The Road To Gum Disease

Posted on Aug 03, 2016 by William J. Claiborne, DDS MS

People are often surprised to hear that they have developed periodontal (gum) disease. And no wonder. When gum disease first begins, it’s often without obvious symptoms. Then, once it’s fully underway, the warning signs are often ignored.

Yet, the road that leads to gum disease is shorter than you might imagine. Below is the typical process of how gum disease begins and progresses:

•  Oral Bacteria: We all have bacteria in our mouths. This warm, moist environment takes in an enormous amount of bacteria-laden items. Bacteria is on our food, utensils, the glass we drink from and the pencil we hold between our teeth. Of course, bacteria cannot be prevented altogether. However, the problem begins when too much bacteria accumulate.

•  Plaque: Without proper brushing, flossing, saliva flow and diet, oral bacteria can reproduce rapidly. Their accumulation over the course of a day forms a sticky film you feel on teeth. This is known as plaque.

•  Tartar (or Calculus): In just 48 hours, unremoved plaque can harden into tartar. This is actually a cement-hard colony of oral bacteria that attaches to teeth. And, like plaque, tartar will continually reproduce and grow as the bacteria feed on tooth enamel and tender gum tissues.

•  Gingivitis: This is actually the first stage of gum disease. At this level, gum tissues are under attack and become sore. They may bleed easily when brushing and you may experience an aching sensation in some areas. Your breath will no longer feel fresh. At this point, with proper measures, you can restore your gums to a healthy state. However, there is a fine line between being able to undo gingivitis and its progression to gum disease.

•  Gum Disease: At this level, the gums are inflamed and tender. You may notice them darken in color and begin to pull away from the base of some teeth. You’ll have persistent bad breath. As it progresses, pus pockets will form in some areas. Without thorough treatment, teeth will loosen and may eventually require removal.

Nearly half of American adults have some level of gum disease. Sadly, it is the nation’s leading cause of adult tooth loss. Yet, it’s one of the most preventable diseases with simple measures.

Twice daily brushing (at least two minutes per time), daily flossing, drinking ample water and limiting sweets and caffeine are simple ways to keep your mouth healthy between regular dental check-ups and cleanings. And, those 6-month check-ups are important. At this time, any tartar that has accumulated can be removed and signs of early gum disease can be noted.

Imagine losing your teeth and having to decide on a crown-&-bridge combination, partial, full denture or Dental Implants. These procedures can be avoided. And, contrary to what many believe, losing teeth is not a natural part of the aging process. With proper care, you can easily enjoy a smile of natural teeth all your life.

If you are experiencing symptoms of gum disease, call 828-274-9440. We’ll restore your smile and develop a program to help you keep it at its best.

Diabetes Related To Your Oral Health?

Posted on Jul 19, 2016 by William J. Claiborne, DDS MS

The World Health Organization (WHO) has declared diabetes to be at a pandemic level with a prevalence that has risen dramatically over recent decades. And, the number of those affected by diabetes is expected to triple in the next decade.

Diabetes is a leading cause of death due to the vascular complications it causes. The most common types of diabetes are type 1, which requires insulin control, and type 2, which is non-insulin dependent.

Diabetes is a metabolic disease that results from insufficient insulin secretion or being resistant to insulin. This occurs when the body is unable to properly process carbohydrates, fats and proteins.

Regardless of the advancements in treating diabetes, the U.S. National Library of Medicine & National Institutes of Health reports that it is “a growing public health concern and a common chronic metabolic disease worldwide.”

Diabetes affects all age groups but is most common in adults. According to the American Diabetes Association, the largest segment of those who suffer with diabetics have Type 2 diabetes, which usually begins after age 45.

Initial warning signs of Type 2 diabetes are bad breath and bleeding gums, which are also symptoms of gum disease. Gum disease has been found to be more frequent and severe for patients who have poor control of their diabetes. It has been shown that diabetics can help to prevent periodontal disease by properly controlling glucose levels. This is also helpful in the successful treatment of periodontal disease.

To those in the medical and scientific fields, the initial emergence of diabetes in the form of oral problems makes perfect sense. For decades, various inflammatory diseases and periodontal (gum) disease have shown connections. Not only is gum disease the sixth greatest complication of diabetes, research has shown that one triggers the other.

Periodontal disease is an inflammatory condition that can create inflammatory reactions elsewhere in the body. Because of this relationship, diabetics are advised to have frequent dental exams (every 3-4 months) to avoid the inflammatory reactions of gum disease, and vice versa.

Symptoms of periodontal disease include gum tenderness, bleeding gums when brushing, frequent bad breath, gum recession and gums that darken in color. When these signs are present, an individual should arrange to be promptly seen by a Periodontal specialist before gum disease worsens. For diabetics, the need for treatment has even greater urgency since they have a particular vulnerability to inflammatory reactions in the body.

After a periodontal examination, we will discuss treatment recommendations if gum disease does exist. Call 828-274-9440 to arrange an appointment. And remember, gum disease only worsens without treatment, resulting in greater treatment time and expense with delays. It is also the nation’s leading cause of adult tooth loss.

A Clean Tongue Creates A Healthy Mouth

Posted on Jun 30, 2016 by William J. Claiborne, DDS MS

The tongue is defined as: “the fleshy muscular organ in the mouth of a mammal, used for tasting, licking, swallowing, and (in humans) articulating speech.” It is also essential for efficient chewing by helping to move food around in the mouth.

The tongue is a pretty useful organ and is rarely at rest. However, it is important to think of the tongue just as you would other structures in your mouth. Just as it is necessary to keep the teeth and gum tissues clean, the condition of the tongue can play a significant role in supporting good oral health.

The tongue is a muscle covered with moist, pink tissue called mucosa. Tiny bumps called papillae give the tongue its rough texture. Thousands of taste buds cover the surfaces of the papillae.

As useful as the tongue is, it can also be a tremendous breeding ground for oral bacteria. Think about it, the tongue provides tiny hiding places for bacterial growth in an ideal environment – warm, moist and dark.

While saliva helps to rinse some of the bacteria from the mouth, it doesn’t have the ability to dislodge bacteria embedded in the tongue’s grooves. Oral bacteria tends to breed rapidly. And, when sugar or carbohydrates are consumed, their growth is accelerated even further.

An accumulation of oral bacteria in the mouth can literally be felt by running the tongue over the teeth. At the end of the day, you can probably feel a film in the mouth. This sticky film is known as plaque, which is oral bacteria that has accumulated since your morning brushing.

The tongue can help you keep oral bacteria levels to a minimum. In addition to twice daily brushing and daily flossing, brush your tongue with your toothbrush following tooth brushing at least once a day. If this is uncomfortable, consider purchasing a tongue scraper (available at most drug stores). Scrap from the back forward, rinsing after each pass.

Even though the rear portion of the tongue seems smooth and less likely to harbor bacteria, the most dense amount are actually embedded there. To uproot the little critters, be sure to reach that area (try to go no further than what makes you gag).

A mouth wash that kills germs without containing alcohol (which can dry out oral tissues), can also help. Also, drink plenty of water throughout the day to help keep oral tissue moist and limit sweets and carbs – for the good of your smile AND your waistline!

When plaque is not removed daily, it begins to harden on the surfaces of teeth. This is referred to as tartar or calculus. This is what makes your gums tender during your oral hygiene visits and what the hygienist is scrapping off teeth. Calculus cannot be brushed or flossed away, so your 6-month cleanings are the only way to eliminate this hardened form of bacterial buildup in the mouth.

Oral bacteria is the cause of bad breath, tender gums that bleed easily when brushing, cavities, gum disease and the nation’s leading cause of adult tooth loss. Simple measures each day can significantly enhance your potential to avoid problems, and the expenses associated with repairing them.

If you are experiencing bleeding gums, you already have gum disease. This will not go away without treatment. Call 828-274-9440 to arrange an exam at your earliest convenience.

Feel Good When You Smile, From The Inside Out!

Posted on Jun 01, 2016 by William J. Claiborne, DDS MS

What makes you smile? REALLY smile?

You may find yourself smiling joyfully when a child or grandbaby smiles at you. A favorite comic or a funny movie may cause you to open up and smile or laugh. Isn’t it great to smile? Smiling just seems to make us feel great!

However, certain reasons leave many adults feeling self-conscious about smiling, causing them to conceal their smile or ‘hold back’ rather than reveal a full smile.

An attractive smile looks good and creates an impression of an upbeat, happy individual. Healthy teeth and gums also project good health standards. And, people who feel good about their smile tend to smile more often.

The benefits of an attractive smile actually go much deeper than enhancing one’s facial appearance. Research has shown that smiling activates endorphins, which are the ‘feel good’ chemicals in the brain. Studies also show that faking a smile when you don’t feel like smiling tricks the brain into releasing endorphins.

Smiling can also add years to one’s life. Some studies indicate that people who smile more often can add ten years to their lifespans, on average. People who frown more often live an average of three years less!

There are a number of reasons that can make individuals feel less apt to smile openly. Cosmetic flaws, such as teeth that are stained or crooked, can detract from the appearance of a smile. As a Periodontist, I see people who have severe gum disease, missing teeth or a gummy smile.

If you are not smiling as often or as openly as you’d like, let’s start with the foundation of your smile — your gums. The health of your periodontal (gum) tissues provides the foundation for your teeth. If you are experiencing symptoms of gum disease, you may have gum recession. This is when the gums pull away from the teeth, exposing darker sections of tooth roots.

Gum disease also causes frequent bad breath and tender gums that turn red in color versus the pink tint of healthy gums. The disease can cause gums to bleed when brushing and eventually leads to loose teeth. In some cases, teeth have to be removed. As a matter of fact, gum disease is the nation’s leading cause of adult tooth loss. And, studies have shown that nearly half (47.2%) of American adults suffer with some level of gum disease. (https://www.perio.org/consumer/cdc-study.htm)

When teeth are lost, many people worry about wearing dentures or partials. Typical concerns are teeth that don’t look (or feel) natural, embarrassing slips, difficulty eating certain foods and chewing discomfort. These common problems have motivated many adults to opt for Dental Implants.

Dental Implants are positioned in the jaw bone, restoring the same, stable foundation as that of natural tooth roots. This restores your ability to bite and chew the foods you love comfortably and confidently. And, since the teeth attached to the implants are custom-designed for each individual, creating an improved smile appearance is incorporated into the process.

If a gummy smile prevents you from smiling widely, repairing it can be done in a single visit, in most cases. This repositions the gum tissue that arches the teeth most visible in a smile. For many who have a gummy smile, the procedure enables them to finally open up and smile without feeling awkward.

Crown lengthening can also add beautifully to the appearance of a smile. This recontours the gums so the smile line (the gums over teeth) is more even.

Healthy teeth and gums can make a dramatic improvement in one’s appearance, self-esteem, confidence level. Let this year be the year of your best smile! Begin with a consultation to discuss a confident smile that you’ll share openly and often! Call 828-274-9440 for an appointment.