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Dry Socket; More Common in Women than Men!
We all know what a dry socket is. For those of you that don’t know, it is the most common and painful complication after tooth extraction. But did you know that dry socket can develop commonly in women than in men?
A recent study showed that the menstrual cycle and use of certain oral contraceptives could be a determinant risk factor in dry socket formation.
As most of you ladies know, menstrual cycle occurs during the first 7 days of a normal menstrual cycle. During this period the estrogen level is at its lowest. During the next several days until ovulation, the estrogen level increases and reaches its peak concentration near ovulation. We know that estrogen causes fibrinolysis which basically means that estrogen can break down blood clot formation. Blot clot formation is important in healing of a fresh tooth extraction socket. So if there is no blood clot, there is poor healing and consequently dry socket formation.
Certain oral contraceptives (OCs) containing estrogen that cause an increase in blood estrogen levels which subsequently may increase chances of dry socket formation after tooth or wisdom tooth extraction.
So perhaps it is a good idea to perform elective wisdom teeth extractions during the menstrual cycle when estrogen level is at its lowest in your body and if you are on oral contraceptives, schedule your surgery on the days between tablet cycles.
Source JOMS September 2103
Gum Disease can raise your blood sugar level
For years we have known that people with diabetes have more gum disease than people without diabetes. Scientists are now finding that gum disease may raise blood sugar level in people with and without diabetes.
So what does higher blood sugar does to us?
- May increase the risk of developing type 2 diabetes.
- May increase risk of developing pregnancy associated diabetes.
- *Those with type 2 diabetes may have a difficult time controlling their blood sugar level.
How does gum disease make blood sugar level go up?
Scientists think that some of the germs in infected gums leak into the blood stream with normal activities such as tooth brushing, chewing or flossing. This in turn starts a reaction from your body’s defense system producing other toxins and raising your blood sugar level.
Can gum disease treatment help control your diabetes?
Yes, the good news is that in people with type 2 diabetes, gum treatment can lead to a drop in blood sugar level.
What can you do?
-Keep your gums as healthy as possible even if you do not have diabetes.
-Brush your teeth gently twice a day with a soft-bristled toothbrush.
-Clean between your teeth with floss or another interdental cleaner.
-Make sure you have a regular check up by your board certified Periodontist (gum specialist).
The latest research on links between gum disease and diabetes shows how important it is to have healthy gums.
Call us today for a consultation with our board certified Periodontist, Dr. Jin Eslami.
Source: JADA July 2013.
Risk of Apple-Shaped Body
Having an apple-shaped body, with fat concentrated mainly in the abdominal area, has been linked with an increased risk of kidney disease. Previous research attributed that increased risk to excess weight, hypertension, abnormal lipid levels, and diabetes. New findings suggest those may not be the most important factors. In a study of kidney blood flow in 315 healthy, normal weight individuals, researchers found that participants with apple-shaped bodies had elevated blood pressure in the kidneys, resulting in lower kidney function and lower kidney blood flow. The finding suggest elevated blood pressure in the kidneys may cause an increased risk of developing kidney disease later in life.
Source: JAMA June 5, 2013
From JAMA’s Daily News Site
Diabetes and Tooth Loss
The medical community has done a great job educationg us about the systemic health effects of diabetes. Heart disease, foot infections, nerve damage “peripheral neuropathies and eye problems are just few conditions we are all aware of. How about diabetes and oral health? According to multiple studies, there is a strong link between diabetes, periodontal disease and subsequent tooth loss. Tooth loss or “edentulism” are preventible disabilities. A visit to your periodontist should be a priority just like your visit to your diabetes doctor.
Jinous eslami, DDS, MS
Source: JADA May 2013
Temporomandibular joint “TMJ” pain and whiplash injuries
Motor vehicle accidents are one of the most frequent causes of whiplash injuries and whiplash may cause severe myofacial pain and “TMJ” diseases. The symptoms of “TMJ” include headaches, facial pain, neck pain, clicking and popping sounds as we open and close our jaws. There are many options for those whom suffer from TMJ disease. TMJ disease should be treated by a board certified oral and maxillofacial surgeon trained in TMJ treatment and surgery.
Reza Bolourian, MD, DDS