Diabetes Linked To Gum Disease, And Vice Versa

Posted on Jan 04, 2016 by William J. Claiborne, DDS MS

Diabetes is a metabolic disease that stems from insufficient insulin secretion and/or insulin resistance. This results in the body’s abnormal metabolic processing of carbohydrates, proteins and fats.

Regardless of the advancements in treatment, a report published by the U.S. National Library of Medicine/National Institutes of Health states that diabetes is “a growing public health concern and a common chronic metabolic disease worldwide.”

Additionally, the World Health Organization (WHO) declared diabetes to be at a pandemic level. The prevalence of diabetes has increased dramatically over the past few decades and is expected to triple in the next decade.

Diabetes is considered a leading cause of death due to vascular complications attributed to the disease. The most common types of diabetes are type 1 (known as insulin dependent) and type 2 (non-insulin-dependent).

While diabetes affects all age groups, it is more common in adults. According to the American Diabetes Association, the majority of diabetics suffer from Type 2 diabetes, which usually begins after age 45. Initial indications of this disease are bad breath and bleeding gums.

Initial emergence of diabetes in the form of oral problems makes perfect sense to those in the medical and scientific fields. Various inflammatory diseases and periodontal (gum) disease have shown connections for decades. Not only are periodontal diseases said to be the 6th greatest complication of diabetes, one triggers the other. Periodontal disease is an inflammatory condition that can create inflammatory reactions elsewhere in the body.

Gum disease has been found to be more frequent and severe in patients with diabetes with poor glycaemic control. Proper management of diabetes for controlled glucose levels is helpful in preventing or treating periodontal disease.

It is advised that diabetics have more-frequent dental check-ups to avoid the inflammatory reactions of gum disease, and vice versa.

Symptoms of gum disease include seeing blood when brushing, persistent bad breath, gum tissue that pulls away from teeth (exposing tender tooth root portions) and sore gums. Any of these signs are reason for any individual to see a dentist before gum disease worsens. However, for diabetics, the need is more dire due to their existing vulnerability to inflammatory reactions in the body.

A periodontal examination will determine the presence of gum disease. If it exists, a treatment plan will be discussed. Call 828-274-9440, and at your earliest convenience. Gum disease will only worsen without treatment. Delayed care can result in greater treatment time and expense.

Replacing Teeth – Weighing Your Choices

Posted on Dec 29, 2015 by William J. Claiborne, DDS MS

While today’s dentistry offers a number of excellent methods for replacing teeth, there are advantages and disadvantages to each option. It is my goal to help patients understand why we recommend Dental Implants so they can determine what is best for their needs.

Missing teeth can be replaced with crown-&-bridge combinations, partial or full dentures, or dental implants. Crown-&-bridge is only possible when natural teeth border both sides of the area of missing teeth since crowned, natural teeth are the bridge’s support.

A partial denture does not require teeth on each side for support. However, it does need teeth on one side to provide support for clasps or framework that attach to adjacent, natural teeth.

A full denture replaces a teeth for those who have lost all of their upper and/or lower teeth. These teeth are held by a base that mimics gums, which is contoured to the shape and size of your ridge. The ridge, which is actually the jaw bone covered by gum tissue, is the raised arch that once supported natural tooth roots.

In these options, the absence of natural tooth roots leaves the gum ridge without the stimulation that once kept it healthy. Thus, the bone will eventually begin to shrink in height and mass.

The pressure of wearing dentures or partials accelerates the pace of bone loss. For those who sleep in their denture or partials, the 24/7 pressure speeds up the rate of bone loss even more.

As the bone declines, the fit of the denture or partial changes. Slips become common when eating, often rubbing sore spots on gum tissues. Although a crown-&-bridge will not slip, bone loss will be apparent when an open space develops below the bridge.

Because Dental Implants are placed in the jaw bone, they recreate the stimulation of tooth roots. This halts bone loss and preserves the stability of your bite as well as a healthy facial structure.

Dental Implants are also designed to last your lifetime. With proper care, they will never need removal or replacement. They do not need the support of adjacent teeth and actually help preserve the integrity of other teeth.

The downside? The cost is higher than other tooth replacement options. However, over time, they are a far better investment. With the upfront cost being the ONLY problem associated with Dental Implants, the fact that it is a ‘one and done’ expense (with a lifetime of benefits) really makes them a better choice compared to other tooth replacement options.

If you are missing natural teeth and would like to discuss replacement with Dental Implants, call 828-274-9440 to schedule a consultation. During this time, we’ll discuss how Dental Implants may be the perfect choice!

Afraid Of Dental Visits? Fear Only Makes Problems Worse.

Posted on Dec 14, 2015 by William J. Claiborne, DDS MS

Fear is one of the biggest factors when it comes to reasons that people avoid dental care. While expenses are an issue for a number of Americans, fear is the culprit that prevents most adults in the U.S. (up to one-third, it is estimated), from having regular dental care.

Avoiding the dentist is a sure way for bigger problems. When the hygienist is not able to remove plaque that has accumulated on teeth every six months, it continues to grow. This typically results in cavities and early stage periodontal (gum) disease.

Repairing a small cavity or treating gingivitis (the initial level of gum disease) requires minimal time and expense. However, many individuals who have dental fear avoid going to the dentist for years. Often, they only end up in a dental chair when they have developed a problem that is so painful they are forced to endure fear’s grip in lieu of pain relief.

When cavities form, pain (or an ache) develops, signaling a problem. Most people realize that this discomfort will only intensify without treatment. On the other hand, gum disease begins without obvious symptoms. Those that do arise, such as gums that bleed when brushing or receded gums, are often associated with aging or even deemed normal. These misconceptions merely allow these problems to worsen.

Here is where things get more complicated for adults with dental fear. When problems do arise, delayed treatment enables these problems to worsen. As a cavity deepens or gum disease intensifies, treatment requirements become more complex with procedures needed often more costly and time-consuming. Unfortunately, post-treatment tenderness is also a lengthier process. This tends to reinforce a fearful patient’s stance of avoiding dental care.

When I take my car in for its regular servicing, I have to devote several hours of time and be prepared for associated expenses. Oil changes, tire rotations, fluid checks, etc. aren’t anything I want to pay for and, like most adults, have little time to devote while these processes take place. However, I know the problems that can occur when these areas are not tended to. I also know that, by delaying them, I’m placing myself at risk for being stranded beside the road or having an accident. So, we car owners force ourselves to endure for the good of our investment.

Your smile deserves no less. If dental fears are preventing you from having a clean, healthy smile and fresh breath, don’t wait until you are in dire straits. Make every attempt to keep your 6-month dental check-ups. These visits will be quicker and far less expensive than to take care of what’s likely coming from avoiding care.

Want an added incentive to go along with cost savings and shorter time? Dental cleanings and repairs are more comfortable for people with healthy gums. When plaque is present, the gums are more inflamed. This makes them tender. Regular dental visits will keep your smile in good health and save you money over time.

So, how do you overcome dental fears to have regular care? It begins by finding the right dentist to care for your needs. Begin by calling several offices and explain your concerns. If the receptionist is adept at discussing their protocol for fearful patients, you’ll know this is a dental office that is experienced caring for adults with high anxiety and fear levels.

You may wish to begin with a consultation appointment. This will enable you and the dentist to discuss your needs and their process to help ease you through what is necessary to begin. The doctor should make you feel at ease, unrushed and answer your questions in easy-to-understand terms.

We see a number of patients who have gum disease or need Dental Implants because their fears have led to lost teeth. While we can provide medications to help these patients relax, our goal is to help them overcome their fears through a relationship of trust. Once they understand we are highly sensitive to the unique needs of patients with dental fear, many relax. We pride ourselves on a gentle touch, and that goes for all patients.

Let’s begin with a conversation in our consultation room. This is a living room setting that’s away from the clinical area. We can sit and chat, after which time you can determine how you’d like to proceed, or if you would like to do so. Call 828-274-9440 to arrange a time that’s best for you.

Master The Fine Art Of Flossing

Posted on Dec 08, 2015 by William J. Claiborne, DDS MS

If you don’t know how to ice skate, watching someone who does can be mesmerizing. Seeing a skater glide easily across the ice on a thin blade, turning and shifting with seemingly little effort, makes one rather envious.

When I try to urge a patient who has never flossed to do so, and to do it every day, I used to be so perplexed at their resistance. “Wonder why this is such a big deal?” I’d think. Yet, to me flossing is as natural a motion as gliding across the ice is to an ice skater.

As a periodontist, I’m naturally a proponent of flossing as a valuable aid in removing food particles and bacteria buildup from the mouth. Flossing dislodges bits of food stuck between teeth and scrapes the edges where a tooth brush has difficulty reaching.

People who floss on a daily basis require only a minute or so. Many don’t need a mirror since they can ‘feel’ their way along. Some floss while watching television, reading or catching up on emails. However, be prepared to rely on a mirror until you’ve mastered the technique. The point is, flossing, once a habit, can be a simple action that blends easily into one’s day.

Flossing is best done with about 18 inches of floss. We recommend unwaxed but people with tight teeth find waxed helps them to avoid having the floss ‘pop’ between teeth and cut into tender gum tissues. Wrap both ends of the floss around the forefingers. You’ll use your thumbs and middle fingers to help maneuver the floss.

The key to flossing is to slowly move it back and forth teeth to get in-between and then scrape down each tooth’s side several times. Move the floss just slightly below the line where teeth meet gum tissues to dislodge bacteria at the base of teeth. Adjust the floss so you have a clean section after flossing every 3-4 teeth. Be sure to scrape the backs of molars (or the farthest back teeth) on top and bottom.

For those who try to floss and find it too difficult, we recommend purchasing one of the electronic flossers on the market today. These are effective and do a good job at removing debris and oral bacteria from the mouth. If you can’t handle traditional floss, these are the next best thing.

Flossing helps to lower oral bacteria that can accumulate and lead to cavities, gum disease and eventual tooth loss. This can save you treatment time and expense. Another incentive is (drum roll) you’ll be so much more comfortable during your dental cleanings! Healthy gums are not as sensitive and gum probing and any scraping needed will be an easy process for you!

Make a commitment to be a flosser! Add daily flossing to your New Year’s Resolutions. You’ll be rewarded with a healthier mouth and possibly prevent costly problems.

Begin the new year with a clean mouth by calling 828-274-9440 to arrange an examination and cleaning. Our Hygienist will be happy to give you flossing instructions while we get your mouth to a healthy state.