wellesley periodontist

The Link Between Periodontal Disease and Diabetes

June 13th, 2013

26 million adults are known to be affected by diabetes. Statistics show that 1 out of 10 healthcare dollars are spent on diabetes. The link between periodontal disease and diabetes has been extensively studied over the past 50 years. There is strong evidence that diabetes is a risk factor for periodontitis and gingivitis. A study dating back to more than 30 years ago has already shown that children suffering from type 1 diabetes had a higher prevalence of gingival inflammation. Ervasti et al. examined patients with gingival bleeding and determined that there was greater amount of bleeding in patients with poorly controlled diabetes when compared to subjects that do not have diabetes and subjects with well-controlled diabetes. Research has also shown that types with type 2 diabetes also tend to have more gingival inflammation than the control group in the study.

Studies also show that the risk of developing periodontitis is increased when one has diabetes. Teenagers with type 1 diabetes have been found to be five times more likely to develop periodontitis. Research also supports the idea that there may be more bone loss linked to adults with diabetes. Subjects suffering from type 2 diabetes are three times more likely to develop periodontitis compared to subjects without diabetes.

Doctors were able to pinpoint the root cause of this relationship between diabetes and periodontal disease. There is a protein known as the c-reactive protein (CRP), which is found in the blood stream. CRP levels rise with inflammation of blood vessels, which has been linked to type 2 diabetes and heart disease. Researchers have also shown that CRP is continuously produced in the presence of periodontal diseases. It is important to note that an individual cannot keep diabetes under control if he or she is also suffering from periodontal disease. It is absolutely crucial that diabetic patients maintain good oral health to keep CRP at bay.

Periodontal disease can affect your general health; read more here.

If you have any more questions, feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group; they will be happy to answer your questions! They can assess the risk of periodontal disease and if need be our periodontist, Dr. Ghazwan Ghazi, can help.Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.


Cianciola L, Park B, Bruck E, Mosovich L, Genco R. Prevalence of periodontal disease
in insulin-dependent diabetes mellitus (juvenile diabetes). JADA

Ervasti L, Knuuttila M, Pohjamo L, Haukipuro K. Relation between control of
diabetes and gingival bleeding. J Periodontol 1985;56(3):154-7.




Half Of American Adults Have Periodontal Disease

September 18th, 2012

The Centers for Disease Control and Prevention (CDC) have recently revealed that one out of every two American adults aged 30 or older has periodontal disease! How shocking is that?

These findings are based off of information gathered by the CDC in their 2009-2010 National Health and Nutrition Examination Survey (NHANES). This survey aims to evaluate the health of both adults and children in the United States. This survey was unique because for the very first time, it examined the entire mouth for various stages of periodontal disease. It's important to note that gingivitis, the beginning stage of periodontal disease, was not examined.

Also, in earlier NHANES, only partial mouth exams were done. This would leave a large margin of error since not all teeth were checked for periodontal disease. This more than likely caused for underestimations in previous NHANES.

Pamela McClain, DDS, president of the American Academy of Periodontology (AAP) and a practicing periodontist, said:

“This is the most accurate picture of periodontal disease in the U.S. adult population we have ever had. For the first time, we now have a precise measure of the prevalence of periodontal disease, and can better understand the true severity and extent of periodontal disease in our country. The AAP values its collaboration with CDC to better understand the burden of periodontal disease in Americans.”

There are also numerous curiousities worth noting, such as periodontal disease being more common in men than women and most prevalent in Mexican Americans. Smokers, those living below poverty level, and those with less than a high school diploma all boast high rates as well.

Drs. Ali & Ali take periodontal disease very seriously. During a hygiene appointment, each patient is thoroughly examined for signs and symptoms. If there is a problem developing, the patient is fully educated on the disease and what can be done to control it.

If you have questions on periodontal disease or another concern, please don't hesitate to contact us at 781-237-9071 or smile@wellesleydentalgroup.com!

Gingival Recontouring

August 31st, 2012

Your smile is your most important social asset. However, often times people are embarrassed by their teeth, gums, or both, resulting in self confidence issues.

A common problem is unhappiness with gumlines. Whether it's from rough brushing or periodontal disease, uneven gums or "gummy" smiles are more prevalent than you may think. Fortunately, most times this is an easy fix.

Gingivoplasty is the resculpting of gum tissue into a more even gumline. First, excess gum tissue is taken off to reveal more of the tooth which is followed by the recontouring of the gums. This can be done easily and relatively painlessly with a laser. Drs. Ali & Ali are proud to offer Biolase laser dentistry to their patients. Biolase uses a combination of laser and water to provide a quick and unique cutting action that is precise and gentle.

If gum recession is a concern, a gum graft could be a solution. This will cover the exposed roots of the tooth, preventing decay and further recession.

Teeth are one of the first things people notice about you, so why not have a smile you can be confident about?

Drs. Ali & Ali are happy to answer any questions you may have about gingival recontouring or any other procedure! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com.

Fish Oil Could Help Periodontal Disease

June 27th, 2012

Fish oil has long been regarded as beneficial to overall health. But did you know that it may help periodontal symptoms? Doctors in Australia have been analyzing various studies to draw a clear conclusion. Although all of the studies showed improvements,  two showed great progress when used in conjunction with aspirin. However, more needs to be done to know the full effect of fish oil supplements.

Dr. Alison Coates who is working on the project said,

"I would recommend that people ensure they have a sufficient intake of long chain omega-3 fatty acids in their diet for general health," said Coates. "In Australia, these types of fatty acids are considered to be essential with ~500 mg recommended as the suggested dietary target. This equates to approximately 2 fatty fish meals per week."

More research needs to be done to see if aspirin is necessary to see the benefits of fish oil. You can read the full article here.

What is Periodontal Disease?

January 23rd, 2012

Gingivitis that is left untreated can eventually morph into periodontal disease, or periodontitis, which is the swelling and infection of the supportive structures of the teeth. The breakdown of these structures leads to the loosening and eventual loss of teeth. Knowing how the disease develops and progresses and what warning signs to look for is imperative. After all, we all want healthy teeth and gums for life! Let’s learn a little bit about the disease and what symptoms may appear.

Periodontal disease develops when build up such as tartar and plaque accumulate near the gum line. Swelling occurs, which leads to a collection of this build up forming between the gums and teeth. Since the gums are swollen, the tartar and plaque become lodged. The supportive structures of the teeth, such as tissues and bones, begin to deteriorate. The likelihood of developing an infection is heightened because of the bacteria found in plaque. In some cases, a tooth abscess may even begin to form, speeding up the rate of deterioration.

Some symptoms to watch out for are halitosis (persistent bad breath), gums that are red or reddish purple, gums that seem to bleed easily (particularly with gentle brushing), tenderness of the gums when touched (but painless otherwise), and teeth that appear to be loosening. It is helpful to know that early signs bear a resemblance to gingivitis.

Treatment of periodontal disease aims to get rid of the swelling, eradicate any collections of tartar and plaque, and determine the ultimate cause of the problem. However, forms of treatment vary depending on the severity of the disease. It’s critical to remember that periodontal disease is a bacterial infection. The urgency of treating it is just as important as any other condition.

This is why it’s vital to remain vigilant regarding the health of your mouth. Keep an eye out for any and all warning signs and bring them to the attention of your dentist as soon as possible. The sooner any problems are addressed, the quicker a treatment plan can be implemented. You can learn more on our website. A happy smile is a healthy smile, so why not ensure its longevity with proper oral hygiene?

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