Sunday, August 7, 2016

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.  




Monday, May 23, 2016

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.





Friday, April 8, 2016

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. 

Sunday, November 1, 2015

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.

Saturday, July 11, 2015

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.

Saturday, May 23, 2015

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.

Saturday, April 25, 2015

Have you ever wondered what it takes to be considered a good candidate for treatment with dental implants? Well, it turns out that there are many different factors that help determine if dental implants are right for your needs.
Our Berkeley, CA area patients know exactly what it takes to be a good patient for treatment with dental implants.

Do You Qualify for Dental Implants?

What makes dental implants in Berkeley completely unique among teeth restoration treatments is the fact that they are integrated into your jawbone through a biological process called osseointegration. It is this assimilation into your oral anatomy that allows your dental implants to work and feel just like your natural teeth. However, in order for this process to be successful, there are many standards you must meet. In fact, you may require a supplementary procedure before you can move forward with the implant procedure. Today, Dr. Anthony Dailley is blogging from Berkeley, CA to talk about the various factors that determine a patients candidacy for treatment with dental implants.

What Makes a Good Dental Implant Candidate?

There are many aspects of your health we look at before allowing a patient to move forward with the dental implant procedure. For instance, we check to make sure that each patients mouth is free of any dangerous oral conditions, as they can prevent implants from healing properly. It is also important that a patient be in good general health as well, as the procedure can be rather intense. Some patients may also not qualify for implant treatment because of their age. This is because when we are young, our teeth are in a state of change. A patient cannot move forward with the implant procedure until their teeth are finished growing.

A good candidate for treatment with dental implants will also be free of jawbone deterioration and gum recession. It turns out that, when you lose a tooth, both your jawbone and gums will begin to deteriorate because they are no longer able to get the exercise they need to stay healthy and strong. As a result of this deterioration, your jaw structure may be weakened to the point where it will no longer be able to support dental implants.

If you are suffering from either jawbone deterioration or gum recession, you may still be able to move forward with treatment using dental implants. Fortunately, we can perform supplementary procedures that can restore the damage done by these conditions. For instance, if you are suffering from jawbone deterioration, we can perform bone grafting to restore your jawbone back to a healthy state. This procedure takes bone samples from another part of your body, usually the hipbone, and grafts them to the deficient areas of your jawbone. For our patients with gum recession, a similar procedure, called soft tissue augmentation, can be performed.
Call and Schedule a Consultation in Berkeley, CA

In order to determine your candidacy for treatment with dental implants, you will need to call and schedule a no-obligation consultation with dental implant provider, Dr. Anthony Dailley, today. During your consultation, Dr. Dailley will perform a thorough examination to find out whether or not you might be a good candidate for treatment with dental implants. We will also take the time to address any additional questions or concerns you may have regarding the implant process at this time. We encourage you to contact us soon so that we can help you along your way to a restored smile as soon as possible!

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.