Research Shows Cancer Linked To Periodontal Disease Bacteria

Posted on Feb 13, 2018 by William J. Claiborne, DDS MS

The findings of today’s health research is astounding, especially in light of the recent discoveries of how microbes effect our health. These minuscule colonies of bacteria, fungi and viruses aid certain functions in the body by sending signals. These signals can be highly beneficial to our health or may work against the immune system, based upon their environment.

While much remains to be learned regarding microbes, the findings that relate to the bacteria of gum disease continues to reveal some alarming truths. This potent bacteria has been linked to a long list of serious health problems. These include heart disease, stroke, diabetes, arthritis, preterm babies, erectile dysfunction (ED) and even some cancers.

The problem begins when these bacteria enter the bloodstream through tears in diseased gum tissues. Once blood borne, they are able to trigger inflammatory reactions elsewhere in the body. This systemic inflammation has come to light as a major contributor to a number of diseases, some even deadly.

Periodontal (gum) disease forms in the mouth, but does so silently. Like most diseases that form in our bodies, people are typically unaware of its presence in its initial stage. By the time symptoms do emerge, gum disease may be running rampant, which means that it may already be creating reactions far beyond the mouth.

The suspected links between gum disease bacteria and some cancers has long been followed by researchers. Now, new data has been published in the Journal of the National Cancer Institute that shares findings of a long-term study that reinforces the link between some cancers and advanced stage gum disease.

The Atherosclerosis Risk In Communities Study began in the late 1990s and was conducted until 2012. In the beginning, dental examinations were provided to nearly 7,470 participants. After following up, researchers identified 1,648 new cancer diagnoses. (https://www.hopkinsmedicine.org/news/media/releases/more_evidence_of_link_between_severe_gum_disease_and_cancer_risk)

The researchers noted a 24 percent increase in cancer risk for participants who had advanced periodontal disease as compared to those with mild periodontitis or no periodontitis. For those in the study who were missing all natural teeth due to periodontal disease, a 28 percent increased risk for cancer was shown.

Additionally, participants with severe periodontal disease (periodontitis) had twice the risk for lung cancer and an 80 percent increased risk for colon cancer (in those who were without teeth at the study’s onset). There was also a slight risk increase in pancreatic cancer.

Because smoking is a factor in periodontal disease as well as colon and lung cancers, smokers in the study were compared to people who had never smoked. The findings showed that even if someone hadn’t smoked before, having severe periodontal disease created an increased risk of lung cancer and colorectal cancer.

In 2016, the Journal of the American Medical Association (JAMA) shared recent research that found people with high levels of a specific oral bacteria are more likely to develope pancreatic cancer. (https://www.health.harvard.edu/staying-healthy/gum-disease-may-signal-warning-for-pancreatic-cancer)

Using DNA from saliva samples, researchers noted higher levels of a particular bacterium in study participants who eventually developed pancreatic cancer, showing a 59% greater risk. The bacterium, P. gingivalis, is one of the most common bacteria of periodontitis.

Although prior research showed correlations between gum disease and pancreatic cancer, this study was the first to show that high levels of a particular strain of oral bacteria preceded pancreatic cancer rather than developing after the cancer appeared.

What does this mean? As a Periodontist, I feel it clarifies the importance of achieving and maintaining good oral health. It is no longer practical to take the stance, “If it doesn’t hurt, then nothing is wrong.” People must be proactive when it comes to their oral health. These measures could even save your life.

If you haven’t seen a dentist regularly or feel your oral health is not good, call 828-274-9440 to schedule an examination. This is your first step to a healthy smile that supports a healthy YOU!

Senior Years Add To Challenges Of Enjoying A Healthy Smile

Posted on Feb 06, 2018 by William J. Claiborne, DDS MS

Every age has its challenges. As a teen, I longed to have more freedom. As a twenty-something, I wanted to feel more established and confident in my career. In my thirties and forties, I craved more downtime as I juggled a jam-packed schedule with a home, children, a periodontal practice, and friends.

With each decade, I think we find ourselves with similar challenges. Now, like others who have entered their ‘mature’ years, health challenges seem to be more prominent in my life.

Although senior age may have its challenges, from an oral health standpoint, today’s senior is in a far better position than that experienced by our grandparents.

Most of us can recall seeing our grandparents’ dentures soaking in a glass by the bathroom sink each night. Today’s senior knows that keeping their natural teeth all their life is very possible (and highly beneficial to their overall health).

I’d like to address some of the challenges that the senior smile faces today and how they can decrease the risk for developing problems or losing teeth.

• Dry Mouth: The aging process leaves us less, well… supple. It causes our skin to sag, leads to more susceptibility for skin problems, and produces less moisture in our mouths. As saliva production declines, there is less of a rinsing agent to move bacteria and food particles from the mouth. This increases the risk for oral bacteria accumulation. It is no wonder that seniors have a higher incidence of gum disease – over 70 percent for those over the age of 65 (compared to 47.2 percent for ages 30 and over). (https://www.perio.org/consumer/cdc-study.htm)

• Poor Manual Dexterity: The aging process may cause some people to have achy joints or dexterity difficulties. When it becomes difficult to brush and floss thoroughly, the potential for bacteria accumulation in the mouth increases. As oral bacteria amass, the overload can lead to decay and gum disease.

• Tooth Loss: Many people lose one or several teeth before reaching their senior years. This may be due to accidents, health problems or gum disease (the number one cause for adult tooth loss). However, it is important to know that losing a natural tooth sets off a domino effect. Statistics show the tooth most likely to be lost next is a tooth adjacent to the missing area.

• Financial Limitations: Some of us joke about elders rushing to ‘early bird specials’ or sneaking sugar packets into purses, but the truth is, people who are retired must live on tighter budgets. When health coverages are no longer available through one’s employer, managing increased expenses for doctors’ visits, medications and unexpected problems can mean sacrifices in other areas. For some people, they forgo their 6-month dental checkups, assuming that “if nothing hurts, then nothing is wrong.” However, the lack of preventive measures when it comes to oral health can catch up to a senior in other, rather expensive ways.

• Accessibility To Care: For those of us who drive, getting to a dental office for a cleaning or to treat a problem is far simpler than those who no longer drive. When a senior has to recruit a friend or family member to accomplish these needs, the frequency in dental care can take a back seat.

• Diet: Cooking for one or two can mean a rather altered blend of nutritious foods. It may seem so much easier and even more economical to open a can rather than put a pot on to boil. Fresh foods also require more frequent visits to the grocery store. For those who rely on others for transportation, this may lead to greater consumption of processed foods laden in sugar or starchy fillers. This increases the bacteria level in the mouth.

So, how does a senior avoid tooth decay, tooth loss and gum disease? Here are some recommendations:

– Nothing is as effective or as economical as prevention. Be committed to twice-a-day brushing and daily flossing. Brush for at least two minutes each time and finish up by brushing the tongue, where millions of oral bacteria hide. If brushing is difficult, use an electronic toothbrush or wrap the foam from a hair roller around the handle for a better grip. If flossing is awkward, use a water flosser. These are just as effective as flossing and easy to use.

 – Although money may be tighter on a retired budget, look at your 6-month dental checkups for the savings they provide. These visits remove plaque and tartar buildup that can lead to cavities and gum disease. Liken these visits to having your vehicle’s oil changed. You don’t have to do it, but it will eventually cost you big-time if you don’t.

 – Be conscious of what you eat and how often you eat. Try to steer clear of sweets and carbs, opting for fresh fruits and veggies. Limit snacking or sipping colas over an extended period of time. Remember — every time you eat or drink (other than water), an acid attack begins in your mouth. If you like a sweet treat during the day, have it for dessert after a meal when an acid attack is already underway. This will keep a new one from bombarding your precious tooth enamel with this harsh acid.

 – Keep your mouth moist. Drink pure, filtered water throughout the day. This will keep your mouth fresher and hydrates the entire body at the same time. Try to limit things that are drying to the mouth. This includes caffeinated beverages (coffee, tea, hot chocolate) and spicy foods. If you take medications that are drying to the mouth, consider using an over-the-counter oral rinse designed to replenish oral moisture. If you smoke, you have special challenges with drying. Be very conscious of the moistness level in your mouth.

 – If you are missing teeth, it is important to replace them with an option that is comfortable, secure and stable. I’ve had patients who avoided dining with friends for years because of unstable dentures. I’ve also had patients who developed health problems because their diet consisted of soft foods that dissolved easily in the mouth. Dental implants restore the ability to eat a healthy diet comfortably and laugh with friends without worry. The investment of implants will last your lifetime and bring you everyday pleasure. I’ve never had a dental implant patient who didn’t say, “It’s the best investment I’ve ever made.” That’s well-worth looking into.

Be a senior who smiles and enjoys the confidence and pleasures of growing older! Call 828-274-9440 to schedule a consultation. During this time, we’ll discuss your individual needs and the options that may be best for you. And, if financial challenges exist, we’ll have our Financial Coordinator discuss easy payment options.

 

Are Dental Implants Worth The Cost?

Posted on Jan 29, 2018 by William J. Claiborne, DDS MS

As a periodontal specialist, I have advanced training in treating all stages of periodontal (gum) disease as well as in the diagnosis and placement of dental implants.

Over the years, I’ve seen exceptional developments in both areas. As research reveals more about the importance of having good oral health and the ability to bite and chew comfortably and securely, the adult population is taking note.

In some of my prior articles, I’ve addressed the correlation between the bacteria of gum disease and systemic inflammation. I’ve also mentioned the problems – both physiological and psychological – related to missing teeth, and primarily with wearing dentures and partials.

Losing teeth means their tooth roots are no longer held by the jaw bone. Without their presence, the jaw bone lacks the stimulation and nourishment needed to maintain a healthy mass. This leads to bone resorption. Simply put, this term describes a ‘melting away’ process of the bone where tooth roots no longer exist.

Not only do dental implants restore a sturdy, dependable foundation for replacement teeth, they recreate the presence of tooth roots. This halts the process of resorption and helps the jaw bone to retain it’s mass.

Why is the size of the jaw bone important?

When the jaw bone shrinks, the ability to bite and chew comfortably is compromised. The bone is also more susceptible to breaks and fractures. Another problem occurs with changes in facial appearance that are aging far beyond one’s actual years.

For example, as the jaw bone shrinks, facial muscles detach and jowls form. Deep wrinkling occurs around the mouth and the corners of the mouth turn downward, even in a smile. The chin becomes more pointed and moves closer to the nose. The mouth appears ‘sunken in,’ creating a ‘granny look.’

With all the positive aspects of dental implants, what keeps some adults from this ideal tooth replacement option?

In most cases, we find the only deterrent is the cost of implant treatment. Since treatment fees are all ‘up front,’ some people feel the expense is more than they can manage. Yet, there are payment plans that can help break implant fees into affordable monthly payments. Too, I like to remind patients about the life of a dental implant.

When properly selected, placed and maintained, dental implants should last your lifetime. Additionally, you’ll be able to bite and chew the foods you love without worrying about uncomfortable rubbing or embarrassing slips. You’ll also enjoy everyday pleasures, such as speaking, laughing and being close with others.

The American Academy of Implant Dentistry (AAID) also addresses the importance of dental implants from an oral health standpoint (https://www.aaid-implant.org/about-dental-implants/dental-implant-costs-3-things-you-need-to-know/):

“Dental implants may also offer better oral health-related quality of life compared with other tooth replacement options. This is related to the bonding of the implant with your jawbone – it can be more important than you might realize. Yes, it reduces the slipping associated with dentures, but just as importantly, it stimulates healthy bone formation. In contrast, dentures and other non-implant options can lead to bone loss over time as the body senses that the tooth is missing. In addition, while dentures may allow food to wedge in between the gums and the denture itself, dental implants behave like natural teeth.”

Rather than assume dental implants are out of reach monetarily, arrange a consultation appointment to discuss the fees as they would apply to YOUR INDIVIDUAL NEEDS. There are many different types of implants and the one best suited for you may come at less cost than you realize.

I also find that people have misconceptions when it comes to implants. For instance, some assume that an implant is needed for each missing tooth. In fact, one implant can hold a bridge of several teeth and several strategically-placed implants can secure a full arch of teeth.

Let’s discuss your needs and goals according to a process that will enable you to enjoy the advantages of dental implants within a realistic budget. Call 828-274-9440 to schedule a private consultation.

Dental Fear Can Lead To Lost Teeth.

Posted on Jan 23, 2018 by William J. Claiborne, DDS MS

There are many reasons that adults lose teeth. Poor oral hygiene, accidents and gum disease can all result in the loss of natural teeth. Yet, the most unfortunate reason, as far as I’m concerned, is dental fear.

Having a fear of dental visits affects over 70 percent of American adults by some estimates. When people are afraid of going to the dentist, they often do not receive the regular care necessary to maintain a healthy smile.

While twice daily brushing and daily flossing are beneficial in having healthy teeth and gums, those 6-month checkups provide a ‘clean slate,’ of sorts. During these visits, the hygienist is able to remove tartar (or calculus) that has built up from accumulated plaque.

Tartar is actually a hardened mass of oral bacteria that attaches to teeth. It eats away at healthy tooth enamel and gum tissues. As the bacteria mass thrives and reproduces, the gum tissues become inflamed. This is the beginning of periodontal disease, which is the nation’s leading cause of adult tooth loss.

In one study published by the Dental Research Journal, nearly 59 percent of 473 adult participants were found to have dental fears. The study included males and females of varying ages and education levels. Although females presented a higher likelihood for dental fear, there was very little difference elsewhere. What did stand out, however, was how many had experienced traumatic dental episodes. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432608/)

As a periodontal specialist, I have advanced training and experience in the diagnosis and placement of dental implants. Thus, over the years, I have treated a large number of adults who have lost natural teeth and wisely chose to replace them with dental implants.

However, when an individual loses a tooth (or teeth) because they avoided dental care due to fear, it’s a pretty big task for many to set those same fears aside in order to go through a dental procedure that is surgical in nature. So, how do they do this?

In our office, we have found the best results for fearful patients is to form a relationship that is built on trust. Our patients come to feel assured of knowing our commitment is to create a pain-free environment, with oral or I.V. sedation (‘twilight sleep’) available, if desired.

For some patients, they feel more relaxed after beginning with a conversation in our consultation room. This room is removed from the clinical side of the practice where we sit in comfy chairs and discuss specific needs and goals. We take the time to answer questions thoroughly and can recommend comfort options.

For most, after their first appointment, they feel more relaxed. Others need several visits to realize that dentistry doesn’t have to hurt. Still others can’t help but have anxiety during their dental care and we understand this. Every person is different and we try to tailor the pace and the comfort options according to each one’s need.

If you’ve lost teeth because you’ve found it difficult to have regular dental care, the solution may be as close as our consultation room. We will make this visit as relaxed as possible so you can decide if we are the right dental team for you.

It may also be helpful to speak with some of our once-fearful patients who now have healthy, confident smiles. Ask to be put in touch with some during your consultation to have a ‘first-hand’ understanding from people with similar issues.

Call 828-274-9440 to schedule a consultation.