Simple Ways To Keep A Healthy Smile Throughout The Coming Year
Posted on Dec 27, 2022 by William J. Claiborne, DDS MS
With a new year just ahead, I wanted to remind the smiles in our beautiful Western NC area about ways to have and keep a healthy one!
Nearly every problem that begins in the mouth is due to bacterial overload. Our mouths are constantly being supplied with sustenance for these organisms. Bacteria are able to thrive through the food that enters, especially sugars, and other bacteria-laden items put into the mouth. As bacteria thrive, they are able to reproduce very rapidly.
Insufficient care can lead to a build-up of bacteria, known as plaque. Plaque is a sticky film that forms on teeth when oral bacteria are not removed on a regular basis. In just 48 hours, plaque can harden into a mass that attaches to the base of teeth.
This hardened form of bacteria is known as tartar or calculus. Unlike plaque, tartar cannot be brushed or flossed away. And, once formed, it will continue to amass further.
As oral bacteria reproduce and accumulate, tooth enamel is attacked. The tight seal of gum tissues that surround the base of teeth become inflamed and loosen. This allows for the penetration of running-wild bacteria beneath the gum line. Once this infectious bacteria reaches this point, dental treatment (often ‘planing and root scaling’) is necessary to halt its continued development and restore healthy gums.
If untreated, the stages of gum disease worsen. Eventually, the infectious bacteria of gum disease are able to enter the bloodstream through weakened oral tissues.
Periodontal (gum) disease symptoms include sore gums that bleed when brushing, frequent bad breath, gums that pull away from the base around teeth, and gums that darken in color. As it worsens, pus pockets may form on the gums at the base of some teeth. In advanced stages, gum disease causes teeth to loosen and eventually require removal.
Gum disease often progresses because people are unaware that bleeding or receding gums is actually a symptom. Insufficient brushing, failing to floss and not having regular dental cleanings form a path that begin the process.
Gum disease is an inflammation that attacks teeth, oral tissues and the bone structures that support tooth roots. As the gums pull away from the teeth, darker portions of the tooth are exposed. These are tooth roots sections, now exposed without the protective layer of gum tissue over these areas, leaving teeth vulnerable to bacterial attack.
While the darkersegments of teeth detract from the appearance of a smile, they are also highly sensitive. Drinking hot coffee, eating ice cream or brushing across these areas can send a quick jolt of pain. In addition to periodontal disease, common causes for gum recession can include:
• Rigorous tooth brushing: Using a tooth brush with hard bristles or being too zealous when brushing can wear down enamel as well as gum tissue. Also, abrasive substances such as baking soda are too gritty for teeth and can wear down gum tissues.
• Smoking: A dry mouth is when saliva flow is insufficient to effectively wash bacteria from the mouth. The chemicals in tobacco are terribly drying to oral tissues, which creates an ideal environment for the formation of plaque. Plaque is a build up of oral bacteria that destroys gum tissue and contributes to recession.
• Grinding & clenching teeth: When you clench or grind your teeth during sleep, the force that is placed on teeth can be so strong that they begin to tilt out of position. As this continues, the gums eventually pull away from teeth.
• Hormonal changes: Pregnancy, menopause and puberty can cause changes in hormone levels. These hormonal fluctuations can cause gums to feel tender and be more vulnerable to recession.
• Misaligned teeth: When not properly aligned, teeth endure added force to bite and chew. This can also place added strain to the TMJ (jaw joints), gums and bone that supports tooth roots. This can lead to gum recession.
To avoid the expense and treatment time of gum disease, commit now to thorough oral hygiene and regular dental check-ups and cleanings. Your at-home oral hygiene regimen should include:
– Twice daily brushing with a soft bristle tooth brush and use a fluoridated tooth paste. Brush for at least two minutes each time. Floss daily. Be sure not to pop the floss between teeth to avoid damaging tender gums. Move the floss in a back-&-forth motion between teeth to ease it down so you can scrape the sides of each tooth.
– Use a tongue scrapper daily or brush your tongue with your tooth brush at the end of each brushing. This helps to dislodge bacteria that is embedded in the grooves of the tongue.
– Keep the mouth moist by drinking plenty of water during the day. This will help keep saliva flow at ample levels. Saliva is designed to move oral bacteria from the mouth on a consistent basis. Avoid foods and beverages that are drying to oral tissues such as caffeine, alcohol, and spicy foods. Also, try to minimize the amount of sugar and carbohydrates you consume. These foods amplify the reproduction of oral bacteria.
– Smokers should consider using an oral rinse that replenishes moisture in the mouth. The chemicals in cigarette smoke are very drying to oral tissues. Some oral rinses are specifically designed to replenish oral moisture.
A periodontist is a dentist who has specialized skills in the diagnosis and treatment of all levels of periodontal disease. This specialist can also recontour the shape of gums and place dental implants for optimal results.
In our Asheville periodontal dental office, we feature some of the most advanced technology in dentistry, much of which is not available in other dental offices elsewhere in the Western Carolina region. These features are designed to help maximize comfort, shorten treatment time, speed healing and pinpoint areas of need for the most conservative treatment possible.
If you have not seen a dentist on a regular basis, you may be experiencing symptoms that indicate gum disease. As you would respond to a warning sign with your overall health, so should you with your oral health.
Begin with a thorough periodontal examination to determine what your needs are and the best way to achieve and maintain good oral health. You’ll be supporting your overall health in addition to having a confident smile.
If dental fear or anxiety have prevented you from regular dental care, ask about sedation options. We offer both oral sedation and IV sedation (twilight sleep). Both are safely administered and you are closely monitored by medical personnel who use advanced safety equipment throughout treatment.
Call 828-274-9440 for more information or to schedule an exam appointment.
Boost Immune System By Investing In Gum Health
Posted on Nov 17, 2022 by William J. Claiborne, DDS MS
There is no argument that the price of about everything has gone up and up over the past couple of years. The challenges that most individuals face at this time have been significant for some people but felt by about all.
Yet, there are still reasons to “spend less now so we’re not spending more later.” This is true with things such as auto maintenance, home repairs and taking good care of our health. A signifiant part of maintaining good overall health is having good oral health. The key, however, is to make the investment while the costs are still low, and avoid the big expenses later to pay for repairs and more extensive treatment.
I’d like to point out the need to bolster our immunity system, brought front-&-center during the pandemic, is actually supported by your oral health. Although the Covid virus continues to be a threat, the experience has made populations more aware of the benefits of vaccines and healthy habits such as hand-washing. Still, it is in our immune system that makes people more or less vulnerable.
By investing in having healthy gums, the immune system is actually supported more than is largely known. I’ll explain.
The bacteria in the mouth, or “oral cavity,” is intricately connected to your overall health; so much so that “bad” oral bacteria can disrupt the healthy balance in the digestive system. This bacteria comes from oral plaque, which is a cesspool of sorts formed from bacteria accumulation.
As a layer of biofilm, plaque coats teeth and gums. It is the sticky coating you feel in your mouth when you wake up, during which time the bacteria has had an opportunity to amass during sleep. Plaque, mot removed, becomes tartar. This hardened mass of oral bacteria continues to grow, doing damage in the mouth and far beyond.
Researchers have tracked oral bacteria as it enters the bloodstream. This occurs through weakened gum tissues, allowing the bacteria to travel throughout the body. Studies have shown that the bacteria are able to activate or worsen the development of a number of serious health problems.
These include heart disease, stroke, arthritis, diabetes, preterm babies, some cancers, erectile dysfunction and dementia. Research is currently being conducted to further the connections suspected between periodontitis to Alzheimer’s disease.
How does oral bacteria become destructive? Gingivitis is the initial stage of gum disease. Symptoms typically include gums that are tender in spots and some bleeding when you brush. These are warning signs that signal an immediate need for attention.
Periodontal (gum) disease and (often) its subsequent tooth loss are, simply put, products of bacterial overload in the mouth. The mouth is constantly being supplied with sustenance for these organisms. Bacteria are able to thrive through food that enters, especially sugars, and other bacteria-laden items put into the mouth.
The bacteria that cause cavities that feeds on sugar from the foods and drinks you consume. This weakens tooth enamel due as bacteria convert sugar into acids. As bacteria thrive, they are able to reproduce very rapidly.
When bacteria levels become more than the immune system can tackle, infection can set in. Accumulation of bacteria can evolve into gum disease, which is an inflammation that attacks teeth, oral tissues and the bone structures that support tooth roots.
Gum disease symptoms are those more prominent than gingivitis. These include sore gums that bleed when brushing, persistent bad breath, gums that pull away from the base around teeth, gums that darken in color.
As it worsens to the stage known as periodontitis, pus pockets may form on the gums at the base of some teeth. In advanced stages, gum disease causes teeth to loosen and eventually require removal.
The reason that 6-month dental check-ups and dental cleanings is to remove tartar buildup before damage can occur. Your hygienist and dentist can look for signs of gum disease so measures can be taken before the disease explodes into the need for more costly treatment to resolve the problem. Since gum disease is the nation’s leading cause of adult tooth loss, the associated expenses of replacing teeth can also be avoided by maintaining good oral health.
Prevention begins at home: Begin by twice daily brushing with a soft bristle tooth brush and use a fluoridated tooth paste. Brush for at least two minutes each time. Floss daily. Be sure not to pop the floss between teeth to avoid damaging tender gums. Move the floss in a back-&-forth motion between teeth to ease it down so you can scrape the sides of each tooth.
You can remove a tremendous amount of oral bacteria by using a tongue scrapper daily. Or, brush your tongue with your tooth brush at the end of each brushing. This helps to dislodge bacteria that is embedded in the grooves of the tongue.
Drink lots of water during the day. This will help keep saliva flow at ample levels. Saliva is designed to move oral bacteria from the mouth on a consistent basis. Oral dryness is the enemy. Avoid foods and beverages that are drying to oral tissues such as caffeine, alcohol, and spicy foods. Also, try to minimize the amount of sugar and carbohydrates you consume. These foods amplify the reproduction of oral bacteria.
Oral dryness gives bacteria a favorable environment for reproduction. The chemicals in cigarette smoke are very drying to oral tissues. If you smoke, consider using an oral rinse that replenishes moisture in the mouth. Some oral rinses are specifically designed for moisture.
Lowering treatment costs begins with early care: If you have delayed or avoided regular dental care, it is recommended that you begin by having a periodontal examination. A periodontist is a dental specialist who can determine your precise level of gum disease and the most appropriate treatment to restore good oral health. We can detect all stages of gum disease and provide comfortable, thorough treatment to restore your gums to a health state.
If you have lost teeth due to periodontal disease, a periodontist also specializes in the diagnosis and placement of dental implants. This ideal method to replace teeth provides a lifetime solution, making them an excellent investment.
Call 828-274-9440 if you have questions about your gums or if you are experiencing any symptoms associated with gum disease. Also, visit our web site to learn more about our sedation options (including “twilight sleep”) and advanced technology, which often reduces treatment time while enhancing comfort.
Does Obesity Lead To Gum Disease?
Posted on Sep 21, 2022 by William J. Claiborne, DDS MS
What are the two most common diseases in the U.S. today? Obesity and gum (periodontal) disease. Studies are now showing that these two conditions may be related.
However, tracking down “cause and effect” have not been achieved as yet. What is known, however, is that changes in body chemistry affect metabolism, which, causes inflammation, a common element they share. People who have periodontal disease are more susceptible to inflammation, which in turn makes them more susceptible to obesity.
One new study analyzed data from population subsets at one point in time in order to explore potential connection of pathways between obesity and gum disease. Researchers noted an increased risk to develop gum disease for those with higher body mass index (BMI), waist circumference and percentage of body fat.
Certainly, there are a number of risk factors for developing periodontal disease. These include:
• Smoking or chewing tobacco
• Poor oral hygiene and lack of dental care
• Consumption of sugar and other foods that increase oral acid levels
• Being diabetic
• Many medications (including steroids, antidepressants, cancer therapy drugs, some calcium channel blockers and oral contraceptives)
• Improper fitting of dental appliances (dentures or partials)
Common signs and symptoms of gum disease are:
Gums that bleed easily
Red, swollen, tender gums
Persistent bad breath
Gums that pull away from the teeth (recede)
Changes in the way teeth fit together when biting
Changes in the fit of partial dentures
Permanent teeth that loosen or separate
Initially, gum disease begins with plaque accumulation. Plaque is the sticky film that coats teeth and gums that is usually most obvious when first waking in the morning. The film consists of bacteria, which can penetrate below the gum line. If not removed on a regular basis (preferably daily), plaque will harden into a bacterial mass known as tartar.
Plaque and tartar bacteria cause the gums to become inflamed. The tight grip around the base of teeth (which helps to seal out bacteria) will loosen. Thus, “pockets” of bacteria are able to form between the teeth and gums that become infected. As the disease worsens, these pockets deepen and gum tissues and the structures that support teeth are destroyed. Teeth can become loose and may have to be removed.
Gum disease is the nation’s leading cause of tooth loss. Research has also found links between the infectious bacteria of gum disease to other diseases affecting overall health. These include an increased risk of heart disease and stroke, diabetes, respiratory disease and preterm babies.
The prevalence of gum disease in the U.S. is at an alarming rate – affecting up to 50% of the adult population (ages 30-70) and 90% of adults over the age of 70. Yet, the obesity rates in America are at concerning rates as well.
According to the Centers for Disease Control & Prevention, U.S. obesity prevalence increased from 30.5% to 41.9% from 2000 – 2020. The highest percentage was among adults aged 40 to 59 years – 44.3%. (North Carolina ranks at 33.6%.) A healthy BMI is 18.5 – 24.9.
But, back to the gum disease-obesity connection…
A 2009 study showed that individuals with excess weight had twice the rate of periodontitis (advanced gum disease) and triple the rate for individuals with severe obesity. This was shown even after adjustments for other risk factors such as smoking, age and other medical conditions.
A leading factor lies in the fat cells, which were previously thought of as storage for energy. Now science has determined that fat cells produce a number of chemical signals and hormones, substances that lead to higher inflammation in the body. This, in turn, hampers the ability of immune system effectiveness. The inflammation add to the likelihood of periodontal disease.
As a periodontist in Asheville NC, I utilize some of the most advanced technology in the region to detect all stages of gum disease and restore the gums to a healthy state. This is true for all stages of gum disease, even the advanced level of periodontitis.
Depending on the level of disease, we can restore the tooth supporting structures (bone, gum tissue and ligaments) through thorough cleaning, tartar and plaque removal, and treating the deep pockets of infected tissue. Treatment is performed safely and comfortably, with oral and I.V. sedation (twilight sleep) available as needed.
When the severity of the disease requires surgical measures, we are fully skilled and equipped to restore oral health. We also assist restored patients with maintenance of proper oral hygiene for long-term success.
Understanding the relationship between obesity and risk factors that lead to periodontal disease is very important. If you have signs or symptoms of gum disease, please know that this condition will only worsen without treatment. The earlier your treatment, the less complex the treatment will be.
Call 828-274-9440 or visit: https://www.biltmoreperiodontics.com/services/periodontal-gum-treatment/
Choose A Periodontist To Correct A Gummy Smile
Posted on Aug 29, 2022 by William J. Claiborne, DDS MS
When Lauren Hutton, the model well-known for a space between her front teeth, began modeling, she felt she needed to camouflage the gap (or “diastema”). Yet, she soon began to feel it was a unique feature that set her apart from the others. She was right, and now at the age of 77, she’s been on more front covers than nearly any other model.
Each smile is unique. Hopefully, your smile makes you feel good every time you share it. And, the very act of smiling has been shown to release endorphins in the brain. Those are the chemicals that create a bit of a ‘natural high.’ Smiling is obviously an asset to our well-being.
If you have a “gummy” smile, you may be perfectly fine with it. After all, it is not detrimental to oral health if you care for your gums properly (which goes for everyone). And, it can be a positive part of your personality. Katie Couric has a gummy smile and shares hers openly.
However, not everyone with this trait feels comfortable with the look nor the way it makes them feel when smiling. Some people tend to suppress a full smile. Others often conceal their smile with a hand when smiling fully or laughing. Some people smile with their lips only.
A gummy smile, in the periodontal specialty, is known as EGD, an abbreviation for excessive gingival display or a gingival smile (GS). The trait occurs more often in females than in males. (Gingival is of or relating to the gums.)
Esthetically, a balanced smile typically shows the front top 6 or 8 teeth. Arching each tooth, there is generally minimal gum tissues showing , and sometimes none. Another esthetic complement to a smile is having gum tissues that show a slight arch over each tooth at a similar line as those that arch adjacent teeth. Gums that are lower over one or two teeth tend to create a jumbled look in a full smile.
When the height of gum tissues distract from the appearance of a smile, a periodontist is your expert. This dental specialist has specialized skills in all aspects of oral tissues. Through their advanced training, they are able to safely and beautifully reshape the tissues that surround teeth.
For people who wish to have a gummy smile or uneven gum line re-contoured, a periodontist performs a gingivectomy. A gingivectomy is a procedure during which excess gum tissue is remove. During this, the gumline is sculpted to give your smile balance with a more even smile line.
In addition to repairing a gummy smile, a gingivectomy is involved in a procedure known as crown lengthening. Crown lengthening involves removing the excessive gum tissue to expose more of the crown of the tooth, as well as sculpting the gumline to make it higher up. After the gum tissues are shaped, a crown is typically placed to protect the tooth above the gum line and to create a more beautiful smile.
A crown lengthening may also help to save a tooth from removal. When a tooth breaks off near the gum line, a crown lengthening can be performed to expose a sufficient amount of the tooth’s base so it can support a crown.
Another procedure a periodontist expertly performs is gum grafting. This is often to cover exposed roots, to reduce further gum recession, protect vulnerable tooth roots from decay, and improve your smile. Recession can occur as a result of periodontal disease, which causes tooth roots to become exposed and makes the teeth look long.
Gum tissues are very tender tissues with many nerves. Procedures that involve the gums must be performed with precision to minimize discomfort and speed healing time. A periodontist excels in the skills to create an optimal outcome with the most conservative treatment needed.
Our Asheville periodontal dental office provides some of the most advanced imaging and computerized technology available. This includes cone beam 3D imaging and laser dentistry. Additionally, we provide oral and IV sedation (“twilight sleep”) so patients are able to relax or snooze comfortably while being monitored by specially-trained team members who use advanced safety equipment.
Begin with a consultation with an experienced periodontist, who can answer your questions thoroughly and determine the best treatment option for your individual needs. Call 828-274-9440.