Sugar – Your Smile Wants You To Know The Truth

Posted on May 08, 2017 by William J. Claiborne, DDS MS

What is one of the most common diseases across the globe? Dental decay – thanks to sugar. And, Americans are the biggest consumers on earth.

As a matter of fact, when researchers from the University College London and the London School of Hygiene studied public health records from around the world, they found that sugar consumption in the U.S. was off the charts.

According to their findings, nearly 90 percent of America’s school age children have experienced tooth decay and 92% of adults have had cavities. To grasp the extent of our sugar problem, compare the U.S. statistics to Nigeria, a country with a diet very low in sugar, where only 2% of the population have had tooth decay.

Why is sugar such a problem for teeth? It is how it reacts in the mouth when saliva combines with oral bacteria. Although all food and beverage activate an acid surge in the mouth (as part of the digestive process), sugar super-charges oral bacteria. Combined with acid’s ability to soften tooth enamel for 20-30 minutes, you have a higher risk for tooth decay.

Oral bacteria are living, eating and breeding organisms. They thrive in colonies as they subsist on gum tissues and tooth enamel. As bacteria levels grow, the gums become inflamed. This is the initial stage of periodontal (gum) disease and the nation’s leading cause of adult tooth loss.

Although the World Health Organization (WHO) recommends no more than 5% of daily caloric intake from sugar, or less than 25 grams, the average American consumes 82 grams daily. That translates into over 19 teaspoons of sugar per day and 66 pounds each year, per person.

What has led Americans to become so overloaded with sugar, and carbohydrates, in general? Consider that cheap, easy snacks and beverages are everywhere we turn. There is hardly a check-out line anywhere in the U.S. where you can’t reach out and add a candy bar or package of gum to the order.

In the U.S., sugar overload begins early. The television is saturated with youth-targeted commercials for sweet cereals, cookies and candy. School vending machines are stocked full of sugary drinks and snacks. Even daily vitamins have taken the form of sweetened ‘gummies.’

It’s easy to see the toll this is taking on our children. Childhood obesity is out of control. The Centers For Disease Control & Prevention (CDC) reports that the U.S. percentage of children with obesity “has more than tripled since the 1970s. Today, about one in five school-aged children (ages 6–19) has obesity.”  https://www.cdc.gov/healthyschools/obesity/facts.htm

With all the negatives surrounding sugar consumption, you’d think we Americans would be more determined to cut back. However, there is a good reason that our new year’s resolutions are so often broken when it comes to limiting its intake. Sugar is addictive.

In MRI scans, sugar is shown to activate the same regions of the brain as those activated by cocaine use. Like drug addiction, research has found that the more sugar you consume, the more you need since you develop a tolerance, which are symptoms of substance dependence.

Yet, like giving up cigarettes or drugs, people overcome addictions every day. With sugar, it is recommended that, rather than going ‘cold turkey,’ to switch to honey or agave (which are processed in the body more as food). When sugar is closer to the WHO’s recommended 5% mark of daily caloric intake, the pay off will be pleasing, to your waistline and your smile.

By reducing your intake of sugar and carbohydrates, you lower your potential for damage by oral bacteria. This will reduce your risk for cavities and gum disease when coupled with a thorough at-home routine of daily flossing, twice a day brushing and drinking plenty of water.

Limiting sugar in your diet will also save you money when considering the time and expense for dental treatment you’ll avoid! That may be the sweetest reason of all!

Protect Heart Health With Healthy Smile

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

Bacteria in our bodies is normal. Certain bacteria are actually beneficial, such as bacteria in the gut that enhances the digestive process. The body is also equipped to handle ‘bad’ bacteria. However, when too much bad bacteria invade the body, the immune system becomes overburdened.

The body’s natural defense response, white blood cells, aren’t always capable of tackling bacteria beyond certain levels. For example, a cut that becomes infected has surpassed what the white blood cells were able to handle. To give your immune system added reinforcements, your doctor may prescribe an antibiotic.

Periodontal (gum) disease is an infection in the mouth. This occurs when oral bacteria’s growth has accumulated beyond what the immune system can manage. As gum disease destroys oral tissues and the structures that support teeth, this infectious bacteria doesn’t always stay confined in the mouth.

Through tears in weakened gum tissues, the bacteria of gum disease can become bloodborne. This allows it to travel throughout the body and cause systemic inflammation. As a result, serioud health conditions can occur. The bacteria of gum disease has been linked to a long list of problems including heart attack, stroke, memory loss, preterm babies, diabetes, arthritis, high blood pressure, impotency and some cancers.

To understand this connection (related to heart attacks), Harvard Medical School’s newsletter provides an easy explanation: http://www.health.harvard.edu/press_releases/heart-disease-oral-health

In the article, they break the process down as: “In people with periodontitis (erosion of tissue and bone that support the teeth), chewing and toothbrushing release bacteria into the bloodstream. Several species of bacteria that cause periodontitis have been found in the atherosclerotic plaque in arteries in the heart and elsewhere. This plaque can lead to heart attack.

“Oral bacteria could also harm blood vessels or cause blood clots by releasing toxins that resemble proteins found in artery walls or the bloodstream. The immune system’s response to these toxins could harm vessel walls or make blood clot more easily. It is also possible that inflammation in the mouth revs up inflammation throughout the body, including in the arteries, where it can lead to heart attack and stroke.”

The symptoms of gum disease include gums that bleed easily when brushing, tender gums, gum recession, frequent bad breath, gums that darken from a healthy pink to red, and pus pockets that form near the base of some teeth. Gum disease affects nearly 47 percent of American adults. It will worsen without treatment and, to no surprise, is the nation’s leading cause of adult tooth loss.

Decades of research have proven that our oral health is intricately related to our overall health. By achieving and maintaining a healthy smile, you’ll be doing your whole body good! Be committed to your 6-month dental exams and cleanings along with a thorough at-home oral care regimen. Twice daily brushing and daily flossing help to keep oral bacteria at manageable levels. Drink plenty of water throughout each day and avoid sugar.

For more information on having excellent oral health, call 828-274-9440.

How To Save Money At The Dentist

Posted on Apr 25, 2017 by William J. Claiborne, DDS MS

When we purchase or lease an automobile, we realize there are maintenance requirements to ensure our investment stays in good working order. We have oil changed, fluids checked, and tires rotated or replaced. We do this because we know the consequences of not tending to the upkeep of an auto can be costly.

Your oral health also requires regular maintenance. In addition to twice daily brushing and daily flossing, 6-month dental check-ups and cleanings are needed to prevent problems from occurring. By avoiding problems, we save ourselves from costly and time-consuming treatment.

Prevention is key when it comes to both oral and overall health. A 2014 report on National Health Expenditures estimated that U.S. adults spend nearly $10,000 annually on health care. And, dental expenses are extra. According to the Government Accountability Office, the average annual out-of-pocket for dentistry increased by 26% between 1996 – 2010, from $520/year to $653/year.

Like tending to our vehicles, caring for our dental health is necessary. If ignored, the result is more than losing natural teeth. Research now shows that the infectious bacteria of periodontal (gum) disease can trigger inflammatory reactions elsewhere in the body. It has been linked to heart disease, high blood pressure, stroke, some cancers, diabetes, arthritis, preterm babies and impotency.

Gum disease is the nation’s leading cause of adult tooth loss. It is estimated that over 47% of adults over age 30 have some level of gum disease. For those over the age of 65, 64% are said to have moderate to severe gum disease. Symptoms include tender gums that bleed easily when brushing, persistent bad breath, gums that darken in color, gums that recede from teeth and expose darker tooth root sections and pus pockets on gums.

As a Periodontist, the majority of the problems I treat are one that were essentially preventable. With the proper home care and regular dental check-ups, you can save money by avoiding problems and costs for repairs. For those that do arise, early treatment helps to minimize expenses. This is why your regular dental cleanings and exams are so important.

Between visits, the goal is to keep oral bacteria levels to a minimum. While brushing twice daily is important, we urge patients to get into the habit of flossing. This is a significant benefit in the fight to keep oral bacteria buildup from damaging tooth enamel and gum tissues.

For those who floss daily, it only takes a minute. By removing particles caught between teeth, you can reduce oral bacteria growth tremendously. Find flossing awkward? Our hygienist can show you how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). However, for those who have dexterity problems, an electronic flosser can make the task easy yet still effective.

Another way to greatly reduce oral bacteria is to use a tongue scraper. This small tool uproots oral bacteria that are embedded in the tongue. Scrape back to front over the tongue 2 – 3 times and rinse after each pass. Brushing your tongue after brushing teeth is also helpful in removing bacteria from the tongue.

For many, a surprising cause for oral bacterial growth is ‘dry mouth.’ Saliva flow is designed to continually rinse oral bacteria out of the mouth. When saliva levels are low, oral bacteria accumulate and reproduce quickly. When your mouth is dry, you may notice that your breath odor is bad. This results from an overgrowth of oral bacteria.

Causes for a dry mouth are smoking, alcohol, caffeine and some medications as well as mouth breathing, including snoring. The aging process and health conditions such as anemia, hypertension, arthritis and diabetes also contribute to dry mouth.

To lessen the negative effects of dry mouth and enjoy fresher breath, drink water throughout the day. If you take medications that are drying to the mouth, ask your doctor if alternatives are available. For frequent dry mouth, purchase an over-the-counter mouth rinse that is designed to replenish oral moisture. Be sure the ingredients do not include alcohol, which is drying to the mouth even in this form.

Remember, your smile is more than teeth and gums. It is an important part of your overall health and well-worth the care you give it. In addition to avoiding costly dental problems, a healthy mouth will reward you with fresh breath and a confident smile. Plus, when you keep your natural teeth, you avoid a long list of expenses and associated problems for replacement teeth.

If you are missing teeth or have tender gums that bleed easily when brushing, call 828-274-9440 for an appointment.

For Replacing Teeth, Dental Implants Are Best Value

Posted on Apr 17, 2017 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I stay current on the advancements in implants dentistry because, for many reasons, it is the ideal replacement option for missing teeth. The various systems, modern techniques and advanced materials now offer exceptional choices for any individual who is missing natural teeth.

Along with the developments in implant dentistry, my advanced training in the diagnosis and placement of dental implants gives me expanded skills to provide optimal results. While our patients mainly see the results of an appealing, confident smile once their treatment is completed, it is the foundation of healthy gums that is the true benefit to dental implant recipients.

Think about the way nature created your smile with natural teeth held by their roots in the upper or lower jaws. The jaw bones are nurtured by the existence of tooth roots, which provide stimulation that keeps the bone healthy. Without their presence, the jaw bones experience a process known as resorption. Resorption causes bones to lose mass, declining in height and width.

Bone loss leads to a number of problems. Once resorption begins, remaining teeth adjacent to the area of bone loss are affected. A shrinking bone that abuts areas of resorption weakens tooth root stability. This creates a domino effect. When a natural tooth is lost, statistics show the next to go will most likely be an adjacent tooth.

As bone loss continues, your potential to lose more teeth increases. With each extraction, the continual process of bone loss leaves you with an ever-shrinking jaw and weaker foundation for remaining teeth. Bone resorption can be detected visually in people who have a collapsed mouth (referred to as a ‘granny look’) where the nose is unusually close to the chin.

Bone loss is also the reason that once well-fitted dentures and partials begin to slip and cause uncomfortable rubbing on gum tissues. When a denture is first made, it is designed to conform to the unique contours of your gum ridge (the gum-covered arch that once held your natural tooth roots). As the bone declines in mass, this secure fit loosens and moves while chewing or laughing. Denture pastes or adhesives can help, but eventually even relines (reshaping the previously-made contours) are of little help.

To many people who choose dental implants to replace teeth, however, it is the appeal of making a lifelong investment that is the determining factor when comparing costs of implants to other tooth replacement options. Since they are designed to last a lifetime, many see dental implants as a ‘one and done’ choice for treatment.

In cases where one or several teeth together are missing, crown-&-bridge combinations are an option. However, crowns and bridges can require repairs and/or replacements over time. And, they do nothing to halt bone loss. The other consideration is the need to crown natural teeth for the sole purpose of supporting a bridge. This compromises the integrity of otherwise natural teeth for the mere purpose of holding a bridge.

Since they are held in the jaw bone, dental implants do not rely on adjacent teeth for support providing the same, sturdy foundation as natural tooth roots. An added bonus is how the implanted portion recreates the presence of a tooth root, halting the process of resorption.

Our goal is to always provide the best outcome possible based on the long term goals you desire. Let’s begin with a private, no obligation consultation to discuss your specific goals or concerns. Call 828-274-9440 for an appointment.