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Overall Health & Well-Being
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.
Difference Between Crown-&-Bridge And Dental Implants
Posted on Sep 28, 2017 by William J. Claiborne, DDS MS
When replacing one, two or several teeth in one area, one option is a crown & bridge. For many individuals, it seems most practical to go with the less-expensive option. Yet, there are several reasons you should weigh the advantages of Dental Implants vs. crowns and bridges, which are far more important than ‘perceived’ costs.
A bridge, initially, costs less than Dental Implants. Although the cost of a crown-&-bridge combination seems like ‘the way to go’ when it comes to replacing a tooth or teeth, many people are unaware of the long-term expenses and underlying issues.
Yet, over time, a crown-&-bridge can require upkeep. From root canals to crown replacement to cracked bridges that need replacing, these costs add up, and up and up and…
Let’s look at the differences between Dental Implants and crown-&-bridge other than cost.
Dental Implants are held by the jaw bone, which provides the same foundation as that of natural tooth roots. This means that replacement teeth do not need the support of adjacent, natural teeth that have been crowned to serve to support a bridge. By keeping your natural teeth ‘natural,’ you are able to maintain the integrity of natural tooth structure, giving a strong advantage to your oral health.

An implant serves as a tooth root replacement, held by the jaw bone.
Because Dental Implants use the natural foundation of your jaw bone, they give another advantage to your oral health. Dental Implants integrate with the structure of your bone. They recreate the presence of natural tooth roots and halt the process of bone loss.
Bone loss from missing teeth, or ‘resorption,’ occurs from the lack of stimulation that tooth roots provide to the jaw bone. Through this, they help to prevent the bone loss and gum recession that often accompany bridgework and partials.
Bone loss is a concern since it can place neighboring teeth at risk. As the bone shrinks in the area of missing teeth, the foundation of those teeth is compromised. Odds are, when a tooth is lost, the next one you’ll lose is one adjacent due to this bone loss.
Yet another advantage of Dental Implants? – Their ability to look, feel and function just as natural teeth. Some people prefer to keep the fact that they wear Dental Implants a private issue. With Dental Implants, no one need to ever know you have a ‘third set’ of teeth. Non-removable implant systems allow you to wake up with a smile and brush your implanted teeth along with your natural teeth!
The success rate of Dental Implants is one of the highest implant-in-bone types, including hips and knees. Properly selected, placed and maintained, Dental Implants offer a lifetime solution for tooth replacement. As a Periodontal specialist, I provide specific expertise in the diagnosis and placement of Dental Implants. This gives our patients an edge — specific knowledge, training and skills so they can enjoy teeth that look and feel just like their own (because they are!).
Consider Dental Implants based on the long-term advantages, for optimal oral health as well as a wise investment that will last your lifetime. Call (828) 274-9440 for a consultation to discuss your needs.
Custom-Made Trays For More Effective, Non-Surgical Treatment
Posted on Sep 15, 2017 by William J. Claiborne, DDS MS
As a dental specialist, my goal is to provide each patient with appropriate treatment through the most effective, yet conservative, means possible.
My philosophy has always been to “never over-treat or under-treat.” This applies to patients who require surgical procedures as well as those who can achieve oral wellness via non-surgical means.
Even though non-surgical periodontal treatment has its limitations, it can be made more effective by incorporating up-to-date techniques. Using these techniques, I can often restore the patient to periodontal wellness without the need for surgical measures.
One such technique is through the use of a Custom Tray Delivery System. I begin by creating a custom-fitted tray by taking impressions of the patient’s mouth. This gives the patient’s unique oral contours that are used to form a ‘tray’ that fits over the teeth and gums. This is similar to a mouth guard (but far less bulky).
After filling with prescribed medications, patients are able to use these trays at home. The trays keep the medicine in direct contact with the areas in need of treatment.
Although tray delivery systems are approved by the Food and Drug Administration (FDA), they have not been verified as an effective way to treat gum disease. We evaluate each patient’s condition to determine the appropriate treatment and if surgical or non-surgical means are needed. Thus, Tray Delivery Systems may not be helpful when it comes to overcoming certain levels of gum infection.
However, one condition we’ve found responds positively to Tray Delivery is in the treatment of erosive lichen planus. This is a chronic inflammatory condition inside your mouth. Lichen planus may appear as white and lacy patches, red and swollen tissues, or open sores and can cause burning sensations or pain.
Lichen planus isn’t contagious (through things such as kissing or sharing food and beverages). However, it is an autoimmune disorder and the result of the immune system attacking cells of the oral mucous membranes for unknown reasons. People with lichen planus are cautioned to have their condition monitored on a regular basis due to a higher risk for oral cancer.
In addition to regular monitoring, delivering medications through Tray Delivery Systems provides a dependable means of treatment that is non-surgical.
If you have questions about Tray Delivery Systems or any treatment, including the placement of dental implants, call 828-274-9440. We will be happy to arrange a consultation appointment to discuss various treatment options based upon your individual needs and goals.
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