Happy New Year to our dental family at Gabriel Roybal DDS!
The highest compliment a patient can give us is the referral of their friends, family, and co-workers. We are pleased to announce a new referral program at our office. For every new friend you refer to us you will receive $50 of credit towards your next dental visit after they have completed their first visit. Your friend will also receive $50 off their first visit to our office when they note the name of the person that referred them on their new patient paperwork.
Referrals cannot be from the same household
Cannot be combined with any other new patient offer
Oral bacteria can cause problems that reach far beyond the mouth. A study out of the Case Western Reserve University School of Dental Medicine followed the damage caused by bacteria after it leaves the mouth and enters the bloodstream.
Among the findings was data indicating that bacteria in fluid lubricating both knee and hip joints shared the DNA contained in dental plaques in patients with gum disease who need joint replacement.
Researchers studied bacteria such as Fusobacterium nucleatum and Serratia proteamaculans to see if they were affecting patients with gum disease, whether they were found in the fluid. Findings seem to support a long-held theory that arthritis patients were being affected by the bacteria.
The study was performed with 36 patients with osteoarthritis and rheumatoid arthritis at the University Hospitals Case Medical Center.
A new research report published in the Journal of Leukocyte Biology shows how the bacteria known for causing gum disease–Porphyromonas gingivalis–manipulates the body’s immune system to disable normal processes that would otherwise destroy it. Specifically, the report shows that this pathogen prompts the production of the anti-inflammatory molecule Interleukin-10 (IL-10). This, in turn, inhibits the function of T-cells, which would otherwise help to protect the host from this particular microbial infection.
“Since greater than 50 percent of the U.S. population over 50 years-of-age develop adult periodontal disease, we hope that the results of our study will ultimately help in the development of novel treatments that could prevent or ameliorate the chronic infection caused by the pathogen P. gingivalis,’” said Jannet Katz, D.D.S., Ph.D., a researcher involved in the work from the Department of Pediatric Dentistry at the University of Alabama in Birmingham.
To make this discovery, scientists used cells from mice that were exposed to P. gingivalis. One portion of the cells was treated with an inhibiting antibody against IL-10 and the other portion of cells was not treated. All of the cells were then tested for interferon gamma production. An increase of interferon gamma production was seen in the treated cells, but no increase was found in the untreated cells. These findings suggest that the damage done by P. gingivalis happens when the immune cells of the host are first exposed to this pathogen, and further implies that for treatment to be successful, it must be started as early as possible. This study highlights the mechanism by which P. gingivalis can establish a chronic infection in the form of periodontal disease and provides insight into how the disease develops. Results also demonstrate the importance of very early intervention either by eradication of the bacterium with specifically designed therapeutics or by prevention via the development of an effective vaccine.
“Gum diseases and the infections that cause them can be incredibly stubborn and difficult to treat,” said John Wherry, Ph.D., Deputy Editor of the Journal of Leukocyte Biology. “What isn’t as well known is why these infections are so difficult to eradicate. These new studies now demonstrate that these bacteria go beyond merely evading our body’s defenses and actually manipulate our immune systems for their own survival.”
The above story is reprinted from materials provided by Federation of American Societies for Experimental Biology, via EurekAlert!, a service of AAAS.
As December comes to an end, we begin to think of what we would like to change, to do differently to make 2013 a better year (or, perhaps more accurately, to make ourselves better in 2013). If the media is to be believed, then it seems most of us are gearing up to make 2013 the year we lose weight, get in shape and actually go to the gym beyond February. [Read more...]
Perhaps more than any other time of year, December is the time to be merry and bright! Christmas songs play on every radio station, family members start arriving from far corners of the country and presents are exchanged. All the festivities generate overwhelming feelings of gratitude and goodwill that we want to share with more than those closest to us. [Read more...]
While people may have mixed feelings about snow—it’s difficult to drive in, it means it’s cold outside, it means it’s ski season, etc.—most people admire one thing about snow: it’s color. Snow-white is stain-free, clean…just the way you want your smile to be.
If your smile is currently dingy or you have some uneven discoloration or staining, Dr. Gabriel Roybal, DDS in Santa Fe, NM can help you get your smile winter white with Zoom! laser teeth whitening. [Read more...]
Christmastime is rich with traditions, some of which we share with countless others—like decorating Christmas trees, hanging stockings on the fireplace and exchanging gifts. Others are unique to our families and our communities. Santa Fe has one such tradition that ties our community to our distinctive Spanish Christian heritage: Las Posadas.
Every year, Americans spend millions of dollars on gum, mints, mouthwashes and sprays to eliminate embarrassing bad breath. When bad breath is just the result of garlicky pasta or too many onions on your green chile cheeseburger, these products are usually effective. However, persistent bad breath may be the result of something other than what you ate, and in such cases, you will need more than mouthwash to remedy the problem.
Causes of Bad Breath
Noticeable odors on your breath could be indicators of a number of oral health issues:
Moderate and advanced periodontal disease entails bacterial infection of the gum tissues. When the body is unable to effectively fight off infection, the tissue necrosis may follow, and the decay of gum tissue can produce foul odors. Unchecked tooth decay can produce the same effect.
Poorly fitting dental appliances
A number of issues may arise when dentures, alignment devices or any other hardware that stays in the mouth all or most of the day do not fit correctly. If the appliances leave gaps between the appliance and palate or gum tissue, food debris may get caught in the spaces or stuck on the appliance. If not washed away with daily brushing, flossing and/or soaking, the food particles will begin to rot and produce a foul smell.
If poorly fitting dental appliances rub against adjacent tissues, sores may develop. Bad breath may result if these sores become infected.
Saliva moistens the mouth and facilitates the neutralization of acids and the removal of food debris, both of which minimize plaque buildup. When saliva production is diminished, these functions are compromised, which means there is more tooth-decay and gum-disease promoting substances in the mouth, and both of those conditions can cause bad breath. Diminished saliva also means that dead epithelial cells from the tongue, inside of the cheek and gums are not removed quickly, and the decaying cells can also produce a foul smell.
Bad breath can also indicate compromised health beyond the mouth. Postnasal drip associated with allergies, colds and sinus infections, for instance, can cause odors on the breath. Bad breath is also common with respiratory tract infections (e.g. pneumonia and bronchitis). Still, the cause of bad breath may be deeper in the digestive system.
When the digestive system is compromised, as in cases of chronic acid reflux and liver disease, the body takes longer to mechanically and chemically break down food, leaving it to sit in the stomach or intestines longer. The mixture of partially broken down food and digestive acids essentially begins to rot, which not only produces a foul smell, but it also produces gases that are released through the upper digestive tract as burps and belches (or through the lower digestive tract as other embarrassing productions).
Bad Breath Remedies
The steps you need to take to eliminate bad breath depends on the cause. If bad breath is the result of gum disease, tooth decay or ill-fitting dental appliances, you will need to see your dentist to treat the conditions or adjust the appliance. Diligent at-home oral care will be essential to preventing recurrent bad breath problems once necrotic tissue and/or tooth decay has been removed. If dry mouth is to blame, your dentist and/or doctor may give you tips—such as drinking more water and rinsing thoroughly with an alcohol-free mouthwash—to maintain oral health with diminished salivary production.
If you have “stomach” breath, an appointment with your primary care physician is the best course of action. There are many conditions that may affect your digestive system, and proper diagnosis of any condition is key to effective treatment, including the treatment of bad breath. Dietary analysis and nutritional consultation may also be necessary to see if what you are eating is giving you the proper balance of vitamins, minerals and other nutrients to maintain optimal wellness.
When mints, gum and mouthwash aren’t enough to eliminate bad breath, schedule a complete oral health screening at our Santa Fe office. Dr. Roybal and our oral health specialists will identify any sores, disease or decay that may be producing foul odors and refer you to other healthcare professionals as needed.
Thanksgiving is a time to reflect on all the blessings we have in life. One of the many blessings everyone at Dr. Gabriel Roybal, DDS and Oral Hygiene Plus+ has in common is fulfilling work. Our work provides more than a steady paycheck, although we are very thankful for that, too. Our work gives each of us the opportunity to make a difference in people’s lives.
In their own words, here’s why our staff is thankful for being part of Dr. Roybal’s Santa Fe dental and oral health practices:
“The office of Dr Roybal has given me the ability to provide the most advanced comprehensive service and care to each patient through the latest equipment, education and technology and thus enabling the patient to have the best in oral heatlh care.” –Sharon, Oral Health Specialist
“As a recent graduate from the University of New Mexico dental hygiene program I feel privileged to be employed as a full time hygienist at Oral Hygiene Plus+. I have had the opportunity to advance in my career with training and certification in Laser Periodontal therapy. It has been a privilege working for Dr. Roybal’s successful practice and providing advanced dental medicine at Oral Hygiene Plus.” –Stephanie
“I am very, very thankful first of all that I have a job, and second that it is with Dr. Roybal and [Teresa]. I am grateful for the many opportunities [they] have given me and allowed me to grow with the practice. I appreciate the trust [they] have given me which in turn makes me want to do more for [the] business. I bring to the practice loyalty, trust, hard work […] I still wake up every morning after [thirteen years] and want to come and work for both of [them].” –Beverly
“I am grateful for the way we take care of patients as a whole. I truly believe in what it is that we do with perio[dontal care] and Oral Hygiene Plus+. I also love the way Dr. [Roybal] takes care of his patients as if they were his mother in the chair.” –Lucia
“I am thankful that I am one of the first points of contact for patients; being in a position where I can promote the practice and the doctor I work for is amazing. I know the type and quality of care here, and I can talk to and bring patients in with confidence. Knowing no matter what the appointment may entail, I know that they will have a 5-star experience.” –Dionne