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.

Long, Sensitive Teeth From Gum Recession

Posted on Aug 27, 2014 by William J. Claiborne, DDS MS

Gum recession occurs when gum tissues that frame the teeth wear or pull away. This exposes dark areas of the tooth’s root, which tend to be sensitive to hot, cold or brushing. Gum recession also causes “long” teeth, which detracts from one’s smile.

Receded gums are also a sign of gum disease. This occurs from the formation of “pockets” of pus or bacterial buildup between the teeth and gum line. If untreated, the tissues and bone that support the teeth can be damaged and eventually result in tooth loss.

In most cases, gum recession occurs gradually. The first sign of gum recession is usually tooth sensitivity or teeth that seem longer. Although gum disease is the leading cause of recession, there are other factors that can lead to gum recession as well, including:

Being too rigorous in tooth brushing: Brushing your teeth with too much pressure or “scrubbing” teeth with a hard bristle tooth brush can cause the enamel on teeth to wear away and the gums to recede.

Poor dental hygiene: When your brushing and flossing regimen is insufficient, bacterial accumulation results in plaque, which turns into calculus. Plaque (also known as tartar) is a cement-like substance that can only be removed from teeth by a professional.

Smoking: The chemicals in tobacco are drying to oral tissues. This increases your likelihood for the formation of plaque on teeth, which can lead to gum recession.

Grinding and clenching teeth: When you clench or grind your teeth at night, the force this places on teeth can cause the gums to recede.

Female hormonal fluctuations: When hormonal levels change, such as occurs in puberty, pregnancy and menopause, the gums can be more sensitive and more susceptible to gum recession.

Crooked teeth or bite misalignment: When teeth are not in proper alignment, there is added force placed on the gums and supporting bone. This often leads to gum recession.

Exposed areas of teeth can cause sensitivity as well as make you more susceptible to decay or gum disease. Repairing these areas can be performed in our office comfortably and quickly.

The best time to treat gum recession is as soon as it is noticed. Don’t wait until the gums have pulled away to the extent where more involved grafting is required. When caught early, your time and expense in treatment will be minimal. Call (828) 274-9440 for more information.

Medication Side Effects That May Surprise You

Posted on Aug 06, 2014 by William J. Claiborne, DDS MS

For new patients, we ask them to complete a medical/dental history form PLUS a list of all medications they are currently taking. Although this may seem ‘busy work,’ it is vital information for your care in our office.

Some medications contribute to dry mouth, a side effect of more than 400 medications. Without a sufficient flow of saliva, oral bacteria  can accumulate, which results in plaque. This makes you more susceptible to periodontal (gum) disease and tooth decay. If your physician cannot prescribe an alternative medication that is less drying to the mouth, drink 6-8 glasses of water daily. We can also recommend oral rinses to help replenish saliva.

However, many medications can contribute to oral problems, some of which may surprise you. In fact, adults taking antidepressants and high blood pressure medications were found to have elevated levels of plaque and signs of gingivitis. Many cough drops, medications in syrup form and antacids contain sugars that can leave a sticky residue on teeth, making them more susceptible to decay. Certain antibiotics and ibuprofen can cause lesions or ulcers in the mouth.

Gingival enlargement, a condition that causes the gums to swell and grow over teeth, can lead to severe periodontal infection. In particular, calcium channel blockers used to control high blood pressure can contribute to this gum tissue overgrowth.

Oral contraceptives and blood pressure medications have been linked to mouth sores and inflammation. Tetracycline, typically used for treating acne, can discolor teeth as well as supporting bone.

While you may assume that herbal supplements don’t apply, they can actually have serious side effects for some dental patients. For example, Ginkgo Biloba and Vitamin E can act as blood thinners. When combined with aspirin, the combination may cause difficulties in blood clotting. For patients undergoing surgical procedures, this can be a serious problem.

Taking high dosages of vitamins before undergoing anesthesia can also put you at risk. For instance, high doses of Vitamin C can weaken the efficiency of anesthesia. On the flip side, supplements such as Kava Kava or St. John’s Wort can accentuate anesthesia’s effectiveness.

It is important that we know all prescription and over-the-counter medications you take. This way, we can help you avoid issues that can be risky or leave you vulnerable to problems. Be sure to keep us informed of any new medications you are taking at each visit as well as those that have been eliminated from the list we have in your file.

While not all side effects create great risk, we want to ensure each visit provides you with an optimal outcome. Working together, we can achieve this! If you have questions about any medications, please call us at (828) 274-9440 or bring us a current medication list (including dosage) to your next visit.

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.