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February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing the team at Pediatric Dental Associates for a professional cleaning. In some cases, Dr. Michelle Slezewski and Dr. Paul Engibous might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! 

• Brush twice a day, or as often as your dentist recommends. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. 
  • Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day or as directed by your dentist. Flossing removes food particles and plaque between the teeth, and it also helps remove plaque from the area around the gum line.
• Conditions such as family history, hormonal changes, medical conditions, age, poor diet, smoking, and other factors can increase your chances of developing gum disease. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous if you are in a higher risk group about proactive gum care.
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 
• You can get tips for better brushing and flossing techniques from the team at Pediatric Dental Associates in Anchorage, AK, too!

Last, while gum health is essential for dental health, you may not be aware that healthy gums could affect more than just your oral health. Scientists are studying the potential links between gum disease and conditions such as heart disease, diabetes, and arthritis.  

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

We mark special times throughout the year to encourage better oral health, like Dental Hygiene Month, and Children’s Dental Health Month, and even National Root Canal Day! This July 21st is National Junk Food Day, and we couldn’t let it pass without some healthy ideas to help you make the best of this not-so-dentally-healthy day.

What makes junk food unhealthy? Most of the foods in this category have high levels of sugars, starches, salts, or fats, which aren’t good for your body in large quantities. When it comes to your dental health in particular, some junk foods are worse than others because they are actively destructive to your tooth enamel.

Foods like candy, cookies, doughnuts, chips, energy drinks, sports drinks, and sodas can have large amounts of sugar, starch, and acid. And a diet filled with sugars, starches, and acids puts your tooth enamel under constant attack. 

The bacteria in plaque make acids from the sugars and starches (which break down into sugars) in our diets. These acids then erode the mineral crystals which give our enamel its strength, leaving weak spots which can deepen and become cavities. A steady diet of sweet and starchy foods for you creates a steady diet of sugar for cavity-causing bacteria. 

Just like the acids produced by bacteria can erode tooth enamel, acids in food can also strip away the minerals which keep your enamel strong. Sodas, sports drinks, energy drinks, and many fruit juices are often both sugary and highly acidic, making them very damaging to tooth enamel.

So, let’s spend a few moments today to discuss how you can enjoy a bit of junk food every now and then and still take good care of your teeth.

• Limit Sugars, Starches, and Acids

We don’t just mean limiting the number of treats you eat in a day. It’s also a good idea to limit treats to certain times as well. Eat desserts with meals, when saliva production is higher, to help wash away sugary and starchy food particles. Acidic drinks, when sipped throughout the day, are like bathing your teeth in acids. Better to drink a soda or sports drink in one sitting and drink or rinse with water after! 

• Brush after Eating Sticky Sugary and Starchy Foods

Sticky foods filled with sugars and starches are double jeopardy for your tooth enamel. Not only are they the foods of choice for plaque bacteria, they also tend to stick to your enamel and between your teeth, giving cavity-causing bacteria more time to work. An after-treat brushing will get rid of any sugary or starchy leftovers as well as removing built up plaque.

• —But Don’t Brush Too Soon After Acidic Foods and Drinks

When you eat or drink something acidic, your enamel is more vulnerable to damage immediately afterward because acids remove minerals from tooth enamel. If you brush right away, even soft bristles can be abrasive. Wait about 60 minutes to brush, which gives your tooth surface time to get strong again with the enamel-building minerals found in saliva. 

• Make Water Part of Your Healthy Diet

Easy, available, inexpensive—what’s not to like about water? Oh, and it’s also healthy for your teeth! Rinsing with water after a treat helps remove lingering food particles and acids. And drinking water when you’re thirsty helps you produce saliva. Saliva not only rinses our teeth, it helps neutralize acids and helps replace calcium and phosphate minerals which may have been stripped away by acids.

This July 21st, we’re not really celebrating junk food—we’re celebrating all the things you do to protect your oral health. So, whether you’re indulging today or not, keep your teeth their healthiest by making junk food a rare treat, keeping up with your daily brushing and flossing, and seeing your dentist regularly for checkups and cleanings. Let’s make National Junk Food Day just another day in a year filled with healthy smiles!

We get it. You’re working out and could use a boost. It’s 2 a.m. and that essay won’t write itself (darn it). You’re in the middle of a meeting that goes on and on and . . . 

It’s easy to reach for an energy drink when you’re feeling a bit low on, well, energy. These drinks are loaded with caffeine, and, like coffee or tea, can help you feel more alert. But before you pop that top, let’s look at how energy drinks affect your dental health.

• Energy drinks are very acidic.

Acid levels are measured using the pH scale, which ranges from 0 (most acidic) to 14 (most alkaline). Saliva has a normal pH somewhere between 6.2 and 7.6, which helps neutralize any acidic conditions in the mouth and promotes a healthy oral environment. But saliva’s neutralizing effect can be overwhelmed by highly acidic foods and drinks.

Why are higher levels of acids bad for our teeth? Acids strip away minerals like calcium from tooth enamel, the minerals which make enamel the strongest substance in the body. This demineralization weakens the enamel’s protective outer structure and can lead to enamel loss, sensitivity, tooth discoloration, and decay.

Many energy drinks are among the most acidic beverages on the market. Mineral loss in your enamel starts to occur when the pH balance in the mouth falls to 5.5 or less. Lemon juice has a pH between 2 and 3. White vinegar has a pH of 2.5. Energy drinks can range from 1.5 to 3.5 on the pH scale! Studies show that regular consumption of energy drinks greatly increases the risk and severity of dental erosion.

• Most energy drinks are full of sugar.

Sugar is easily metabolized, or broken down, by the body. When our bodies break down food, energy is released. That’s why companies add sugar as well as caffeine to their energy drinks. 

The plaque bacteria which create cavities also use sugars in these drinks as an energy source, converting sugars into acids. Just like acidic foods and drinks, bacterial acids break down the mineral structure in tooth enamel. You might notice small white spots when the enamel starts to erode—and a cavity starts to develop. 

• Energy drinks aren’t just bad for your dental health. 

The temporary burst of energy you get from all the sugar in energy drinks is followed by a sugar crash when blood sugar levels go down again, and you can feel tired, weak, or shaky. 

Even worse, one energy drink might contain three to four times the amount of caffeine found in a cup of coffee. Excess caffeine interferes with healthy sleep. It can cause changes in heart rate, blood pressure, and anxiety levels. 

Children and teens are especially vulnerable to the effects of large amounts of caffeine while their brains and bodies are still developing. That’s why the American Academy of Pediatrics recommend no energy drinks at all for children and teenagers. The FDA suggests that adults should not take in more than 400 milligrams per day of caffeine, while energy drinks can range from around 80 to 400 mg per can. 

If you do have the occasional energy drink, what’s the best way to protect your teeth and gums?

• Don’t linger over your drink. Sipping slowly over time just bathes your teeth and gums in sugar and acids over a longer period. 
• Drink water when you’re done. Water helps wash away sugars and acids, hydrates, and promotes healthy saliva production.
• If the team at Pediatric Dental Associates gives gum a thumbs up, chew a piece of sugarless gum after downing an energy drink to increase saliva flow and help neutralize acids in the mouth. 
• Wait at least 30-60 minutes to brush after finishing an energy drink. Acids in the drink weaken enamel, and brushing immediately can be abrasive to the tooth surface.
• Eat a healthy diet rich in proteins, complex carbs, vitamins, and minerals to feel more energetic.
• Keep up with good dental hygiene. Brush twice each day for two minutes and floss daily, or more often as recommended by Dr. Michelle Slezewski and Dr. Paul Engibous.

If you notice signs of enamel erosion—sensitivity, front teeth which are becoming transparent or rough around the edges, yellowish discoloration, or white or brown spots on your enamel—it’s time for a talk with Dr. Michelle Slezewski and Dr. Paul Engibous. When caught early enough, treatment is available which can stop further erosion from harming your teeth.

The team at Pediatric Dental Associates in Anchorage, AK, or your doctor, can help you discover healthy ways to stay focused and energetic. Your workout, your essay, your meeting, and, above all, your healthy body and healthy smile will thank you!

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

• Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
• Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
• Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office.