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Today's periodontal office is a very different place than it was in the past. Yes, perhaps the same issues are still being treated, but it's the way in which they are treated which has changed drastically. Now patients with periodontal disease (gum disease) have more options.

What patients must understand is that gum disease is an infection that progresses in stages. First it affects gum tissue, and then it moves to the bones supporting the teeth, which then progresses to loss of teeth if left untreated. The main goal of treatment is to control this infection before it becomes more serious or painful.

Cutting-edge technologies used by Dr. Rothstein now allow gum disease to be treated non-surgically, which is a huge advantage for patients who don't want to get gum surgery, can't afford it, or simply aren't good candidates for it. Here are some of the ways in which our office implements the latest in periodontal technologies:

• Ultrasound gum treatments –An ultrasonic cleaning device is used to break apart stubborn plaque and tartar, as well as bacteria. The tool vibrates at a high frequency while simultaneously spraying a thin stream of water. The stream is sprayed around the teeth and at the gum line to clean and help prevent the bacterial buildup that leads to gum disease.

• Laser therapy – A tiny diode laser is aimed at the gum line to kill disease-causing bacteria. This method is able to penetrate into the pockets between the teeth and gums, all with minimal discomfort and no surgery whatsoever.

• Panoramic X-rays – These X-rays give us a much more detailed view of your mouth and the structures that support it than traditional dental X-rays. The machine spins around your head 360 degrees to produce a digital X-ray in a matter of seconds. We're then able to refer to this digital image on the computer for effective and precise treatment planning.

• Intraoral camera – The head of this device contains a small camera used to show you what we see. It produces a live feed on the monitor so you get a better understanding of the issues in your mouth. This way we can better explain how we will go about treating them and what you can do about them, too.

Patients suffering from gum disease have more options and help than ever before. If you are currently a patient or would like to know about the treatment options we offer, please speak with one of our staff members or contact our Livingston office.

Our gums cover and protect the sensitive roots of our teeth and the bone around them. While we often think of gum tissue as a rosy shade of pink, that’s not a hard and fast rule. Just as skin tones vary, gum color can vary from person to person.

Healthy gums can range from light pink to darker pink to hues of brown or black. Because your gums are a good indicator of your oral health, what’s important isn’t your normal gum color, it’s noticing any changes in your normal gum color. These changes could be symptomatic of several different dental and medical conditions.

Pale Gums

• Anemia

If the overall appearance of your gums is paler than usual, anemia is a prime suspect. Anemia is a common condition caused by a low red blood cell count. Hemoglobin in red blood cells delivers the oxygen our tissues need to function properly, and without enough, we suffer symptoms like fatigue, weakness, pallor, faintness, and rapid heartbeat.

Anemia can be caused by an underlying medical condition, or can develop because of other issues, such as iron or vitamin deficiencies, pregnancy, ulcers, certain medications, or heavy menstrual periods. If you have any of the symptoms of anemia, seeing your doctor for a blood test is a good idea.

• Teeth Whitening

Occasionally, gums can also lighten up after a tooth whitening procedure. This is due to tissue irritation caused by the bleaching chemicals. Usually this condition is very temporary.

Ask Dr. Rothstein for advice if you experience irritation after home treatments. Having your teeth whitened by a dental professional is one way to make sure your gums get the best protection possible during the process.

Red Gums

• Inflammation

Red gums are a common symptom of gingivitis (early gum disease). Plaque and tartar irritate your gums, and gum tissue reacts to this irritation by becoming inflamed. Left untreated, gingivitis becomes periodontitis (serious gum disease), which can destroy the bone around the tooth and lead to tooth loss.

If you notice signs of gingivitis—redness, swelling, bleeding, bad breath—talk to Dr. Rothstein. Often, gingivitis is easily remedied in the early stages by better attention to dental hygiene. Brushing for two minutes at least twice each day and flossing at least once a day are a good base line for keeping gum disease at bay.

• Infection

Redness can also be caused by infection. If you’re experiencing redness, pain, loose teeth, swelling, pus, or fever, it’s important to see Dr. Rothstein as soon as possible in case you have an abscess or infected dental cyst. Without treatment, infection can seriously damage gum tissue, teeth, and underlying bone.

• Over-Vigorous Brushing

Brushing too hard or using the wrong brush can cause gum irritation. Do your gums (and teeth!) a favor by using proper brushing technique—massage, don’t scrub—and always use a soft-bristled brush.

Spots of Discoloration

Sometimes you notice a patch of lighter or darker tissue that you haven’t seen before. A spot that is different from the gum tissue around it can be harmless or need further attention.

Contact our Livingston office if you have any recent discoloration, sores, pain, lumps, or any differences in appearance or sensation in your mouth. There are several types of oral cancer and prompt diagnosis and treatment is important to prevent the spread of cancerous cells.

Why a periodontist?

If you’re concerned about the health of your gums, making an appointment at our Livingston office is a great idea. The word “periodontal” comes from the Greek words for “around” and “tooth,” and a periodontist is a specialist in treating the structures surrounding the tooth, including the gums, the bone tissue holding the tooth, and the connective tissue between tooth and bone.  

Periodontists have several years of additional post-doctoral study after dental school focused on diagnosing and treating periodontal problems, including:

• Diagnosing and treating gingivitis and periodontitis
• Surgical care for periodontal disease, including gum grafting
• Scaling and root planing, procedures which remove plaque and tartar from areas of the tooth above and below the gum line
• Monitoring your gums when you have other health conditions that could affect them, such as diabetes and heart disease

You know your smile better than anyone. Any time you see a change in the usual appearance of your gums, it’s important to see Dr. Rothstein. Treating gum problems before they become serious is one of the best ways to keep yourself—and your smile—in the pink of health!

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at A R Periodontics, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Dr. Rothstein to discuss your options, so you can make the appropriate treatment choice.

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Livingston area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from A R Periodontics

• Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
• Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
• Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Rothstein, have a great new year!.