How To Save Money At The Dentist

Posted on Apr 25, 2017 by William J. Claiborne, DDS MS

When we purchase or lease an automobile, we realize there are maintenance requirements to ensure our investment stays in good working order. We have oil changed, fluids checked, and tires rotated or replaced. We do this because we know the consequences of not tending to the upkeep of an auto can be costly.

Your oral health also requires regular maintenance. In addition to twice daily brushing and daily flossing, 6-month dental check-ups and cleanings are needed to prevent problems from occurring. By avoiding problems, we save ourselves from costly and time-consuming treatment.

Prevention is key when it comes to both oral and overall health. A 2014 report on National Health Expenditures estimated that U.S. adults spend nearly $10,000 annually on health care. And, dental expenses are extra. According to the Government Accountability Office, the average annual out-of-pocket for dentistry increased by 26% between 1996 – 2010, from $520/year to $653/year.

Like tending to our vehicles, caring for our dental health is necessary. If ignored, the result is more than losing natural teeth. Research now shows that the infectious bacteria of periodontal (gum) disease can trigger inflammatory reactions elsewhere in the body. It has been linked to heart disease, high blood pressure, stroke, some cancers, diabetes, arthritis, preterm babies and impotency.

Gum disease is the nation’s leading cause of adult tooth loss. It is estimated that over 47% of adults over age 30 have some level of gum disease. For those over the age of 65, 64% are said to have moderate to severe gum disease. Symptoms include tender gums that bleed easily when brushing, persistent bad breath, gums that darken in color, gums that recede from teeth and expose darker tooth root sections and pus pockets on gums.

As a Periodontist, the majority of the problems I treat are one that were essentially preventable. With the proper home care and regular dental check-ups, you can save money by avoiding problems and costs for repairs. For those that do arise, early treatment helps to minimize expenses. This is why your regular dental cleanings and exams are so important.

Between visits, the goal is to keep oral bacteria levels to a minimum. While brushing twice daily is important, we urge patients to get into the habit of flossing. This is a significant benefit in the fight to keep oral bacteria buildup from damaging tooth enamel and gum tissues.

For those who floss daily, it only takes a minute. By removing particles caught between teeth, you can reduce oral bacteria growth tremendously. Find flossing awkward? Our hygienist can show you how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). However, for those who have dexterity problems, an electronic flosser can make the task easy yet still effective.

Another way to greatly reduce oral bacteria is to use a tongue scraper. This small tool uproots oral bacteria that are embedded in the tongue. Scrape back to front over the tongue 2 – 3 times and rinse after each pass. Brushing your tongue after brushing teeth is also helpful in removing bacteria from the tongue.

For many, a surprising cause for oral bacterial growth is ‘dry mouth.’ Saliva flow is designed to continually rinse oral bacteria out of the mouth. When saliva levels are low, oral bacteria accumulate and reproduce quickly. When your mouth is dry, you may notice that your breath odor is bad. This results from an overgrowth of oral bacteria.

Causes for a dry mouth are smoking, alcohol, caffeine and some medications as well as mouth breathing, including snoring. The aging process and health conditions such as anemia, hypertension, arthritis and diabetes also contribute to dry mouth.

To lessen the negative effects of dry mouth and enjoy fresher breath, drink water throughout the day. If you take medications that are drying to the mouth, ask your doctor if alternatives are available. For frequent dry mouth, purchase an over-the-counter mouth rinse that is designed to replenish oral moisture. Be sure the ingredients do not include alcohol, which is drying to the mouth even in this form.

Remember, your smile is more than teeth and gums. It is an important part of your overall health and well-worth the care you give it. In addition to avoiding costly dental problems, a healthy mouth will reward you with fresh breath and a confident smile. Plus, when you keep your natural teeth, you avoid a long list of expenses and associated problems for replacement teeth.

If you are missing teeth or have tender gums that bleed easily when brushing, call 828-274-9440 for an appointment.

How Periodontal (Gum) Disease Begins & Progresses

Posted on Apr 12, 2017 by William J. Claiborne, DDS MS

Periodontal (gum) disease begins without obvious symptoms. This is likely why it is allowed to progress. Yet, even when gum disease is fully underway, the warning signs are often ignored. For example, some people assume that seeing blood in the sink when brushing is a sign they are doing a good job rather than a symptom of inflamed gum tissues. (It’s not!)

Acquiring gum disease is easier than you might imagine. The following is the typical process of gum disease:

•  Accumulation Of Oral Bacteria: Our mouths are a warm, moist environment. Every day, it takes in an enormous amount of bacteria. Bacteria is on food, lipstick, and even the toothbrush we use. Bacteria in our bodies, including our mouths, is a fact of life and something we can process – at certain levels. The problem begins when too much bacteria accumulate.

•  Plaque: Without regular and thorough brushing, flossing, saliva flow and diet, oral bacteria can reproduce rapidly in the mouth. Their accumulation over the course of a day forms a sticky film you feel on teeth. This film, known as plaque, can form in just the brief time between your morning tooth brushing and evening brushing.

•  Tartar (or Calculus): In about 48 hours, sticky plaque film can harden into tartar. Tartar (also known as calculus) is a hardened form of oral bacteria that attaches to teeth. Tartar will continually reproduce and amass as oral bacteria subsist on tooth enamel and gum tissue.

•  Gingivitis: This is the first stage of gum disease. At this point, gum tissue is under attack. Gums are tender and bleed easily when brushing. You may have an aching sensation in some areas and your breath will be frequently bad. By taking effective measures at this point, you have an opportunity to restore your gums to a healthy state. Halting gingivitis at this point is important to avoid its progression to gum disease.

•  Periodontal (Gum) Disease: At this level, the gums are inflamed and tender. Gum tissues will darken in color and begin to pull away from some teeth, exposing darker root portions. Your breath will be frequently offensive. As gum disease worsens, pus pockets form on gum tissues and teeth will loosen. Gum disease can lead to the need to remove some teeth. It is the nation’s leading cause of adult tooth loss.

An estimated 47% of American adults have some level of gum disease. As devastating as tooth loss can be, research has been associated the bacteria of gum disease with serious health problems elsewhere in the body.

Oral bacteria can become bloodborne through tears in diseased gum tissues and has been shown to cause inflammatory triggers. This systemic inflammation has been associated with heart attacks, stroke, high blood pressure, some cancers, arthritis, diabetes, preterm babies and impotency. Yet, gum disease is one of the most preventable of all diseases with simple measures.

Re-examine your at-home oral care routine. Twice daily brushing, daily flossing, drinking plenty of water and limiting snacking, sweets and caffeine help to keep your mouth healthy between regular dental check-ups and cleanings. And, those check-ups are vital to keeping a healthy smile. During these visits, accumulated tartar can be removed and signs of early gum disease can be noted.

Good oral health practices can save you much in time and money by avoiding procedures to repair problems. Too, keeping a healthy mouth means you are helping to protect your overall health by lowering risks associated with oral bacteria. With proper care, you can easily enjoy a lifetime of healthy smiles.

If you are experiencing symptoms of gum disease, call 828-274-9440. As a specialist in all levels of gum disease, we can help you restore your oral health.

Prostate Health Connection To Gum Health Revealed

Posted on Mar 27, 2017 by William J. Claiborne, DDS MS

For decades, research findings have shown health risks related to the effects of systemic inflammation. This is chronic inflammation inside the body that continually simmers and can’t turn itself off. While this inflammatory ‘boil’ is not obvious, it has been found to contribute to a number of serious health problems.

Research has found links between systemic inflammation and heart attack, stroke, memory loss, arthritis, diabetes, some cancers, preterm babies, impotency and even Alzheimer’s Disease.  In their quest to track down potential triggers of internal inflammation, researchers have been taking a closer look at periodontal disease, a bacterial infection in the mouth.

Periodontal (gum) disease begins when there is an over-accumulation of bacteria in the mouth. As bacteria reproduce and thrive, they attack gum tissues and the structures that support teeth. When this infectious bacteria enters the bloodstream through weakened gums, it can create inflammatory reactions that can set into motion the potential development of serious conditions.

Symptoms of gum disease include tender gums that bleed easily when brushing, persistent bad breath, gums that turn red, receded gums and pus pockets that form around teeth. Because many people are unaware that these symptoms are so harmful, periodontal disease is estimated to exist at some level in over 47% of American adults. Thus, it is no surprise that gum disease is the nation’s leading cause of adult tooth loss.

In addition to the health problems listed above, new research has shown a possible connection between gum disease bacteria and Prostatitis, an infection of the prostate. Like periodontal disease, Prostatitis is an inflammatory disease. Prostatitis causes a frequent urge to urinate and a painful or burning sensation during urination.

The connection between periodontal disease bacteria and Prostatitis was revealed as a result of a study by researchers at Case Western University’s School of Dental Medicine and the Case Medical Center’s Department of Urology & Pathology. They found that Prostatitis symptoms were greatly improved by treating gum disease, even when prostrate treatment was withheld.

In the study, all participants had moderate to severe levels of gum disease. Additionally, each had inflammation of the prostrate gland with higher than normal prostate specific antigen (PSA) levels.

The participants were divided into two groups. One group consisted of men who were treated for gum disease. The other group received no treatment for their gum disease. Throughout the study, both groups had prostrate symptoms and PSA levels monitored but none received treatment for their prostate conditions.

At one-month and two-month marks, the PSA levels were measured in both groups. The findings showed that an overwhelming majority of those who were treated for gum disease had significantly lower PSA levels.

While these findings may help Prostatitis patients achieve better treatment results, the study reinforces how closely our oral health is connected to our overall health, even more than previously thought. Based on the study, just managing oral bacteria levels can reduce the risk of triggering inflammatory reactions in the body. In addition, we avoid oral problems that can be costly and time-consuming to treat.

Obviously, the potent bacteria of gum disease is nothing to ignore. As research continues to find links between it and serious health problems, we will share them. For now, take good care of your body AND your smile! If you have any of the symptoms associated to gum disease, call 828-274-9440 to schedule an examination. As a periodontal specialist, I am trained to treat all stages of gum disease.

Best To Replace Tooth With Dental Implant Promptly After Removal

Posted on Mar 23, 2017 by William J. Claiborne, DDS MS

Even with the best of care, a tooth needs to be removed. Removal may be necessary because of an injury or break that extends below the gum line. Occasionally, removal is necessary when a tooth needs repair beyond what a crown can provide. When it is necessary to remove a tooth, there are several reasons to replace it immediately.

For many people, appearance is an important reason for placing an implant and crown right after tooth removal. Immediate replacement means they can avoid having an awkward and embarrassing gap in their smile. More importantly, however, is making sure that neighboring teeth are kept in their proper positions.

When an open area exists, the teeth on either side and the one above (or below) no longer have their reinforcement. The teeth on each side will tilt inward to the open area and the tooth above will grow longer. This begins a process of bite misalignment.

The delicate balance of upper to lower teeth is vital to your oral health, and beyond. A misaligned bite leads to cracked, broken, fractured or chipped teeth. Because an improper bite places strain on the jaw joints (TMJ), it can lead to frequent headaches, migraines, worn teeth (from grinding or ‘bruxing’), sore or popping jaw joints, difficulty opening the mouth fully, ear ringing, dizziness and sore facial muscles.

Before other teeth can move, it is wise to replace the tooth. As a lasting solution to a missing tooth, many adults choose to replace it with a dental implant immediately following removal. In addition to helping neighboring teeth hold their proper positions, another advantage is the prevention of bone loss. By inserting an implant immediately after a tooth is removed, you minimize the risk of bone loss, or ‘resorption.’

The process of resorption is when a tooth root is no longer present in the jaw bone. Because tooth roots stimulate and nurture the bone, their absence leads to bone shrinkage over time.  The declining foundation of bone places adjacent teeth at the greatest risk of being the next to be lost. This tends to set off a domino effect. Statistics show that the next tooth you’ll lose will be the next tooth in line.

Another benefit of immediate implant placement is the preservation of natural gum contours. Within days of having a tooth removed, the natural arch of gum tissue and the ‘points’ of gum tissue that dips between the top of each tooth will start to flatten. Placing an implant promptly following tooth removal helps to preserve the natural contours of your gum tissues. And the gums provide a natural frame for teeth, offering both esthetic appeal and protection.

Immediate replacement is also beneficial when two (or several) teeth in a row are missing. Because implant treatment fees are largely based on the number of implants placed, having one implant support a bridge of teeth saves you money while also preserving natural gum contours.

Additionally, since the positions for an implant (depth, angle, etc.)  in your jaw bone is already at proper dimensions, placing an implant following removal greatly simplifies treatment time, healing and procedural requirements.

To discuss immediate placement implants or any type of dental implant, call 828-274-9440. As a Periodontist, I have advanced training and skills in the diagnosis and placement of all types of implant systems. Begin with a consultation to discuss the implant best for your needs, the implant process and associated fees.