Preventing Periodontal Disease

April 19th, 2019

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Dr. Naghmeh Izadi for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Dr. Naghmeh Izadi right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our Lynnwood, WA office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

Common Wisdom Teeth Problems

April 12th, 2019

Have you ever wondered why people have wisdom teeth? These are a third set of molars that come in behind the rest of all your other teeth, usually during early adulthood. Scientists and anthropologists believe that wisdom teeth are a result of evolution, because our ancestors needed these extra teeth to handle their primitive diets. Nowadays, the average diet consists of fewer hard-to-chew foods, which renders wisdom teeth largely superfluous.

Most people begin to experience wisdom teeth pain between the ages of 17 and 25. Our ancestors nicknamed them wisdom teeth because they appeared at a time in life when we supposedly grew wiser.

If you’ve already had your wisdom teeth removed, you know how painful they can become if they aren’t taken care of promptly. If not, watch out for discomfort in the back of your mouth and let Dr. Naghmeh Izadi know right away if you think your wisdom teeth are coming in.

In some cases, people do not experience any problems or discomfort with their wisdom teeth. These patients may keep their wisdom teeth intact if there’s enough room in their jaw to fit them properly. But this is generally not the case, so wisdom teeth can cause several concerns, depending on which direction they grow.

Common problems include:

  • Damage to surrounding teeth due to the pressure from the emerging teeth
  • Infection that causes the surrounding gums to swell and become painful
  • Tooth decay due to the lack of room to clean the teeth properly
  • Impaction (when the tooth is unable to break through the skin)
  • A cyst that may damage the jaw, the surrounding teeth, and nerves

If you haven’t had your wisdom teeth removed yet, there are many symptoms to watch out for when they begin to grow. Symptoms may include:

  • Pain or stiffness in the jaw
  • Tooth irritation
  • Swelling of gum tissue
  • Crowding of other teeth
  • Spread of tooth decay or gum disease on nearby teeth

If you’ve noticed these symptoms, schedule an appointment at our Lynnwood, WA office. Don’t forget: This is a common procedure that will take some time to recover from. Allow your mouth to heal, and then you’ll be able to get back to a normal routine quickly and be free from pain!

Should I fix my chipped tooth?

April 5th, 2019

It was a small fall! A miniscule piece of popcorn! A minor foul on the basketball court! But now there’s a chip in your otherwise perfect smile. Is a chipped tooth worth calling Dr. Naghmeh Izadi?

Any time your tooth is injured is time to call our Lynnwood, WA office. Even a small chip can affect your tooth structure and should be evaluated. We will also want to check your tooth and gums to make sure there is no underlying injury that could be more serious, and to treat your tooth as soon as possible so that no further damage occurs.

A very small chip might need nothing more than smoothing and polishing to remove sharp edges. A small chip in your enamel can be repaired with dental bonding, where a composite like those used to fill cavities will be shaped to cover and fill the chip. This composite will be matched to your tooth color for a seamless repair. A porcelain veneer is also an option for you. These procedures will restore the look of your tooth and protect it as well, because even a small chip can lead to tooth sensitivity or further damage in the future.

A larger chip, such as a fractured cusp, might require a crown. But a large chip might also mean that the inside of the tooth has been compromised. If the dentin or pulp are affected, pain, infection, and even tooth loss could result. A root canal might be necessary to preserve the tooth, so prompt treatment is necessary.

Regardless of the size of the chip, call our Lynnwood, WA office as soon as possible. We can give you tips for pain management, if needed, until you see us. If you can save the chip, bring it with you when you visit in case there is the possibility of bonding it to the injured tooth.  But even without that missing piece, there are ways to restore the look of your original tooth. Remember, repairing a chipped tooth is not just cosmetic. We want to keep your smile healthy, as well as beautiful!

Antibiotic Prophylaxis or Premedication

March 29th, 2019

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Dr. Naghmeh Izadi suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

  • A history of infective endocarditis
  • Certain congenital heart conditions (heart conditions present since birth)
  • An artificial heart valve
  • A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our Lynnwood, WA office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.

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