Dry Mouth = Oral Bacteria = Bad Breath

Posted on Jul 08, 2015 by William J. Claiborne, DDS MS

Occasionally, we all have breath that is unpleasant. After waking in the morning or drinking a cup of coffee,  our breath is stale.

When bad breath is persistent, it is likely a symptom of periodontal (gum) disease. If gum disease is the reason for your breath odor, you may also notice gum tenderness, seeing blood in the sink when brushing or gums that darken in color. Otherwise, the problem is likely related to dry mouth.

Your mouth is stale and sticky when you wake up because your oral tissues are dry, allowing bacteria to accumulate. As they multiply, bacteria form plaque, which is a smelly film you can feel on teeth.

Naturally, poor oral hygiene allows oral bacteria to accumulate in the mouth. Without regular brushing, bacteria reproduce – rapidly. Remember – bacteria are living creatures that have taken up residence in your mouth. All the while, they are eating, reproducing and emitting waste. Could there be a more motivating image to brush?!!!

Periodic dry mouth can be caused by alcoholic beverages or coffee. Although sugary drinks don’t necessarily dry oral tissues, they are an ideal food for bacteria reproduction.

Also drying are some medications, which can decrease saliva flow that works to move bacteria from the mouth. Many antihistamines and some medications for depression and urinary incontinence, among others, can cause dry mouth.

Medical conditions, such as acid reflux, sinus infections, diabetes and bronchitis can also contribute to dry mouth. A bad cold or just being in the habit of breathing through the mouth are drying as well.

And the worst reason of all for dry mouth? Smoking.

Once the reason for your breath odor has been determined, simple measures can often freshen it up!
 – Brush at least twice daily. Use a tongue scraper or brush your tongue with your toothbrush after brushing teeth.
 – Floss daily. If you find this action difficult, buy an electronic or water flosser.
 – Drink plenty of water! If you take medications that have a drying side effect, use an oral rinse that acts as saliva. There are many available over-the-counter.

Nothing assures you of fresh breath like a clean, healthy mouth. If you have symptoms of gum disease or feel you have persistent bad breath, call (828) 274-9440 to arrange an examination.

Tips For A Smile-Friendly Summer!

Posted on Jun 29, 2015 by William J. Claiborne, DDS MS

Ahhhh…. summertime! We all look forward to an opportunity to spend time outdoors with friends and family. These outings are often surrounded by food. Here are some helpful tips to keep your mouth healthy.

Being ‘swim suit ready’ has some trying juice diets. Juices are high in sugar and an ideal food for oral bacteria. Sugar also creates an acid attack in your mouth, which can lead to cavities.

Around the grill, take note of the sauce that’s coating your chicken and ribs. That gooey, barbeque sauce is probably heavy on the sugar. Consider having your helping sans the sauce!

Some foods are high in acid, primarily tomatoes and citrus. Since these foods are ‘in season’ in the summer, we tend to consume them more often. In addition to acid’s challenges to enamel, keep in mind that citrus also contains sugar.

Having chips or pretzels and a cooler of drinks are often part of an outing to the pool or lake. Sugary drinks, including colas and sport beverages are most likely full of sugar and also sipped over a long period of time. An acid attack in your mouth will begin with the first drink and last for the duration it’s consumed. Add to that 20 or so more minutes for the acid attack to subside when you’re finished.

The next time you eat chips or other starchy snack, notice how it becomes sticky in your mouth. Bacteria go nuts on these foods because they convert into sugar, their favorite food. This sticky substance can become trapped between teeth, allowing bacteria to indulge even longer.

As you enjoy the warm weather and its fun outdoors, remember the well being of your smile. Here are some tips to help you:

– Drink lots of water! It’s good for you and helps in the production of saliva, which cleanses the mouth.

– Swish with water after drinking or eating.

– An acid attack occurs every time you eat or drink so limit between meal treats. If you want a cola, for example, have it with a meal since an acid attack will already be underway.

– Snack wisely and read the labels on sauces, dressings, etc. Sugar in high content appears in some surprising ways.

– Brush twice daily, however, don’t brush immediately after eating. Wait 30 minutes for the acid attack in your mouth to subside to keep abrasion off enamel.

You CAN prevent the need for dental repairs with simple steps. Also, be sure to maintain your dental exams every six months.

Dental Fear?

Posted on Jun 25, 2015 by William J. Claiborne, DDS MS

It’s not surprising that the percentage of American adults with some level of dental fear (estimated at 75%) nearly parallels the percentage of adults ages 65+ who have some level of gum disease (70%), the nation’s leading cause of adult tooth loss.

The high number of adults who have dental fear is also likely related to the prevalence of tooth loss in mature adults.  Those born before 1949 have the highest percentage of lost teeth and being totally toothless (25%). Could this be because the 65+ age group endured dentistry in a time when patient comfort was very different than what is expected today?

Most of today’s 35 and under adults have experienced dental care by modern dentists who are more attuned to a patient’s need for comfort. However, for adults in the 65+ age group, a greater number can recall traumatic experiences in the dental chair. These often carry over into adulthood, making a trip to the dentist overshadowed by the perception of pain.

Dental fear deters people from having regular dental check-ups. Lack of regular dental care leads to the formation of cavities, gum disease, tooth loss and health risks from oral bacteria, which can trigger systemic inflammation. The bacteria of periodontal (gum) disease can enter the bloodstream through tears in diseased gum tissues. The bacteria moves through the body, creating inflammatory reactions have been linked to heart disease, diabetes, stroke, arthritis, preterm babies and impotency.

For a large percentage of aging adults, dental fear plays a key role in the frequency of dental visits. If fear has kept you from regular dental visits, regardless of your age, you will find the majority of today’s dental environments are highly sensitive to your comfort throughout each visit. Although sedation options are an appealing way for fearful patients, we believe that finding a dentist or dental specialist whom you trust will help you conquer your fears and achieve the smile you desire.

Most patients who have avoided dental care have some level of gum disease. Until your gums are healthy, no dental procedure is going to provide long-term benefits. Begin with a periodontal exam by a specialist in Periodontics. Once your mouth is restored to a healthy state, we can make recommendations to help you with other needs for a confident smile.

Decades of dental fear isn’t going to disappear in a blink of an eye. Getting over it requires a pace you feel is right for you. If preferred, begin with a consultation appointment. Knowing you are empowered to control this pace may help you move through it comfortably.

Call (828) 274-9440 to discuss your needs or to arrange an appointment.

Connection Between Arthritis & Periodontal Disease

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

Rheumatoid arthritis (RA) is an inflammatory disease of the joints, affecting more than 1.3 million American adults. RA can lead to longterm joint damage, persistent pain and compromised function. Because RA can affect manual dexterity, oral hygiene routines at home can be difficult. Insufficient oral hygiene is the leading cause of periodontal disease, which, in turn, is the number one cause of adult tooth loss.

Research has indicated that RA sufferers have a higher incidence of periodontal (gum) disease compared to individuals with a healthy oral condition. Studies have also shown that RA patients are nearly 8 times more likely to have gum disease. However, researchers suspect that poor oral hygiene is not the only factor in an increased occurrence of gum disease in Arthritis sufferers. Study results have shown that while oral hygiene is a determining factor in acquiring gum disease, other parameters point to a deeper association between RA and gum disease.

Because both RA and gum disease create internal inflammation, a connection between the two makes sense. Inflammation is already suspected to be a correlating factor between periodontal disease and other conditions such as heart disease and diabetes. Even though research hasn’t proven a definitive gum disease-arthritis connection, findings increasingly show that periodontal disease doesn’t always occur as a result of RA, it may very well precede it.

The link between RA and gum disease are most prevalent when examining the joints and oral tissues. Oral tissues with the presence of periodontitis compared to tissues of RA-affected joints show a number of similarities. Research has also discovered a genetic link between the two.

Does oral bacteria trigger the development of arthritis? Does oral inflammation cause inflammation in the joints? While there is no definitive proof that one triggers the other, one study does show that treating periodontal disease can help in the prevention of RA. In a study of 40 people, with participants having both RA and gum disease, researchers found that those who who were given non-surgical gum disease treatment showed significantly more improvement in RA symptoms than those who were treated for RA only.

Of course, more research is needed to determine whether treating periodontal disease improves or even helps to prevent RA. In the meantime, people with RA should pay particular attention to oral health. If you have RA, caring for your teeth, both at home and through regular dental checkups, is important. If you have trouble caring for your teeth due to painful joints in the hands, ask your dentist or hygienist to recommend ways to overcome any challenges. Water flossers, electronic tooth brushes and oral rinses may make the task easier.

Although patients with RA are encouraged to maintain a diligent oral home-care regimen, it is highly recommended that any signs of gum disease be immediately treated by a periodontal specialist. These symptoms include gums that bleed when brushing, tender spots or pus pockets on gums, persistent bad breath, gum recession and gums that darken in color. It is also important that the oral care of RA patients is in coordination with their medical professionals.

Do you have Rheumatoid Arthritis? Begin by ensuring your oral health is at its best. A periodontist specializes in the care and treatment of oral tissues and is your expert in overcoming any level of periodontal disease. Call (828) 274-9440 to arrange a consultation.