Why Your Jaw Bone Is Shrinking


Posted on Feb 04, 2015 by William J. Claiborne, DDS MS

Natural teeth are held into your jawbones by their tooth roots, which are embedded in the bone. Throughout the day, actions such as biting and chewing create physical stimulation to the jaw by each root. The tooth roots stimulate the bone so it maintains a healthy mass.

Once natural teeth are removed, the lower and upper jaw bone structures begin to shrink (or ‘resorb’) due to the lack of stimulation. While conditions such as osteoporosis, gum disease and oral cancer can attack healthy bone structure, the leading cause of bone loss (‘resorption’) is missing tooth roots.

Although dentures and partial dentures provide low cost replacement of teeth, they actually accelerate this rate of bone loss. These rest on top of gum tissue, placing pressure on the jaw bone ridge whiling providing no direct stimulation to the bone.

Custom bridges, a popular treatment for replacing missing teeth, are no help, either. The bone underlying the span of missing teeth will experience resorption since no bone stimulation is provided.

There are many repercussions to bone resorption. Facial changes can be seen at early stages by removing dentures or partials and looking in the mirror. Once bone loss is underway, you’ll notice your mouth seems to collapse into the face, the chin becomes more pointed, and deep wrinkles form around the mouth. Eventually, jowls form from the detachment of facial muscles from the jaws.

This photo shows a healthy bone mass compared to a resorbed jaw bone from tooth loss.

Profiles of healthy jaw bone and resorbed bone.

Profiles of healthy jaw bone and resorbed bone.

Other signs of bone loss are: Periodic changes in the way your denture fits; Sore spots on gum tissues; Food becoming trapped between the gums and denture; and, Difficulty chewing even with the help of denture adhesives and pastes.

Because they are secured by the jaw bone, Dental Implants recreate the stimulation of the natural tooth roots you once had. This halts the rate of bone loss and preserves bone mass.  For those who have already experienced severe bone loss, bone rebuilding procedures can be performed to restore adequate bone structure.

Let’s discuss a confident, secure and dependable smile during a consultation appointment. Call (828) 274-9440 to schedule.

Tooth Replacement Is Important To Image & Health


Posted on Feb 02, 2015 by William J. Claiborne, DDS MS

When it comes to teeth, some American adults assume that missing one, two or a few won’t upset the apple cart. But it does.  Even though your missing teeth may not be visible in a smile, the gap disrupts the natural balance necessary for proper bite alignment.

For example, if you are missing two lower teeth in the back, the upper teeth that once ‘met’ these teeth begin to grow longer. The lower tooth next to the area of missing teeth begins to tilt out of position due to bone resorption. This ‘shrinkage’ of jaw bone occurs when natural tooth roots are no longer present in the bone to provide stimulation. Without them, the bone declines in mass and height.

In addition to chips and tooth fractures, improper bite alignment contributes to jaw joint disorders, which can lead to sore jaw joints, headaches, clenching or migraines. However, when missing teeth leave a gap in your smile, the social perception of others can have a negative impact as well.

Although it is assumed that there are minimum social consequences for individuals missing visible teeth, a study shared by the National Institutes of Health (published in their U.S. National Library of Medicine) shows differently. The study measured 200 college students’ “Social perceptions of individuals missing upper front teeth.” In the study, volunteer students with a medium age of 21 years rated five photographs, each depicting tooth presence or absence. The photos ranged from those clearly having all their teeth to those missing as many as four upper teeth. The students rated the photos on attractiveness, health, education, satisfaction with life, active social life, aggressiveness, intelligence, trustworthiness, friendship, potential of dating, and how likely they would be to live as a neighbor.

The findings suggested a person missing visible teeth was more negatively perceived on all social traits than a person with a full smile. Results were strongest when students were proposed to be linked to the individual who was clearly missing teeth in a personal way, such as their likelihood of dating or living as neighbor. Both men and women agreed on perceptions of social traits, seeing missing teeth as creating significant barriers to personal and social success.

If you are missing natural teeth, whether they are visible when you smile or not, replacement is recommended for the well-being of other teeth as well as how you are perceived in the world in which we live. We advise Dental Implants for tooth replacement for their ability to recreate the presence of tooth roots in the jaw bone, halting bone loss. They are also the closest thing to natural teeth when it comes to biting strength and stability, chewing comfort and self-confidence.

Begin with a consultation to discuss treatment options. For example, if you are missing 2 to 3 teeth in one area, one implant may be all that’s necessary to support a bridge of teeth. Call (828) 297-9440 to schedule a convenient time.

Perscription Drugs That Contribute To Tooth Loss


Posted on Jan 30, 2015 by William J. Claiborne, DDS MS

If you take antihistamines, aspirin, asthma medications and syrups, you may be taking one that makes you more vulnerable to tooth loss. It is estimated that about 40% of Americans take at least one type of medicine that can cause damage to their teeth.

These medications include prescription drugs and over-the-counter preparations and can contribute to gum tissue problems such as inflammation, bleeding or ulcers. Additionally, diseased gum tissue can lead to other dental problems, including tooth loss.

Some medications with damaging side effects to teeth include:
• Antihistamines – can cause dry mouth, and an increased risk of gum problems.
• Antihypertensives – can lead to an increased risk of gum problems.
• Aspirin – chewing aspirin can directly damage the tooth enamel, as aspirin is acidic. Always take aspirin strictly as directed.
• Asthma medications – some asthma drugs are highly acidic and can dissolve tooth enamel if used regularly over a long period of time.
• Chemotherapy drugs – can cause a dry mouth and lead to an increased risk of gum problems.
• Immunosuppressive drugs – can lead to an increased risk of gum problems.
• Oral contraceptives – can lead to an increased risk of gum problems.
• Syrups – medicated syrups that contain sugar can increase the risk of tooth decay if teeth are not brushed after these syrups are taken.

To check the level of tooth loss on a long list of prescription medications, use the link below. This shows drugs such as Stelara with only 1 case of tooth loss but Prednisone having 436 cases and Zometa a whopping 1,571.

http://www.ehealthme.com/symptom/tooth+loss

At each appointment, it is important that you keep us updated on medications you take. We want to help you avoid tooth loss. Knowing your medical and dental history and list of medications (including herbal supplements) can help us be more proactive on your behalf.

Does Dental Fear Lead To Gum Disease?


Posted on Jan 28, 2015 by William J. Claiborne, DDS MS

I’ve always found it interesting that the percentage of American adults who have some level of dental fear (estimated at 75%) nearly parallels the percentage of adults ages 65+ who have some level of gum disease (70%).

It is the 65+  age group who endured dentistry in a different atmosphere than in most modern dental offices today. While today’s generation has a wide choice of dentists with reputations for gentle care who are attuned to the unique needs of fearful patients, many in the 65+ age group can recall less-than-pleasant experiences. Those born before 1949 also have the highest percentage of lost teeth and being totally edentulous (without any teeth).

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 inflammatory reactions have been linked to heart disease, diabetes, stroke, arthritis, preterm babies, and even impotency.

Dental fear is a major factor in the frequency of dental visits among a large percentage of aging adults. If fear has kept you from regular dental visits, regardless of your age, you will find today’s dental environments are highly sensitive to your comfort throughout each visit. Sedation options are available in most offices, however, finding a dentist you trust will have the best impact on your ability to release past fears and achieve the smile you desire.

If you are behind on regular dental exams and cleanings, call our office for a full periodontal exam. Chances are you have some level of gum disease. Once your mouth is restored to a healthy state, we can make recommendations to help you fulfill other needs for a confident smile! Call (828) 274-9440 for an appointment.

 

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