Bad Breath? Who, Me?!!!


Posted on Feb 19, 2015 by William J. Claiborne, DDS MS

When someone has bad breath, it can hit you like a boxing glove. Unfortunately, it can also make a lasting impression, and not a good one! In addition to cavities and gum disease, bad breath, also known as halitosis, is among the top three reasons people go to the dentist.

While we can all recall an encounter with someone’s rank breath odor, the thoughts of having it ourselves is terrifying, although about 20% of the population reportedly do to some degree. When halitosis is our own, we don’t smell it although it is typically suspected by having a bad taste in our mouth or feeling our mouth is sticky and dry.

In most cases, bad breath is caused by bacteria accumulated in the gums and embedded in the back of the tongue. Certain conditions, including disorders in the nasal cavity, sinuses, throat, lungs, stomach or esophagus can also cause halitosis.

Ridding yourself of common bad breath is easy. Be committed to a twice-daily oral hygiene regimen, use a tongue scraper (particularly on the back of the tongue), floss daily and have regular dental check-ups to detect bacteria in the gums. If your mouth is dry, drink lots of water and use an oral rinse specifically formulated to replace moisture in the mouth.

Just as you avoid body odor with daily showers, you can avoid the ‘label’ of having bad breath by being proactive with your oral hygiene. If you have been irregular with dental cleanings, your mouth may be overly burdened with oral bacteria. Call (828) 274-9440 to arrange an examination so we can determine your oral status and recommend ways to improve your smile’s health for fresher breath!

Keep Resolution To Be Fit For Body & Smile!


Posted on Feb 10, 2015 by William J. Claiborne, DDS MS

Being fit helps oral health! For added reasons to keep to your new year’s resolution to ‘get fit,’ your smile is yet another.

It is widely known that being overweight puts a strain on the heart, joints, and one’s ability to enjoy good overall health. Sadly, over 63% of adults in the U.S. are either overweight or obese, with nearly 37% as overweight and 26% reaching the obese level.

Researchers at Case Western Reserve University School of Dental Medicine found indications that gum disease risk actually lowers when fat cells decrease. The study measured participants who were obese, with some of the participants undergoing bariatric surgery. All participants received periodontal treatment along with oral hygiene instructions to follow at home. While both groups showed improvement, the surgery group showed the most favorable results.

It seems an overabundance of fat cells secrete more cytokines, which make insulin more resistant to proper effectiveness in the body. Thus, more sugar in the blood occurs. A reduction in fat cells makes insulin less resistant and aids in the response to periodontal treatment.

Another benefit relates to how the leptin hormone helps to regulate metabolism. Along with cytokines, leptin has been linked to inflammation. Because leptin production was reduced after bariatric surgery, periodontal treatment was shown to be more effective.

Inflammation from gum disease can erode bone and cause tooth loss. It also makes harmful oral bacteria easier to enter the blood stream. This bacteria has been linked to preterm birth, heart disease, diabetes and arthritis.

This shows how intricately your oral health is tied to your overall health, and vice versa. Maintaining healthy gums and keeping teeth in good condition prevents harmful bacteria from causing inflammation in the body. By the same token, having a healthy body seems to create a better foundation for the gums to battle harmful bacteria when it appears.

It’s always wise to adhere to good oral health habits along with other changes for overall health. Brush for 2 minutes twice a day, floss daily, avoid between-meal snacking, and keep your twice-a-year dental check-ups and cleanings. If you are behind on regular dental visits, schedule a thorough periodontal exam by calling (828) 274-9440. Once your gums are in a healthy state, they’ll be easy to maintain through preventive measures you can easily incorporate into your daily routine.

Perscription Drugs That Contribute To Tooth Loss


Posted on Jan 30, 2015 by William J. Claiborne, DDS MS

If you take antihistamines, aspirin, asthma medications and syrups, you may be taking one that makes you more vulnerable to tooth loss. It is estimated that about 40% of Americans take at least one type of medicine that can cause damage to their teeth.

These medications include prescription drugs and over-the-counter preparations and can contribute to gum tissue problems such as inflammation, bleeding or ulcers. Additionally, diseased gum tissue can lead to other dental problems, including tooth loss.

Some medications with damaging side effects to teeth include:
• Antihistamines – can cause dry mouth, and an increased risk of gum problems.
• Antihypertensives – can lead to an increased risk of gum problems.
• Aspirin – chewing aspirin can directly damage the tooth enamel, as aspirin is acidic. Always take aspirin strictly as directed.
• Asthma medications – some asthma drugs are highly acidic and can dissolve tooth enamel if used regularly over a long period of time.
• Chemotherapy drugs – can cause a dry mouth and lead to an increased risk of gum problems.
• Immunosuppressive drugs – can lead to an increased risk of gum problems.
• Oral contraceptives – can lead to an increased risk of gum problems.
• Syrups – medicated syrups that contain sugar can increase the risk of tooth decay if teeth are not brushed after these syrups are taken.

To check the level of tooth loss on a long list of prescription medications, use the link below. This shows drugs such as Stelara with only 1 case of tooth loss but Prednisone having 436 cases and Zometa a whopping 1,571.

http://www.ehealthme.com/symptom/tooth+loss

At each appointment, it is important that you keep us updated on medications you take. We want to help you avoid tooth loss. Knowing your medical and dental history and list of medications (including herbal supplements) can help us be more proactive on your behalf.

Lowering Medical Costs For Diabetes, Heart Disease & More


Posted on Jan 26, 2015 by William J. Claiborne, DDS MS

Could treating periodontal disease reduce medical costs and hospitalizations for pregnant patients and those with diabetes and heart disease? Researchers at the University of Pennsylvania recently conducted a study to determine if gum disease therapy could prevent or lessen some of the adverse effects associated with diabetes, coronary artery disease, arthritis and pregnancy.

Researchers analyzed medical and dental insurance records of 338,891 patients with periodontal disease from 2005 to 2009. Participants were either pregnant or had been diagnosed with type 2 diabetes, coronary artery disease, cerebral vascular disease or rheumatoid arthritis. The average age was 49 years with women comprising 45% of the patients and men 55%. Patients with gum disease who had 4 or more periodontal treatments in 2005 were compared to patients who were untreated.

Findings showed most had lower medical costs and hospitalizations following periodontal treatment. Although no significant difference was found among patients with rheumatoid arthritis, patients with diabetes or cerebral vascular disease had significantly lower medical costs, averaging 40% reduction in costs. The biggest decrease was among pregnant women who received treatment, having 74% lower medical costs than those with untreated gum disease. Coronary artery disease patients had nearly 11% lower costs.

Periodontal disease bacteria can enter the bloodstream of otherwise healthy patients through diseased and torn oral tissues. The bacteria has been found to create an inflammatory reaction elsewhere in the body, perhaps triggering or increasing severity of serious health problems.

So, back to our initial question: Could routine assessment and treatment of periodontal disease help to lower severity and costs of specific medical conditions? While the study’s findings do not prove that periodontal disease treatment directly improves the condition of these health problems, ensuring good periodontal health for those affected seems to provide positive outcomes when compared to those who do not have treatment.

As research continues, we will keep you up-to-date on the latest findings that link oral health to your overall health. In the meantime, pay particular attention to your gum health. If your gums bleed when you brush or you have tender, swollen spots on gums around teeth, call for an examination as soon as possible: (828) 274-9440.

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