Spring 2010
March 2010
Dr. Ara Elmajian & Associates
Quality, biological dental and medical care while supporting your health with complementary healing therapies
In This Issue
A Personal Message from Dr. Ara Elmajian
Dental Biofilm - Dr. Ara Elmajian
Biofilm and Systemic Disease - Dr. Ara Elmajian
Brushing for Two: Preventing Gum Disease - Dr. Melanie MacIver

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 Vancouver
A Personal Message   Dr. Ara Elmajian           
From Dr. Ara Elmajian
 
Dear Friends

 

The topic of this month's newsletter is "biofilm" and its correlation to dental disease as well as systemic disease.

 

It's becoming a hot topic especially relating to the prevention of disease in the mouth. 

 

New research in microbiology in the past few years has discovered that there are very specific microorganisms that exist in the presence of periodontal disease.

 

This discovery has provided dentists and dental hygienists the tools for early detection and prevention of serious dental disease as well as probable disease in many other areas of the body known to be caused by specific and harmful bacteria that live in the mouth.

 

See the article below on "Dental biofilm" for more information on dental implications, new tests that are available to identify harmful organisms, preventive measures that can be taken and treatments that are available.

 

In my past 35 years of practice I have observed many examples of correlations between the oral condition and the development of problems in other parts of the body.

 

Biofilm and its complicated and deleterious effects reveal another piece of the puzzle.

 

For more information on biofilm in the mouth and systemic disease read the article on "Biofilm and Systemic Disease" below and complete article on our website.

 

Hope you survived the winter and the Olympics unscathed.

 

Ara

 

Dental Biofilm - Dr Ara Elmajian 
 
For the past 4 decades we have witnessed the success of "prevention" in health and especially dental health but there is more we can do.

 

We all know the merits of a good oral hygiene regime of daily brushing and flossing and regular cleanings by a professional.

In terms of oral hygiene the word "plaque" can now be interchanged with "biofilm" and it is the cause of gingivitis (milder gum disease) and the more serious periodontitis.  

Periodontitis or periodontal disease is the cause of inflammation of the gums and eventual break down of the bone and tissue surrounding the teeth which can result in tooth loss, bone loss and serious health conditions if left unchecked.  

Periodontal disease, not decay is the leading cause of tooth loss in adults. The destruction it leads to is caused by specific organisms in the biofilm in the mouth.

Did you know that it is also a communicable disease? That's right - we can pass on the germs in our mouths from person to person as well as from animal to person via our saliva!   

The oral cavity harbors 500 - 600 species of microorganisms. The good news is that most of them are harmless. The bad news is that some people may be harboring very harmful bugs in their mouths without even knowing it.

Relatively new research has identified 3 or 4 species of bugs that can live in the mouth and do have the potential for causing serious dental and health problems.

There are now simple in office tests as well as more sophisticated laboratory tests that can be carried out to determine if these harmful microorganisms are present.

If any of these bad guys are identified there are measures that can be taken to reduce their potential for causing harm.

Good oral hygiene habits and regular cleanings are the first important line of defense.

Antimicrobial products such as special mouth rinses and toothpaste may also help.

In more serious situations the use of antibiotics may be indicated.

If you are interested or concerned about testing for the presence of these microorganisms please talk to our dental hygienist at your next checkup.

The hygienist or dentist examining your mouth may suggest one of the tests if they suspect an underlying cause of unresolved inflammation. Depending on the results a specific plan for treatment will be suggested.

For more in depth information on biofilm please check out full article on website.

Biofilm and Systemic Disease -Dr Ara Elmajian 

Biofilm is the aggregation of many types of microorganisms forming a colony on a solid surface where there is a continuous supply of fluid such as water, saliva etc.

Biofilm exists everywhere microorganisms are left undisturbed.

 

Plaque in the mouth is "biofilm".

 

It only takes 5 hours for microorganisms in the mouth to double and as they increase in number they rapidly create a network of channels and protective layers, allowing them the ability to produce specific proteins and enzymes.

 

At this point the microorganisms that have been identified as harmful such as bacteria, spirochetes, fungi and protozoa in the mouth are organized, armed and ready to attack. This leads to inflammation, immobilization of the immune response and possible periodontal destruction if left unchecked.

 

There are many complicated connections between the mouth and the rest of the body.

 

All body cavities and systems (respiratory, digestive etc) are interconnected. The mouth does harbor hundreds of germs, some of them destructive therefore it is understandable that infection and serious complications in organs and other areas of the body can be caused by oral problems.

 

Some examples are listed below:

 

Certain fungi residing in the mouth and gut in the form of yeast have the ability to convert organic mercury in amalgam fillings into methyl mercury, a very harmful form of mercury which can cause damage to nervous, cardiovascular and urinary systems.

 

Infected root canals and periodontal disease involving the maxillary (upper) teeth provide pathogenic invaders easy access to the sinus cavities thus creating chronic inflammation and disease of the sinuses, a prevalent condition in North America.     

 

Loss of vertical dimension or height of the dental bite in adults and children creates structural changes in the Eustachian tube which can lead to middle ear infections. A simple procedure to raise the height of the bite can resolve many of these situations.

 

Research indicates that people who have periodontal disease have a much greater chance of developing cardiovascular disease than those who take preventive measures to eliminate the biofilm in their mouths.

 

It is important to recognize, identify and control existing harmful oral organisms that could compromise a person's health.

 

Taking preventive measures to eliminate biofilm thoroughly with good oral hygiene habits at home and regular cleanings is also crucial.

 

Modern periodontal assessment testing for pathogens is now an important option available.These are outlined in detail in full article in website.

 

Based on test results there are different treatment options, also listed in the full article.  

 

As periodontal disease has been linked to many systemic and autoimmune diseases it is crucial to recognize unresolved infections, identify possible pathogens and have a plan of action to control the destruction that can unfold.

 

Brushing for Two: Preventing Gum Disease
 
Pregnancy gingivitis is a common condition affecting 50 - 75% of pregnant women, exacerbated by the hormones of pregnancy. 
 
Research has linked gum disease to an increased risk of premature and underweight births, as well as significant increase in heart attacks, strokes and other inflammatory diseases to the mother.
 
Few midwives or obstetricians are trained to treat or even examine the gums, but gum disease is both preventable and treatable, and can affect the outcome of the pregnancy.
 
Gingivitis is a milder infection affecting just the gums, and peridontitis, a more serious infection, can attack the underlying bone supporting the teeth as well. Besides premature birth, these bacterial infections can cause tooth loss, jaw bone destruction, bad breath, increase inflammation in the whole body, and are not necessarily cured by brushing and flossing.
 
Minimizing the bacterial biofilms in the mouth, especially along the gum margins, is the key factor in preventing all gingivitis and peridontitis.
  • Find out if you have a gum infection (redness, swollen gums, bleeding, receding gums, loose teeth, bad breath etc) Ask your dentist if you are not sure.
  • Brush at least twice a day with a 45- degree angle to the gum line
  • Floss once a day. All tooth surfaces must be cleaned. Ask your hygienist for proper oral hygiene techniques
  • Twice yearly visits for professional and preventive cleanings
  • Clean your tongue with a tongue scraper or small spoon
  • Support whole body health by decreasing alcohol, sugar and smoking
  • Use the magic gum solution:
1 tsp sea salt and � cup baking soda in a small covered container. Wet your toothbrush with 3% hydrogen peroxide (from the drug store) and dip generously into the salt soda mix, and brush whole mouth.  One dip, once a day. Some initial irritation may occur due to the peroxide, if that is the case then just use every few days until this subsides.