11645 Wilshire Boulevard, Suite 1158
Los Angeles, CA 90025
Cliff, William C D.D.S.
20700 Lake Chabot Rd # 201
Castro Valley, CA, 94546-5402
Thomas, James A D.D.S.
841 S Dora St
Ukiah, CA, 95482-5710
Dr. Randy Johnsons Center For Contemporary Dentis
2581 Nut Tree Rd Ste A
Vacaville, CA, 95687-6915
Encinitas Endodontics Speclsts
760 Garden View Ct # 210
Encinitas, CA, 92024-2473
Have you heard about biofilm? Our dental office monitors it daily. Possibly you'll catch something on TV about biofilm as some sort of newly discovered health threat. It's neither, really. Here are the facts:
Most of our dental equipment is connected to long, flexible tubes that deliver water to your mouth. We call these tubes dental waterlines. Every day, fresh water rushes through them. But overnight or over the weekend, water trapped in these long tubes has the potential of being colonized by a thin layer of microorganisms.
Those microorganisms are biofilm. It's just as important we keep our waterlines free of biofilm as it is you keep your teeth free of plaque through regular brushing.
We've known about biofilm for years. Every morning, all our waterlines are cleared before the first patient arrives. Our dental chairs are equipped with check valves that make sure waterline delivery goes only one way-into the mouth and down the drain.
All this to combat a health hazard that is so far only theoretical-we have no evidence of illness related to water from a dental waterline. Even if it existed, the marginally higher bacteria counts wouldn't necessarily pose a hazard to healthy patients. Bacteria is everywhere-in drinking water, the air we breathe. Getting rid of it is the job of our immune systems.
News organizations love to discover what they believe to be health threats, because it keeps viewers tuned in. But biofilm (if it exists at all) is something we've known about and protected patients against for years.
The proverbial way of referring to older people as being "long on the tooth" suggests that it is predetermined that as we get older our teeth get "longer" or "no longer." This is not true.
Periodontal disease, plaque and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.
Risk factors that make older adults more susceptible to periodontal disease include:
Systemic diseases: Certain systemic diseases such as diabetes may decrease the body's ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.
Medications: Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva's ability to neutralize plaque.
Immunosuppressants and other disease-fighting medications may reduce the body's ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.
Dry mouth: Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease.
Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems.
Frequent sips of water or eating candy may be helpful as long as it doesn't contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.
Dexterity problems: Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease.
Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.
Estrogen deficiency: Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.
It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem.
Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime -- no matter how "long" that may be!