Join Dr. Lauren Anderson on Monday, May 16 for an enlightening lecture on 3 new game changers in the field of periodontics.
Bloomfield Hills, Michigan Periodontist Dr. Lauren Anderson was recently featured on CBS where she shared her insights on the need for proper dental implants in patients with tooth loss and other symptoms.
Dr. Anderson discusses the symptoms patients can experience such as Periodontitis (the infection 0f soft tissue surrounding the teeth) and Peri-Implantitis (the infection of dental implants), and, how these can be treated with minimally invasive soft tissue plastic surgery and proper maintenance.
Testing can help your periodontist better determine the etiology or “cause” of your condition. Advanced testing can provide information on bacteria, fungi, viruses and genetic markers that increase your risk for advanced oral and systemic diseases.
How does this work?
Testing is easy! There are two testing methods depending on which test is required. 1. Patients rinse for 15 seconds with a saline solution, expectorate or “spit” into a vial which is then sealed and sent in for analysis. 2. A thin paper point is placed in the periodontal pocket or “gum pocket” for 15 seconds, then sealed and sent in for analysis.
Please see the above for example forms that are returned with your results. These results can provide recommendations on medications and treatment protocol tailored to your specific case. After you are treated, these tests can not only verify the stability status but detect a relapse prior to symptoms or deteriorating clinical signs.
Ask Dr. Anderson if you would benefit from bacterial, fungal, viral or genetic testing.
Dr. Anderson provides the following tests:
- Bacterial: micro-IDentplus, MyPerioPath, MyPerioID, DNA DrugMap, OraRisk CT/NG
- Viral: OraRiskHPV Complete Genotyping, OraRisk HSV, OraRisk HPV 16/18/HR
- Fungal: OraRisk Candida
- Genetic: Celsus One
Recently, Dr. Lauren E. Anderson had the opportunity to provide course instruction to the Oakland County Dental Hygienist Association on the topic of Periodontal Diagnosis and Triage.
The course covered important topics that included:
Can my oral health really affect my systemic health?
Yes! The most recent review article published in the Journal of Dental Research (highest impact factor journal for dentistry), highlights the impact of bacterial pathogens on the immune system and inflammatory processes (1). In simple terms, systemic inflammation can be controlled by the body’s reaction to bacterial DNA. This DNA is implicated as an activator for many inflammatory/immune (including cancer, atherosclerosis, and heart disease) and viral (HPV and herpes virus) conditions. Future research is aimed at identifying and breaking down the signaling cascade from bacterial insult in efforts to treat a variety of conditions and diseases.
How does this relate to you?
Controlling oral bacterial infections including periodontal disease is one way to help reduce the risk of developing the said conditions. Seeking periodontal treatment can positively affect inflammatory and/or immune conditions. Now more than ever, research supports early diagnosis and treatment of “gum” disease to improve your overall health!
In light of the above, there is a clear need for collaboration between your oral health care provider and primary care provider. Dr. Anderson works closely with your MD and will develop a plan to improve your oral and systemic health. Together they can identify conditions you may be at risk for through simple techniques including saliva and blood samples. Visit Dr. Anderson to learn more about this link and if you are at risk!
(1) Crump KE, Sahinqur SE. Microbial Nucleic Acid Sensing in Oral and Systemic Diseases. J Dent Res. 2015.
Above two patients presenting to Dr. Anderson’s office for the initial implant disease evaluation. On the left, a moderate case of mucositis (#9) and on the right a severe case of peri-implantitis (#’s 4, 6, 9).
Although uncommon, dental implants can develop infections just like natural teeth. This infection can involve only the gingiva (gum) as with “mucositis” or extend to the bone as with “peri-implantitis”. As with natural teeth, implants can be lost due to advanced stages of the infection and may require replacement. Luckily, periodontal treatment is predictable and effective in the treatment of mucosistis and peri-implantitis. Periodontal researchers are now developing more sophisticated techniques that aim to restore the original condition of the implant. To learn more ask your periodontist!
How do I know if I have peri-implantitis?
There are several techniques a periodontist uses to determine if your implant is infected. He or she will look at radiographic bone loss, probing depths (check the gum pocket), bleeding, suppuration (pus) and mobility. Unfortunately, many patients do not experience signs or symptoms until the disease is advanced. Early diagnosis and treatment are paramount to maintain the implant in the best function and esthetic as possible. Contact your periodontist if you have an implant you suspect may be infected for the proper work-up and treatment if needed!
Watch this video to learn about the risks factors and prevention of periodontal disease. Enjoy!
Important Facts and Risk Factors for Periodontal Disease
How much do you know about your gum health?
Today periodontal disease affects over 64 million adults or 1 of every 2 people nation wide, however many are affected and are unaware. How many risks factors do you have for periodontal disease?
Medications can cause problems in your mouth that may affect the gingiva (gums) and underlying structures of your teeth. This is called “drug induced gingival overgrowth” and can be caused by medications used to treat three conditions.
- Hypertension (high blood pressure) patients taking calcium channel blockers (Amlodipine, Verapamil, etc).
- Epilepsy (seizure) patients taking anticonvulsant medications (i.e. Phenytoin, Levetiracetam, etc.).
- Medically compromised patients taking immunosuppressants (i.e. cyclosporine, azathioprine, etc.) for a variety of health issues.
Patients taking these medications are at a higher risk for gingival (gum) enlargement where tissues grow due to improper collagen metabolism. This can cause a variety of problems including periodontal diseases (gingivitis and periodontitis), caries (cavities), and other infections. Not all people on these medications develop problems, however, a screening with your periodontist will clarify your unique situation. If gingival overgrowth is detected by your periodontist and is negatively affecting your oral health, your periodontist will work with your primary care doctor to alter the medication dose or possibly switch your medication if medically safe. There are serious health implications associated with terminating these medications and it is not advisable to alter your regimen without discussing your situation with your periodontist and primary doctor. Ask Dr. Anderson if you feel you are having issues with your medication.
Periodontal Patient Case Study
Above, before (left) and 3 months after (right) treatment with Dr. Anderson.
Meet JK a 51 year old female with epilepsy (seizures) and type 2 diabetes. She was diagnosed with epilepsy at 8 years of age and has been managed with Phenotyin since then. Her seizures have been controlled, however, she has suffered with gingival overgrowth due to this medication and subsequently developed severe periodontal disease and caries (cavities) due to her enlarged gingiva. JK was uncomfortable with her smile since her 20’s did not know her appearance was caused by her medication. Dr. Anderson worked with her primary care doctor to find another effective seizure medication that does not affect her gums and removed excess gingiva to reveal her teeth under her gums. JK has now been treated and is now confident smiling!