Sources of Bad Breath

Posted on Oct 15, 2013 by William J. Claiborne, DDS MS

We’ve all run into people who have “morning breath,” (the result of not brushing after the mouth has been closed all night while bacteria accumulates, developing a sticky film known as plaque). “Coffee breath” is another odor that can be offensive, which is the result of coffee’s drying tendency to oral tissues. Without sufficient saliva flow to give the mouth a natural cleansing, bacteria build and mix with the coffee scent to create a strong, unpleasant scent.

Dry mouth may also be a result of smoking or drinking alcohol. Other culprits are some medications, a problem with the salivary glands, or continual breathing through the mouth. Some diseases and illnesses can contribute to bad breath as well, including pneumonia, bronchitis, sinus infections, diabetes, acid reflux, and liver or kidney problems.

Morning breath, coffee breath and odors from eating foods like onions and garlic are temporary. Once you brush and rinse thoroughly, you can expect your breath to become more pleasant. Persistent bad breath, however, may be the a side effect of medication, an illness, or periodontal (gum) disease.

As a periodontal specialist, I’m very much aware of the distinct odor produced by gum disease. Although it varies slightly from person to person, it has a different scent than that of typical bad breath. The best way to determine gum disease as the true source is through a periodontal exam.

In addition to persistent bad breath, periodontal disease symptoms include gum tenderness, gums that bleed when brushing, and gums that are red in color rather than a healthy pink.

It’s not unusual for adults to avoid much-needed dental care because of dental fears. Many adults carry with them traumatic dental experiences from the past all of their lives. Although new techniques and technology now create more comfortable procedures, a relationship of trust between the patient and his or her dentist is needed.

Oral sedation is one option that can help fearful patients have the dental treatment they need. This places the patient in a totally relaxed state and erases most memory of the procedure afterward.

Regardless of the source of unpleasant breath odor, it is imperative to one’s overall health to have and maintain good oral health. The bacteria of gum disease has been linked to serious health problems, including heart disease, stroke, memory loss, diabetes, impotency and others.

If you’re past due for dental care, call us at (828) 274-7440. You can begin with a Consultation to discuss your symptoms and have all your questions answered.

What ‘Ups’ Your Risk For Gum Disease?

Posted on Sep 30, 2013 by William J. Claiborne, DDS MS

You may not realize it, but over 47% of adults in the U.S. who are 30 years and older have some form of periodontal (gum) disease. To understand gum disease, it is important to know how it begins.

Gum disease is caused by an accumulation of plaque and tartar. Plaque is the sticky film of bacteria buildup that attaches to teeth. Tartar, the hardened form of plaque, develops when plaque is not removed on a daily basis. Tartar, also known as calculus, can only be removed by special tools in your dentist’s office.

Even though good oral hygiene and regular dental checkups help most people avoid gum disease, certain factors can cause some to be more susceptible, including:

Aging: Studies have indicated that the incidence of periodontal disease increases as we get older. Over 70% of adults who are aged 65 and older have some form of gum disease.

Dry Mouth: Smoking, certain medications, drinking alcohol and aging all contribute to a dry mouth. The saliva in your mouth plays an important part in removing food particles and bacteria. When insufficient saliva cannot cleanse the mouth adequately, bacteria buildup results.

Being Male: Periodontal disease occurs more in men than women (56% vs. 38%).

Smoking: Smoking dries out the tissues in the mouth, increasing one’s susceptibility to calculus. Research shows that smokers lose more teeth than nonsmokers and typically require longer healing times after treatment with results that are less predictable.

Genetics: Because of genetics, you can be predisposed to develop gum disease. Research indicates that 30% of the population may be genetically susceptible to gum disease.

Stress: It has been proven that people who endure long-term stress have a greater risk for developing diseases such as cancer, hypertension and even gum disease. Stress takes a toll on the body’s entire operation, weakening its ability to fight infection.

Medications: The side effects of some drugs can dry out oral tissues and even weaken the density of bones, opening the door for gum disease. Like your physician, your dentist should have an up-to-date list of all medications you take, including herbal supplements.

Grinding Teeth: When you grind and clench your teeth during sleep, the teeth wear down and connective oral tissues are weakened. When the tissues surrounding your teeth are vulnerable, your entire jaw bone area is exposed to certain infections, which can lead to gum disease.

Other Health Issues: People who have diseases such as cancer or heart problems already have weaker immune systems. When the bacteria of gum disease enter the bloodstream through tears in oral tissues, harmful clotting factors and proteins can occur elsewhere in the body. Research has linked gum disease bacteria with heart disease, diabetes, stroke, preterm babies, and memory loss.

Don’t assume, “If it doesn’t hurt, then nothing is wrong.” Like other diseases that form in the body, gum disease begins silently.  When symptoms become obvious, they include bad breath, bleeding gums, soreness in the mouth, and gum recession. Often, these symptoms are assumed to be temporary, enabling the disease to progress further.

A committed oral care regimen as well as involvement with your dentist help, but are not guarantees you’ll avoid them. The more you know about periodontal disease and what makes you individually more susceptible, the more proactive you can be.

To learn more, visit the American Academy of Periodontology’s web site: www.perio.org. Or, call our office at (828) 297-2774 to arrange a periodontal exam.

Healthy Smiles For Mom-To-Be Helps Baby, Too!

Posted on Sep 26, 2013 by William J. Claiborne, DDS MS

In the U.S., women who become pregnant tend to be more committed to their health, since healthy choices can lead to a healthy baby. Most take prenatal vitamins, don’t drink, don’t smoke and eat wisely. However, recommendations from the American Academy of Periodontology (AAP) urge pregnant women to maintain excellent oral health as well. Research has shown that pregnant women with periodontal (gum) disease have higher risk for pre-mature birth or low birth weight babies.

Studies indicate that women with gum disease are more likely to deliver babies prematurely or with low-birth weight than mothers with healthy gums. This includes babies with birth weights of less than 5.5 lbs. or at least 3 weeks prior to the due date. These can result in long-term problems such as delayed motor skills, social development or learning disabilities as well as respiratory problems, reduced vision and hearing, or digestive complications.
Periodontal (gum) disease is the result of bacteria buildup and the nation’s leading cause of tooth loss. It is also an inflammatory condition that has been associated with other serious health problems, such as diabetes and heart disease. Symptoms include tender, swollen gums that are red in color rather than a healthy pink, gums that bleed when brushing, persistent bad breath and receded gums that expose tender tooth roots.

The medical and dental professions agree that oral health plays an important role in a healthy pregnancy. Non-surgical periodontal therapy is safe and the American College of Obstetricians and Gynecologists encourage pregnant women to continue regular dental cleanings during pregnancy.

Gum disease will not improve without professional treatment. The earlier treatment is provided, the less involved it will be so pregnant women, especially, are advised to seek prompt treatment.

A healthy mouth not only supports your overall health, it plays an important part in your baby’s well-being throughout your pregnancy. Smile your best, moms-to-be, and keep it healthy for you AND baby!

Oral Sedation May Help You Kick Dental Fears For Good!

Posted on Sep 16, 2013 by William J. Claiborne, DDS MS

It is estimated that nearly 70% of American adults have some level of dental fear, and about a third of those have such deep levels of fear that they’re classified as ‘dental phobics.’ These are people who find it difficult to even call a dental office.

The majority of fears begin with a traumatic dental experience in the past. Those with severe levels often avoid dental care until they have an emergency need. Typically, the discomfort becomes so intense that it forces them into treatment. What I often see, at this point, is a mouth full of problems that could have easily been avoided had they been able to receive regular check-ups and cleanings.

Regardless of an individual’s level of fear, we know people must feel a sense of trust that we won’t hurt them. We begin with a conversation in a Consultation Room that’s removed from the clinical side of the office. We sit in comfy arm chairs and discuss your oral problems, what you’d like to accomplish and what may have triggered your dental fear.

During this conversation, I explain the various options we use for comfort. Since many people are uneasy about dental visits before they walk into a dental office, I may recommend oral sedation. In pill form, oral sedation is highly-effective and safe. The patient takes the pill before leaving home (with a companion who drive them to our office). By the time of arrival, they are very relaxed but able to walk in on their own.

Before treatment begins, the medication has taken full effect and you are totally relaxed. Sedated patients are fully monitored by a trained staff member along with monitoring equipment to ensure safety and comfort. Too, I administer numbing medication to the areas being treated so there are no worries about discomfort.

Another plus with oral sedation is its ability to erase most or all memory of treatment afterwards. Some patients recall hearing my voice but most have no memory of their time in the chair at all. Oral sedation has a quick recovery as well. After a brief nap at home, most patients feel refreshed and back to normal.

As a Periodontal Specialist, I appreciate oral sedation’s ability to enable fearful people to have much-needed dental care. A healthy mouth plays a significant role in your overall health, as research has shown. Oral bacteria can become bloodborne in the body and has been linked to heart disease, memory loss, stroke, diabetes, arthritis and some cancers.

Often, after one or two visits with oral sedation, patients feel they no longer need sedating and overcome their fear altogether. Seeing a formerly fearful patient able to have regular dental care and enjoy a healthy, confident smile gives our entire office tremendous joy.

Don’t let fear prevent you from a healthy smile. Begin with a friendly phone call as a first step: (828) 274-9440.