Encinitas Periodontist Discusses Dental Phobias and Anxiety Disorders

Did you know that May is Mental Health Month? Your Encinitas periodontist, Dr. Ann Kania raises awareness for mental health by discussing the impact of dental phobias and anxiety disorders on patients and their oral health.

Information on Anxiety Disorders

Anxiety disorders are the most common mental illness in the United States. Some estimates indicate that up to 40 million people in the U.S. suffer from some type of anxiety disorder. Types of anxiety disorders include post traumatic stress disorder, generalized anxiety disorder, obsessive compulsive disorder, and specific phobias. Although these disorders may differ in severity and symptoms, most patients suffer with intense fears and irrational thinking. Fortunately, anxiety disorders are easier to diagnose and treat than other types of mental illness.

Dental Phobias

Did you know about one out of every five people are afraid of visiting the dentist? While some patients are only mildly afraid, others may have such intense fears that they forgo receiving necessary oral healthcare. Severe fears of visiting the dentist are considered a specific phobia. A person with a specific phobia often experiences heart palpitations, panic attacks, dizziness, and debilitating anxiety when faced with a particular situation or object. (more…)

Types of Periodontal Disease Explained by Your San Diego Periodontist

Have you ever wondered why gum disease is such a threat to your oral health? Did you know that there are different types of gum disease? Periodontal disease can advance into a serious medical condition that requires professional treatment. Your Encinitas periodontist, Dr. Ann Kania explains.


This common type of gum disease often produces very mild symptoms. Patients who have gingivitis may find blood on their toothbrush or notice that their gum tissue appears swollen. Gingivitis is usually caused by poor oral hygiene. Fortunately, with improved oral hygiene methods and professional treatment, gingivitis is a reversible form of gum disease.


More serious than gingivitis, periodontitis poses serious risks to a patient’s oral health. There are different forms of periodontitis such as chronic periodontitis and aggressive periodontitis. Once gum disease progresses to an advanced stage, the condition cannot be reversed.

Chronic periodontitis – The most common form of advanced gum disease is chronic periodontitis. Characteristics of chronic periodontitis include the formation of periodontal pockets between teeth and gums and gum line recession. The bacterial infection associated with chronic periodontitis progressively destroys teeth and bones by weakening the supporting structures of teeth over time. Although some children develop chronic periodontitis, this type of gum disease usually affects adults. (more…)

Your Encinitas Periodontist Discusses Oral Hygiene Methods Throughout History

Have you ever wondered how people in ancient times cleaned their teeth? You might think that people in primitive civilizations were unaware of the need for oral hygiene. While it is true that modern methods of oral hygiene surpass those of the past, people throughout history acknowledged the importance of a clean mouth. Dr. Ann Kania and our team offer a brief history of oral hygiene.

Oral Hygiene History

  • The earliest version of the toothbrush appeared around 3,500 B.C. in Ancient Babylon. People during this time used twigs called “chew sticks” to clean their teeth. One end of the chew stick was frayed for brushing and the other end was sharpened to clean between teeth.
  • Ancient Egyptians made a rudimentary version of toothpaste using ground pumice and vinegar.
  • In feudal China, people attached boar’s hair to bamboo sticks to clean teeth. Monks in Southeast Asia used a similar method where horse tail was tied to ox bone.
  • Manufactured toothbrushes were not available until the 18th century. William Addis is credited with mass producing the first toothbrush in England.
  • In Western Europe and North America, people made homemade toothpastes from baking soda and hydrogen peroxide.
  • The first toothpastes were sold in powder form. People would dip their wet toothbrushes in the powder to create a paste.
  • Fluoride has been added to toothpaste since 1955. Today, all ADA accepted toothpastes contain fluoride.

Could you imagine using boar’s hair as a toothbrush or having no access to professional oral healthcare? Fortunately, modern oral hygiene methods combined with regular oral health checkups have greatly improved our quality of life. Although we have electric toothbrushes, toothpaste, and dental floss at our disposal, you still need to schedule routine oral examinations and professional cleanings. To reserve an appointment with Dr. Kania, call our Encinitas periodontist office at (760) 642-0711. We serve patients from La Costa, Del Mar, Rancho Santa Fe, Carlsbad, San Diego, and the surrounding communities.

Are Dental X-rays Safe? Your Encinitas Periodontist Explains

Have you ever wondered if dental X-rays are safe? Are you concerned about exposure to unnecessary radiation? The truth is that X-rays are an essential part of oral examinations. Dental X-rays can reveal oral health problems such as bone loss, cysts, tumors, and dental caries that may not be detectable to the naked eye. Although dental X-rays emit some radiation to capture images of the oral cavity, radiation emission is actually quite minimal. Dr. Ann Kania explains.

Why do patients need dental X-rays?

At oral examinations, panoramic X-rays and bite-wing X-rays are taken to assess patients’ oral health. Images captured by X-rays are incredibly useful for diagnosing oral health conditions such as periodontal disease and tooth decay.

How much radiation do dental X-rays emit?

Traditional dental X-rays emit about a day’s worth of radiation. Every day, you are exposed to some radiation from environmental factors. For example, small amounts of radon in the air or living in a brick house expose people to daily radiation. In most cases, dental X-rays emit about 1.5 millirems of radiation. When compared to other diagnostic imaging procedures such as mammograms or CT scans, dental X-ray emission is minimal. (more…)

San Diego Periodontist Discusses Oral Cancer

Did you know that April is Oral Cancer Awareness Month? Dr. Ann Kania along with the American Dental Association use this month to educate the public on the dangers of oral cancer. This year, nearly 40,000 new cases of oral cancer will be diagnosed by doctors and dentists throughout the United States. Sadly, almost 8,000 lives are lost annually to this illness. Like other types of cancer, detecting oral cancer early on increases a patient’s chances of survival.

Oral Cancer Information and Risk Factors

Oral cancers may form anywhere in the oral cavity including on the lips, tongue, and soft oral tissues. Certain lifestyle choices significantly increase the risk for oral cancer. Common risk factors such as using tobacco and heavy alcohol use contribute to oral cancer. Patients who are carriers of HPV or those who have had excessive UV exposure are also at risk. However, nearly one-fourth of patients who developed oral cancer had no known risk factors.

Symptoms of Oral Cancer

  • Red or white patches in the mouth
  • Oral sores that heal slowly
  • Bumps or lumps in oral tissue
  • Discoloration on the lips, tongue, or soft tissues
  • Persistent hoarseness or sore throat
  • Difficulty chewing or swallowing
  • Earaches
  • Sudden, unexplained weight loss (more…)

Causes of Tooth Loss Explained by Your Encinitas Periodontist

Unlike childhood, where losing a tooth was almost like a rite of passage, losing teeth in adulthood is hardly something to be excited about. In fact, for many patients, losing teeth is distressing and traumatic. Patients with missing teeth often feel self conscious and embarrassed by their smiles. The physiological effects of tooth loss include the diminished ability to speak properly and masticate (chew) food. Contrary to popular belief, tooth loss is not a natural part of the aging process; your teeth are meant to last a lifetime. Dr. Ann Kania discusses the causes of tooth loss below.

Periodontal Disease

Periodontitis (advanced gum disease) is the number one cause of tooth loss in adulthood. Gum disease infects and inflames the gum tissue. As the infection and inflammation worsens, the natural bond between your teeth and gum tissue is separated. Over time, your teeth become loose without the support of neighboring gum tissue. Tartar buildup filled with bacteria attaches to the roots of teeth as well. Preventing periodontal disease is important for keeping your teeth for a lifetime. For patients who currently have gum disease, we strongly encourage that they manage their illness with professional treatment and meticulous oral hygiene at home.

Traumatic Injuries to the Teeth

Traumatic injuries are another cause of tooth loss. Injuries may chip, crack, dislodge, or knock teeth out of the mouth. Powerful blunt force from a nasty fall or contact sports often results in traumatic tooth injury. (more…)

Encinitas Periodontist Discusses Bad Habits that Affect Oral Health

Some habits that seem innocent are actually very harmful to your oral health. We often find that patients are surprised how certain behaviors affect their teeth and gum tissue. Are you harming your teeth and gums with common bad habits? Dr. Ann Kania and our staff address some harmful habits below and explain how they damage your oral health.

Brushing Teeth Too Vigorously

You may think that if you brush your teeth harder, you will have a cleaner mouth. While this technique may work for scrubbing dishes and floors, it’s actually harmful for your teeth and gum tissue and does not produce a cleaner mouth. Brushing too vigorously will damage your tooth structure and cause your gum line to recede—affecting your tooth’s natural bond to your gum tissue.  Firmer bristles are often a larger diameter.  This larger diameter can only work above the gum line.  Only soft, small diameter bristles can gently clean below the gum where plaque hides.

Chewing on Hard Objects

Chewing on hard objects such as ice cubes or pen caps will destroy your tooth enamel over time. You can also damage your enamel if you use your teeth as tools to tear away a clothing tag or a product’s packaging. These actions create microscopic cracks in tooth enamel, which leave your teeth vulnerable to decay and fracture. (more…)

Dental Laser Treatment Explained by Your Encinitas Periodontist

Dental lasers have many applications for treating oral conditions. Dr. Ann Kania is a Board Certified Periodontist and also holds certification with the Institute for Advanced Laser Dentistry. For the treatment of gum disease, dental lasers are less invasive than traditional surgical procedures. Many patients enjoy a shorter recovery time and less discomfort.

Gum Disease Treatment with  Dental Lasers

When gum disease advances, periodontal pockets form between the teeth and gum tissue. Infected and inflamed, these periodontal pockets are the result of deterioration of connective tissues between the tooth and gums.

Our Periolase dental laser is the tool we employ for LANAP, Laser Assisted New Attachment Procedure. The laser gently opens periodontal pockets and allows Dr. Kania to clean the infected area and smooth teeth roots, reducing the potential for plaque and tartar buildup on roots. Dental laser fibers are tiny and minimally invasive. The laser fiber is inserted between the tooth and gums, into the periodontal pocket to efficiently clear away bacteria and infection. After the pocket is cleaned, the gum tissue is gently compressed back to the tooth without sutures, allowing it to reattach to the tooth by forming a fibrin clot.

Laser Treatment Benefits

  • General anesthesia is not required.
  • Estimates indicate that LANAP is as succussful as traditional periodontal surgery.
  • LANAP procedures reduce recovery time. (more…)

Whoopi Goldberg: Gum Disease Advocate

Whoopi Goldberg, co-host of the daytime talk show The View, openly discussed her struggle with gum disease with her audience and the media. She attributes her development of advanced periodontal disease to neglecting her oral health. Although she possessed great dental insurance, she did not visit her dentist regularly. She stated publicly that she would lose her teeth to the disease because it is eroding her jawbone. Periodontists and dentists throughout the United States have applauded Ms. Goldberg for discussing her condition with the public and endorsing oral-systemic health awareness. She vehemently acknowledged that a person’s overall wellbeing is linked to their oral health. After emergency gum surgery, Whoopi Goldberg returned to The View and urged her audience to take care of their oral health.

Gum Disease is a Serious Condition

Periodontal disease is a severe infection of the gum tissue. It is often painless. Diagnosis requires imaging and clinical examination. When gum disease advances, aggressive bacteria attack your teeth and gum tissue and may eventually destroy your facial bones. Periodontal disease is linked to debilitating conditions and ailments such as stroke, heart attack, cancer, and diabetes. Your best line of defense against gum disease is regular dental cleanings and checkups along with proper oral hygiene. (more…)

Gum Disease Myths Dispelled by Your Encinitas Periodontist

Dr. Ann Kania is a board-certified periodontist with extensive experience in diagnosing and treating gum disease. Advanced gum disease manifests as a dangerous oral health condition and is the number one reason for tooth loss in adulthood. Our team would like to dispel some commonly-held misconceptions about gum health and periodontal disease.

Myth #1

Antibiotics cure gum disease.

While antibiotics are often used to help reduce the presence of infection, these medications do not cure gum disease. In fact, once gum disease advances, the condition is not reversible; it is only treatable. Additionally, if antibiotic medication is overused, bacteria in your body may build resistance to the medication.

Myth #2

Gum disease is only caused by poor oral hygiene.

Although poor oral hygiene contributes to gum disease, some patients develop gum disease because of genetic predispositions, certain medications, or hormonal changes. For example, pregnant women are susceptible to periodontal disease because of intense hormonal fluctuations. (more…)