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Posts for tag: gum disease

In 2016, voters in three states—California, Massachusetts and Nevada—joined Alaska, Colorado, Oregon, Washington and the District of Columbia in legalizing the use of recreational marijuana. These referenda moved the country closer to what may soon be a monumental political showdown between the states and the federal government, which still categorizes marijuana as a controlled substance.
But there’s another angle to this story often overshadowed by the political jousting: is increased marijuana use a good thing for your health and overall physical well-being?
When it comes to your dental health, the answer might be no. The Journal of Periodontology recently published a study that included frequent marijuana users showing increased signs of periodontal (gum) disease. This harmful bacterial infection triggered by plaque buildup can cause weakening of gum attachment to teeth and create the formation of large voids between teeth and gums called periodontal pockets. Left untreated, the disease can also cause supporting bone loss and eventually tooth loss.
The study looked at the dental treatment data of over 1,900 adults of which around one-quarter used marijuana once a month for at least a year. Marijuana users in the study on average had 24.5% of pocket sites around their teeth with depths of at least eight millimeters (an indication of advanced gum disease). In contrast, non-users averaged around 18.9% sites.
To be sure, there are several risk factors for gum disease like genetics, oral hygiene (or lack thereof), structural problems like poor tooth position or even systemic conditions elsewhere in the body. This published study only poses the possibility that marijuana use could be a risk factor for gum disease that should be taken seriously. It’s worth asking the question of whether using marijuana may not be good for your teeth and gums.
If you would like more information on the effects of marijuana on dental health, please contact us or schedule an appointment for a consultation.

That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”
Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.
ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.
Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.
We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.
It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.
If you would like more information on ANUG and other periodontal gum conditions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”

If you have periodontal (gum) disease, you’ve no doubt experienced red and swollen gums. If, however, you notice an especially inflamed area next to a tooth, you may have developed a gum abscess.
An abscess is a pus-filled sac that develops as a result of chronic (long-standing) gum disease, an infection caused by bacterial plaque that’s built up on tooth surfaces from inadequate oral hygiene or from a foreign body (food debris) getting stuck below the gums. The abscess, which typically develops between the tooth and gums, may be accompanied by pain but not always (the affected tooth may also be tender to bite on). Abscesses may grow larger, precipitated by stress or by a general infection like a common cold, and then abate for a time.
As with other abscesses in the body, a gum abscess is treated by relieving the pressure (after numbing the area with local anesthesia) and allowing it to drain. This is often followed by cleaning any infected root surfaces of bacterial plaque and then irrigating the area with a saline and/or antibacterial solution. We may also prescribe antibiotics afterward and some form of pain control (usually a non-steroidal anti-inflammatory drug like ibuprofen) to help with discomfort.
Although the results of this procedure can be dramatic, it’s just the first step in treating the overall gum disease. After a few days of healing, we continue with a complete examination and recommend further treatment, usually starting with removing bacterial plaque and calculus (hardened plaque deposits), the underlying cause for the infection and inflammation, from all tooth and gum surfaces. This may take several sessions before we begin seeing the gum tissues return to a healthier state.
The key to preventing an abscess recurrence (or any symptom of gum disease) is to remove plaque everyday through proper brushing and flossing, and visiting us twice a year (or more if you’ve developed chronic gum disease) for cleanings and checkups. Doing so will raise your chances of avoiding an uncomfortable and often painful gum abscess in the future.
If you would like more information on gum abscesses, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal (Gum) Abscesses.”

If you’ve had issues with periodontal (gum) disease, no doubt a few things have changed for you. You may be seeing us for dental cleanings and checkups more frequently and you have to be extra diligent about your daily brushing and flossing.
There’s one other thing you may need to do: change your diet. Some of the foods you may be eating could work against you in your fight against gum disease. At the same time, increasing your intake of certain foods could boost your overall oral health.
The biggest culprits in the first category are carbohydrates, which make up almost half the average diet in the Western world, mainly as added sugar. Although carbohydrates help fuel the body, too much can increase inflammation—which also happens to be a primary cause of tissue damage related to gum disease.
Of course, we can’t paint too broad a brush because not all carbohydrates have the same effect on the body. Carbohydrates like sugar or processed items like bakery goods, white rice or mashed potatoes quickly convert to glucose (the actual sugar used by the body for energy) in the bloodstream and increase insulin levels, which can then lead to chronic inflammation. Complex or unprocessed carbohydrates like vegetables, nuts or whole grains take longer to digest and so convert to glucose slowly—a process which can actually hinder inflammation.
Eating less of the higher glycemic (the rate of glucose conversion entering the bloodstream) carbohydrates and more low glycemic foods will help reduce inflammation. And that’s good news for your gums. You should also add foods rich in vitamins C and D (cheese and other dairy products, for instance) and antioxidants to further protect your oral health.
Studies have shown that changing to a low-carbohydrate, anti-inflammatory diet can significantly reduce chronic inflammation in the body and improve gum health. Coupled with your other efforts at prevention, a better diet can go a long way in keeping gum disease at bay.
If you would like more information on the role of diet in dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Carbohydrates Linked to Gum Disease.”

Periodontal (gum) disease causes more than simple gum swelling—this bacterial infection can harm and destroy your teeth’s supporting structures, including the bone. Its aggressiveness sometimes requires equally aggressive treatment.
Gum disease usually begins with dental plaque, a thin film of bacteria and food particles on tooth and gum surfaces. Without proper oral hygiene plaque builds up with large populations of bacteria that can trigger an infection.
The growth of this disease is often “silent,” meaning it may initially show no symptoms. If it does, it will normally be reddened, swollen and/or bleeding gums, and sometimes pain. A loose tooth is often a late sign the disease has severely damaged the gum ligaments and supporting bone, making tooth loss a distinct possibility.
If you’re diagnosed with gum disease, there is one primary treatment strategy—remove all detected plaque and calculus (tartar) from tooth and gum surfaces. This can take several sessions because as the gums begin responding to treatment and are less inflamed, more plaque and calculus may be discovered.
Plaque removal can involve various techniques depending on the depth of the infection within the gums. For surfaces above or just below the gum line, we often use a technique called scaling: manually removing plaque and calculus with specialized instruments called scalers. If the infection has progressed well below the gum line we may also use root planing, a technique for “shaving” plaque from root surfaces.
Once infection reaches these deeper levels it’s often difficult to access. Getting to it may require a surgical procedure known as flap surgery. We make incisions in the gums to form what looks like the flap of an envelope. By retracting this “flap” we can then access the root area of the tooth. After thoroughly cleansing the area of infection, we can do regenerative procedures to regain lost attachment. Then we suture the flap of gum tissue back into place.
Whatever its stage of development, it’s important to begin treatment of gum disease as soon as it’s detected. The earlier we can arrest its spread, the less likely we’ll need to employ these more invasive procedures. If you see any signs of gum disease as mentioned before, contact us as soon as possible for a full examination.
If you would like more information on preventing and treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Difficult Areas of Periodontal Disease.”

Dentist - Fort Worth
2551 River Park Plaza
Fort Worth, TX 76116
817-732-4419
Our Blog
Archive:
- 2019
- January (6)
- Stay Hydrated in Winter for Better Year-Round Oral Hygiene
- 'Get Rid' of Those Unattractive Teeth with Porcelain Veneers
- A New Veneer with Minimal or No Tooth Alteration
- Your Case of Gingivitis Could Develop into Something More Harmful
- Moderate Fluoride Use Packs the Biggest Punch for Decay Prevention
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- 2018
- December (6)
- Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
- Treating Gum Abscesses and the Underlying Gum Disease
- Take a Look into Your Future with a Trial Smile
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Watch What Carbs You Eat to Reduce Your Risk of Further Gum Disease
- Treating Gum Disease may Require Invasive Procedures
- November (6)
- TMD and Fibromyalgia Could Share Links in Chronic Pain
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Regardless of What You've Seen Online, Don't Fear a Root Canal Treatment
- A Stainless Steel Crown Could Help a Struggling Primary Molar Last Longer
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- This November, Become a Non-Smoker
- October (6)
- Find Out Why You or Your Partner Snores - it may be Sleep Apnea
- Treating Gum Disease Important to Saving the Underlying Bone
- Good Oral Hygiene Isn't Just for Teeth
- What You Should Know About a Home Teeth Whitening Kit
- How to Help Your Kids Form Good Oral Hygiene Habits
- Keep up Regular Dental Care While You're Pregnant
- September (6)
- Keep an Eye Out for Problems if Your Children Grind Their Teeth
- Protect Your Teeth During Football Season
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- A New School Year, A New Beginning
- Keep Up Good Dental Habits in College to Protect Your Teeth and Gums
- Stop Gum Disease Before it Gets Started with Daily Oral Hygiene
- August (6)
- Dental Porcelain is a Great Option for Creating a Natural Appearance
- 4 Big Benefits for Beginning Early Dental Visits for Your Child
- Weighing the Pros and Cons of Teeth Whitening
- Can't Afford Dental Implants? Consider Partial Dentures
- Crown Lengthening Helps us Treat Hard to Reach Cavities
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- July (7)
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- We'll Help You Maintain Your Oral Health After Gum Disease
- Take Care of Your Dental Appliance and It Will Take Care of You
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Answering Your Questions about Your Upcoming Teeth Whitening
- What You Can Do to Support Your Child's Dental Development
- Keep Alert for this Extreme Form of Gingivitis
- June (6)
- Do you need Simple Tooth Removal or Surgery? It Depends on a few Factors
- 3 Reasons for Blood Pressure Checks During Dental Visits
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Bone Grafting Might be Necessary Before You Obtain an Implant
- Saving a Diseased Primary Tooth Could Mean Better Oral Health Later in Life
- 4 Problem Areas That Could Affect Your Child's Teeth
- May (6)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Provisional Restorations let you Try out Your New Smile First
- Tooth-Colored Fillings Provide a Viable Alternative to Dental Amalgam
- Root Canal Awareness Week: A Time to Learn How Teeth Are Saved
- Bone Loss at the Roots can Put Your Tooth in Danger of Loss
- See How Well You're Removing Daily Plaque with a Plaque Disclosing Agent
- April (5)
- Keep Your Smile Beautiful...in April and Beyond
- OTC Pain Relievers Usually Enough to Relieve Post-Procedure Mouth Discomfort
- Don't Let Sports or Energy Drinks Rob you of Your Teeth's Enamel
- Learn How To Protect Your Teeth During Stress Awareness Month
- Keep on Course during the 3 Phases of a Smile Makeover
- 2017
- November (5)
- Not Your Granddad's Dental Care: the New Approach to Tooth Decay Treatment
- Consider Saving a Tooth Before you Decide to Replace it
- Lasers Could One Day be Commonplace for Treating Gum Disease
- Sometimes It's Good to Be a Quitter: Smoking and Oral Health
- Change Your Smile for the Better with Porcelain Veneers
- July (5)
- The Simple Bitewing X-Ray is a Game Changer for Maintaining Dental Health
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Your Dentist may have the Solution for Your Sleep Apnea
- Porcelain Veneers: A Less Invasive Way to Transform Your Smile
- 3 Common Sources of Fluoride You Might Not Know About
- March (5)
- Factors Besides Oral Hygiene that Influence Your Risk for Tooth Decay
- That Painful, Irritating Feeling Could be Burning Mouth Syndrome
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- Take These Actions to Make Your Child More Comfortable During Teething
- Local Anesthesia is a Key Part of Pain-Free Dental Work
- 2016
- October (5)
- Keeping Gum Disease at Bay Could Help Your Overall Health
- Stop Annoying Canker Sores with These Effective Treatments
- Reduce Sugar Consumption - for a Healthier Mouth and Body
- An Infected or Injured Primary Tooth Can Be Saved - but it's Complicated
- Treating "Burning Mouth" Depends on What's Triggering it
- March (5)
- Implant-based Overdentures may be a Better Long-Term Fit Option
- The Type of Mouthrinse you use Could be Doing More Than Freshen Breath
- Find out What Kind of Tooth Staining you Have Before Seeking a Solution
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Erosion and Other Problems may be Signs of Bulimia
- 2015
- November (5)
- Bitewing X-Rays Provide Early Detection of Tooth Decay in Back Teeth
- Crown Differences Could Ultimately Affect Your Cost
- Regenerating Lost Bone Can Make Dental Implants a Reality
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- Changing Antibiotic Use Today will Help Ensure Their Effectiveness Tomorrow
- 2014
- August (5)
- Occasional Tongue Redness may be Irritating but not a Serious Health Issue
- Bad Breath Might be a Sign of a More Serious Oral Condition
- Major Benefits for Tooth Replacement With Dental Implants
- Minimizing X-Ray Exposure Risks in Children to Maximize Benefits
- Frequently Asked Questions about Gummy Smiles
- 2013
- 2012
- August (8)
- Bleeding Gums Mean Something is Wrong
- Treating Snoring & Sleep Apnea
- What Is Cosmetic Dentistry?
- How to Get What You Want in Your Smile Makeover
- Countdown To A Perfect Wedding Day Smile
- Teeth Whitening: What You Need To Know
- Matching Game: Which Smile Design Technique Is Right for You?
- Are You at High Risk for Tooth Decay?
- 2011
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