Yonkers Westchester Periodontal

Dr. Michael Schacter D.M.D., P.C. Yonkers, Westchester Periodontal Service.

 

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Periodontal Disease Linked to Cardiovascular Disease

While current research does not yet provide evidence of a causal relationship between the two diseases, scientists have identified biologic factors, such as chronic inflammation, that independently link periodontal disease to the development or progression of cardiovascular disease in some patients. - PRNews wire.

 

Dr. Michael Schacter, DMD

 

Current News

Michael A. Schacter, D.M.D., P.C. of Yonkers, NY specializes in the care and treatment of the supporting structures of the teeth and implant dentistry.

Our doctors and staff are committed to providing you with the highest quality of care by making your experience as relaxed and comfortable as possible. Call today to schedule an appointment.

 

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Dr. Schacter maintains an active membership in many professional associations. He was recognized as a “Top Dentist” in Westchester County Magazine in 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017 and 2018

Top 10 dentistry clinics in Yonkers, NY 2016
Michael Schacter's Practice has been recognized as one of the top Yonkers Dentistry practices.
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Gum  Overview

periodontal desease

Periodontitis

Common forms of Periodontitis

       Chronic periodontitis results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.

   Aggressive periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.

       Periodontitis as a manifestation of systemic diseases often begins at a young age. Systemic conditions such as heart disease, respiratory disease, and diabetes are associated with this form of periodontitis.

Necrotizing periodontal disease (NPD) is an infection characterized by gingival necrosis presenting as "punched-out" papillae, with gingival bleeding, and pain. Predisposing factors may include emotional stress, immunosuppression, especially secondary to human immunodeficiency virus (HIV) infection, cigarette smoking, poor diet and pre-existing gingivitis.

 

 

Prevention

Now you might already know this, by speaking with your dentist or periodontist, but in case you haven't heard...If you suffer from Periodontal Disease, you will inevitably lose your teeth, either by having them pulled, or by them falling out on their own, one by one

 

Regular visits to the dentist for cleaning and x-ray films helps prevent periodontal disease. Inform the dentist of any health problems or current medications being taken. Teeth do not have to be lost to periodontal disease. With proper care, a person's teeth should last a lifetime.

 

Periodontal Disease

What is Periodontal Disease

Periodontal disease is an advance form of gum inflammation called gingivitis. Our mouth contains a lot of bacteria that react with food components such as sugar or starch to form sticky colorless film or plaque on our teeth. Brushing or flossing can get rid of plaque, but if plaque is not removed, it can harden and become tartars, which is an ideal place for bacteria to settle. The bacteria can irritate and inflame the gums below your teeth causing gingivitis. And when gingivitis become worse, bacteria penetrate further until it hits the deeper pockets to where the tissues layers and bones are at (periodontal membrane that holds the teeth in place)--causing periodontal disease that can lead to tooth loss.

 

Signs and symptoms

In the early stages, periodontitis has very few symptoms and in many individuals the disease has progressed significantly before they seek treatment. Symptoms may include the following:

  • Redness or bleeding of gums while brushing teeth, using dental floss or biting into hard food (e.g. apples) (though this may occur even in gingivitis, where there is no attachment loss)
  • Gum swelling that recurs
  • Spitting out blood after brushing teeth
  • Halitosis, or bad breath, and a persistent metallic taste in the mouth
  • Gingival recession, resulting in apparent lengthening of teeth. (This may also be caused by heavy handed brushing or with a stiff tooth brush.)
  • Deep pockets between the teeth and the gums (pockets are sites where the attachment has been gradually destroyed by collagen-destroying enzymes, known as collagenases)
  • Loose teeth, in the later stages (though this may occur for other reasons as well)

Patients should realize that the gingival inflammation and bone destruction are largely painless. Hence, people may wrongly assume that painless bleeding after teeth cleaning is insignificant, although this may be a symptom of progressing periodontitis in that patient.

 

How to Manage Periodontal Disease

Non-Surgical Treatment

AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment, including scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins), followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.

    Most periodontists would agree that after scaling and root planing, many patients do not require any further active treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain health. Non-surgical therapy does have its limitations, however, and when it does not achieve periodontal health, surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene practices.

    Surgical Treatment

    If you're diagnosed with gum disease, your periodontist may recommend periodontal surgery. Periodontal surgery is necessary when your periodontist determines that the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment. Following are the four types of surgical treatments most commonly prescribed:

    Dental Implants

    If you've already lost a tooth to periodontal disease or other reasons, you may be interested in dental implants—the permanent tooth replacement option.

    Cosmetic Procedures

    In addition to procedures to treat gum disease, many periodontists also perform cosmetic procedures to enhance your smile. Oftentimes, patients who pursue cosmetic procedures notice improved function as well. Cosmetic procedures include:

    Tray Delivery Devices

    Recently, questions have been raised in regards to a tray delivery device that is marketed for the treatment of gum disease. The Academy has developed a fact sheet that aims to set forth some facts regarding this product.

 

 

 

 

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Latest News

  • We offer surgical and non-surgical periodontal therapy.
  • Contact Michael A. Schacter, D.M.D., P.C. today at 914-963-7700
  • "Top Dentist” in Westchester County Magazine in 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017
  • "Top Dentist” in Westchester County Magazine in 2018
  • We care about you as well as your Periodontal Health
  • Dr. Schacter specializes in placing dental implants
Dental Care, serving Westchester County, Yonkers NY
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MICHAEL A. SCHACTER, D.M.D., P.C
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