Helping Patients Understand What They Can’t See

Posted on Sep 09, 2015 by William J. Claiborne, DDS MS

For many of us, we not only want to know how to do something, but why it’s beneficial to do it a certain way. For instance, if I understand that using a higher octane gas in a new car will give more efficient mileage than a cheaper grade, I’ll likely pay a little more at the pump to get a better value in the long run.

In dentistry, it’s also helpful to understand why a particular treatment is needed in addition to what is needed. Occasionally, we have patients who are referred to us for care but are unaware of the advantages of the care they’ve been sent to have.

We find that, once patients are familiar with the ‘why,’ they tend to feel better about the treatment that is recommended for their particular needs. This applies especially to people who have periodontal disease. Because periodontal (gum) disease can have mild symptoms in initial stages, some people do not comprehend the amount of damage that is actually occurring in their mouths.

Here’s an example… a patient is referred to us with severe periodontal disease. He is experiencing symptoms that include persistent bad breath, sore gums, gums that bleed easily and swollen pockets around the base of some teeth. We begin by explaining how oral bacteria is literally eating away at their gum tissue and supporting tooth structures. It’s not unusual for people to be surprised when we explain that some teeth have become so loose that removal is required.

The biggest surprise for many with periodontal disease is when we explain that oral bacteria can enter the bloodstream through tears in diseased gum tissue. Once bloodborne, the bacteria can trigger inflammatory reactions elsewhere in the body. Research has linked the bacteria of gum disease with heart disease, stroke, diabetes, arthritis, impotency and other serious health problems.

It is not only important that patients are aware of what is happening in their mouths, but what will happen if the problem persists. Gum disease, like any chronic disease in the body, does not just go away. It does not repair itself. To the contrary, gum disease runs rampant and is the nation’s leading cause of adult tooth loss.

When natural teeth are lost, an entirely new set of problems begin. Without natural tooth roots in the jaw bone, the bone begins to shrink. This decline in bone mass weakens the ability to bite and chew. For denture wearers, it decreases the foundation a denture is contoured to fit. This results in continual changes that lead to slips and uncomfortable rubbing.

Conquering periodontal disease early saves time and treatment expense. It can also save your teeth! And, by ridding your mouth of gum disease bacteria, you decrease your risks for developing other serious health problems, some that can have deadly consequences.

Keeping you ‘in the know’ gives you the ability to make decisions that are best for your individual goals. We will always strive to help you understand ‘why’ so you are a more-involved participant in your oral health.

Tackle Gum Disease Quickly To Save Time & Money

Posted on Aug 24, 2015 by William J. Claiborne, DDS MS

Let’s say you noticed a spot on the door to your home that looked like termite damage. Because the results can be costly, you’d react quickly to have the problem resolved before the damaged progressed further. Right?

Then wouldn’t the same reaction be warranted when signs of gum disease appear?

As a Periodontist, I specialize in the care of oral gum tissues and the placement of dental implants. The majority of patients I see have periodontal (gum) disease that requires specialized treatment. Without this, tooth loss occurs as well as a higher risk for heart disease, stroke, arthritis, diabetes, preterm babies and impotency.

Often, the patients I treat were aware that something about their oral health wasn’t right. Perhaps they began having tender gums and noticed blood in the sink when brushing. Perhaps their gums receded, exposing sensitive, darker tooth root areas. Perhaps their breath was frequently bad, even shortly after brushing.

Sadly, the general population is more aware of the damage termites can cause than the destruction and heighten health risks associated with gum disease. However, the bottom line is this: When it comes to your smile, early care is the best way to save time and money required for more complex treatment later.

One of the reasons your dentist arranges your check-ups and exams is to remove built-up plaque (a hardened form of oral bacteria) and note areas that are at risk. Those who delay or avoid these visits thinking “if it doesn’t hurt, then nothing is wrong” not only delay costs, they are actually adding to overall expenses that will eventually be required once something does hurt.

Think of your mouth as the front door of your home and oral bacteria as termites. (Except oral bacteria are far worse! Termites eat wood. Oral bacteria eat YOU!) Gum disease can be easily avoided with regular check-ups and a thorough oral hygiene routine at home (totaling about 5 mins. a day). Think of this commitment to your smile as money you keep!

If you suspect you may have any stage of gum disease, call our office at (828) 274-9440. Time is not on your side.

Signs Of Gum Disease

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

When something is wrong with our vehicles, we typically see a warning light. These may indicate low oil, a door not shut tight or even a tail light outage. Seeing these lights gives us reason to react promptly since ignoring the problem could have serious, and even deadly, outcomes.

Your mouth also sends off warning signs when something is wrong. For example, an ache coming from a tooth may indicate a cavity or crack. A sore spot in the mouth could be caused by a canker sore or warning sign of oral cancer.

Warning signs of periodontal (gum) disease can occur and should not be taken lightly. Gum disease begins with sore spots on gum tissues. You may notice some blood in the sink when brushing teeth. Your mouth may feel ‘icky,’ having a sticky feeling. You may sense you have bad breath more frequently, even shortly after brushing.

Unfortunately, these signs are often ignored, allowing gum disease to progress further, which it will. Signs of its advancement includes gum tissues that pull away from teeth, typically exposing tender, darker root sections of teeth. Your gums will bleed easily and swollen spots may appear near the base of teeth. The gum tissue will likely darken from a healthy pink color to a deeper red.

Gum disease is the nation’s leading cause of adult tooth loss. Additionally, it has been associated with a number of serious health risks. The oral bacteria of gum disease has been linked to heart disease, high blood pressure, memory loss, arthritis, diabetes, preterm babies and impotency.

Gum disease will not improve without treatment and will eventually lead to tooth loss. Don’t delay care when you experience the very first warning sign. Early treatment will save you in time and expense – and may save your teeth! Once your mouth is restored to a healthy state, we’ll help you maintain it by recommending home care steps combined with periodic check-ups.

Call 828-274-9440 if you have any symptoms of gum disease. Time is of the essence.

Does Age Have Anything To Do With Dental Fear Levels?

Posted on Aug 11, 2015 by William J. Claiborne, DDS MS

If you think that 65+ adults have more dental fear than younger adults, a recent study dispels that assumption. Based on careful analysis of 1,400 participants, no age group has any more or less than another.

The origin of dental fear today often stems from traumatic experiences of the past. Couple this with the fact that a number of older adults experienced dental care during a time that was less focused on comfort than today. Thus, the assumption has been that they have higher fear levels.

However, to determine if the age of an individual is actually a factor in dental fear, 1,400 adults of all ages were categorized by age, sex, education and frequency of dental visits. Each completed a questionnaire that was specifically designed to measure dental anxiety and fear levels.

The findings, published by the National Institutes of Health, were based on comparisons of five age groups. While female participants showed higher fear levels (approx. 10%) than males (8%), there was insignificant difference between any of the five age groups. Only study participants who did not complete high school and those who had avoided dental care showed higher fear levels.

Also reviewed in the study were factors that triggered fear, most often occurring in the form of increased heart rates. The most common element that created anxiety or fear was perceived pain from seeing the needle. To adults with deeply-embedded dental fear, perceived pain is just as uncomfortable as real pain.

Often due to fear issues, many patients come to us because their lack of dental care has resulted in the need for periodontal treatment. And, as a Periodontist, I also place dental implants in a number who lose teeth due to advanced periodontal disease.

Our goal is to provide an environment that is sensitive to the comfort of ALL patients. We offer relaxation medications and a staff who are specially trained to attend to the unique needs of fearful patients. Once patients realize our commitment to their comfort, long overdue dental treatment can often begin without fear.

If anxiety or fear has prevented you from a healthy smile, consider beginning with a consultation. In this, we’ll sit in a private room that’s removed from the clinical side of the practice. Begin by speaking with our friendly phone staff so we can personally discuss the many features available to optimize your comfort at all times. Call (828) 274-9440 to arrange an appointment that is convenient for you.