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The Stages of Gum Disease

February 19th, 2025

Taking care of your gums is one of the best ways to protect your smile. But sometimes, we treat our gums like an afterthought when it comes to dental care. It might surprise you to learn just how common gum disease is—and how damaging it can be for your oral health.

Surprising Fact #1:

About half of all adults have suffered or are suffering from some form of gum disease. And about half of all children do, too. As we age, the percentages jump—in fact, some studies estimate that eventually 70% of older adults will be affected by gum disease.

Surprising Fact #2:

The major cause of tooth loss in adults isn’t tooth decay or accidents or aging—it’s gum disease.

Surprising Fact #3:

Gum disease is progressive. The gingivitis that begins with a bit of redness or some minor bleeding when you brush might seem like a temporary annoyance. But when ignored, this early form of gum disease can lead to periodontitis, a serious gum condition which causes receding gums, loose teeth, bone and tissue damage, infections, and tooth loss.

Gingivitis

Gum disease begins quietly and invisibly, and it usually starts with plaque. Plaque along the gum line irritates our gum tissue. The body’s immune system responds and triggers inflammation. Gum tissue becomes swollen and red. The gums might feel tender, or bleed easily when you brush or floss.

If you’ve experienced any of these symptoms, it’s time to call our Appleton, WI office. Dr. Dale Scharine and Dr. Mark Pflum might recommend better brushing and flossing habits, a professional cleaning, and/or an anti-plaque treatment. At this stage, with proper care, gingivitis is reversible.

But left untreated, gingivitis can progress over time until it becomes periodontitis. Periodontitis affects not only gum tissue, but the bone and connective tissue which surround our teeth, supporting them and holding them firmly in place.

Mild Periodontitis

As plaque and tartar continue to irritate gum tissue above and below the gum line, inflammation increases, and the gums begin to pull away from the teeth. This is a problem, because the gums normally surround the tooth roots snugly, protecting them from plaque, bacteria, and other toxins.

When gum tissue pulls away, pockets are created between gums and teeth. These pockets become home to more bacteria, causing more irritation, inflammation, and infection. During this phase, the connective and bone tissue around the tooth’s roots might start to break down.

Moderate Periodontitis

As the disease progresses, pockets become deeper. The structures that hold the teeth in place continue to break down, and the teeth start to loosen. As the gums recede, tooth roots become more vulnerable to decay.

Advanced Periodontitis

When periodontitis has reached the advanced stage, there is significant loss of tissue and bone around the teeth. Teeth become looser and foul breath, pus, and pain when biting or chewing are common. Without prompt treatment, there’s a high risk of tooth loss.

Unlike gingivitis, periodontitis isn’t reversible, and requires professional care. Advanced treatments can do a lot to restore gum health:

  • Topical, time-release, or oral medications treat infection.
  • Scaling and root planing, which are non-surgical deep cleaning procedures, remove plaque and tartar above and below the gum line, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth.
  • Flap surgery treats more advanced gum infection, reducing pocket depth and re-securing the gums snugly around the teeth.
  • Bone grafts, gum grafts, and other regenerative procedures are available that help restore and repair tissue damaged by gum disease.

That’s good news, and there’s even better news: Because gum disease is typically triggered by plaque, it’s very preventable.

  • Brush carefully at least twice each day for at least two minutes. Don’t forget to brush along the gum line!
  • Use floss at least once each day or as directed by Dr. Dale Scharine and Dr. Mark Pflum. If you have trouble flossing, ask us for the flossing tools and techniques that will work best for you.
  • See your dentist regularly to catch and treat early gum disease while it is still reversible.

While gum health is essential for dental health, healthy gums might mean more than just healthy teeth. Scientists are studying the potential links between gum disease and its effects on conditions such as heart disease, diabetes, and arthritis. Gum health should never be an afterthought. Taking care of your gums is one of the best things you can do to ensure a lifetime of healthy smiles.

The Transformation of Valentine's Day

February 12th, 2025

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the Dentist office of Dr. Dale Scharine and Dr. Mark Pflum.

Dental Fear in Children: Brought on by parents?

February 5th, 2025

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Dr. Dale Scharine and Dr. Mark Pflum and our team work hard to make your child’s visit at our Appleton, WI office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.

What are the benefits of Invisalign®?

January 29th, 2025

A popular option for straightening teeth at Elite Smiles Dental, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At Elite Smiles Dental, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Appleton, WI office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Appleton, WI office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

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