Infection Control and Aids - Addressing your concerns. (For questions on gum disease during pregnancy, please see our Pre-natal, Infant and Children's Dentistry page.



► Infections in joint replacements can be instigated by severe gum problems.

Thorough dental examination for presence of tooth and gum infection prior to joint replacement. Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.

Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

Candidates for joint replacements who have not been seen by a dentist in over a year should be considered for a thorough dental evaluation of their teeth and gums before surgery.

Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

If you have any questions about infection in joint replacements, please call our office.



► Patient Concerns About Aids

A recent survey of dental patients showed that patient protection was #1 on their list of concerns about dental care. Some patients have even quit going to the dentist because of their fears.

Fortunately, trips to the dentist have never been safer. The case in Florida where the patient was apparently infected with the AIDS virus by her dentist is the only such case out of tens of millions of dental treatments performed since the introduction of the virus. The Center for Disease Control still does not know the method of infection.

However, even one case is too many. We have responded by adopting "universal (or standard) precautions". These involve sterilizing all instruments in dry-heat ovens or steam autoclaves to kill any bacteria. Disposable items are used whenever possible. The chance of contracting an infection in the dental chair is extremely remote, but the chance of losing one's teeth because of lack of proper dental care is extremely likely.



► Gum Disease
The American Dental Association says that over 75-80% of all adults have or will have some form of gum disease

Gum disease, or more correctly called "periodontal disease", is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.

The first stage is called "gingivitis" and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument.

The second, third, and fourth stages are initial, moderate, and advanced "periodontal disease", respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. The treatment is more involved at these stages, usually consisting of a special cleaning with anesthesia and sometimes gum surgery.



► Periodontal Disease - Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.

Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe and appropriate x-rays. Effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.

Early detection and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.

Signs of periodontal disease - bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.

► Periodontal Therapy - For more information on periodontal Therapy, please see our Services Page.