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DESCRIPTION
Periodontal disease is second only to the common cold as the most prevalent infectious ailment in the United States. It affects 75 percent of Americans over the age of 35 and is the major cause of adult tooth loss. The rate of periodontal disease increases with age, ranging from 15 percent at age 10 to more than 50 percent at age 50 years.
TYPES OF PERIODONTAL DISEASE
Periodontal means "located around a tooth." Periodontal disease therefore can refer to any disorder of the gums or other supporting structures of the teeth.
WARNING SIGNS OF POTENTIALLY SEVERE PERIODONTAL DISEASE
Warning signs of potentially severe periodontal disease include the following symptoms:
- Loose teeth.
- A change in the way your teeth fit together.
- A change in the fit of partial dentures.
- Red, swollen, or tender gums.
- Gums that bleed when you brush or floss.
- Gums that have pulled away from the teeth.
- Constant bad breath.
- Dry mouth.
- Bruxism (teeth grinding).
MoonDragon's Health & Wellness: Bruxism
3 COMMON TYPES OF PERIODONTAL DISEASE
Gingivitis
Pyorrhea
Stomatitis
Graphics courtesy of www.perio.org
GINGIVITIS
Gingivitis (inflammation of the gums) is the early stage of periodontal disease and is considered the mildest form of periodontal disease. It is caused by plaque. Plaque is the sticky deposits of bacteria, mucus, and food particles that adheres to the teeth. The accumulation of plaque causes the gums to become infected and swollen. As the gums swell, pockets form between the gums and the teeth that act as a trap for still more plaque. Other factors that contribute to the development of gingivitis include breathing through the mouth, badly fitted fillings and prostheses that irritate surrounding gum tissue, and a diet consisting of too many soft foods that rob the teeth and gums of much needed "exercise." Genetics also may be a factor, as a tendency toward periodontal disease seems to run in families. The gums become red, soft, and shiny, and they bleed easily. In some cases, there is pain, but gingivitis can also be essentially painless.
Graphics courtesy of www.medicdirect.co.uk
PYORRHEA (PERIODONITIS)
Pyorrhea (Periodontitis) is a condition that occurs when gingivitis is left untreated. This an advanced stage of periodontal disease in which the bone supporting the teeth begins to erode as a result of the infection. Abscesses are common. Pyorrhea causes halitosis (bad breath), with bleeding and often painful gums. Poor nutrition, improper brushing, wrong foods, sugar consumption, chronic illness, glandular disorders, blood disease, smoking, drugs, and excessive alcohol consumption make an individual more likely to develop pyorrhea. It is often related to a deficiency of vitamin C, bioflavonoids, calcium, folic acid, or niacin. Smokers are more susceptible than non-smokers to periodontitis and tooth loss. Periodontal disease can be made worse by missing teeth, food impaction, malocclusion, tongue-thrusting, tooth-grinding, and toothbrush trauma.
There are four basic forms of advanced periodontitis:
- Aggressive Periodontitis: A form of periodontitis that occurs in people who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.
- Chronic Periodontitis: A form of periodontal disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss and is characterized by pocket formation and/or recession of the gingiva. It is recognized as the most frequently occurring form of periodontitis. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
- Periodontitis as a Manifestation of Systemic Diseases: Periodontitis, often with onset at a young age, associated with one of several systemic diseases, such as diabetes.
- Necrotizing Periodontal Diseases: An infection characterized by necrosis of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions including, but not limited to, HIV infection, malnutrition and immunosuppression.
Graphics courtesy of www.healthcentral.com
STOMATITIS
Stomatitis is inflammation of the oral tissues, and may affect the lips, palate, and insides of the cheeks. It often occurs as part of another disease. Stomatitis produces swollen gums that bleed easily. Sores may develop in the mouth and eventually become blister-like lesions that can affect the gums. Two common types of stomatitis are acute herpetic stomatitis (better known as oral herpes) and aphthous stomatitis (canker sores).
CAUSESThe main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. However, factors like the following also affect the health of your gums.
Nutritional Deficiencies: Problems in the mouth often are reflections of deficiencies or underlying disorders in the body. Bleeding gums may signal a vitamin C deficiency. Dryness and cracking at the corners of the mouth may indicate a deficiency of vitamin B-2 (riboflavin). Both conditions may also signal a generalized nutritional deficiency. A smooth, reddish tongue can indicate anemia or poor diet. See below for more information about correcting or preventing nutritional deficiencies.
- Researchers Find Link Between Obesity and Periodontal Disease (Press Release)
- Low Dietary Vitamin C Can Increase Risk for Periodontal Disease (Press Release)
- Healthy Gums Are Likely to Lie Behind Milk Mustaches (Press Release)
- Calcium Consumption and Oral Health (Video News Release)
Underlying Disorders & Systemic Diseases: Diseases that interfere with the body's immune system may worsen the condition of the gums. Dry or cracked lips can be the result of an allergic reaction. Raw, red mouth tissue may be a sign of stress. Sores under the tongue can be an early warning sign of mouth cancer. Regular dental checkups can help detect these conditions early.
One advantage (perhaps the only one) to having allergies is that people who suffer from allergies are less likely to lose teeth to periodontal disease. The reason apparently is that the allergy sufferer's overactive immune system is better at fighting off the bacteria that cause peridontal disease.
- The Mouth Body Connection (Consumer Article)
- Healthy Gums, Healthier Bodies (Press Release)
- Why Periodontal Disease May Pose a Risk to Your Health (Video News Release)
- People With Rheumatoid Arthritis Have More Periodontal Disease (Press Release)
Poor Oral Hygiene: Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care. Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself, and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.
Regular intimate contact with an infected person can transmit the bacteria that cause periodontal disease.
Smoking/Tobacco Use: Tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. Tobacco users also are at increased risk for periodontal disease. In fact, recent studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.
- Smokers May Want to Kick Butt Before Dental Procedures (Press Release)
- Smoking and Periodontal Disease (Consumer Article)
- Cigar and Pipe Smoking Are as Dangerous as Cigarettes to Periodontal Health (Press Release)
- Study Points to Smoking as Major Cause of Gum Disease (Press Release)
- Smokers Have Lower Success Rates with Periodontal Treatment (Press Release)
- Study Shows Yet Another Reason Why Quitters Are Winners (Video News Release)
- Periodontists Encourage Patients To Quit Smoking Habit (AAP Member Survey)
Genetic Factors: Some people appear to be more susceptible than others to the bacteria that cause gum disease because of genetic factors. Research proves that up to 30 percent of the population may be genetically susceptible to gum disease. Despite aggressive oral care habits, these people may be six times more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early interventive treatment may help them keep their teeth for a lifetime.
- Study Finds Substantial Genetic Basis for Risk of Periodontal Disease (Press Release)
- Genetic Marker Common in People of European Heritage Doesn't Explain High Rates of Periodontal Disease in Chinese (Press Release)
- Families and Periodontal Disease (Press Release)
Women & Periodontitis: As a woman, you know that your health needs are unique. You know that brushing and flossing daily, a healthy diet, and regular exercise are all important to help you stay in shape. You also know that at specific times in your life, you need to take extra care of yourself. Times when you mature and change, for example, puberty or menopause, and times when you have special health needs, such as menstruation or pregnancy. During these particular times, your body experiences hormonal changes. These changes can affect many of the tissues in your body, including your gums. Your gums can become sensitive, and at times react strongly to the hormonal fluctuations. This may make you more susceptible to gum disease. Additionally, recent studies suggest that pregnant women with gum disease are seven times more likely to deliver preterm, low birth weight babies.
- Dental Procedure May Reduce Risk of Premature Births (Press Release)
- More Severe Periodontal Disease Poses Additional Threat to Pregnant Diabetics (Press Release)
- Women and Periodontal Disease (Consumer Article)
- A Mouthful of Reasons to Consider Hormone Replacement Therapy (Press Release)
- Oral Health Advice for Mothers-to-Be (Press Release)
- Research Provides Further Evidence on the Importance of Good Oral Health in Pregnant Women (Press Release)
Stress: As you probably already know, stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. What you may not know is that stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.
- Identifying Patients' Stress Coping Behavior Key to Treatment Outcomes (Press Release)
- Financial Stress Doubles Periodontal Disease Risk (Press Release)
- Researchers Find Clinical Depression May Have Negative Effect on Periodontal Treatment Outcome (Press Release)
Medications: Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health. Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.
- Common Treatment for Acne May Cause the Appearance of Discolored Gums (Press Release)
- Patients Taking Medication for High Blood Pressure Benefit from Frequent Dental Care (Press Release)
Clenching or Grinding Your Teeth: Have you been told that you grind your teeth at night? Is your jaw sore from clenching your teeth when you are taking a test or solving a problem at work? Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.
Dry Mouth: Dry mouth, a condition in which there is not enough saliva in the mouth, can promote tooth decay and periodontal disease. Saliva is essential for ridding the mouth of plaque, sugar, and debris. Dry mouth problems increase with age; more than half of people over the age of 55 are affected by it. It can also be caused by alcohol consumption or by prescription or over the counter drugs, especially those for high blood pressure, depression, colds, and allergies. Diabetes is also associated with dry mouth. The best treatment for dry mouth is to draw more moisture from the salivary glands by chewing carrots, celery, or gum; sipping liquids (drinking 8 to 10 cups of water daily); chewing ice chips; or breathing through the nose.
Diabetes: Diabetes is a disease that causes altered levels of sugar in the blood. Diabetes develops from either a deficiency in insulin production (a hormone that is the key component in the body's ability to use blood sugars) or the body's inability to use insulin correctly. According to the American Diabetes Association, approximately 16 million Americans have diabetes; however, more than half have not been diagnosed with this disease. If you are diabetic, you are at higher risk for developing infections, including periodontal diseases. These infections can impair the ability to process and/or utilize insulin, which may cause your diabetes to be more difficult to control and your infection to be more severe than a non-diabetic.
TREATMENT
CONVENTIONAL MEDICAL TREATMENT OF PERIDONTAL DISEASE
Regular dental checkups are important in detecting peridontal disease and oral cancer. Oral cancer is a disease that strikes 30,000 Americans each year. If oral cancer is caught early, 9 out of 10 people survive.
A simple blood test can detect gum disease up to 8 months before symptoms appear, according to Dr. Jeffery Ebersole, associate professor of periodontics at the University of Texas Health Science Center. A dentist can draw a drop of blood from a finger and have it analyzed for the bacteria that cause gum disease.
Air abrasion technology, a dental technique that painlessly removes tooth decay without drilling, allows dentists to make smaller fillings and save more of the natural tooth. The new technique, considered to be a major breakthrough, does not necessitate numbing drugs or anesthesia.
If you are diagnosed with periodontal disease, your periodontist may recommend periodontal surgery. Periodontal surgery is necessary when your periodontist determines that the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment. Severe cases of peridontal disease may necessitate surgery to remove the infected tissue from the gum and reshape the bone. Following are the four types of surgical treatments most commonly prescribed:
If you have already lost a tooth to periodontal disease, you may be interested in dental implants - the permanent tooth replacement option. Dental implants look more natural than dentures, and many people are opting for them. Unfortunately, improperly inserted dental implants can cause or exacerbate peridontal disease. If you are interested in implants, consult an implant specialist.
Find Out More From www.perio.org:
- Determine if you are at risk for periodontal disease.
- See a periodontist for a periodontal evaluation.
- View online samples of AAP brochures about periodontal disease and your oral health.
Be sure your dentist is taking the proper steps to avoid transmitting disease. The dentist's office and waiting room should be clean. Dentists, hygienists, and dental assistants should wash their hands and change gloves between patients. Every reusable instrument should be sterilized between patients, and large equipment and all surfaces in the treatment room should be cleaned and disinfected periodically. If you have questions about your dentist's procedures, do not hesitate to ask.
CONSIDERATIONS
Periodontal disease should ideally be treated by a periodontist, a dentist who specializes in this area of dentistry.
The process of periodontal disease is easier to reverse if it is caught early. It is important to know the symptoms and get regular dental check-ups for periodontal disease.
Severe cases of periodontal disease may necessitate surgery to remove the infected tissue from the gum and reshape the bone.
Certain illness, such as diabetes and several kinds of blood disorders, create a higher risk for developing gum disease.
Research suggests that people who have severe periodontal disease are at greater risk of heart disease, lung disease, stroke, ulcers, poor control of diabetes, and giving birth prematurely. Studies are ongoing, regarding the effect periodontal disease has on the health of the body. It is suspected that bacteria exist in periodontal pockets may easily enter the bloodstream. So by caring for your teeth, you may also be caring for whole-body health.
Regular intimate contact with an infected person can transmit the bacteria that cause periodontal disease.
Smoking is a major factor in irritating the gums and mouth. It has been linked to mouth and esophagus cancer.
Some people appear to be more susceptible than others to the bacteria that cause gum disease because of a genetic predisposition.
Dental implants look more natural than dentures, and many people are opting for them. Unfortunately, improperly inserted dental implants can cause or exacerbate periodontal disease. If you are interested in implants, consult an implant specialist.
Researcher are studying a possible link between hormone replacement therapy (HRT) and a decrease in tooth loss. Researchers at Harvard Medical School and Brigham & Women's Hospital in Boston found a 24 percent decrease in tooth loss among women using HRT. It is suspected that this may be because HRT aids in protecting against bone loss of bone-mineral density in the jaw. HRT is not without its risks, however, some of them potentially serious.
Air abrasion technology, a dental technique that painlessly removes tooth decay without drilling, allows dentists to make smaller fillings and save more of the natural tooth. The new technique, considered to be a major breakthrough, does not necessitate numbing drugs or anesthesia.
Regular dental visits are important in detecting oral cancer, a disease that strikes 30,000 Americans each year. If oral cancer is caught early, 9 out of 10 people survive.
Fluoride is a mineral that strengthens the underlying structure supporting the teeth. It is especially important for menopausal women who have lost density in their jawbones. Fluoride also helps to protect from decay root surfaces that become exposed as gums recede with age. There is debate among health care professionals regarding the use of fluoride. Some believe in using it, while others do not.
HOLISTIC & NUTRITIONAL RECOMMENDATIONS
NUTRITION
Eat a varied diet of fresh fruits, green leafy vegetables, meat, and whole grains to provide the teeth and gums with needed exercise and supply the body with the vitamins and minerals that are essential for dental health. Although all vitamins and minerals are essential for the proper formation and continued health of the teeth, adequate vitamin C intake is particularly important for the prevention of gingivitis and pyorrhea. Vitamin A seems to control the development and general health of the gums; a lack of this vitamin often results in gum infection. Vitamin A is also necessary for healthy tooth development in children. Minerals important for healthy teeth include sodium, potassium, calcium, phosphorus, iron, and magnesium.
Eat plenty of high fiber foods, such as whole grains, vegetables, and legumes.
Avoid sugar and all refined carbohydrates. Sugar causes plaque buildup and inhibits the ability of white blood cells to fight off bacteria.
ORAL HYGIENE
Good oral hygiene is important. There is a tablet you can purchase at most drugstores that shows areas your toothbrush missed. Chew a tablet after brushing, then brush until the color is gone.
Electric toothbrushes, such as Braun or Oral B systems, help to remove plaque. WaterPik dental water jets are also available and are useful for people wearing orthodontic braces on their teeth to help remove food particles from in and around the braces and between teeth.
An automatic toothbrush sanitizer has been proven effective in keeping toothbrushes free of bacteria. The device automatically turns on every half-hour for two minutes to sanitize the bristles 24 hours a day. As an alternative, you can store your toothbrush in hydrogen peroxide or Grapefruit Seed extract to kill germs (if using hydrogen peroxide, rinse it well before brushing).
Herbal Remedies: Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon
Herbal Remedies: Grapefruit Seed Extract (GSE) Liquid Concentrate, 2 fl. oz.
Herbal Remedies: Grapefruit Seed Extract (GSE) Liquid Concentrate, 4 fl. oz.
Change toothbrushes every month to keep the disease in check, and keep your toothbrush clean between uses. Bacteria live on toothbrushes. There are special devices that kill bacteria that you can keep your toothbrush in when not in use.
Floss your teeth daily. Unwaxed dental floss is good for getting under the gum line.
Scrape your tongue each morning after you brush and floss to remove bacteria. Use a tongue scraper (available) in heath food stores and some pharmacies) or the back of a spoon. This is important because bacteria thrive on a moist tongue.
Use a product called Stim-U-Dent (available in drugstores) between meals and between brushing to clean and stimulate the gums with a beneficial massaging motion. Make sure you soak it in water or hold it in the mouth until it softens, so as not to damage the gums. Massage between each tooth between meals. This also helps to remove plaque and should be used every day after eating.
Use your fingertips to massage your gums to increase circulation.
Interdental-space brushes are good for cleaning the spaced between the teeth.
Try using a dental rinse called Plax to help loosen plaque. Unlike mouthwashes, this is designed to be used before brushing. Listerine also helps to remove plaque.
Use a very soft natural-bristle toothbrush. Be sure to brush your gums and tongue as well as your teeth. The most effective way to get under the gum line is to tilt the toothbrush so that the bristles are at a 45 degree angle to the gum, and brush in a forward and backward motion using short strokes across the gums to remove bacteria.
If inflammation is present, run very hot water over the toothbrush to soften it before brushing, and be gentle until healing is complete.
Brush your teeth with Goldenseal powder every day for at least one month. You can open up a capsule of Goldenseal and mix the contents with toothpaste, or use a liquid extract in the same way. After one month, change brands of toothpaste. Do not stay with the same brand; some brands may irritate the gums.
Herbal Remedies: Goldenseal Root Tincture, 100% Organic, 2 fl. oz.
Open a capsule or use liquid Vitamin E Oil and rub the oil on inflamed gums. This is very healing and helps to alleviate soreness.
For relief of toothache pain until you can get to your dentist, apply ice to the gums. Clove Oil can also be helpful.
Avoid taking antibiotics. The mouth is the hardest place for them to work, and they destroy needed friendly bacteria in the colon. Try Goldenseal first; it works faster and has no side effects (See under HERBS below).
These are some additional products that are recommended for tooth and gum care. Most of these can be found in health food stores or online.
Organic Toothpaste. Herbal toothpastes by Urtekram, made in Denmark.
Nature's Gate Dental Care. Contains baking soda and sea salt, which is effective against plaque and gum disease. Also contains vitamin C.
Peelu Dental Care. Contains a natural tooth whitener derived from the small peelu tree, native to the Middle East and Asia. People have chewed its branches for centuries to keep their teeth white. Also contains natural flavor, fruit pectin, sodium lauryl sulfate (from coconut oil), and vegetable glycerine. Unlike many over-the-counter (OTC) tooth-whitening products, this does not irritate or damage gums.
Herbal Toothpaste & Gum Therapy With Baking Soda from The Natural Dentist. Fights plaque and gingivitis.
Herbal Creme de Anise. Another good product found in health food stores.
Herbal Mouth & Gum Therapy Mouth Wash. Good for rinsing the mouth between brushes.
Tom's Natural Toothpaste. Contains a natural calcium base. Features myrrh (an astringent herb) and propolis. This product comes in a variety of flavors and provides a range of dental care options such as anti-cavity, anti-plaque, tartar control, whitening, with or without fluoride, for children and adults. The products selected below are a selection of the most popular selections. The links below are for a package of 6 toothpaste tubes.
Weleda Salt Toothpaste. Contains baking soda and salt formulation with medicinal herbs and silica.
Vicco Pure Herbal Toothpaste. Contains extracts from plants, bark, roots, and flowers used in Ayurvedic medicine.
HERBAL REMEDIES DENTAL CARE PRODUCTS
MSM Toothpaste (Methysulfonylmethane), Trimedica, 5% MSM, 3 oz.
MSM Toothpaste promotes dental hygiene, improves gum and tooth health, freshens breath, improves tooth brightness, and reduces tartar and plaque buildup. Ingredients: Dicalcium Phosphate Dihydrate, Sorbitol, Water, Glycerine, Dicalcium Phosphate Anhydrous, Sodium Lauryl Sulfate, Sodium Carrageenan, Flavor, PVP, Sodium Saccharin, Simethicone, Methyl Paraben, 5% MSM. Directions: Brush thoroughly at least twice a day (especially after meals), or as directed by your dentist or your health care provider.
MistOral III, Pureline Oral Care, 35% Food Grade Hydrogen Peroxide, 2 fl. oz.
MistOral III uses 35% food grade hydrogen peroxide that is both safe and effective. Mist Oral III will keep the breath fresh all day long and add whitening power to your dental routine. Another key ingredient, green tea, is an epidemiological wonder that reduces the risk of various cancers (including lung and mouth), and is cardio- and neuroprotective. A mouth, tooth and gum restorative aid with a whitener and breath freshener. Lipoic acid, another potent antioxidant, helps to rid the body and mouth of toxins and act as a chelator of toxic metals that are often used in dental fillings. Camu camu, another important ingredient acts as an astringent, antioxidant, and anti-inflammatory that can strengthen blood vessels and is absorbed easily in the mouth. Mist-Oral III also contains vitamin K, which acts as a therapy for bleeding gums, tooth preservation, and is a gum support facilitator. The powerful combination of echinacea, chaparral, pau d'arco along with myrrh oil kills the bacteria that are the main cause of gum disease, and is also known to tighten loose teeth. Folic acid and peelu make it an even more potent dental hygiene formula. A number of studies demonstrate that folic acid is highly effective in preserving gum tissue and reducing the possibility of gingivitis and periodontitis. The combination of these and other natural ingredients make Mist Oral III a complete dental prevention spray. Its small size allows for easy carrying when away from home.
Nutribiotic Dental Gel With Grapefruit Seed Extract, Natural Flavoring, 4.5 oz.
All Natural Lemon Mint Flavor. NutriBiotic Grapefruit Seed Extract (GSE) Dental Gel is one of the few natural dentifrice's available in gel form rather than paste or powder. This Dental Gel uses natural ingredients, is only mildly abrasive, and contains ingredients known to support healthy teeth and gums. It is free of fluoride, which has stirred some controversy due to its toxicity. Nutribiotic Dental Gel is safe for use on all dental work and is safe for children to use, as there is no fluoride, there is no possibility of toxicity due to swallowing the gel. NutriBiotic Dental Gel offers the antibacterial benefits of Grapefruit Seed Extract and the health enhancing action of vitamins C & E. The action of these ingredients stimulates production of healthy mouth tissue and "fights the germs that cause bad breath" without alcohol or other harmful ingredients. Dental Gel is even recommended for use after oral surgery due to its superior germ-fighting action. Usage Information: Put a small amount on brush and apply to teeth with up and down brushing action. Not recommended for use with a rotary tooth polisher as the abrasive action of a rotary-type appliance may erode tooth enamel.
Thera Neem Toothpaste, Mint Herbal Toothpaste, Organix South, 4.23 oz.
Neem toothpaste is another herbal wonder from used in Ayurveda for oral health care. Commonly known in India as the "Toothbrush Tree", Neem has traditionally been used in India and southern Asia as the preferred method for maintaining healthy teeth and gums. The bark and the sap within the twig are known not only for their cleaning ability but also for protecting the mouth. Such is its prominence in Indian society, that many researchers believe that these Neem twigs have helped rural Indians avoid cavities, despite limited access to modern dental care. This Neem toothpaste contains a lot of Neem bark because in the words of Autumn Blum, a cosmetic chemist and the President of Organix South Inc, "I wanted it to be really effective. So many products fall short of really keeping the mouth healthy." Thera Neem Toothpaste is suitable for use by vegetarians, diabetics, and children.
OraMD Solution to stop gum disease, gingivitis, bleeding gums, and bad breath. All natural, 100% pure, herbal toothpaste mouthwash and breath freshener made with essential oils of peppermint, spearmint and almond. Highly effective against gum disease, gingivitis, bleeding gums and bad breath.
OTHER AMAZON.COM PERIODONTAL CARE PRODUCTS
For more products from Amazon.com, use the Search Box located further down on this page.
HERBS
Applying Aloe Vera gel directly to inflamed gums eases discomfort and soothes the tissues.
Herbal Remedies: Aloe Vera Concentrate, NOW Foods, 100% Organic, 4 oz.
Herbal Remedies: Whole Leaf Aloe Vera Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter
Herbal Remedies: Aloe Vera Juice, Certified Organic, NOW Foods, 32 oz.
Herbal Remedies: Aloe Vera Gel & Juice, 99.7% Pure Certified Organic, Nature's way, 1 Liter
Strained Chamomile tea and Calendula Flower tea are both soothing and help to heal gum tissues.
Herbal Remedies: Chamomile Tea, Caffeine Free, Yogi Tea, Certified Organic, 16 Tea Bags
Clove Oil is good for temporary relief of tooth and/or gum pain. simply rub a drop or two of Clove Oil on the affected areas. If the oil is too strong in its pure form, it can be diluted with a drop or two of Olive Oil.
Herbal Remedies: Clove Oil, 100% Pure Essential Oil, NOW Foods, 1 fl. oz.
Herbal Remedies: Clove Tincture, Natural Toothache Remedy, 2 fl. oz.
Echinacea, Hawthorn Berries, Myrrh Gum, and Rose Hips help to keep down inflammation and enhance immune function. You can apply these herbs directly to the inflamed areas as a poultice or drink them in tea form.
Herbal Remedies: Echinacea Tincture For Children, Orange Flavor, Alcohol Free, 100% Organic, 1 fl. oz.
Herbal Remedies: Echinacea Immune Support Tea, Yogi Tea, Certified Organic, 16 Tea Bags
Herbal Remedies: Echinacea Herb, Nature's Way, 400 mg, 180 Caps
Herbal Remedies: Hawthorn Berry Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Hawthorn Berries, Nature's Way, 510 mg, 180 VCaps
Herbal Remedies: Myrrh Oil, 100% Pure Essential Oil, NOW Foods, 1 fl. oz.
Herbal Remedies: Myrrh Gum Powder, 4 oz. Bulk
Herbal Remedies: Myrrh Gum Supplement Tincture, 2 fl. oz.
Herbal Remedies: Vitamin C Liquid, With Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 16 fl. oz.
Herbal Remedies: Rose Hip Seed Oil, 100% Pure, NOW Foods, 1 fl. oz.
Goldenseal destroys the bacteria that cause periodontal disease. Take 3,000 mg daily. Another recommendation is to place a dropperful of alcohol-free Goldenseal extract in your mouth, swish it around for 3 minutes, then swallow. For inflamed gums, place a dropperful of alcohol-free Goldenseal extract on a piece of gauze or pure cotton and place this on the inflamed area. Do this immediately whenever mouth sores or inflammation starts, and you will be amazed at the results. In severe cases it may take 3 to 5 nights for sores to heal. Caution: Do not take goldenseal internally on a daily basis for more than one week at a time, as it may disturb normal intestinal flora. Do not use it during pregnancy, and use it with caution if you are allergic to ragweed.
Herbal Remedies: Echinacea & Goldenseal Tincture, Nature's Way, Alcohol Free, 1 fl. oz.
Herbal Remedies: Goldenseal Root Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Goldenseal Root, Nature's Way, 570 mg, 100 Caps
Herbal Remedies: Goldenseal Herb, Nature's Way, 400 mg, 180 Caps
NUTRITIONAL RECOMMENDATIONS
Unless otherwise specified, the dosages recommended here are for adults. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between 6 and 12, use 1/2 the recommended dose, and for children under the age of 6, use 1/4 the recommended amount.
GINGIVITIS & ORAL HEALTH SUPPLEMENTS & PRODUCTS
Information, supplements and products for gingivitis, a condition that results in inflammation and bleeding of the gums. Gingivitis is an early form of periodontal disease. Products for oral health issues include a variety of tooth and gum problems that can range from mild to severe.
AHCC (Active Hexose Correlated Compound), Vegetarian, NOW foods, 500 mg, 60 VCaps
NOW Foods AHCC is a rich source of polysaccharides such as beta glucan 1,3 and activated hemicellulose produced by enzymatic modification of organic medicinal mushrooms, including shiitake.AloeDyne Organic Toothpaste, Triple Action, Kiss My Face, 3.4 oz.
Kiss My Face Certified Aloe Vera Organic Toothpaste offers cool mint freshness. While using ingredients formulated to keep teeth white and gums healthy. Triple Action - Total Confidence!AloeDyne Organic Whitening Toothpaste, Kiss My Face, 3.4 oz.
Kiss My Face Whitening Toothpaste uses soothing Certified Organic Aloe Vera combined with a powerful blend of carefully selected natural whiteners to create a truly exceptional toothpaste that still leaves your mouth feeling tingly fresh.Bee Propolis & Tea Tree Oil Toothpaste, All Natural, Made In New Zealand, 3.5 oz.
This New Zealand Bee Propolis and Tea Tree Oil Tooth Paste offer a natural relief from unhealthy mass market tooth pastes.Bentonite Clay, Pascalite, 100 Caps
Pascalite is a form of calcium bentonite containing at least twenty elements including iron, magnesium, and silicon.Bloodroot Tincture, 2 fl. oz.
The FDA has approved Bloodroot for use in commercially available toothpastes and oral rinses to inhibit the development of dental plaque and gingivitis.BodyZyme, Systemic Enzyme, 90 Caps
BodyZyme is a potent systemic enzyme. Enzymes are protein based substances found in every cell of every plant and animal.Chamomile Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Chamomile Tea is the world's most popular evening drink because chamomile tea has a soothing effect on many.Chaparral Tincture, 2 fl. oz.
Chaparral protects against the harmful effects of radiation, sun exposure, and the formation of tumors and cancer cells.Chlorofresh Liquid Chlorophyll, Mint, Nature's Way, 16 fl. oz.
Chlorofresh is a special liquid chlorophyll complex, derived from premium alfalfa leaves.Chlorofresh Liquid, Natural, Nature's Way, 16 fl. oz.
Chlorofresh is a special liquid chlorophyll complex, derived from premium alfalfa leaves. Chlorofresh is used chiefly as an aid to reduce odor from a colostomy or ileostomy and to reduce fecal odor due to incontinence.Clove Oil, 100% Pure Essential Oil, NOW Foods, 1 fl. oz.
Clove oil, although primarily used in aromatherapy, can be used externally or internally for various uses.Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
WaterOz Ionic Copper is a pure liquid Copper supplement. Copper influences protein metabolism and general healing, improves vitamin c oxidation and is integral in the formation of RNA.Dr. John's Formula, All Natural Toothpaste Gel With Hyaluronic Acid & Xylitol, Fluoride-Free, Hyalogic, 4.5 oz.
Brushing daily with Dr. John's Formula All Natural Toothpaste Gel with Hyaluronic Acid and Xylitol supports healthy gums and teeth, promotes good dental health and supports healthy enamel surfaces.Echinacea Herb, Nature's Way, 400 mg, 180 Caps
Echinacea herb supports the Immune System and promotes general well-being in cold and flu season.Eucalyptus Essential Oil, 100% Pure, 4 fl. oz.
Eucalyptus Essential Oil is a potent decongestion with strong antiseptic properties. Eucalyptus Oil is used as an inhalant for asthma, diphtheria, sore throats, sinus and respiratory problems.Grapefruit Seed Extract (GSE) Liquid Concentrate, 2 fl. oz.
Used Grapefruit Seed Extract topically as an antiseptic wound cleaner and to treat infections of the skin.Grapefruit Seed Extract (GSE) Liquid Concentrate, 4 fl. oz.
Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon
Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.Grape Seed Extract, Standardized, Nature's Way, 100 mg, 30 Caps
Nature's Way Standardized Grape Seed Extract are technically and scientifically advanced herbal product.Gum ReJuv Oral Treatment, 1 fl. oz.
Gum Rejuv is a time-tested ancient formulation of 24 plants and herbs used for healing and strengthening the gums.Gum Tonic Supplement Tincture, 2 fl. oz.
The Gum Tonic Supplement, Tincture is an excellent and powerful antibacterial mouth wash that also tightens gum tissue. This gum supplement is a true dental companion.Ionic Toothbrush, Dr. Tung's, 1 each
Dr Tung's Ionic toothbrush may be the most advanced toothbrush in the world.Ionic Toothbrush Replacement Heads, 2 Heads
Two Replacement Heads for Ionic Toothbrush.Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.
Just An Ounce, Calcium and Magnesium Liquid can help with the development of strong bones and teeth, also prevents muscle cramping, risk of colon cancer, maintain regular heart beat, protects against osteoporosis and helps relax the central nervous system.Marshmallow Root (Althaea Officinale) Powder, 4 oz. Bulk
The German Commission E approved the internal use of marshmallow root for irritation of the oral and pharyngeal mucosa and associated dry cough, and for mild inflammation of the gastric mucosa.MistOral III, Pureline Oral Care, 35% Food Grade Hydrogen Peroxide, 2 fl. oz.
MistOral III uses 35% food grade hydrogen peroxide that is both safe and effective.MouthFresh Natural Mouthwash & Gargle, 12 fl. oz.
MouthFresh Natural Mouthwash refreshes Breath, Promotes Healthy Gums, Soothes Sore Throats, Sweetened Naturally with Stevia.MSM Toothpaste, 5% Methysulfonylmethane, 3 oz.
MSM Toothpaste promotes dental hygiene, improves gum and tooth health, freshens breath, improves tooth brightness, and reduces tartar and plaque buildup.Natural Progesterone Cream: A Safe Alternative To Conventional Hormone Replacement Therapy, By C. Norman Shealy, M.D., Ph.D
In this Keat's Good Health Guide, Dr. Norman Shealy answers all your questions about natural progesterone cream, a viable and safe alternative to synthetic hormone replacement therapy.Nutribiotic Dental Gel With Grapefruit Seed Extract, Natural Flavoring, 4.5 oz.
NutriBiotic Grapefruit Seed Extract (GSE) Dental Gel is one of the few natural dentifrice's available in gel form rather than paste or powder. Our Dental Gel uses natural ingredients, is only mildly abrasive, and contains ingredients known to support healthy teeth and gums. Nutribiotic Dental Gel is safe to use on all dental work and is safe for children to use, as there is no fluoride, there is no possibility of toxicity due to swallowing the gel.Organic Whitening Toothpaste, Kiss My Face, 1 oz. Travel Side
Kiss My Face Whitening Toothpaste uses soothing Certified Organic Aloe Vera combined with a powerful blend of carefully selected natural whiteners.Pascalite Bentonite Healing Powder, 16 oz.
Pascalite is used in soap and toothpaste, applied as a poultice to insect bites, sunburns, infections, cold sores, canker sores and acne, and as a suppository for hemorrhoids. Users found it a potent skin cleanser and conditioner, drank it for heartburn and ulcers.Pro Breath Dr. Tung's Tongue Cleaner With Free Replaceable Head
Dr. Tung's Tongue Cleaner is an impressive addition to your daily oral care regimen because you remove the prime cause of bad breath with Dr. Tung's Tongue Cleaner, restore your taste sensation and improve your oral hygiene all with one, easy to use tool.ProGums Advanced Gum Brush, 1 Each
ProGums Is the first gum brush designed for gentle gum massage.Sage Tincture, 2 fl. oz.
Sage is used as a mouthwash and gargle for mouth infections, bleeding gums and sore throats.Snap-On Toothbrush Sanitizer, Dr. Tungs, 2-Pack
Our Snap-On Toothbrush Sanitizer is a revolutionary product that releases all-natural, anti-bacterial vapors to kill germs and safely sanitize your toothbrush between brushings.Sweet Breath & Healthy Gum, Balanceuticals, 100% Natural, 60 Caps
Chinese medicine uses this well-known formula for its bacteria inhibiting, immune supporting, anti-inflammation, tranquilizing and hemostatic properties to clear the stomach heat and to maintain healthy gum and fresh breath.Tea Tree Oil Antiseptic Solution, 15% Water Soluble, 2 fl. oz.
Tea Tree Oil Antiseptic Solution can be used for mixing with water for douching, athletes foot, facial problems and bathing.Tea Tree Oil Whitening Toothpaste, 3 oz.
Tea Tree Oil Whitening Toothpaste is a low-abrasive natural whitening toothpaste.Tea Tree Mouthwash, 12 fl. oz.
Tea Tree mouthwash has a natural fresh mint flavor with the antiseptic properties of tea tree oil.Tea Tree Toothpaste With Baking Soda, 5 oz.
Tea tree oil toothpaste with baking soda combined with proper brushing and oral care will leave your teeth clean, your gums healthy and your breath refreshed!Thera Neem Herbal Mouthwash, 16 fl. oz.
TheraNeem's Alcohol-Free herbal mouthwash is the ultimate neem rinse to support your oral care regimen.Thera Neem Toothpaste, Mint Herbal Toothpaste, Organic South, 4.23 oz.
Neem toothpaste is another herbal wonder from used in Ayurveda for oral health care, that many researchers believe have helped rural Indians avoid cavities despite limited access to modern dental care.Toothpaste Gel, XyliWhite Whitening Gel With Xylitol Natural Sweetener, NOW Foods, 6.4 oz.
XyliWhite is a remarkable new toothpaste gel from NOW Foods that uses Xylitol, a natural sugar alcohol that looks and tastes similar to conventional sugar with one major exception - it has 40% fewer calories!Tongue Cleaner, Stainless Steel
Like good silverware Dr Tung's Tongue Cleaner is made of STAINLESS STEEL (not plastic), and our curved cleaning edge removes bacteria and soft plaque in seconds.Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels
Nature's Way vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, 100 Softgels
Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.Whitening Dental Gel Plus, With Dental Peroxide, 4.5 oz.
NutriBiotic Dental Gel Plus is a truly whitening gel formulated with Dental Peroxide, the superior whitening ingredient dentists use.White Willow Bark Tincture, 100% Organic, 2 fl. oz.
Aspirin is a synthetic derivative of white willow bark. White Willow Bark is an analgesic, anodyne, anti-inflammatory, antiseptic, diaphoretic, and fever reducer.XyliWhite Natural Mouthwash, Cinnafresh, NOW Foods, 16 fl. oz.
NOW Cinnafresh XyliWhite Natural Mouthwash is a safe and effective fluoride-free oral rinse that works in unique ways to help you achieve a smile that's healthier and brighter than ever before.XyliWhite Cinnafresh Toothpaste Gel, Vegetarian, NOW Foods, 6.4 oz.
XyliWhite Cinnafresh is a remarkable new toothpaste gel from NOW Foods that uses Xylitol, a natural sugar alcohol that looks and tastes similar to conventional sugar with one major exception - it has 40% fewer calories!XyliWhite Platinum Mint Toothpaste Gel, NOW Foods, 6.4 oz.
XyliWhite Platinum Toothpaste unites the proven oral health benefits of xylitol with the powerful whitening properties of natural baking soda. This unique dual action formula is safe and effective, and when used daily, can help you promote a smile that is brighter and healthier than ever before!Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.
WaterOz Ionic Zinc is a pure liquid Zinc supplement. Zinc moves through all the fluids in the body, it creates a defense against infection-causing bacteria and viruses trying to enter the body and stops bacterial and viral replication.
Herbal Remedies: Gingivitis Information
Herbal Remedies: Gingivitis Supplements & Products
Herbal Remedies: Tooth Decay / Cavities Supplements & Products
Herbal Remedies: Toothache Supplements & Products
NOTIFY YOUR MIDWIFE, DENTIST, OR HEALTH CARE PROVIDER IF...
You have symptoms of peridontal disease and need treatment.
Your symptoms are not relieved after treatment. You may need to try another therapy method or a specialist in peridontal disease. If you symptoms worsen consult with your dentist or periodontist about therapy and/or surgical choices and treatment options.
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Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
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-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
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The Complete Guide to Natural Healing
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