Different Treatment Needed For Different Levels Of Gum Disease


Posted on Jan 14, 2013 by William J. Claiborne, DDS MS

The most appropriate treatment for periodontal (gum) disease depends on its level at the time of treatment. A Periodontist is trained to treat all types of gum disease in the manner that is least invasive. This can often be accomplished non-surgically.

For many types of gum disease, a non-surgical Scaling & Root Planing may be sufficient. This procedure is a careful cleaning of tooth root surfaces that removes plaque and calculus (tartar). It also smooths tooth roots, which removes bacterial toxins. Scaling & Root Planing is typically followed by application of anti-bacterial medications.

Although Scaling & Root Planing is an effective process for many patients, non-surgical periodontal treatment has limitations. When the level of periodontal disease requires more-intensive therapy, surgery may be needed to fully restore good oral health that can be maintained with the help of regular oral hygiene visits.

The stages of gum disease that require Scaling & Root Planing are those more extensive than Gingivitis, which is the mildest form of periodontal disease. Gingivitis causes red, swollen gums that bleed easily. With professional treatment and rigorous oral home care, Gingivitis is normally reversible. Although the most common cause of Gingivitis is poor oral hygiene, other contributing causes are diabetes, stress, hormonal changes, pregnancy, substance abuse, certain medications, smoking, age, genetics, and some other diseases or conditions in the body.

As untreated Gingivitis progresses, Periodontitis begins. This occurs when plaque forms below the gum line. Because plaque is a hardened mass of bacteria, this bacterial onslaught produces toxins that inflame gum tissue.

Once toxins activate chronic inflammation, the body’s defense systems can no longer overcome the damage. Tissues and bone that support teeth are destroyed and gums begin to separate from the teeth. Bacterial pockets form between the teeth and become infected.

As Periodontitis progresses, the bacteria-filled pockets deepen and destroy more levels of gum tissue and bone. Amazingly, this damage can occur in many patients who experience only mild symptoms. This is why gum disease is often referred to as a ‘silent’ disease.

Periodontal surgical treatment, however, is deemed a surgical procedure because the Periodontist must make incisions in gum tissues to reach all areas where periodontal bacteria has penetrated. To ensure patients are relaxed and comfortable, they are typically sedated throughout the procedure.

This is why people who experience ANY symptoms of gum disease, or are told by their Dentist or Hygienist that it exists, should have immediate treatment. When caught early, treatment requires less time with less expense than surgical treatment needed for more advanced levels.

A Healthy Mouth Keeps Inflammation In The Body Under Control


Posted on Jan 10, 2013 by William J. Claiborne, DDS MS

Inflammation in the body is a naturally-occurring process that creates beneficial responses. It’s a reaction of your immune system that sends T-cells to combat disease and destructive cell invaders.

However, it is also inflammation that stokes the fire of cancer, heart disease, stroke, diabetes, memory loss, and even erectile dysfuntion (ED). While some folks are genetically pre-dispositioned for high levels of inflammation, excess fat, stress, a diet high in sugar and fat, age, and gum disease can accelerate inflammation to risky levels.

Gum disease begins as gingivitis, which is an overload of bacteria that ‘feeds” on oral tissues. As the bacteria multiply, the initial phase of periodontal (gum) disease begins as the body becomes unable to tackle the bacterial build-up. The result is infection that penetrates the oral tissues and eventually bones supporting natural teeth.

This infection causes the bloodstream to be bombarded with inflammation. In turn, this distorts how the body processes blood sugar, freeing up plaque in the arteries that can lead to blood clots or heart attacks. It can also warp cells that form cancer and damage pathways in the brain and brain cells, increasing the risk for Alzheimer’s disease.

Some drugs help to lower inflammation, although it’s wisest to control levels through proper diet, sufficient exercise, not smoking, and keeping the gums in good health. If you don’t floss, this daily habit is tremendously beneficial to the prevention of bacteria build-up. If you have sore, tender gums or have bleeding when you brush, schedule a periodontal exam by calling 828-274-9440. These are signs of gum disease and will only worsen without treatment.

The sooner you restore your mouth to a healthy state, the less time and expense you’ll incur from treatment. Plus, a healthy mouth can contribute to maintaining good, overall health. Be committed to excellent oral health and know your smile is not the only thing that gains the benefits!

Men’s Sexual Health Tied To Periodontal Health


Posted on Jan 07, 2013 by William J. Claiborne, DDS MS

A recent study published in the Journal of Sexual Medicine has revealed that men in their 30s with severe gum disease are 3 times more likely to have erection problems. This comes after past research has shown that periodontal disease may be linked to heart disease, which is a common cause of erectile dysfunction. Although there are no claims that one disease causes the other, the association is thought to be related to inflammation brought on by gum disease bacteria.

These are all valid reasons that men should take an active role in the health of their teeth and gums before other areas of the body are affected. The Centers for Disease Control & Prevention estimate that almost half of U.S. adults have periodontal disease. Of that, 56% of men have periodontal disease, compared to over 38% of women.

Other areas where periodontal health has been associated with the status of men’s health, in particular, include prostate health, heart disease, impotence and cancer. For example, research has found that men with a history of gum disease are 14% more likely to develop cancer than men with healthy gums. Additionally, 49% of men are more likely to develop kidney cancer, 59% more likely to develop pancreatic cancer and 30% more likely to develop blood cancer.

Men need to do a better job of protecting their overall health by keeping their periodontal health at an excellent level. Symptoms of gum disease include gums that bleed when brushing, sore or swollen spots on gums, persistent bad breath, and gums that are red rather than a healthy pink color. If you have any of these symptoms, call (828) 274-9440 for an examination appointment as soon as possible. Gum disease will not improve without treatment.

Missing Teeth Can Cause Problems Far Beyond A Ruined Smile


Posted on Jan 02, 2013 by William J. Claiborne, DDS MS

When children lose their ‘baby’ teeth and smile at you, it’s cute. When an adult smile has gaps from missing teeth, it’s anything but. Visible gaps ruin the appearance of an adult smile and cause many people to feel less confident. Yet, even when teeth that are not visible in a smile are lost, there are additional consequences.

Missing teeth are attributed to creating an aged appearance far beyond one’s actual years. Because missing teeth cause the supportive jaw bones to shrink, jowls can form from the detachment of facial muscles. Bone loss also causes deep wrinkles around the mouth with the corners of the mouth turning downward, even in a smile. Also, missing teeth make it more difficult to chew properly and can affect the way you speak.

If you are missing any of your teeth, consider replacing them with dental implants. Dental implants have a look and feel just like natural teeth. During a consultation appointment, I can answer your questions and discuss the type of implant that may be best for your needs. Call (828) 274-9440 to schedule yours!

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