Why mouthwash alone won’t stop bad breath.
Dr. Marshall explaining the miracle fresh breath approach.
Watch the short video as Dr Marshall explains How Miracle Fresh Breath can be achieved.
Easy to use, inexpensive, helps save your teeth and bone, and may help avoid periodontal surgery.
Causes of Gum Disease
- Genetic predisposition 5%
- Poor childhood diet
- No early toothbrush training; no flossing
- Poorly done early fillings
- Early loss of “baby teeth” and permanent teeth
- No use of electric toothbrush
- No use by teenagers of Waterpik (TM)
Biofilm
A thin slimy film of bacteria that adheres to a surface. With periodontal disease, the surface is at the gumline and in the gum space, on both the root surface and the bone surface. Exists as colonies, pathogenic, and non-pathogenic. Colonies may be in dormant or active state. Form a protective wall and membrane preventing antibiotics from reaching them.
Bad breath
Caused by diet, especially milk products, garlic, and spices. Also not brushing properly, not flossing, not using “Waterpik ™ Gingivitis, and periodontal disease. Their inflammatory breakdown products.
Bleeding gums
Due to breakdown of tissue lining the gum caused by bacterial enzymes and toxins, exposing connective tissue and small capillaries.
Loose teeth
In both the primary and permanent dentition, caused by periodontal disease and bone loss which weakens support; by malocclusion causing one or more lower teeth to hit one or more upper teeth too hard; trauma from repeated tooth clenching or grinding (bruxism); missing teeth leading to shifting of teeth and malocclusion. Poor dentistry if crowns or fillings are inserted and the bite is too “high”, leading to direct trauma.
Bone loss
As discussed above, periodontal disease is the primary cause. It is classified as mild, moderate, severe, or hopeless. It is further described as horizontal, vertical, or combined.
Female/Male differences
Puberty. Earlier female hormonal change with onset of menstruation. Additional differences may be due to ratio of female to male hormones. hormonal imbalance; pregnancy; post-menopausal changes; old age diminution of hormone secretion.
Age of onset of periodontal disease.
Can start as early as childhood in primary dentition. Most commonly in late teens or early twenties.
Gingivitis vs. Periodontitis
Gingivitis is reversible with good oral hygiene in most cases. There is no bone loss present. Periodontal disease is treatable but NOT reversible. In Periodontal disease, bone loss is evident on the x-rays, and by observing the periodontal pocket depth. Generally speaking, readings of 2-3 mm are normal, 4 shows gingival breakdown, but readings of 5 or higher usually indicate bone loss. 5-6 indicates slight bone loss; 7-8 moderate bone loss; 8-9 severe bone loss. 10 or higher usually requires tooth removal.
Treatment
Avoiding surgery: Use of proper brushing and flossing techniques, and the Waterpik ™, and particularly using MiraclePeriogel*, Miracle Mouthwash™ and Miracle Toothpaste™ should reverse tissue inflammation. Deep scaling if done very frequently (every 10 weeks), may slow or arrest further bone loss. Selective and occasional use of an antibiotic may help. However, for most patients with moderate to severe bone loss, as they age and their immune response decreases, often periodontal surgery is then treatment of choice. Do not tailor your treatment to just what insurance will pay for. Get the treatment you need, based on a precise evaluation by a Periodontist or periodontally trained dentist.
Daily Care
Use proper brushing with Miracle Periogel™, flossing, Waterpik irrigation with Miracle Mouthwash™ , and rinse before bedtime with Miracle Mouthwash™
Research Studies
Google for: Microbiology literature references re: planktonic bacteria vs biofilm regarding infection on or within tissues. Also, methods of mechanisms of biofilm infection. Also Google bacterial Quorum, EPS, Bacterial wall, and bacterial membrane. See also antibiotic resistance in biofilms. There are far too many references but the best can be found using Google and reaching under “Microbiology of Biofilm”. I would also check, if you are a member, with the ADA (American Dental Association, The Academy of Periodontology, and The Journal of Microbiology, also 2010 to current, 2025.