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"Thank you Dr. Reifman for my new smile! I love it!" Katie Alana / Model / Studio City
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Los Angeles Dentist in The San Fernando
Valley Treats Gum Disease,
Periodontitis, Loose Teeth, and Gingivitis... all Non-Surgically!
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Have you been told you need gum surgery?
Maybe you don't!
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There are new
miracles in the non-surgical treatment of gum disease
that often enable us to treat cases easily and
comfortably with non-surgical treatment that would
otherwise require gum surgery. With Dr. Reifman's
non-surgical deep cleanings, done in one or two short
appointments and without needles or shots, a
visit to the periodontist for gum surgery can usually
be avoided.
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So, are you at risk of gum disease? |
You
are, if you have any of the following:
You are under a lot of stress
You smoke
Gum disease runs in the family
You are pregnant
You are going through menopause
You have diabetes
High blood pressure or even birth control pills may increase the risk
Diets that are low in vitamins and minerals
Diets high in sugary food or carbohydrates
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The Danger Signs of Gum Disease in your mouth
Gums
that bleed when you brush Red,
swollen, bleeding or tender gums
Gums
that appear to have pulled away from the teeth
Bad
breath that doesn't seem to go away
Loose
teeth
A
change in the way your teeth fit when
chewing
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IF not taken care of,
these problems in the mouth can lead to the
following diseases...
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Heart Disease
Adult onset Diabetes
Adult onset
Arthritis
Low-weight births
Diminished immune response- more colds
and flu
Alzheimer's disease - Dementia
Pancreatic
Cancer
Osteoporosis |
Yes, we all have the 'procrastination' gene built inside us,
but call Dr. Reifman's
office at (818) 990-6659 to take
care of your teeth, your gums, and... |
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GET YOURSELF
HEALTHIER... TODAY!
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NEW!
Do you hate feeling
numb for hours after your appointment?
In Dr. Reifman's dental office, the new
Oraqix gel is the needle-free, pain-free
anesthetic that will get you back to normal
by the time you leave the office!
Finally, you can leave the dental office
without worrying about a thick lip, slurred
speech, or biting your tongue when eating!
Patients also love using Oraqix when their
gums are being treated non-surgically!

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What is Arestin?
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Arestin™
is a brand new treatment for chronic periodontitis. Periodontitis
(gum disease) is
an infection of the gums that can lead to tooth loss and may be
linked to other serious diseases such as cardiovascular disease,
osteoporosis and diabetes. Arestin uses new microsphere technology
to easily and effectively kill the germs that cause gum disease!
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Arestin is
also an antibiotic that is administered locally, directly into
the infected pockets between your teeth. A dentist or dental
hygienist can administer Arestin after your non-surgical gum
treatments! It reduces the chance of future gum disease!
When used together with scaling and root planing, Arestin
significantly reduces the depth of infected pockets and helps
prevent disease progression. A combined therapy of Arestin plus
scaling and root planing is more effective at fighting periodontal
disease than scaling and root planing alone. Arestin was shown to be
particularly even effective in the more difficult to treat patients
such as smokers or people who have cardiovascular disease.
Arestin was studied in more than 900 patients with adult
periodontitis at 22 universities and dental schools across the
country. These large clinical trials allowed for the collection of
extensive data establishing the safety and efficacy of Arestin.
Minimal side effects were reported and those that were reported were
similar to placebo. In these trials Arestin did not alter taste
buds, stain teeth or cause stomach upset.
Note: To date, Dr. Reifman's office has treated over 1,000 patients with Arestin in his
office - with phenomenal success! |
H
Gum Pocket Probing
What is a gum pocket and why is it so
important to your health?
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You should have your dental
hygienist do a gentle, pain-free
gum pocket
evaluation two or more times a year, during regular cleanings. It just takes a
couple of minutes for this extremely important procedure. The
gum pocket is simply the space between your teeth, and the gums surrounding it.
Deep gum pockets are a big sign of gum disease, and a huge source of infection.
Deep gum pockets can contribute to heart
problems, adult onset diabetes, arthritis, and a reduction in the way your body
fights infection! |
How Dr.
Reifman found a 'tad' of gum disease around a couple
teeth, and was successfully treated by his
hygienist-
without needles or shots- and in only one short visit!
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For
years, I've had 4 teeth cleanings annually, and for
years, I've never had any gum problems. When I recently
sat myself in my hygienists dental chair for my 3 month
tooth cleaning, Jodie, our incredibly thorough dental
hygienist, unexpectedly spotted two deep gum pockets.
It can't be, I thought! They hadn't been there 3
months earlier, at my last checkup. And here I am,
the flossing champ of the world (OK, maybe at least in
the San Fernando Valley). However, I knew that gum
pocket problems can crop up with anyone, and it
was my time to get some dental work done, and
immediately!
Jodie measured my gum pockets around two very back
molars. They were suddenly deeper than normal, and
therefore unhealthier than we would like them to
be. That's because if these gum pockets remain
deep, they would be almost impossible to keep clean with
regular brushing or flossing. And that could
cause a serious infection!
My
new-found pockets were due to just plain getting older
(I've celebrated my 39th birthday a few times),
so something had to be done. I had Jodie
place some Oraqix
numbing drops in the
area, and 30 seconds later, she could do a deep cleaning
there without it hurting, and without an injection!
Immediately afterwards, she placed two of the new,
concentrated antibacterial
Arestin
microspheres (see below) in those
two deep gum pockets.
Totally painless, and quick. Two weeks
later, I sat back in the hygiene chair for a quick
check-up around that area of my mouth where the problems
were. Lo and behold, those nasty gum pockets had
shrunk! I was out of the 'danger zone', and back
to a healthy mouth!
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It would now be
possible to routinely clean this back area
of my mouth with regular home care,
because the gum depth was now within a
healthy range again. (And, I
could avoid seeing the periodontist for gum
surgery!) Thank you, Jodie!
Edward M.
Reifman, DDS
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"Dr. Reifman is patient and explains every step so
the patient is comfortable and secure during the entire procedure."
Art W. - Sherman Oaks, CA
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VERY IMPORTANT!...
Have your dentist explain the role of the protein 'CRP'
in its
relationship to Gum Disease, and Heart Problems

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Researchers have known
for quite some time that elevated
CRP
(C-Reactive
Protein)
levels increase the risk for
cardiovascular disease. A recent study published in
The New England Journal of Medicine identified
elevated CRP levels as a stronger predictor of heart attacks
than elevated cholesterol levels, and recommended CRP and
cholesterol screening for accurate risk assessment of
cardiovascular disease.
However, many clinicians were unclear
of the cause of elevated CRP levels. A study published
earlier this year in the
Journal of Periodontology
reported that inflammatory effects
from periodontal disease, a chronic bacterial infection of
the gums, cause oral bacterial byproducts to enter the
bloodstream and trigger the liver to make proteins such as
CRP that inflames arteries and promote blood clot
formation. "Periodontal disease needs to be considered as a
major contributor to increased levels of CRP by the medical
community," said Dr. Steven Offenbacher,
member of the American Academy of
Periodontology
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MEDICAL ADVICE FROM DR.
REIFMAN:
"During your annual checkup
with the doctor, be sure to ask your physician
to add the CRP test to your blood lipid profile.
It is inexpensive, and can help in determining
the amount of heart inflammation you may have!"
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Research repeatedly shows that
bacterial plaque accumulates to a harmful level every ninety
days and must be "deplaqued" by a dental hygienist.
Regular cleanings will help keep your perio pockets healthy
and our new, ultrasonic scaler makes this easier on you.
This comfortable instrument does the following:
Controls the growth of
harmful bacteria. Bacteria above the gum line is
less aggressive bacteria whereas the bacteria
below the gums are more destructive and
dangerous!
The ultrasonic scalar helps gums to reattach to the
spotlessly clean root surface, thereby preventing
tooth loss.
Reduces gum swelling and discomfort, and bleeding.
Decreases tooth sensitivity due to gum recession.
Prevents bone and tooth loss due to gum disease.
A
Frequently Asked Question From My Patients:

Replacing one's toothbrush
every 3-4 months is a good idea, as after a
while, they will accumulate bacteria and wear
out. When it gets frayed, throw it out and buy a
new one. Buy a new toothbrush after you've been
sick, because the old one houses lots of
bacteria. An electric toothbrush is very
user-friendly, and usually is more efficient, as
each stroke is perfect. However, after 3-4
months, you need only replace the head of the
brush. Finally, buying those new, disposable
electric brushes at Rite-Aid, Savons, or
Costco's (around $8 each), is also a good idea.
Used at work, on vacation, or just as an extra
one around the house, these electric tooth
brushes can last for 3-4 months... a terrific,
inexpensive investment in one's oral health.
Recent news articles connecting gum problems with the
following:
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The Connection Between
Gum Disease and Heart Disease
Several theories exist to explain the link between periodontal (gum)
disease (receded, red, swollen, inflamed, or bleeding gums) and
heart disease. One theory is that oral bacteria can affect the heart
when they enter the blood stream, attaching to fatty plaques in the
coronary arteries (heart blood vessels) and contributing to clot
formation.
Coronary artery disease is characterized by a thickening of the
walls of the coronary arteries due to the buildup of fatty proteins.
Blood clots can obstruct normal blood flow, restricting the amount
of nutrients and oxygen required for the heart to function properly.
Another possibility is that the inflammation caused by periodontal
disease increases plaque build up, which may contribute to swelling
of the arteries. Either may lead to heart attacks.
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"Researchers
have found that people with periodontal (gum) disease are
almost twice as likely to suffer from coronary artery
disease as those
without
periodontal disease."
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Gum Disease Linked With Premature Births
Gum disease may cause
infections that trigger immune system to send 'deliver baby now'
messages


By
JOY VICTORY
Feb. 24, 2006 — In
recent years, dentists and doctors have begun to understand how
periodontitis — gum disease — does more than cause big bills at the
dentist's office. It also may trigger or exacerbate conditions like
heart disease, diabetes and stroke.
That's because oral
bacteria are nasty critters, and once they've infiltrated the gums,
they can travel through the bloodstream and cause infections all
over the body, particularly the heart valves. The situation is
especially dire for diabetics, who have a weakened healing system.
But now researchers are
learning that premature births also may be linked with periodontal
disease, possibly shedding light on why about one out of every 10
women give birth prematurely.
In general, pregnant women
are more likely to develop swollen and inflamed gums because of the
sweeping hormonal changes that occur after conception. Often these
changes are temporary.
The changes may be
fleeting, but still very important to treat: Research is showing
that women who had moderate-to-severe periodontal disease during
pregnancy had an increased risk of pre-term delivery, even when
factors like race, smoking and behavioral attitudes were taken into
account.
It's speculated that in
some women, oral bacteria not only enter the bloodstream and expose
the baby to harmful bacteria, they also may alert the immune system
to send "deliver baby now" signals to the uterus.
As the American Academy of
Periodontology puts it, "the likely culprit is a labor-inducing
chemical found in oral bacteria called prostaglandin."
While further research is
needed, what's known so far indicates that one in 5 pre-term births
could be prevented by treating periodontal disease, said Steven
Offenbacher, a periodontics professor at the University of North
Carolina School of Dentistry.
He said that some health
insurance companies have taken note of this link and are offering
aggressive prenatal dental care to women.
The risk of not taking
care of gum disease far outweighs any potential concerns about
dental treatments harming the baby, such as from X-rays, he said.
"Treatment for periodontal disease during pregnancy is a safe and
effective way to improve maternal oral heath," he said.
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Gum Disease Can Cause Alzheimer's
Myrtle Beach, SC (PRWEB) January 16, 2006 -- According to TIME
Magazine, "University of Southern California researchers found that
inflammation caused by lost or loose teeth, and the resulting
infection, can quadruple the risk of developing Alzheimer's.
Treating those inflammatory episodes could help stave off the
disease."
Dr. Robert O. Nara (Houghton, MI), with 50 years of dental
experience, pushes the envelope one step further: "It has been my
experience that poor dental health during a lifetime probably
shortens one's life time by as much as ten years!"
TIME further states, "50 research studies of the conditions
found that patients who go on to develop Alzheimer's show tell-tale
signs - lapses in memory, reasoning, problem solving ability, verbal
fluency and attention skills years before the disease is diagnosed."
Assuming that all of this is true, the obvious question then
is: Why has all of this been virtually ignored by the dental
profession and by the medical profession?
Dr. Nara replies, "It is easy to observe that the medical
profession gets little or no training in diseases of the teeth and
gums, therefore medical doctors are simply not able to put oral
health matters into perspective. The dental profession mostly
ignores the impact of how oral inflammation and infection affect the
rest of the body, simply because they are not paid to do so..."
"The dental profession is paid to perform 'procedures' such as
fillings, extractions, crowns, prosthetic replacement (false teeth),
etc., so dentists are disconnected from the overall picture of whole
body health.
"It is easy to understand why this field has been totally
neglected," adds Nara.
According to Tom Cornwell, publisher of the OraMedia site for
Dental Self Sufficiency ( OraMedia.com ), loose teeth are largely
the result of periodontal disease (gum disease) due to lack of
proper oral hygiene throughout a person's lifetime. "People have the
general idea that brushing and flossing will prevent tooth and gum
problems - once they get into their twenties and stop getting
cavities, they think they are out of the woods," says Cornwell.
"Unfortunately, 'knowing' and 'doing' are two different things.
Perhaps 1% of the population actually flosses," he adds, "and even
so, people are barely aware of oral irrigation and how important
that function alone can be to their oral health - prevention and
healing."
Gum disease is a quiet one. We tend to ignore a little
blood on the toothbrush and put up with a little pain until it
becomes unbearable. By the time those and other symptoms show up,
however, gum disease can be quite advanced and those signs should
NOT be ignored. Recent studies are linking oral infection with a
host of diseases not previously related, including heart disease,
and now Alzheimer's.
"It really isn't surprising... Nara and a few others wrote
about this 25 or 30 years ago," Says Cornwell, "and today, science
is confirming it all over the place. The question is: 'How do we
make it important enough for the public to start paying attention?'
Treating the disease is not all that difficult - it is simply a
matter of understanding that the real culprits are bacteria,
essentially, not sweets. A person learns how to control the levels
of these microbes in the mouth and the body responds by healing
itself," adds Cornwell. "In my mind, the public is too focused on
tooth whitening, types and costs of dental treatment, dental
insurance, mercury amalgams and fluorides. None of these things
would be factors if the focus were properly placed on the extra 5 or
10 minutes a day for, and a better knowledge of proper hygiene."
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