Important Reasons Why You Need Healthy Gums

Posted on Dec 06, 2017 by William J. Claiborne, DDS MS

As responsible adults, we take certain precautions that help to keep us healthy. We use sun screen when we’re going to spend time in the sun. We wear appropriate shoes when hiking or jogging. We wear a helmet when biking or motorcycling. We assign a designated driver rather than drink and drive.

These actions help to protect us and hopefully prevent occurrences that may otherwise result in health problems. Certainly, it makes more sense to avoid problems in the first place rather than endure the time, expense and even disabling consequences of ignoring practical preventive measures.

Then, doesn’t it make sense that adults would be especially devoted to having good oral health?

The Centers For Disease Control & Prevention (CDC) reports that over 47 percent of American adults have some level of gum disease. This is astounding for a country as advanced as the U.S.

I believe one of the reasons the rates of periodontal disease are so high is largely based on a population that is unaware of the ramifications of gum disease. This, in addition to a high number who are unfamiliar with its symptoms.

Let’s look at just a few reasons to be highly-committed to achieving and maintaining good oral health.

• Periodontal disease is the nation’s leading cause of adult tooth loss. I believe it reaches such a state because people are not aware of the warning signs. For example, some people believe that seeing blood in the sink when brushing is a sign they’re doing a good job at tooth brushing. (It’s not.)

• Research has found that the bacteria of gum disease is linked to systemic inflammation. This is when the body’s immune system goes out of whack and can’t turn itself off. Symptoms of chronic inflammation are chronic pain, fatigue, obesity, memory loss and insomnia.

• The bacteria of gum disease doesn’t necessarily stay confined to the mouth. Through tears in weakened gum tissues, the oral bacteria of gum disease can enter the bloodstream. As it travels throughout the body, it can contribute to serious health risks, including heart disease, stroke, some cancers, preterm babies, impotency, arthritis and diabetes.

• Good gum health is the foundation for keeping your natural teeth healthy, and for a lifetime. Research has shown that people with their natural teeth live ten years longer, on average, than those who wear dentures. And, healthy teeth support the ability to eat a healthy diet and feel socially confident to smile and laugh.

A 2006 report by the the Centers for Disease Control and Prevention (CDC) stated “the baby boomer generation will be the first where the majority will maintain their natural teeth over their entire lifetime.”

It adds, “Over the past 10 years, the number of adults missing all their natural teeth has declined from 31 percent to 25 percent for those ages 60 years and older, and from 9 percent to 5 percent for those adults between 40 and 59 years. However, 5 percent means 1 out of 20 middle-aged adults are missing all their teeth.” (https://www.cdc.gov/oralhealth/basics/adult-oral-health/index.html)

It’s easy to enjoy good oral health. It takes just minutes for proper brushing twice daily and daily flossing so the overall health advantages of healthy gums can be enjoyed. It is also important to have 6-month dental cleanings and exams. These opportunities help to remove bacterial buildup between appointments, often preventing the need for more expensive and time-consuming treatment later.

Symptoms of gum disease include tender gums that bleed easily when brushing, persistent bad breath, swollen gums, gums that turn red in color (versus a healthy pink), and pus pockets that form on gum tissues. Without treatment, teeth will eventually loosen and may require removal.

Protect your smile AND your overall health by keeping your gums healthy. If you’ve delayed care or suspect you have gum disease, call us at 828-274-9440. We are a ‘lecture-free zone’ and respect each patient and his or her needs. We just want to help you enjoy the advantages of a healthy, confident smile!

New Study Finds Clogged Arteries More Connected To Oral Bacteria Than Fatty Foods

Posted on Nov 13, 2017 by William J. Claiborne, DDS MS

For years, we’ve been led to believe that the main cause of clogged arteries is the cholesterol-rich diet we consume. However, a recent study published by the Journal of Lipid Research has found fat molecules unrelated to butter, fatty animal meats and eggs may be the true source.

According to an article in Medical News Today (https://www.medicalnewstoday.com/articles/319967.php), the University of Connecticut (Storrs) conducted a study showing the fat molecules in plaque that are typically blamed for clogged arteries may actually originate from oral and gut bacteria.

In past studies, researchers have known there are strong connections between the bacteria of gum disease and an increased risk of heart attack and stroke. Yet, pinpointing the precise cause-&-affect has been elusive. This study may have tracked down the intricate path.

Atherosclerosis occurs when fat molecules, calcium, cholesterol, and other compounds in the blood form plaque on the inside walls of arteries. These arteries are what carry oxygen via the bloodstream to the heart, brain, kidneys, and other parts of the body.

When plaque accumulates, it can harden and narrow the arteries, thus depriving oxygen-rich blood to vital organs and tissues. This can lead to heart attack, stroke, other serious health problems and, in some instances, even death.

For decades, it was assumed that the fatty molecules of atherosclerosis, or lipids, are the result of a diet rich in foods high in fat and cholesterol. This study focused on the formation of plaque (that include fat molecules) as well as other growths known as atheromas.

Atheromas  refer to fatty masses that develop in the artery walls. Their presence activates the immune system, which recognizes that the lipids are not of human origin. This, in turn, tends to trigger inflammation. Inflammation is what leads to the thickening of the smooth muscles that line artery walls.

When the research team analyzed atheromas of hospitalized patients, they found the chemical makeup of lipids were not from animals. Rather, the fat molecules matched bacteria belonging to the Bacteroidetes family.

Bacteroidetes, fatty acids that do not have the same features as animal fat, are not typically harmful. They exist in the mouth and, in some situations, can activate gum disease but are not known to invade blood vessels. The culprit, however, lies in the lipids they secrete, which can penetrate cell walls and enter the bloodstream.

Apparently, it is an enzyme that breaks down the bacterial lipids that can activate a process that manufactures molecules that promote inflammation. When the immune system encounters the bacteria and then couples with the enzyme that creates inflammation, their combined actions can lead to an even higher risk for the formation of plaque.

The researchers are continuing efforts to further study how atheromas form where Bacteroidetes lipids accumulate. They are seeking even more evidence that fat molecules from Bacteroidetes are linked to atheroma growth, and thus to heart disease.

In the meantime, we certainly encourage you to eat a diet low in cholesterol. Yet, keep this study in mind as reinforcement to the need to maintain good oral health. For decades, research has shown the close relationship of oral health and overall health.

In addition to heart disease and stroke, past research has correlated the bacteria of periodontal (gum) disease to diabetes, arthritis, preterm babies, some cancers and impotency. Obviously, this is potent bacteria and keeping its accumulation to a minimum is beneficial to your overall health.

Is is important to know the signs of gum disease. Seeing blood in the sink while brushing, tender or swollen gums, frequent bad breath, and gums that pull away from teeth and expose sensitive tooth roots are just a few of the signs. Without treatment, gum disease will only worsen. It affects over 47 percent of American adults and is the leading cause of adult tooth loss.

Protect your smile and your overall health. In addition to a thorough at-home commitment to oral hygiene, have twice-yearly dental check-ups and watch for signs of gum disease. If you suspect gum disease exists, call 828-274-9440 to schedule an exam. This will be the first step to protecting your smile, and apparently, your heart!

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.

Periodontal Disease – How It Forms

Posted on Nov 01, 2017 by William J. Claiborne, DDS MS

Last night’s Halloween festivities reminded me just how easily gum disease can form. Late night indulging in the candy gathered by Trick or Treaters could be counted as ‘Step One’ in the process. Here is how it occurs…

Let’s say you indulge in a few sweet treats in the evening. Most of us do on occasion. But let’s say you are so busy that you forget to brush and floss before going to bed. When you wake up, your mouth feels sticky and you can feel a film over teeth. But let’s say you have overslept and are running so late that you fail to brush your teeth before you leave the house.

As you grab a sweetened coffee and donut on the way out the door, you remind yourself to pop a breath mint in your mouth before you get to work, hoping that will camouflage the smelly film that coats your tongue, teeth and gums.

Over the course of the day, you stir sugar in your coffee, sip cola at your desk after lunch and have a candy bar as a pick-me-up mid-afternoon. Heading home, you sip another cola.

Now, let’s look at what your mouth has endured during this process and why your potential for gum disease is greatly increased because of it.

First, the late-night, sugar-laden sweet treat that you ate the evening before is the perfect fuel for oral bacteria. Sugar super-charges oral bacteria, enabling these living, breathing creatures to reproduce rapidly. And, the more they reproduce, the more there are to reproduce.

As oral bacteria grow and thrive in your mouth, they form a film that coats teeth and gums. This is know as plaque. Plaque can form quickly because of how rapid oral bacteria can reproduce. It can be felt by running your tongue over teeth at the end of the day before brushing.

If plaque is not removed daily, it can harden into a substance known as tartar, or calculus. This cement-hard mass attaches to teeth and cannot be brushed or flossed away. It can only be removed by dental professionals using special tools.

Once tartar is on teeth, this mass colony of bacteria continues to grow, eating into tooth enamel and gum tissues. As the bacteria become more than the immune system can manage, the gum tissues become inflamed. This is the beginning of gum disease.

Now, consider that each time you eat or drink, an acid attack begins in the mouth. This is actually a normal part of the digestive process, which helps to break foods down as we chew. However, frequent eating AND consuming food and beverages that contain sugar can easily become more than our oral health can combat.

One of the worst culprits along these lines is soda. Because many people consume sodas by sipping them over the course of an hour, the prolonged acid attack the mouth must endure is a tremendous challenge to one’s oral health. As oral bacteria thrive in the mouth from the sugar, the gums are weakened and the enamel is softened, setting teeth and gums up for disaster.

As the growth of bacteria penetrate beneath the gum line, they are able to attack the structures that support teeth. The inflammation spreads and the gums become sore and turn red. At this point, periodontal disease is running rampant.

As the inflammation expands, the gum tissues bleed easily when brushing teeth. Bad breath is a frequent problem now and the gums are swollen in some areas. At this point, the gums are infected and brushing cannot undo the onslaught of oral bacterial growth.

The infectious bacteria cause pus pockets to form on gums. Because of the damage to gum tissues and bone structures that support teeth, some teeth will loosen and may require removal.

What’s unknown to many, however, is the fact that this infectious bacteria can penetrate gum tissues and enter the bloodstream. Once bloodborne, oral bacteria can travel throughout the body and trigger inflammatory reactions elsewhere.

Research has shown links between oral bacteria and heart disease, stroke, diabetes, arthritis, preterm babies, some cancers, high blood pressure, impotency and even Alzheimer’s disease. As a matter of fact, the make-up of tissues from oral bacteria and that of affected arthritis joints are nearly identical — both being inflammatory diseases. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495574/)

Now, let’s rewind. Rather than have this destructive process occur in the first place, let’s consider how easy it is to prevent. By devoting 2-3 minutes twice a day to proper brushing (at least two minutes each time) and daily flossing (which requires a minute, typically), you can prevent this wildfire effect of inflammatory bacteria growth and destruction.

For tartar buildup that does occur, your 6-month checkups are designed to remove this and give you a clean slate for having and keeping a healthy mouth between visits.

Gum disease is the nation’s leading cause of adult tooth loss. This is sad, considering that gum disease is so preventable. Even worse, the infectious oral bacteria of gum disease can contribute to systemic inflammation, which has been associated with a long list of diseases and serious health conditions.

You can protect your smile and your overall health by renewing your commitment to having and maintaining good oral health. Rather than assume all is well with your oral health unless something hurts, know that your smile needs your attention at least twice a day as well as twice-a-year dental visits.

Let’s get your smile into tip-top shape so it’s easy to maintain! As a periodontal specialist, I have advanced training in treating all levels of periodontal disease and restoring oral health. Additionally, I am able to prevent tooth loss in many instances.

If you’ve delayed dental checkups or suspect you have gum disease, please call 828-274-9440 to schedule an exam.