Medication’s impact to periodontal health

Posted in News and Updates, Periodontal Therapy on .

If you have been diagnosed with heart disease or high blood pressure, your physician my have prescribed a number of different medications, some of which may affect your periodontal health or put your at risk for periodontal disease.

Some commonly prescribed medications can cause dry mouth, increased plaque or enlarged gum tissue. These conditions frequently promote bacterial infections under the gum line, causing bleeding gums and bad breath.

Please discuss any medications you are taking with your periodontist to find out what affects, if any, they are having on your periodontal health.

Your periodontist will work with you and your physician to minimise negative effects. Often times just good oral hygiene and more frequent dental care is all you need … Continue Reading

Dental care and diabetes

Posted in Periodontal Therapy on .

Recent research shows that the same treatment can be used for people with diabetes with periodontitis compared to people who don’t have diabetes and that healing will be similar in the short term.

As with all patients, initial dental therapy for patients with diabetes must be directed towards control of acute oral infections. Communication between the dentist and patient’s physician is recommended to enable good blood glucose control to be established. Advanced periodontal disease may increase insulin resistance causing blood glucose levels to rise, therefore it is important that the link between dental and medical personnel be maintained.

While it is known that the presence of periodontal disease may aggravate glycaemic control, there is emerging evidence that periodontal disease may … Continue Reading

Oral problems associated with diabetes

Posted in Periodontal Therapy on .

Oral manifestations of diabetes can include:

  • Dry or burning mouth,
  • Altered taste,
  • Fungal infection,
  • Swelling of salivary glands,
  • Increased tooth decay,
  • Progressive periodontitis.

A dry mouth or burning mouth is a common complaint among people with uncontrolled diabetes, but it is also a symptom of many diabetes medications. Oral dryness makes the soft tissues more susceptible to infection by fungal organisms such as Candida and is usually associated with poorly controlled diabetes.

While increased levels of decay have been found in association with uncontrolled or poorly controlled diabetes, most evidence suggests someone with well controlled diabetes experiences less tooth decay.… Continue Reading

The link between diabetes and periodontitis

Posted in Periodontal Therapy on .

In a landmark series of studies conducted in the early 1990s involving Pima Indians from Arizona, it was concluded that diabetes increases the risk of developing destructive periodontitis by a factor of three. Age, sex, oral hygiene and other dental measures could not sufficiently explain the increase in this population, which has one of the highest incidence of Type 2 diabetes in the world. Those who had had diabetes for a long time experienced more advanced periodontitis, a response that correlates with development of other diabetes complications over time.

Recent studies now suggest there is a direct relationship between diabetes and periodontitis—those with diabetes have an increased incidence and severity compared to those without. While those with Type 1 and … Continue Reading

Contributing factors of periodontal disease

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There’s several factors that contribute to or aggravate periodontal disease:

  1. Plaque which is not removed daily may build up and harden to form dental calculus (tartar).  Calculus builds up above and below the gums and cannot be removed by a toothbrush.  While it remains the teeth cannot be properly cleaned.
  2. Some conditions can make existing periodontal disease worse. For example, poorly controlled Diabetes Mellitus, or cigarette smoking may  worsen periodontitis dramatically. Immune disorders may manifest themselves as gum problems.
  3. Poorly shaped or finished fillings, some partial dentures, and some  crowns and bridges can make it very difficult to remove plaque.
Continue Reading

What are the two most common periodontal diseases?

Posted in FAQs, Periodontal Therapy on .

The two most common forms of periodontal disease are:


Gingivitis is inflammation which affects the gums only.  Plaque, if not regularly removed, causes the gums to become red, swollen or tender and bleed easily when you brush.  Gingivitis is reversible, however if not treated it may be followed by more serious disorder – periodontitis.


Periodontitis is a deep inflammation which affects the bone holding the teeth in place.  If left untreated, the attachment holding the tooth in the bone is destroyed, and this leaves a space or “pocket” in which more bacteria can collect.  Bone loss occurs and teeth may become loose, or eventually be lost.… Continue Reading

How long will I have to have maintenance appointments at Perio Care?

Posted in Dental Implants, FAQs, News and Updates, Periodontal Therapy on .

Your dentist has referred you to Perio Care for a particular periodontal problem or for implant care.  Our ultimate aim is to return you to your referring dentist as soon as your specific or general condition is healthy and stable.

Sometimes achieving true sustainable gum/implant health is initially difficult for some patients so ongoing maintenance appointments are required until ‘stability’ is achieved.  These appointments may be anywhere from 2 to 12 months apart.

Maintenance care may be exclusively undertaken at Perio Care or there may be a ‘shared’ approach where you see both your dentist and the team at Perio Care until everything is healthy.

Remember, it’s the combination of consistent effective home care and the correct interval of professional … Continue Reading

Do I still need to see my Dentist?

Posted in FAQs, News and Updates, Periodontal Therapy on .

Absolutely! Your periodontist and periodontal hygienist will always reinforce the importance of you keeping regular scheduled examinations/check-ups with your dentist.

Your dentist has referred you to Perio Care to take care of your specific periodontal condition(s), or perform dental implant surgery or maintenance. Of course we will alert you and your dentist if any obvious non-periodontal conditions are detected – but our role and our facilities are focussed on periodontal health not other oral/dental conditions like tooth decay or fillings/denture maintenance etc.… Continue Reading

What does the Periodontal Hygienist do?

Posted in FAQs, Periodontal Therapy on .

Periodontal hygienists perform the following main functions:

  • Education and advice on a broad range of oral health care issues and maintenance techniques – especially periodontal (gum) health.

At Perio Care a particular focus is placed on improving and maintaining the health of the tissues that support your teeth/implants.

  • Formulating effective and personal home care/cleaning techniques to keep the mouth healthy.
  • Assist in the prevention and of dental caries (decay) and gum disease via clinical removal of plaque and tartar (dental calculus) from teeth by debriding (cleaning) the teeth and root surfaces.
  • Recommend and apply appropriate fluoride and de-sensitising products
  • polish and recontour tooth restorations
  • take dental X-rays
  • make impressions of patients’ mouths for the construction of study casts/moulds
  • apply and
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Why do I see the Periodontal Hygienist at Perio Care?

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The registered periodontal hygienist at Perio Care has a critical role in supporting the care provided by your periodontist.  They have had specific training and exposure to an extensive range of periodontal conditions and treatment modalities – and their work is performed under the immediate and on-site direction of your periodontist.

The absence of gum disease and tooth decay will help you maintain your teeth for life. The hygienist works with the periodontist to establish and maintain a programme tailored to meet your specific needs.

Not all phases of your treatment at Perio Care require the clinical services of your periodontist – some of these can be done by the qualified hygiene team.  This is designed to maximise appointment flexibility … Continue Reading