"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!



Have you been told you need gum surgery? 

Maybe you don't!


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.


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


 

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

IF not taken care of, these problems in the mouth can lead to the following diseases...
  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...

GET YOURSELF HEALTHIER... TODAY!

 

 

 

 

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!

 

What is Arestin?

 

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!

 
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!

 

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Gum Pocket Probing

What is a gum pocket and why is it so important to your health? 

 

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!

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!  

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

 

     

 

 

 

 

"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


 

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

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!" 


 

Ultrasonic Scaling: Cleaning Your Teeth The Gentle Way

 

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: 

 "When should I replace my toothbrush?"

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:

 

 

 

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.

 

"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."

 

 

 

 

  

 

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.

 

 

 

 

 

 

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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