GENERAL-Featured

Dental Deep Cleaning for Healthy Gums

What is scaling and root planing? When is it recommended?

As with many aspects of general dentistry, scaling and root planing is a treatment related to keeping your mouth free of gum disease. Your routine appointments and your home care are preventative measures to maintain your oral health; but as nice as it would be to keep your oral health in perfect condition all the time, sometimes that just doesn’t happen. When we identify the onset of gum disease, we work quickly to reverse the condition and get you back on a healthy track. This is where scaling and root planing treatments play a critical role.

Often referred to as periodontal cleaning or deep cleaning, they are all the same form of treatment. The procedure removes dental plaque and tartar, specifically below the visible gum line. The spaces between your gums and teeth are prime breeding ground for bacteria and infection, so without treatment they can deepen and compromise your oral health. There are a variety of tools and methods available for periodontal cleaning, and each is designed to finely clean the dental pockets the gum disease is attacking and deepening. Successfully completed, the build-up collected around the teeth and gums will be removed, and the gums will heal tightly around the teeth for a secure and healthy fit.

Post-Treatment Follow-Up

Scaling and root planing are advantageous procedures if gum disease is present, but what about the importance of following up after you’ve been treated? Despite the fact healing and improvements will be seen immediately following treatment, the actual procedure is only the first step in arresting the periodontal disease. The true efficacy of scaling and root planing is contingent upon a number of variables, including patient compliance.

It is imperative the patient and our office collaborate to prevent the infection from recurring. Infection is often the result of negligent oral care, which will need to be excellent and diligently preformed following treatment. As it takes a significant period of time for the infection and bacteria to build-up, the remedial steps taken after scaling and root planing will not be an overnight solution – time and consistency will be necessary for a full recovery.

Subsequent appointments are often necessary in order to monitor and track the healing progress, and we will discuss the frequency and importance of these with you to ensure your understanding and comfort. Our office will be there to help through each and every step of this process with respect to your unique needs, as well as offer any resources or information necessary to restore your smile to a happy and healthy state.

 

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California
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Amalgam Fillings: Should They Be Replaced?

What is a filling?
Receiving a dental filling is a common procedure that many people have personally experienced. As a bit of a background, a filling becomes necessary when a tooth is damaged by decay and needs to be restored and protected. The function of a filling is to both seal off any spaces where bacteria could enter, and to reshape the tooth to its original form and function. Fillings are an invaluable part of dental work because they offer both a solution for present damage, and act as preventative guards against potential future damage.
A variety of materials are used to create fillings: gold, porcelain, a composite resin, or an amalgam (commonly referred to as silver fillings) are all common choices. There is no ‘best’ type of filling, and the right option for you is truly dependent on your individual case and personal preference.
Why remove a filling?
There are a few different reasons one may want to replace a filling, including a more natural look. Porcelain and composite resins look the most natural and are placed to match your tooth color, and it is not uncommon for those with gold and silver fillings to request these more subtle options. Each type of filling has its own lifespan, which can range from just a few years to several decades, so sometimes a routine replacement may also be in order.
However, in addition to appearance and time, there is also a debate surrounding the use of amalgam fillings.
What is the amalgam filling debate?
By definition, the word ‘amalgam’ is synonymous with the words ‘mixture’ or ‘blend’. As an example, a smoothie would be considered an amalgam of fruits!
In the dental world, ‘amalgam’ as it is used to describe a filling indicates it is a mixture of materials – this means that silver fillings are not pure silver, they have other similar materials in them as well. The proposed problem with these fillings is that the material could contain toxic or harmful matter that could negatively affect your health.
Unfortunately, it isn’t so simple. The biggest concern expressed by those opposed to amalgam fillings is the potential exposure to mercury, and patients potentially being poisoned as a result. That does sound awful, until you consider that we are all exposed to some level of mercury. Mercury is present in fish! A person would have to eat a lot of fish before there was any risk of poisoning, and the same could be said about a small tooth filling that is mostly made of silver. On the other hand, we understand if you have concerns about the material used in your filling.
If you already have an amalgam filling, it’s important to note that removing a filling when not completely necessary is an extra procedure, and with any medical procedure there are always risks involved. If you are getting a new filling and are uncomfortable with the idea of amalgam, just let us know and we can find an option that is right for you. There are many choices when it comes to your filling material, and we want you to walk out of our office feeling confident with your smile and your health.

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California
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Pre-Medication for Dental Work After Joint Replacement

What is pre-medicating? What do artificial joints have to do with dental treatment? Why is this related to my oral health and not just overall health?
Good questions! Although artificial joints can seem like a far cry from concerns with your dental health, the two are more related than one may think. When it comes to artificial joints, there is an increased risk of infection due to the inorganic material in the body that should be taken into consideration. This is true from the time of placement, but it may also play a role with future medical treatments. It has long been suggested that pre-medicating should be a standard prerequisite to dental and other procedures, but what is pre-medicating and why would it help?

Pre-Medication Before Dental Procedures

Pre-medicating is the act of giving medication prior to a medical or dental procedure, which is done with the intention of staying ahead of potential infection problems. The theory is that bacteria from the mouth can enter the blood stream, and those with artificial joints are already more susceptible to infection. Pre-medication is meant to help mitigate this risk prior to the procedure to keep your overall health in check from start to finish.

Sounds simple – what’s the dilemma?

Your replacement joints may not affect treatments at all! Many question pre-medication as it does not appear to be necessary. In fact, the ADA directly states “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.” There is evidence that dental procedures are not associated with prosthetic joint implant infections, along with the fact that there is evidence to suggest that there are potential harms in taking medication when not completely necessary. As such, the risks do not outweigh the benefits of pre-medication. In individual cases, there may be exceptions; however, as a rule pre-medication is not a necessary prerequisite for effective dental treatments.
Please be sure to let us know if you have artificial joints, or any out of the ordinary medical circumstances. We will be sure to take them into consideration when it comes to developing your treatment plan. For the most part, your artificial joints will not require special treatment on your end – we can treat you as we would any other patient to keep your smile looking sharp!

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California
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Easter Hard Candy

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Easter means many things to different families everywhere, but one thing that remains consistent is the appearance of candy! Whether it’s hidden in eggs or just passed around, it comes at a nice nearly halfway mark in the year from Halloween. Sweets make for some excellent treats, and there is no reason not to indulge (in moderation of course)! However, all candies are not created equal, and it may be worth knowing which ones you can have relatively guilt free, and which could spell trouble for your wonderful smile.

When it comes to Easter indulgences, chocolate may make it onto the nice list – we know, this is great news to many of you. The less forgiving candies are the ones that make that all-too-familiar CRUNCH! Hard candies, like lollipops or jolly ranchers, can be an awfully tempting treat to bite. But best case scenario is they can pack hard-to-reach pieces of sugar into your gums that end up sitting there, as saliva can have a difficult time breaking them down. Worst case scenario, that crunch sound may be coming from a broken tooth, and sending you straight from your Sunday activities into our office. We do love seeing our patients, but not at the expense of their healthy smile! It happens more often than you think, and it’s not just because of the sugar – even some who are prone to absentmindedly crunching on ice have discovered the dangers of biting down on crunchy munchies when they find a piece of their tooth broken off. Your teeth are durable for normal eating and chewing, but anything that causes too much stress can run the risk of chipping or breaking one of your pearly whites. Before you try to impress your friends with breaking that jaw breaker in half, remember that it’s earned that name for a pretty good reason.

Even if you resist that satisfying crunch, there are still a few other points of concern for hard candies that you don’t run into with other options (like chocolate!). Hard candies that you suck on tend to spend a concentrated period of time in a single location, which over-exposes particular areas of your mouth to sugar and lead to a very concentrated build-up of acid, which can be a quick way to damage the enamel. Consider this next time you find yourself unwrapping that tootsie pop or after-meal mint, and perhaps enjoy a stick of gum instead. It’s not often that the solution for a sweet treat is yet another sweet treat, but you’re in luck because this time it is! After enjoying your holiday treats, consider enjoying a piece of sugar-free gum – the increased saliva productions while chewing can actually help dislodge and break down the remaining sugar in your mouth.

Overall, we don’t want to take the enjoyment out of candy-filled holidays – enjoy your time with your friends and family, and definitely don’t be afraid to pop open that plastic egg and see what treats hide inside. If you do find yourself going crazy for the crunchy candies, we hope you chew safely…and if things go wrong, you always have your friends at our office to set things straight (:

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Dental Health and Pregnancy

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Pregnancy changes a lot about the female body, which is no surprise considering all the physical and hormonal effects that take place over the course of those 9 months. All that considered, the profound connection between pregnancy and dental health can still be a shock to many.

As an example, the rapid surge in hormones, such as estrogen and progesterone, can alter the manner in which gum tissue reacts to plaque. Plaque buildup affects everybody, so it’s always important to make sure your teeth are being cleaned thoroughly. However, ‘pregnancy gingivitis’ is a condition that affects the vast majority of mothers-to-be and should be carefully monitored. Prevention is always more useful than treatment, and for that reason we encourage a diet high in Vitamin C and B12 – don’t forget, baby’s teeth are developing too so it’s important to have a diet that’s nutritious for your teeth and theirs! Be sure to brush twice daily with a fluoridated toothpaste and floss each evening as well.

In addition to ‘pregnancy gingivitis’, pregnant women are also at risk for ‘pregnancy tumors’. These tumors are inflamed, but non-cancerous, growths that may develop when the gums become swollen and irritated. Usually the tumors will resolve themselves post-birth, but if you find one and it’s uncomfortable or painful, don’t hesitate to call our office so we can help you proceed with the right treatment for you.

In general, if you are either currently pregnant or planning to become pregnant, you should always let your dentist know immediately in order to best proceed to minimize the risk of pregnancy-related complications. If needed, most procedures can be performed during pregnancy, particularly if you are in pain or have any concerns. However, we do not recommend any elective procedures until after the baby’s birth in order to minimize health risks to you or the child. Pregnancy does come with health concerns to be monitored, but as was the case before you received the news about your bundle of joy, consistent and thorough cleaning is always your best bet. Above all else, relax and enjoy this special time!

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California

 

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Effects of Osteoporosis on your Oral Health

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Effects of Osteoporosis on your Oral Health

Osteoporosis isn’t a new discovery, or a disease unheard of by many. That being said, many people don’t realize how closely tied to your oral health it can actually be.

In short, osteoporosis is caused by an insufficient consumption of calcium and vitamin D. It affects the bones, making them less dense and thus more likely to break. Osteoporosis is directly tied to your long-term dental health as this weakening of the bones may heavily compromise the jaw bone. A weakened jawbone can have a host of detrimental consequences for your teeth, including increased tooth mobility, or complete tooth loss.

The best cure for the degradation of the jawbone is avoiding it all together with a balanced diet high in vitamin D and calcium, and getting a sufficient amount of exercise. Barring that, be sure to attend your dental appointments regularly so that way the structure and health of your mouth can be monitored, and any problems that may develop are addressed immediately and not permitted to deteriorate.

As it is, due to hormone imbalances and changes over life, women are most at risk to developing osteoporosis, but it can absolutely develop in either gender depending on a host of lifestyle variables, not limited to diet and exercise.

Symptoms to pay attention to that may be indicative of osteoporosis affecting the jaw include: pain and/or swelling in the gums or jaw, as well as infection; injured gums not healing in a timely fashion; teeth that become loose for no reason or after only minor strain; numbness or discomfort in the jaw; or at worst, exposed bone. If you experience any of these symptoms, don’t hesitate contacting your dentist to prevent exacerbating the issue.

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California
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Fast Food During The Holidays

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During the hectic holiday season, fast food is an easy go-to. We already know that sweets and sugary desserts are not good for our teeth or our waistlines. However, even the savory fast foods can wreak havoc on our teeth!

Some problems that may arise are:
– Acid erosion
– Staining
– Decay

Refined carbohydrates such as in white based pizza sauces and pastas, contain simple sugars that are able to quickly dissolve, causing acid that attacks tooth enamel.

Heavily pigmented foods such as certain spices and sauces within Chinese and Indian foods, as well as tomato based sauces, contain properties that can easily stain your teeth. It has been suggested that if you are going to be eating any of these foods, that you begin your meal with a green vegetable such as spinach or broccoli. Green veggies form a protective film on the surface of your teeth that creates a less porous surface for staining foods to be able to adhere to. Therefore, your teeth have a slight barrier to stop those yummy sauces and spices from staining your teeth!
Starchy and fried foods (probably the worst items to consume health-wise) also stick to your teeth very easily. These foods are highly processed with lots of preservatives, none of which are good for your teeth.
Even when you think you are reaching for a healthy pre-made sandwich; take a look at the ingredients contained within it. Some contain hidden sugars and calories, as well as an overload of salt. High amounts of salt, sugar and calories not only cause harm to your tooth surfaces and enamel, they can also contribute to high blood pressure or even a stroke! So the next time you reach for what you think may be the “smart option” take a little peak at the ingredients, especially those contained in the spreads or sauces. If there are high amounts of sugar or salt, you may want to consider a different option.

Large amounts of meat or tough-to-chew foods also need to be consumed in moderation. Even though the protein is good for you, when you over-indulge in chewy and tough meats, you can negatively impact your jaw joints or even cause misalignment of your jaw as well as headaches, and tooth aches. While you eat these types of foods, try to distribute them equally on the chewing surfaces within your mouth, alternating which side you are chewing on.

The convenience of fast foods is great! It’s always nice to be able to quickly grab something to satisfy your appetite. Perhaps after reading this, we can all be a little bit more mindful when we go to grab a quick bite. Take a couple extra minutes to choose what you are going to eat. A well balanced diet is a healthy diet. If you are going to consume fatty and sugar-filled foods, do so in moderation. Consider more healthful choices like fresh veggies and lean meats with a side of water! Then when you get to your sweet treat, it won’t be so detrimental to your teeth! So remember; always, always brush your teeth twice a day, be sure to regularly floss and schedule regular dental check-ups! Bon appétit!

Dr.William Perry

http://www.thelosgatosdentist.com

(408) 399-9205

100 Los Gatos Saratoga Rd
Los Gatos, California
A Time To Give Thanks!

A Time To Give Thanks

As Thanksgiving swiftly approaches, here is a little insight as to how to not over indulge when turkey day hits! We all know the famous expression “Your eyes are bigger than your stomach!” or “You eat with your eyes first!” This is usually the case with most of us when it comes to sitting down to eat Thanksgiving dinner. Let’s just put this out there… Gorging yourself on snacks, cakes, pies, and starches just means a really big stomach-ache and a miserable rest of the night, not to mention the potential for damage that it can have on your teeth and gums!
This year, why not give your smile the attention that it deserves?
-Instead of the incessant snacking on all of the empty calories, head over to the veggie tray! A variety of veggies can do wonders for you! Not only for your oral health, but also for your health in general. Reaching for a nice healthy snack is a great decision!
-When you are loading up your plate with all those delicious foods, try and plan out your plate. Be mindful of the items you are scooping on as well as how much of what, you are dishing. Instead of piling on mashed potatoes, rolls, stuffing and marshmallow covered yams, try this combination instead; A bigger scoop of green beans, some turkey, yams (minus the marshmallow), a smaller portion of the potatoes (minus that extra butter) and a little fruit salad on the side without the whipped topping. Your plate will be well balanced with more appropriate portions and without all of the sticky, bad-for-your-teeth toppings.
– Thanksgiving desserts are a must for most! After you have yourself a small slice, if you are able to excuse yourself and go rinse your mouth and (if at all possible) brush and floss your teeth, you will be well on your way to a happier and healthier smile! If you brush those teeth and gums after eating the sweets and dinner, they are not able to sit on your teeth allowing time for bacteria build-up and all that comes along with the damaging sugar ingredients that cause harm.
With proper oral health care and limited portion control when eating, you CAN quite literally “Have your cake, and eat it too!”
Aside from eating, here’s something fun to do. Sit down with a friend or loved one and think about a couple of specific moments when someone’s smile impacted you, or when your smile meant something to someone else; even as little as holding a door open for a stranger and the exchange of smiles that was made at that point in time. This will open up a conversation about smiles and positivity! And really, what could be better than that?!

All-in-all, we hope you have a wonderful and love-filled Thanksgiving!

William Perry DDS, PC

100 Los Gatos-Saratoga Rd Suite #C

Los Gatos, CA 95032

Phone: (408) 399-9205

Happy Halloween!

To Trick Or To Treat? That Is The Question!

Halloween is a night full of spook-tacular thrills and terrifying fun! It can also be a dreaded nightmare with the overload of candy that can spark the start of a cavity! This year, why not try something new? When you are gathering your cauldron full of trick or treat goodies, try and opt for some alternatives to the sugar jitters that are bound to commence! There is no written rule that you HAVE to give out candy. This year, let’s stand out from the crowd and spice it up a little bit.
Here are some unique alternatives:
• Mini Play Doh
• Snack Packs (pretzels, popcorn, fruit chews… etc.)
• Temporary tattoos or stickers
• Spooky vampire teeth
• Halloween themed goodies (pencils, rings, toys, activity books… etc.)
• Glow sticks
• Mini juices or waters
• Small chalk packs
• Costume jewelry
• Mini bubbles
• Travel size floss and toothbrushes😉
A couple of tips to keep in mind before the kiddos are ready to hit the town:
– Feed your child a well balanced meal before they go trick or treating.
– Use smaller candy loot bags instead of pillow cases or large grocery bags
Now, let’s be real, we all know that Halloween is a time to indulge, a little (or a lot) in the sugary goodness. Let this be a special day that your child can have a couple of pieces of candy out of their loot bag. But limit the amount they consume. Not to mention, no one likes a belly ache after too many sweets. Just keep in mind, when your child comes home from the wicked Halloween trick or treating, go through their candy. If there are any candy wrappers that are open or look to be tampered with, throw away without hesitation. And don’t let your kids keep their candy stash! If you are in control of it, you can monitor when they have a piece and how much they are eating.
If you only want to allow for a couple of pieces of candy, and get rid of the rest, consider these options:
• Dental Office Candy Buy Backs
• Donating the candy to the troops
• Make your child a deal. For every piece of candy they hand over, give them a dime and then let them pick something special they would like to do with their earnings! Instant allowance! Perhaps a movie of their choice? A dinner date? Or a new toy?
No matter what the decision you choose to go with this year, we hope you have a safe and frightfully fun filled Halloween!

1aWisdomBlog

All You Need To Know About Wisdom Teeth!

Wisdom teeth are considered to be a third set (upper and lower jaw) of molars. They typically appear during your last few teen years and early twenties. There are some people who are lucky enough to experience no problems what-so-ever with their wisdom teeth. If they are developing in the proper position and not causing pain or problems, there is no need to pursue any sort of treatment or extraction.

There are three main reasons as to why your wisdom teeth would need to be surgically removed:
1. There is not enough room for them to fully erupt.
When there is not enough space for your wisdom teeth to pop through the surface of your gums, you run a higher risk of them being impacted. Most commonly, this means that your wisdom teeth have made it through the bone but cannot get through the gums.
Sometimes symptoms come along with this type of impaction. Other times, one may not experience a single symptom. This is one of the reasons why frequent visits to our office are very important. In order to look in to this, an x-ray is required.
2. The wisdom teeth are not coming in at the proper vertical angle.
A lot of times wisdom teeth develop in different positions. They could even be developing facing towards your other teeth instead of growing upwards. When this occurs, people face problems with their other fully developed teeth, crowding and can even cause poor bite and jaw alignment. As stated above, in order to see how your wisdom teeth are growing, which direction or any other abnormality, x-rays will need to be taken.
3. Partially erupted wisdom teeth.
Sometimes the wisdom teeth are able to poke through the top of the gum but cannot fully erupt. If this happens, there is an elevated chance that infection may occur. This infection is called Pericoronitis. This occurs when bacteria from plaque or food get trapped between the partially erupted tooth and the gum surrounding it.
Warning signs and symptom to look out for include:
• Red, swollen, tender gums
• Jaw pain
• Pain while trying to eat
• Bad breath
• Unpleasant taste in your mouth
If you are experiencing any of these symptoms, please give our office a call to schedule an appointment and x-rays to see exactly what is going and what steps need to be taken in order to get the problem treated and relieve any discomfort you may be experiencing. Wisdom teeth extractions are typically done by an oral surgeon, however, in some cases a certified dentist can extract them. Local anesthesia is most commonly administered. Healing time is usually less than 1 week.

Post oral surgery instructions will be explained and given to you. It is imperative that you continue to practice good oral health care during this time and to follow those instructions carefully. Having your wisdom teeth removed will not hinder the functionality of your mouth. (For example being able to eat, chew, speak or your bite position.) When an extraction is required, the younger you are when it is discovered, the better. Wisdom teeth extractions are considerably easier to extract while the teeth are still in development. If you are interested in your wisdom teeth and their current stage or any other information you are curious about, give us a ring today!

William Perry DDS, PC

100 Los Gatos-Saratoga Rd Suite #C

Los Gatos, CA 95032

Phone: (408) 399-9205