amanda with straight smile solutions here to talk to you a little bit more about orthodontics
orthodontic cases and today we're gonna be talking about periodontal disease and braces periodontal
disease and Invisalign we're gonna be talking about what this means and if you've been told
you have periodontal disease can you have braces or can you have in this line and ultimately let
me go ahead and tell you a little bit more and I'm showing this picture because I don't know this guy
has periodontal disease or not I'm seeing signs of it that may lead me to think that maybe he does
have it but he may not so what is periodontal disease periodontal disease is a disease or a
breakdown of the periodontal which basically means the attachment of the gums and the bone to the
teeth so we're all born with a certain level of gums and bone attachment it's no different than
if you plant a tree in your backyard you have to have a lot of like dirt right earth to keep
it stabilized and if you try to plant a really tall tree in just a tiny bit tiny little pot
it's gonna fall over right it's gonna be kind of Wiggly it's not gonna be stable the same thing
with teeth right now over time our attachment or periodontium starts to disintegrate or break
down there are 80 year olds with really healthy periodontal they may have all they're almost all
their stability that they were born with and part of this is due to genetics and part of it's due
to environmental factors so there are certain things that you can do that will accelerate the
breakdown of your periodontal so for example like smoking like poor oral hygiene if you have poor
hygiene and you let calculus or tartar or plaque sit on the teeth it does the acids will help to
accelerate the breakdown once you help break down it doesn't come back all you can do is make it
the area more healthy so that there's no infection so it doesn't continue to get worse so you cannot
grow your periodontal back you can just make it more healthy so it's not getting worse right once
it's gone it's gone there are different surgeries and stuff that can add bone add tissue but that's
a whole nother story so basically I know that sounds super duper complicated so you can get
diagnosed with periodontal disease but it could be active or it could be passive it could that means
if it's active that means it's actively happening and you need to do something to stop it so that it
doesn't get worse and make it healthy so usually that means cleaning out the bacteria cleaning out
the plaque cleaning out the calculus cleaning out the food removing any active infection it
might need some localized antibiotics stuff like that okay also if your bite is not healthy for
the alignment of your teeth is not healthy this accelerates the breakdown of the periodontal so
that's why we do recommend braces or aligners for people with periodontal disease so they can
get their bite in their teeth healthy so back to this picture that was a long long example but you
can see in this picture that clearly this bite is not correct right so those front teeth lower
front teeth are supposed to be behind the upper front teeth because they've somehow got displaced
moved forward now the bite is incorrect and I can flat-out tell you this is accelerating the
breakdown of the periodontal so this person already has active periodontal disease this
is gonna get significantly less and this patient will likely lose their teeth so their lower front
teeth over time unless you a correct the bite or be stabilized the periodontal or most likely both
anyways so I think now you get the idea so no you cannot tell just from a picture if somebody has
periodontal disease you need your dentist to do lots of things this will involve x-rays a clinical
exam some measurements where they call out those numbers all kinds of numbers and there's healthy
numbers and there's not so healthy numbers and then you add all those things together and that
tells you what's going on with the periodontal disease okay but everyone probably age thirty
forty has a little bit of periodontal disease there's just past or present it's just really
hard not to think you know because it's just part of the aging process it stinks but it's
just there so but hopefully we're all passive but in any case yes you should get braces you
should get periodontal disease if you do sorry you should get braces you should get a liners
if you have periodontal disease your dentist will need to keep more of an eye on the case
make sure everything's still healthy during the case sometimes it may mean that you may need a
cleaning every two or three months and a check during the braces you may need a periodontist
that's a specialist of gums and bones to keep an eye on your treatment to make sure everything's
still healthy so hopefully now you understand a little bit more about the importance of healthy
teeth bones and gum during your donek treatment all right any questions let me know visit straight
smile solutions com I know that wasn't the most fun topic but it's a really common question that
I get on my website so hopefully not only from patients but also from doctors and people don't
quite understand it so message me if you have any questions doctors you're welcome to visit
straight smile solutions comm make an appointment for a complimentary consultation if you're looking
for support to accelerate growth of Orthodox in your practice don't forget to visit us today
we're gonna be talking about periodontal disease I know a lot of people are concerned how you get
periodontal disease how you get rid of periodontal disease and what if anything you can do to improve
periodontal disease so this is just a kind of in-your-face example of what typical I'd
say a severe periodontal disease patient looks like this is a progressive disease and it can
start over time usually it starts just because you're maybe not taking care of your teeth so
well plaque sits on the teeth and gums for a little while there's an infection that happens
as a result that infection causes breakdown of the gums and the bone that support the teeth
and it's kind of like if you planted a tree and you have say not that much dirt to support the
tree and maybe it's kind of washed away well the tree is not going to be very stable and it might
fall down right it's the same thing with teeth so there are some surgeries and there are gum
specialists called periodontists that can help to stop the progression of that disease or with
some medicine or some surgeries or some really keeping them clean and sometimes there are some
surgeries that can help to add bone or gum back on they're pretty expensive and not that comfortable
but they are effective when you need them so in any case that's pretty much it and you know
we're all about braces orthodontics what does periodontal disease have to do with that well
has everything to do with that because if you have periodontal disease you're are not gonna
move like a healthy tooth it's really important for your dentist to know if you have periodontal
disease so that's about that all right thanks so much any questions keep them coming hey this is
dr. Amanda with straight smile solutions they keep those questions coming those orthodontic questions
I had an awesome question today from a patient of one of my doctors this was in South Carolina
the question was and remember all my answers are not a substitute for clinical judgment you need
to talk to your own doctor about your particular scenario these are just generalized answers for
you to educate yourself I'd rather you come to me they come to WebMD or just searching the internet
because you know my answers are correct so um I think they are but in any case the question was
can I do braces or clear aligners or Invisalign or gamin or whatever we're going to call it with
a cavity or with untreated gum disease first of all you need to talk to your dentist about that
because my answer would be no that's probably not the best choice your that just needs to examine
the area there are certain levels of cavities and gum disease that are kind of thing choice and not
so dangerous does that make sense some that can be reversible some that can't be reversible without
treatment so you need to get more information on your particular medical situation or dental
situation but just the jeopardise answer would be from a scientific standpoint if you have a cavity
okay some little tiny cavities can actually be reversed if you brush floss use fluoride okay
they can actually remineralize that's great news I my personal experience and my understanding of
the scientific studies is this is more likely to happen in just an irregular oral environment and
not an oral environment where you're putting a plastic a hot trapped piece of plastic over it
because that actually perpetuates more anaerobic bacteria anaerobic bacteria can affect the health
of your gums and your teeth so my answer would be no I don't think I would recommend doing aligners
Invisalign braces anything like that with and happy that's just my opinion but talk to your
dentist because they will take a specific look at that particular situation and assess it number
two should I do aligners braces whenever this line with untreated gum disease basically the
same answer so some types of gum disease could be very easily reversible in a matter of days I mean
sometimes you have an area you didn't floss it's bleeding a little bit you floss it you
clean it and it goes away right okay so sometimes you have an area that needs a surgery in order to
fix it or needs scaling root planing which is a type of surgery and then you know a lot of
additional medications or anything like that so in that situation probably not would be my answer
so always connect with your dentist get more information said connect get as much information
as possible get those gum readings take a look at the x-rays and discuss all your risks benefits and
alternatives if your dentist has any questions about worth of diamonds in general please have
them visit straight smile solutions comm keep those questions coming thanks so much