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. 

Smokers Have a Higher Risk of Tooth Loss than Non-Smokers

It has been common knowledge for many years that the body’s ability to heal itself and recover from surgery is significantly hindered by the use of tobacco. It is for this reason that surgeons often require patients who need to undergo major surgery quit smoking 6 months prior to their surgery date. But did you know that recent studies have confirmed that regular smokers also have a significantly increased risk of tooth loss too?

According to the Journal of Dental Research the association between smoking and the incidence of tooth loss was stronger in men than women, and also stronger in younger versus older individuals. Researchers found female smokers were 2.5 times more likely to lose their teeth than a nonsmoker, while males smokers were 3.6 times more likely to lose their teeth. These findings were independent of other risk factors such as diabetes, and were based on 23,376 participants in three different age groups.

Most teeth are lost as a result of either severe tooth decay or periodontal disease. It has been common knowledge for many years that smoking is a strong risk factor for periodontal disease, so that may go a long way toward explaining the higher rate of tooth loss in smokers.

The good news is that researchers also found that smoking cessation was consistently associated with a reduction in tooth loss risk, with the risk of tooth loss approaching that of people who have never smoked after 10-20 years of cessation.



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.  

Dailley Dental Care Has New Team Member

We are very pleased to announce the addition of Dr. Deborah Chau to our dental team. Dr. Chau grew up in the Bay Area and after receiving her bachelor's degree from the University of the Pacific in Stockton California she attended the University of the Pacific School of Dentistry in San Francisco, which happens to be the same university Dr. Dailley attended and taught at. After graduating from dental school with honors Dr. Chau completed a General Practice Residency program at the University of Minnesota where she obtained extensive training in the care of medically complex and special needs patients. Dr. Dailley has taken great effort to find the right candidate who will be able to uphold the high quality of service that patients in his practice have grown to expect. Dr. Chau possesses the highest qualifications and is extremely well skilled in all phases of dentistry.

One of our goals is to make it as easy as possible for our patients to obtain their dental care by providing early morning and evening hour appointments. This tradition will continue but we will be able to provide even more convenient appointment times for our patients with the addition of Dr. Chau.  Dr. Chau will have office hours on Friday and Saturdays, which in the past have not been available for our patients. We hope this makes it easier for our patients, their families, and their friends to have their dental needs cared for without having to take time off work or school.

Why Do I Need a Deep Cleaning, and How Does it Differ From a Regular Dental Prophylaxis?

Educating patients and getting them to understand the importance of treating their periodontal disease has always been a challenge for dentists simply because patients can neither see nor feel the condition. In a healthy mouth the gums fit snuggly around each tooth, and the distance between the top of the gum and the area where the gums attach to the tooth should be 1-3mm in depth. This space is often referred to as the gum pocket. Pocket depths of 4 mm are marginal, and pockets that are 5mm or greater are considered to have periodontal disease with accompanying bone loss. Once pockets reach 5 mm bone loss has started to occur. Once the bone is lost it will not re-grow.

For a typical prophylaxis (regular cleaning) patients will get their teeth cleaned every 6 months on average, and exhibit the following characteristics:

• Good home-care habits that include regular flossing
• Healthy gums that don’t bleed
• Pockets under 4mm

 When a patient has periodontal disease (gum disease) the supporting bone and tissue around the teeth are destroyed by bacteria and the toxins the bacteria produce. Tartar also adheres to the root surfaces deep under the gums and causes bacteria to accumulate. As bone loss continues the teeth eventually become loose and will require extraction. It is impossible to treat gum disease with a regular prophylaxis because the infected areas are found below the levels at which a regular cleaning can reach. Signs of Periodontal Disease include: Bleeding gums, bad breath, red/swollen gums, gums pulling away from the teeth, 5+mm pockets, puss, and bone loss.

Treatment Options for Treating Periodontal Disease

•  Scaling and Root Planing  (i.e. deep cleaning). This non-surgical procedure is designed to remove bacteria, calculus (tartar), and their accompanying toxins from below the gum line. Typically local anesthesia is used for patient comfort.

•  Sometimes laser treatment may be used to detoxify and kill bacteria deep in the pockets. This is done with a local anesthetic and has no post-operative pain associated with it.

•  Gum surgery. This procedure includes flapping the gums back, removing and re-shaping the bone, bone grafting, and tissue regeneration.

Most patients can avoid gum surgery, which costs thousands of dollars, if they follow our deep cleaning and periodontal maintenance programs. If left untreated gum disease will progress to the point where teeth will be lost. The number one cause of tooth loss today is from gum disease.

 As dental care providers, one of our roles is to educate our patients about their dental conditions, but the difficulty is that some conditions such as gum disease have little to no obvious signs or symptoms that the patient can recognize. Don’t wait until you have symptoms because by then it is often too late.

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. 

Dental Prophylaxis vs. Periodontal Maintenance. What's the Difference?

Over many years of practice we have frequently found patients getting confused over the difference between a dental prophylaxis and periodontal maintenance. If you have never had periodontal disease before then this article may not be very relevant to you, but if you have then hopefully it will clarify any confusion you may have had.

It is important to understand that a dental prophylaxis (prophy) is intended for a health mouth. The American Dental Association (ADA) defines a prophy as a dental prophylaxis performed on the dentition that includes scaling and polishing procedures designed to remove plaque, calculus, and stain from those surfaces of the tooth above the gum line.

In the strictest sense of the definition a prophy is a procedure performed on a patient that does not have subgingival (below the gumline) deposits or periodontal pocketing. The typical prophy patient gets their teeth cleaned every 6 months, exhibits good home-care habits, has healthy gingival tissues, and has no pockets over 4mm.

Periodontal Scaling, also referred to as Root Planing, or Deep Cleaning is a procedure designed to remove bacteria, calculus, and their accompanying toxins from areas below the gum line. It is indicated for patients with periodontal disease. Periodontal procedures are for the most part subgingival in nature. Periodontal scaling requires more skill, time and expertise than a prophylaxis, and typically requires local anesthetic. Patients with periodontal disease will exhibit bone loss and pocketing around the affected teeth. It is a bacterial proliferation of pathogens that overwhelm the host defenses and spurs the host's own immune system to initiate a breakdown of the supporting tooth structures. We also know that periodontal disease is not a "curable" disease, but it is controllable in most patients. Therefore when a patient has experienced periodontal disease in the past, we must be ever-vigilent to monitor them for signs of active disease long after the disease has been brought under control.

The Periodontal Maintenance procedure is designed to follow active periodontal therapy. This procedure is intended for patients who have completed periodontal treatment whether it be surgical and/or nonsurgical (root planing). It includes the removal of the bacteria from deep pocket areas, scaling and polishing of the teeth, periodontal evaluation, and a review of the patient's ability to control their plaque. Typically an interval of three months between appointments results in an effective treatment schedule. Periodontal maintenance treatment following periodontal therapy is not synonymous with a prophylaxis or regular cleaning.

Periodontal Maintenance is quite different from a regular prophy because it is controlling the disease process, whereas a prophylaxis is preventive in nature and not therapeutic.

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.

The Risks of Smoking & Your Dental Implants

If you smoke, you are opening your mouth to all kinds of different dangerous oral conditions. And, if you are pursuing treatment with dental implants, your treatment may actually fail because of your habit.

One of the worst possible habits you could have for your teeth is smoking. Not only does smoking have many negative cosmetic effects on your teeth, such as severe tooth discoloration and bad breath, but it can also lead to much more serious problems, which include gum disease, tooth decay, and oral cancer. And, if you are a smoker who is trying to replace any missing teeth with dental implants, your habit could actually prevent your treatment from being a success. Today, Anthony Dailley DDS is blogging from Berkeley, CA to talk about how smoking can affect your dental implant treatment.

Protect Your Dental Implants by Giving Up Smoking

Smoking can actually affect your dental implants ability to heal. During the procedure, an implant fixture is placed in the empty space left behind by your missing tooth. While healing, a process called osseointegration occurs, which works to integrate your implant with the bone in your jaw. This process, however, can be stopped or hindered by inflammation of the tissues around the implant fixture, causing the implant to fail. This is called peri-implantitis and, while it can occur in any dental implant patient, it tends to occur much more frequently in patients who smoke.

It is also much more difficult for dental implants to heal and integrate with the bone in smokers because smoking can slow the circulation of blood in your body, making it much more difficult for your body to naturally heal itself. It is also possible for the nicotine inside of cigarettes to damage the tissues that make up your jaw, teeth, gums, and facial muscles. This damage can result in even more missing teeth for our patients who smoke, further exacerbating their condition. Not only that, but smoking can even increase the rate at which your jawbone deteriorates, which comes with its own threat of missing teeth.

Not only can jawbone deterioration result in even more missing teeth, but it can also have many negative effects on your facial structure. This occurs because our jawbone and teeth play a large part in determining our facial appearance. When your jawbone deteriorates, you are losing the support your face needs to maintain its shape. One symptom of this is that your cheeks may begin to appear hollow, giving your face a “sunken appearance”. It is also common for the skin around your jawline to prematurely wrinkle. As a result of these effects, patients suffering from jawbone deterioration tend to be described as appearing aged or unhealthy.

As you can see, it is very important that you give up smoking before moving forward with your dental implant treatment. While this treatment can be a success for patients who smoke, the rate of failure is simply much higher. For this reason, we highly recommend people who smoke to consider finally putting an end to their smoking days. If you would like to learn more about dental implants and what makes a good candidate for treatment with them, we encourage you to contact us and schedule a free, no-obligation consultation with Dr. Anthony Dailley, today.

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.

Help Support your Healthy Teeth & Saliva

Essential For Those With Dry Mouth Conditions

A Quantum Leap in the Science of Oral Care

    Developed after 40 years of research on saliva chemistry at Stony Brook School of Dental Medicine in New York, BasicBites™ which is a sugar free chocolate flavored soft chew, helps maintain the proper acid-base (pH) levels that are necessary for the prevention of tooth decay and also bad breath conditions. When the oral cavity experiences a reduction in salivary flow the pH in the oral cavity becomes more acidic, thus greatly increasing the risk of gum disease, tooth decay and even halitosis. For more information on how to resolve a halitosis condition see our other web site. This more acidic oral environment results in an overgrowth of the gram (-) anaerobic bacteria (halitosis causing bacteria) in the mouth. This more acidic environment also greatly increases the risk of tooth decay in individuals suffering from xerostomia or dry mouth conditions. Xerostomia is common in older patients whose metabolisms have either slowed or are taking medications that reduce their salivary flow. BasicBites™ acts to neutralize the acidic environment caused by xerostomia, and by "sports" or "power" drinks such as Gatorade®. These drinks are very acidic and are known to produce pitting in the teeth, especially in children.

The saliva-mimicking technology in BasicBites™ consists of two main ingredients – arginine bicarbonate and calcium carbonate. Arginine is an amino acid found in saliva and naturally present in many foods. When used twice a day, BasicBites™, will support the proper pH levels on the surfaces of the oral cavity. Keeping the pH of the surfaces of the teeth balanced is extremely important in preventing tooth decay. The bacteria responsible for dental decay produce acids that dissolve the enamel and produce what is commonly referred to as a cavity. BasicBites™ will produce a thin alkali coating on the teeth and other surfaces in the mouth and counters the acids being produced by these bacteria. Because of the proclivity to tooth decay we recommend that people who experience dry mouth conditions or are prone to tooth decay chew two BasicBites™ per day. BasicBites™ also provides calcium to the diet, and studies show that many adults today have insufficient levels of calcium in the bodies and need to take calcium supplements, especially post-menopausal women.  Each BasicBites™ contains 20 calories. If you have any questions about BasicBites™ please feel free to ask us about this new product. We do keep it in stock it in our office if you feel you might benefit from it.

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.

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.

The Link Between Oral Bacteria and Joint Failure

Joint Failures Potentially Linked to Oral Bacteria

 ScienceDaily (Apr. 18, 2012) — The culprit behind a failed hip or knee replacements might be found in the mouth. DNA testing of bacteria from the fluid that lubricates hip and knee joints had bacteria with the same DNA as the plaque from patients with gum disease and in need of a joint replacement.
This study is one of many that came from the Case Western Reserve University School of Dental Medicine that have linked oral bacteria to health problems when they escape from the mouth and enter the blood. Working with University Hospitals Case Medical Center researchers, the dental, orthopedic and arthritis researchers suggest it might be the reason why aseptic loosening or prosthetic wear of the artificial joints fail within 10 years when no infection appears to be present. The pilot study's findings were reported in the April issue of the Journal of Clinical Rheumatology.
Dr. Nabil Bissada, chair of the Department of Periodontics at the dental school, said the objective of the study, "Identification of Oral Bacterial DNA in Synovial Fluid of Patients with Arthritis with Native and Failed Prosthetic Joints," was to see if bacteria like Fusobacterium nucleatum and Serratia proteamaculans found in patients with gum disease were present in the fluid. "For a long time, we've suspected that these bacteria were causing problems in arthritis patients, but never had the scientific evidence to support it," Bissada says.

The researchers recruited and studied patients seeking care at the University Hospitals Case Medical Center for osteoarthritis (the wearing of the joints) and rheumatoid arthritis (an autoimmune disease). These study participants had both natural and artificial joints. Researcher extracted samples of their synovial fluid, which is much like oil that keeps a door from squeaking. These patients also had signs of periodontitis or gum disease and undergone exams where dental plaque was obtained for the study.

Plaque build-up from the bacteria, associated with gum disease, breaks down the walls of the pockets around the teeth. The inflammation process from the bacteria acts like a gate that gives bacteria access to the blood stream. Once in the blood, the oral bacteria can induce inflammation in remote sites. These oral bacteria have been linked to heart and kidney diseases, and premature births and fetal deaths. Because these bacteria cannot be found with routine lab tests, DNA sequencing analysis of the oral bacteria and the joint fluids are performed. 

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.