Causes Of Pain When Consuming Hot Or Cold

Posted on Nov 17, 2014 by William J. Claiborne, DDS MS

Do you get painful jolts when you drink hot or cold beverages or eat ice-cream? This commonly stems from sensitivity caused by gum recession.

When the gums pull away from teeth, they leave portions of tooth roots exposed. Unlike the enamel-coated tooth that extends above the gums, the root portion below relies on gum tissue to protect the dentin.

Dentin is a porous layer around the neck of the tooth. It consists of tiny tubules that surround the root’s nerve center. If the dentin is exposed, the nerve center responds with pain signals. This typically happens when the bristles of a tooth brush or hot or cold foods and beverages reach exposed areas.

As a periodontal specialist, what I most often see are gums that have pulled away from teeth due to periodontal (gum) disease. Gum disease is a common cause of gum recession as well as the nation’s leading cause of adult tooth loss.

Smoking, certain illnesses or poor oral hygiene can be factors in gum disease. When bacteria in the mouth are not removed on a daily basis, plaque forms around the teeth. Plaque is toxic and causes irritation to the gums, which can develop into gingivitis. As the gums become more inflamed, gingivitis progresses to periodontitis (gum disease).

As the bacteria of gum disease destroy healthy gum tissues, the gums lose their attachment to the teeth. This becomes apparent when teeth appear to be long and reveal darker portions near the gum line. Even worse than having the appearance of your smile compromised, gum recession allows for easy entry of bacteria to penetrate bones and tissues that support teeth. This leads to a more severe level of gum disease.

Another cause of gum recession can be from rigorous tooth brushing or using an overly-abrasive substance such as baking soda. When tender gum tissues are literally scoured away day after day, you’ll eventually erode tooth enamel and the gum tissue protecting sensitive areas.

Gum recession can also occur from trauma that results from teeth clenching or bruxing (tooth grinding). This most often happens during sleep, leaving many people unaware that this is occurring. This action can break down gum tissues and eventually lead to recession. In addition to receded gums, clenching or grinding can cause teeth to become worn or chip.

If gum recession is minor, we recommend switching to a soft bristle tooth brush and lighten up on your stroke. Rather than a back-&-forth ‘scrubbing’ motion, swipe from the base of each tooth to its end. Then, clean the tops of teeth with a circular motion. Use a sensitivity toothpaste that contains potassium nitrate to block the nerve endings.

In more severe cases of gum recession, surgery may be recommended. Gum tissue regeneration and gum grafting can protect tooth roots and restore the appearance of your smile. Gum grafting is a common periodontal procedure and performed with a high level of comfort and an excellent outcome.

The best way to remedy gum recession is sooner than later. Begin with a periodontal examination so you can hopefully avoid extensive treatment or expense. Call (828) 274-9440 for an appointment.

Avoid Dental Disasters By Being Proactive

Posted on Sep 24, 2014 by William J. Claiborne, DDS MS

When I place Dental Implants to replace a single tooth, it is often because the tooth fractured below the gum line. When a tooth breaks or cracks beneath the realm of a protective crown, the tooth must be removed and replaced.

When hairline fractures appear, a dentist will typically recommend a crown to protect the tooth, avoiding a potential break. The reason many people decline or delay having a tooth crowned is due to dental insurance constraints. It is unfortunate when patients postpone dental repairs because of their insurance coverage.

Once a tooth is removed, the patient must decide how to replace it. Because insurance companies prefer to cover the least expensive methods of replacement, the patient must decide if their ‘approved’ option is what serves their long-term, best interest.

Keep in mind that these insurance companies are for-profit firms. Dental insurance is meant to HELP with expenses for basic procedures (cleanings, etc.) or repairs (a yearly allowance for crowns or fillings, for example). Dental insurance is not, and never will be, total coverage that ensures your long-term dental wellness.

Having a healthy, confident and appealing smile is a positive part of your overall health. Be proactive so you can avoid costly and time consuming repairs regardless of what dental insurance companies allow. If you do not have a regular general dentist, call our office at (828) 274-9440 for a recommendation. If you do, let your dentist guide you to lasting oral wellness.

Gum Contouring For A Fabulous Smile!

Posted on Jul 16, 2014 by William J. Claiborne, DDS MS

Gum contouring, or gum reshaping, is a procedure in periodontal dentistry that evens out the gum line that borders teeth. This is most commonly performed in order to create a more attractive smile.

Gum contouring is typically performed with a scalpel to trim away excessive gum tissue overlying the teeth. The procedure takes very little time while patients enjoy an optimal comfort level. The procedure is also used to remedy a ‘gummy smile’.

A gummy smile is when there is a high percentage of gum covering a person’s front teeth and is commonly a genetic trait. However, it can also be due to certain health conditions or as a side-effect to some medications. Because too much gum tissue detracts from the appearance of one’s smile, this condition can affect a person’s self-esteem, self-confidence and cause them to ‘hold back’ a smile or cover a laugh with their hand.

We start by administering a local numbing medication. Once you are fully numb, the excess gum tissue is trimmed away and remaining gums are reshaped for a natural arch over each tooth. This provides a smile line that blends naturally and attractively with neighboring teeth. Healing is typically a quick process and any discomfort can be easily controlled with over-the-counter medications.

In some instances, a portion of bone that supports teeth must also be removed so an ideal result can be achieved. Although this sounds like an involved procedure, it is actually not one we consider major. Recovery time is minimal.

Gum contouring can greatly improve the appearance of your smile and boost self-confidence. You’ll likely find you smile more often and project a more upbeat personality to others.

If you are interested in gum contouring, call (828) 274-9440 to arrange a consultation. I’ll be happy to provide more details and answer your questions.

Gum Tissue Is Framework For Terrific Smiles !

Posted on May 19, 2014 by William J. Claiborne, DDS MS

Your smile is a significant part of your facial appearance. A wide, attractive smile shows confidence and projects an upbeat personality. When people are unhappy with their smile’s appearance, they often smile less or cover their mouths when smiling or laughing. This indicates a feeling of insecurity or shyness that is often not the true nature of the individual.

While today’s porcelain veneers and crowns give an exceptionally natural appearance, the gum line bordering your teeth also plays a significant role. Showing too much gum tissue above teeth when smiling is referred to as a ‘gummy smile.’ This can be seen on Katie Couric when she smiles fully. Too, when gums have receded and reveal dark areas, it not only detracts from the appearance of your smile, tooth roots are more vulnerable to bacteria.

Several options are available to restore the gum line to an even and flattering line. This applies to crown lengthening procedures as well. When crowns are placed, a smile may be greatly improved when the gum line is contoured to blend attractively with gum tissue bordering neighboring teeth.

In smile enhancements, don’t just consider your teeth. Your gums are the icing on the cake! Begin with a consultation so we can discuss your options. Call (828) 297-9440.