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Perio Surprising Links July 2010 Patient Page from the American Academy of Periodontology I Had No Idea Periodontal Disease Is Linked to… You may have seen stories in the gum disease are 14 percent more news about the connection likely to develop cancer than men between periodontal disease and with healthy gums. In fact, heart disease, stroke, and researchers discovered that men diabetes. However, those aren’t with periodontal disease are 49 the only health conditions that are percent more likely to develop related to periodontal disease. kidney cancer, 54 percent more Research has shown that having likely to develop pancreatic cancer, periodontal disease can put you at and 30 percent more likely to risk for a few surprising conditions develop blood cancers. including rheumatoid arthritis, certain cancers, and even kidney Kidney Disease disease. A study published in the Journal of Periodontology suggests that Rheumatoid Arthritis toothless adults may be more likely Are you at risk for Over 1.3 million Americans suffer to have chronic kidney disease periodontal disease? from rheumatoid arthritis (RA), a than adults with all of their teeth. chronic, inflammatory disease of Untreated periodontal disease can Your risk for periodontal disease the joints that can lead to long- lead to bone loss around teeth, may increase depending on: term joint damage. A study which can then cause teeth to • Your age published in the Journal of loosen and fall out. Periodontal • Gender Periodontology uncovered yet disease is a leading cause of tooth • Bleeding gums another potential side effect of RA; loss in adults. In the study, the researchers discovered that lack of teeth was found to be • Tobacco use patients with RA are eight times significantly associated with • Family history of gum disease more likely to have periodontal chronic kidney disease. The two disease than those without RA. diseases may be connected by To find out if you may be at risk, However, the research indicates chronic inflammation, as both are take the American Academy of that poor oral hygiene alone did considered inflammatory Periodontology’s risk assessment not account for the connection conditions. at http://perio.org/ between RA and gum disease, consumer/4a.html. The which means that other factors To help protect yourself from these assessment will let you know if play a role as well. Both RA and health conditions, including you are at low, moderate, or high gum disease are systemic periodontal disease, make sure to inflammatory disorders which may brush your teeth twice each day, risk for periodontal disease. Your explain the connection between floss at least once each day, and periodontist will be happy to the two. see a dental professional for discuss your results with you. cleanings twice each year. If Cancers periodontal disease develops, a Men are especially at risk for consultation with a dentist or developing certain cancers if they periodontist may lead to effective have periodontal disease. Research treatment. The key to a healthy published in The Lancet Oncology body may start with a healthy 754 South Main St., STE 7 found that men with a history of mouth! Saint George, UT 84770 (435) 652-1605 The American Academy of Periodontology Patient Page is a public service of the AAP and should not be used as a substitute for the care and advice of your personal periodontist. There may be www.gumexpert.com variations in treatment that your periodontist will recommend based on individual facts and cir- [email protected] cumstances. Visit perio.org to assess your risk and for more information on periodontal disease. AAP Patient Page July 2010 .
Recommended publications
  • Importance of Chlorhexidine in Maintaining Periodontal Health
    International Journal of Dentistry Research 2016; 1(1): 31-33 Review Article Importance of Chlorhexidine in Maintaining Periodontal IJDR 2016; 1(1): 31-33 December Health © 2016, All rights reserved www.dentistryscience.com Dr. Manpreet Kaur*1, Dr. Krishan Kumar1 1 Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak-124001, Haryana, India Abstract Plaque is responsible for periodontal diseases. In order to prevent occurrence and progression of periodontal disease, removal of plaque becomes important. Mechanical tooth cleaning aids such as toothbrushes, dental floss, interdental brushes are used for removal of plaque. However, in some cases, chemical agents are used as an adjunct to mechanical methods to facilitate plaque control and prevent gingivitis. Chlorhexidine (CHX) mouthwash is the most commonly used and is considered as gold standard chemical agent. In this review, mechanism of action and other properties of CHX are discussed. Keywords: Plaque, Chemical agents, Chlorhexidine (CHX). INTRODUCTION Dental plaque is primary etiologic factor responsible for gingivitis and periodontitis [1]. Mechanical plaque control using toothbrushes, interdental brushes, dental floss prevent occurrence of gingivitis. However, in majority of population, mechanical methods of plaque control are ineffective due to less time spent[2] for plaque removal and lack of consistency. These limitations necessitate use of chemical plaque control agents as an adjunct to mechanical plaque control. Among various chemical agents, chlorhexidine (CHX) is considered to be a gold standard chemical agent for plaque control. Its structural formula consists of two symmetric 4-chlorophenyl rings and two biguanide groups connected by a central hexamethylene chain. Mechanism of action for CHX CHX is bactericidal and is effective against gram-positive bacteria, gram-negative bacteria and yeast organisms.
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  • Periodontal Practice Patterns
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  • Classification and Diagnosis of Aggressive Periodontitis
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  • Staging and Grading Periodontitis
    Staging and Grading Periodontitis The 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions resulted in a new classification of periodontitis characterized by a multidimensional staging and grading system. The charts below provide an overview. Please visit perio.org/2017wwdc for the complete suite of reviews, case definition papers, and consensus reports. PERIODONTITIS: STAGING Staging intends to classify the severity and extent of a patient’s disease based on the measurable amount of destroyed and/or damaged tissue as a result of periodontitis and to assess the specific factors that may attribute to the complexity of long-term case management. Initial stage should be determined using clinical attachment loss (CAL). If CAL is not available, radiographic bone loss (RBL) should be used. Tooth loss due to periodontitis may modify stage definition. One or more complexity factors may shift the stage to a higher level. Seeperio.org/2017wwdc for additional information. Periodontitis Stage I Stage II Stage III Stage IV Interdental CAL 1 – 2 mm 3 – 4 mm ≥5 mm ≥5 mm (at site of greatest loss) Severity Coronal third Coronal third Extending to middle Extending to middle RBL (<15%) (15% - 33%) third of root and beyond third of root and beyond Tooth loss No tooth loss ≤4 teeth ≥5 teeth (due to periodontitis) Local • Max. probing depth • Max. probing depth In addition to In addition to ≤4 mm ≤5 mm Stage II complexity: Stage III complexity: • Mostly horizontal • Mostly horizontal • Probing depths • Need for
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  • The Roots of Periodontology
    THE ROOTS OF PERIODONTOLOGY NMDHA 24th Annual Scientific Session Dennis Miller DMD, MS Diplomate, American Board of Periodontology Oct 19, 2012 A word about the value of history…… Those who don’t know history are destined to repeat it. Edmond Burke (1729-1797) Those of you who don’t remember the past are condemned to repeat it. • George Santayama, 1890 The History of Dentistry • Barbers and blacksmiths were the first dentists in America • 1840 – opening of the first dental school, University of Baltimore • 1859 – ADA was founded, oldest and largest national Dental Society in the world • 1890 – Dr. John Riggs describes periodontal disease • Calls it Riggs disease or pyorrhea • Marketed Anti-Riggs mouthwash (156 proof) • 1896 – Dr. G.V. Black who is known as the father of modern dentistry, describes cavity preparations • 1906 – Dr. C. Edmund Kells exposes first dental radiograph; also the first to use female dental assistants and surgical aspirators • 1929 – Orthodontics recognized as first dental specialty History of Periodontics • 1914 – Dr. Grace Rodgers Spalding and Dr. Gillette Hayden (both physicians) formed the American Academy of Oral Prophylaxis and Periodontology • 1919 – became the American Academy of Periodontology • Circa 1941 - Periodontics recognized as a dental specialty History of Hygiene • 1867 – Lucy Hobbs Taylor graduated from Ohio College of Dental Surgery as a hygienist • 1884 – paper presented at the NY 1st District Dental Society meeting advocating teeth cleaning for prevention, done by “staff” • 1923 – formation of ADHA Historical names of periodontitis • Loculosis • Blennorrhea gingivae • Periostitis • Alveolodental periostitis • Infectious arthrodental gingivitis • Phagedenic pericementitis • Expulsive gingivitis • Symptomatic alveolar arthritis • Smutz pyorrhea • Riggs disease • Periodontoclasia • Pyorrhea alveolaris The roots of Periodontology • The roots of the dental profession including periodontics and dental hygiene were not concocted by some entrepreneur.
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  • Tobacco and Your Oral Health
    Oral Wellness Series Tobacco and Your Oral Health We all know smoking is bad for us, but did you know that chewing tobacco is just as harmful to your oral health as cigarettes? Tobacco causes bad breath, which nobody likes, but it has far more serious risks to your oral health, including: • Mouth sores • Slow healing after oral surgery • Difficulties correcting cosmetic dental problems • Stained teeth and tongue • Dulled sense of taste and smell The Biggest Risk? Did you know tobacco Cancer. The Centers for Disease Control have linked smoking and use is a huge risk factor tobacco use to oral cancer. Oral cancer is the eighth most common cancer in the U.S., and it’s very difficult to detect. As a result, two- for gum disease? thirds of all cases are diagnosed in late stages, making treatment and survival difficult.1 Tobacco and Gum Disease Tobacco use is also a huge risk factor for gum disease, a leading cause of tooth loss. More than 41% of daily smokers over the age of 65 are toothless because of gum disease, compared to only 20% of non-smokers.2 Maintain good oral health by avoiding tobacco. It keeps your whole body healthier. The Effects of Smoking on Your Gums Smoking reduces blood flow to your gums, cutting Is Smokeless Tobacco Safer? off vital nutrients and preventing bones from healing. Smokeless tobacco—chew, dip and snuff—is not This lets bacteria from tartar infect surrounding tissue, regulated by the FDA so it’s hard to know what’s in it. 3 forming deep pockets between teeth and gums.
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  • American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of Periodontal Diseases and Conditions*
    J Periodontol • July 2015 American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of Periodontal Diseases and Conditions* The American Academy of Periodontology (AAP) peri- 4 mm CAL, and Severe =‡5 mm CAL.’’ Numerous odically publishes reports, statements, and guidelines important studies since 1999 have used similar pa- on a variety of topics relevant to periodontics. These rameters to define periodontitis. For example, the papers are developed by an appointed committee of recent epidemiologic studies outlining the prevalence experts, and the documents are reviewed and ap- of periodontitis in the United States used attachment proved by the AAP Board of Trustees. loss parameters to define various severities of peri- odontitis.2,3 It is recognized that CAL is of importance for the scientific advancement of the knowledge of n 2014, the American Academy of Periodontology periodontitis. However, in clinical practice, measure- Board of Trustees charged a Task Force to develop ment of CAL has proven to be challenging, and is time Ia clinical interpretation of the 1999 Classification consuming. Measuring the location of the cemento- of Periodontal Diseases and Conditions to address enamel junction (CEJ) when the gingival margin is concerns expressed by the education community, the located coronal to the CEJ is difficult and may involve American Board of Periodontology, and the practic- some guesswork when the CEJ is not readily evident ing community that the current Classification pres- via tactile sensation. These issues can result in ex- ents challenges for the education of dental students aminations being performed in which, rather than and implementation in clinical practice.
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  • Comparative Evaluation of Two Different One-Stage Full-Mouth
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  • Periodontal Health and Gingival Diseases
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  • One-Stage, Full-Mouth Disinfection: Fiction Or Reality?
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