Posts Under Periodontal Disease

How Fast Food
Impacts Your Dental Health


Fast food has become a staple of modern life. Busy schedules, long commutes and convenience make it easier to pick up something on the run versus preparing a meal at home. Unfortunately, fast food is not necessarily the healthiest option.
Fast food can not only lead to health problems, such as obesity and diabetes, it can also increase your risk of developing cavities and gum disease.
If you or family members eat fast food regularly, knowing how it affects your dental health may influence you to find healthier alternatives.

Salt and sugar are bad for oral health

The primary reason why fast food is so bad for oral health is the added salt and sugar.  When you eat these additives, debris is more likely to stick to your teeth.  This food debris then allows acids to build up along the surface of your teeth. Over time, this leads to tooth decay.

Soda pop can wear down the tooth enamel
When you grab a burger, it is often accompanied by a sugar-filled drink. The sugar in carbonated beverages break down the enamel on one’s teeth.  As a result, teeth are more prone to developing cavities.

Diabetes can impact gum health
Eating fast food regularly can increase the likelihood of diabetes. Diabetes, in turn, can lead to dental problems. Studies have shown that diabetics are at a higher risk of developing periodontal disease. To limit the negative impact diabetes has on their oral health it's important that diabetics maintain good blood glucose control.

Find alternatives to fast food
If you do not have the time to prepare fresh, healthy meals at home, there are other ways to get nutrition without damaging one’s teeth. When dining out, choose items on the menu that are less likely to stick to your teeth such as salads and fresh food. In addition, it’s better to drink water than sugar-laden carbonated drinks.

Use proper oral hygiene habits
When eating out, schedule time to brush your teeth after eating. If time does not allow, chew sugarless gum. Chewing gum will remove some of the build-up of debris as a result of eating fast food.

The Bottom Line
Eating fast food regularly can be bad for one’s teeth. Poor oral hygiene has a negative impact on overall health. As with anything else, moderation is the key.

Dr. John

P.S. Your dental health plays a big role in your overall well-being. If it’s been a year or more since you last came in for a dental appointment, it would be in your best interest to come in for a cleaning and dental checkup. Dental problems don’t necessarily cause pain or discomfort, until significant damage to the tooth or gums has taken place. Call 514-484-0521 to schedule an appointment or book online.

It's Invisible and
Can Rob You of Your Smile

One of the most common dental problems we see in our patients is gum disease. In most cases, gum disease develops slowly and without pain. Without regular dental checkups, it is possible to not really know how serious the disease is until your teeth and gums are severely damaged, resulting in teeth having to be extracted.
Gum disease affects people of all ages, not just the middle-aged or elderly.
The first stage of gum disease is known as gingivitis. The cause: poor oral hygiene that fails in removing the germs and bacteria that build up on teeth every day. That’s why daily brushing and flossing are so important, as it helps remove this buildup. 
Gums afflicted by gingivitis are often swollen, red and bleed easily. Remarkably there is often little pain or discomfort at this stage of the disease.
In addition to poor oral hygiene, factors that contribute to gingivitis include; smoking, stress, diabetes, aging, pregnancy, poor nutrition, hormonal fluctuations and certain medications.
If you’re told by your dentist that you have gingivitis, the good news is that it can be reversed with professional dental treatment and careful brushing and flossing by you at home.
The bad news, if untreated, gingivitis evolves into periodontitis, a much more serious form of gum disease.
Periodontitis is caused by a significant buildup of germs and bacteria which over time are not removed with daily brushing and flossing. Eventually, this plaque buildup turns into tartar. Plaque is hard and cannot be removed by brushing. Over time, the plaque and tartar spread below the gum line. There, sight unseen, bacteria produce toxins that irritate the gums. The toxins also cause inflammation and trigger the body’s immune system to turn on itself. The result, tissue and bone that hold teeth firmly in place are broken down and destroyed. Small pockets form as gums separate from teeth. These pockets in turn become infected resulting in more tissue and bone loss. As with gingivitis, there may be little or no pain or discomfort. Left untreated, teeth can become loose and may need to be removed. Serious gum disease results in losing teeth.
A 2010 study found that 47% of adults in the US suffer from mild to severe periodontitis. The numbers are similar in Canada.
There’s a good chance that if you haven’t been brushing and flossing regularly, you may have gingivitis or even periodontitis.
The Canadian Dental Association recommends that you Check Your Gums on a regular basis for gum disease.

Check for:

  • a change in the colour of your gums
  • gums that are red around your teeth
  • gums that bleed every time you brush or floss
  • bad breath that will not go away
  • a taste of metal in your mouth
  • shiny, puffy or sore gums
  • teeth that are sensitive for no reason

If you experience any of these symptoms, call to schedule a dental appointment. The good news is that proper dental treatment can help reverse the early stages of gum disease.

Every day, germs and bacteria build up on your teeth. We encourage you to brush and floss daily to remove the build-up of this invisible film that left untreated, over time will have a very negative impact on your dental health.

Dr. John

Dental X-rays.
More Than Just a Black and White Image

Dental health includes not just your teeth, but also, the gums and jaw. 

Since a dentist can only see the visible portion of your teeth, X-rays play an important role in helping to find hidden problems. Problems include:

• decay between teeth and under fillings;

• bone loss that cannot be seen during a visual examination;

• cysts (an infection)

• tumors and

• hidden wisdom teeth.

When your dentist recommends an X-ray it’s because additional information is needed on which to base a treatment. If you’ve had a dental X-ray at our clinic within the last 2 years, you likely noticed that we’ve left the world of film behind and gone digital. Digital X-rays provide an immense leap forward, providing a dentist with detail not possible with film. The result: a better treatment plan.

There are some procedures that can be treated without an X-ray. An example: certain types of cavities on the front teeth. In these cases, the dentist will not request an X-ray. 

There are three different types of digital X-rays. The examination process determines what type of X-ray is required.

1. Bitewing radiograph

Taken every 18-24 months

To identify decay between the teeth and decay under old fillings. 

Bitewing X- rays provide a detailed look at decay that would require a filling.

These radiographs also allow the dentist to monitor the level of the bone around the tooth. This is important in determining the health of the bone and gums should the patient be developing periodontitis (gum disease).

To take this X-ray, we place a sensor onto a holder that is then placed in your mouth beside the tooth to be X-rayed. This sensor is connected to the computer. The image appears immediately on the dentist's screen for diagnosing. 

2. Periapical X-ray

Taken when required to provide a full Image of one or two teeth. A periapical X-ray takes an image of  the top (crown) and roots as well as the bone around the tooth. 

This X-ray is taken if a bitewing X-ray shows us any problems or a patient exhibits certain symptoms.

A sensor is placed in a holder and then placed in the mouth adjacent to the problem tooth. The holder is different from that used for bitewings. This holder allows us to position the sensor farther down on the tooth.   

3. Panorex

A Panorex is typically taken every 5-7 years.  A Panorex image shows the full surfaces of all the teeth plus the upper and lower jaw, all in one image.

As a result of this technology, your dentist can find problems that are developing down in the roots of the teeth or in the jaw. Examples of problem areas only visible with a Panorex include: identifying cysts (an infection), tumours (cancerous and benign) and wisdom teeth. These types of issues cannot be seen with the other two types of X-rays. 

As always we welcome your questions. When an X-ray is recommended feel free to ask your dentist about why a certain X-ray is being recommended. 

By using the best in digital imaging technology, we are able to achieve accurate X-rays with the least possible dose of radiation.

We believe in educating our patients so that they can make informed decisions. 

Dr. John

Be Proactive With Your Oral Health

Most of us realize that diet and exercise play an important part in keeping us healthy. But did you know that a healthy mouth is also an important part of a healthy body?

Poor oral health can affect a person's quality of life. Oral pain, missing teeth or oral infections can influence the way a person speaks, eats and socializes. These oral health problems can reduce a person's quality of life by affecting their physical, mental and social well-being.

Oral disease, like any other disease, needs to be treated. A chronic infection, including one in the mouth, is a serious problem that should not be ignored. Yet bleeding or tender gums are often overlooked.

Research has shown there is an association between oral disease and other health problems such as diabetes, heart disease and stroke, respiratory illness in older adults, as well as pre-term and low-birth-weight babies. Although researchers are just beginning to understand this relationship, evidence shows that oral disease can aggravate other health problems and that keeping a healthy mouth is an important part of leading a healthy life.

Be proactive with your oral health. It’s easy when you follow these 5 Steps to a Healthy Mouth, as put forward by the Canadian Dental Association.

1. Keep your mouth clean

  • Use a soft-bristle toothbrush and fluoride toothpaste.
  • Wait at least 20–30 minutes after eating before brushing your teeth.
  • Floss every day.
  • Eat a well-balanced diet.
  • Limit foods and beverages containing sugar or carbohydrates.
  • Ideal snack foods: cheese, nuts, vegetables, and non-acidic fruits.
  • Look for oral care products with the Canadian Dental Association (CDA) Seal.

2. Check your mouth regularly

Look for signs of gum disease:

  • Red, shiny, puffy, sore or sensitive gums
  • Bleeding when you brush or floss
  • Bad breath that won't go away

Look for signs of oral cancer:

  • Bleeding or open sores that don't heal
  • White or red patches
  • Numbness or tingling
  • Small lumps and thickening on the sides or bottom of your tongue, the floor or roof of your mouth, the inside of your cheeks, or on your gums

3. Eat well

  • Good nutrition helps build strong teeth and gums.
  • Munch on mouth healthy snacks like cheeses, nuts, vegetables, and non-acidic fruits. 

4. See your dentist regularly

  • 48% of Canadians who haven't seen a dentist in the past year have gum disease. Regular dental exams and professional cleanings are the best way to prevent and detect problems before they get worse. Has it been a while since you last saw a dentist?
  • You can now schedule an appointment with one of the dentists at Dr. John Drummond & Associates online  or call us at (514) 484-0521.

5. Don't smoke or chew tobacco

  • Smoking and chewing tobacco can cause oral cancer, heart disease, gum disease, and a variety of other cancers.

Dr. John

Source: Canadian Dental Association

The Surprising Impact Diabetes has on Dental Health

What do brushing and flossing have to do with diabetes? It’s easy to think they’re unrelated, but surprisingly diabetes has a big impact on dental health.

Diabetes affects your body’s ability to process sugar. In Type 1 diabetes, the body doesn’t make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In Type 2 diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body including your mouth.

If you or a family member has Type 1 or Type 2 diabetes, managing blood sugar level is very important. The higher your blood sugar level, the higher your risk of:

  • Tooth decay (cavities). Your mouth naturally contains many types of bacteria. When starches and sugars in food and beverages interact with these bacteria, a sticky film known as plaque forms on your teeth. The acids in the plaque attack the surface of your teeth and this can lead to cavities.

The higher your blood sugar level, the greater the supply of sugars and starches — resulting in more acid attacking your teeth.

  • Early gum disease (gingivitis). Diabetes reduces your body’s ability to fight bacteria. If you don't remove plaque with regular brushing and flossing, it will harden onto your teeth into a substance called tartar (calculus). The longer plaque and tartar remain on your teeth, the more they irritate the gingiva — the part of your gums around the base of your teeth. In time, your gums will become swollen and bleed easily. This is gingivitis. Because swollen gums bleed easily when you brush, there is a tendency to brush less thoroughly and the problems will worsen.
  • Advanced gum disease (periodontitis). Left untreated, gingivitis can lead to a more serious infection called periodontitis, which destroys the soft tissue and bone that support your teeth. Eventually, periodontitis causes your gums and jawbone to pull away from your teeth, which in turn causes your teeth to loosen and possibly fall out.

Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing. An infection such as periodontitis may also cause your blood sugar level to rise, which in turn makes your diabetes more difficult to control. Preventing and treating periodontitis can help improve blood sugar control.

The good news is that prevention is in your hands. Learn what you're up against, and then take charge of your dental health. To help prevent long term damage to your teeth and gums, you must take both your diabetes and your dental care seriously:

  • Make a commitment to manage your diabetes. Monitor your blood sugar level, and follow your doctor's instructions for keeping your blood sugar level within your target range. The better you control your blood sugar level, the less likely you are to develop gingivitis and other dental problems.
  • Brush your teeth at least twice a day. Brush in the morning, at night and, ideally, after meals and snacks. Use a soft-bristled toothbrush and toothpaste that contains fluoride. Avoid vigorous or harsh scrubbing, which can irritate your gums. Consider using a good electric toothbrush such as a Braun Oral B or a Sonicare. Be sure to change your toothbrush at least every three months or whenever the bristles are out of line.
  • Floss your teeth at least once a day. Flossing helps remove plaque between your teeth and under your gumline. If you have trouble getting floss down between your teeth, use the waxed variety as the extra lubrication allows it to slide in and out more easily.
  • Schedule regular dental visits. Visit us at 12 Brock Avenue North at least twice a year for a thorough exam and a professional cleaning.
  • Make sure your dentist knows you have diabetes. Besides informing us of any changes in your medical conditions including the current state of your diabetes, make sure that we also have the contact information for your doctor who helps you manage your diabetes.
  • Look for early signs of gum disease. Report any signs of gum disease — including redness, swelling and bleeding gums — to those of us on your dental team. Also mention any other signs and symptoms, such as dry mouth, loose teeth or mouth pain.
  • Don't smoke. Smoking increases the risk of serious diabetes complications, including gum disease. If you smoke, ask your doctor about options to help you quit. 

Managing diabetes is a lifelong commitment, and that includes proper dental care. Your efforts will be rewarded with a lifetime of healthy teeth and gums. We are here to help you deal with the complications and side effects of your diabetes and to help educate you about what is involved with maintaining your mouth in a healthy state.

With help from the Mayo Clinic website

Dr. John

Originally Published Jan 26, 2016

An important aspect of the dental exam is the periodontal probing.

It is an examination that allows the dentist to evaluate the health of the gums and the bone supporting the foundation around the tooth.

A tooth consists of a crown (visible part) and the root (not visible part) which is anchored in the bone. In a healthy state the whole root should be covered with bone. Sometimes, an accumulation of tartar/calculus causes the bone to dissolve away. In fact, calculus is not only ugly but it also contains bacteria which are quite harmful to your gums and the bone supporting your teeth. The loss of supporting bone structure and the infectious process associated with it is called periodontal disease. This condition can lead to tooth mobility, bleeding, infection, sensitivity and in extreme cases the loss of a tooth.

Originally Published November 24, 2015

Unless you’re in the 4% of the population that hasn’t had a dental cavity by age 65, you’ve experienced the dreaded feeling when your dentist has told you “…there’s a cavity starting…”.

It’s not what you or I want to hear (yes, Dentists also get cavities) when we go in for our dental appointments.
The cause of a lot of cavities starts with the way our molars are shaped. Tiny pits and grooves on the surface of the chewing surface are difficult to clean with brushing alone. Toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque.
Fortunately, there’s a painless solution that lasts for years.
Dental sealants are a dental treatment that give teeth extra protection against decay and help prevent cavities.
Sealants are easy to apply and painless. 
Applied by a dentist, the sealant is painted into the grooves of the tooth with a small brush where it bonds directly to the enamel of the tooth and hardens. This plastic resin bonds into the depressions and grooves of the chewing surfaces of back teeth. The sealant is a barrier, protecting enamel from plaque and acids. As long as the sealant remains intact, the tooth surface will be protected from decay starting on the chewing surfaces. Sealants hold up well under the force of normal chewing and will last many years before a reapplication is needed. 
The likelihood of developing tooth decay begins early in life, so children and teenagers are obvious candidates. But adults can benefit from sealants as well. The main teeth that require sealants are the back molars that erupt at age 6 and 12. By the time these teeth are fully grown into the mouth, usually by ages 7 and 13, they are ready to seal.
Sealants are a proactive method of beating tooth decay and finishing up a dental appointment with your dentist telling you “…that’s great, no cavities…”.
It gives you another reason to smile and a goal to join the lucky 4% of the adult population who have never had a cavity.

Dr. John 

P.S. Are sealants right for you? Or do you have questions about sealants? Be sure to ask on your next dental appointment.
P.P.S Interested in seeing how dental sealants are applied? There’s a short one-minute animated video on our website showing the procedure.

Originally published October 2015

One of elements that make communities like Montreal West stronger and increasingly unique are the many MoWesters who also work in and around our great neighbourhood. Whether it be teaching our children at one of the many local schools or becoming a household name on Westminster, there’s something special about MoWesters serving MoWesters.
To put the exciting news I’m about to share into context, I’m providing a brief history of my living and working in MoWest.
It’s been 27 years since I moved to Montreal West with my 
wife Ann, and started providing dental services alongside Dr. Vincelli at 12 Brock Ave. North.
With Dr. Vincelli retiring in 2010, I expanded my practice to provide Dr. Vincelli’s patients with comprehensive, compassionate dental care.
Long story short. Loyal patients like yourself consistently refer family, friends and colleagues living in MoWest as well as surrounding communities to our practice. As a result, I’m excited to share the news that two additional dentists have joined our growing dental team: Dr. Athena Diamandis(pictured on left in above photo) and Dr. Maria El-Hussein (pictured on right in above photo)
Dr. Diamandis graduated from the Faculty of Dentistry of McGill University in 2006. Upon graduating, she completed a one-year multidisciplinary residency at the Royal Victoria Hospital. She went on to private practice for a year in Montreal before moving to Rochester, NY. There, she practiced community-based dentistry, providing dental care to school-aged children. In 2010, she returned to Montreal and to private practice. At that time, she joined me to help teach in the Pre-Clinical Operative Program at McGill Dentistry and became a Faculty Lecturer.
Dr. Maria graduated from the Faculty of Dentistry at the University of Montreal in 2014. Following graduation, she moved to Boston where she completed a Certificate in Advanced Education in General Dentistry at the Boston University Henry M. Goldman School of Dental Medicine.
Both share my passion for providing gentle, caring dental care. We’re excited to have Dr. Diamandis and Dr. Maria join our team. Their friendly, welcoming personalities are infectious and put patients at ease.
Thank you for being part of our dental practice. My team and I look forward to providing the best in dental care for years to come.

Dr. John

P.S. Join us on Facebook, for occasional updates and informative tips concerning dental health.

P.S.S. Need to schedule a
dental appointment? You can do so on our website or by calling 514-484-0521