If you have, or are at risk for, gum disease (also known as periodontal disease) then you probably know about the traditional treatments that your dentist has to offer. Thanks to advances in technology, there are several options for treatment such as periodontal surgery, laser therapy and other non-surgical methods. However, according to the American Academy of Periodontists, non-surgical methods don't work for every situation. Also, not everyone is comfortable with these procedures due to possible pain, side effects and medicines that may be used in the process. Fortunately, nature has provided a solution in the form of a naturally occurring substance called xylitol.

Xylitol is a natural sugar found in the fibrous part of many plants including plums, strawberries, raspberries, and birch trees. Beth Israel Deaconess Medical Center reports that xylitol can reduce unhealthy oral bacteria that are responsible for causing cavities and gum disease. Due to xylitol’s unique structure, it doesn't break down the way that regular sugar does and it helps keep a neutral pH balance in your mouth. Regular consumption of xylitol will prevent harmful bacteria from sticking to your teeth and gums, thus decreasing your chance of developing, or worsening, gum disease.

Here are some additional benefits that xylitol provides for your oral health:

• Helps to reduce plaque formation
• Helps to reduce the development of cavities and aids in repairing them
• Increases saliva which helps to repair damaged enamel

Preventing Gum Disease
To maintain optimum oral health, a minimum of six grams is necessary to notice the benefits, but more than ten to 12 grams a day is no more effective than 20 grams. To prevent gum disease, make sure that you consume an appropriate amount of xylitol throughout the day in five to six doses, not all at once. Drinking water, with one to two teaspoons of granulated xylitol stirred in, is an effective way to get the recommended amount. Do this in addition to your usual brushing and flossing routine.

Eliminating Gum Disease
Xylitol is anti-bacterial and will help to make the harmful bacteria disappear and over time the pockets that you've developed in your gum line will heal and recede back to their normal condition. Since you already have a higher level of bacteria in your mouth, you'll want to be sure to get in at least ten grams of xylitol each and every day in addition to maintaining a good brushing and mouth rinsing routine. Use a toothpaste with xylitol, a mouthwash that is highly effective at killing bacteria, and floss daily. As your final step, you should drink some water with a few grams of xylitol, chew a piece of gum or eat a candy with xylitol. Make sure that you get your xylitol in small, frequent doses throughout the day in order to gain the most benefit.

Tips and Warnings

• To get enough xylitol, try eating xylitol candies and chewing gum made with 100 percent xylitol or drinking xylitol mixed with water.
• Consuming too much xylitol in a given day, usually more than 20 to 30 grams, often causes diarrhea and stomach discomfort.
• While it's perfectly safe for human consumption, xylitol is lethal to dogs. Be sure to keep your xylitol in a cupboard or high shelf so that your canine friends can't get to it.

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease.

Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene.

Other less common causes of gingivitis include:
• diabetes
• aging
• smoking
• improper nutrition
• hormonal fluctuation
• stress
• pregnancy
• substance abuse
• certain medications
• genetic predisposition

Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.

Implications of Gingivitis
If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.

Treatment of Gingivitis
In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth.

Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

Our team knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one?

A root canal is a treatment uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with us right away.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit to our office! We also invite you to ask us on Facebook!

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our team will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

Spring is in the air! As you probably know, you can always connect with us on our Facebook page, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

We also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Thank you! Have a great week!

Visiting our office regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene.

We are trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next appointment. Take care of your teeth!

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

• · small areas of decay between the teeth or below existing restorations (fillings)
• · infections in the bone
• · periodontal (gum) disease
• · abscesses or cysts
• · developmental abnormalities
• · types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.

Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further.  We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

If you have missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. Dental implants are a great option for replacing missing or badly diseased teeth. A dental implant offers comfort, support, stability, and is as close to a natural tooth that a restoration can be.

There are many benefits to dental implants:

• Dental implants restore your ability to chew food properly.
• They fill out a face that may otherwise look sunken in because of missing teeth.
• They don’t need to be removed for overnight cleaning and soaking.
• No adhesives are needed.
• You’ll feel more confident to show off your smile to the world.
• Each implant is created to fit in perfectly with the look of the rest of your teeth.

Dr. Nikolovski and team understand not everyone is thrilled to see the dentist. But we strive to bring you the best and most comforting experience at each visit. We’d like to know: What is it about Chris Nikolovski, DDS that makes you comfortable or puts you at ease? Is it something about our pleasant office environment? Our friendly staff or Dr. Nikolovski?

Let us know by posting here, on our Facebook page, or by giving us a call!

Yesterday was Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of our patients at Chris Nikolovski, DDS.

Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.

*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

Valentine’s Day is here and there is a lot of candy making the rounds this week. It’s once again time to remind all our patients to be extra careful when choosing those candies and treats!

All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth, as well as braces if you’re wearing them! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.

We recommend softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, as well as at the gum line.

Happy Valentine’s Day from all of us at Chris Nikolovski, DDS!

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our staff at Chris Nikolovski, DDS will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our Hinsdale or Chicago office, please give us a call!

Let’s face it- when was the last time you managed to keep a New Year’s resolution? We at Chris Nikolovski DDS believe the key to sticking to a goal is picking one that is both reasonable and attainable. If you haven’t yet picked a New Year’s resolution, consider setting one that will improve your oral health!

For example, resolve to brush twice and floss once a day. Good oral hygiene only takes a few minutes a day, and can make a big difference in your oral health and overall health too! For more oral health-themed resolutions for you and your family, check out <a href="http://www.funtasticdental.com/articles/Prevention-article2.htm">this article</a>.

We would love to see what you come up with, share with us by commenting on this post or on our Facebook page. Whatever your New Year’s Resolution, we wish you the very best for 2012!

-Happy New Year, from your friends at Chris Nikolovski DDS

Maintaining a healthy diet over the holiday season can prove a difficult task. After all, who can resist the tasty treats of Christmas? With grandma and everybody else offering you candy, chocolate logs or Christmas pudding, you just can’t say “I’ll pass” each time. But trouble lurks: every time you chow down on that chocolate or candy, the bacteria in your mouth have a feast on the sugar—at your expense.  The sugar turns into acid, and the acid eats away at the enamel on your teeth. Then, you start getting cavities.

Instead, our friends at the American Dental Association recommend nuts or dried fruit, which are a nice alternative to sugars and have a greater nutritional value—and can satisfy your sweet tooth! Both nuts and fruit are a great source of fiber and act as an appetite suppressant. In addition, nuts are a great source of Vitamin E, Vitamin B6 and Vitamin B9, nutrients that contribute to a healthy immune system. Nuts are also a rich source of omega-3 fatty acids, which have been linked with reducing heart disease and lower blood pressure.

If you must indulge in chocolaty goodness this Christmas or holiday season, remember to brush your teeth after eating sugary treats. Hope this helps! Give us a call if you have any questions!

-          Dr. Chris Nikolovski and team

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff – we hope this will be a valuable resource for our patients, their families, and friends!