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Periodontal Disease Associated with Cardiovascular Risk

November 12th, 2025

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Masterpiece Dentistry at Copley. John Pappas and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Tips for Cold and Flu Season

November 6th, 2025

It’s peak cold and flu season, a time to be especially conscious about your health. We have some suggestions to help you navigate this contagious time of year, with bonus tips for a healthy smile.

  • Wash Up! 

Bacteria and viruses can live for hours and even days on non-porous surfaces like doorknobs, phones, and keyboards. That’s why it’s so important to wash your hands before touching your mouth, nose, and eyes, before brushing and flossing, and before you cook or eat. Washing with plain soap and water will eliminate most germs.

Bonus Tip: Keeping your fingers away from your mouth does more than prevent the transmission of bacteria and viruses. Fingernail biting can damage enamel. Prolonged thumb or finger sucking can affect tooth and jaw alignment. Delicate gum tissue can be injured or infected by broken or dirty fingernails. If you’d like to break harmful oral habits, talk to John Pappas for suggestions.

  • Stay Hydrated

Hydration supports healthy skin, helps regulate blood pressure and body temperature, and is vital for digestion and other bodily functions. Proper hydration is also important for a healthy immune system and healthy mucous membranes, which will help you fight off colds and flu. Talk to your doctor about your ideal amount of daily hydration, whether from water, other fluids, or water-rich foods.

Bonus Tip: We also need to be hydrated to produce healthy levels of saliva. Saliva washes away food particles and bacteria and helps neutralize enamel-eroding acidity in the mouth.

  • Eat Healthy Foods

A healthy diet is crucial for a healthy immune system, with foods such as lean proteins, fruits, vegetables, whole grains, and low-fat dairy products.

Bonus Tip: A balanced diet is good for your oral health, too! We need vitamins A and C for healthy gums and oral tissues, minerals like calcium and phosphorus to keep tooth enamel strong, and dairy products enriched with vitamin D, which enables our bodies to absorb the calcium we get in our diet.

What happens if you become ill despite your precautions? 

  • Reduce the Chance of Infecting Others

If you’re ill, you can help stop the spread of germs by limiting contact with other people, covering your mouth and nose when you cough or sneeze, washing your hands frequently, and cleaning the common surfaces in your house which harbor germs. 

Bonus Tip: Sharing isn’t caring when it comes to colds and flu. No matter how close you are to your family members or roommates, your toothbrushes shouldn’t be close at all. Let your brush air-dry in an upright position away from other brushes to avoid contamination. 

  • Be Choosy about OTC Medications

If you take sugary cough or cold medications, brush or rinse afterward. Sugar-free cough drops are better for your teeth than sweet lozenges which bathe your enamel in sugar as you let them dissolve. 

Bonus Tip: Don’t bite into cough drops! You risk chipping or cracking a tooth.

  • Keep Up with Healthy Habits

Be sure to keep hydrated, especially if you’ve been suffering from vomiting or diarrhea. Get the sleep you need to recover. Eat a well-balanced diet.

Bonus Tip: Stay on top of your dental hygiene and brush and floss as usual, with one caution. Vomiting brings up harsh stomach acids which weaken the mineral bonds keeping tooth enamel strong, so brushing right away can be abrasive. If you throw up, rinse your mouth with water and wait 30 minutes before brushing to allow your enamel to come back to full strength.

  • Stay Home When You’re Sick

You’ll get better faster with proper care, which includes getting the rest you need to recover. And you won’t be sharing germs with the people around you.

Bonus Tip: If you have an appointment scheduled with your dentist, reschedule if necessary. Your dental team at Masterpiece Dentistry at Copley will be happy to accommodate you to prevent the spread of germs and to make your dental procedure a more comfortable one.

It’s the height of cold and flu season in Boston, Massachusetts, but you’re not alone! Talk to your doctor about immunizations and other preventative measures. If you do become ill, follow your physician’s recommendations. And if you have any dental concerns, your dental team is prepared with timely advice—at any time of year.

Let’s Make Halloween Treats Less Tricky!

October 29th, 2025

If the scariest part of Halloween in Boston, Massachusetts is trying to figure out which treats are braces-friendly and which treats are braces-frightful, we have a fiendishly simple suggestion to help keep your brackets and wires safe from harm: ghost any treats which are chewy, crunchy, hard, or sticky!

It’s no mystery how certain candies and treats can cause trouble for your braces. The pulling effect of chewy candies like caramels can pull a bracket right off your tooth. Biting into a hard candy can break a wire. Crunchy treats can get stuck under wires and damage braces. Sticky foods pull on your wires and brackets.

Broken braces are no fun. Loose or detached brackets can be uncomfortable. Bent or broken wires can cause sores and cuts inside your mouth. Damaged braces mean extra trips to the orthodontist for repairs, and can even delay your treatment if the damage is significant or you can’t see your orthodontist right away. 

And chewy, crunchy, hard, and sticky treats have a haunting effect on your dental health as well. These foods stick to brackets and wires and can be difficult to brush or floss away. Cavity-causing bacteria feast on the sugars and food particles left behind, putting you at greater risk for cavities.

So, what specific treats should *vanish* from your candy collection this Halloween? Here are some of the most damaging to braces: 

  • Chewy caramels, taffy, fruit chews, gum, and licorice
  • Crunchy candied apples, caramel popcorn, peanut brittle, nuts, and popcorn balls 
  • Hard and hard-shelled candies, lollipops (especially with gum centers), and jawbreakers
  • Sticky gummies, jellybeans, and candy corn

But it’s not all frightful news! There are many spook-tacularly good treats which you can enjoy without putting your braces in jeopardy:

  • Peanut butter cups
  • Soft chocolate bars (with no nuts or caramel hiding inside!)
  • Soft cupcakes
  • Pudding cups
  • Mint patties
  • Ice cream
  • Sugar-free gum (if it’s okay with John Pappas and your orthodontist)

And here are a few good tricks for keeping your teeth and gums healthy, whether or not you wear braces:

  • Brush and floss after treats. 
  • Enjoy sweets in moderation. 
  • Skip the sour candies. Acidic foods can damage tooth enamel.
  • Eat treats with a meal. Eating increases saliva production, which helps neutralize acids and wash away food particles.

Don’t let a damaged bracket or wire spoil your Halloween fun. Talk to the team at Masterpiece Dentistry at Copley to learn which candies are a treat for both you and your braces and you’ll stay on the fast track to a boo-tiful, healthy smile!

Diabetes and Dental Care

October 22nd, 2025

Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

  • Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

  • Professional Dental Care

Be sure to visit our Boston, Massachusetts office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make John Pappas part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

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