Does Age Have Anything To Do With Dental Fear Levels?

Posted on Aug 11, 2015 by William J. Claiborne, DDS MS

If you think that 65+ adults have more dental fear than younger adults, a recent study dispels that assumption. Based on careful analysis of 1,400 participants, no age group has any more or less than another.

The origin of dental fear today often stems from traumatic experiences of the past. Couple this with the fact that a number of older adults experienced dental care during a time that was less focused on comfort than today. Thus, the assumption has been that they have higher fear levels.

However, to determine if the age of an individual is actually a factor in dental fear, 1,400 adults of all ages were categorized by age, sex, education and frequency of dental visits. Each completed a questionnaire that was specifically designed to measure dental anxiety and fear levels.

The findings, published by the National Institutes of Health, were based on comparisons of five age groups. While female participants showed higher fear levels (approx. 10%) than males (8%), there was insignificant difference between any of the five age groups. Only study participants who did not complete high school and those who had avoided dental care showed higher fear levels.

Also reviewed in the study were factors that triggered fear, most often occurring in the form of increased heart rates. The most common element that created anxiety or fear was perceived pain from seeing the needle. To adults with deeply-embedded dental fear, perceived pain is just as uncomfortable as real pain.

Often due to fear issues, many patients come to us because their lack of dental care has resulted in the need for periodontal treatment. And, as a Periodontist, I also place dental implants in a number who lose teeth due to advanced periodontal disease.

Our goal is to provide an environment that is sensitive to the comfort of ALL patients. We offer relaxation medications and a staff who are specially trained to attend to the unique needs of fearful patients. Once patients realize our commitment to their comfort, long overdue dental treatment can often begin without fear.

If anxiety or fear has prevented you from a healthy smile, consider beginning with a consultation. In this, we’ll sit in a private room that’s removed from the clinical side of the practice. Begin by speaking with our friendly phone staff so we can personally discuss the many features available to optimize your comfort at all times. Call (828) 274-9440 to arrange an appointment that is convenient for you.

Pace Brushing After Mealtime

Posted on Jul 23, 2015 by William J. Claiborne, DDS MS

In an effort to protect our teeth from accumulating bacteria that causes cavities, bad breath and gum disease, brushing after each meal is wise advice. Right?

Well, right — but there is a proper ‘time delay’ for brushing to avoid damage to tooth enamel. This is because anytime you eat or drink, your mouth endures an ‘acid attack.’ These acids weaken tooth enamel, and brushing too soon can cause damage to the enamel. Naturally, consuming highly-acidic edibles such as tomatoes or orange juice ramp up the acidity level of these attacks.

When eating stops, it takes about 20 minutes for an acid attack to subside. To avoid wearing away tooth enamel, avoid brushing for at least 30 minutes after eating or drinking. If you know you’re going to consume something high in acid ahead of time, brush your teeth first and then swish with water afterwards.

Oral bacteria are able to penetrate a tooth easily without its protective shell of enamel or enamel that is worn thin. This can result in cavities and weakened teeth that can lead to cracks or fractures. If a fractured tooth breaks below the gum line, the only recourse is to remove it. Then, an entirely new set of challenges begin.

Obvious high-acid consumables are citrus, coffee, wine, tomatoes (including sauces and catsup) and colas. However, foods and beverages that may have a higher acid content than you realize include corn, olives, blueberries, dairy products, white rice, white bread, bagels, eggs, peanuts and beer.

Our goal is to help you AVOID problems that could lead to any oral disease as well as tooth loss. Timing your brushing just right can help!

The Challenges Of Dentures

Posted on Jul 16, 2015 by William J. Claiborne, DDS MS

At every age, it is important to stay socially active. Being involved with others is good for our overall well-being as it nurtures our innate need for community. So many social activities seem to include food as the centerpiece. When unstable dentures cause an individual to feel uneasy when eating or speaking, they begin to decline invitations due to fear of embarrassing slips or clicks.

A common complaint of long-time denture wear is the unstable fit. Even though a denture may have fit securely when first made, over time it will begin to move while eating. Biting and chewing contributes to uncomfortable rubbing. Just having nuts or seeds become trapped between the gums and denture can painfully pierce tender gum tissues.

Bone loss causes the fit of the denture to change due to an ever-shrinking jaw bone. This is the result of no longer having natural tooth roots in the jaw bone. Without tooth roots to stimulate the bone, it slowly shrinks, or resorbs.

Denture wearers can actually see the extent of bone resorption by looking in the mirror without their denture in place. They’ll likely see deep wrinkles around the mouth with the corners of their mouth turning downward, even while they smile. Jowls form as facial muscles release from the shrinking jaw. The mouth may appear to collapse into the face with the chin becoming more pointed.

Dentures can also make it difficult to eat a healthy diet. To avoid uncomfortable rubbing on tender gums from denture movement, people tend to transition to a diet of soft foods that dissolve easily with minimal chewing. Unfortunately, these foods lack protein and fiber needed for good health. It is not surprising that denture wearers have higher incidences of gastrointestinal problems and take more medications than non-denture wearers.

To minimize ‘rocky dentures,’ relines may help, temporarily. However, modern dentistry offers a far better option that overcomes all the challenges of living with dentures – Dental Implants. Unfortunately, a denture’s cheaper price tag has kept many people stuck in the a miserable situation.

Dentures simply aren’t a good substitute for natural teeth. Although they may seem better than being without teeth, dentures actually contribute to a number of problems. The pressure of wearing dentures speeds up the rate of bone loss and, for those who sleep in their dentures, the pace of resorption is nearly double.

Dentures are an antiquated solution for tooth replacement. No adhesive or reline will ever make a denture a practical alternative for missing teeth. For today’s active adult, Dental Implants provide a dependable option that restores chewing stability and laughing confidence. And even though the cost is higher, for one’s overall health and well-being, they’re a bargain.

Today’s implant dentistry offers many options. Learn those that are best for your needs and budget in a Consultation appointment. Call (828) 274-9440 to schedule a time.

Why Tooth Loss Causes Your Jaw Bones To Shrink

Posted on Jun 22, 2015 by William J. Claiborne, DDS MS

The presence of natural teeth is vital to the health of upper and lower jaw bones. Tooth roots create stimulation to the bone, which stimulates blood flow so the jaws maintain a healthy mass. Without tooth roots, the lack of stimulation causes the bone to slowly decline. This process is known as “resorption.”

Resorption causes the gum ridge to flatten out over time, giving your denture a foundation that continually shrinks. Regardless of the amount of denture adhesive applied, the denture will begin to move while eating, causing uncomfortable rubbing. Laughing becomes overshadowed by the fear of embarrassing slips.

The pressure from wearing dentures actually accelerates resorption, especially for those who sleep in their dentures. The 24/7 pressure speeds the process of resorption to an even greater degree.

When dentures are first made, they may feel secure for the first five or so years. However, as resorption continues, relines help only on a temporary basis. As bone loss progresses, relines will last at less frequent intervals each time.

On average, denture wearers experience a 25% bone loss one year after natural teeth have been extracted. Three years later, 60% of the bone is gone. While natural teeth provide a biting force of 250 pounds, the average denture wearer bites with about 5 pounds of force.

Want to see the extent of bone loss you’ve experienced? Remove your denture and look in the mirror. Do you see deep wrinkles around the mouth? Do the corners of your mouth turn downward, even when you smile? Does your mouth appear collapsed inward with a pointed chin? Have jowls formed on the sides of your face?

New designs in Dental Implant systems can overcome even severe bone loss. Types like All-On-4 can be placed in minimal bone using just four implants. Using specific angles, the All-On-4 system can support a full denture that is non-removable.

When a greater level of bone mass is necessary, procedures can restore the bone to a healthy level. Bone generating materials or a bone graft can be performed prior to implant placement. A “sinus lift” may be advised so sufficient bone exists between the upper jaw and sinus cavity.

Regardless of the procedure or implant type selected, a dental specialist who is trained and experienced in all implant types is the best choice for a successful result. A Periodontist is a dental specialist with advanced training in the diagnosis and placement of Dental Implants as well as bone rebuilding procedures.

Dental Implants restore chewing comfort and the ability to speak and laugh with confidence. Today, bone loss doesn’t necessarily prevent you from enjoying these benefits! Begin with a consultation by calling (828) 274-9440.