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Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Joel Hartjes and Dr. Jon Szewczyk to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

• You are a smoker.
• You are a female going through puberty, pregnancy, or menopause.
• You have diabetes.
• You have a compromised immune system, as is the case if you have HIV/AIDS.
• You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Joel Hartjes and Dr. Jon Szewczyk can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Joel Hartjes and Dr. Jon Szewczyk to keep it in check. Contact our Middleton, WI office to schedule an exam today!

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

• Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

• Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

• Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

• Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

• Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

• X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Dr. Joel Hartjes and Dr. Jon Szewczyk know about your pregnancy, and we will work with you to schedule exams or treatments at our Middleton, WI office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

The bags are packed, the trunk is loaded, the route is programmed into your GPS, the playlist is set, and your destination awaits! Sometimes there’s just nothing more appealing than a road trip. So, to make your trip even more enjoyable, here are some dental tips to help keep you feeling clean and fresh over the long haul.

• Fuel Up

If you’re bringing some road snacks, be sure to include a few that will help clean teeth and freshen breath. Packing a supply of bottled water helps you stay hydrated, washes away food particles, and eliminates the bad breath caused by dehydration. Carrots and apples are not only nutritious and tasty, they apply a bit of gentle scrubbing action to your enamel as you chew. Traditional travel favorites like granola bars, beef jerky, and chips tend to stick to the teeth and provide cavity-causing bacteria a leisurely feast, so enjoy them in moderation. (If you’re driving, save the snacks for a rest stop—not only is eating while driving prohibited in some areas, it’s a distraction you don’t need on the highway.)

• Roadside Diners

The occasional sticky, sweet, or chewy indulgence is fine at home, but when you have hours in the car ahead of you, you might want to turn down the pecan pie, the giant pretzels, and the roadside sea salt caramels. Again, cavity-causing bacteria love sugars and simple carbs, and food that finds its way into tooth crevices finds its way onto their menu. And, it goes without saying, passing up garlic, onions, and spicy foods will help your mouth feel fresher longer—and make your travel companions happier.

• Car Wash

Bring a travel-sized toothbrush and tube of toothpaste with you for a quick cleaning when you stop for a break. A ventilated case will keep your brush dry (bacteria like damp conditions) and away from questionable surfaces. Disposable mini-travel brushes are available that come with a bead of cleaner pre-loaded and ready to use—you don’t even need water for a cleaner mouth and fresher breath. Food particles do not make good travel buddies so don’t forget dental picks or floss. And if you can’t brush right away, try a rinse with water or chew a piece of sugarless gum. Sugar free gum can help stimulate saliva production, which is a good way to wash away food particles and neutralize acids in the mouth.

• Roadside Repair

Even with the best preparation, accidents can happen. That’s why you have a spare tire and a lug wrench in your trunk. It pays to be prepared for a dental emergency on the road as well. There are dental travel kits available in stores and online, or create one for yourself. Along with your first aid kit, pack dental picks, antimicrobial wipes, sterile gauze, a mirror, and any other supplies you think might come in handy. If you wear braces or a retainer, be sure to include dental wax in case of an uncooperative wire, and a case to protect and keep track of your retainer. And it’s a good idea to keep our Middleton, WI office’s number on hand in case of emergency.

It’s a big country, and cruising the streets and highways is a wonderful way to explore it! But if you’re having any dental problems, be sure to see your dentist before taking off—after all your preparation, you don’t need a dental emergency to ruin your trip. Then, pack your bags, load your trunk, set your GPS, pick a playlist with something for everyone, and get ready to enjoy happy travels and healthy smiles!

At hartstone dental, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Joel Hartjes and Dr. Jon Szewczyk will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

• Patients who underwent cardiac valve surgery in the past
• Those who have suffered past incidents of infective endocarditis
• Patients who have mitral valve prolapse, resulting in or causing valve leakage
• People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
• Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Joel Hartjes and Dr. Jon Szewczyk, please give us a call at our convenient Middleton, WI office!