When tobacco use and alcohol use are combined, the risk of oral cancer increases 15 times more than non-users of tobacco and alcohol products. Research suggests that eating plenty of fruits and vegetables may safeguard against oral cancer. Because successful treatment and rehabilitation are dependent on early detection, it is extremely important to see your dentist for an oral cancer screening and regular checkup at least every six months. Survival rates greatly increase the earlier oral cancer is discovered and treated.
 




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