Posted in Gum disease, Periodontics, Periodontist in Virginia Beach

4 Risk Factors of Gum Disease

Have you ever had something caught in your teeth for days? It’s likely because it was lodged deep between a tooth and your gums. That gum tissue is what keeps our chompers in place. There are three stages of gum disease. They’re all are treatable and it starts with an infection of bacteria under the gum line.

gingivitis_2The mild form of gum disease is Gingivitis. This is where plaque and other byproducts irritate the gums. It makes them swollen, tender, and more likely to bleed. Periodontitis is stage two. The gum tissue starts deteriorating as it detaches from the teeth forming pockets around the roots. These pockets can have a depth up to 7 millimeters. Finally, Advanced Periodontitis can set in. Tooth pockets get deeper as the severe gum recession leads to bone loss impacting your total well-being. Depending on how quickly and destructive your case is determines if surgical or non-surgical treatment is the best option for you.

Common Risk Factors of Periodontal Disease

  • Genetics – it’s hereditary and some of us are just unlucky! While you may be more susceptible to periodontitis, having a good oral hygiene routine with regular dental visits can help your smile stay healthy. Talk to us about finding the right balance for your needs.
  • Health – underlying medical conditions like diabetes and Crohn’s disease, as well as lowered immunity from illnesses and treatments often affect gum tissue. Medications, hormonal changes and obesity are also culprits and should be discussed.
  • Bad Habits – chewing on ice, not brushing or flossing daily and using tobacco are the most common behavior changes we encourage you to ditch. However, substance abuse and a diet lacking in vitamin C will also impact your smile.
  • Stress – it’s inevitable. But keep an eye on exactly how much it’s weighing you down. High levels or chronic stress can lead to poor hygiene habits. Anxiety can also lower your immune system from effectively fighting off bacteria that causes gingivitis (stage 1).

When to Seek Help

Common red flags of gum disease include:

  • Bleeding gums
  • Swollen or tender gums
  • Gums look bright red
  • Teeth wiggle

There’s no home remedy to cure gum disease. If not stopped quickly, serious damage to your gum and supporting bone will require much more aggressive treatment to save your teeth. Only professional treatment can help, so call today for a consultation (757) 333-7444.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

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Posted in dental health, Gum disease, Periodontics

Periodontics and Untreated Cavities in the US

shutterstock_14313997With the vast advancements in the dental field this last decade, it may be surprising to learn that untreated cavities stemming from gum disease are still a prevalent and persistent issue for many people in the United States. More than one in five Americans has untreated cavities and periodontitis, according to Dr. Bruce Dye, an epidemiologist at the U.S. Center for Disease Control and Prevention. “It appears that we haven’t been able to make any significant strides during the last decade to reduce untreated cavities” (Dye.) 

How do cavities relate to periodontal health?

shutterstock_125978177 Bacterial plaque continually accumulates on your teeth at the gum line. The same bacterial acids that destroy tooth enamel can cause an infection of your gum tissue and the bone surrounding your teeth. When the plaque is not fully removed, it hardens in to tartar – giving the bacteria a place to thrive, in turn leading to cavities and gum disease that gradually breaks down tooth and bone.

Mother Daughter BrushingYou can reduce your odds of developing gum disease and cavities through engaging in healthy lifestyle choices. Practicing good dental hygiene by regularly brushing and flossing is essential.   Limiting sugary drinks and unhealthy snacks that feed the bacteria that lead to tooth decay and periodontitis is another controllable element in cavity and gum disease prevention.  Regular periodontal cleanings are also paramount. When problems are identified and treated early, it prevents the necessity for further costly and invasive procedures.  If you are experiencing sensitivity or pain, schedule an appointment today.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in Periodontics

Implant Retained Dentures

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Even if you may not be in the market for dentures, most people are at least familiar with the concept. Traditionally, they are worn over the gums and held in place by an adhesive. However, with the evolution of medical technology, dental implant posts are now placed into the jawbone and used as anchors. Dentures are then securely fixed to the posts, which provide structural integrity to the tooth and aid in the preservation of the jawbone.

Dental Implant Procedure for Dentures

There are a few separate steps to getting your retained dentures properly fitted and ready for action. After the initial consultation, your first procedure will involve placing the actual dental implants that will support the denture. This is done by making incisions into the gum and placing the implant posts securely into your jawbone. After a waiting period, a healing cap may then be placed on the head of each implant, which helps guide the gum tissue to heal properly. The cap is later replaced with regular abutments to hold the dentures in place. Finally, an impression is taken to create your perfect-fit dentures that will sit on your new implant structures. We then ensure the dentures fit comfortably and securely and make any necessary adjustments. Voila!

The Pros and Cons of Retained Dentures

One major factor for patients who choose to use retained dentures is their increased stability. Another benefit is the internal support they offer the jaw; without the implanted roots, jawbones degrade over time causing the structure of the face to sink, which affects your appearance and makes it difficult to secure traditional dentures. They also offer the freedom to eat many foods that would otherwise be impossible to enjoy, chewy foods in particular.

However, that is not to say they are drawback free. First and foremost, although it is a minor procedure, there is an invasive aspect not required with the use of traditional dentures. Additionally, the time it can take to place the implants and allow them to heal is more than some patients feel comfortable with.

Implant Supported Dentures or Traditional Dentures?

Ultimately it is great to have several options when it comes to revitalizing your smile. If you have traditional dentures or think you may be a candidate, ask us about retained dentures. We can give you all the information you need and develop a treatment plan for your individual case!

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455
(757) 333-7444

Posted in dental health, Office News, oral hygiene, Periodontics, Periodontist in Virginia Beach

Gum Disease and Heart Disease

Blog Title- Gum Disease

It’s your dentist’s job to tell you about the health of your mouth, and we know that can get a little dry. But did you realize your oral health may actually affect your heart health?? Although researchers are still establishing exactly how this connection works, there is a lot of evidence to suggest those with gum disease, an advanced form of gingivitis, can actually lead to an increased chance of heart attack or stroke. Although we may not know exactly why gum disease can lead to heart problems, we want our patients to know how to avoid serious health complications (spoiler alert: it has a lot to do with regular brushing and flossing!).

Given the complexity of the human body, it’s an incredibly difficult task to identify and explain direct processes of cause-and-effect; as such, we have been unsuccessful at explaining precisely why and how gum disease and heart disease are linked, but we are aware there is a connection and that it’s in the interest of our health and yours to be familiar with the long-term risks poor dental health can have on the body. Succinctly put, there are tremendous amounts of data that have demonstrated those with compromised oral health and long-term periodontal inflammation are at a significantly higher risk to develop heart disease and increase the likelihood of the individual to suffer from a heart attack or stroke.

At present, the culprits most suspected of triggering this chain reaction are bacteria and inflammation. Some researchers have suggested that due to the vascular nature of the gums, infection and bacteria below the gum line can become dislodged and enter the blood stream with disruption, which can: trigger inflammation through the body, damage blood vessels, or possibly form clots. Your blood stream is a direct line to your heart, and the bacteria associated with gum disease can easily find its way into your heart and then cause significant damage. Inflammation, on the other hand, leads to hardened arteries and makes it more difficult for blood flow to reach your heart; this additional strain can easily trigger a heart attack, particularly if you were already susceptible in the first place. Gum disease comes with a handful of standard symptoms, and inflammation is one of the most common. Left untreated, it isn’t too far a stretch to suggest the long-term implications can move beyond your oral health and affect the rest of your body’s systems.

Ultimately the relationship between gum disease and heart disease is primarily based off long-standing conditions; that is to say, if you are diagnosed with gingivitis and visit your dentist to resolve the issue, there isn’t reason to worry about suffering a heart attack. It’s when problems are allowed to progress and fester that there is cause for concern in regards to the long-term damage that may be happening in the body without receiving proper treatment and care. A study titled Prevalence of Periodontitis in Adults in the United States estimated that 47.2 percent of American adults have mild, moderate or severe periodontitis. In adults 65 and older, prevalence rates increase to 70.1 percent. It’s an easy thing to miss by yourself, and your dentist can always give you more information about your health. If you are following proper home care treatment, visiting the dentist every 6 months, and have not been informed of any serious issues by the doctor, then there is little cause for concern. As always, if you have absolutely any worries at all about the health of your gums or overall oral health, then call our office for an appointment. It’s always easier and more affordable to treat the problem before it is allowed to take hold. Keep brushing and flossing!

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455
(757) 333-7444

Posted in dental health, Office News, oral hygiene, Periodontics, Periodontist in Virginia Beach

Plaque VS. Tartar

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Plaque and tartar are not one in the same.  Tartar is more severe than plaque.  Tartar can become a serious issue if not quickly taken care of.  Here are the differences to help sort out any type of confusion between the two.

Plaque is an accumulation of bacteria and particles that build up naturally on the tooth surfaces.

Plaque:
– Sticky
– Colorless
– Full of bacteria

When sugar comes in contact with plaque, acids are released.  These acids then attack the tooth enamel causing it to break down which in turn can lead to…. CAVITIES!  When the tooth enamel is broken down, not only do cavities form, this can then contribute to early stages of gum disease, such as Gingivitis.

The best way to prevent any of the above issues from occurring is to take good care of your teeth, gums and mouth!  Brushing and flossing are key components to getting rid of plaque and clearing off the sugary acids from the teeth.

If plaque build-up remains on your teeth, it begins to harden forming tartar

Tartar:
– Tough
– Hard
– Crusty
– Traps stains
– Causes discoloration

The simple act of daily brushing and flossing will not remove tartar.  After plaque has formed in to tartar, the next step would be getting to the dentist.  Your dentist is the only one that will be able to remove the tartar from your teeth.

To avoid plaque and tartar altogether, proper oral health care maintenance needs to be administered on a daily basis.  Plaque is inevitable and will form on tooth surfaces.   Removing the plaque and not allowing it to sit on your teeth prevents it from evolving into tartar as well as the enamel-attacking acids, cavities, and gum disease.

So remember, brush your teeth regularly, twice a day, floss those gums daily and take care of your mouth. 


Dr. Rogge is a periodontist located in Virginia Beach, and treats many patients from the surrounding communities of Norfolk, Pembroke, Chimney Hill, Windsor Woods, and Tidewater.

Posted in dental health, Office News, Periodontics, Post surgry instruction

Are you in need of a bone graft?

Are you in need of a bone graft-

Here you will learn the basic 411 in all things bone graft related.

What is a bone graft?

A bone graft is a procedure that is administered that builds up bone in an area of the jaw that is thin, soft or otherwise lacking in bone structure and support.  Bone grafting commonly occurs when a patient is in need of a dental implant.  Bone grafting is also successful around teeth that are affected by periodontal disease.

Why do you need a bone graft?

When a tooth is missing, the surrounding area begins to recede and the jawbone starts to shrink.  In order to place a new tooth implant, the jawbone’s ground structure needs to be built back up in order to support the implant.  Periodontal disease can also damage bone support around teeth.    Bone grafting around teeth can save your teeth from removal, in selected cases

Procedure:

There are several materials that can be used to produce bone growth in the mouth.  Some people transplant bone from another area of the mouth to do this, but Dr. Rogge almost never does this.  He primarily uses special growth factor proteins to stimulate your own stem cells to migrate to the surgical site, and turn into bone cells.  This is a very popular method to grow bone throughout the body, and not just in dentistry.  By using your own stem cells to produce the bone, there is no rejection problem, as can occur with synthetic materials.  Most synthetic materials do not grow any bone, and often have to be removed if they are unstable (which they usually are).
A small incision is made in the gum to expose where the graft will be placed.  The defect around the teeth or where the tooth is lost is then filled with the proteins that act as a “scaffold” to allow new bone cells to develop.  The area is then sutured closed, and the healing process begins.

Your body continually flushes out dead or damaged cells.  Once the defect that needed grafting has been flushed out, new healthy cells can fill the defect.  This all occurs during your healing.  Once this area is healed, you are now ready for the dental implant procedure.  If grafting is completed around teeth or implants, very thorough and precise follow-up care with Dr. Rogge is essential for success.

Healing time:

Healing time typically takes about 3 to 12 months after the bone graft surgery is completed before a dental implant can be placed, or before we see much change around treated teeth.  The new bone needs the proper amount of healing time to develop a strong support.  This will allow for the implant procedure later, or in the case of periodontal treatment, can stabilize weakened teeth.
Most of these procedures, including the placement of an implant, are successful.

You just have to keep a few things in mind during before, during, and after phases:

– Make sure to thoroughly practice magnificent oral hygiene EXACTLY as directed by Dr. Rogge and his staff
– Avoid bad habits that may cause damage to the recently treated area in your mouth
– make sure that you do not miss any scheduled follow-up visits with Dr. Rogge

If you adhere to all of these things, you should be good to go, with a beautiful, healthier smile!

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455
(757) 333-7444

Posted in dental health, Periodontics, Periodontist in Virginia Beach, Post surgry instruction

What the Heck is a Frenectomy?

FrenectomyFrenectomy?  What is that?!

What do you call that thing? That little piece of tissue found between your top lip and front teeth?  What about the one under your tongue?  Is it necessary?  Why is it even there?

This is called a frenum.  It’s simply a fold of tissue in the mouth.  A frenum ultimately serves no purpose and removing one will cause no loss of function or any type of speech impediment. When a frenum is too tight, in the wrong place, or is causing issues within your mouth, a frenectomy procedure can be done.  In most cases, a periodontist performs this type of surgery.  During a frenectomy procedure, the frenum is clipped and the excess tissue is removed.

When would someone need a Frenectomy Procedure?

A frenum can interfere with the fit of dentures.  It can also causes problems during orthodontic treatment when it comes to the two front teeth.   Some people have a tight frenum under the tongue that prevents the tongue from moving freely. This condition is commonly known as “tongue tie”.   Tongue tie may interfere with feeding infants, speech or even proper eruption of the upper front teeth. If a frenectomy procedure does not solve the problem, it may need to be done a second time. Redoing a lingual frenectomy (under the tongue) is somewhat common. A labial frenectomy is the removal of the frenum between the two front teeth. This procedure rarely needs to be re-executed.

With careful surgical techniques you will continue your daily activity without the loss of any sensation what-so-ever.   However, on rare occasions a frenectomy can bruise the nerve that gives feeling to the lower lip and chin.  This can cause numbness in that area; however, it does not affect the movement in the area.   There could be numbness for a few weeks up to a couple months.

A frenectomy generally heals without problems and with little pain. It usually helps to take over-the-counter non-steroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin and others). Rinsing with salt water helps keep the area clean. After this procedure is administered, be sure to brush and floss very carefully around that area. Depending on the type of stitches your doctor uses, they may need to be removed or may dissolve on their own.

Dr. Rogge is located in Virginia Beach, and treats many patients from the surrounding communities of Norfolk, Pembroke, Chimney Hill, Windsor Woods, and Tidewater. Call to schedule a consultation to see if you’re a candidate for a frenectomy.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455
(757) 333-7444