Did you know that treating your gums can reduce the severity of arthritis?

In a June 2009 article in HygieneTown, Ortiz, et al reported that "treatment of moderate to severe periodontitis might relieve the symptoms of arthritis." Both Rheumatoid Arthritis (RA) and periodontal disease are classified as chronic inflammatory diseases characterized by local destruction of both hard and soft tissues. Both diseases release cytokines or proteins from inflammatory cells and thus the progression of one disease can impact the progression of the other and vice versa.

For the purpose of this study, researchers at Case Western University in Cleveland, Ohio, provided non-surgical periodontal therapy to 20 patients diagnosed with RA. A second group of 20 was formed as a control goup and also consisted of RA patients. All patients were taking medications to control RA and half the group was taking an anti TNF drug. Those takeing the anti-TNF drug were randomly assigned to both the treatment group and the control group.

Baseline exams included blood tests, DSA28, and periodontal clinical indices. Half the group received Scaling and Root planing and oral hygiene instructions and each member of both groups were evaluated after six weeks.

Those receiving non-surgical therapy showed improvement in their periodontal health and those taking the TNF drug showed greater healing than those who were not taking the drug. Scaling and Root Planing subjects not taking the anti-TNF drugs showed significant improvement in periodontal indices as well as indicators of RA severity compared to controls, either taking TNF or not. serum TNF levels were reduced for those receiving periodontal treatment compared to controls.

According to Ortiz et al, the study revealed the following clinical implications: "Treatment of moderate to sever periodontitis might relieve the symptoms of rheumatoid arthritis." Visit http://www.hygienetown.com/ for the complete story.

For more information about the perio-systemic link, visit any of the following resource websites

• http://www.theperiogroup.com/
• http://www.perio.org/
• http://www.hygienetown.com/

or call Dr. I. Stephen Brown at The Perio Group (215) 735-3660.

Philadelphia Periodontist Corrects Overgrowth of Gum Tissue During Orthodontic Treatment

Excess gum tissue can create the appearance of short teeth and a "gummy" smile—and make your oral health more difficult to manage. A number of factors can cause a gummy smile. Philadelphia periodontist, Dr. Stephen Brown can remove excess gum tissue to give your mouth a new look. Esthetic crown lengthening can enhance your smile by creating a more even gumline, making the teeth appear longer. The procedure can also improve the patient's ability to eat and allows for better oral hygiene, resulting in less irritation.

During Cosmetic Crown Lengthening, a cosmetic periodontal procedure, gum tissue is surgically removed, and in some cases, some of the underlying bone is also removed.

In this example, a young lady had experienced irritation from braces (orthodontics). If a patient has excessive gum tissue at the time of orthodontic treatment, the gums can become irritated by the braces, even with proper oral care. Following orthodontic treatment and removal of her braces, an overgrowth and enlargement of her gums became evident, making her teeth appear much too short and her smile much too "gummy".

Before

Montgomery County Periodontal Specialist, Dr. I. Stephen Brown corrected the condition utilizing a cosmetic periodontal procedure, making her smile much more attractive.

After

To learn more about correcting gummy smiles and other gum procedures, call Philadelphia Gum Specialist Dr. Stephen Brown (215) 735-3660 or visit him on the web at www.theperiogroup.com and submit your questions online using one of the "contact us" forms located throughout the website.