Posts for: January, 2014

By Berkley Dental Associates
January 23, 2014
Category: Oral Health
GumRecessionandPlasticSurgery

Did you know that millions of Americans have some degree of gum recession? Are you one of them?

Gum recession is the loss of the pink gum tissue that surrounds your teeth and can lead to exposure of the root surface of your teeth. In addition to the obvious aesthetic issues, recession can also result in tooth loss in very severe cases.

So, what causes gum recession? Well, first of all, if you are genetically predisposed to having thin gum tissues, your gums will be more prone to receding than those with thick tissues. However, other factors include ineffective oral hygiene, excessive brushing and mal-positioned teeth. In addition, poor fitting appliances, such as partial dentures can also cause gum recession.

If you think you are suffering from gum recession, you should make an appointment with us immediately, so that we can perform a thorough examination to accurately diagnose your condition. We'll look at your teeth and their position within the supporting bone and surrounding gum tissue. Depending upon our diagnosis, we may recommend a technique known as gum or soft tissue grafting, which allows us to regenerate lost or damaged gum tissue. Grafting is the surgical manipulation of tissue, taking it from one site and moving it to another, so that it can attach and grow.

There are two basic gum tissue grafting techniques, the free gingival graft and the connective tissue graft. Here is a description of each:

  • Free Gingival Grafting. With this technique, we remove a thin layer of tissue from the roof of your mouth or any other site where the tissues are identical to gum tissue (the donor). We then shape and transplant it to the recipient site to create new gum tissue. Both donor and recipient sites heal within two to three weeks.
  • Connective Tissue Grafting. This technique is used to cover exposed roots in the treatment of gum recession. It involves more microsurgical maneuvers to prepare both the donor and recipient sites. We take donor tissue from beneath the surface of the roof of your mouth and then cover it with the gum tissue surrounding the exposed root. Another alternative is to use processed tissue rather than your own tissue as a donor material.

When you visit us for an appointment, we will assess which procedure is best-suited to your needs.

If you would like more information about gum recession and plastic surgery, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”


By Berkley Dental Associates
January 08, 2014
Category: Oral Health
KristinCavallariandtheMysteryoftheBathroomSink

While she was pregnant with her son Camden Jack Cutler, 25-year-old Kristin Cavallari noticed an odd occurrence in her bathroom sink: “Every time I floss, my sink looks like I murdered somebody!” the actress and reality-TV personality exclaimed. Should we be concerned that something wicked is going on with the star of Laguna Beach and The Hills?

Before you call in the authorities, ask a periodontist: He or she will tell you that there's actually no mystery here. What Cavallari noticed is, in fact, a fairly common symptom of “pregnancy gingivitis,” a condition that affects many expectant moms in the second to eighth month of pregnancy. But why does it occur at this time?

First — just the facts: You may already know that gingivitis is the medical name for an early stage of gum disease. Its symptoms may include bad breath, bleeding gums, and soreness, redness, or tenderness of the gum tissue. Fundamentally, gum disease is caused by the buildup of harmful bacteria, or plaque, on the teeth at the gum line — but it's important to remember that, while hundreds of types of bacteria live in the mouth, only a few are harmful. A change in the environment inside the mouth — like inadequate oral hygiene, to use one example — can cause the harmful types to flourish.

But in this case, the culprit isn't necessarily poor hygiene — instead, blame it on the natural hormonal changes that take place in expectant moms. As levels of some female hormones (estrogen and/or progesterone) rise during pregnancy, changes occur in the blood vessels in the gums, which cause them to be more susceptible to the effects of bacterial toxins. The bacteria produce toxic chemicals, which in turn bring on the symptoms of gingivitis — including painful and inflamed gums that may bleed heavily when flossed.

Is pregnancy gingivits a cause for concern? Perhaps — but the condition is generally quite treatable. If you've noticed symptoms like Kristen's, the first thing you should do it consult our office. We can advise you on a variety of treatments designed to relieve the inflammation in your gums and prevent the harmful bacteria from proliferating. Of course, your oral health (and your overall health) are prime concerns during pregnancy — so don't hesitate to seek medical help if it's needed!

How did things work out with Kristen? She maintained an effective oral hygiene routine, delivered a healthy baby — and recently appeared on the cover of Dear Doctor magazine, as the winner of the “Best Celebrity Smile” contest for 2012. And looking at her smile, it's no mystery why she won.

If you would like more information about pregnancy gingivitis, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Expectant Mothers” and “Kristen Cavallari.”




Dentist - Berkley
2645 Coolidge Hwy
Berkley, MI 48072
(248) 541-5510

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