Dental Problems Only Worsen With Delay In Care

Posted on Jan 03, 2018 by William J. Claiborne, DDS MS

“Never put off for tomorrow, what you can do today.” – Thomas Jefferson

The quote by Thomas Jefferson, today, would probably include modern terms such as “be proactive,” or “take charge of your to-do’s.” But any way we say it, the meaning is basically the same: Take care of things while they’re small so they don’t become bigger problems.

As a periodontal specialist, I’ve seen a great many patients who have lost their teeth because they didn’t take a few minutes a day to brush their teeth. They also felt they could avoid their 6-month dental checkups because “nothing hurts.” Yet, while in treatment for gum disease or having dental implants placed, the majority share the same regrets, that they didn’t take the small steps needed for prevention.

When an oil light comes on in our vehicle, we know there are costly consequences to ignoring it. When a ceiling shows signs of a leaky roof, we know that letting it go can lead to serious damage. When an appliance starts making a funny noise, we know to tend to it before it goes on the blink.

Then why don’t adults know to act – and be proactive – when it comes to their dental health?

The Centers for Disease Control & Prevention reported that only 64 percent of American adults had a dental visit in 2015. That leaves a third of our nation’s adults with oral wellness that is at risk. It’s no wonder that an estimated 47 percent of adults have some level of periodontal disease.

New Year’s resolutions often include weight loss, getting more exercise, and eating healthier. These are made to achieve a healthy body. Yet, the mouth is not only part of the precious body we are given, it plays a major role in our overall health.

Your mouth is far more than part of your facial appearance. It provides the first stage of the digestive process. As you chew, saliva flow brings in oral acids that help break foods down even before you swallow. The phrase your grandmother said, “Chew your food well,” was wise advice. The chewing process gives food time to be digested more efficiently.

However, research over the past few decades has revealed how our oral health integrates to a much greater extent with our overall health. It has been found that the bacteria of gum disease can travel throughout the body via the bloodstream. This bacteria has been linked to a number of serious health problems.

The bacteria of gum disease can create inflammatory triggers that have been correlated to heart disease, stroke, some cancers, preterm babies, arthritis, diabetes, and erectile dysfunction (ED). Research is underway to study strong indications of its links to Alzheimer’s disease. Obviously, this is potent bacteria that should be acknowledged as serious.

Tooth loss is no picnic. Just ask long-time denture wearers. Losing tooth roots means the bone that once supported them begins to shrink. This bone loss is a slow but continual process, which is why a denture that fit when first made begins to slip and move. As the ‘ridge’ the denture was designed for flattens, adhesives will be of minimal help. Eventually, even relines won’t help much.

As a periodontist, my specialty also includes the diagnosis and placement of dental implants. Dental implants are held by the jaw bone, just as natural teeth, so they restore biting and chewing stability and halt bone loss. However, it is so much easier and far less expensive to care for natural teeth and avoid tooth loss in the first place.

I’ve had many dental implant patients tell me, “If I could turn back time, I’d have taken much better care of my teeth.” When they learn that their implants will need to be cared for even better than natural teeth, they enthusiastically agree to “do what it takes.” Losing teeth the first time was hard enough. Losing their dental implants would be worse.

Your smile is an expression of who you are from the inside out! I hope 2018 brings you many smiles and much laughter. Take good care of your smile and be committed to a thorough oral health routine at home. Have twice-a-year dental checkups and follow the advice of your dentist and hygienist carefully. Drink plenty of water and limit sweets. (Your waistline will thank you, too!)

Happy 2018 to you and yours!

A Dry Mouth Is An Open Door To Oral Bacteria.

Posted on Dec 19, 2017 by William J. Claiborne, DDS MS

Several decades ago, Americans were advised to drink between 6-8 glasses of water per day. I must admit, when I first heard the recommendation I thought, “That’s not only a tremendous amount of water, I’ll be making bathroom stops all day!”

Although the bathroom issue was not as much of a problem as I felt it would be, drinking 6-8 glasses of water daily actually turned out to be easier than I originally felt. Now that I’m in the habit of it, I am more conscious of a ‘parched’ feeling when I fall short of that amount.

By nature, our mouths are designed to be a moist environment. The tissues in our mouths are kept moist by saliva flow. When saliva is flowing at a healthy level, the oral tissues are moist and bacteria-causing food particles move through the ‘oral cavity’ on a continual basis, keeping the mouth rinsed.

For your body to function properly, water is a dire need. You need water for proper

• Circulation
• Metabolism
• Body temperature
• Waste removal & detoxification

Hunger or sugar cravings are often signs of being dehydrated. Other signs are bad breath, headaches, mood swings, fatigue, chills, muscle or joint aches, constipation or dry skin.

Interferences can occur with saliva flow, and there are many. These include the side effects of prescription and over-the-counter medications as well as herbal supplements that contribute to oral dryness.

Oral dryness can also occur with health conditions such as sinus infections, mouth breathing (including snoring), Alzheimer’s disease, diabetes, anemia, cystic fibrosis, rheumatoid arthritis, hypertension, Parkinson’s disease, stroke and is a normal part of the aging process.

Often, what we drink can actually worsen oral dryness. Caffeinated beverages such as coffee, tea and colas are drying to the mouth as are beverages containing alcohol (including beer and wine).

For most of us, it is wise to supplement oral moisture with drinking plenty of water. Begin with a glass of water when you first awaken. It is normal to be somewhat dehydrated after a full night’s sleep so drinking water the first 15-30 minutes you’re awake helps your entire body re-hydrate, and especially your mouth.

Try to always have a glass of water near you. When you will be away from home or your desk at work, carry bottled water with you. Try to consume two glasses of water between breakfast and lunch and another with lunch. After lunch, drink another 1-2 glasses before dinner and a glass after dinner.

The color of your urine is an indication of whether you are drinking a sufficient amount of water. Urine that is nearly clear is ideal, meaning you are providing your body with ample water to keep it properly flushed. As urine becomes more yellow or even brown (an indication of dangerous dehydration), it should be a warning sign that you need to drink more.

Once you’re in the habit of drinking water on a regular basis, you’ll start to notice the moist feeling in your mouth. The tissues in the mouth will not only feel more comfortable, your oral health will improve as oral bacteria are more efficiently moved out of the mouth.

Pure, filtered water is best. Avoid bottled waters that are flavored with sweeteners or chemical flavorings. If you want to add flavor to your water, add sliced strawberries or cucumbers.

If you feel a supplement is needed to replenish oral moisture, there are several good products specifically formulated for this, which are available over-the-counter. These are used similar to a mouth wash and can support you in having a healthier mouth.

 

 

 

Post-Menopausal Women Have Unique Oral Health Challenges

Posted on Nov 24, 2017 by William J. Claiborne, DDS MS

For women who are post-menopausal, the risk for developing periodontal (gum) disease and experiencing tooth loss is much greater than ever before. Research shows that it is particularly so in the first decade after menopause begins.

What causes this is the decline in estrogen levels, which leads to higher rates of bone loss. Studies show that bone loss (or osteoporosis) in postmenopausal women can be accompanied by an increased risk of gum disease.

In addition to a higher risk of gum disease, post-menopause may bring about a lower volume of saliva, which is the mouth’s natural cleansing agent. Saliva helps to keep bacteria moving out of the mouth. When it is insufficient, bacteria levels are allowed to grow beyond what the immune system can manage.

One such study found that post-menopausal females with osteoporosis had a significantly greater susceptibility for gum disease than that of women with no indications of osteoporosis. Estrogen decline after menopause also increases the risk of heart disease, osteoporosis and Alzheimer’s along with increased cavities and taste alterations.

For women on hormone replacement therapy (HRT), the restoration of estrogen has been shown to help post-menopausal women be less susceptible to these health issues. Naturally, this is based on the recommendations of your medical doctor and your receptiveness to using an HRT.

Even though your oral health is our emphasis, your overall health is our concern as well. While both are designed to work together, it’s natural that particular risk factors occur with the aging process. By keeping your oral health at an ideal level, you avoid problems in the first place or, for any that do occur, we can provide early treatment that will help you avoid greater time and costs for more complex treatment.

Begin with a healthy foundation. Call 828-274-9440 for a thorough examination.

Holiday Parties Can Be No Fun For Your Smile.

Posted on Nov 08, 2017 by William J. Claiborne, DDS MS

A particular joy of the holiday season is it give us the opportunity to gather with cohorts, friends and family. These gatherings are often in the form of a lavish meal, buffet, or cocktail party. By helping you to understand the challenges these get-togethers can place on your smile, we may be able to help you avoid the time and expense for treatment later on.

Here is where the risk begins: Acids in the mouth.

Oral acids are a naturally-occurring part of the digestive process. Every time you eat or drink, an acid surges into the mouth via saliva. This acid is very strong and helps to begin breaking down food as you chew.

These acid attacks, once they begin, last from 20 to 30 minutes. So, when you arrive and pop that first cheese straw in your mouth, the acid attack begins and continues throughout the evening as long as you’re consuming about every 20 minutes or so.

The risk factors go up with what you eat.

Holiday foods are often sweet or largely carbohydrate in content (such as pigs-in-blankets, chocolate covered pretzels, etc.). When potent oral acids mix with the sugar and carbs (which converts to a sugar) in these foods, it gives a super boost to oral bacteria growth.

Of course, while sticking by the veggies and dip is helpful, what you’re drinking may be just as bad as the pumpkin pie. Drinks such as punch, wine and cocktails are no friend to your smile, either.

Although many people feel wine is a healthy drink, it is highly acidic. When this acidity mixes with oral acids, your mouth is bombarded with a potent assault strong enough to soften tooth enamel.

Alcohol, in any form, is also very drying to oral tissues. This makes it harder for saliva to keep the mouth rinsed of what is coming in. This simply aids in the production of oral bacteria. When you are sipping a drink made with colas, liquors or syrupy mixers, you merely boost the potential for damage.

Are we recommending you nibble carrot sticks and sip sparkling water at your holiday outings? Of course not. However, we can make some recommendations to help you minimize the acidity in the mouth and keep oral bacteria from running rampant.

• When nibbling, eat what you wish in a brief amount of time rather than pace out your eating for an extended period of time. Take a plate and put on it what you wish and then stop eating after. This will allow the acids to cease rather than continue.
• Be conscious of what’s in your drink. Should you have a gin & tonic or a Manhattan? Choose a drink that is lighter in calories in the form of sugar.
• When drinking, periodically take gulps of plain water and let it linger in the mouth for a couple of seconds before swallowing. This helps dilute oral acids and move them out of the mouth before they can damage tooth enamel.
• Once home, be sure to brush and floss. By removing bacteria that has accumulated in the mouth, you’ll help to decrease the risk for gum disease and cavities.

Keep in mind that bad breath is the result of an over-accumulation of oral bacteria. When you keep bacteria in the mouth under control, you’ll enjoy fresher breath. In close conversations, this is important!

This holiday season, share your smile often and with confidence. Keep your smile healthy by understanding where your risks are and how to avoid problems from occurring in the first place.