#Dental Implants Diet

[ashadentaloflenexa]

Looking for the best foods to eat after getting dental implants? Get the answers you need from this video! Expert Lenexa dentist from Asha Dental will guide you through the different kinds of foods you can include in your diet and what to avoid to ensure your implants are safe and secure. Discover how to maintain a healthy diet and enjoy delicious meals with your new implants!

Asha Dental - Lenexa

Address: 9456 Renner Blvd, Lenexa, KS 66219, United States

Phone: +1 913-359-0868

Also connect with us at:

https://www.yelp.com/biz/asha-dental-lenexa-lenexa

[hashtagsmilehealth]

Welcome to our premier Medical & Dental polyclinic, your gateway to exceptional care! From top-tier treatments in Medical, Dental, ENT & Nutrition to convenient accessibility near your home. We prioritize your well-being with compassion & affordability.

[molldremfamilydentistry]

Preventive care at Molldrem Family Dentistry is an essential investment in your long-term oral and overall health. By focusing on early detection, cost-effective treatments, improved overall health, enhanced quality of life, and personalized education, we help you maintain a healthy and beautiful smile.

[colibay]

DentiCore: Transform Your Oral Health Now

DentiCore is an advanced dental health supplement featuring a unique blend of 3.5 billion probiotics and essential nutrients, clinically proven to support healthy teeth and gums. For a natural approach to enhancing your dental health, DentiCore might be the perfect solution.

[capturelifedental]

Healing Your Smile: A Guide to Dental Implant Recovery

So, you've taken the plunge and opted for dental implants to replace missing teeth. Congratulations! This innovative procedure offers a permanent, natural-looking solution for a confident smile. 

But with any surgery comes a recovery period, and understanding what to expect after dental implant placement can ease any anxieties and ensure a smooth healing journey.

At Capture Life Dental Care, we're dedicated to providing our patients with comprehensive care every step of the way. 

To help you navigate the post-treatment period with confidence, we've put together this guide to outline essential steps and tips for caring for your smile after dental treatment.

The Implant Powerhouse: What to Expect After Placement

The dental implant process typically involves two phases: implant placement and restoration. The first phase involves surgically placing a titanium post into the jawbone to act as an artificial tooth root. 

This initial procedure may involve some swelling, discomfort, and slight bleeding, which is completely normal. Your dentist will prescribe pain medication and provide specific instructions for managing these temporary side effects.

The First 48 Hours: Gentle Healing

The first 48 hours are crucial for setting the stage for proper healing. Here's what you can expect:

Swelling: This is a common post-surgical experience. Apply ice packs to the affected area for 20-minute intervals throughout the day to reduce swelling.

Discomfort: Pain medication prescribed by your dentist should manage any discomfort. Remember to take it as directed.

Bleeding: Slight bleeding is normal for a day or two. Gentle pressure with a gauze pad can help control it.

Diet Do's and Don'ts: Soft Food is Your Friend

For the first few days post-surgery, stick to a soft food diet. Think mashed potatoes, yogurt, and blended soups. Avoid hard, crunchy, or chewy foods that can irritate the implant site. This gentle approach allows the implant to integrate seamlessly with your jawbone.

Oral Hygiene: Keeping Things Clean

Maintaining good oral hygiene is essential for successful healing. Use a soft-bristled toothbrush and gentle toothpaste to clean your teeth, avoiding the implant site for the first few days. Antiseptic mouthwash can also be helpful, but consult your dentist about the specific product and usage instructions.

The Week Ahead: Gradual Progress

By the end of the first week, the swelling should subside, and discomfort should decrease significantly. You can gradually introduce more solid foods to your diet, but continue to be gentle with the implant site.

Beyond the First Week: Continued Healing

The healing process continues over several months as the implant integrates with the jawbone, a process called osseointegration. During this time, you may experience some tenderness at the implant site, particularly when chewing. However, the discomfort should be mild and manageable.

Second Stage: The Crown Jewel - Attaching the Restoration

Once osseointegration is complete (usually 3-6 months), you'll return to your dentist for the second phase. They'll attach a permanent crown, bridge, or denture to the implant, completing your new smile.

Recovery Tips for a Smooth Journey

Here are some additional tips to promote a smooth dental implant recovery:

Get Enough Rest: Allow your body time to heal by getting plenty of sleep.

Avoid Smoking: Smoking can significantly hinder healing and increase the risk of implant failure.

Minimize Strenuous Activity: Avoid activities that could put stress on the implant site, particularly in the first few weeks.

Regular Follow-up Appointments: Stick to your dentist's recommended follow-up schedule to monitor healing and address any concerns.

Conclusion

While dental implant recovery requires some initial care and attention, the long-term rewards are undeniable. With proper care, dental implants can last a lifetime, offering a natural-looking, functional solution for missing teeth. 

They can significantly improve your ability to eat and speak, boosting your confidence and overall well-being. So, embrace the recovery process, knowing that a bright, healthy smile awaits!

Are you ready for a seamless dental implant treatment? If yes, then visit Capture Life Dental Care clinic today!

[herpandaphilosopher]

NjRslJ

CLICK HEAR TO HAVE SOME FUN!

[universityperiodontalassociates]

What To Eat After All-On-4 Dental Implant Surgery?

These are 4 implants placed in your upper & lower jaw. Using all-on-4 implants eliminates the need for an implant for every missing tooth. After the surgery when the sedation wears off you can expect swelling & pain but to facilitate this dentist will prescribe you the right medicine. The first two weeks after the surgery you should have only liquid food like yogurt, coffee, tea, smoothies,  etc. After two weeks to 3 months, you can enjoy having soft bread, pasta, oatmeal, eggs, protein, cheese, tofu, and meatloaf. Within 6 months you will recover fully & then you can get back to your normal diet. If you wish to know more about the post-dental implant surgery diet contact us!

University Periodontal Associates

3100 Richmond Ave., Houston, TX 77098, United States

832-975-0990

https://gums-houston.com/all-on-4-dental-implants/

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[crippledpunks]

shoutout to disabled people who are too sick to take care of their teeth. here's to you if you have to get frequent fillings, root canals, teeth extracted, implants, or dentures because taking care of your teeth is to difficult or impossible with your disabilities. here's to you if you forget to brush, can't afford tooth brushes, toothpaste, mouth wash, etc., if you are or have been homeless and struggled to access dental care, if you're too poor or don't have insurance to see the dentist, if you dissociate, if you are psychotic and don't trust dentists, if your chronic fatigue prevents you from daily maintenance, or whatever it is that holds you back, shoutout to you.

dental care is a nightmare to keep up with given the amount of sugars, acids and harmful additives that are put into just about everything in our modern diet. many of the sugars and acids alone damage our teeth in substantial ways that are difficult to keep up with even if you are abled, let alone the cost, time and transportation it takes to get access to dentistry. if you have to get teeth extracted or replaced, you are not failing. that is also part of your care. you are still doing your best.

[bestdentistinsubhashnagar]

What Are the Benefits of Visiting a Dental Clinic in Hari Nagar?

Dental health is addressed by Dentistry at every stage of life. From baby teeth to permanent teeth, children's dental needs differ from those of adults. Qualified family dentists provide complete oral care. Family dentistry is concerned with dental health and oral hygiene, just as general Dentistry. A family dentist, however, emphasizes the special requirements of kids of all ages.

Strong teeth and gums are important for overall health, according to our dental clinic in Hari Nagar. To help you achieve your optimal level of oral health, our team of highly qualified dental specialists is committed to providing you with the most innovative and effective treatments.

We offer a wide range of services, including prosthodontics, periodontics, implantology, endodontics, orthodontics, general dentistry, and oral and maxillofacial surgery. We have the newest equipment and technology at our state-of-the-art facility to ensure that our patients receive the best care possible.

Treatments for Gum disease

Family dentists are aware of how children's teeth develop throughout time as well as the possibility that they may be afraid of the dentist. Family dentists take a soft approach to help kids form lifelong healthy oral hygiene habits and positive connections with routine dental exams. The top dental clinics in Hari Nagar will offer a wide range of services, including more complex procedures like root canals, tooth whitening, and routine checkups and cleanings. 

The following six advantages of having a family dentist are:

1. Easy access

Family dentists may treat patients of all ages for a variety of dental issues, so patients won't need to make many trips to the dentist to provide all members of their family routine checkups. Therefore, oral hygiene and cosmetic needs such as veneers, braces, or implants can be taken care of together.The best dentist in Subhash Nagar also offers emergency procedures, such as extractions, to help patients in taking care of any pressing dental difficulties.

2. Scheduled appointments

Family dentists frequently work with patients to schedule an appointment time that works with their schedules. To better serve their patients' requirements, many family dentists, for instance, are willing to accept late appointments.

3. Identifying oral health issues

Early diagnosis of dental issues is facilitated by routine dental checkups. They conduct exams, X-rays, and computer modelling to provide forecasts on oral health problems. A few conditions that can be identified early on include malocclusion, grinding, and attrition brought on by abnormalities in the jaw.

4. Preventive

A family dentist will advise both adults and children on how to prevent serious and widespread issues like tooth decay. They also give the teeth fluoride and sealant treatments.

5. Medication

Of course, they are also in charge of treating dental issues like crowding, misalignment, and other issues. A committed practice will go through all of the available therapy choices with the patient. They will help create a therapy strategy that meets the needs of the patient.

6. Education and updates

To give the patient the finest dental care possible, family dentists will also educate them on proper toothpaste usage, diet, and other topics. They will provide information on the state of the family's oral health as well as the newest techniques and technology in dentistry that can improve the general dental care of the family.

Conclusion

Every member of our staff is dedicated to offering the greatest patient care and customer service to ensure that every patient leaves our clinic smiling. You don't need to look any further for an excellent facility than the Dental Clinic in Hari Nagar. Our commitment to achieving greatness while simultaneously focusing on the well-being of our patients sets us apart. Schedule a meeting with us now to experience the difference for yourself. When looking for a dentist nearby, patients and their families might benefit from knowing what a family dentist does. In terms of the family's dental hygiene, this is the first step toward early identification, prevention, treatment, education, and convenience.

[swede1952]

Good morning. 🌗🌘🌜

6 December 2023

My wife and I drove to Shreveport yesterday to get some dental work done. Mine was a little more than routine. My wife was getting a couple tooth implants. Tooth implants are something relatively new - to me at least. I know they've been around for a while, but I've been around longer. They are almost prohibitively expensive and it's not like you walk in and walk out with new teeth, the dentist puts in the implant and there are weeks of suffering a soft diet before they put on the porcelain caps.

I took a camera and saw and owl and a bald eagle along the way but was not able to pull over to take photos of either. It's kind of disappointing. When we left the dentist, my wife was in no mood to make and side trips - so no photos at all.

“Blessed are they who hold lively conversations with the helplessly mute, for they shall be called dentists.” - Ann Landers

[molldremfamilydentistry]

Choosing Molldrem Family Dentistry means choosing a practice that truly cares about your family’s dental health. With comprehensive care, a skilled team, state-of-the-art technology, a patient-centered approach, and a strong commitment to preventive care, Molldrem Family Dentistry is the ideal choice for your family’s dental needs.

[auberginebear]

Albeit this is from personal experience, I need to give my own take, specifically on the addendum, even though I understand the purpose.

First off, the people mostly pushing that all these things are bad are dentists, not beauty companies. Dentists are the ones who made all the products regarding teeth, all of the advancements and procedures and implants—everything!

Second off, cavity ridden and rotting teeth are not something to be normalized but pulling and having missing teeth instead of "trying to save them" needs to be normalized. Because cavity ridden and rotting teeth effect your overall health, and infections in your mouth have more of a chance to effect (yes, effect not affect) the brain faster than nearly anything else, plus these two issues effect one's diet massively, I can attest to this.

Third off, we also need to normalize dentures along with everything else. Sometimes people who have trouble taking care of the teeth in their head, especially those with weak teeth, would be better off with dentures. This is my lot in life, and it's one I've known about since I was a child because it happened to my mom and grandma, both of whom had full dentures by age 32, but by the time I should have been getting my own cavity ridden and rotting teeth pulled (which currently is every tooth remaining in my mouth), most dentists no longer want to do what's best for people, they want to get the most money by doing root canals and other more expensive procedures.

Fourth off, we need to push to have dental be considered a health necessity, which will generally normalize more of these things, on the way to pushing for universal healthcare. But doing that would mean a change in the dental industry where dentist accept that not all teeth can be saved, nor should be saved, and that is just as healthy to pull teeth as it is to fill cavities or do root canals.

Hey, guys? Make peace with yellow teeth. I'm so serious right now.

[denpediasblog]

High Cholesterol: Implications for Dental Health and Practice

Cholesterol, a vital but complex compound in the body, is essential for various physiological processes. Despite its importance, elevated cholesterol—particularly low-density lipoprotein (LDL) cholesterol—can pose significant health risks, primarily by contributing to cardiovascular diseases. Recent research has begun to explore the impact of high cholesterol on oral health, with findings indicating connections between hypercholesterolemia and inflammatory and degenerative oral conditions. This article provides dental professionals with insights into how high cholesterol affects oral health, guiding their approach to treating patients with this condition.

Understanding Cholesterol Types and Their Effects

Cholesterol, produced in the liver and obtained from food, exists primarily as LDL and high-density lipoprotein (HDL) in the bloodstream:

LDL (Low-Density Lipoprotein): Known as “bad cholesterol,” LDL transports cholesterol from the liver to cells but can lead to plaque buildup in arteries if present in excess, increasing heart disease and stroke risk.

HDL (High-Density Lipoprotein): HDL, or “good cholesterol,” transports excess cholesterol back to the liver for excretion, helping protect against cardiovascular disease.

Hypercholesterolemia and Oral Health

Hypercholesterolemia, characterized by high blood cholesterol, results from factors like diet, genetics, lifestyle, and medical conditions (e.g., diabetes, thyroid disorders). While typically associated with cardiovascular health, elevated cholesterol levels also impact oral health, particularly through inflammatory mechanisms.

Systemic Impact on Oral Health

High cholesterol contributes to systemic inflammation and vascular disease, impacting various oral health aspects:

Inflammatory Response and Periodontal Disease: High cholesterol intensifies systemic inflammation, worsening periodontal disease by releasing pro-inflammatory cytokines that can damage periodontal tissues. Patients with high LDL may exhibit deeper periodontal pockets and more gingival inflammation.

Endothelial Dysfunction and Oral Blood Flow: Elevated cholesterol can cause endothelial dysfunction, reducing nitric oxide in blood vessels and impairing blood flow to oral tissues. This limitation can delay healing after procedures like extractions or implants and increase the risk of complications.

Cholesterol, Diabetes, and Oral Health: High cholesterol often coexists with diabetes, which further complicates oral health by compounding inflammatory responses and exacerbating periodontal disease. Patients with both conditions benefit from integrated management strategies.

Oral Manifestations of Hypercholesterolemia

While not always diagnostic, oral indicators can suggest hypercholesterolemia:

Xanthomas: Yellowish cholesterol deposits, although rare in the oral cavity, may suggest hyperlipidemia and warrant further examination.

Angular Cheilitis and Gingival Pallor: These may reflect poor blood supply, common in patients with cardiovascular challenges.

Xerostomia: Common in patients on cholesterol-lowering drugs like statins, dry mouth can increase susceptibility to caries and infections.

Impact of Cholesterol-Lowering Medications

Cholesterol-lowering medications, especially statins, influence oral health through both beneficial and adverse effects:

Anti-Inflammatory Effects: Statins may lower systemic inflammation, positively impacting periodontal health.

Xerostomia and Oral Discomfort: Statins can cause dry mouth, increasing the risk of caries and infections. Additionally, a rare burning sensation may occur, affecting quality of life.

Potential for Bone Health Improvement: Some studies suggest statins may positively affect bone metabolism, potentially benefiting periodontal health.

Tailored Treatment Strategies in Dental Practice

Managing oral health in patients with hypercholesterolemia involves a comprehensive, patient-specific approach. Key strategies include:

Personalized Periodontal Care: Regular periodontal check-ups and scaling/root planing treatments are essential, particularly for hypercholesterolemic patients prone to inflammation. Additional antimicrobial therapies may help manage persistent inflammation.

Enhanced Postoperative Care: Due to potential delayed healing, planning for extra care is crucial. Dentists should provide detailed instructions to aid recovery, use healing aids like collagen, and monitor for complications through follow-ups.

Managing Medication Side Effects: To address statin-induced xerostomia, recommend saliva substitutes, hydration, and avoid caffeine and alcohol. For patients experiencing oral discomfort, collaborate with their physician to consider alternative medications.

Anti-Inflammatory Adjuncts: To control inflammation, consider short-term NSAIDs or natural anti-inflammatory agents (like omega-3s) after consulting with the patient’s physician to ensure compatibility with their treatment plan.

Dietary Counseling and Lifestyle Recommendations: Dietary and lifestyle changes benefit both systemic and oral health. Recommendations should include avoiding sugary or acidic foods, promoting high-fiber, low-fat diets, and encouraging smoking cessation.

Patient Education and Preventive Guidance: Educate patients on the systemic effects of high cholesterol on oral health, stressing the importance of oral hygiene practices and regular check-ups.

Interprofessional Collaboration

In managing patients with high cholesterol, collaboration with healthcare providers—such as cardiologists or endocrinologists—is essential. Coordinated care benefits both cholesterol and oral health, particularly when complex cases require medication adjustments or additional health interventions.

Treating High Cholesterol

Treatment for high cholesterol includes lifestyle modifications, dietary changes, and sometimes medications. Strategies include:

Dietary Changes: Reducing saturated and trans fats, increasing fiber intake, and consuming omega-3-rich foods can significantly lower LDL cholesterol.

Physical Activity: Regular exercise raises HDL and lowers LDL levels, while weight management enhances overall cardiovascular health.

Medications: When lifestyle changes are insufficient, cholesterol-lowering medications such as statins, bile acid sequestrants, and PCSK9 inhibitors are effective options. Monitoring for side effects, including oral health impacts, is essential.

Conclusion

The connection between high cholesterol and oral health underscores the importance of dental professionals recognizing systemic factors influencing oral conditions. By integrating tailored periodontal care, managing medication side effects, and collaborating with other healthcare providers, dental practitioners can enhance care for patients with hypercholesterolemia. This holistic approach contributes to both oral and systemic health, benefiting patient outcomes and emphasizing the vital link between oral and overall well-being.

[pearldentalclinicindiranagar]

How to Care for Your Teeth After a Dental Procedure: Essential Tips for Optimal Healing and Long-Term Health

Taking care of your teeth after a dental procedure is essential for proper healing and lasting oral health. Whether you've undergone Root Canal Treatment, Dental Implants, Teeth Braces Treatment, or another procedure, carefully following post-care instructions can speed up recovery and protect your smile. Here’s how to ensure a smooth recovery and maintain optimal oral health:

1. Follow Immediate Post-Procedure Instructions

After your dental procedure, your dentist will provide specific instructions tailored to the treatment. These guidelines may include information on medication, dietary restrictions, and tips to avoid complications. Adhering to these instructions is essential for the healing process.

2. Maintain a Soft Diet

For most procedures, especially extractions or root canals, it's best to stick to soft foods for the first few days. Foods like yogurt, applesauce, mashed potatoes, and scrambled eggs are gentle on the mouth and help prevent discomfort. Avoid hot, spicy, or acidic foods, as they can irritate sensitive areas.

3. Manage Pain and Discomfort Properly

It’s common to experience mild discomfort following dental work. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and inflammation. Always follow the dosage instructions provided by your dentist, and consult them if you feel the pain is too intense or lasts longer than expected.

4. Avoid Touching or Irritating the Area

While it may be tempting, avoid touching the treated area with your fingers or tongue. Any pressure or disturbance can interfere with the healing process and increase the risk of infection. It’s also crucial to avoid smoking, as this can delay healing and increase the likelihood of complications.

5. Keep Your Mouth Clean

Good oral hygiene is key after a dental procedure, but some adjustments may be necessary:

Brushing: Use a soft-bristled toothbrush and gentle strokes to clean your teeth without aggravating the sensitive areas.

Rinsing: Avoid vigorous rinsing immediately after surgery. Instead, rinse your mouth gently with lukewarm salt water after the first 24 hours. This solution helps keep the area clean and reduces the risk of infection.

Flossing: Be cautious while flossing near the treated area, especially if you had a filling or similar procedure. Resume flossing once you feel comfortable, but consult your dentist if you're unsure.

6. Manage Swelling with Cold Compresses

Swelling is normal after certain dental procedures, especially surgeries or extractions. Applying an ice pack to your cheek near the affected area for 15 minutes at a time can help reduce swelling and numb the pain. This technique is particularly effective during the first 24-48 hours post-procedure.

7. Take Prescribed Medications as Directed

If your dentist prescribes antibiotics or other medications, take them exactly as directed. Completing the full course of antibiotics is especially important, as it helps prevent infections and ensures a smooth recovery.

8. Avoid Physical Strain and Intense Exercise

Avoid intense physical activities or heavy lifting for the first few days after a procedure. Increased blood flow from physical exertion can interfere with the healing process, so allow your body the time it needs to recover fully.

9. Schedule and Attend Follow-Up Appointments

Your dentist may schedule a follow-up appointment to monitor your recovery, especially after more invasive procedures. Attending these visits ensures that your healing process is on track and provides an opportunity to address any concerns you might have.

10. Listen to Your Body

If you notice unusual symptoms such as prolonged pain, excessive swelling, bleeding, or signs of infection (such as a fever or pus), contact your dentist immediately. Early intervention can prevent minor issues from developing into more significant complications.

Conclusion

Proper care post-procedure is essential for healing and long-term oral health. Following these tips from the Best Dental Clinic in Indiranagar will support your recovery and help maintain a healthy smile. At Pearl Dental Clinic, we’re committed to your comfort and successful healing.

Visit Pearl Dental Clinic for comprehensive dental care and personalized post-treatment support to keep your smile healthy and radiant!

Read Article: Why Root Canal Treatment is Essential for Saving Your Tooth

[azharpathan]

Revealing the Benign Danger An Overview of gum disease

What Is Gum Disease?

An inflammatory ailment, gum disease affects the tissues that support and surround teeth. Gingivitis, which is characterized by red, swollen gums that may bleed when brushing, is usually the first stage. If treatment is not received, it may develop into periodontitis, which damages the supporting bone and causes teeth to become mobile and maybe fall out.

Gum Disease Causes

1) Bad Oral Hygiene: Gum disease is caused by plaque, a sticky film of bacteria that builds up on teeth and gums as a result of insufficient brushing and flossing.

2) Tobacco Use: By endangering the health of gum tissues, smoking or chewing tobacco raises the risk of gum disease.

5) Restoration: The last stage is to affix the custom-made replacement teeth after the implants and bone have bonded. These restorations are made to look and operate just like your natural teeth, blending in perfectly with your smile.

3) Genetic Predisposition: Despite following appropriate oral hygiene habits, some people may be genetically predisposed to gum disease.

4) Medical illnesses: Gum disease risk may be elevated by some systemic illnesses, such as diabetes.

5) Inadequate Nutrient Intake: An inadequate diet can impair immunity and increase the risk of gum disease.

The Negative Effects of Untreated gum disease

1) Tooth Loss: Severe gum disease can affect function and appearance by causing teeth to become mobile and eventually fall out.

2) Bone Loss: Periodontitis can cause the bone structure that surrounds teeth to dissolve, further jeopardizing oral health.

3) Chronic Inflammation: Gum disease that is left untreated can lead to chronic inflammation, which may have an impact on general health and wellbeing.

4) Increasing Treatment Complexity: Surgical procedures and other more involved and expensive therapies may be necessary for gum disease in its advanced stages.

Most Asked Questions about Gum Disease

1) Can gum disease be reversed?

When combined with appropriate oral hygiene and expert dental care, gingivitis, the early stage of gum disease, can be reversed. Advanced stages, however, might need constant supervision.

2) How can I prevent gum disease?

Gum disease can be avoided by following proper oral hygiene practices, which include routine brushing, flossing, and professional dental cleanings. Preventive measures also include refraining from tobacco use and eating a balanced diet.

3) What are the signs of gum disease?

Gums that are red, puffy, or bleeding, receding gums, and teeth that are mobile are all indicators of gum disease.

4) Is gum disease linked to other health conditions?

Indeed, evidence from studies points to a connection between systemic diseases including diabetes, heart disease, and respiratory disorders and gum disease.

Conclusion

It's essential to comprehend gum disease if you want to keep your teeth and general health intact. Significant benefits come from early detection and treatment, such as better dental health, preservation of natural teeth, and avoidance of advancement.

For efficient gum disease treatment in Pune, whether in Magarpatta City or Hadapsar, go to Dr. Prakash Gupta's Dental Clinic. Timely intervention can significantly impact the outcome and guarantee optimal dental health. It is imperative that you get expert care if you have concerns about your dental health or suspect gum disease.