Periodontial Disease

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. Periodontal disease can affect one tooth or many teeth. The main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. However, factors like the following also affect the health of your gums.
Periodontal disease is often silent, meaning symptoms may not appear until an advanced stage of the disease. However, warning signs of periodontal disease include the following:

• Red, swollen or tender gums or other pain in your mouth
• Bleeding while brushing, flossing, or eating hard food
• Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
• Loose or separating teeth
• Pus between your gums and teeth
• Sores in your mouth
• Persistent bad breath
• A change in the way your teeth fit together when you bite
• A change in the fit of partial dentures

Dental Implants

A dental implant is an artificial tooth root that a periodontist places into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.

While high-tech in nature, dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support.

Dental implants are so natural-looking and feeling, you may forget you ever lost a tooth.You know that your confidence about your teeth affects how you feel about yourself, both personally and professionally. Perhaps you hide your smile because of spaces from missing teeth. Maybe your dentures don't feel secure. Perhaps you have difficulty chewing. If you are missing one or more teeth and would like to smile, speak and eat again with comfort and confidence, there is good news! Dental implants are teeth that can look and feel just like your own! Under proper conditions, such as placement by a periodontist and diligent patient maintenance, implants can last a lifetime. Long-term studies continue to show improving success rates for implants.

Curriculum JOSE NART

• PhD in Dentistry,
  Universitat Internacional de Catalunya, Spain
• Doctor in Dental Surgery (DDS).
  Universitat Internacional de Catalunya, Barcelona.
• Certificate in Periodontology and Implants.
  Tufts University, Boston, USA.
• Diplomate, American Board of Periodontology.
• Associate Professor.
  Universitat Internacional de Catalunya, Barcelona.
• Invited Profesor, Master de Implantología Oral Avanzado,
  Universidad Europea de Madrid (UEM).
• PhD candidate.
• Private practice limited to Periodontology and Implants.
  Barcelona.
• International and national scientific publications.
• International and national lecturer.
• Specialist member of the Spanish Society of Periodontology (SEPA).
• Active member of the American Academy of Periodontology (AAP).
• Active member of the Catalan Society of Dentistry (SCOE-ACM).
  
  

Published Articles

• Use of guided tissue regeneration in the treatment of a lateral periodontal cyst with a 7-month reentry´. J. Nart, E. Gagari, M. Kahn, TJ. Griffin. Journal of Periodontology 2007:78,1360-1364. (pdf)
• Tratamiento de la lesión de clase V, ¿alargamiento o acortamiento de corona?. T. Hempton, D. Drakos, J. Nart, A. Santos. Periodoncia y Osteointegración 2007;17(2).75-84.
• Preservación del reborde alveolar. Por qué y cuándo. J. Nart, E. Marcuschamer, J. Rumeu, A. Santos, TJ. Griffin. Periodoncia y Osteointegración 2007;17(4).229-237.
• Tratamientos mucogingivales en ortodoncia´. J. Nart, N. Carrió, N. Estela, A. López, S. Travería, A. Santos. Ortodoncia Clínica 2008;11(2):14-31.
• Restauración del soporte periodontal., cuándo cómo y por qué´. T. Hempton, J. Nart, V. Likhari, L. Rodríguez, E. Marcuschamer. Maxillaris 2008, junio, 162-180.

Memory courses and conferences held 2007-08

• Use of guided tissue regeneration in the treatment of a lateral periodontal cyst with a 7-month reentry´. J. Nart, E. Gagari, M. Kahn, TJ. Griffin. Journal of Periodontology 2007:78,1360-1364. (pdf)
• Tratamiento de la lesión de clase V, ¿alargamiento o acortamiento de corona?. T. Hempton, D. Drakos, J. Nart, A. Santos. Periodoncia y Osteointegración 2007;17(2).75-84.(pdf)
• Preservación del reborde alveolar. Por qué y cuándo. J. Nart, E. Marcuschamer, J. Rumeu, A. Santos, TJ. Griffin. Periodoncia y Osteointegración 2007;17(4).229-237. (pdf)
• Tratamientos mucogingivales en ortodoncia´. J. Nart, N. Carrió, N. Estela, A. López, S. Travería, A. Santos. Ortodoncia Clínica 2008;11(2):14-31.(pdf)
• Restauración del soporte periodontal., cuándo cómo y por qué´. T. Hempton, J. Nart, V. Likhari, L. Rodríguez, E. Marcuschamer. Maxillaris 2008, junio, 162-180.(pdf)
• Nart J, Sanz Martn I, Cheung W, Griffin TJ. Manejo del tatuaje de amalgama con injerto dérmico acelular, Alloderm. Gaceta Dental, enero 2009.(pdf)
• Nart J, Mazzocco F, Gatti M, Nart M. Injerto de conectivo subepitelial para mejorar la estética de implantes. Maxillaris, marzo 2009.(pdf)

Contact/Links

• Via email a:
  info@nartperiodoncia.com
  
  
• Nart Clínica Dental
  C/ Padilla, 368 T 934 567 003
  www.nartclinicadental.com
  
  
• Advanced Perio-Implant Clinic
  C/ Aribau, 326 2º 2ª T 93 414 23 48
  

• Sociedad Española de Periodoncia y Osteointegración
  www.sepaos.es
• American Academy of Periodontology
  www.perio.org
• Societat Catalana d’Odontoestomatologia
  www.scoe.cat
• American Board of Periodontology:
  www.perio.org/amboard

FAQ’S

The word periodontal literally means "around the tooth." Periodontal diseases are serious bacterial infections that destroy the attachment fibers and supporting bone that hold your teeth in your mouth. Left untreated, these diseases can lead to tooth loss. There are many forms of periodontal diseases

A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. Periodontists are familiar with the latest techniques for diagnosing and treating periodontal disease. In addition, they can perform cosmetic periodontal procedures to help you achieve the smile you desire. Often, dentists refer their patients to a periodontist when their periodontal disease is advanced. However, you don't need a referral to see a periodontist. In fact, there are occasions when you may choose to go directly to a periodontist or to refer a family member or friend to your own periodontist.

Bleeding gums are one of the signs of gum disease. Think of gum tissue as the skin on your hand. If your hands bled every time you washed them, you would know something was wrong. There are a number of other warning signs of gum disease.

If you value your oral as well as overall health, anytime is a good time to see a periodontist for an evaluation. Sometimes the only way to detect periodontal disease is through a periodontal evaluation. A periodontal evaluation may be especially important in the following situations:

• If you notice any symptoms of periodontal disease, including:
  • gums that bleed easily, such as during brushing or flossing.
  • red, swollen or tender gums.
  • gums that have pulled away from the teeth.
  • persistent bad breath.
  • pus between the teeth and gums.
  • loose or separating teeth.
  • a change in the way your teeth fit together when you bite.
  • a sore or irritation in your mouth that does not get better within two weeks.
• If you are thinking of becoming pregnant. Pregnant women who have periodontal disease may be seven times more likely to have a baby born too early and too small. In addition, about half of women experience "pregnancy gingivitis." However, women who have good oral hygiene and have no gingivitis before pregnancy are very unlikely to experience this condition.
• If you have a family member with periodontal disease. Research suggests that the bacteria that cause periodontal disease can pass through saliva. This means the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member.
• If you have heart disease, diabetes, respiratory disease or osteoporosis. Ongoing research is showing that periodontal disease may be linked to these conditions. The bacteria associated with periodontal disease can travel into the blood stream and pose a threat to other parts of the body. Healthy gums may lead to a healthier body.
• If you feel that your teeth are too short or that your smile is too "gummy." Or, if you are missing one or more of your teeth and are interested in a long-lasting replacement option.
• If you are not satisfied with your current tooth replacement option, such as a bridge or dentures, and may be interested in dental implant.