Dr. Sanda Moldovan presents a gentler approach to gum disease using ozone and lasers instead of traditional flap surgery. The full mouth disinfection method, developed in Belgium in the 1990s, combines laser therapy with ozonated water and probiotics to eliminate the bacteria that cause pockets and bone loss.
Questions this video answers
Almost 12 millimeters.
Over 500 different species of bacteria, parasites, fungus and viruses.
Since the 1990s in Belgium.
January 25, 2017.
Chapters
Hi everyone, I'm Dr. Sandha and I wanted to talk to you about a new concept in treating periodontal disease or gum disease. A lot of you maybe have gone to a periodontist and I've had the painful traditional flap surgery, which is very, very painful. So there's other ways to treat periodontal disease today, which is much less invasive and much more effective. So what is periodontal disease? So here I have a model. Here you see the gums are actually a little bit receding around the teeth. But this one, when I actually put my measurement down, you could see it's measuring all the way up to almost 12 millimeters. So there's actually a pocket, that's what we refer to as a pocket. Now when I lift the gum underneath, what you'll actually see is that the bone is missing around this tooth. So actually you see the good bone level on this tooth and then a big caved in area where the root of the tooth is showing and there's no bone all the way around. So what happened to this bone? This bone was actually eaten up by the body's enzymes trying to find the fight, the bacteria. So bacteria is actually settling in deeper and deeper and deeper and there's a constant fight going on underneath the gum. Your immune system is on one side and the bacteria on the other. So if this balance goes towards the bacteria, then we see more and more bone loss. Some people are more predisposed to bone loss genetically than others. But we do need the pain, pathogenic or disease causing bacteria to see this kind of bone loss. So in our office we use a full mouth disinfection program in order to resolve this issue. There's over 500 different species of bacteria, parasites, fungus and viruses that live in our mouth. And if this biofilm or group of bacteria is imbalanced, then we don't see periodontal disease. But in periodontal disease, we have more pathogenic or bad bacteria. Through a saliva test, which we do in our office, we can actually find out how many bacteria are actually present in the mouth which are causing disease. And based on this information, we use ozone. And ozone helps us destroy this biofilm composed out of bacteria, viruses, parasites and fungus, so it doesn't discriminate, unlike antibiotics which only act on bacteria, bacteria. So ozone will destroy this biofilm and it's used in our office via gas or ozonated water, after which we use laser treatment non surgically to go inside each pocket, which does two things. One is detoxify the pocket and the Energy will also help stimulate bone growth and gingival attachment, basically the gum attaching back onto the teeth. So I no longer do flap surgery to be able to treat periodontal disease. And number two, I think it is dangerous for the fact that when we cut into an infected area, all that bacteria now has access to the blood vessels and could travel throughout the body. There's been many studies to show that even after regular dental cleaning, there's a transient level of bacteremia or infection of bacteria into the bloodstream following immediately a dental cleaning, let alone a surgical procedure. So full mouth disinfection, essentially we address the full mouth. Even if you have several pockets, you still have this bacteria everywhere, the tongue, the cheeks, the tonsils. So this is not a new concept. It's been around since the 1990s in Belgium. Was actually studies to show to be more effective than traditional scaling or root planing or deep cleaning, as otherwise called deep cleaning. All it does is clean the bacteria from around the teeth, but it doesn't address the bacteria inside the bone, inside the gums and on the tongue. So what we do with a full mouth disinfection, we actually use the ozone first to destroy the bad bacteria and fungus and viruses that are living there. Then we use laser periodontal therapy. We give nutritional support, such as antioxidants to ensure great healing after such a procedure. Because we are creating a lot of oxidative stress in your body in order to heal needs antioxidants. And lastly, we also give an oral irrigator to everyone who needs it, because that's really the most effective way to clean when it comes to periodontal disease and biofilm. And also probiotics, Chewable probiotics have been getting a lot of attention lately, and these probiotics can help build back a healthy biofilm. After we've eradicated the bad bacteria. We have had very efficient treatment this way to help our patients heal their mouth and feel better. Overall. Periodontal disease shouldn't be ignored because it's really a systemic problem. If you think the inflammation stays just in the mouth, think again. This bacteria loves to travel, and it's been found in knees, in lungs, in fetuses, for pregnant mothers. So it does travel. So I recommend before you get pregnant or planning on getting pregnant, or make sure you actually check your mouth to be as healthy as it can be. Here's to your health in 2017 and until next time, be well.
