Protect Heart With A Healthy Smile


Posted on Feb 02, 2017 by William J. Claiborne, DDS MS

The human body is not only built to house bacteria, it is made to utilize some bacteria in a healthy way. For example, much of your gut bacteria help the digestive system operate more efficiently.

However, most of us know that a great number of bacteria strains can be harmful. This can happen when a cut becomes infected, the result of too much ‘bad’ bacteria. Although the body’s immune system responds to infection by sending white blood cells to conquer the ‘bad’ bacteria. At certain levels, however, rapidly growing bacteria can overwhelm white blood cells. This is when a doctor may prescribe an antibiotic to give your white blood cells added reinforcement.

Periodontal (gum) disease is an infection in the mouth. It begins when oral bacteria have accumulated beyond what the immune system can manage. As the infection spreads, gum disease destroys oral tissues and tooth-supporting structures, including bone, ligaments and tooth roots. Periodontal disease, not surprisingly, is the leading cause of adult tooth loss in the U.S.

As harmful as oral can be to the mouth, the problem can easily become more widespread, and more severe. Through tears in diseased gum tissues, this infectious bacteria can enter the bloodstream. As it travels throughout the body, research has found that it can trigger inflammatory reactions elsewhere. Studies have shown that the bacteria of gum disease is related to heart disease, stroke, high blood pressure, arthritis, diabetes, some cancers, preterm babies and even impotency. Research is also finding a correlation between gum disease bacteria and Alzheimer’s disease.

One of the first correlations between oral bacteria and other serious health problems was found in heart disease. One notation of this was published in Harvard Medical School’s newsletter, Harvard Health Publications:

“In people with periodontitis (erosion of tissue and bone that support the teeth), chewing and toothbrushing release bacteria into the bloodstream. Several species of bacteria that cause periodontitis have been found in the atherosclerotic plaque in arteries in the heart and elsewhere. This plaque can lead to heart attack.

“Oral bacteria could also harm blood vessels or cause blood clots by releasing toxins that resemble proteins found in artery walls or the bloodstream. The immune system’s response to these toxins could harm vessel walls or make blood clot more easily. It is also possible that inflammation in the mouth revs up inflammation throughout the body, including in the arteries, where it can lead to heart attack and stroke.”

Generations ago, maintaining a healthy mouth was not the priority it has become today. And, the priority has garnered favor that goes far beyond the appearance of a smile. Because we now know our oral health is so closely related to our overall health, the medical community is taking a stronger standing in encouraging their patients to achieve good oral health.

As a matter of fact, a growing number of surgeons are advising their adult patients to have a periodontal check-up to ensure bacteria levels in their mouths will not burden the immune system’s ability in efficient healing. Ob-Gyn’s are also encouraging pregnant women to ensure their gums are healthy – for the sake of both the mother and their unborn baby.

Research has also shown that, by improving the oral health in diabetic patients, their insulin levels improve. This is also true for men who have elevated PSI levels, even when they receive no treatment for prostrate problems.

It is important to know the symptoms of gum disease. These include gums that bleed easily when brushing, tender or swollen gums, gum tissue that recedes from teeth, frequent bad breath, gums that deepen in color from a healthy pink, and pus pockets that form near the base of some teeth.

Don’t delay care. Gum disease will only worsen without treatment. Begin by seeing a Periodontist, who specializes in treating all levels of gum disease. Then, be committed to your at-home oral hygiene regimen. Twice daily brushing and daily flossing is necessary to keep oral bacteria at a manageable level. Also, stay current with your twice-a-year dental exams and cleanings, which give you a periodic clean slate and can catch problems while still small.

For more information, call 828-274-9440 or schedule a consultation. Your smile – and your body – will thank you!

Understanding Terms Associated With Gum Disease


Posted on Jan 23, 2017 by William J. Claiborne, DDS MS

Occasionally, I catch myself using dental terminology during patient conversations. As a Periodontist, ‘perio-talk’ is second nature to me. Deep down, however, I know it isn’t always clear to my patients.

I believe that patients are better participants in their oral health when they understand specifics of their individual needs. When I say ‘perio’ instead of ‘gum tissue,’ the patient doesn’t always ask for a better explanation, even though they may not be sure of the term’s meaning. This leaves us both at a loss – the patient doesn’t fully grasp their needs and recommended solution and I have a patient who is unsure of the ‘why’ and ‘how.’

Although dental implant placement and gum recontouring are regular treatments we provide, periodontal (gum) disease is the most frequent problem we treat. Gum disease affects over 47% of American adults and is the nation’s leading cause of tooth loss. It has been linked to heart disease, high blood pressure, stroke, memory loss, arthritis, diabetes, preterm babies and impotency.

Because gum disease begins without obvious symptoms, people often ignore the warning signs. This tends to allow the disease to progress further. As a basic explanation of how gum disease forms, I’ve listed the progression below — with dental terminology omitted!

• Oral bacteria – Bacteria in our mouths is normal. However, an overload of bacteria is how the problem begins. When oral bacteria are not removed on a daily basis, they amass and form plaque.

• Plaque – This is a sticky film that coats teeth and covers the gums and tongue. It can be felt by running the tongue over teeth at the end of the day before you brush. Plaque forms quickly, from the time you brush in the morning to the time of your evening brushing. The presence of plaque signals that your mouth is harboring more bacteria than saliva flow can rinse away. When plaque is not removed on a daily basis, oral bacteria thrive, reproduce, and harden into calculus.

• Calculus – Also known as tartar, calculus is a cement-hard mass of bacteria that develops from plaque. This colony of bacteria attaches to tooth enamel and can only be removed with special instruments used by dental professionals. This is why your 6-month check-ups and cleanings are so important. By preventing the formation of calculus or having it scraped off on a regular basis, you can avoid damage to gums and enamel.

• Gingivitis – This is the first stage of gum disease. Here, oral bacteria reproduce at a rapid rate while attacking gum tissues and tooth enamel. Signs of gingivitis are gums that bleed easily when brushing, sore gums, and frequent bad breath. When tended to promptly, gingivitis can be halted and reversed. Treatment requires twice daily brushing (at least two minutes) with a soft to medium bristle tooth brush and flouride toothpaste. Daily flossing is also needed to remove food particles and bacteria between teeth. Tongue scraping is advised to remove oral bacteria embedded in the grooves of the tongue. An alternative to a tongue scraper is to brush the tongue with your tooth brush. Be sure to get to the back of the tongue where the greatest concentration of bacteria are embedded. Drink lots of water and swish daily with an oral rinse that kills bacteria. Limit sugar-laden foods and beverages as well as caffeine (which is drying to oral tissues).

• Periodontal (Gum) Disease – When gingivitis progresses, the next stage is periodontal disease. This is when oral bacteria are at a deeper level, eating gum tissues and tooth enamel while creating inflammation. Typical symptoms are red and swollen gums, Gum Diseasegums that recede and expose sensitive tooth root areas, and persistent bad breath.

• Periodontitis – This advanced stage of gum disease includes infectious bacteria that cause the gums to be red and tender all the time. In addition to the symptoms of previous stages of gum disease, pus pockets form at the base of some teeth. Some teeth will loosen as bacteria attack the structures that support tooth roots. Eventually, teeth will require removal. Even worse, this potent bacteria can enter the bloodstream through tears in diseased gum tissues. This has been found to trigger internal inflammation that has been found to contribute to the severe health problems mentioned prior (heart disease, arthritis, etc.).

I believe if the general population were more aware of the sequence that leads to full-blown gum disease, we’d have healthier adults, far less people who wear dentures or partials, and people who are enjoying confident smiles. If you are experiencing symptoms of gum disease, please remember that these will only worsen when treatment is delayed.

I hope I’ve provided a helpful explanation of how oral bacteria progresses and how it effects your oral and overall health. For an examination to assess the health of your gums along with recommended treatment options, call 828-274-9440 to arrange a consultation appointment. We will discuss your current situation and potential treatment options.

Study Links Pancreatic Cancer And Oral Health


Posted on Jan 02, 2017 by William J. Claiborne, DDS MS

Numerous studies have found links between oral bacteria and serious health problems that extend far beyond the mouth. The inflammation triggered by infectious oral bacteria have been linked to heart disease, arthritis, diabetes, stroke, high blood pressure, preterm babies and even impotency.

Now, findings from one study reveal periodontal (gum) disease bacteria as a potential contributor to pancreatic cancer. While this has been suspected from the results of previous studies, this long-term study focused primarily on how the risk exists.

The study analyzed DNA from saliva samples from over 360 adults who eventually developed pancreatic cancer. Researchers compared these samples to the DNA in saliva of a similar number of adults who remained healthy.

Adjustments were made in both groups for variations in age, race, sex and body mass as well as alcohol use, smoking and being diabetic. Subjects who developed pancreatic cancer within two years after the DNA samples were taken were omitted to eliminate pre-existing factors that could influence statistical outcomes.

With the findings from prior research, this study allowed researchers to zero in on two specific types of periodontal disease pathogens. Researchers noted that one pathogen was more prevalent in the saliva of participants who developed pancreatic cancer, who showed a fifty-nine percent greater risk of developing pancreatic cancer. The second pathogen was shown to increase this risk by fifty percent.

Because it is typically not diagnosed until at advanced stages, pancreatic cancer has a deadly track record. This year, over 50,000 people will be diagnosed with pancreatic cancer. Less than ten percent will survive more than five years.

For years, research showed that the infectious bacteria of periodontal disease could enter the bloodstream through tears in diseased gum tissues. It was found to be a trigger for inflammatory reactions elsewhere in the body. This has been linked to heart disease, stroke, high blood pressure, diabetes, arthritis, preterm babies, impotency and other cancers.

In early stages, periodontal disease begins with tender gums that bleed easily when brushing and frequent bad breath. As it progresses, the gums become tender and swollen, deepen in color from a healthy pink to red, and cause persistent bad breath. Eventually, teeth will loosen and may require removal. Because over sixty-five percent of American adults have some level of periodontal disease, it is the nation’s leading cause of adult tooth loss.

Hopefully, the general public will learn of extensive research results that show that periodontal disease bacteria is destructive and deadly. As findings from further studies continue to be revealed, it is important to be proactive when it comes to the symptoms of periodontal disease. Remember, gum disease will only worsen without treatment.

Call 828-274-9440 to arrange a consultation. I’ll be happy to answer your questions and recommend ways to help you achieve a healthy, confident smile.

Five Easy Steps To Save Time & Money At The Dentist


Posted on Oct 03, 2016 by William J. Claiborne, DDS MS

The reason we change the filters in our home’s air vents is to keep our HVAC system operating efficiently and to avoid expensive repairs.

The reason we have our car’s oil changed on a regular basis is to ensure proper operation and to avoid major problems.

The reason we clean and bandage a cut is to prevent an infection from occurring, which could require the involvement of a doctor and prescription medications.

So, doesn’t it make perfect sense to spend just minutes each day to prevent dental problems from occurring that can be costly and time-consuming to repair?

Your oral health goes far beyond a confident smile. Over the years, extensive research has linked the bacteria of periodontal (gum) disease to heart attacks, stroke, high blood pressure, arthritis, diabetes, preterm babies and impotency.

Symptoms of periodontal disease include seeing blood while brushing, frequent bad breath, tender gums, gums that pull away from teeth and gum tissue that darkens from a healthy pink to red.

Oral bacteria can cause major destruction to teeth and gums, including tooth roots beneath the gum line. Once gum disease begins, it will only worsen without treatment. However, avoiding cavities and gum disease is nothing complicated. Quite frankly, it’s easy with a commitment to a thorough at-home regimen and regular dental check-ups.

Steps to help you avoid dental expenses include:

1). Brush twice a day for a minimum of two minutes using a soft bristle tooth brush and tooth paste with fluoride. At the end of brushing, brush your tongue to dislodge oral bacteria that are embedded there.

2).  Flossing can have a tremendous effect on controlling oral bacteria. Our hygienist can help you with your technique or you may wish to purchase an electronic flosser.

3). Drink plenty of water during the day and minimize colas, tea, coffee and energy drinks. These beverages contain high levels of caffeine, which has a drying affect on oral tissues. Also drying is smoking, which contains a lengthy list of toxic chemicals that are readily absorbed by moist gum tissues.

4). When eating citrus or acidic foods (including tomatoes, orange juice, wine and foods with vinegar), remember that these highly-acidic foods will mix with a digestive acid that’s produced in the mouth. This double-whammy of acid can soften tooth enamel for 20 – 30 minutes. Because brushing your teeth right after consuming these foods can wear down tooth enamel, wait 30 minutes after eating to brush. Rather, swish with water or chew sugarless gum during this time.

5). Sugar and carbohydrates give a super-boost to the reproduction of oral bacteria. Try to limit these foods and sugar-laden drinks to protect your smile and your waistline!

In addition to a thorough at-home routine, be committed to your 6-month exams and cleanings. These visits rid your smile of build-up that has occurred since your last appointment and catches problems while they are easy to treat.

Keep your money in your pocket by avoiding cavity repair and treatment for gum disease. Your smile AND your wallet will thank you!

Call 828-274-9440 for an appointment if you are experiencing any of the symptoms mentioned above.

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