How To Prevent Oral Problems & Expensive Treatment

Posted on Apr 28, 2016 by William J. Claiborne, DDS MS

Let’s face it – health care is expensive. Although insurance coverages help, just the price of the coverage is a strain for many people. The 2014 National Health Expenditures report estimated that U.S. adults spend over $9,523 per year on health care.

Caring for your smile requires a monetary commitment as well. The Government Accountability Office reported that between 1996 – 2010, the average out-of-pocket dental costs per individual per year increased 26%, from $520 to $653.

While these expenses are hefty amounts for most, caring for our health does require an investment and one that is well worth the cost. Even though people are typically committed to annual screenings and exams, many often fail to place an equal priority on their oral health.

Your smile influences far more than facial appearance. The presence of teeth is vital for maintaining jaw bone mass, processing a healthy diet and feeling confident in social settings. It is a fact that people who wear dentures have more gastrointestinal problems, take more medications and eat out less.

However, a deeper problem can emerge from having poor oral health. The bacteria of periodontal (gum) disease have been found to create internal inflammation elsewhere in the body. These inflammatory reactions trigger a higher risk for heart disease, high blood pressure, stroke, diabetes, arthritis, preterm babies and impotency.

Gum disease is also the nation’s leading cause of adult tooth loss. And, it’s running rampant in the U.S. It is estimated that over 47% of adults over the age of 30 have some level of gum disease. For those who are over age 65, 64% are said to have moderate to severe gum disease.

As a Periodontal Specialist, the majority of the problems I see and treat could have been prevented altogether. By taking proactive measures, it’s actually easy to prevent oral problems and costs for repairs. Simply spending a few minutes each day and having 6-month check-ups can save you greatly.

Your dentist structures your regular oral hygiene visits to remove buildup that can lead to problems or catch ones that may have emerged at early stages. Early treatment can help to keep time and expenses needed for repairs to a minimum.

The ‘way to save’ begins at home, for the most part. Your oral care routine at home can help you avoid problems by keeping oral bacteria to minimal levels. When performed correctly, twice-daily brushing and flossing are very effective in reducing oral bacteria and preventing buildup. Brush (for at least two minutes each time) using a soft to medium bristle brush and fluoridated tooth paste.

However, brushing without flossing is like rinsing off in the shower but not using soap. After brushing, food particles can remain between teeth, which provide oral bacteria the sustenance they need to thrive and reproduce. When you feel a sticky film on teeth and gums (known as plaque), it is actually an accumulation of oral bacteria.

For those who are in the habit of flossing, it takes about a minute a day. And this one minute can make a world of difference in helping to keep oral bacteria from damaging tooth enamel and gum tissues. If you would like, our dental hygienist can show you how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). However, for those who have dexterity problems, an electronic flosser can make the task easy but still very effective.

Oral bacteria can also be greatly reduced by using a tongue scraper. This tool gently uproots oral bacteria that are embedded in the tongue. Scrape 2 – 3 times over the tongue, starting at the back of the tongue where most bacteria exist and rinse after each pass. You can also brush your tongue after brushing your teeth, if preferred.

For many, a surprising cause for oral bacterial growth is ‘dry mouth.’ The natural flow of saliva in the mouth is designed to continually rinse oral bacteria. When saliva levels are low, oral bacteria can accumulate quickly. Smoking, alcohol, caffeine, some medications and mouth breathing (such as snoring) are all drying to oral tissues. The aging process and some health conditions, including anemia, hypertension, arthritis and diabetes also contribute to causes of dry mouth.

To lessen the negative effects of dry mouth, drink plenty of water throughout the day. If you take medications that are drying to the mouth, ask your doctor about alternative options. Also, consider using an over-the-counter mouth wash designed specifically to replenish oral moisture.

To protect the tooth’s enamel, delay brushing after eating for 20 – 30 minutes. The reason? Each time you eat, an acid attack begins in your mouth. While this is a helpful part of the digestive process, these acids tend to soften tooth enamel for about 30 minutes. Brushing during this time can wear away precious tooth enamel.

It may seem expensive to absorb the cost for crowning a tooth, but it can actually prevent costly future problems or even tooth loss. A tooth that is too laden with fillings or has cracks is vulnerable to breaking. If the break extends below the gum line, the tooth must be removed. This leaves you with an entirely new set of expenses.

Missing teeth affect the alignment of surrounding teeth and increase the risk for broken, chipped or worn teeth. Misaligned teeth can lead to night-time clenching and grinding as well as migraines, headaches, sore jaw joints, pain in facial and neck muscles, dizziness and ear ringing.

The added bonus of a healthy mouth is fresh breath and the ability to avoid preventable problems from occurring – thus, saving you time and money. Be committed to your dental health every day. You will be greatly rewarded!

If you are experiencing problems with missing teeth or have tender gums that bleed easily when brushing, call 828-274-9440 for an appointment.

Smoking & Your Smile

Posted on Apr 25, 2016 by William J. Claiborne, DDS MS

If you’re a smoker, you don’t need one more lecture, especially one from a Periodontist. I’m sure you’ve heard so many reasons to quit smoking that they’re starting to run out of your ears. However, allow me a couple of minutes to provide a better picture of what I can see in your mouth that you probably can’t.

When it comes to your smile, smokers have a greater risk of periodontal (gum) disease, more frequent bad breath, higher plaque levels, stained teeth, and slower healing following extractions, gum treatment and oral surgery.

Smoking has a drying effect on oral tissues. This creates an environment for oral bacteria to thrive and reproduce. Initially, gum disease causes persistent bad breath, sore gums and gums that bleed easily when brushing. As it progresses, gums turn darker in color and pus pockets form at the base of teeth. Eventually, teeth will loosen as oral bacteria attack supporting bone and tissues surrounding tooth roots. It’s no surprise that gum disease is the nation’s leading cause of adult tooth loss.

Maybe losing teeth doesn’t sound so awful. It is. While it was once assumed that tooth loss was a ‘normal’ part of the aging process, today we know better. Studies have shown that people who wear dentures die at an age that is ten years younger than those who have natural teeth, on average.

Denture wearers also take more medications and have more gastrointestinal problems. They tend to eat out less and wear less make up. In order words, they become more reclusive, likely due to fear of embarrassing slips or chewing discomfort.

The tobacco in each cigarette contains chemicals that are harmful to the body. On average, smokers decrease life expectancy by 10–15 years. Smoking is attributed to nearly one-third of all cancer diseases and deaths.

For pregnant women who smoke, they have an increased risk for first-trimester spontaneous abortion, preterm births, low birth weight babies and sudden infant death syndrome (SIDS). Women who smoke are at risk for early menopause while men who smoke have a higher risk of impotency.

There is only one solution and you don’t need me to plead with you to take that step. I’m sure you’ve already had close friends or relatives do that. However, should you decide you’re ready, you’ll be pleased to know that the positive effects are almost immediate.

In 48 hours, damaged nerve endings will start to regrow and your sense of smell and taste begin to return to normal. In 3 days, the lungs begin to repair and breathing is easier and with fuller air intake. Within two weeks, circulation in your gums and teeth is similar to that of a non-smoker. Your heart attack risk is now also declining. In a month or so, your circulation greatly improves, walking is easier and your chronic cough is gone.

Need another incentive to quit? Your loved ones who breathe in ‘second-hand smoke’ are inhaling no less than 50 known carcinogens and other harmful chemicals. It is not uncommon for children of smoking parents to wake up with ‘smoker’s cough.’

I don’t want to lecture. I feel it is far more beneficial to an individual to provide the facts so they can proceed as they feel best. Some people who smoke are willing to accept the risks for the sake of their habit, and that’s their choice. For those who do wish to overcome the grip of this addiction, there are excellent online sources. Start with: http://smokefree.gov/

Consider their stop-smoking app for added support.

And good luck – for your smile and the best you can be.

Important To Keep Your Dentist Updated On Your Medications

Posted on Mar 09, 2016 by William J. Claiborne, DDS MS

So what does the prescription you take for high blood pressure have to do with your dental care? And, why should you bother to tell us if you’re taking a supplement for anxiety?

Many medications don’t interact well with other medications, and even some supplements. It is important that your dentist and dental specialist have an up-to-date list of ALL medications you take. Here is why:

Medications such as Heparin or Warfarin help to reduce blood clotting, which lowers your risk for stroke and heart disease. That’s good. However, it is important that your dentist know about these since they can cause bleeding problems during oral surgery or periodontal treatment.

For those who take medications that help to strengthen bones, these have been associated with a rare but serious condition called osteo-necrosis of the jaw. Simply put, it refers to death of the bone. These prescriptions include Fosamax, Actonel, Atelvia, Didronel and Boniva and are taken to help prevent or treat osteoporosis. There are also versions administered by injection, including Boniva IV, Reclast and Prolia.

Osteo-necrosis of the jaw commonly occurs after dental procedures (tooth extraction, implant placement). Over 90 percent of those who have experienced osteo-necrosis are those who have taken the medication in repeated high doses due to cancer or other diseases. However, 10 percent who experienced osteo-necrosis were taking much lower doses, mostly intended to treat osteoporosis. Those who are taking these medications or have taken them within the past year should reveal this to their dentist.

Certain medications also affect the ability to taste, including cardiovascular agents, central nervous system stimulants, non-steroidal anti-inflammatory drugs, respiratory inhalants and nicotine skin patches.

Some medications can cause the development of oral sores, inflammation or discoloration of gum tissues in the mouth. These oral sores or discolorations may arise from taking medications for blood pressure, oral contraceptives and chemotherapy agents. Keeping your dentist aware that you are taking these drugs helps he or she monitor these areas closely and appropriately. Some spots and discolorations in the mouth can actually be symptoms of oral cancer. When your dentist is aware of the side effects of the medications you take, you can be adequately monitored without being treated for pseudo illnesses.

Dry mouth is a common side effect of a wide variety of medications, including those prescribed and over-the-counter. These include antihistamines, decongestants, painkillers, high blood pressure medications, muscle relaxants, drugs for urinary incontinence,
anti-depressants and many others. Drying causes the soft tissues in the mouth to become inflamed and makes you more susceptible to infection. When saliva flow is depleted, your risk for tooth decay and gum disease increases.

Supplements that may seem unconnected to your oral health can actually effect your care more than you realize. It is important for your dentist to know if you take…
 • Ginkgo biloba or evening primrose – These herbs can reduce your blood’s ability to clot, possibly leading to excessive bleeding during and/or after a dental procedure.
 • St. John’s Wort – This herb, which is often taken to reduce anxiety, can interfere with the metabolism of other medications, including sedatives, antibiotics and anti-inflammatory drugs such as prednisone and Decadron. When combined with St. John’s Wort, these drugs can be less effective. On the other hand, narcotics such as codeine, Vicodin and oxycodone can become more potent when taken with St. John’s Wort. This can lead to sleepiness, lethargy and dizziness.
• Valerian – This herb has mild sedative effects. If your dentist prescribes drugs for anxiety or painkillers containing codeine, the effects of both together are greatly accentuated. This can lead to severe sleepiness, lethargy and dizziness that can last into the next day.
• Calcium and magnesium – When these supplements are combined with certain antibiotics, they can decrease the antibiotics being properly absorbed. This can compromise your ability to fight off infection.

Your oral health is an important part of your overall health. Always keep your dental care givers updated on your health status and the medications (and supplements) you take.

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.