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Thank you!

--Dr. Linda Hallman

Preventing Gum Disease and Protecting your Teeth!

It is estimated that around 80 percent of American adults are currently diagnosed with some form of gum disease. Also known as, periodontal disease or periodontitis, gum disease starts with gum inflammation and can end with major damage to the bone and tissue holding the teeth in place, resulting in tooth loss and irreversible damage to the gums. Many doctors and researchers have also found gum disease to be the cause of several other health problems, including heart disease, diabetes, and complications for women during pregnancy. Gum disease is a serious dental health condition, and by understanding how gum disease is caused, what symptoms to look for, and how you can prevent it, you will be able to keep your smile healthy for many years to come.

What causes gum disease?

Your mouth is full of bacteria, and when the bacteria are left in your mouth, it can cause a sticky, colorless film over your tooth surface called plaque. Brushing your teeth regularly and flossing can help to remove much of the plaque build-up on your teeth; however, if you do not brush and floss regularly, the plaque on your teeth can harden and turn into tartar. Tartar cannot be removed by a toothbrush, only your dentist has the special tools needed to remove tartar from your tooth’s surface.

Eventually, if left untreated, the tartar and plaque on your teeth will cause gingivitis. Gingivitis is the early stage of gum disease and is usually curable if caught early enough. Signs of gingivitis include:

• Red, swollen gums
• Gums that bleed when you brush and floss
• Gums that pull away from your teeth
• Pockets between your teeth and gums where food gets caught
• Persistent bad breath

If you have gingivitis, and it is left untreated, you may end up with gum disease. Gum disease causes the gums to pull completely away from the teeth and form infected pockets. The bacteria in your mouth and on your teeth will start to break down the tissue and bone that supports your teeth and holds them in place. Gum disease that is left untreated will lead to the extraction or loss of teeth. Most people do not show signs of gingivitis and gum disease until they are in their 30s, 40s, or older. Certain risk factors can increase your chance of getting gum disease, including:

• Smoking
• Diabetes
• Stress
• Certain prescription medications
• Illness
• Genetics

How can I prevent gum disease?

You can help your chances of never getting gingivitis or gum disease simply by taking care of your teeth and gums on a regular basis. Here are some of the ways you can help keep your smile healthy:

• Brush your teeth at least twice a day using fluoride toothpaste approved by the ADA.
• Floss at least once every day to remove food stuck between your teeth and along the gum line.
• Visit your dentist for routine, general checkups and teeth cleaning every six months.
• Eat a well balanced diet, including fruits and vegetables.
• Stay away from using tobacco products of any kind.

Gingivitis and gum disease are both preventable and treatable. If you would like a list of recommended dental health care products, or have any questions about gingivitis, gum disease, and how to keep your teeth and gums healthy, please ask Dr. Hallman at your next dental checkup. Our practice is happy to answer any questions you may have, and provide you with accurate information to help you maintain the health of your smile in between office visits. If you think you may have any form of gingivitis or gum disease, please contact our practice at
240-383-1233 to schedule an appointment as soon as possible.

More About Orthodontics From Hallman Orthodontics

There are so many questions about orthodontics that we never ask, so Dr. Hallman took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at Hallman Orthodontics. We'd love to hear from you.

The Myths and Facts of Orthodontics

There are quite a few myths about orthodontists circulating around. Before you buy into those myths, you should get the facts! We came across a great site that helps set the record straight. Our friends at the American Association of Orthodontists have some excellent information on the myths and facts of orthodontists, check them out today!

Hope this helps,

--Hallman Orthodontics

Dr. Hallman answering all your burning questions about mouthwash

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride - fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic - an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination - a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription - for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)


If you are curious about which kind of mouthwash would work best for you, be sure to ask Dr. Hallman at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!