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Bad Breath
Gum Disease & Prostrate Health
Posted on Apr 11, 2016 by William J. Claiborne, DDS MS
All bodies contain bacteria, some are even good for us. However, the human body was built to tackle the bad kind by sending white blood cells to battle the bacteria that can lead to infection. Although this is our body’s reaction to bacterial accumulation, some infection spreads beyond what white blood cells can handle.
This can be seen in a cut that goes unwashed and untreated. As bacteria multiply, inflammation sets in. This is what causes redness and swelling as white blood cells arrive to tackle the enemy. When the white blood cells are overwhelmed, an antibiotic may be needed to overcome the overload that the white blood cells cannot combat.
Systemic inflammation is similar, except it cannot be seen like the redness or swelling from a cut. This internal inflammation in the body can simmer without being obvious. With chronic inflammation, the reaction can’t turn itself off. While the white blood cells will back off when a cut heals, chronic inflammation inside the body continues for no reason.
Although invisible, this continual inflammation can contribute to a number of serious health problems. For example, research has found links between systemic inflammation and heart attacks, arthritis, diabetes, some cancers, preterm babies and even Alzheimer’s Disease. Now, researchers have begun to take a closer look at periodontal disease, a bacterial infection in the mouth, as being a potential trigger of internal inflammation.
As oral bacteria accumulate in the mouth, periodontal (gum) disease develops, thrives and spreads by eating away at gum tissues, tooth enamel and supporting bones. When the bacteria of gum disease enter the bloodstream through weakened gums, inflammatory reactions can create destruction far beyond the mouth.
Research now shows a potential link between oral bacteria and Prostatitis, an infection of the prostate. Prostatitis, an inflammatory disease, causes a frequent urge to urinate and a burning sensation or pain during urination.
The connection between periodontal disease bacteria and Prostatitis was recently noted in a study conducted at Case Western University. Researchers from Case Western’s School of Dental Medicine and the Case Medical Center’s Department of Urology & Pathology found that the symptoms of Prostatitis could be greatly improved by treating gum disease.
In their study, all participants had moderate to severe levels of periodontal disease. Those in the study also had inflammation of the prostrate gland with higher than normal prostate specific antigen (PSA) levels.
During the study, one group of participants were treated for gum disease while having prostrate symptoms and PSA levels monitored. The other group received no treatment for their gum disease while prostrate symptoms and PSA levels were monitored. Neither group was given treatment for their prostate conditions during the study.
PSA levels were measured in both groups after one month and again after two months. Researchers noted an overwhelming majority with noticeably lower PSA levels in the group who received treatment for gum disease. Hopefully, these findings can help Prostatitis patients achieve better treatment results.
As studies continue, it is obvious that your oral health is closely connected to your overall health. By avoiding bacteria overload in the mouth, you reduce the risk of triggering inflammatory reactions elsewhere in the body. Additionally, your smile will avoid problems that are time-consuming and expensive to treat.
Common symptoms of gum disease are tender gums that bleed when brushing, persistent bad breath, gums that turn red, gums that loosen from teeth and pus pockets that form at the base of teeth. If you have any of these symptoms, you should also know that periodontal disease is the leading cause of adult tooth loss in the U.S.
Obviously, the potent bacteria of gum disease is nothing to ignore, as research continues to find links between it and serious health problems. Take good care of your body AND your smile! Call 828-274-9440 to schedule a thorough examination. If signs of gum disease exist, we can make recommendations for treatment to restore your smile to a healthy state.
Can You Reverse Gum Disease?
Posted on Mar 03, 2016 by William J. Claiborne, DDS MS
Our bodies are miraculous machines. They not only provide mobility and enable various functions, the human body is designed to heal itself.
When bacteria enter the body, white blood cells are the microscopic soldiers that surge in for battle. Their job is to attack the bacteria and destroy it. As with any battle, however, when the odds are in favor of the enemy, the ‘good guys’ don’t always win.
Bacteria reproduce very rapidly. When they become too much for your body’s defense mechanism to overcome, infection begins. Just as a cut or scrape on the skin can become infected, oral bacteria can cause infection in the mouth. This overload of bacteria can evolve into periodontal disease, which is an inflammation that attacks teeth, oral tissues and the bone structures that support teeth.
Gum disease is characterized by sore gums that bleed when brushing, persistent bad breath, gums that recede from teeth and turn red in color, and pus pockets that form on the gums at the base of some teeth. In latter stages, gum disease will cause teeth to loosen and eventually require removal.
Most gum disease occurs because people are often unaware that bleeding gums or gum recession is not normal. Insufficient brushing, failing to floss and missing 6-month dental cleanings can lead to a build-up of bacteria that forms, at first, plaque. This is a sticky film you feel on teeth. When plaque is not removed on a regular basis, it forms a cement-hard colony of oral bacteria, known as tartar or calculus.
As your mouth is enduring the repercussions of oral bacteria accumulation, gum tissues and tooth enamel are being eaten away by the bacteria. There is a point where only dental treatment can eliminate the bacterial onslaught, especially when it has penetrated below the gum line. However, with prompt attention and proper measures, you can halt and reverse the need for dental treatment and the progression of gum disease.
Gingivitis is the initial stage of gum disease. Your symptoms will probably include gums that are tender in spots and some bleeding when you brush. These are warning signs that signal an immediate need for attention.
Begin by twice daily brushing with a soft bristle tooth brush and use a fluoridated tooth paste. Brush for at least two minutes per time. Floss daily. Be sure not to pop the floss between teeth to avoid damaging the 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 aid saliva flow that is designed to move oral bacteria from your mouth on a consistent basis. Avoid foods and beverages that are drying to oral tissues. These include coffee, colas, alcohol and spicy foods. Also, try to minimize the amount of sugar and carbohydrates you consume. These foods energize the reproduction of oral bacteria.
If you smoke, consider using an oral rinse that will replenish the mouth with moisture. The chemicals in cigarette smoke are terribly drying to oral tissues. Some oral rinses are specifically designed for producing moisture. This is helpful since dryness provides oral bacteria with a favorable environment for reproduction.
When these steps are taken for initial levels of gingivitis, your gums should be less tender and bleeding should cease in a week or so. If you do not see improvement after 1-2 weeks of implementing these measures, see a Periodontal specialist as soon as possible. This dental specialist can determine the precise level of gum disease you are experiencing and provide appropriate treatment.
The key is to act sooner than later. Gum disease only worsens without treatment. In the U.S., it is the leading cause for adult tooth loss. Your natural teeth are precious and worth saving. With a healthy mouth, having your natural teeth all your life is a reasonable expectation.
The oral bacteria of gum disease is also harmful to your health in other ways, too. This bacteria has been known to trigger inflammatory reactions elsewhere in the body. It can contribute to heart disease, arthritis, diabetes, stroke, preterm babies and impotency.
Call 828-274-9440 if you have questions about your gums or if you are experiencing any symptoms associated with gum disease.
Research Closely Ties RA To Gum Disease
Posted on Feb 10, 2016 by William J. Claiborne, DDS MS
As a Periodontist, I treat all stages of periodontal (gum) disease. In early stages, the condition causes gums to bleed when brushing, bad breath and gum tenderness. As gum disease progresses, gums become red in color and pus pockets form at the base of teeth. Eventually, teeth loosen and may require removal. Gum disease, to no surprise, is the nation’s leading cause of adult tooth loss.
Over the years, research has found a correlation between the bacteria of periodontal disease and a number of serious health problems. Due to the inflammatory triggers associated with the oral bacteria of gum disease, it has been linked to heart disease, stroke, memory loss, preterm babies, diabetes and impotency.
For people who have rheumatoid arthritis (RA), the condition’s association with gum disease seems unlikely. Yet, research is showing a remarkably close connection.
It’s not only been determined that both gum disease and RA share a genetic likeness, their clinical makeup shows similar structures, primarily in pathogens. A pathogen is an agent in the body that causes disease or illness. The pathological processes that occurs in both gum disease and RA are almost identical.
While it is apparent that both conditions cause chronic inflammation in tissues that connect to bone, researchers have found that both diseases also have a similar inflammatory trigger. Also alike is the particular species of bacteria found in periodontally-diseased oral tissues and tissues that surround joints in those who suffer with RA.
RA is a debilitating disease that destroys joints. It is disabling and painful. In most cases, RA emerges gradually, often beginning with morning stiffness along with weak and aching muscles. Joint pain follows, with joints feeling sore and stiff. RA is typically found in the fingers, wrists, elbows, hips, knees, ankles, toes, shoulder and neck.
As inflammation from RA increases, joints become swollen with symptoms including fever, disfiguring of hands and feet, numbness and tingling. There is no cure for RA and lifelong treatment is required. Treatment may consist of medications, physical therapy, or even surgery.
Like RA, periodontal disease causes pain, swelling, and tenderness. As it worsens, the associatedinflammation can lead to destruction of the bone that supports teeth along with surrounding tissues.
In one study, a particular pathogen associated with periodontal disease was found to activate the same destructive process of rheumatoid arthritis. It has also been shown that, by treating periodontal disease in RA patients, RA symptoms often improve. This is likely due to the system’s reduced burden of oral inflammation.
What’s exciting about the findings of these research findings is how oral health correlates so closely to one’s overall health. Yet, it’s a bit scary at the same time. When you realize that the presence of gum disease can so greatly increase your risk for serious health conditions, it should send up alarms. However, even in this advanced age of modern medicine, nearly 75% of the U.S. adult population have some level of periodontal disease.
Help spread the word about the link between your oral health and a healthy body, especially to those you love. Emphasize the need for a thorough oral hygiene regimen at home as well as a commitment to 6-month dental check-ups and exams. If you have signs of gum disease (as mentioned above), seek treatment at your earliest convenience. Gum disease will only worsen and will require more treatment time and expense as it progresses.
Call 828-274-9440 to learn more.
Think ‘Vaping’ Is Safer For Smile Than Cigarettes?
Posted on Jan 28, 2016 by William J. Claiborne, DDS MS
The popularity of ‘vaping,’ particularly with younger E-cigarette smokers, has sparked a growing health concern since hitting the market in 2004. This concern has motivated the National Institute of Dental and Craniofacial Research to implement a study on the effects of vaping’s aerosol mix to tissues in the mouth, lungs and airway structures.
The study, slated to begin in February 2016, will not focus on the effects of nicotine but of the impact of vaporized chemical delivery to tissues. Studying the effects of long-term chemical exposure to tissues through this means will hopefully provide a more accurate assessment of their safety.
Unlike traditional cigarettes, E-cigarettes use a moist vapor to deliver a mix of nicotine, formaldehyde and other chemicals. Because oral tissues are moist by nature, the water vapor that is inhaled is readily absorbed by soft tissues in the mouth.
Prior research has shown that nicotine is harmful to oral health, regardless of how it arrives — cigarettes, snuff, chew and now vaping. Nicotine is known to have a drying effect on oral tissues, which decreases saliva that helps rid food particles and bacteria from the mouth. When drying agents deplete saliva, oral bacteria reproduce more rapidly. This increases the risk for tooth decay and periodontal (gum) disease.
Because nicotine also constricts blood vessels in the mouth, it compromises the ability of oral tissues to heal. This is why we advise patients to stop smoking following extractions or implant placement so healing is not slowed. ‘Vapers’ should also be concerned about the bad breath associated with dry mouth, if nothing else.
The misconceptions about vaping’s safety may be to the detriment of your smile. Hopefully, the findings of this research will reveal the true level of risk so users can adjust their oral care commitment accordingly.
In the meantime, if you smoke, vape, chew or dip, pay particular attention to your oral health. Be especially committed to your oral hygiene at home as well as your 6-month dental check-ups. These visits can help you maintain a healthy mouth and avoid problems – or catch those that occur at their earliest stages.
If you feel your oral health has been neglected or compromised due to smoking, chewing, or vaping, call 828-274-9440 to schedule an appointment. And relax, we’re a ‘lecture-free’ zone!
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