What Your Gums Can Expect When You Are Expecting

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The American Academy of Periodontology
September 2007

Congratulations! You are pregnant or planning on becoming pregnant! Whether or not you want it, everyone you know will be giving you advice about how to eat, sleep, exercise, and take care of your body during this exciting time. However, what some might forget is the importance of taking care of your oral health.

Good oral health is always important. However, it may be especially important for expecting mothers as recent research suggests that pregnant women with periodontal diseases may be up to seven times more likely to have a baby that’s born too early and too small. Preterm births are dangerous for both baby and mother. They are the leading cause of neonatal death and can lead to life-long health problems such as cerebral palsy, mental retardation, and difficulties with blindness and lung disease.

The likely culprit of this possible connection is a labor-inducing chemical found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in women with severe cases of periodontal disease.

In addition, other research has identified bacteria commonly found in the mouth and associated with periodontal disease in the amniotic fluid of some pregnant women. Amniotic fluid is a liquid that surrounds an unborn baby during pregnancy. Any disruptions in the amniotic fluid, such as a bacterial infection, could potentially be dangerous to both the mother and baby.

Don’t panic! Take your concerns to your dental professional. If you’re diagnosed with periodontal disease, your periodontist might recommend a common nonsurgical procedure called scaling and root planning. During this procedure, your tooth-root surfaces are cleaned to remove plaque and tartar from deep periodontal pockets and to smooth the root to remove bacterial toxins. Research suggests that scaling and root planning may reduce the risk of preterm birth in pregnant women with periodontal disease by up to 84 percent.

If you have questions regarding the link between periodontal disease and pre-term low birth weight babies, visit the American Academy of Periodontology website at http://www.perio.org/ or visit Michigan Periodontist, Dr. Joseph Nemeth on the web at http://www.drnemeth.com/. To request a copy of this AAP article, call Dr. Nemeth at 248.357.3100.

Michigan Periodontist and Staff join the Making Strides for Breast Cancer Cause

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The American Cancer Society: Making Strides Against Breast Cancer Walk - Saturday, October 10, 2009

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Click the link to join our team or make a donation. Help us reach our $2000.00 goal as we honor breast cancer survivors and raise funds and awareness to help end this disease.

Southfield Periodontist Takes a Stand Against Bad Breath

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Have you ever caught yourself running out to meet a new client or on your way to a hot date and wondered “do I have bad breath”? Of course most of us have had this experience at one time or another but in most of our cases; the bad breath is fleeting. Those of us who are afflicted with true oral malodor, or halitosis as it is more commonly referred to, have known how distressing this problem can be. It can affect both our social interactions and our personal life. Many of us have gone from place to place to have this checked out; and most to no avail. It seems that nothing helps this problem for any length of time; not mouth wash, not gum, and not breath mints. What, if anything can be done?

Before we discuss what can be done for bad breath, we first need to understand the etiology of halitosis. In days past, bad breath was thought to originate in the stomach or intestines. If not there; then we’d check the sinus cavities. In the majority of cases, checking out both these areas produced no evidence of infection or disease which would result in bad breath. Next area of inspection; surprise, surprise, was the oral cavity. The oral cavity is loaded with bacteria which can cause everything from tooth decay to bleeding gums. Although gum disease or gingivitis can contribute to bad breath, a secondary source of the bacteria is often found on the surface of the tongue. This bacteria is the same stuff we all are exposed to, however, depending on our genetic predisposition, the bacteria likes to stay with some of us longer. When this happens, it settles into the cracks and crevices on the tongue where they remained undisturbed until we do something out of the ordinary to get rid of them.

At the Richter Center in Southfield, Mi, we have been treating bad breath successfully for 16 years. We use a simple program that involves removing these bacteria from the surface of the tongue both in office and at home. We also recommend a non-alcohol based mouthrinse in order to kill the bacteria we are unable to scrape off. We then make sure that we eliminate the bad gum disease and any tooth decay. A combination of these two things, plus a stringent home care regime can provide a welcome relief from the scourge of halitosis and give those that suffer with it and new reason to smile.

Study Shows Flossing Reduces Periodontal Bacteria

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A twin study recently published in the Journal of Periodontology found that daily flossing combined with tooth and tongue brushing, significantly reduces the amount of periodontal disease-causing bacteria in the mouth

The study was carried out at New York University and included 51 sets of twins between the ages of 12 and 21. Each twin set was randomly assigned a two-week treatment regimen with one twin brushing with a manual toothbrush and toothpaste and the other brushing with a manual toothbrush and toothpaste and flossing. At the end of the two-week trial, samples were taken from each pairs of twins and compared for levels f bacteria commonly associated with periodontal disease. The result showed that those twins who did not floss had significantly more bacteria associated with periodontal disease in comparison with his/her counterpart who had flossed.


According to the study's authors, only a small number of studies have reported on the clinical effectiveness of flossing for plaque removal and the promotion of healthy gums. Commenting on the study, Dr. Kenneth Kornman, editor of the Journal of Periodontology, said: "Twins tend to share the same or similar environmental factors such as dietary habits, health, and life practices, as well as genetics. In this case the only difference was flossing and the outcome was significant."


Dr. Susan Karabin, former president of the American Academy of Periodontology, adds: "Patients tend to think that flossing can't possibly make that much difference. But this study demonstrates flossing can significantly reduce the amount of periodontal disease-causing bacteria, even after just two weeks."

Want to learn about other ways to reduce periodontal bacteria and reduce your risk factors for gum disease? Visit Michigan Gum Specialist, Dr. Joseph Nemeth & Associates on the web at http://www.drnemeth.com/ or call the office at (248) 357-3100.

Michigan Periodontist Dr. Joseph Nemeth Uses His Lasers Instead of a Scalpel to Remove Oral Growths

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Growths which occur within the mouth can often be successfully treated and removed with a non-invasive surgical procedure and/or laser treatment. The causes or etiology of these lesions, aberrations or oral growths Michigan are numerous.

Laser Pregnancy Tumor Removal

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A pregnancy tumor is a swelling of gum tissue which often looks like a reddened lump with many deep red pinpoint markings on it. The tumor is non-cancerous and usually painless; however, it can become painful if it interferes with your bite or if debris collect beneath it. Through a non-invasive surgical procedure, the pregnancy tumor is removed. Notice there is very little bleeding and no need for sutures.






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To see more cases like this visit follow this link to our squidoo lens photo gallery or browse to our practice website at http://www.drnemeth.com/.


Questions? Call 248.357.3100 or ask the Michigan Periodontist.

Michigan Periodontal Practice Invests in Laser Technology to Give Patients Another Treatment Option

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Recently Michigan Periodontal Practice, Joseph R. Nemeth, DDS & Associates recently acquired the Millennium PerioLase laser. This is the lastest generation of the Nd:YAG laser and is designed specifically to treat periosontal disease. Like LASIK surgery for the eyes, this patented and FDA-approved laser therapy allows us to treat the disease in a minimally invasive procedure, in some cases eliminating the need for conventional periodontal surgery.

In 1990, Southfield Periodontis, Dr. Joseph Nemeth became one of the first periodontists in the nation to use lasers. In fact, the first dental laser was invented by a Birmingham, Michigan company. While the early dental lasers were very limited in what they could do, dental lasers such as the state-of-the-art Millenium Periolase can now be used effectively to reach down into the pockets to help eliminate inflamed tissue and destroy bacteria.

Also like LASIK eye surgeons, who need more than one laser to treat different eye problems, Joseph R. Nemeth, DDS & Associates has many different types of lasers for many different types of treatment. Each has its own distinct wavelength, and each is paricularly suited for certain specialized procedures.

Laser surgery provides another treatment option when scaling and root planing is not enough and patients either do not want or who are not good candidates for conventional surgery. Now Dr. Nemeth can save teeth that would have had to be extracted in the past. For many patients, laser surgery may provide a realistic alternative to traditional gum surgery with comparable results.

The patient benefits of laser therapy can include less pain, recession, bleeding, and root sensitivity, as well as minimal swelling and downtime after treatment. All these benefits can be achieved in only one visit since the laser therapy usually includes scaling during the same visit. Of course, like conventional treatment, maintenance visits will be necessary following laser treatment.

An additional benefit of laser surgery is the antibacterial effect that helps to disinfect periodontal pockets. The new Millennium PerioLase laser is designed to target the bad, black-pigmented bacteria and is able to vaporize these bacteria, eliminating them on contact.

For patients who are concerned about conventional surgery for periodontal disease, the new laser treatment can be a life-changing event. Patients can save their teeth, preserve their natural smiles, and avoid some potentially life-threatening systemic effects of bacteria from untreated perodontal disease. Laser treatment gives these patients another option.

Think you may want to learn more about the laser alternative to periodontal surgery? Please call 248.357.3100 to reach Michigan Periodontists and Dental Implant Specialists Drs. Nemeth, Becker and Katranji or email us at info@drnemeth.com. See photos of laser periodontal treatment at http://www.drnemeth.com/.

Michigan Periodontist Uses Laser to Treat Tongue-Tied Patient With Lingual and Labial Frenectomy Procedures

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Michigan Periodontist, Dr. Joseph Nemeth uses lasers in his Southfield periodontal practice to treat various oral health issues. Oakland County laser treatments include periodontal therapy, frenectomy, removal of oral lesions and gummy smile treatments and much much more.

Lasers add a valuable dimension to periodontal care because of the particular advantages they offer:

  • Lasers have an antibacterial effect that helps disinfect periodontal pockets.
  • Lasers minimize bleeding and promote faster healing.
  • Lasers enhance patient comfort, with many patients experiencing little or no discomfort during therapy or afterward during healing.
As a pioneer in the use of lasers in periodontics, Dr. Joseph R. Nemeth & Associates has a wide array of laser technologies available for patient care. Lasers have many applications in periodontics. In some instances laser therapy can be used as the primary treatment method, and in others it is used as an adjunct to surgical periodontal procedures.

Case Study #1 - Laser Frenectomy

Before - Patient needed both a lingual (tongue tied) and labial (lip side) frenectomy.












During Procedure - These pictures show the both frenectomies immediately after using the laser. Notice how these areas, which are both very rich in blood vessels, have little to no bleeding during the procedure. Also notice that no sutures are needed. The area will heal quickly and with little pain.














After -The first photo shows how little tongue extension the patient has prior to the procedure. Notice how much more tongue extension the patient has immediately following the laser frenectomy.

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After















To view more cases like this or to learn more about laser procedures, visit http://www.drnemeth.com/ or call Joseph Nemeth, DDS & Associates, specialists in periodontics and dental implants, at 248.357.3100.