50 27th Street West Suite D Billings, Montana 59102

Opening Hours : Monday to Friday 8am to 5 pm |
  Contact : 406-655-7970

Web Dentist

gum diesease treatment billings mt

Alcohol And Dental Health

Did you know that alcohol consumption can be bad for your oral health? It’s true. Alcohol consumption, especially in high doses, can be very, very detrimental to long term oral health. Here’s a few of the reasons why.

Obviously, when we binge drink alcohol it is bad for our bodily health. It is bad for both the circulatory system and the cardiovascular system. It can lead to problems such as high blood pressure and stroke, and it can even cause certain brain problems; and, alcohol, in large doses—heavy, every day binge drinking—is even linked to certain systemic diseases such as heart disease and diabetes. But, while those things are bad and you may not need another reason not to overuse alcohol, know that alcohol is a detriment to oral health. Alcohol, in any dose, contributes to tooth decay and gum disease. Also, alcohol can contribute to the prevalence of mouth sores, and it’s the second most cause of oral cancer—second only to tobacco use.

Teeth are especially impacted by heavy alcohol consumption. People who over-consume—for the purposes of statistics these people have an alcohol use disorder, and there are no definitive, conclusive links, at least so far, to moderate drinking and overall tooth health—tend to have high levels of plaque, and they also tend to lose their teeth. (People who abuse alcohol are also several times more likely to experience permanent tooth loss!)

Alcohol also dehydrates the body, and when alcohol is consumed for long periods—say, throughout an evening—than the teeth are going to undergo both an attack from bacteria, because of the sugars in the drinks—some drinks, especially mixed drinks, have a considerably higher sugar content than others—but also, because alcohol dries out the mouth, we might have less saliva to combat the sugar problem naturally.

In moderate doses, alcohol has been shown to be good for our health—for instance, moderate doses of alcohol are good for blood pressure but too much alcohol is a terrible for blood pressure—but there is a clear and dividing line between moderate alcohol use and overuse.

Have a terrific holiday season.

Read More

Study: Perio treatment alone may lower blood pressure

November 15, 2017 — Dental treatment may significantly lower the blood pressure of patients at risk for heart disease, a new study has found. Patients with prehypertension who received scaling and root planing ultimately had blood pressure that measured more than 10 points lower than those who did not.

RIGHT ALIGN

This was the first time a study linked intensive periodontal treatment alone to reduced blood pressure levels, according to the researchers, led by Jun Tao, MD, PhD, from the First Affiliated Hospital of Sun Yat-sen University in Guangzhou, China. They presented their groundbreaking findings at this week’s American Heart Association (AHA) 2017 annual meeting in Anaheim, CA.

“Something as basic as periodontal care may be able to reduce the risk of future high blood pressure and cardiovascular events,” stated AHA spokeperson Richard Becker, MD, a professor and the director of the division of cardiovascular health and diseases at the University of Cincinnati College of Medicine and director of the university’s Heart, Lung, & Vascular Institute, in a press release that accompanied the study.

Link between heart and gum disease

Multiple studies have previously linked periodontal disease with cardiovascular disease, but fewer have investigated a direct relationship. Therefore, Dr. Tao and colleagues explored whether intensive treatment for periodontal disease alone could ultimately have an effect on blood pressure.

To find out, they conducted a single-blind randomized clinical trial with 107 Chinese adult patients. All patients had prehypertension and moderate to severe periodontal disease.

At the beginning of the trial, the patients were split into two randomized groups. The control group received four weeks of basic dental care, which included oral hygiene instructions and tooth scaling above the gum line, while the intervention group received four weeks of intensive periodontal treatment, which included scaling and root planing, antibiotic treatment, and extractions when necessary.

Those with intensive periodontal treatment showed significantly lower systolic blood pressure beginning one month after treatment. By six months after treatment, the intervention group had systolic blood pressure that was nearly 13 points lower and diastolic blood pressure that was nearly 10 points lower than the control group’s.

“The present study demonstrates for the first time that intensive periodontal intervention alone can reduce blood pressure levels, inhibit inflammation, and improve endothelial function,” stated Dr. Tao in the press release.

The researchers cautioned that additional research is needed, including with patients from diverse backgrounds. Nevertheless, the study is important because it demonstrates a direct relationship between periodontal treatment as an intervention and improved blood pressure. As a result, periodontal treatment in combination with other proven steps to treat and prevent heart disease, including exercise and diet, could improve the health of millions, Dr. Becker noted.

“A combination of things that are readily available to people could, in fact, have a major impact on health both in the United States and throughout the world,” he stated.

If you like this content, please share it with a colleague!

Copyright © 2017 DrBicuspid.com

Read More
Periodontal Disease Billings MT

Diabetes And Dental Health

The month of November is National Diabetes Month. Did you know that over 29 million Americans have been diagnosed with diabetes? It’s true. And it’s predicted that the total number of people who have diabetes, but have yet to be diagnosed, is somewhere between eight and nine million people. That’s a lot of people. But why are we talking about diabetes, here, on Dr. Manhart’s blog? Because, while diabetes can be such a detrimental disease to the body, it can also put a person at a higher risk for dental disease.

High Blood Sugar and Other Complications

Gum disease is an inherent problem for someone with diabetes. High blood sugars can contribute to gingivitis or the more severe, and considerably more detrimental, Periodontal Disease. Early signs of gum disease are bleeding gums and bad breath. Early stage gum disease can be reversed with a regular routine of brushing and flossing, and a change in diet. But it’s best, especially when a person suffers from diabetes, to visit Dr. Manhart when gum disease is apparent. If gum disease isn’t immediately dealt with, and the complications of diabetes cause the symptoms to be more severe, to progress at a faster pace, a person’s teeth could fall out, and damage could be done to the bone surrounding the teeth.

Dry mouth is a common symptom for a diabetic. That’s why it’s important to keep hydrated—and that tip applies to everyone—because saliva helps to wash away the food debris. If bacteria are allowed to thrive in the mouth, then so, too, could gum disease flare up.

Because Diabetes has such a detrimental effect on your body’s immune system, infections within the mouth can occur. One such condition, called thrush, is common for diabetics. Thrush is a yeast infection caused when yeast thrives on the higher amounts of sugar in a person’s saliva. It manifests in the mouth as a white coating on the tongue and cheeks.

Diabetes has become a chronic problem—the sheer number, in millions, of people both diagnosed and undiagnosed is staggering. If you suffer complications from the disease then make an appointment to see Dr. Manhart. Remember, it’s easier to manage oral health than to treat a chronic problem.

Read More
Temporomandibular Joint Disorders (TMD, TMJ)

Bad Breath

Bad breath is common. Everyone, at some point or other, will suffer from it. Coffee, onions, and garlic are all likely culprits. But what happens when the problem of bad breath isn’t easily solved? What happens when you brush and floss, stick to a quality dental routine, and you still have bad breath? The term for this extended, and sometimes chronic, condition is halitosis. Here are a few of the causes of halitosis, and the possible treatments.

Halitosis may be a sign of a chronic and severe condition; think of it as being a possible canary in the coal mine type of problem. Halitosis may be a sign of gum disease—gingivitis or the more severe periodontal disease—or even a cavity.

Halitosis may also be caused by an infection in the sinuses. Sinus infections, especially those infections accompanied by a post nasal drip, can trigger the condition of halitosis. This is because the bacteria in your mouth feed on the mucous secreted from the sinus membranes. Usually, if a sinus infection is the cause of bad breath, the condition will lessen or go away altogether, when the sinus infection is treated.

The condition of dry mouth may cause halitosis. Saliva clears the food debris from your mouth, and, if the mouth is unable to clear away food debris, bacteria are allowed to thrive, feed on the sugars in your mouth. The waste product produced by these bacteria is, unfortunately, stinky-smelling. The condition of dry mouth itself, may be the cause of any one of numerous things, including medication. Dry mouth is a very common side-effect for many medications.

If you think you suffer from bad breath then first consider your daily oral care routine. Make sure you’re brushing at least twice daily—for two minutes at least! Remember to brush your tongue as well as your teeth and gums (it’s kind of gross, but bacteria can thrive on your tongue!). Make sure you’re flossing or using interdental cleaners to clean the area between the teeth and around the gum line. Remember to stick to your regular dental visits, and visit your periodontist, Dr. Manhart, for treatment of gum disease.

Read More
Restorative Dentistry Billings MT

Sleep Apnea

Sleep apnea is a breathing condition that affects our sleep. It happens when the muscles in the throat relax to the point that they block the airway. When the airway is blocked, there is a twenty-to-thirty second duration in which the person is no longer breathing. And when a person stops breathing, the brain sends panicked messages to the rest of the body to breathe. This panic comes as a jolt to the system, briefly awakening the person. These brief awakenings, most which are so brief that a person will not remember them the next morning, can happen up to thirty times an hour, even maybe more, and last all through the night.

What does Sleep Apnea have to do with Dental Health?

Sleep Apnea is a condition involving the muscles and tissues in the throat and mouth. It could be the product of enlarged tonsils (this is a common condition especially in children with tonsils, and, usually, the removal of tonsils is enough to treat it), a small jaw, or even a higher-than-normal palate. You may be able to treat the condition with an oral appliance that provides support to the structures in the mouth, preventing them from collapsing when your body relaxes during sleep. If a dental appliance doesn’t work, other treatments could include the recommended use of a CPAP machine; a machine that regulates your breathing while you sleep.

Symptoms of Sleep Apnea

There are many symptoms of the condition including: an inability to focus, to remain alert throughout the day, waking up in the night feeling short of breath, you may have a dry mouth or a sore throat in the morning (also the cause of excessive snoring), or you may even get headaches throughout the morning. While the symptoms of sleep apnea may not sound severe, the pervasiveness of these symptoms can lead to much worse conditions such as: hypertension, stroke, depression, ADHD, diabetes, and even heart attack.

If you believe that you’re suffering the condition of sleep apnea, it may be time to get help. Remember, this is a chronic condition that could lead to more intensive problems. But there is treatment.

Call today to schedule an appointment today with your Periodontal Specialist!

Read More

Gum Disease and Increased Link to Many Cancers

Brushing, flossing, and regular dental checkups appear to do much more than maintain a healthy smile. Now, a large prospective cohort study shows that postmenopausal women with a history of periodontal disease, including those who have never smoked, are at significantly increased overall risk for cancer as well as site-specific cancers, including lung, breast, esophageal, gallbladder, and melanoma skin cancers.

Read more here.

 

Read More
Periodontal Disease Treatment Billings MT

Diabetes and Daily Oral Care

Diabetes can take its toll on dental health. The main reason is that diabetes is a systemic disease involving high blood sugar. The higher a person’s blood sugar, the higher risk for dental diseases and tooth decay.

Cavities and High Blood Sugar

Cavities happen when bacteria within our mouths produce acids that eat away at the enamel (enamel is the hard protective outer-coating on a tooth). These acids come from plaque, which is a sticky film produced when mouth bacteria interact with the starches and sugars from our foods and drinks. If you are diabetic and dealing with a high blood sugar level, there will be a greater supply of starches and sugars within our bodies—you will also have different requirements for diet.

The Early Stages of Gum Disease

When someone has diabetes, their bodies have a reduced ability to fight back against bacteria. When things like plaque are not removed by brushing and flossing (remember the importance of brushing twice daily and flossing once!) that plaque hardens at the gum line. This harder substance, called tartar, forms around the base of the teeth, causing the gums to swell and begin to form pockets—pockets where bacteria can creep in below the gum line and cause problems! Over time, swollen gums can begin to bleed. These initial stages, called gingivitis, are usually easy and non-invasive to treat.

Advanced Gum Disease and Diabetes

Gingivitis that is left untreated can progress to the much more severe, and much more invasive and difficult to treat, Periodontal Disease. Periodontal Disease is an infection that can destroy the soft tissues and bones within the mouth. Obviously, this is bad, because the bones and soft tissues support everything in the mouth. Overtime this breaking down causes the gums and teeth to pull away from the bone—inevitably the teeth will become loose and, possibly, fall out. Why is Periodontal Disease worse for those with diabetes? It’s because diabetes hinders a body’s ability to resist infection. Diabetes, and all systemic disease for that matter, can also hinder the body’s ability to heal. It’s so important to keep up a regular routine of oral care that includes a regular checkup with your periodontist, Dr. Manhart.

Read More
Do Mouthwashes Work?

Do Mouthwashes Work?

Not all mouthwashes are created equal. And most mouthwashes are placed into two categories: cosmetic mouthwash and therapeutic mouthwash. Therapeutic mouthwashes are available both in the aisle at the grocery store and by prescription. Therapeutic mouthwashes help to combat bad breath, fight gingivitis, and even control plaque. But how?

The condition of having bad breath, called halitosis, is caused by several things including: food breakdown and oral disease (pervasive plaque and bacteria). Now, for a mouthwash to fight these problems, it needs to have antimicrobial ingredients. These ingredients have long names like, chlorhexidine (chlorhexidine is an active ingredient in mouthwashes given out by prescription), chlorine dioxide, and, the less chemically-sounding, essential oils (usually therapeutic mouthwashes with essential oils are found in the aisle at the grocery).

These antimicrobials have proven effective at combating halitosis. But, mouthwashes are only effective at removing plaque and bacteria from the mouth when they’re used in conjunction with brushing and flossing. It all comes back to a good quality everyday oral care routine.

Now, there are certain rules to using mouthwash. Don’t swallow it, and don’t give it to young children, even if they understand how to spit the mouthwash back out of their mouths properly. A child who swallows large amounts of mouthwash may suffer the consequences of diarrhea, vomiting, and (it’s possible in higher doses) intoxication—if your child has ingested enough mouthwash to be intoxicated, call poison control.

Now, there’s no best way to incorporate mouthwash into your daily oral care routine. If you brush first, you may want to swish out your mouth with water before you use mouthwash. Other than that, it’s personal preference. It’s most important that you are brushing at least twice every day, and flossing at least once.

If you are concerned about halitosis and what’s possibly causing it, make an appointment with Dr. Manhart. He can check for signs of oral disease—remember, it’s best to catch gum disease in its earliest stages, when it’s easily treatable—and develop an action plan to get it fixed.

Read More

Pregnancy and Gum Disease

 

Gum disease is common in adults, and many people will suffer from some form of it in their lifetime; the reasons for it will vary. But did you know that a pregnant woman can contract gum disease because of the hormonal changes happening in the rest of her body? It’s true. That’s one reason why it’s especially important that pregnant women practice good quality routine oral care throughout their pregnancy.

Do you treat a pregnant woman for gum disease?

The early stages of gum disease, called gingivitis, are easy to treat. At this stage, the gums are swollen and tender. Someone practicing good quality oral care may be able to fight gum disease at these initial stages naturally: brushing and flossing regularly, and doing it well, making sure to clean all areas of the tooth; Vitamin C (which can help to combat gingivitis, and could be taken naturally through certain fruits and vegetables or supplemented) and Vitamin A, which helps the teeth and bones to grow (Vitamin A does have certain drawbacks and limits and before you take on any extra Vitamin A in supplement, consult with you doctor first); also, an at-home remedy to reduce inflammation in the mouth is to gurgle with salt water twice daily. More severe cases of gum disease will be handled on a case-by-case basis between you, your doctor, and your periodontist.

More severe cases of gum disease involve sensitive teeth, teeth that move suddenly out of place, teeth that become loose altogether, and teeth that hurt when you chew food (obviously, these symptoms could also be symptoms of other oral problems, and Dr. Manhart will be able to determine which it is). And if gum disease evolves to the more severe periodontal disease, it will become more difficult to treat. That’s why early detection is very important to a swift and non-invasive treatment. Remember it is very important to the treatment of gum disease that it’s caught in its earliest stages.

If you have any questions as to how to keep a quality oral care routine during your pregnancy call Dr. Manhart’s office today, schedule an appointment.

Read More

Flossing

Recently, the routine practice of flossing has come under fire as being a nonsensical and ineffective way to clean the space between our teeth down to the gum line. Of course, the study got a ton of press, and news outlets everywhere were running ad hoc with the story as if it were revolutionary and based entirely in fact. As the story evolved through the news outlets it grew bigger, as stories tend to do, claiming that even the federal government’s health agencies also believed flossing to be a waste of everyone’s time. But that’s not true. The federal governments health agencies, as well as the ADA (American Dental Association) all claim flossing as an important, everyday practice.

Flossing is important because it helps to remove the plaque that builds up in the spaces between our teeth. Floss, or an interdental cleaner, scrapes away the plaque that builds up there. If plaque is allowed free reign to grow rampant, then you are likely to see problems such as gum disease develop, and, if the initial stages of gum disease are not dealt with appropriately (and remember, oftentimes gum disease has very little symptom in its early stages) it will progress to the more chronic stages—periodontal disease.

 

Flossing Refresher

It’s important to keep the practice of flossing between our teeth routine, done once daily. To floss, simply purchase a spool—it comes in a few different sizes—strand widths—and many different flavors, and pull from the spool about eight to ten inches of floss. Wrap the tag ends of the floss around opposing fingers, keeping a few inches of open space between your hands so that you may maneuver it down into the spaces between the teeth. Then use the floss to scrub the faces of the teeth with the floss, cleaning all the areas between the teeth down to the gum line. It’s a pretty standard, simple practice, although it’s often overlooked by many in their daily oral routine.

Remember to keep flossing once every day, keep brushing twice daily, that initial prevention is the best treatment for gum disease.

Make an appointment with Dr. Manhart today for all of your oral health needs.

 

 

 

Read More