Classifying gum disease genetically could help earlier diagnosis and treatment

Mary Cresseveur-Reed, DDS, FAGD

Dentistry

A study published in the Journal of Dental Research suggests a new system for classifying periodontal disease that may allow for earlier detection and personalized treatment before the disease becomes severe.

The researchers propose a new classification system – the first of its kind – based on the genetic expression of gum diseaseinstead of the current method based on clinical signs and symptoms.

They say such a system would enable earlier detection of gum disease, and allow individualized treatment, before teeth and bone loss sets in.

The present system, based on clinical symptoms, classifies periodontal disease as either “chronic” or “aggressive” depending on how swollen the gum is and how much bone is lost.

However, lead researcher, Panos N. Papapanou, professor and chair of oral and diagnostic sciences at the College of Dental Medicine at Columbia University Medical Center New York, NY, explains the problem with it:

“… there…

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Grand Opening Celebration March 21st!

Gateway Oaks Family Dentistry, formerly known as Gateway Dental will host a Grand Re-opening and Open House event celebrating its new name. The celebration will take place at the dental office at 2550 W. El Camino Ave. Suite 9, located between Jack in the Box and Shell Gas Station on March 21, from 2 to 5 p.m.

Dr. Hoang Truong, owner of Gateway Oaks Family Dentistry will host a Grand Re-Opening event. The event is open to local business owners, professionals and all community members who want to come out for networking, free food and drinks, prizes, and information on how Gateway Oaks Family Dentistry can put you on the path to a beautiful healthy smile! 107.9 FM, The End, will also be on site playing live music!

We will also be collecting donations this day for Albie Aware, a local breast cancer prevention charity. Any donations made at the event, Gateway Oaks Family Dentistry will match! Everyone is welcome to come out and celebrate and help support the great cause of Albie Aware!

For additional information, please call 916-649-0249 or visit GatewayOaksDental.com.

About Gateway Oaks Family Dentistry:

 

Formerly Gateway Dental and serving Sacramento since 2006, Gateway Oaks Family Dentistry provides their patients with high quality general and cosmetic dentistry to optimize their overall health.  The state-of-the-art facility is ran by a highly trained team committed to protecting the well-being of patients as well as taking professional development courses to be in a constant state of improvement. Dr. Truong specializes in sedation dentistry, implants, and FastBraces.

 

Dr. Hoang Truong grew up locally in Sacramento, and is a proud graduate of River City high school. In her spare time she volunteers by providing screenings and dental procedures at events around the community.

Gateway Dental is now Gateway Oaks Family Dentistry!

logoIt is with great pleasure to inform you that we, Gateway Dental,  have changed our business name to Gateway Oaks Family Dentistry. Please note, however, that our address has not changed.To celebrate our name change the Natomas Chamber of Commerce will hold a ribbon cutting ceremony on Feb. 12 at 9 a.m.

Gateway Oaks Family Dentistry believes the new name change, interior remodeling and additions to the staff, including an associate doctor, will enable a higher of level care for our patients and the Sacramento area. “Not only is our office state-of-the-art, we now have a full and highly-capable staff, and the latest in technology to provide the best patient experience,” Dr. Hoang Truong  said.

Our new name and logo looks great, but we’re most excited about the increased level of care we’re bringing to our patients.” By adding orthodontic and implant services and additional doctors we help keep convenience of more availability, plus same location, familiar doctors and staff that you already love, and maintaining affordable prices as well. We would like to thank you for your support as we implement these changes!

A Grand Re-Opening Celebration and Open House is in the works so please stay tuned for more details! For more information, call your Sacramento dentist at 916-649-0249.  Check out our new website: www.GatewayOaksDental.com!

Sacramento Dentist Supports U.S. Marines in Fight Against Illiteracy and Poverty

Dr. Hoang TruongDr. Hoang Truong has teamed up with the U.S. Marines in an effort to fight poverty and illiteracy in the United States through the U.S. Marine Toys for Tots Literacy Program by donating $1000. Currently, more than 16 million children in the U.S. currently live below the poverty level.

Dr. Truong recently attended the Toys for Tots Literacy Program Reception in Florida, to honor the U.S. Military and the U.S. Marines. As a highlight of the event, the U.S. Marines Toys for Tots Program and the Toys for Tots Literacy Program were also recognized.

“The Toys for Tots Literacy Program is a call to action that all Americans need to know about,” Dr. Hoang Truong said. “I am happy to assist the Marines as they fight poverty and illiteracy.”

At the special event, Dr. Truong learned that in 1947, after WWII, Toys for Tots began and a small group of Marine Reservist collected and distributed over 5,000 Toys to needy children. In 2008, the Toys for Tots Literacy Program was launched  and has given disadvantaged children an opportunity to compete academically and succeed in life.

During the event, Captain Joseph Draeger of the U.S. Marines said, “Through the gift of a book we can provide the tools needed to help break the cycle of poverty, one child at a time.” Dr. Hoang Truong and many of her fellow colleagues took the initiative to support the program and helped raise more than ten thousand dollars for disadvantaged families in the U.S.

Dr. Hoang Truong was also quoted as saying that she fully supports this program. “This campaign definitely helps many needy children and I recommend that the Sacramento community join me in helping make a difference in these children’s lives  by supporting the Toys for Tots Literacy Program.”

Dr. Hoang Truong has been a dentist for more than 7 years. She currently practices in Sacramento, California, at Gateway Oaks Family Dentistry.  Dr. Hoang Truong has also served the community by offering free dental screenings to the community and also providing free dental service for child through the Smiles 4 Kids program. For more information, please visit www.GatewayOaksDental.com.

Common Medications Can Have Effect on Oral Health

Many times before taking a medication , you may take it without even reading the possible side effects that it could have on your health. Below are some popular medications and the effects that they can have on your oral health. It is also important to let your dentist know about any medications you are taking. Doing so can be vital to your oral health, especially in an emergency.

Common Medications:

BusPIRone

This medication is used to treat anxiety disorders and also for the short-term relief of the symptoms of anxiety. The only effect that taking this drug will have on your oral health is Xerostomia. Xerostomia, also known as dry mouth, will result in your salivary flow being reduced. Once this medication is discontinued your normal salivary flow will start again.

Glipizide and Metformin

Normally, those with type 2 diabetes take these medications which are used as an adjunct to diet and exercise to improve glucose levels.  When taking these, there is an 8 to 10 percent chance of developing an upper respiratory tract infection. If you are taking these medications and plan to have dental work done, it is best to make your appointment in the morning to decrease the chance of stress-induced hypoglycemia (low blood sugar)

Zoloft

Zoloft is used for the treatment of major depression, obsessive-compulsive disorders, panic disorder and other anxiety disorders. The only effect that taking this medication has on dental treatment is Xerostomia. As previously mentioned, this causes dry mouth and after discontinuation the dry mouth will go away.

KlonoPIN

This medication is used for the treatment of seizures and panic disorders. When prescribed, this medication can cause gum soreness and result in a coated tongue. It also results in dry mouth.

Lisinopril

Lisinopril is used by those who have high blood pressure and heart failure. Also is used for the treatment of acute myocardial infarctions. Taking this medication will cause orthostatic effects. Orthostatic is a type of hypertension that can cause you to feel dizzy or lightheaded.

If you have any questions about these medications or other types, please call Gateway Oaks Family Dentistry at (916) 649-0249

*This is intended as information only and should not replace regular visits with your medical professional. You should consult your own Sacramento Dentist and medical doctor if you are taking of any of these medications.

Your Sacramento Dentist Can Help You Stop Snoring

Do you or someone you know snore? Don’t worry, more than 80 million people in the United States snore.  At Gateway Oaks Family Dentistry, we understand the effects that snoring can have on you and your families. Not only does snoring interrupt the way you sleep, but it can also cause high blood pressure, increasing the risk of stroke.

Our Sacramento dentist currently offers our patients Silent Nite®, a custom-made snore prevention device. This device, which resembles a night guard, moves the lower jaw into forward position, increasing space in the airway tube and reducing air velocity and soft tissue vibration. Silent Nite® is very comfortable and easy to use. It helps minimize stiff jaw joints and most importantly, prevents the disruptive, unhealthy effects of snoring.

Let us help put a stop to the snoring and make you sleep more soundly and breathe easier with Silent Nite®. Call your Sacramento Dentist today for information on this affordable device at (916) 649-0249).

What Do the Probing Numbers Mean?

teethprobecrHave you ever been curious about what those numbers mean that your Sacramento Dentist or Hygienist calls out while looking inside your mouth. As your hygienist calls out the numbers, “4, 3,..5,2,3…4,2,5…”, they actually use a tiny ruler called a ‘probe’ to check and measure any pockets in your gums. A pocket is described as the distance between the top of the gum and where the “probe” meets bone. The smaller the pocket, the more bone that exists.

At Gateway Oaks Family Dentistry, we categorize problems as mild, moderate or severe, depending on how deep the probe goes:

  • 1-3 mm: indicates health
  • 4-5 mm: indicates a mild problem
  • 6-7 mm: indicates a moderate problem
  • 9-10 mm: indicates a severe problem

Ideally,  the depth of all your pockets should be 3 mm or less. This means that the teeth can be properly cleaned with the bristles of a toothbrush.  When a pocket measures more than 3 mm, this means that there is bone loss around that area of the tooth or that the gums are swollen, or it could be a combination of both.

We want all of our patients to get maintain picket depths between one and three millimeters to indicate healthy teeth and gums. We understand that may not always be the case, so that is why we recommend different treatment options for patients with deeper mouth pockets.

If swollen gums are causing the higher probing depth, then it can easily be reversed by brushing and flossing twice a day. Continuing to do so with tighten up your gums, stop the bleeding and the pocket measurements will be reduced. We also advise the patient to come in for regular cleanings every six  months.

For measurements that are consistently 4-5 mm, we recommend patients to come in for cleanings every three to four months, rather than six.  By having more frequent cleanings, this allows us to get into the deep pockets and clean them out using specialized equipment.

Those with measurements higher than 5 mm will require a type of gum procedure. called a “deep cleaning” or scaling and root planning to effectively reduce the deeper pockets. Once the treatment is completed, patients will be able to clean their teeth on their own — provided they return every three months for a follow-up cleaning.

So next time you are at your Sacramento Dentist, pay attention to those numbers and ask your hygiene what you can do to improve the health of your teeth.

The Top 3 Thanksgiving Dental Tips

Thanksgiving is a holiday in which we celebrate by gathering with family and friends. But on Thanksgiving, another way we celebrate is by eating, eating, and more eating. Your friends at Gateway Oaks Family Dentistry want to be sure that you also brush… and brush… and brush some more!  Here are three tips that you can put into practice this upcoming Thanksgiving holiday.

THANKSGIVING, FLOSS

 #1. No Soda

During Thanksgiving, there is plenty of foods going around that already have more sugar than is needed. It is important to pay attention to your dental health and your diet. There is no need to add soda into that equation. Instead of drinking soda, drink milk and water with your meal. Doing so will spare your teeth the stains and decay caused by soda. Water will rinse away any sugar or bacteria in your mouth. The cleaner you keep your mouth in between meals, means the less likely you have a chance of developing a cavity.

 #2 Brush and Floss

Since the majority of your day will be spent eating, make sure to brush your teeth in between meals so that your teeth won’t start to demineralize as the food sits on there for a long time. Whether you are spending the holiday at home or traveling to a loved ones, bring your toothbrush and floss with you.

#3 Don’t Use Your Teeth for Cracking or Opening

It is very common for many people to crack their teeth during the holidays.  A cracked tooth can be painful, and if not fixed, can lead to extensive treatment. Call your dentist if you crack a tooth! Your teeth are meant to chew food, not to be used as nutcrackers or bottle openers.  Don’t be lazy on Thanksgiving. Grab the proper tool you need and save your teeth.

Have a Happy Thanksgiving and don’t forget to apply these tips during your holiday! Make sure to also schedule your dental cleaning and checkup with Gateway Oaks Family Dentistry as 2014 is just around the corner. You don’t want to lose all your dental benefits for the year as they will expire on December 31, 2013.

Tooth Care for Two

pregnancy, gingivitis, dental careIf you’re pregnant, or plan to become pregnant, you have an increased risk for gingivitis, also called gum disease. According to the American Academy of Periodontology (AAP), up to 50 percent of pregnant women experience what is called “pregnancy gingivitis.”  Even if a person maintains good oral health care, there still is a chance that they can develop gum disease while pregnant.

During pregnancy, many hormonal changes occur that adjusts the way that the body fights against bacteria. Flesh-eating toxins are produced from the bacteria and that results in gum tissue being damaged.

Some of the symptoms associated with gingivitis can include a mild inflammation of the gum, and red and sore gums that bleed when examined.

It is recommended to tell your Sacramento Dentist when you are pregnant because you may require more frequent dental cleanings to combat the effects of increased progesterone and to help you avoid gingivitis. Some insurance carriers even provide coverage for an extra cleaning during a woman’s pregnancy.

Additionally, eating a balanced diet will also benefit your overall health and your baby. Be sure to incorporate calcium, vitamins A, C, and D, phosphorus and protein into your diet. Your risk of gingivitis may be reduced with regular, professional cleanings, daily brushing and flossing, and using an antimicrobial mouth rinse.

Your oral health is an important part of your overall health. Don’t let an untreated dental disease cause harm to you and your baby.  If you are pregnant and in need of a Sacramento Dentist today, call our office at (916) 649-0249 to schedule regular, professional cleanings.

How Much Radiation Do you Get from X-rays? Do I Need Them?

In a recent study published in the Cancer Journal for Clinicians, dental X-rays were linked with an increased risk of developing meningioma, the most common type of brain tumor. We understand that patients may be alarmed by such findings. What wasn’t emphasized in the study was that many participants in the study received their X-rays many years ago when radiation exposure was much higher than what is used today.

Gateway Oaks Family Dentistry would like to stress the importance of getting their X-rays taken. X-rays are needed because they let the dentist to see small cavities that are developing in between the teeth and  stop them before they become bigger and more costly problems.

Additionally, x-rays allow the dentist to examine the mandible and maxilla for any unusual growths or abnormalities. They  can also expose hidden dental decay, locate tarter build-up, identifying bone loss, showing impacted or extra teeth, which is very beneficial for the dentist.

Unlike other x-rays on other parts of the body, dental X-rays are very targeted to a small part of the body. According to the American Dental Association (ADA), radiation associated with dentistry represents a minor contribution to the total exposure from all sources (about 0.2 percent). You actually get more radiation why you are exposed to the sun or are flying in an airplane.

How often X-rays should be taken depends on your present oral health, age, and your risk for disease. Normally, Full Mouth X-Rays are taken if you are a new patient and consists of a series of dental x-rays angled to show all the teeth, the surrounding bone and other structures. It is a combination of 14 or more general x-rays  and 4 bite-wing x-rays to film the back teeth. Receiving Full Mouth X-Rays by the dentist ensures a complete examination of the health of your teeth. These type of X-rays are recommended every three to five years.

It is recommended by the ADA to get check-up X-rays during your bi-annual dental visits. As said before, X-rays help the dentist see cavities and other infections that they would not see with a visual exam. Children also require X-rays more often than adult because their teeth and jaws are still developing so the X-rays determine if they are being affected by tooth decay.

You can be certain that the standards set by the ADA were made to protect your personal health and safety. At Gateway Oaks Family Dentistry, using digital dental X-rays through minimal exposure, does more good than harm.

If you have any more questions or concerns about dental X-rays, feel free to call or stop by Gateway Oaks Family Dentistry to speak with Dr. Hoang Truong.