Are YOU One Who Is More Likely To Have Gum Disease?

Posted on Dec 10, 2020 by William J. Claiborne, DDS MS

As a periodontist, I have a pretty unique view of the inside of a mouth.

In my specialty, we are particularly focused on the condition of the gum tissues in the mouth, or “periodontal” tissues. We are specially trained to treat all stages of gum disease and in the diagnosis and placement of dental implants.

A periodontal specialist is also trained in performing esthetic procedures that involve gum tissues, such as crown lengthening and correcting a “gummy smile”.

To clarify, a periodontist is a dentist who extends his or her education and skills further (typically 3 years past completing dental school) to specialize in the prevention, diagnosis, and treatment of periodontal disease and other gum conditions.

1). THE NATURAL AGING PROCESS

Although we treat patients of all ages, there are certain segments of the population we see more often. For instance, a large segment of our patients are age 50 and older. In addition to having more susceptibility to have gum disease, many in this age group have lost teeth.

In a recent report by the Centers for Disease Control & Prevention (CDC) on data related to prevalence of periodontitis in the U.S.: over 47% of adults ages 30 years and older have some form of periodontal disease. For adults 65 years and older, that number rises to over 70%.

This is because the aging process causes the body begins to succumb to wear and tear. The skin sags, bones weaken, joints ache, hearing dulls, and eyesight wanes. This means that more precautions and measures are needed to keep the teeth and gum tissues in good shape.

In addition to healthy gums, it’s important to keep your natural teeth as you age. Natural teeth to support neighboring teeth and provide stimulation to the jaw bone is unsurpassed.

Having the ability to comfortably and efficiently bite and chew is vital to having a healthy body. When dentures or partials compromise the ability to eat a diet of healthy foods – and chew food properly – gastrointestinal problems are common.

Although dental implants are excellent replacements for missing teeth, there is nothing as perfect as your “permanent” teeth.

There are a number of reasons why seniors face more oral challenges, including:

• A dry mouth: The tissues inside the mouth need to be kept moist. Saliva is designed to do this. However, with age, the flow of saliva becomes less plentiful. Just as the skin and hair get drier with age, the mouth undergoes this as well. When saliva flow is less efficient at rinsing bacteria from the oral cavity, bacteria grow at a more rapid rate. This allows bacteria accumulation to occur more frequently than twice-a-day brushing can control.
• Reduced ability to maintain at-home oral hygiene: Aging causes the fingers to be less nimble and stiffens joints. This is a particular challenge when it comes to brushing and flossing. Angling a toothbrush to reach all areas in the mouth and proper flossing maneuvers require manual dexterity that are more difficult due to the natural aging process.
• Medication side effects: The average American adult in the 65-79 age group has over 27 prescriptions filled each year. (https://www.statista.com/statistics/315476/prescriptions-in-us-per-capita-by-age-group/). Although you may need these medications, keep in mind that some can be detrimental to your oral health. This is why it’s important to provide a complete list of all medications you take (including vitamins and herbal supplements) at every dental appointment so your dentist can adjust care to your specific needs.
• Hormonal changes: Due to declining estrogen levels, post menopausal females have a higher risk for gum disease and subsequent tooth loss. This causes an increased risk of bone loss or osteoporosis as well as inflamed gum tissues around the teeth (called periodontitis). When there is a decline in jaw bone mass, it can result in tooth loss.

Bacteria overgrowth in the mouth is the cause of gum disease. Periodontal disease is the nation’s leading cause of adult tooth loss. Its bacteria can also enter the bloodstream, causing inflammatory reactions far beyond the mouth.

Advanced gum disease bacteria has been linked to a number of serious health problems. These include heart disease, stroke, high blood pressure, diabetes, arthritis, memory loss, some cancers, impotency and Alzheimer’s disease.

Obviously, maintaining healthy gums and keeping your natural teeth is important. If you’ve experienced tooth loss, we can replace them with dental implants. These are the closest thing to the natural teeth you had and will restore stability and dependable biting and chewing.

At any age, the goal is to keep bacteria levels in the mouth to the lowest level possible. When oral bacteria are allowed to accumulate, it can lead to Gingivitis. This is an early stage of gum disease. As it progresses, periodontal disease continually worsens. Eventually, it becomes periodontitis, which is an advanced level of gum disease.

Although gum disease can exist without obvious signs or symptoms, the most commonly noticed are:

• Red, swollen or tender gums


• Seeing blood in the sink when brushing 


• Receded gums
• Loose or separating teeth


• Pus pockets on gum tissues


• Sores in the mouth


• Persistent bad breath

2). ADULTS WITH DENTAL FEAR

Another large segment of our patients are those who have avoided dental care for years, often due to having dental fear.

One study, published by StudyFinds.org, shares recent findings of 2,000 adults in the U.S. regarding dental visits. Results show a whopping 62% of those surveyed stating they were too afraid to even visit a dentist’s office. (https://www.studyfinds.org/adults-too-scared-visit-dentist-teeth/)

If dental fears or anxiety have kept you from regular dental checkups for a year or more, it would be rare to NOT have some level of gum disease. Quite frankly, some people with high fear levels avoid seeing a dentist for decades. Those visits are vital in one’s ability to have healthy gums.

While twice daily brushing and daily flossing are necessary components for having good oral health, the routine alone isn’t enough to combat a number of additional factors that make one vulnerable to the disease.

For example, a study by Delta Dental revealed, only 7 out of 10 adults are brushing twice a day. This means that 30% aren’t brushing enough. (https://www.ada.org/en/publications/ada-news/2014-archive/october/survey-finds-shortcomings-in-oral-health-habits)

3). PREGNANCY

We also see a number of moms-to-be. For decades, the Surgeon General has warned that pregnant females who had gum disease had a far greater risk of a pre-term, low birth weight baby. Research has shown that gum disease increases the risk for pre-term delivery (prior to 37 weeks) and low birth weight babies (less than 5.5 lbs.).

“Studies have found that expectant mothers with periodontal disease are up to seven times more likely to deliver premature, low birth weight babies.” (https://www.adha.org/resources-docs/7228_Oral_Health_Total.pdf)  One study showed the preterm birth rate for pregnant women with moderate to severe periodontal disease to be nearly 29%.

Estimates are that over half of pregnant women have some form of gingivitis (gum inflammation, an early stage of gum disease) or periodontitis (infectious, advanced gum disease). Nearly a third of pregnant females will acquire gum disease because of their higher vulnerability to inflammation.

When these indications exist, it is important to seek periodontal treatment as soon as possible. Gum disease only worsens without treatment, requiring more time and expense to rid this serious, even deadly, inflammatory disease.

4). ALL ADULTS

Regardless of age or health status, oral wellness has always been important to overall health. Without good gum health, there is a greater drain on the body’s immune system. This is now even more important than ever, due to COVID and the flu season upon us.

Remember, even a twice-daily brusher and daily flosser does not mean you will avoid gum disease. Avoiding regular dental check-ups is a sure recipe for needing treatment down the road that may have easily been prevented.

In our Asheville periodontal dental office, patients can begin with a consult in our private consultation room that’s removed from the clinical side of the practice. We are always happy to discuss oral health options with new patients. A referral is not needed.

Call 828-274-9440 to schedule.

Understanding Dental Implants & Their Benefits

Posted on Nov 03, 2020 by William J. Claiborne, DDS MS

When you lose a natural tooth, even one that isn’t visible when you smile, its absence causes a reaction that takes place below the gum line. Many people are unaware of what occurs – at first. When it becomes obvious, it leads to problems that are not only bothersome, they are detrimental to your overall health.

The absence of a tooth root in the upper or lower jaw bone is a loss of stimulation the bone mass where it was once positioned. These roots provide stimulation and nourishment that enables the bone to maintain a healthy mass. Without the presence of tooth roots, the bone begins to “melt away.” The term for this process is known as resorption.

Resorption begins shortly after the tooth root is removed. Once it begins, it continues at an ever-increasing pace. For example, the first year after a tooth root is missing, the loss of bone may be minimal. With each passing year, the rate of loss accelerates.

As the bone shrinks in height, the natural tooth roots adjacent to the area of missing teeth are vulnerable to movement and root damage. On average, the teeth most likely to be lost are the ones next to areas of tooth loss.

For the support of remaining natural teeth, it’s important to replace missing teeth as soon as possible so adjacent teeth can retain their proper positions. It is even more important to replace missing teeth before bone loss begins. And, it’s HOW you replace them that’s most important.

Because dental implants replace the tooth above the gum line AND the root portion below it, the bone is able to retain its mass. Dental implants are designed to restore the look, feel and chewing stability like that of natural teeth.

As the advantages of dental implants become more familiar for natural tooth replacement, there are still some misconceptions among the general population. The following will hopefully clear up some of the confusion.

First, Dental Implants are a term that describes 3 components. The “implanted” portion is placed in your jaw bone where a tooth root was once held. The “implant” is not what holds the tooth. It serves to anchor an attached tooth (or bridge of two or more teeth).

Made from titanium, this metal bonds to living bone successfully. As a matter of fact, dental implants have one of the highest success rates of any implant-in-bone procedures.

The implanted portion becomes anchored in the jaw bone through a process known as ‘osseo-integration.’ Once the implant has been secured by the bone, a post is inserted into the center of the implant. This post is known as an abutment.

The replacement tooth (or teeth) is usually made of porcelain. This is the portion that you see and looks just like a natural tooth. This is known as a restoration or crown. It is attached securely to this post.

Porcelain is commonly used to create the restorations because they provide the most durable material possible and have the look and feel of a natural tooth. Porcelain has a luminosity of natural teeth and even reflects light as a natural tooth would. Porcelain is also very resistant to staining.

When missing more than one tooth in one area, an implant is not always necessary to replace each one. As mentioned prior, one implant can often hold two or a bridge of teeth. Several strategically-placed implants may also be used support a full arch of teeth.

When people can chew properly and eat a healthy diet, their overall health is better. And, without the fear of embarrassing slips or clicks (often associated with denture wear), being socially active can continue to be a positive part of a happy life.

Dental implants restore the ability to eat with stability, chew comfortably, laugh and speak with confidence. Dental implants do not decay and will never need root canals. And, with proper care, they’ll last your lifetime.

There are many types of implants, each designed to accommodate specific needs. Many dental implants are chosen and placed by a Periodontist. This is a dental specialist who has extensive and specialized training in the diagnosis and placement of all types of dental implants. He or she can select the one that will work best for you.

Proper placement and support in caring for implants is an important part of a successful outcome. Dental Implants CAN fail. This is why a periodontal specialist can be an asset to your investment.

If infection sets in and reaches the implanted portion, the implant may need to be removed so treatment can resolve the problem. Your periodontist can assess gum health prior to placement and monitor your healing process to help minimize this risk.

There are other threats to dental implant success. Clenching or grinding teeth can also contribute to implant failure. Smoking complicates and delays the healing process and is also a known contributor to implant failure. Again, a periodontist can oversee your care to optimize your ability to enjoy a lifetime of confident smiles.

Call 828-274-9440 to arrange a consultation. During this time, we can discuss treatment that can achieve your needs and goals as well as the process and anticipated costs. If dental fear is a concern, I’ll also explain sedation options. We offer both oral sedation and IV sedation, if a “twilight sleep” state is preferred. Here, you’ll find your comfort is always a priority.

Contour Of Gums Affect Smile’s Appearance & Tooth Health

Posted on Oct 21, 2020 by William J. Claiborne, DDS MS

A periodontal specialist is your dental ‘expert’ in diagnosing and treating all stages of periodontal (gum) disease and in the selection and placement of dental implants.

Bringing an advanced level of expertise to these areas, that often need complex treatment, provides patients with a higher potential for outcomes with ideal comfort in minimal treatment time.

A particular skill that a periodontist also has is in the reshaping of the gums that surround teeth. There are several reasons that gum re-contouring is advantageous, including enhancing the appearance of a smile and even saving a tooth from removal.

The gum tissues are designed to provide a tight seal around the base of teeth where to block out bacterial entry to the sensitive tooth root area. When oral bacteria is able to penetrate beneath the gum line, these bacteria can cause inflammation to tender gums and attack the structures that support natural teeth. Obviously, it’s important to ensure the gums are healthy so the grip they have around teeth is snug.

In addition to the effect of bacteria that can loosen gum tissue, gums can pull away from the base of teeth due to the aging process. As we get older, our tissues are less supple and drier. Too, when people use a hard-bristle tooth brush or are over-zealous in brushing (using a ‘scrubbing’ motion), it can wear away precious gum tissues. Although this action is often done in an effort to do a “really good job” when brushing teeth, it is actually detrimental in the long run. (Use a circular motion on the front and back of teeth and a swirling motion along the tops.)

A procedure known as a gingivectomy can reposition or graft gum tissues over the area of recession to restore a healthy seal and protect the tooth structures below the surface.

Another advantage a periodontist can provide can help to save a natural tooth. When a tooth breaks near the gum line, a crown lengthening procedure may be advised. In this, a periodontist may be able to expose enough of the tooth structure for the placement of a crown.

In addition to protecting and saving teeth, gum contouring is also performed to create a more beautiful smile. This, too, is through a gingivectomy. It is ideal when there are different heights of gum tissues framing the teeth most visible in a smile. This tends to create a jumbled looking smile, when when the teeth are straight.

To illustrate this, imagine walking into a room that has 4 windows. While the windows are of a similar size, the balance of the room’s appearance would be ‘off’ it each window had a different curtain height. Let’s say one window had a large valance above it that rose to the ceiling, another had a small ruffle at the top of the window, another had no panel at all, and the other had a 6-inch flat panel.

Having a similar arch of gums over each tooth is an important part of a smile’s appearance. It creates a balance that complements teeth.

A gingivectomy is also performed for people who wish to correct a “gummy smile.” This is when too much gum tissue is visible above all upper teeth in a full smile. A periodontist can use his or her specialized skills to reshape the tissues to provide a more balanced smile line. In our office, we utilize a dental laser. This provides a precision line of contouring gum tissues and seals as it goes. This means that there is minimal bleeding and healing time is reduced.

This procedure is typically combined with the placement of crowns to protect the exposed sections of the teeth. The results are a natural look, a healthy smile, and a smile that is shared often!

Another procedure that greatly enhances the look of a smile is crown lengthening. This is recommended when the gum tissues that arch one or several teeth is at a different level than surrounding teeth. With this uneven alignment of gum tissue, it can create a jumbled look in spite of having attractive, healthy teeth.

In our Asheville periodontal dental office, we use highly advanced technology and techniques, along with specialized skills that provide our patients with optimal comfort, reduced treatment time, and exceptional outcomes for every periodontal need.

For patients who feel these procedures may out of reach financially, payment plan are available that allow for easy, monthly payments while enjoying the benefits of a healthy, beautiful smile.

In many ways, a periodontist can enhance the health and appearance of your smile. If you would like to discuss your smile during a consultation appointment, call 828-274-9440 or tap here to begin.

 

Amazing Dentistry In Our Asheville Periodontal Dental Office

Posted on Oct 06, 2020 by William J. Claiborne, DDS MS

A periodontist, for most individuals, isn’t a doctor that is a regular part of their dental care. We are often a “behind the scenes” specialist, working with general dentists and perhaps other dental specialists.

Like a cardiologist or a urologist, however, you’ll hopefully never need us. If you do, you may be surprised at our Asheville periodontal dental office’s advanced and multi-faceted features.

To define our role, a periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants.

Periodontists receive extensive training, including three additional years of education beyond dental school. They are able to treat more problematic periodontal cases, such as people with severe gum disease or those having a complex medical history.

In addition, a periodontal specialist is trained in performing cosmetic procedures that involve gum tissues, such as correcting a “gummy smile”.

It is a busy specialty. It is estimated that over 47 percent of American adults have some level of periodontal disease (also known as “gum disease”). Because this disease can begin without obvious warning signs, many are unaware of its presence.

Gum disease begins with gingivitis, with some symptoms that may be easily ignored. However, when symptoms involve discomfort, the disease can be approaching more advanced levels.

This is why it is important to be familiar with the signs and symptoms, which include:

• Red, swollen or tender gums or other pain in your mouth
• Bleeding while brushing, flossing, or when eating certain foods
• Gums that are receding (pulling away from the teeth) or make the appear teeth longer than normal
• Loose or separating teeth
• Pus between your gums and teeth
• Sores in your mouth
• Persistent bad breath
• A change in the way your teeth fit together when you bite
• A change in the fit of partial dentures

If you notice any of these symptoms, be sure to contact your dentist or periodontist without delay. Gum disease will only worsen without treatment. It is the nation’s leading cause of adult tooth loss.

For specialized needs, we offer an advanced care environment where patients are comfortable and experience a restoration of their smiles with the support of advanced technology. These features include:

• LANAP Protocol Using PerioLase MVP-7 – Efficiently and effectively treats periodontitis (advanced gum disease) with laser technology. It causes very little discomfort and has a quick recovery time. This has also been found to stimulate bone regrowth in damaged areas.

• Dental Radiology With 3-D Cone Beam Technology – This imaging is ideal for diagnosis and treatment planning. The imaging covers the entire dentition area with clear views of the mandible and maxilla (upper and lower jaw).

• CareStream Cone Beam Computer Tomography Imaging – This computerized tomography provides imaging in exceptional detail and range.

• CS 3600 intraoral scanner – Patients no longer have to endure having impressions made with bulky, glopy trays held in their mouths! This quickly and comfortably scans the mouth’s interior for digital impressions using a small, handheld scanner. It can also reach difficult–to–access areas in the patient’s mouth with improved patient comfort.

• Simplant Dental Software for Computerized Dental Implant Placement – This system helps in pre-surgical positioning of dental implants on the computer, using a 3D model of the patient’s jaw. This aids in the selection of the implant type that ensures a precision fit.

• Intraoral Camera Technology – This provides outstanding quality of images within the mouth. These images are sent to screen for a clear, crisp view so we can confer with patients on specific treatment issues.

• Computer Imaging In Treatment Suites – Treatment suites are equipped with computers for convenient image sharing with patients.

• Advanced Sterilization – Our custom sterilization unit adheres to (or exceeds) CDC guidelines for instrument processing protocols, particularly in the cleaning of instruments.

• Fully-Equipped Surgical Suites – Relax during treatment while surrounded by beautiful mountain views of Asheville.

Periodontal (gum) disease is the result of an accumulation of oral bacteria and the leading cause of adult tooth loss. Have you avoided seeing a dentist for years? You are not alone. An estimated 70 percent of adults admit to having some level of anxiety or fear associated with dental care.

Our office is structured to attend to your specific needs, gently and respectfully. We offer a private consultation room to discuss treatment in a comfortable setting versus communicating with patients while they are seated in a treatment chair.

For patients who desire a “sleep” state, we offer oral sedation as well as I.V. sedation (twilight sleep). Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward.

I.V. sedation places the patient in a deeper sedative state (twilight sleep), also erasing memory of the procedure. It is administered by a doctor of anesthesiology for optimal comfort and safety.

With both, patients are monitored with advanced safety equipment throughout treatment.
Patients also find our entire staff to be a unified team, each bringing a sincere level of compassion and commitment to excellent care.

For people in need of gum recontouring, a periodontist is THE expert in the shaping of oral gum tissues. Here, Dr. Jennifer Boyland and I have advanced training to create gum tissue contours with a natural appearance. We are also able to ensure healthy seals around teeth to protect the structures beneath the gums from bacteria penetration.

Our specialty is ideal for those who have a “gummy smile.” This is when too much gum tissue shows above upper teeth most visible in a full smile. While this trait does not interfere with the ability to have and maintain a healthy smile, for many, it causes them to ‘hold back’ rather than smile fully. Some people cover their smiles with a hand or try to smile with lips only.

Gum re-contouring is also done in crown lengthening procedures. This evens out the amount of gum tissues that arch teeth for a beautiful, balanced smile line.

Having healthy gums is so important. As research continually shows, gum health is intricately connected to overall health. Oral bacteria of periodontal disease has been linked as a trigger for serious diseases, including heart disease, some cancers, stroke, memory loss, diabetes, and arthritis.

If you are experiencing any of the symptoms associated with periodontal disease, a referral is not required. Call 828-274-9440 and we will be happy to assist you.