Afraid Of Going To The Dentist? Fear Has Big Price Tag.

Posted on Aug 15, 2017 by William J. Claiborne, DDS MS

In my periodontal specialty, I see a large number of patients who have developed gum disease or have lost teeth because they were too afraid to go to a dentist. Some people have even avoided dental care for decades. Yet, like a leaky roof on a house, ignoring the problem only leads to bigger, more complicated issues to deal with eventually that can’t be avoided.

Dental fear is a major problem in the U.S. and is a contributing factor to developing periodontal disease. Because gum disease begins without obvious warning signs, it is often allowed to develop further. This can create more complex problems and the need for treatment that is more involved and costly than if caught early on.

Gum disease, at some level, affects over 47% of American adults. However, most Americans are unfamiliar with the typical warning signs. These include tender gums that bleed easily when brushing, bad breath and swollen gums. As the disease progresses, gums become redder from inflammation and may recede from teeth, exposing tooth roots segments that are sensitive to hot and cold.

While it is estimated that over 70% of adults have some level of dental fear, from anxiety to dental phobia (an uncontrollable reaction that causes some adults to shake, sweat or even cry when faced with a dental visit), there is no typical persona when it comes to who has dental fear and who does not. There is no common age, gender or educational level, nor is there a typical income level.

What is ‘normal,’ so to speak, is the fact that most dental fear exists because of a traumatic experience in a dental chair in the past. This may have been as a child when a dentist was too rough or forceful. It may have been as an adult when the patient was not yet numb, yet the dentist continued to work on a tooth.

Dental fear, once embedded in the brain, often triggers perceived pain in the future. What exacerbates it is how it leaves a patient feeling vulnerable. When reclined in a treatment chair and unable to see what is taking place in a sensitive area such as the mouth, there is a sense of not being in control. For those who have experienced pain thrust upon them in the past that continued beyond their pleas, this sensation of helplessness is not something that is easily overcome.

In our office, we frequently see patients because they are beyond what can be treated by a general dentist. A Periodontist specializes in all levels of gum disease. This means that we have the best potential to help you save your natural teeth, even when at advanced levels.

While red, inflamed gums may not sound highly serious, they are. Research has shown that the oral bacteria of periodontal disease can enter the bloodstream and create inflammatory reactions. This is known as systemic inflammation. This inflammation has been linked to serious health problems including pre-term babies, heart disease, stroke, diabetes, arthritis, high blood pressure, some cancers, impotency and even Alzheimer’s disease.

Apparently, healthy gums are important to having good, overall health. Your periodontal wellness is important and dental fear can be addressed so you can achieve a healthy, confident smile without feeling white-knuckled in the dental chair! We offer oral sedation, which is in pill form, for relaxation. We also offer I.V. sedation that creates a “twilight sleep” state.

Both sedation options are safe. Trained staff monitor sedated patients throughout treatment using special safety equipment. Both tend to erase most, if not all, memory of treatment afterward and recovery for both is fairly quick. Within hours for oral sedation and without 24 hours for I.V. sedation.

However, as a dental specialist AND a caring, compassionate caregiver, I have seen patients relax the most when they realize our goal is to make sure they are always comfortable. We never want a patient to feel helpless or vulnerable in our dental chair. Once a new patient explains their concerns about comfort and we discuss options to keep them relaxed and comfortable, we will determine – together – the best sedation and pace of treatment that fits.

Consider beginning with a consultation appointment so we can get to know one another. We can arrange to meet in our private consultation room that is removed from the clinical side of the practice. Here, we’ll sit in comfy arm chairs and have a conversation about your specific needs.

Call 828-274-9440 and let’s get your smile in great shape! After all, having a smile that looks as good as it feels is a reason, in itself, to smile!

Dementia Adds To Periodontal Disease Risk For Aging Population

Posted on Aug 08, 2017 by William J. Claiborne, DDS MS

Our population is getting older, and not just that of the U.S.  Globally, nations are looking at an aging population and how to address the diminished physical and cognitive abilities facing them.

In Stockholm, Sweden, for example, researchers from the Karolinska Institute examined the data of over 58,000 persons between 2007 and 2015, including dental health data. Common problems associated with aging include xerostomia (dry mouth), root and tooth decay, and periodontal disease along with increased sensitivity to local anesthetics.

Researchers found that a reduction in the utilization of dental health services was more predominant in patients with neuro-degenerative diseases such as dementia and Alzheimer’s, a particular form of dementia. Those who experienced diminished cognitive function were at higher risk of developing several oral conditions, including periodontal disease. (http://www.dental-tribune.com/articles/news/europe/35704_frequency_of_dental_visits_dramatically_decreases_after_dementia_diagnosis.html)

Although forgetting twice-daily brushing and flossing and having regular dental visits may seem less urgent than tending to other health care issues, research is continually linking serious, and even deadly, diseases and conditions to the oral bacteria of periodontal disease. These include heart attack, stroke, diabetes, arthritis, high blood pressure, preterm babies, impotency, some cancers, and erectile dysfunction (ED).

The massive Swedish study is a reminder that older adults may need added assistance when it comes to making their oral health a priority. This applies to at-home oral care routines and having periodic dental check-ups. For those in the U.S., the need is now and only becoming more dire with each passing year.

According to the U.S. Census (https://www.census.gov/newsroom/facts-for-features/2017/cb17-ff08.html), “By 2060, people age 65 and older will comprise nearly one in four U.S. residents. Of this number, 19.7 million will be age 85 or older.”

And, the Centers For Disease Control & Prevention adds that life expectancy is nearing the age 100 mark with both sexes at 65 years having an average of another 19.3 years to live. While men at 65 years are looking at another 18 years (on average), age 65 women have an average of an additional 20.5 years.

These figures are especially alarming since studies show a dramatic decrease in the number of dental visits before and after a dementia diagnosis. The first step, obviously, is better organization to detect these patients and ensure they attend to their dental health.

If you have an aging loved one in your care who may be showing signs of dementia, consider ways to help them keep their oral health in good condition. This applies to those who have their natural teeth as well as those who wear dentures or partials. Many people assume that not having natural teeth eliminates the risk of developing gum disease. To the contrary, dentures and partials can rub sore spots on tender gum tissues, making them more vulnerable to bacterial penetration.

Begin by having a periodontist conduct a thorough periodontal examination to determine if there is the presence of periodontal disease. If not, he or she can help establish an effective at-home program to follow and schedule more-frequent dental check-ups.

Through research, we’re learning that maintaining good overall health starts with a healthy smile. Staying healthy throughout our lifetimes is a goal we can all strive for and an easy, loving way to help our aging population.

Call 828-274-9440.

To Floss Or Not? Should It Really Be A Debate?

Posted on Aug 01, 2017 by William J. Claiborne, DDS MS

If you could see what I see.

Most of us see very little of the insides of our mouths. As a matter of fact, until the arrival of intra-oral cameras, it was sometimes challenging to convince patients that they needed treatment for certain things that didn’t hurt.

Intra-oral cameras are designed to give patients, while seated in the treatment chair, clear, enlarged views of specific areas in the mouth. When an individual can see red, receded gums or deep tooth fractures, the decision to treat often changes from IF to WHEN.

As a periodontal specialist, I treat all levels of periodontal disease. Over the years, I’ve helped patients go from nearly losing their natural teeth to saving them and having a healthy, confident smile. It’s impressive when a person goes from taking their oral health for granted to being highly committed.

Yet, I still find myself trying to convince some people that daily flossing is an advantage. It DOES make a difference! According to the Delta Dental Oral Health and Well-Being Survey (http://www.ada.org/en/publications/ada-news/2014-archive/october/survey-finds-shortcomings-in-oral-health-habits):

“Only four of 10 Americans floss at least once a day, and 20 percent never floss.”

Perhaps this is one reason why over 47% of American adults have some level of gum disease, which is also the leading cause of tooth loss. While brushing twice daily helps to remove oral bacteria buildup (a sticky film known as plaque) from tooth surfaces, bits of food caught between teeth aren’t easily dislodged by the bristles of a tooth brush.

Over recent years, a few studies have shown minimal benefit from flossing. Yet, upon closer scrutiny, flaws in the studies were quickly argued. For example, one study followed children who were allowed to floss their own teeth.

It has been noted that the flossing technique can be what makes the action less effective, rather than the act of flossing itself. For example, the American Dental Association recommends curving the floss along the sides of each tooth and firmly, but carefully, motioning it up and down. This moves the floss gently down to reach slightly below where the tooth connects with the gum tissues, getting at the ‘hiding’ spot for much oral bacteria accumulation.

Like the intra-oral camera, having a firsthand, enlarged view of what’s going on in a mouth is a powerful image. If you looked at a stand of floss under a microscope AFTER flossing your teeth, you’d have a pretty frightening impression of exactly what you DO NOT want crawling around and breeding in your mouth.

Oral bacteria are micro-organisms. In other words, they’re bugs living and reproducing in the mouth. Saliva flow is designed to help rinse these out during the day. However, brushing thoroughly twice a day is what keeps them to manageable levels.

Flossing grabs those bits that are left behind. If not removed, these left-behind pieces begin to rot and add to bacteria levels in the mouth. Oral bacteria gets its strength in numbers. The more there are, the more rapidly they multiply.

Keeping oral bacteria levels under control takes a commitment, yet requires just minutes a day. The reason your mouth feels ‘fuzzy’ and you feel your breath is bad when it’s dry is because saliva has been depleted and oral bacteria is running rampant. Add sugary foods and beverages and acidic colas and you super-charge oral bacteria further.

As research shows on a continual basis, your overall health is intricately linked to your oral health. The bacteria of gum disease has shown correlations to a number of serious health problems, including everything from heart disease to preterm babies. Obviously, the small amount of time taken to floss daily – and to do it correctly – is worth the advantages of lowering the risk of developing cavities, gum disease and other diseases and conditions.

We are happy to help our patients develop an at-home care regimen that helps them to enjoy a healthy mouth and fresh breath between regular dental check-ups. Call 828-274-9440 to schedule a thorough examination.

 

 

Wear Dentures? How They Work Against You.

Posted on Jul 25, 2017 by William J. Claiborne, DDS MS

Contrary to what some adults believe, tooth loss is not a normal part of the aging process. As a matter of fact, your natural teeth are not only designed to last your lifetime, their presence is an advantage to your overall health.

Yet, due to decay, accidents or gum disease, a large percentage of adults are missing natural teeth. As a matter of fact, the National Institute of Dental & Craniofacial Research states that adults over the age of 65 have an average of less than 19 teeth natural remaining and over 27% of this age group have no remaining natural teeth. (https://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/ToothLoss/ToothLossSeniors65andOlder.htm)

For the millions of seniors who are missing teeth, wearing a denture or partial is a common method of tooth replacement. Yet, replacing the presence of teeth is one thing. Restoring one’s ability to eat comfortably and confidently and laugh without worry is another.

A common complaint of long-time denture wearers is the unstable fit. Although a new denture is made to fit securely, over time it will begin to move while eating. This is due to bone loss.

Bone loss causes the fit of the denture to change due to an ever-shrinking jaw bone. This is the result of no longer having natural tooth roots in the jaw bone. Without tooth roots to stimulate the bone, it slowly shrinks, or resorbs.

Dentures may replace the presence of teeth but are hardly a substitute. Although they may seem better than being without teeth, dentures actually contribute to a number of problems. The pressure of wearing dentures speeds up the rate of bone loss and, for those who sleep in their dentures, the 24/7 pace of resorption is nearly double.

Denture wearers can actually see the extent of bone resorption by looking in the mirror without their denture in place. Long-time denture wearers typically see deep wrinkles around the mouth with the corners of their mouth turning downward, even in a smile. Jowls form as facial muscles release from the shrinking jaw. Eventually, the mouth appears to collapse into the face with the chin becoming more pointed (referred to as the ‘granny look’).

Dentures can also make it difficult to eat a healthy diet. Biting and chewing with an ill-fitting denture causes uncomfortable rubbing. Having nuts or seeds become trapped between the gums and denture can painfully pierce tender gum tissues.

To avoid uncomfortable rubbing from ‘wobbly’ dentures, people often move to a diet of soft foods that dissolve easily in the mouth. Unfortunately, these foods tend to be lacking in the protein and fiber needed for good health. It is a fact that denture wearers have more gastrointestinal problems and take more medications than people who still have their natural teeth.

And, dentures can affect more than just what we eat. At every age, being socially active is important for our overall well-being. Because food is often the centerpiece of many social activities, unstable dentures can leave people uneasy about accepting invitations due to fear of embarrassing slips or clicks.

To minimize ‘slippery dentures,’ relines can help on a temporary basis. However, as bone loss continues, denture movement will return. Fortunately, today’s dentistry offers an exceptional alternative that overcomes all the challenges of living with dentures – Dental Implants.

Dental Implants halt bone loss by recreating the presence of natural tooth roots. Additionally, they are supported by the jaw bone, just as the natural teeth you once had. This gives you back stable, secure biting and chewing ability and eliminates the fear of embarrassment while speaking, eating or laughing.

No adhesive or reline will ever make a denture a practical alternative for missing teeth. For today’s active adult, Dental Implants are the best way to restore chewing and laughing confidence. And even though the cost is higher, there are no further expenses for repairs, replacement, relines, etc. Too, Dental Implants are designed to last your lifetime!

Today’s implant dentistry offers many options. Learn those that are best for your needs and budget during a consultation. Call (828) 274-9440 to schedule.