43% of Pregnant Women Skip Dental Checkups

When a woman is pregnant, the baby’s health and the ob-gyn always come first. But that often means other appointments are overlooked. In fact, one recent study by Cigna found that 43% of women don’t go for dental checkups while they’re expecting, even though 76% of them admit to problems such as bleeding gums and toothaches.

Hormonal changes during pregnancy will often worsen oral issues such as gingivitis and more serious gum disease. While 63% of women before pregnancy say their oral health is very good or excellent, that number drops to 55% during pregnancy.

 “Dental checkups are so important that most dental benefit plans cover preventative care visits every 6 months with no or low out-of-pocket costs. Some dental benefit plans even have special maternity programs with additional services like extra cleanings or discounts on oral health prescriptions,” said Dr. Miles Hall, Cigna’s chief clinical dental director.

Expecting and new mothers who took advantage of dental maternity programs through their benefits plan had better oral health habits than those who did not participate or did not have a program available to them. These improvements in dental hygiene habits may be why 74% of women who are participating or who have participated in a dental benefit plan maternity program rate their oral health as very good or excellent compared to 55% of pregnant women overall, Cigna says.

Despite the links between oral health and overall wellness, many medical professionals fail to discuss dental care with their patients. While 97% of women saw their general doctor or obstetrician during pregnancy as frequently as directed, only 44% said oral health was mentioned during those visits.

And while only 43% of new mothers have had a dental checkup since giving birth, that rises to 63% for women whose doctors discussed oral health during maternity visits. Postpartum dental visits also are key since dental hygiene habits may slip once the baby arrives, as 36% of new mothers say they brush and floss less frequently than before the baby was born mainly due to a lack of time.

The baby’s oral health should be minded as well. Half of new mothers clean their baby’s gums daily, but that increases to 65% for mothers whose pediatricians discussed the baby’s oral health. Good dental hygiene habits with infants cn prevent conditions such as nursing nursing bottle caries or decay.


About the Author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley also holds a fellowship position with the International Congress of Oral Implantologist (ICOI). Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997-2014. 

Treating Gum Disease to Reduce Prostate Symptoms

You might be asking yourself, how in the world can prostate problems be related to gum disease?
Well according to a study conducted at Case Western Reserve School of Dentistry and the Departments of Urology and Pathology at University Hospitals Case Medical Center, symptoms of prostate inflammation, or what is referred to as prostatitis, were reduced by treating the patients’ gum disease. Studies like the Case Western study have clearly shown that gum disease not only affects the mouth but it is a system-wide condition that can cause inflammation in various parts of the body.

The Case Western study showed there was a very high correlation between men who had prostatitis and those with moderate to severe gum disease. Following a 4-8 week period of gum treatment for a group of men who had moderate periodontal disease and concurring prostatitis, the study showed that 77% of theses men also experienced a decrease in inflammation of their prostate glands and decreased PSA scores without any treatment being directed towards the prostate condition itself.

Prostatitis is just one of many systemic diseases such as cardiovascular disease,  diabetes, and kidney disease, that have shown a clear connection with periodontal disease. For these reasons and for the prevention of gum disease itself we always recommend regular dental visits along with twice a day flossing and brushing.



About the author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley also holds a fellowship position with the International Congress of Oral Implantologist (ICOI). Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997 -2014.

Your Diet and the Health of Your Teeth

 You may not know it but your diet can affect the health of your teeth in more ways than you might think. Traditionally we think of foods with high sugar contents as being the only culprits that can affect the health of our teeth but there are others. With the advent of  "power or energy" drinks there has been a marked increase in the number of people's teeth being damaged by these types of drinks. We are seeing it primarily in children because of their frequent consumption of drinks such as Gatorade and Powerade at their sporting events. These drinks do not contain high levels of sugars but instead they are highly acidic, and it is the low pH of the drink that is doing the damage. We often see the affects of these highly acidic drinks on teeth in the form of deep pitting of the teeth and erosion of the enamel. The damage can sometimes be quite extensive. Certain foods if consumed regularly can also affect the enamel of one's teeth. In our office we have seen people's teeth completely destroyed as a result of habits such as sucking on lemons. Lemon's are highly acidic and will erode tooth structure over time if eaten in inappropriate manners. Some people enjoy eating lots of citric fruits or even sucking on them, but the results of these habits can be very devastating to the teeth. We're not recommending you avoid all foods that are acidic but moderation is the key. As for the energy drinks that are so prevalent these days these are best kept to a minimum. Below is chart showing some common foods and their accompanying acidity levels.
Experts believe that consuming as few as four acidic drinks or foods a day can increase the risk of acid erosion to your teeth.

About the author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997 -2014.

Implants and Their Benefits

 One of the areas of dentistry where some of the greatest technological advances have taken place in the last 10 years has been in the field of implant dentistry. In the past when a tooth was lost there were two options on how to replace it. One was to replace the tooth with a removal partial denture that was both cumbersome and awkward in the mouth. It was also not very cosmetically appealing and often times the metal clasps would show. The second method was to place a bridge that was not removable but did require preparing or shaving down the adjacent teeth on either side of the missing tooth space. A false tooth was attached between the two anchor or abutment teeth. On our web site is a short video demonstrating how a bridge works. The problem with this technique is a two or more perfectly good tooth had to be shaved down, and once the bridge was permanently cemented into place there was no way to floss in between the teeth as you normally would. A special device called floss threader is used to thread the floss in between the false tooth and the anchor teeth.

Implants have been around for decades but in the last 20 years there has been much research and advancements made in the area of the biomechanics and biomaterials of dental implantology. Implants are typically made of special titanium that has a special coating on it that promotes the growth or integration of bone to the implant itself. It is through this mechanism that the bone attaches to the implant. When a tooth is lost there is a natural loss of bone that takes place in the area where the tooth once was. This can result in a poor cosmetic outcome or there may even be insufficient bone available to allow an implant to be placed. These days there are many choices the doctor has to perform bone grafts and provide additional needed bone if necessary. The bone used for bone grafting is typically a freeze-dried bone that has been rendered in such that it can be used on anybody without the worry of rejection or disease. Today when a tooth has to be removed a bone graft is often placed in the socket of the tooth after it has been extracted in order to preserve bone so that an implant can be later placed in the same area. Implants offer many advantages over removable partial dentures and prosthetic bridges, and have a very predictable outcome. They provide a superior cosmetic result, preserve bone where the tooth was lost, provide an easily cleansable area that can be easily flossed, and eliminate the need to unnecessarily prepare adjacent teeth.

The process of replacing a missing tooth with an implant retained prosthetic crown is very straightforward and predictable. Following the removal of the tooth the doctor must allow 3-4 months time to pass to allow for new bone to fill in where the old tooth root once existed. This is true whether a bone graft is placed or not. Sometimes an implant can be placed at the same time the tooth is removed. Once it is deemed that the bone has filled in sufficiently a small hole is drilled into the bone  and an implant is placed within the space and the surrounding  bone is allowed to grow and integrate with the implant. A small healing cap is placed on top of the implant during this healing phase, and this process typically takes 3-4 months. A short video of an implant placementcan be seen on our web site Since bone has no nerve endings in it there is surprisingly very minimal discomfort, if any, following the procedure. Most of our patients will take one ibuprofen when they leave our office and that will be the last pain relieving medication they need to take after that. There is also no swelling. After the 3-4 month period of bone growth has passed the healing cap that was covering the top of the implant is removed and an implant abutment is screwed into the implant and a crown is placed permanently over the abutment. This process can be seen on a short animated video on our web site. Once completed an implant will function and look just like a natural tooth. In order to maintain them properly implants do require very good oral hygiene and regular check ups.

About the author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997 -2014.