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My dentist office has been in Palm Harbor for over 24 years. Over these years I have looked into many mouths. This morning, May 31, 2012, I saw something I have not seen before. I have seen severe gum disease, I have seen supernumary (extra) teeth but I have never seen 5 fully formed lower incisors in place, as seen in this picture.
This is a classic example of severe periodontal disease, seen often in many dentists offices from Tampa to Alaska. The extra tooth is what makes this situation unique, not the gum disease. Normally, in humans, there are two (2) central incisors and two (2) lateral incisors for a total of four teeth between the cuspids or canines. This picture clearly shows 5!
In this picture we are approaching the final stage of this tissue graft. I am using 4-0 chromic gut sutures secure the tissue graft. This whole procedure, including suturing, is delicate work. This young lady was sedated and tolerated the procedure very well. She was released without complication to her husband.
Many things are going on in this picture. The tissue forceps are holding on to a piece of left palatal tissue. This tissue was released taking the epithelialized surface and some underlying connective tissue. This is called “split thickness.” This epithelium with connective tissue will be placed over the vascular bed of the prepared recipient site for this graft. The patient was sedated and local anesthesia was used. The patient was comfortable and has no memory of the procedure. This dentistry was done in my Palm Harbor, Tampa FL area dentist office.
The gum tissue that was harvested from the palate has been sutured into place with 4-0 chomic gut. Periodontal packing is placed over this region to protect the surgical site, keep the orbicularis oris from reattaching and to help hold the gum tissue graft down onto the vascular bed – thereby re-establishing the blood supply and keeping the new gum tissue alive.
Well, first off, a free ginvival graft is not FREE. Now let me explain and demonstrate what a gum tissue graft is. It is called a “free” gingival graft because the donor tissue is completely released or freed from the donor site, where it comes from. The most common donor site is the palate. The most common place for the need of a gum graft is the front area of the lower jaw. This picture shows a piece of palatal donor tissue being placed where some gum tissue is needed. This patient was sedated for this procedure. Other blogs will show the preparation of the recipient site as well as the donor site.
This picture illustrates a high level of intra- oral (and systemic?) disease. Rotten teeth and teeth broken below the gum line are evident. Periodontal, gum, disease is present. As a result of this level of disease; red, inflamed, puffy and ugly looking gum tissue is seen at the tip of the arrow. How can this level of disease in the mouth not have some systemic consequences?
Comprehensive treatment here involved the removal of all these rotten teeth, healing, placement of dental implants. The final result, in my opinion, should have been an overdenture. The patient expressed dissatisfaction with the overdenture, and I therefore made cemented acrylic teeth. The patient was very happy with the remade final outcome.
Information about the current cost of dental implants at my Palm Harbor, Tampa FL area dentist office click: www.DentalImplantsCost.us
Information about the current cost of non-surgical periodontal / gum treatment at my Palm Harbor, Tampa FL area dentist office click: www.PeriodontalDisease.us
By some estimates, more than 80 percent of adult Americans have some form of periodontal disease, a chronic intra-oral bacterial infection of the gums surrounding the teeth. This infection affects more than one’s teeth and gums, say reseachers in oral and microbiology at the State University of New York (SUNY) at Buffalo.
“Periodontal disease is a serious condition that may have an effect on overall health. It is well known that runaway periodontal infections can travel into the neck and chest, and lodge in the lungs, brain, or heart,” said Robert J Genco, DDS, PhD, a distinguished professor at SUNY Buffalo. “The more common chronic gum diseases may contribute to the risk for heart disease and stroke, premature births, worsening diabetic control and lung infections in the infirm.”
Dr. Genco spoke on February 23, 2006 at the American Medical Association and American Dental Association briefing, Oral & Systemic Health : Exploring the Connection, in New York City. He provided an overview of the research aassociating periodontal infections to other systemic ailments.
The fact that the mouth is connected to the rest of the body is often overlooked, said Dr. Genco. “The ida that dentists treat the mouth and physicians treat the rest of the body needs to be rethought because new research indicates that there may be a cause-and-effect relationship between oral health and specific systemic health conditions.”
“Perhaps the strongest evidence for a relationship comes from well-controlled intervention studies, where prevention or treatment of periodontal disease reduces the occurrence or severity of the systemic condition under study,” said Dr. Genco, who has researched oral diseases for more than 30 years. He has explained that the level of evidence related to the relationship between periodontal disease and these systemic condition varies and includes case control, cross-sectional, and longitudinal epidemiologic studies.
Approximately 12 percent of babies born in the United States are preterm (less than 37 weeks), placing them at increased risk for developing health problems, including congenital defects, asthma, cerebral palsy and impaired sight and hearing. A leading researcher suggests that a healthy mouth may reduce the number of premature babies born and the complications that result.
“Our findings indicate that periodontal disease progression during pregnancy contributes to preterm deliveries, and especially very preterm deliveries (less than 32 weeks) which places the baby at high risk for neonatal problems and disability,” says Steven Offenbacher, DDS, PhD, professor, Department of Periodontics, University of North Carolina school of Dentistry, Chapel Hill. “Multicentered trials, sponsored by the National Institute of Cental and Crainiofacial Research, are currently underway to examine whether intervention by maternal gum treatment during pregancy will reduce the risk for prematurity and possibly prevent periodontal disease-related pregnancy complications.”
Dr. Offenbacher, who also directs the UNC Center for Oral and Systemic Diseases, spoke at the American Medical Association and the American Dental Association media briefing, Oral & Systemic Health: Exploring the Connection in New York City on February 23, 2006.
Premature low birth weight is an adverse outcome, likely to occur when the infant is born less than 37 weeks into gestation. Research shows prterm birth can occur as the result of inflammation and infection in the mothers body, which can interfere with pacental and fetal development and also trigger uterine contractions and cervical dilation leading to prematurity.
“Periodontal diseases are common gum infections caused by the bacteria that accumulate around the teeth, leading to local inflammation and bone loss. Like other infections in a mother’s body, the bacteria set off an inflammatory reaction. However, we have data to suggest that the oral bacteria can also serve as a systemic challenge to the mother’s body that may ultimately result in abnormal pregnancy outcomes.” explains Dr. Offenbacher.
For information concerning costs and how my Palm Harbor, Tampa Bay area dentist office treats gum disease in a non-surgical manner click: www.PeriodontalDisease.us
Tampa Bay Florida is a body of water surrounded by more than 3 million people that call this home. This region shares airports, sports teams and is interconnected by four bridges. Wikipedia, Hooters and HSN all hail from Tampa Bay Florida. One of the 20 largestmetro areas in The USA we are connected by our love of the sea, sand, sunshine and a healthy fear of hurricaines.
Not a native born Floridian, I was born in the Bronx, NY in 1960. I grew up in Atlantic Beach, Long Island, NY. After leaving the Nassau County, Lawrence, public school system I received a degree in Chemistry from SUNY Binghamton in 1981, my DDS from Columbia University School of Dental and Oral Surgery in 1985, one year General Dentistry Residency program from Nassau County Medical Center, taught Operative Dentistry at Columbia Dental School and finally ended up here in Palm Harbor, Tampa Bay area of Florida in early 1988. I opened my first dentist office in Palm Harbor on Saturday, April 23, 1988. The air conditioning was not working, my Mother, Evelyn, was working my front desk and only one patient was scheduled.
Soon I will start my 25th year of the Practice of Dentistry in the Tampa Bay Florida, specifically Palm Harbor.
My Palm Harbor Dentist office is “one stop dentistry” for the most part.
If you are interested in current non-surgical techniques to treat gum disease, please click: www.PeriodontalDisease.us
If you are interested in dental implants including the current costs in my Dentist office in Palm Harbor please click:
The same lifestyle habits contribute to both gum disease and high blood sugar. Experts say the two conditions exacerbate each other. Inflammation from infected gums makes it more difficult for people with diabetes to control their blood sugar level, and high blood sugar accelerates tooth decay and gum disease. This leads to the cycle of more inflammation.