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3 Things You’re Doing To Up Your Risk for Gum Disease
Posted on May 15, 2023 by William J. Claiborne, DDS MS
In life, we don’t know what we don’t know. As a periodontal specialist in Western NC, I see this a lot with adults who develop periodontal (gum) disease. Many go most of their lives unaware that certain things they’ve been doing all their lives led (or can lead) to the development of gum disease and often, tooth loss as a result.
According to a report on the health of Americans (published by the CDC, the Centers for Disease Control & Prevention), it is estimated that over 47% have some form of gum disease. Although we all aspire to have a smile that is appealing, it is what lies beneath the teeth and gums that can wreak havoc on one’s overall health.
Over time, inadequate daily oral hygiene enables an overload of bacteria in the mouth. Oral bacteria are living, eating, and reproducing organisms, thriving on rotting food particles caught between teeth. They attack gum tissues and tooth enamel and eventually work down tooth roots and attack the bones and tendons that support teeth.
Early signs of gum disease are frequent bad breath along with swollen, tender and beefy red gums that bleed when you brush. As they grow in number, the gum tissues become weaker and they can penetrate the bloodstream.
Through tears in diseased gum tissues, this infectious bacteria can enter the bloodstream. This potent bacteria are now associated with a number of serious health conditions due to their ability to trigger systemic inflammation. These include heart disease, stroke, some cancers, Alzheimer’s disease and more.
According to the American Academy of Periodontology (www.perio.org),
“Several studies have shown that periodontal disease is associated with heart disease. While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease.
“Scientists believe that inflammation caused by periodontal disease may be responsible for the association.
“Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.”
Obviously, the goal is to prevent the onset of gum disease. This can be done easily with the investment of just minutes per day and regular dental check-ups and cleanings. The following can give you a good idea as to what you may be doing to make you vulnerable and how to lessen your risks.
• FREQUENT SNACKING
Snacking has become pretty common over the years. Many Americans snack, with such things as a mid-morning latte or afternoon candy bar topped off by a bowl of ice-cream after dinner. All these add-in’s to three meals a day lead up to a bombardment of oral acids in the mouth.
Anytime you eat or drink, an acid attack begins in the mouth. This is a normal part of the digestive system, starting the break-down of foods during the chewing process. However, this also means that every sip of cola or bite of granola bar, an acidic bombardment occurs in the mouth for about 20-30 minutes. When the mouth endures frequent acid attacks during the day, damage to precious tooth enamel will lead to cavities.
Although Americans are the leading nation for sugar consumption, carbs also break down as sugar in the mouth. This means that the potato chips and popcorn you munch on are adding to these risks as well.
• ORAL DRYNESS
Xerostomia, commonly known as “dry mouth,” is a frequent state of oral dryness. Saliva is your mouth’s natural rinsing agent that helps cleanse oral bacteria from the mouth. This keeps bacteria to a minimum.
When saliva flow is depleted, bacteria linger in the mouth longer, giving them more time to multiply. As oral bacteria thrive, reproduce and amass, the initial result is plaque. Plaque is the sticky film you can feel on teeth.
Periodic dry mouth can occur from consuming alcoholic beverages, coffee and certain medications. Although sugary drinks don’t necessarily dry oral tissues (unless they contain caffeine), sugar enhances growth of bacteria reproduction. When food and beverages contain caffeine AND sugar, this hits the mouth with an even higher risk for oral bacteria growth.
Other causes of dry mouth include medications, such as antihistamines and some prescribed for depression and urinary incontinence. Medical conditions, including acid reflux, sinus infections, diabetes and bronchitis are also contributors. A bad cold, snoring or just being in the habit of breathing through the mouth are drying as well. And – the worst culprit of all – is smoking.
• INADEQUATE ORAL HYGIENE AT HOME
Bacteria are living organisms that eat, reproduce and emit waste. Their ability to reproduce is astounding, resulting in a consistently growing number of waste-producing creatures. And they stink, causing bad breath.
Poor oral hygiene is the most common cause for bad breath. Not brushing and flossing or doing so adequately allows oral bacteria to reproduce, which leads to plaque.
When plaque is not removed thoroughly on a daily basis, it turns into a cement-hard substance known as tartar. This mass is actually a solid colony of oral bacteria that attaches to teeth. Once in the form of tartar, it can no longer be brushed or flossed away.
Tartar attacks enamel and gum tissues, causing the gum tissues to become inflamed. This inflammation can quickly develop into gingivitis, an early form of gum disease. If not resolved fully, however, gingivitis can lead to full-blown periodontal disease.
It is estimated that nearly a third of American adults brush their teeth for an insufficient amount of time. Even worse, about that same amount fail to brush twice a day. This means that an alarming amount of bacteria remain to grow and thrive in the mouth.
Proper brushing includes brushing for at least two minutes twice daily with thorough swishing afterwards. Brush using a circular motion rather than scrubbing teeth back and forth (which can damage and wear away tender gum tissues). Never use a hard bristle tooth brush or brush with harsh substances (such as baking soda).
You may be surprised to learn that brushing only tackles about half the amount of oral bacteria. The tongue actually harbors 58 – 65 percent of the bacteria in the “oral cavity.”
Oral bacteria, which take up residence in the tiny bumps and grooves of the tongue, are not easily dislodged. Thus, it is necessary for tongue cleaning to be a part of your oral hygiene regimen at home.
Some toothbrushes have a “tongue scraper” on the reverse side of the bristles that’s an effective option. Or, you can brush your tongue with the bristles after your teeth are brushed. Be sure to reach towards the back of the tongue where the majority of bacteria exist.
If you are experiencing symptoms of gum disease or have not received regular dental care, call 828-274-9440. We’ll arrange a periodontal exam in our comfortable Asheville periodontal office. Or, you can request a consultation appointment to begin. This time will allow you to get to know us and our advanced technology, often saving our patients treatment time while enhancing comfort.
If financial constraints are a concern, ask about our easy payment plans. These can break treatment fees into monthly payments that are manageable to most budgets.
Older Adults (80’s, 90’s, 100’s) Benefit By Dental Implants
Posted on Apr 25, 2023 by William J. Claiborne, DDS MS
Someone once told me, “Old age is always ten years older than the age you are at the time.” I get it. While a teenager may think of anyone over the age of 55 as “old,” aging in the U.S. today has taken a positive position within America’s population.
Proof of this is in how more and more people are living to be 100. Many of them are still sharp and spry. Although reaching the 100 age pinnacle was once a rare feat, it’s a growing trend. Today, there are nearly twice as many 100+ year olds in the U.S. than there were 20 years ago (nearly 90,000 now).
Reaching these elevated ages, of course, depends on factors like location, gender, lifestyle and genetics. Living a long life has evolved from lifestyle changes rather different than what was taken for granted in the 1950’s, for example.
Between 1900 and 2020, life expectancy in the U.S. rose by more than 30 years. Much of this can be credited to life choices, such as things like not smoking. Smoking, a leading contributor to heart disease, can decrease life expectancy by 10 years.
In 1965, 45% of Americans smoked. Now, knowing the health hazards to smoking, the number has declined to only 12.5% as of 2020.
Of course, Americans can also credit medical advances for the centenarian growth in population. The survivability of things like heart attacks and cancer has greatly increased, giving adults a longer lifespan.
As Americans realize their lifespan may well reach age 90, 100 or beyond, the resistance to having dental implants due to “old age” is becoming less of a factor.
Dental implants are the ideal tooth replacement system. Unlike dentures or ‘partials,’ dental implants are supported by the jaw bone, just as natural teeth. While dentures sit on top of the gums, dental implants restore biting strength and stability, giving back the look, feel and function of the teeth you once had.
Two decades ago, some “older” adults would deny themselves the benefits of dental implants, saying things like, “I’m too old to spend that amount of money on myself.” Yet, for my dental implant patients in their 80’s and 90’s, I never had one who didn’t feel it was one of the wisest investments they’d ever made.
– Dental implants are designed to last your lifetime. They do not decay, need root canals or compromise neighboring teeth or bone structure.
– Because dental implants are positioned in the jaw, they recreate stimulation to the bone. This helps to preserve the bone’s mass, halting the pace of jaw bone shrinkage (known as resorption).
– Resorption is what causes changes in one’s facial appearance, aging one’s appearance far older than their actual age.
– Dental implants do not move or slip when eating, speaking or laughing. A denture is designed to fit the contours of one’s gum ridge; contours that exist at the time the denture is made. However, as resorption reduces bone height, the ridge that holds the denture flattens out over time. This is why a denture becomes ‘wobbly’ or ‘slippery.’
– Dental implant treatment is largely determined by the number of implants placed. In most cases, one implant can support more than one tooth. A full arch (all upper or lower) of teeth are typically supported by several strategically-placed implants.
– Unlike a crown-&-bridge, dental implants so not need the support of adjacent teeth. Therefore, it is not necessary to have teeth shaved down for crowning simply to serve as supports for a bridge.
When it comes to dental implants, there are many decisions and choices that can become confusing without the guidance of a dental specialist. For example, there are over 40 different implant systems.
Dental Implants are designed in a variety of shapes and sizes to accommodate various needs. For those who are missing all upper or lower teeth, for instance, some implant types can support a full arch of removable teeth while others support non-removable (or ‘fixed’) teeth.
As a periodontist for over 3 decades, our patients receive advanced skills in dental implant diagnosis and placement. Additionally, our Asheville periodontal dental office features some of the most advanced technology in the industry today. This includes computerized imaging that can lessen treatment needs, optimize comfort and speed healing.
If you feel you are too old to make this wise investment, check out some of the health benefits that dental implants provide:
• As the ‘arch’ (or ridge) flattens, the appliance is more apt to move while chewing. As the denture rubs against tender gum tissues when eating, sore spots form, which are difficult and slow to heal. And, when small seeds or nut particles become trapped between the appliance and gums, it can cause a piercing, painful sensation.
This discomfort and concern often prompts people to adjust their diets. The chewy, crunchy foods they once enjoyed tend to be bypassed for those that dissolve quickly with minimal chewing required. Unfortunately, these foods are typically lacking in the fiber, vitamins and protein necessary for a healthy diet.
• The gum-colored base of dentures or partials that hold the replacement teeth is made of a porous material. This means there are tiny holes in the base. In the mouth, a denture sits in a warm, dark, moist environment – perfect for bacterial growth. These holes become living spaces to oral bacteria, which thrive and breed at a rapid rate. Bad breath and increased risk of pneumonia are actually some of the lesser problems that can occur.
Additionally, oral bacteria can create havoc throughout the body. It is a known contributor to a long list of serious health diseases and conditions. These include some cancers, stroke, heart disease, diabetes, arthritis, Alzheimer’s disease, pre-term babies and many more.
• The insecurity of a denture that may move when eating causes some people to avoid social gatherings. The fear of embarrassment can be a deterrent to involvement with friends and family. This places the individual at a disadvantage, as research shows that socially active seniors age more slowly than those who avoid social interactions.
If dental fear has prevented you from looking further into dental implants, please know that we have a reputation for respect, a gentle touch, and compassionate care. Additionally, we offer Oral sedation as well as I.V. sedation (also known as ‘twilight sleep’). These are administered safely by a doctor of anesthesia who monitors patients with advanced safety equipment.
Also, financing can be easy through monthly payment plans. Most are interest-free with no down payment required.
To schedule a consultation appointment, call 828-274-9440. Also, get to know more about dental implants at: DrClaiborneDentalImplants
“Gray Tsunami” Brings New Numbers in Dementia, Alzheimer’s
Posted on Feb 11, 2023 by William J. Claiborne, DDS MS
The American Academy of Periodontology (perio.org), defines a periodontist as:
“A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists are also experts in the treatment of oral inflammation. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures.”
As an Asheville periodontal specialist for over 25 years, my advanced skills help patients with a variety of needs that involve the gum tissues. These include:- Treatment of all stages of gum disease (gingivitis, pregnancy gingivitis, periodontal disease, periodontitis)
– Reshaping gum tissues for esthetic enhancement (crown lengthening, gingivectomy for ‘gummy smiles’, repairing areas of gum recession)
– Diagnosis and placement of dental implants
– Treatment of lesions or cysts in oral tissues
Why should you be concerned about the health of your gums?
Gum disease is an inflammatory disease that attacks gum tissues, teeth, and the structures that support them. It is the nation’s leading cause of adult tooth loss. As if that weren’t bad enough, research has shown that these potent bacteria are able to activate the development (or worsen the progress) of other diseases.
Past studies have shown oral bacteria from gum disease can be a contributing factor to heart disease, stroke, some cancers, diabetes, preterm babies, erectile dysfunction (ED), high blood pressure, and impotency. Studies have begun to closely study the links between gum disease and Alzheimer’s disease.
In the U.S., the growing prevalence of dementia and Alzheimer’s disease is an especially concerning issue as our aging population grows. If you are a “baby boomer” (born between the years 1946 – 1964), you make up a significant percentage of adults. Within 7 years, boomers” will comprise 21% of the population. By 2060, nearly 1 in 4 Americans will be 65 years and older, dubbed the “gray tsunami.” Seniors over the age of 85 will have tripled, with half a million adults having reached age 100-plus.
While the statistics of aging adults increase, these stats for ALL adults over the age of 30 should set off some alarms. Nearly half of the adult population has some level of gum disease, over 47%.
There is a misconception many have when it comes to the serious nature of gum disease. Too often, people perceive “if it doesn’t hurt, then nothing is wrong” when it comes to their oral health. Although symptoms of gum disease may include tender gums that bleed when brushing, gum disease can begin without any obvious signs.
This is true for many health problems. For instance, when cancer forms in the body, its initial presence isn’t obvious. This is why annual or periodic screenings are urged since treatment is typically minimal during early stages.
Early treatment, including that for gum disease, helps to resolve the problem without complex measures. This is why it is so important to have 6-month dental check-ups. These visits allow your dentist to catch gum disease early so treatment needs and expense can be minimal.
Yet gum disease is a hazard for your overall health as well. While gum disease forms in the mouth, that’s not necessarily where it remains without proper treatment. The bacteria of gum disease can enter the bloodstream. It has been found to trigger serious reactions elsewhere in the body. Some of these lead to the formation of cancer (oral, throat, pancreatic, lung) and some activate conditions such as diabetes and arthritis.
Obviously, the health of your mouth is an important part of supporting a healthy body, especially in disease prevention. To illustrate the extent of gum disease’s damaging impact to health, research is tracking its correlation to dementia and Alzheimer’s disease.
In a recent study that included over 8,200 adults, an increased risk for developing dementia was found in those having severe gum disease and missing teeth. Participants in the study had an average age of 63 at the study’s onset.
In a follow-up after 18 years, those who had severe gingivitis in addition to tooth loss had a 22% higher risk for developing Alzheimer’s disease or dementia. Having no natural teeth was associated with a 26% increased risk.
Broken down, 14% of individuals with healthy gums and all their teeth at the start of the study developed dementia by the end of the study. For those with mild gum disease, 18% (623 out of 3,470) developed dementia. Twenty-two percent of participants with severe gum disease developed dementia. For those who had no remaining teeth, 23% developed dementia – nearly 17 cases for every 1,000 persons.
They found the bacteria present in periodontal disease can travel through the mucous membranes of the mouth to the brain, potentially causing brain damage.
In the study, participants were carefully assessed based on age, gender, education, cholesterol, high blood pressure, coronary heart disease, smoking and body weight. (https://psychcentral.com/news/2020/07/30/gum-disease-may-be-linked-to-later-dementia/158497.html?MvBriefArticleId=25473)
Prior studies have led researchers to be more focused on tracking oral tissue related factors that may contribute to dementia and Alzheimer’s disease, which is affecting a growing percentage of American adults (as well as those globally). Currently, 10% of adults age 65 and over have Alzheimer’s disease. For people ages 85 and older, this increases to 32 percent. In the U.S., it is the 6th leading cause of death. (https://www.alzheimers.net/resources/alzheimers-statistics/)
By the year 2025, the number of people 65 and older with Alzheimer’s disease is expected to reach 7.1 million people, a 27 percent increase from the 5.6 million age 65 and older in 2019.
Let us help you minimize the risks associated with oral bacteria. If dental fear has kept you from having regular dental care, we will be happy to discuss our many comfort options in our comfortable Asheville office, including Oral and I.V. sedation (“twilight sleep”).
Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward. I.V. sedation (also known as ‘twilight sleep’) places the patient in a deeper sleep state and erases memory of the procedure. It is administered by a doctor of anesthesiology for optimal comfort and safety.
Here, our Western North Carolina periodontal dental office also features some of the most advanced technology in dentistry. Many of these are not available in other dental offices elsewhere. Some of these features include LANAP (Laser-Assisted New Attachment Procedure. This is an advanced protocol that efficiently and effectively treats advanced gum disease with the added advantages of a dental laser. We also have 3-D Cone Beam Imaging, computerized Tomography imaging and one of the latest in intraoral scanners.
Now, more than ever, we know that maintaining a healthy smile is important and achievable for every adult. If you suspect you have gum disease (gums that bleed when brushing, tender or swollen gums, gums that have reddened or receded from teeth), it is important to be seen by a periodontist. A periodontal specialist is the best way to restore any level of gum disease to help you regain a healthy smile.
Be committed to having excellent oral health as and make it a priority as an important part of your overall health. For a consultation to discuss how a periodontist can help you, call 828-274-9440.
Some Internet Dental DIY Advice Can Result In Tooth Loss
Posted on Jan 30, 2023 by William J. Claiborne, DDS MS
With the internet and emergence of social media, there has been an explosion of information and “advice” now at our fingertips. Want to know how to remove a red wine stain, check the internet. Need recommendations on the most scenic route to a vacation cabin, google it.
Some of the pointers online are helpful. I was finally able to reprogram my garage door opener with help found on it. However, as a periodontal dental specialist in Asheville NC, I’ve been jolted by some of the dental “advice” I’ve come across. It has not been unusual for some of this info to result in patients who come to us with problems that were actually made WORSE!
From a dental standpoint, the most common I’ve seen over recent years are…
• Using ‘super glue’ to repair teeth:
Most of these chemical-laden glues are toxic. They are not intended to be ingested in any way in the human body. These toxins can seep into oral tissues, causing irritation and allergic reactions.
In some cases, glue sets by using an exothermic reaction, essentially a combustion reaction that generates heat. This can damage the dentin tubules housed within a tooth’s chambers. The risks to the tooth can include the need for extraction or a root canal.
Additionally, using these glues to try to re-attach a crown, broken bridge or a denture can actually make matters worse. For example, if a crown comes off, a dot of super glue may seem to be a quick fix and a way around a dental visit. Toxic risks aside, the DIY fit will most likely be inaccurate and can lead to misalignment with other teeth when chewing or speaking.
In turn, this can result in chips, fractures and breaks in neighboring teeth. Thus, when the patient proceeds to have the crown re-cemented properly by a dentist, the glue residue must first be removed. This requires resurfacing of the remaining natural tooth structure, which results in less structure to support the crown. Because of the change in tooth height, a new crown is commonly needed.
Dentists use special dental adhesives to provide the safest and most lasting option.
• Scrubbing teeth rigorously when brushing:
Brushing teeth hard in a back-&-forth motion isn’t the way to do a good job. This can wear away tooth enamel and cause the gums to recede. Gum recession exposes tender and sensitive tooth root areas. This detracts from a smile’s appearance and also leaves the tooth vulnerable to the entry of oral bacteria.
A circular motion that allows the bristle tips to sweep the teeth is preferred. Other damaging actions when brushing are or using a hard bristled toothbrush or abrasive substances, such as baking soda.
• Using home remedies to whiten teeth:
Natural teeth have a protective coating – enamel. Enamel is a hard, outer shell that prevents penetration of oral bacteria into the tooth. Without this protection, cavities can occur and teeth weaken, making cracks and fractures more likely. As hard as enamel is, it can be worn away. And, when it’s gone, it’s gone for good.
Although brushing too soon after eating can wear down enamel, there is nothing worse than the thoughts of a toothbrush with a peroxide-&-baking soda mixture scrubbing across precious tooth enamel. This is like sandpaper rubbing against a tooth!
For people who want to whiten their teeth, it’s typically more than surface stains that are discoloring teeth. Thus, sacrificing tooth enamel in an attempt to remove stains is going to be of little benefit. For many people with dull, brown or yellow teeth, the aging process and years of coffee, tea, smoking and red wine can require a deeper whitening process. This is why many dental offices offer whitening systems that are safe to teeth and gums.
• Assuming blood in the sink is normal:
Your gum tissues serve as a sealant covering inside the mouth. Gums that are pink and wrap snugly around the base of teeth indicate healthy gums. Gum tissues that redden and become sore, swollen or bleed are gums signals that something is wrong. Seeing blood in the sink when you spit out toothpaste during brushing is NOT a sign you are doing a good job. It is a sign that bacteria has attacked and weakened your gum tissues.
As this bacteria progresses, gum tissues become spongy and breath odor is frequently bad. When oral bacteria has accumulated to the point of causing soreness and bleeding, prompt attention can restore the gums to a healthy state. This includes a dental cleaning and thorough at-home oral hygiene regimen. Untreated, the gums will become more and more damaged by oral bacteria and develop into periodontal (gum) disease.
Beneath the gum line, gum disease bacteria attack the bone structures that support teeth. And, these infectious bacteria can enter the bloodstream through tears in weakened gums. The oral bacteria of gum disease has been shown to cause inflammatory triggers in the body. Research has linked it to heart disease, stroke, some cancers, diabetes, arthritis, preterm babies, impotency and even Alzheimer’s disease.
If you have symptoms of gum disease, please be seen by a periodontist promptly. Symptoms include tender gums that bleed easily when brushing, frequent bad breath, swollen and tender gums and gums that redden in color from a healthy pink. Gum disease will only worsen without treatment and is the nation’s leading cause of adult tooth loss.
Maintaining good at-home care of your oral health is easy and takes just minutes a day. Follow a thorough oral hygiene regimen by brushing twice a day (two minutes each time) and floss daily. Drink plenty of plain water throughout the day and limit sugar. Have dental cleanings every six months and follow your dental hygienist’s recommendations to keep oral bacteria at minimal levels between visits.
If you suspect you have gum disease or have delayed (or avoided) having regular dental care, call our Asheville periodontal dental office to schedule an examination. Or, ask to begin with a consultation appointment.
During this time, we can discuss any concerns. If dental fear is a factor, we offer several sedation options, including I.V. sedation (“twilight sleep”). Or, if there are financial constraints, we offer several payment plans that are interest-free with no down payment required. Call 828-274-9440.
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