Mouthwash Not A Substitute For Oral Hygiene Routine

Posted on Nov 03, 2014 by William J. Claiborne, DDS MS

Several years ago, I heard Jessica Simpson had announced on an Ellen episode that she brushes her teeth “maybe three times a week.” Simpson said she uses Listerine and flosses everyday and uses “a shirt or something” to wipe her teeth. Claiming her breath is fresh, she feels her mouth has been adequately cleaned.

Being in the field of Periodontics, a dental specialty that focuses on the soft tissues in the mouth and dental implant placement, this misinformed attitude is jolting. By failing to adhere to proven preventive measures of twice-daily brushing, daily flossing and 6-month checkups and cleanings, there is an increased risk for a long list of oral health problems to come.

Plaque, the sticky film of bacteria that clings to teeth and gums, must be removed every 24 hours. In as little as 2 to 3 days, the bacteria begin to attack supporting bone and gum tissues around teeth. This is the beginning of decay and Gingivitis, the initial stage of periodontal disease.

Oral rinses are often best as a temporary breath freshener and an ‘add-on’ to a thorough oral hygiene regimen at home. While some oral rinses do help in the prevention of plaque or slowing the progress of tooth decay, they are ‘aids to’ rather than ‘substitutes for’ proper oral hygiene.

As plaque accumulates, calculus (or tartar), forms on teeth. Calculus is a hard substance formed by bacterial buildup that can only be removed by a dental professional using special tools. As calculus adds to the attack on tooth surfaces and gum tissue, this can lead to advanced gum disease, known as periodontitis. Periodontitis is the nation’s leading cause of adult tooth loss.

For oral rinses designed to temporarily reduce bad breath, most fail to combat the causes of bad breath. They don’t destroy the oral bacteria that cause bad breath nor inactivate odor causing compounds. Many assumed to clean the mouth are ineffective at reducing plaque or halting calculus.

If you frequently use mouthwash because of bad breath, there is an underlying problem that should be addressed by your dentist or a periodontal specialist. Persistent bad breath is a symptom of gum disease, which will only worsen without treatment.

Additionally, when oral bacteria enters the bloodstream through diseased gum tissue tears, it can trigger inflammation elsewhere in the body. The bacteria of periodontal disease has been linked to heart disease, stroke, diabetes, arthritis, memory loss, preterm babies and even impotency. This bacteria can even be transferred from one person to another through kissing or sharing food and beverages.

Some rinses actually do help in the fight against the oral bacteria that forms plaque. For individuals who find it physically difficult to brush and floss, certain oral rinses add some protection against cavities and periodontal (gum) disease. These preferably contain fluoride to protect tooth enamel as well. Too, for our patients who have had periodontal surgery, we typically prescribe an oral rinse to help deter bacteria buildup during the healing process.

If you’d like to add an oral rinse to your oral hygiene routine at home, ask your dentist to recommend a rinse with fluoride or antimicrobial agents to get the best benefit. However, twice daily brushing and flossing, combined with 6-month dental check-ups, is a necessary part of a healthy mouth – and there is no substitute.

Call (828) 274-9440 if you have questions or feel your periodontal health is at risk.

Is Your Potential For Tooth Loss High?

Posted on Oct 31, 2014 by William J. Claiborne, DDS MS

The latest (1999-2004) National Health and Nutrition Examination Survey shows that adult tooth loss in the U.S. has decreased from the early 1970s. Yet, percentages remain high and vary according to age range, race and sex.

For example, adults between ages 20 – 64 have an average of 24.92 remaining teeth rather than 32 in a normal adult mouth. Nearly 4% of adults in this same age group have no remaining teeth. For adults ages 65 – 74, both male and female averaged approximately 19 remaining teeth.

Older adults, Black and Hispanic adults, current smokers, and those with lower incomes were shown to have higher percentages for being totally edentulous (no remaining teeth).

Males showed slightly higher averages in tooth loss than females while current smokers averaged having only 23.47 teeth. Non-smokers (never smoked) had nearly 26 remaining teeth. Nearly half of smokers ages 65 – 74 had lost all teeth versus about 22% of the same age group who had never smoked.

Your teeth are much more than mere components of a smile. While teeth can be replaced with dentures, partials, crown-&-bridge combinations and Dental Implants, there is nothing as dependable as healthy, natural teeth. Your teeth affect your appearance, self-confidence and self-esteem. They are also an important part of the digestive process and help to maintain a healthy jaw bone mass.

Renew your commitment to have a healthy smile and keep your teeth for a lifetime. Arrange for a thorough periodontal examination so you can begin with a sound foundation of healthy gums. Brush and floss twice daily and be diligent about keeping your 6-month check-ups.

If you’ve avoided dental care due to fear or other concerns, call to arrange a Consultation. We are experienced at helping fearful patients and are a ‘lecture-free’ practice. You’ll be warmly welcomed and respected by each member of our team.

Don’t be one of the statistics of tooth loss. Call (828) 274-9440 for a consultation soon!

Sleep Apnea? Heavy Snoring? Jaw Joint May Be The Culprit.

Posted on Oct 29, 2014 by William J. Claiborne, DDS MS

Sleep Apnea has become more familiar to the American population as the reason they endure daytime sleepiness, are more accident prone, gain weight and have a higher risk for heart attack, stroke, depression and high blood pressure. However, few people associate the temporo-mandibular joint (TMJ or jaw joint) with breathing problems during sleep.

Obstructive Sleep Apnea occurs when the airway is restricted or blocked. Apnea, the Greek word for ‘without breath,’ is when a sleeping individual stops breathing, some for up to one minute. This can occur hundreds of times per night.

When the jaw joint is not working properly, during sleep the tongue can collapse and block or reduce a natural intake of oxygen. Heavy snoring, which is often a precursor to Sleep Apnea, can occur for this same reason.

The lack of adequate air during sleep forces the body to work harder to supply enough oxygen. Thus, Sleep Apnea sufferers fail to reach the deep sleep stage necessary for the body to rejuvenate itself. The common fatigue and lack of energy that adults with Sleep Apnea have can also be accompanied by headaches, migraines, clenching, grinding and worn teeth, which are also indications of TMJ Disorder.

If you have – or suspect you have – Sleep Apnea, having your jaw joint examined may reveal an important component to resolving this sometimes deadly problem. As a Periodontal Specialist, I work with many Orthodontists and General Dentists who are highly skilled in resolving TMJ Disorder. Call (828) 274-9440 for a recommendation of a doctor near you.

Travel Abroad To Save On Dental Implants Not Quite The Bargain You May Think

Posted on Oct 27, 2014 by William J. Claiborne, DDS MS

In a recent issue of AARP’s monthly magazine, I came across cost comparisons of various medical and dental procedures that have lured Americans out of the country for ‘bargains.’

Although there was a significant savings in procedures like heart bypass and hip replacement, I was not surprised to see that Dental Implants in the U.S. are rather competitive and even less expensive than averages in many countries.

For example, the average Dental Implant cost in the U.S. is approximately $1200 (depending on type and location of placement). In Costa Rica, they average $900 and $950 in Mexico. However, implants are a whopping $2636 in Malaysia, $1600 in the U.K. and $1500 in Singapore. Average costs in India are $1100 but the lowest price we found was Hungary at an average of $650.

After you factor in air fare, hotel costs, ground transportation and travel insurance, you must also calculate the potential risks. For example, once back in the States, an infection or unusual pain indicates a problem, which typically requires immediate attention. Unless you’re willing to pick up the tab to repeat the trip (and absorb the travel costs again), a local doctor will need to be seen.

All in all, Dental Implants in the U.S. are a bargain. The training and safety standards for dentists in America are very high and our sterilization measures are essentially unsurpassed.

Your ultimate ‘deal’ when it comes to Dental Implants is having placement done right the first time. If complications do arise, which are rare, they can be dealt with promptly and effectively without a major travel ordeal required.

Why take a risk? Having Dental Implants placed in America gives you convenience, safety and a tremendous bargain. Let’s discuss your individual needs and options in a private Consultation. Call (828) 274-9440 for an appointment.