Oral DNA Testing in Treating Periodontal Disease - by Phoenix Dentist, Dr. Alan Ferguson

Oral DNA Testing (Salivary Diagnostics)

It is an exciting time we live in!  Information and technological breakthroughs have helped us,  the dental community, to rethink how we treat patients who struggle with periodontal disease.

With just a 30 second swish saliva sample that we then send off to laboratories for testing, we can now prescribe the exact antibiotics specific for the bacteria found in active periodontal pockets! Bacteria will always be present in the oral environment, but now we have some power over which ones aren't invited!

With the same saliva sample we can determine if our patients are predisposed to genetically having periodontal issues.  This information takes the mystery out of why some individuals struggle with recurring episodes and allows us to choose the best hygiene protocols.  For more information on salivary diagnostic testing offered, contact the office of Dr. Ferguson at (602) 242-5445.

Should You Share Your Toothbrush with your Partner/Spouse?

Just because you kiss your partner/spouse, sleep with them or occasionally taste food off their fork, these are not reasonable justifications for using their toothbrush.

Brushing your teeth sometimes causes the gums to bleed, which exposes everyone you share your toothbrush with to blood stream diseases. Therefore, by sharing a toothbrush, the couples are actually sharing blood, which is a lot more risky than just sharing saliva. 

By using their toothbrush, you automatically introduce millions of their oral bacteria into your mouth and likewise leaving undesirable bacteria on the brush for them.  Dental decay is caused by bacteria called streptococcus mutans and is contagious.

Other diseases a person risks contracting when he or she shares a toothbrush with another are cold sores, herpes, fungus and periodontal disease.

Inflammation Links Obesity and Gum Disease

Blood on your toothbrush can be a warning sign of gum disease. And, if you are overweight, it can indicate other serious health issues, such as diabetes, heart disease and high blood pressure.

After reviewing previous research on gum disease and obesity, they found an association between both health problems – chronic inflammation,  described in a recent article in the Journal of General Dentistry, “Obesity and periodontitis: a link.”

Periodontitis, commonly called gum disease (and gingivitis in its milder form), affects nearly half the U.S. population over age 30, according to the American Academy of Periodontology. The disease ignites an inflammatory response as the body begins to fight off bacteria present in the dental plaque. If not treated, the inflammation eventually erodes the jawbone and loosens teeth. In severe cases, patients lose their teeth. The bacteria can also cause ulcers in the pocket surrounding the involved teeth and eventually enter the blood and settle in other parts of the body.

Being overweight can compound the problem, the researchers warn. Belly fat contains about 50 bioactive substances, which can set off inflammatory responses that reduce the body’s ability to suppress appetite or use insulin to regulate glucose levels–both of which are linked to diabetes.

Fat tissue can also increase production of the C-reactive protein (CRP) involved in the inflammation process and linked to cardiovascular disease.

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GUM DISEASE AND WOMEN

A woman's periodontal health may be impacted by a variety of factors.

PUBERTY

During puberty, an increased level of sex hormones, such as progesterone and possibly estrogen, causes increased blood circulation to the gums. This may cause an increase in the gum's sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. During this time, the gums may become swollen, turn red and feel tender.

MENSTRUATION

Occasionally, some women experience menstruation gingivitis. Women with this condition may experience bleeding gums, bright red and swollen gums and sores on the inside of the cheek. Menstruation gingivitis typically occurs right before a woman's period and clears up once her period has started.

PREGNANCY

Some studies have suggested the possibility of an additional risk factor – periodontal disease. Pregnant women who have periodontal disease may be more likely to have a baby that is born too early and too small. However, more research is needed to confirm how periodontal disease may affect pregnancy outcomes.

All infections are cause for concern among pregnant women because they pose a risk to the health of the baby. The Academy recommends that women considering pregnancy have a periodontal evaluation.

MENOPAUSE AND POST-MENOPAUSE

Women who are menopausal or post-menopausal may experience changes in their mouths. They may notice discomfort in the mouth, including dry mouth, pain and burning sensations in the gum tissue and altered taste, especially salty, peppery or sour.

In addition, menopausal gingivostomatitis affects a small percentage of women. Gums that look dry or shiny, bleed easily and range from abnormally pale to deep red mark this condition. Most women find that estrogen supplements help to relieve these symptoms.  perio.org

Gum Disease and Heart Disease

Heart Disease

Several studies have shown that periodontal disease is associated with heart disease. While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease.
Scientists believe that inflammation caused by periodontal disease may be responsible for the association.
Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.

Stroke

Additional studies have pointed to a relationship between periodontal disease and stroke. In one study that looked at the causal relationship of oral infection as a risk factor for stroke, people diagnosed with acute cerebrovascular ischemia were found more likely to have an oral infection when compared to those in the control group.  perio.org