The occlusal analysis, when getting ready to perform any kind of orthodontic surgery, is crucial for a dentist or orthodontist to make the best possible choices for your oral health; a substantial number of problems are avoided when we know to not move a tooth in a certain direction, or design a mouthguard that will tire the jaw in an unhealthy manner. This is comprehensive dentistry; everything works together, and everything is related! An occlusal analysis is absolutely necessary before any of the following procedures:

- Crown, bridge, denture, or implant treatment

- Fabrication of a bite guard

- Orthodontic treatment (an occlusal analysis should be performed after this as well)

- Any other time a poor bite is suspected. Pay attention to symptoms like worn, chipped, or broken teeth; gum sensitivity and/or recession; pain in facial muscles; and other symptoms similar to prolonged gum disease, such as loose teeth, bone loss, and even tooth loss.

As a small side note, gum disease can, in fact, be evidence of a poor bite. But that’s a topic for another day.

Dr. Sperbeck, West Los Angeles

Ouch! This topic may not be so pleasant to visualize. But harm does come to folks’ teeth all too often, maybe because of a car accident, a sports or recreational accident, or some other dreadful mishap. Children are most apt to suffer much damage because of their activity levels and still-developing mouth.

When I say tooth damage, this does not always refer to the visible damage you might see on the surface (the crowns), such as an obviously chipped or broken tooth. A significant amount goes on beneath what can be seen without x-rays or probing about. If an injury causes a tooth to move from its original position, the tooth’s pulp (nerves, blood vessels, etc.), dentin, and the surrounding bone and gums could very well be damaged as well, and that’s where things can get tricky and painful.

We will cover a few kinds of injuries and how they may be fixed over the next few days.

Dr. Sperbeck, West Los Angeles

Lately, numerous amounts of questions have arisen on the topic concerning the connection between oral health and overall health. Does the former really affect the latter? How is someone possibly at risk for heart disease or low birth weight babies if the apparent problem is only in his/her mouth?

Our bodies are not a jumble of different mechanisms forming one walking, talking unit. Each of the body’s systems — the nervous system, the cardiovascular system, the endocrine system, etc. — work in unison to keep us living in steady homeostasis! If one system fails or malfunctions, it gradually leads to another system losing its ability to function properly, and it spirals downward from there.

Inflamed parts of your body can lead to further inflammation or infection in other parts. Periodontitis is the body’s response to harmful bacteria left in your mouth. Periodontitis — ahem gum disease, if severe enough and untreated long enough, will, in fact, set off other inflammatory mechanisms in your body, leading to such things as diabetes, cardiovascular (heart) disease, and preterm and low birth weight babies. And gum disease is common — it can happen to anyone!

Don’t ignore the significance of this link. Good oral hygiene is serious!

Dr. Sperbeck, West Los Angeles

Another extremely important trait that The Pankey Institute develops in its dentists’ methods is consultation of fellow dentists or other specialists in order to get the best possible input, and thus make the wisest, most beneficial decision for the patient in certain cases. Dentists don’t know everything! This is why he/she may refer you to an endodontist (tooth-innards specialist) if the insides of your teeth — the pulp, nerve, etc. — are infected; or maybe an orthodontist for braces; or a periodontist for gum disease or dental implantation. A dentist practicing general dentistry may not have the expertise an oral surgeon might… and so on.

All of these experts schedule extra time — outside of daily office appointments and patients’ time spent in the chair — to compare opinions, knowledge, and information… “teaming up”, if you will. This is called Interdisciplinary Dental Care. Interdisciplinary Dental Care is extremely valuable for bringing you the best possible results.

And taking a second… or third… or twentieth… approach to a certain problem is never a bad idea, right?

Dr. Sperbeck, West Los Angeles

When we check for signs of gum disease, we use a thin, tiny ruler to measure the depth of these “gaps”, or “pockets”, along your gumline. This can give us an idea of how well your teeth and gums are doing healthwise. Healthy gums and healthy teeth have pockets that measure at 3mm or less, which is equal to slightly less than 1/8 in. However, at around 3mm, early stages of gingivitis (fancy name for the first progression of full-on gum disease) may appear: the swelling, redness, and sensitivity of gums may start becoming a bother. From there, the pocket deepens as the infection grows, slowly separating the tooth from the gum tissue. This is how the tooth becomes loose or how it eventually falls out; the tooth’s root is in serious danger!

Another thing to consider is that these acidic bacteria and their acidic waste (yes, their waste, as in feces!) can become trapped in this pocket between tooth and gums. The gums, most likely, are already pretty swollen, so any deep-cleaning is painful to begin with, which leaves the bacteria to continue multiplying and rotting your tooth. Getting an ozone cleaning will help out with this a little bit, but it’s always the price to pay for poor oral hygiene habits (…or the lack thereof).

Dr. Sperbeck, West Los Angeles