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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 Prairie Meadows Dental for a professional cleaning. In some cases, Dr. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey 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. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey 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 Prairie Meadows Dental in Kearney, Overton or Gibbon, 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!

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Kearney, Overton or Gibbon office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Prairie Meadows Dental immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

There’s nothing like the simple seasonal pleasures. What’s more enjoyable than a cup of hot apple cider on a blustery winter day, or a tall glass of ice water in the middle of a summer heatwave? Until, that is, tooth sensitivity makes that hot or cold treat no treat at all. If untimely tooth sensitivity is causing you problems, there are solutions we can offer!

Improving Brushing Technique

Careful brushing is a wonderful habit to get into, but sometimes there can be too much of a good thing. Over-energetic brushing can actually damage our enamel. And underneath that enamel is dentin, a more porous substance which allows heat and cold to reach the more sensitive inner tooth.

But, please, don’t give up on brushing! Switching to a soft-bristled or electric toothbrush and a toothpaste designed for sensitive teeth can make a world of difference. Dr. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey can recommend the most effective and safest way to brush, as well as suggest toothpastes designed to fight tooth sensitivity. Until you recover, now is the time to avoid acidic and sugary foods and drinks (which can also bother sensitive teeth) and home tooth-whitening products as well.

Preventing Gum Disease

When gum disease progresses, the gums can begin to pull away from the teeth. This recession exposes part of the root area, which is much more sensitive to heat and cold.  Regular checkups and cleanings can keep gum disease from developing. Gum disease that is already present can be treated, and we can discuss whether more intensive care, such as a gum graft, is advisable to protect the root area.

Treating Injuries to the Tooth

If you have a cavity, a fracture, or another injury to the tooth or nerve, sensitivity is a good sign that you should call us right away. And, sensitivity is a symptom that can disappear when we restore the compromised tooth, whether it requires a new or replacement filling, a crown, or a root canal. If your teeth are more sensitive as a result of tooth grinding or other orthodontic problems, we can identify those issues as well.

No matter the reason for your tooth sensitivity, we want to work with you to find out the cause of the problem and to find a solution for it. Call our Kearney, Overton or Gibbon office if you notice any unpleasant or painful reactions to temperature, foods or even wind and air. Whether it’s advice on correcting your brushing style or treating tooth and gum conditions, we are here to help you.

April showers bring May flowers, and May flowers bring . . . allergies. If you’re one of the millions of people who suffer from seasonal allergies, you might be suffering some dental side effects as well.

When you have pollen allergies, pollen triggers your body’s immune system to release histamines. Histamines are part of the body’s defense system. They cause the tissues in the nose and sinuses to become inflamed and swollen as they increase blood supply to these areas. They also cause your body to produce more mucus.

Normally, mucus from the sinus cavities drains into the nasal cavity and then down the back of the throat, where it mixes with saliva and is swallowed. We never even notice it. Until it’s allergy season. Unfortunately, our defense mechanisms can have some offensively unpleasant consequences.

• Headache & Facial Pain

Our sinus cavities are small hollow spaces in the bones of the head which are filled with air and, like our nasal cavities, are lined with mucous membranes. It’s these membranes, not surprisingly, which produce mucus. And though we might turn up our noses at this slippery topic, mucus is actually quite helpful for trapping and filtering out unwanted hitchhikers like bacteria, viruses, dust, pollens, and other pollutants in the air we breathe before they reach our lungs.

When histamines are released, normal mucus production increases to filter out those tiny pollen invaders. At the same time, tissue around the nose and sinuses swells up, which can trap mucus inside the sinus cavities. This, in turn, causes increased pressure within the sinuses, and this pressure brings on allergy-related headaches and facial pain.  

• Nasal Congestion & Postnasal Drip

With the occasional runny nose or sneeze, you can blow your nose once or twice and that’s that. During allergy season, greatly increased mucus production might see you spending all day within reaching distance of your box of tissues. But when the tissue in your nose is swollen as well, you now find yourself with nasal congestion.

A stuffy nose means excess mucus has to exit somewhere else, which means this extra, often thicker, mucus all drains into the back of your throat. This is postnasal drip, and it can make you miserable in several different ways. Hoarseness. Coughing during the day. Worse coughing at night. Sore throat. Nausea. Difficulty swallowing.

All these allergy symptoms are uncomfortable enough! But, to add to our discomfort, allergies can lead to uncomfortable oral symptoms as well.

• Tooth Pain

A common result of allergies is tooth pain. How does this happen? It’s because of the way our bodies are designed. The maxillary sinus cavities are directly above the roots of our upper molars.

When sinus cavities are congested and sinus pressure builds up, it also puts pressure on these roots. The result is tooth pain, usually affecting several upper molars at once.

• Dry Mouth

One of the natural responses to a stuffy nose is mouth-breathing—we can’t go without air, after all! But exposing the inside of the mouth to all that air dries out delicate gum and mouth tissues. It also reduces normal saliva flow. This can cause xerostomia, more commonly known as dry mouth.

Because saliva neutralizes acidity in the mouth and washes away bacteria and other germs, lower saliva production means greater risk of cavities, infections, and bad breath. Dry mouth can also cause gum irritation and gingivitis, because less saliva means more harmful bacteria build-up between the gums and the teeth.

• Antihistamines & Your Oral Health

If histamines are the problem, are antihistamines the obvious solution? This is a good question for Dr. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey or your physician. Antihistamines can be very drying—so you might find you’re experiencing dry mouth even when all those other pesky allergy symptoms have disappeared. And, if you already suffer from xerostomia, it’s especially important to get your doctor’s advice before buying over the counter antihistamines.

In allergy season, just like any other time of the year, be sure to hydrate and keep up with brushing and flossing for fresh breath and healthy teeth and gums. Talk to Dr. Herrmann, Dr. Jones, Dr. Kugler, Dr. Loschen, Dr. McClenahan, and Dr. Downey if you have persistent tooth pain, dry mouth, or irritated gums—it’s always best to rule out other causes like infection or decay.

But, if your problems are caused by allergies, you don’t have to wait until the next snowfall to get relief. Talk to your doctor or allergist for ways to reduce or eliminate your symptoms before allergy problems start blooming into dental problems. You’ll breathe easier!