Sources of Bad Breath

Posted on Oct 15, 2013 by William J. Claiborne, DDS MS

We’ve all run into people who have “morning breath,” (the result of not brushing after the mouth has been closed all night while bacteria accumulates, developing a sticky film known as plaque). “Coffee breath” is another odor that can be offensive, which is the result of coffee’s drying tendency to oral tissues. Without sufficient saliva flow to give the mouth a natural cleansing, bacteria build and mix with the coffee scent to create a strong, unpleasant scent.

Dry mouth may also be a result of smoking or drinking alcohol. Other culprits are some medications, a problem with the salivary glands, or continual breathing through the mouth. Some diseases and illnesses can contribute to bad breath as well, including pneumonia, bronchitis, sinus infections, diabetes, acid reflux, and liver or kidney problems.

Morning breath, coffee breath and odors from eating foods like onions and garlic are temporary. Once you brush and rinse thoroughly, you can expect your breath to become more pleasant. Persistent bad breath, however, may be the a side effect of medication, an illness, or periodontal (gum) disease.

As a periodontal specialist, I’m very much aware of the distinct odor produced by gum disease. Although it varies slightly from person to person, it has a different scent than that of typical bad breath. The best way to determine gum disease as the true source is through a periodontal exam.

In addition to persistent bad breath, periodontal disease symptoms include gum tenderness, gums that bleed when brushing, and gums that are red in color rather than a healthy pink.

It’s not unusual for adults to avoid much-needed dental care because of dental fears. Many adults carry with them traumatic dental experiences from the past all of their lives. Although new techniques and technology now create more comfortable procedures, a relationship of trust between the patient and his or her dentist is needed.

Oral sedation is one option that can help fearful patients have the dental treatment they need. This places the patient in a totally relaxed state and erases most memory of the procedure afterward.

Regardless of the source of unpleasant breath odor, it is imperative to one’s overall health to have and maintain good oral health. The bacteria of gum disease has been linked to serious health problems, including heart disease, stroke, memory loss, diabetes, impotency and others.

If you’re past due for dental care, call us at (828) 274-7440. You can begin with a Consultation to discuss your symptoms and have all your questions answered.

Dental Emergency Guidelines

Posted on Oct 11, 2013 by William J. Claiborne, DDS MS

I love sports, especially contact sports such as football, soccer and rugby, although I’m at the age where I am mostly a spectator rather than player. An unfortunate result of those who play these sports, however, are lip cuts and knocked-out teeth.

Replacing a lost tooth or repairing ripped oral tissues on both adolescents and adults is not a ‘win’ by anyone’s standards! This can be prevented, in most cases, by wearing a mouth guard. When mishaps do happen, however, the following tips may help lessen the damage:

CUT OR BITTEN TONGUE, LIP OR CHEEK – Apply cold compress to bruised areas. If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. Arrange to be seen in our office for possible repairs. If bleeding does not stop within 15 minutes or cannot be controlled by simple pressure, go directly to a hospital emergency room.

KNOCKED OUT PERMANENT TOOTH – Handle the tooth by the top portion rather than the root. Rinse the tooth, but do not clean or handle the tooth unnecessarily. Try to reinsert the tooth into the socket and have the child hold the tooth in place by biting on a clean gauze or cloth. If you cannot reinsert the tooth, place the tooth in a cup of milk or water and call your dentist or us immediately. Time is a critical factor in saving a tooth.

BROKEN TOOTH – Rinse dirt from injured area with warm water. Place cold compresses over the area of the injury. Save any broken tooth fragments and call your dentist immediately.

POSSIBLE BROKEN JAW – If a fractured jaw is suspected, use a tie, towel or handkerchief to tie underneath the chin and over the top of the head. This will help to keep the jaws from moving. Go to the nearest emergency room.

BROKEN BRACES & WIRES – Fortunately, most loose or broken appliances do not require emergency room attention. If the appliance can be removed easily, take it out. If not, cover sharp or protruding portions with cotton balls, gauze, or chewing gum. If a wire is stuck in the gums, cheek, or tongue, do not remove it. Take the child to the orthodontist immediately.

TOOTHACHE – Clean the area around the sore tooth thoroughly. Rinse the mouth thoroughly with warm, salt water or use dental floss to gently dislodge trapped food or debris. If the face is swollen, apply a cold compress. Take acetaminophen for pain and call your dentist to be seen as soon as possible. Do not place aspirin on the gum or the aching tooth.

Please remember that custom-fitted mouthguards are more comfortable and have a better fit than the boil-&-bite versions. This means you or your child are more likely to wear it! Play safe!

Bridge Vs. Dental Implants?

Posted on Oct 03, 2013 by William J. Claiborne, DDS MS

If you are missing one or more teeth in one area, an option growing in popularity is an implant-supported bridge. Anchored by the jaw bone, Dental Implants can replace missing teeth without requiring adjacent, natural teeth for support (as in Crown-&-Bridge combinations).

Although a fixed bridge or partial denture replace the presence of teeth, an implant-supported bridge helps to preserve the bone that previously surrounded tooth roots. The implanted portion acts as a tooth root replacement and halts “resorption” (or shrinking in mass) of the jaw bone. Since implants recreate the stimulation once provided by natural tooth roots, they help to preserve your jaw bone.

Dental Implants also restore the look feel, and comfort of natural teeth. Gums and bone can recede around a fixed bridge or removable partial denture, leaving a visible defect. Additionally, removable partial dentures can move around while chewing, which interferes with your ability to eat all the foods you love.

Whether you opt for an implant supported bridge, a fixed bridge, or partial denture, we feel you deserve to know all the advantages and challenges of each. The only obstacle with Dental Implants, for some people, is the cost. However, Dental Implants are designed to last your lifetime with proper care. They are an excellent investment.

Ask us about Dental Implants before making your final decision regarding tooth replacement. We’ll be happy to answer all of your questions during a Consultation appointment. Call (828) 274-9440.

What ‘Ups’ Your Risk For Gum Disease?

Posted on Sep 30, 2013 by William J. Claiborne, DDS MS

You may not realize it, but over 47% of adults in the U.S. who are 30 years and older have some form of periodontal (gum) disease. To understand gum disease, it is important to know how it begins.

Gum disease is caused by an accumulation of plaque and tartar. Plaque is the sticky film of bacteria buildup that attaches to teeth. Tartar, the hardened form of plaque, develops when plaque is not removed on a daily basis. Tartar, also known as calculus, can only be removed by special tools in your dentist’s office.

Even though good oral hygiene and regular dental checkups help most people avoid gum disease, certain factors can cause some to be more susceptible, including:

Aging: Studies have indicated that the incidence of periodontal disease increases as we get older. Over 70% of adults who are aged 65 and older have some form of gum disease.

Dry Mouth: Smoking, certain medications, drinking alcohol and aging all contribute to a dry mouth. The saliva in your mouth plays an important part in removing food particles and bacteria. When insufficient saliva cannot cleanse the mouth adequately, bacteria buildup results.

Being Male: Periodontal disease occurs more in men than women (56% vs. 38%).

Smoking: Smoking dries out the tissues in the mouth, increasing one’s susceptibility to calculus. Research shows that smokers lose more teeth than nonsmokers and typically require longer healing times after treatment with results that are less predictable.

Genetics: Because of genetics, you can be predisposed to develop gum disease. Research indicates that 30% of the population may be genetically susceptible to gum disease.

Stress: It has been proven that people who endure long-term stress have a greater risk for developing diseases such as cancer, hypertension and even gum disease. Stress takes a toll on the body’s entire operation, weakening its ability to fight infection.

Medications: The side effects of some drugs can dry out oral tissues and even weaken the density of bones, opening the door for gum disease. Like your physician, your dentist should have an up-to-date list of all medications you take, including herbal supplements.

Grinding Teeth: When you grind and clench your teeth during sleep, the teeth wear down and connective oral tissues are weakened. When the tissues surrounding your teeth are vulnerable, your entire jaw bone area is exposed to certain infections, which can lead to gum disease.

Other Health Issues: People who have diseases such as cancer or heart problems already have weaker immune systems. When the bacteria of gum disease enter the bloodstream through tears in oral tissues, harmful clotting factors and proteins can occur elsewhere in the body. Research has linked gum disease bacteria with heart disease, diabetes, stroke, preterm babies, and memory loss.

Don’t assume, “If it doesn’t hurt, then nothing is wrong.” Like other diseases that form in the body, gum disease begins silently.  When symptoms become obvious, they include bad breath, bleeding gums, soreness in the mouth, and gum recession. Often, these symptoms are assumed to be temporary, enabling the disease to progress further.

A committed oral care regimen as well as involvement with your dentist help, but are not guarantees you’ll avoid them. The more you know about periodontal disease and what makes you individually more susceptible, the more proactive you can be.

To learn more, visit the American Academy of Periodontology’s web site: www.perio.org. Or, call our office at (828) 297-2774 to arrange a periodontal exam.