Whitening Teeth Won’t Give You A Healthy Smile

Posted on Jan 05, 2018 by William J. Claiborne, DDS MS

Imagine riding in a friend’s car and hearing an unusual pinging obviously coming from under the hood. Let’s say you eventually mention the strange noise, only to have the friend reply, “Oh yes, I’ve been hearing it for a month but am thinking of having the car painted.”

Huh? Although it makes no sense to ignore a problem, it makes less sense that someone would choose to mask it over so they can continue to ignore it.

This is what happens, occasionally, when it comes to tooth whiteners. Although the appearance of bright, white teeth allude to having ‘clean’ teeth, the facade quickly falls away when it comes to the gums.

Having poor oral health reveals itself in several ways. In your own mouth, symptoms of periodontal disease may include tender gums that bleed easily when brushing and swollen gums in certain areas (often near back teeth).

For others, however, white teeth won’t camouflage poor dental health. An unhealthy smile may be obvious to others in the form of bad breath and a smile that shows signs of gum recession (gums that pull away from teeth, exposing tender tooth root segments) or even gums that are darker in color versus a healthy pink.

In conversations with fellow dental practitioners, we are always concerned when patients seem less concerned about having good oral health and more concerned about the appearance of their smiles. And then again, we are not surprised. It’s human nature to want to be appealing to others.

In an article published in The Cut, it included findings from one study that revealed how human nature subconsciously distorts our opinions when it comes to pretty people, even though we don’t want to acknowledge the prejudice (https://www.thecut.com/2016/05/hot-people-experience-life-differently.html):

“Harvard economist Markus Mobius and Wesleyan University economist Tanya Rosenblat published the seminal paper “Why Beauty Matters” in 1994. They found that in three different samples of workers, more attractive people consistently earned 12 to 14 percent more than unattractive people — regardless of gender — with evidence that the “labor market sorts the best-looking people into occupations where their looks are productive.” To that end, a 2012 paper found that comely real estate brokers outperformed homely colleagues. More uncomfortably, first- and sixth-graders think attractive teachers are kinder and happier, and college students thought that attractive professors were clearer, more helpful, and of higher overall quality.”

Perhaps this is what motivates adults to place such a high priority on appearance, even when they realize there is a health issue they should tend to that’s more important.

Another reason may be because the symptoms of gum disease and other problems in the mouth are often easy to ignore. For instance, like body odor, our sense of smell becomes accustomed to particular scents. Therefore, it’s easy to be unaware of our own bad breath.

And, gum disease may be running rampant without obvious symptoms or signs that cause alarm. For example, some people assume that seeing blood in the sink when brushing is a sign they’re doing a good job. They don’t associate it as a symptom of gum disease.

Before you invest in a tooth whitening kit at the drug store, ask your dentist to evaluate your oral health. If your gums are healthy, he or she will give you a thumbs up. Plus, healthy gums will be less sensitive during the whitening process.

If, however, your gums have indications of gum disease, whitening your teeth is doing your smile no favors. Save your money and put it towards a healthy smile first. Your teeth and gums (along with fresh breath) will send a message of a health-conscious individual. That’s always impressive!

If you’re experiencing any of the signs of gum disease mentioned above, please call for an examination. Gum disease only worsens without treatment. It is also the nation’s leading cause of adult tooth loss.

Call 828-274-9440.

New Study Finds Clogged Arteries More Connected To Oral Bacteria Than Fatty Foods

Posted on Nov 13, 2017 by William J. Claiborne, DDS MS

For years, we’ve been led to believe that the main cause of clogged arteries is the cholesterol-rich diet we consume. However, a recent study published by the Journal of Lipid Research has found fat molecules unrelated to butter, fatty animal meats and eggs may be the true source.

According to an article in Medical News Today (https://www.medicalnewstoday.com/articles/319967.php), the University of Connecticut (Storrs) conducted a study showing the fat molecules in plaque that are typically blamed for clogged arteries may actually originate from oral and gut bacteria.

In past studies, researchers have known there are strong connections between the bacteria of gum disease and an increased risk of heart attack and stroke. Yet, pinpointing the precise cause-&-affect has been elusive. This study may have tracked down the intricate path.

Atherosclerosis occurs when fat molecules, calcium, cholesterol, and other compounds in the blood form plaque on the inside walls of arteries. These arteries are what carry oxygen via the bloodstream to the heart, brain, kidneys, and other parts of the body.

When plaque accumulates, it can harden and narrow the arteries, thus depriving oxygen-rich blood to vital organs and tissues. This can lead to heart attack, stroke, other serious health problems and, in some instances, even death.

For decades, it was assumed that the fatty molecules of atherosclerosis, or lipids, are the result of a diet rich in foods high in fat and cholesterol. This study focused on the formation of plaque (that include fat molecules) as well as other growths known as atheromas.

Atheromas  refer to fatty masses that develop in the artery walls. Their presence activates the immune system, which recognizes that the lipids are not of human origin. This, in turn, tends to trigger inflammation. Inflammation is what leads to the thickening of the smooth muscles that line artery walls.

When the research team analyzed atheromas of hospitalized patients, they found the chemical makeup of lipids were not from animals. Rather, the fat molecules matched bacteria belonging to the Bacteroidetes family.

Bacteroidetes, fatty acids that do not have the same features as animal fat, are not typically harmful. They exist in the mouth and, in some situations, can activate gum disease but are not known to invade blood vessels. The culprit, however, lies in the lipids they secrete, which can penetrate cell walls and enter the bloodstream.

Apparently, it is an enzyme that breaks down the bacterial lipids that can activate a process that manufactures molecules that promote inflammation. When the immune system encounters the bacteria and then couples with the enzyme that creates inflammation, their combined actions can lead to an even higher risk for the formation of plaque.

The researchers are continuing efforts to further study how atheromas form where Bacteroidetes lipids accumulate. They are seeking even more evidence that fat molecules from Bacteroidetes are linked to atheroma growth, and thus to heart disease.

In the meantime, we certainly encourage you to eat a diet low in cholesterol. Yet, keep this study in mind as reinforcement to the need to maintain good oral health. For decades, research has shown the close relationship of oral health and overall health.

In addition to heart disease and stroke, past research has correlated the bacteria of periodontal (gum) disease to diabetes, arthritis, preterm babies, some cancers and impotency. Obviously, this is potent bacteria and keeping its accumulation to a minimum is beneficial to your overall health.

Is is important to know the signs of gum disease. Seeing blood in the sink while brushing, tender or swollen gums, frequent bad breath, and gums that pull away from teeth and expose sensitive tooth roots are just a few of the signs. Without treatment, gum disease will only worsen. It affects over 47 percent of American adults and is the leading cause of adult tooth loss.

Protect your smile and your overall health. In addition to a thorough at-home commitment to oral hygiene, have twice-yearly dental check-ups and watch for signs of gum disease. If you suspect gum disease exists, call 828-274-9440 to schedule an exam. This will be the first step to protecting your smile, and apparently, your heart!

Correcting A Gummy Smile With Beautiful Results!

Posted on Sep 06, 2017 by William J. Claiborne, DDS MS

A smile says a lot. A warm, genuine smile sends a message to others of acceptance and joy. A beautiful smile also complements appearance and can relay an impression of confidence, happiness and openness.

As a Periodontist, I treat the soft tissues of the mouth in addition to placing dental implants and treating gum disease. As an expert in oral gum tissues, I have advanced training that enables me to create gum tissue contours to give a natural appearance and provide healthy seals around teeth.

For people who have a ‘gummy smile,’ too much gum line is visible above the upper teeth in a full smile. While this trait does not interfere with the ability to have and maintain a healthy smile, for many, it causes them to ‘hold back’ rather than smile fully. Some people cover their smiles with a hand or try to smile with lips only.

For many with a gummy smile, the deterrents to having it repaired are (1) cost; (2) treatment discomfort; and (3) treatment time. However, in consultations with patients, I explain how modern techniques ensure exceptional comfort and reduce healing time. Often, once the patient is better informed as to what to expect, they are receptive to proceeding.

Gum re-contouring is the procedure to correct a gummy smile, referred to as a ‘gingivectomy.’ It is performed to remove the excess gum tissue that arches over the teeth most visible in a smile.

To begin, we numb the gum tissues and carefully trim the excess. As a Periodontist, I take specific measures to ensure a natural looking arch remains over the teeth while preserving the natural points that ‘dip’ between each tooth.

It’s normal to experience some tenderness or swelling after the procedure, however, most patients do fine by applying an ice pack off and on for the first day. In most cases, over-the-counter pain medications are sufficient, however, we make prescription strength options available to ensure comfort during the healing process.

Healing time depends on each individual and can vary from a few days to a few weeks. For patients who smoke, healing times are longer due to smoking’s drying effect on gum tissues.

Most gingivectomies are followed by crown lengthening procedures that enhance the appearance of the teeth most visible in a smile. Crown lengthening uses porcelain veneers or crowns to give a beautiful, even smile line.

Treatment fees depend on the extent of the condition and whether crowns or veneers will be applied following treatment. In either case, beautiful results can occur, helping the individual who once ‘held back’ to smile confidently and reveal a more outgoing, vibrant personality!

A healthy smile is a benefit to our overall health. An attractive, confident smile is beneficial to our self-image, helping us to feel good from the inside out! Call 828-274-9440 for a consultation to discuss a gingivectomy and what is recommended for your specific need.

The Problems Associated With Missing Back Teeth.

Posted on Aug 28, 2017 by William J. Claiborne, DDS MS

If you lose a back tooth, why replace it when the tooth isn’t visible?

Think of your teeth as you would a framed brick wall. Each brick is held securely in place by the unity of adjoining bricks. If you remove a brick or two, the others are vulnerable to shifting. While a seemingly minor issue at first, the stability of the wall is based upon how each brick relies upon the stability of the others. Much like your teeth do.

Your teeth are arranged in a carefully balanced configuration. Each tooth beside and above (or below) works in unison to provide proper support and stability. Losing a tooth can start a vicious cycle of ongoing oral and structural problems.

In a normal, healthy mouth, there is a natural balance of teeth. Each tooth has three or four companion teeth. These include the adjacent teeth on either side as well as upper or lower teeth that meet them. Upper and lower teeth work together to provide comfortable chewing function.

The problems associated with missing teeth include teeth that lean, tilt or elongate. This creates the risk for chipped and broken teeth, worn teeth, and tooth fractures. It also contributes to an increased risk of gum disease and decay.

When teeth are not in proper alignment, there is also a risk of strain on the jaw joints (TMJ). This can lead to frequent headaches, migraines, night-time clenching and grinding, dizziness, sore jaw joints, ear ringing and jaw popping.

When a tooth is lost, statistics show a companion tooth is most likely be lost next. Then, the next closest tooth is subjected to the same conditions. With each tooth lost, the problems are magnified and the cycle of tooth loss continues.

You see, not only does a missing tooth leave remaining teeth vulnerable to shifting, the foundation of your jaw bone is compromised. When natural tooth roots are no longer present in the bone, it begins to decline in height. As the bone shrinks, neighboring teeth become vulnerable to problems, including tooth loss.

The best time to replace missing teeth is immediately after the tooth is lost or, ideally, at the time of removal. For tooth replacement, we recommend Dental Implants since they also preserve the integrity of the jaw bone. They provide a dependable foundation for biting and chewing and support the balance of surrounding teeth.

Replacement at the time of removable helps simplify placement and preserve the natural contours of the gum tissues that arch over each tooth.

If you are missing teeth, begin with a consultation. During this time, I’ll answer your questions and explain how Dental Implants support your oral health and prevent future problems. Call 828-274-9440.