Health: Postmenopausal women who are at high risk for broken bones may also be at increased risk for gum disease, a new study suggests.

Sunday, February 22, 2015

Postmenopausal women who are at high risk for broken bones may also be at increased risk for gum disease, a new study suggests.

56. Surely! Those who disbelieved in Our Ayat (proofs, evidences, verses, lessons, signs, revelations, etc.) We shall burn them in Fire. As often as their skins are roasted through, We shall change them for other skins that they may taste the punishment. Truly, Allah is Ever Most Powerful, All-Wise.

57. But those who believe (in the Oneness of Allah - Islamic Monotheism) and do deeds of righteousness, We shall admit them to Gardens under which rivers flow (Paradise), abiding therein forever. Therein they shall have Azwajun Mutahharatun [purified mates or wives (having no menses, stools, urine, etc.)] and We shall admit them to shades wide and ever deepening (Paradise) .Surah An-Nisa' (The Women)

The research included almost 200 women, aged 51 to 80. They had all gone through menopause within the last 10 years, didn't smoke and hadn't taken hormone replacement therapy, bone loss prevention drugs ordiabetes medications for at least five years.

The women's gums were examined and their fracture risk was assessed on a Fracture Assessment Risk Tool (FRAX), which takes into account factors such as weight, height, previous fractures, arthritis, smoking and diabetes.

Many of those factors are also associated with gum disease, the researchers noted.

Women with high fracture risk scores also showed the strongest signs of gum disease, a finding that suggests that fracture risk could be a reliable indicator of gum disease, according to the study published recently in the journal Menopause.

"More investigations are needed, but the FRAX tool score can potentially be used as a way to find women at risk for gum disease," Leena Palomo, director of the periodontics program at Case Western Reserve University School of Dental Medicine in Ohio, said in a university news release.

Women can suffer rapid bone loss in the first decade after the start of menopause as their estrogen levels fall. Lower estrogen levels can also lead to changes in the body that result in gum disease.

Health insurance does not cover dental procedures, but there should be coverage for gum disease because it's linked to a woman's overall health, Palomo said.

During perimenopause and other times of hormonal fluctuation, women are at greater risk of gum problems. This is most commonly associated with declining estrogen levels together with the natural aging process.

Due to the increased risk of dental and gum concerns, it is important that women approaching or passing through menopause are aware of the symptoms and causes.

Research shows that estrogen levels can alter many oral tissues including gums, salivary glands, jaws and jawbones.

The hormonal changes associated with menopause coupled with the natural aging process affect the gum health of women more permanently than the hormonal changes associated with puberty, menstruation and pregnancy.

Dentists say that women need to pay special attention to oral care or risk health complications.
Fluctuating Hormones in Menopause Increases the Risk of:-

Gum disease (gingivitis or periodontitis)
Gum tissue loss or recession
Gum bleeding
Injury to the gum
Osteoporosis/bone loss (in the teeth and jawbone)
Burning mouth, tongue, gums
Dry mouth
Menopausal gingivostomatitis
Altered taste

Gingivitis develops when bacteria multiply and build up between your gums and teeth, which can lead to inflammation, bleeding and irritation. If gingivitis is left untreated it can lead to more serious problems like Periodontitis.

Periodontitis is inflammation of the tissue around the teeth which can cause shrinkage of the gums and loosening of the teeth. Researchers have now proved that periodontal disease, whatever it was triggered by, increases the risk of heart disease, stroke, chronic kidney disease and diabetes.

Symptoms of Gum Problems

Sensitive or soft gums
Gum recession
Swollen gums
Dry or shiny gums
Change in gum colour
Pain or burning in the gums
Pus between teeth and gums
Gums bleed more easily than usual.

Symptoms of Dental Problems

Burning Tongue
Dry mouth
Tooth decay
Dental cavities
Altered taste
Bad breath
Jaw problems

How Can You Prevent Gum Problems?

One of the first noticeable signs is bleeding whilst cleaning your teeth.

• Brush your teeth twice daily
• Floss daily
• Improve your nutrition. Eat fish, dairy and nuts. Avoid sugary foods
• If you smoke, quit
• Get regular dental check ups
• Inform your dental professional of any problems or changes to your gums and of any medications you may be taking
• Have your teeth professional cleaned twice yearly (more if necessary)
• Take beneficial supplementation to aid healthy gums.
• Take high quality supplements to ensure that you are getting all the nutrients you need.
*Menopause also increases the risk of bone problems, which can affect the teeth and jawbone. The risk of osteoporosis, which can target the teeth and jaw increases considerably following menopause.

*Bisphosphonates are prescribed for the treatment of Osteoporosis to prevent and treat bone loss. Unfortunately, it has been reported that the downside to these drugs is that they can have an adverse affect on bone healing. Dentists are concerned about this and research is currently ongoing.

Introduction

If you have been told you have periodontal (gum) disease, you’re not alone. Many adults in the U.S. currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.

What causes gum disease?

Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.

Gingivitis

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Periodontitis

When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Risk Factors

Smoking. Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of gum disease. Additionally, smoking can lower the chances for successful treatment.
Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop.
Diabetes. People with diabetes are at higher risk for developing infections, including gum disease.
Other illnesses and their treatments. Diseases such as AIDS and its treatments can also negatively affect the health of gums, as can treatments for cancer.
Medications. There are hundreds of prescription and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth. Without enough saliva, the mouth is vulnerable to infections such as gum disease. And some medicines can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth and gums clean.
Genetic susceptibility. Some people are more prone to severe gum disease than others.

Who gets gum disease?

People usually don’t show signs of gum disease until they are in their 30s or 40s. Men are more likely to have gum disease than women. Although teenagers rarely develop periodontitis, they can develop gingivitis, the milder form of gum disease. Most commonly, gum disease develops when plaque is allowed to build up along and under the gum line.

How do I know if I have gum disease?

Symptoms of gum disease include:

Bad breath that won’t go away
Red or swollen gums
Tender or bleeding gums
Painful chewing
Loose teeth
Sensitive teeth
Receding gums or longer appearing teeth

Any of these symptoms may be a sign of a serious problem, which should be checked by a dentist. At your dental visit the dentist or hygienist should: Image of Tooth Anatomy

Ask about your medical history to identify underlying conditions or risk factors (such as smoking) that may contribute to gum disease.
Examine your gums and note any signs of inflammation.
Use a tiny ruler called a “probe” to check for and measure any pockets. In a healthy mouth, the depth of these pockets is usually between 1 and 3 millimeters. This test for pocket depth is usually painless.

The dentist or hygienist may also:

Take an x-ray to see whether there is any bone loss.
Refer you to a periodontist. Periodontists are experts in the diagnosis and treatment of gum disease and may provide you with treatment options that are not offered by your dentist.

How is gum disease treated?

The main goal of treatment is to control the infection. The number and types of treatment will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. The doctor may also suggest changing certain behaviors, such as quitting smoking, as a way to improve treatment outcome.

Deep Cleaning (Scaling and Root Planing)

The dentist, periodontist, or dental hygienist removes the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.

Medications

Medications may be used with treatment that includes scaling and root planning, but they cannot always take the place of surgery. Depending on how far the disease has progressed, the dentist or periodontist may still suggest surgical treatment. Long-term studies are needed to find out if using medications reduces the need for surgery and whether they are effective over a long period of time. Listed on the next page are some medications that are currently used.

Medications	What is it?	Why is it used?	How is it used?
Prescription antimicrobial mouthrinse	A prescription mouthrinse containing an antimicrobial called chlorhexidine	To control bacteria when treating gingivitis and after gum surgery	It’s used like a regular mouthwash.
Antiseptic chip	A tiny piece of gelatin filled with the medicine chlorhexidine	To control bacteria and reduce the size of periodontal pockets	After root planing, it’s placed in the pockets where the medicine is slowly released over time.
Antibiotic gel	A gel that contains the antibiotic doxycycline	To control bacteria and reduce the size of periodontal pockets	The periodontist puts it in the pockets after scaling and root planing. The antibiotic is released slowly over a period of about seven days.
Antibiotic microspheres	Tiny, round particles that contain the antibiotic minocycline	To control bacteria and reduce the size of periodontal pockets	The periodontist puts the microspheres into the pockets after scaling and root planing. The particles release minocycline slowly over time.

Enzyme suppressant	A low dose of the medication doxycycline that keeps destructive enzymes in check	To hold back the body’s enzyme response — If not controlled, certain enzymes can break down gum tissue	This medication is in tablet form. It is used in combination with scaling and root planing.
Oral antibiotics	Antibiotic tablets or capsules	For the short term treatment of an acute or locally persistent periodontal infection	These come as tablets or capsules and are taken by mouth.

Surgical Treatments

Flap Surgery. Surgery might be necessary if inflammation and deep pockets remain following treatment with deep cleaning and medications. A dentist or periodontist may perform flap surgery to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient, dentist, and hygienist to keep the area clean. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again. After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.

Bone and Tissue Grafts. In addition to flap surgery, your periodontist or dentist may suggest procedures to help regenerate any bone or gum tissue lost to periodontitis. Bone grafting, in which natural or synthetic bone is placed in the area of bone loss, can help promote bone growth. A technique that can be used with bone grafting is called guided tissue regeneration. In this procedure, a small piece of mesh-like material is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow. Growth factors – proteins that can help your body naturally regrow bone – may also be used. In cases where gum tissue has been lost, your dentist or periodontist may suggest a soft tissue graft, in which synthetic material or tissue taken from another area of your mouth is used to cover exposed tooth roots.

Since each case is different, it is not possible to predict with certainty which grafts will be successful over the long-term. Treatment results depend on many things, including how far the disease has progressed, how well the patient keeps up with oral care at home, and certain risk factors, such as smoking, which may lower the chances of success. Ask your periodontist what the level of success might be in your particular case.

Second Opinion

When considering any extensive dental or medical treatment options, you should think about getting a second opinion. To find a dentist or periodontist for a second opinion, call your local dental society. They can provide you with names of practitioners in your area. Additionally, dental schools may sometimes be able to offer a second opinion. Call the dental school in your area to find out whether it offers this service.

How can I keep my teeth and gums healthy?

Brush your teeth twice a day (with a fluoride toothpaste).
Floss regularly to remove plaque from between teeth. Or use a device such as a special brush or wooden or plastic pick recommended by a dental professional.
Visit the dentist routinely for a check-up and professional cleaning.
Don’t smoke

Can gum disease cause health problems beyond the mouth?

In some studies, researchers have observed that people with gum disease (when compared to people without gum disease) were more likely to develop heart disease or have difficulty controlling blood sugar. Other studies showed that women with gum disease were more likely than those with healthy gums to deliver preterm, low birth weight babies. But so far, it has not been determined whether gum disease is the cause of these conditions.

There may be other reasons people with gum disease sometimes develop additional health problems.

For example, something else may be causing both the gum disease and the other condition, or it could be a coincidence that gum disease and other health problems are present together.

More research is needed to clarify whether gum disease actually causes health problems beyond the mouth, and whether treating gum disease can keep other health conditions from developing.

In the meantime, it’s a fact that controlling gum disease can save your teeth – a very good reason to take care of your teeth and gums.

Clinical Trials

Clinical trials are research studies of new and promising ways to prevent, diagnose, or treat disease. If you want to take part in a clinical trial about periodontal disease, visit http://www.clinicaltrials.gov. In the box under “Search Clinical Trials,” type in: periodontal diseases. This will give you a list of clinical trials on gum disease for which you might be eligible.

Health