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Tag Archives: Troy MI Endodontist

Is This Tooth Bothering My Sinuses?

sinusDo you suffer from chronic sinus problems? Maybe the dentist can help! Read more below and thank you for visiting Personal Endodontics of Troy, MI!

Is This Tooth Bothering My Sinuses?For years patients with chronic sinus issues have asked this question at the dental office.Unfortunately, there has been a communications gap between diagnostic medicine and dentistry in this overlapping area of practice. Endodontists are experts diagnosing pulpal disease, but not trained in diagnosis of sinusitis. Most otolarygologists (ENT) physicians, and especially rhinologists, are experts in sinus diagnosis, but not trained in evaluating dental and pulpal infection, which may be a source of infection for the sinuses. Most sinus CTs are not including the teeth and rarely are medical radiologists evaluating the teeth in their reads.

In cooperation with Dr. Tim Haegen of the Arizona Sinus Center, a division of Valley ENT, we have been able to help patients with chronic sinus issues. Many of these patients have bounced from ENT to ENT looking for answers, some have had continuous courses of antibiotics and some have had sinus surgery, only to continue to have chronic sinus issues. With some interdisciplinary education between endodontics and otolaryngology, familiarization with each other’s diagnostics and terminology and the use of medical and dental CT imaging, we are working together to diagnose and treat the often time overlooked odontogenic sources of sinusitis. The use of 3D imaging between disciplines has helped to bridge the gap of communication between medical and dental specialists trying to help patients with sinusitis and dental infections.

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Tobacco Use and Alcohol Intake Key Risk Factors for Head and Neck Cancer

head and neck cancer
head and neck cancerThis type of cancer can be found early by your dental provider, so it just makes sense that they can help with prevention as well! Read the study below and thank you for visiting Personal Endodontics of Troy, MI!

Worldwide it is estimated that there were around 600,000 cases and 325,000 deaths from head and neck cancer in 2012. Tobaccos and alcohol well established risk factors and are though to account for about 75% of head and neck cancers. The International Head and Neck Cancer Epidemiology (INHANCE) Consortium was established in 2004 to help clarify the role of lifestyle factors and investigate other aetiologic questions.

The aim of this overview paper was to summarise the findings of the INHANCE consortium to date.


The INHANCE consortium includes investigators of 35 studies who have pooled their data on 25,500 patients with head and neck cancer (i.e., cancers of the oral cavity, oro- pharynx, hypopharynx, and larynx) and 37,100 controls. Cases are included in the INHANCE consortium if their tumor had been classified by the original study as an invasive tumor of oral cavity, oropharynx, hypopharynx, oral cavity or pharynx not otherwise specified, larynx, or head and neck cancer unspecified according to the International Classification of Diseases for Oncology, version 2 [ICD- O-2], or the International Classification of Diseases, 9th [ICD-9; (30)] or 10th [ICD-10] Revision.

Most are case–control studies involving patients with head and neck cancer and a comparison group of controls without head and neck cancer; the other studies are case series-patients with head and neck cancers.

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How Bioceramics Could Help Fight Gum Disease

gum disease
gum diseaseResearchers continue to look for better ways to treat and prevent gum disease. Read the promising results of a new study below and thank you for visiting Personal Endodontics of Troy, MI!

Severe gum disease known as periodontitis can lead to tooth loss, and treating it remains a challenge. But new approaches involving silicon nitride, a ceramic material used in spinal implants, could be on the way. The surface of silicon nitride has a lethal effect on the bacteria that commonly cause periodontitis. Now scientists, reporting in ACS’ journalLangmuir, are examining why this happens. Their findings could help inform future efforts to treat the disease.

About half of American adults have some form of gum disease. It’s caused by bacteria that infect the tissue around teeth, resulting in gum inflammation. If the condition progresses, the bacteria can damage the bone that supports the teeth. In addition to tooth loss, periodontitis can increase a person’s risk of heart attack or stroke. Options for treatment include scaling and root planing, topical antibiotics and surgery. Giuseppe Pezzotti and colleagues wanted to find a new alternative by studying the reactions of bacteria to antimicrobial silicon nitride.

The researchers investigated how the ceramic material changes the metabolism of Porphyromonas gingivalis — the bacteria species primarily responsible for periodontitis. They found that chemical reactions at the surface cause the bacteria’s nucleic acids to degrade and drastically reduce the amounts of certain proteins and fats. While further studies are needed, the results show silicon nitride holds promise as a therapeutic aid for treating severe gum disease.

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microbesA study that attempts to “understand” microbes in the mouth! Read the results below and thank you for visiting Personal Endodontics of Troy, MI!

A new study from the Forsyth Institute and the Marine Biological Laboratory provides a detailed look at how the microbes in the mouth coexist. Using a novel fluorescence imaging technique and DNA sequencing, the scientists have created a high-resolution map of the bacteria in dental plaque. For the first time, scientists can see where the bacteria are in relation to each other. This research is critical for gaining new understanding of how the bacteria interact and will ultimately clarify their role in health and disease.

This new imaging technique can be used to map and study other human microbiomes — such as the gut and the skin. In this study, the research team found that bacteria in the mouth form structures (that they termed “hedgehogs”), in which the organization of the bacteria suggest functional roles within the community.

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Signs of Naturally Occurring Chronic Periodontitis Reversed

periodontitisExciting new treatment in the works for periodontitis! Read more below and thank you for visiting Personal Endodontics of Troy, MI!

Periodontitis, a gum disease present in nearly half of all adults in the United States, involves inflammation, bleeding and bone loss. In its severe form, it is associated with systemic inflammatory conditions such as atherosclerosis and rheumatoid arthritis. Few treatment options exist beyond dental scaling and root planing, done in an attempt to reduce plaque and inflammation.

Now, with findings from a study led by University of Pennsylvania researchers, there is new hope that the disease can be effectively reversed.

The work, which appears in the Journal of Clinical Periodontology, employed an inhibitor of a protein called C3, a component of the body’s complement system, which is involved in immunity and inflammatory responses. Delivering this inhibitor, Cp40, to the periodontal tissue just once a week reversed naturally occurring chronic periodontitis inflammation in a preclinical model.

George Hajishengallis, Thomas W. Evans Centennial Professor inPenn’s School of Dental Medicine’s Department of Biology, and John D. Lambris, Dr. Ralph and Sallie Weaver Professor of Research Medicine in the Perelman School of Medicine’s Department of Pathology and Laboratory Medicine, were co-senior authors on the study, the result of years of collaboration.

“Even after one treatment, you could see a big difference in inflammation,” said Hajishengallis. “After six weeks, we saw reversals in inflammation, both clinically and by looking at cellular and molecular measures of osteoclast formation and inflammatory cytokines.”

“The results were so clean, so impressive,” Lambris said. “The next step is to pursue Phase 1 trials in humans.”

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Is This Tooth Bothering My Sinuses?

Is This Tooth Bothering My Sinuses?

Do you suffer from chronic sinus[...]