It’s not unusual to see a new patient who has not had dental care for years — sometimes ten years or more. I occasionally have these patients share that one of the reasons they’ve avoided care is dreading the lecture they’ll get. While this is often an unfounded perception, a ‘lecture’ by a Dentist or his/her staff tends to be a turn-off, particularly to those who have avoided care because of fear.

Trying to guilt an adult into dental care often has the opposite effect. Lectures and making patients feel ‘bad’ about their failure to maintain a healthy mouth typically causes one to feel belittled. This is unfortunate since it is difficult enough to motivate fearful adults into a dental office in the first place.

If you haven’t seen a dentist in years, you should know that the percentage of American adults who have dental fear is about the same as those with some level of gum disease. The first stage, gingivitis, is typically resolved with conservative periodontal therapy. Gingivitis is not only due to insufficient oral hygiene. It can also be caused by stress, smoking, age, genetics, hormonal changes, pregnancy, conditions such as diabetes, certain medications, and some diseases.

As dental caregivers, it is not our job to judge, but rather restore patients to optimal oral health. We know each person deserves to be respected since the step to receive much-needed dentistry can be a major one for many. This is especially true for adults who have high fear or anxiety associated with dental visits. The most important thing is to regain good oral health. The sooner this occurs, the bigger the savings in time and expense versus treatment necessary for advanced problems.

Ready for respect, TLC, and a terrific smile? Call (828) 274-9440 to arrange a consultation.

If your New Year’s Resolution to get in shape has you dragging about now, don’t give up! Your oral health could benefit, too! A study has shown that over 63% of American adults are either overweight or obese.

Researchers at Case Western Reserve University School of Dental Medicine found that the risk of gum disease lowers when fat cells decrease. The study measured obese adults, some of whom were having bariatric surgery. All were given periodontal treatment and oral hygiene home care instructions. While both groups showed improvement, the surgery group showed the most favorable results.

Apparently, an overabundance of fat cells secrete more cytokines. This makes insulin more resistant to proper function, allowing more sugar in the blood. By reducing fat cells, insulin becomes less resistant and actually aids the body’s response to periodontal treatment.

Along with cytokines, the leptin hormone has been linked to inflammation. Because leptin helps to regulate metabolism, its production was reduced after bariatric surgery. This tends to boost the effectiveness of periodontal treatment.

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

The study, too, is another example of how intricately oral health and overall health are connected. Keeping your gums and teeth in good condition prevent harmful bacteria from causing inflammation in the body. By the same token, a healthy body seems to create a better foundation for the gums. So, stick to your resolve to get in shape and remember to smile on that treadmill! It’s worth it!