Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Drs. Darrin and Greg Gremban. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Gremban & Gremban Dental for an exam and learn the best course of action.

Are energy drinks bad for your teeth? Many of our patients at Gremban & Gremban Dental ask us this question, so here’s the scoop.

Energy drinks have been on the rise, taking up more and more space on grocery store shelves. Drinks such as Red Bull, 5-Hour Energy, Monster Assault, Rockstar, and the like promise to jump-start your day, give you more energy, and help you feel more alert. But they also do a lot more than that. Turns out, they do a pretty good job of stripping your teeth of enamel, which is a very bad thing.

Many of these energy drinks are loaded with a lot of citric acid. In addition, they are laden with preservatives (not to mention sugar), not only to enhance flavor, but extend shelf life. While enamel loss, tooth decay, teeth sensitivity, and cavities cannot be blamed entirely on energy drinks (improper oral hygiene at home and lack of professional dental care also play a role), they can wreak havoc on the health of your teeth and gums, especially when consumed in more than moderation. Over time, energy drinks can strip enamel, which is the outer layer that protects your teeth.

What can you do?

Although Drs. Darrin and Greg Gremban and our team aren't recommending you drink energy drinks at all, if you must drink one occasionally, there are a few things you can do to minimize the damage to your teeth.

• Drink through a straw.
• Don’t hold the drink in your mouth before swallowing.
• Rinse your mouth with water immediately after drinking this kind of beverage. Water helps both to neutralize the acid and to increase the production of saliva.
• Chew sugar-free gum immediately after, to increase saliva production.
• Don’t brush your teeth right after drinking an energy drink. Wait at least an hour instead, because the combination of the acid and brushing will further damage tooth enamel.

The best advice is to refrain from drinking energy drinks altogether. One of the best hydrators is water. Water is a natural energy-booster and hydrator, and it doesn’t contain calories.

Give us a call today at our Eagle River  office if you have any questions or concerns about energy drinks and dental health. We can provide additional tips and a treatment plan to help reduce enamel loss, eliminate tooth sensitivity, and repair cavities and tooth decay as a result of drinking energy drinks.

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Eagle River office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

• Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

• Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Drs. Darrin and Greg Gremban might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

• Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Drs. Darrin and Greg Gremban can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

• Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

• Schedule Regular Dental Exams and Cleanings

Most children should be visiting Gremban & Gremban Dental twice a year, even during the baby teeth years. Drs. Darrin and Greg Gremban will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Drs. Darrin and Greg Gremban will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Our team at Gremban & Gremban Dental recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Drs. Darrin and Greg Gremban recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Gremban & Gremban Dental ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Eagle River office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Drs. Darrin and Greg Gremban may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!