How A Denture Can Be Ruining Your Health

Posted on Aug 13, 2018 by William J. Claiborne, DDS MS

Since 1962, the U.S. has allowed pharmaceutical companies to advertise their drugs directly to the public. New Zealand is the only other country that has legalized this, which (to me) is rather telling of its ‘benefits’ in educating the general public.

It’s legality is not the issue here. In the promotions, these ads may name some of the side effects associated with that particular medication. These can include minor problems, such as “redness at the injection site,” to greater issues such as “weight gain,” to dire concerns, such as “increased risk for leukemia.”

Sometimes, it’s what you don’t know that can be the greatest detriment when it comes to our health and well-being. As a periodontal specialist, this has always been a particular concern: Do people really know the full story when it comes to dentures?

Since full dentures are not a prescribed medication, they are widely recommended and placed to replace a full ‘arch’ of upper or lower teeth. Although a denture can replace missing teeth, it falls very short when it comes to actually ‘restoring’ teeth.

There are far more things that a denture cannot do than what it can.

For example, a denture can give you the appearance of teeth and enable you to speak properly. A properly-fitted denture can also enable you to chew food again. But, the snug fit of a denture when initially made may be very different to how it fits a year later.

It is what occurs BENEATH the gums that can trigger a detrimental chain of events.

Natural tooth roots are held by the upper and lower jaw bones. With this as their foundation, tooth roots are able to support teeth that can function dependably. For example, having the sturdy foundation of the jaw bones, teeth can bite and chew with stability.

This means your teeth can endure the rigorous action of biting into a crunchy carrot or chewing a thick pork chop without the worry of movement. Natural teeth are held firmly by a solid mass of bone.

Here’s the problem many people are unaware exists: When the roots of natural teeth are removed from the jaw bone, the bone begins to shrink. This process is known as resorption. As the bone declines in height and width, the gum-covered ‘arch’ where teeth were once held begins to flatten out.

Because a denture is first made to conform to the specific contours of this arch, this means that the denture’s foundation is declining, providing less and less of a base for the denture to wrap.

Bone resorption is the beginning of a long list of problems.

When a denture is not secured by the bone, it must rely on what it rests upon. When the arch is high and full, the denture can hold on more securely while eating, speaking, or laughing.

However, as the arch shrinks, the added help of denture adhesives or pastes are needed. Unfortunately, once the denture begins to move or slip, the underlying problem will only worsen. As bone loss becomes more severe, these denture products will be of little help.

What a “rocky” denture does to your overall health often hides in the background. But, the problems exist all the same. For example, people find that eating some foods are too challenging for a denture. They resort to eating foods that are soft and dissolve easily in the mouth.

A healthy diet includes foods that provide a balanced mix of protein, fiber, vitamins, and minerals. Plus, we want to eat foods that are flavorful and satisfying – right?!!! So, when a denture wearer switches from a kale salad to mashed potatoes, the trade-off is in nutrition along with the satisfaction that chewing provides.

There is an intricate relationship between the function of chewing and the brain’s ability to signal satiety (the perception of being full). When people are able to chew without the worry of a denture’s movement (which leads to uncomfortable rubbing on tender gum tissues), they are able to chew longer and more efficiently.

Additionally, proper chewing is a known support to the digestive process. In grade school, we all learned that the first phase of digestion begins in the mouth. As we chew, saliva automatically surges digestive acids into the mouth to help break down foods so they are ready to be processed further once swallowed.

However, not being able to chew well typically means it is done less. It is to no surprise that people who are denture wearers have more gastro-intestinal problems than people who have their own teeth. Of course, inadequate digestion causes a domino effect throughout the body.

In a 2013 article shared by the International Journal of Dentistry (through the U.S. National Library of Medicine/National Institutes of Health) edentulism (losing all of one’s natural teeth) leads to:

• Lower intake of fruits and vegetables, fiber, and carotene and increased cholesterol and saturated fats, in addition to a higher prevalence of obesity, increasing the risk of cardiovascular diseases and gastrointestinal disorders.
• higher rates of chronic inflammatory changes of the gastric lining, upper gastrointestinal and pancreatic cancer, and higher rates of peptic or duodenal ulcers.
• greater risk of noninsulin-dependent diabetes.
• greater risk of heart disease, hypertension, heart failure, and stroke.
• decreased daily function, physical activity, and resulting quality of life.
• higher risk of chronic kidney disease.
• higher risk of sleep apnea.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664508/

The periodontal specialty includes the advanced training and skills of diagnosing and placing dental implants. They are so beneficial to your oral and overall health that this specialized branch of dentistry includes them in our ability to enhance the oral wellness of patients.

Dental implants are positioned in the jaw bone. This not only restores the same, sturdy foundation that natural teeth once had, the presence of the implanted portions provide stimulation to the bone.

Dental implants provide three major benefits…

(1). An implant helps to halt the process of bone loss, preserving bone mass. This not only supports the ability to bite and chew, dental implants enable eating to occur without movement. No more slips, clicks or uncomfortable rubbing on tender gums.

(2). With implants, people are able to eat a healthy diet AND chew it properly. This support digestion, which in turn supports every part of the body.

(3). When people feel confident smiling, laughing, and eating in social settings, they tend to be more active socially. Being active with other people is a basic human need and necessary for our mental well-being. When the fear of embarrassment because of “slippery” dentures is eliminated, people have more confidence in these settings.

If you wear dentures, PLEASE learn the facts surrounding dental implants. Many people assume they are too expensive. Yet, what is needed for your specific situation may be less expensive than you realize.

Often, just 4 or 6 strategically-placed implants can support a full arch of replacement teeth.

Too, many dental offices offer payment plans so monthly fees are manageable to most budgets. Some plans are interest-fee and require no down payment.

It is important, too, that you know this: Once bone loss begins, it will continue at a more rapid pace with each passing year. This means that your bone will become thinner and thinner at a faster and faster rate each year.

If you’re missing all of your natural teeth, call 828-274-9440 soon to schedule an implant consultation. During this time, I’ll explain the implant systems best for your needs and the process involved. I’ll also answer your questions thoroughly. This will help you make decisions that are right for you.

 

Is Insurance Coverage Ruling Decisions For A Confident Smile?

Posted on May 22, 2018 by William J. Claiborne, DDS MS

I think we’d all agree that having insurance coverage today is necessary, albeit rather costly. For those who shell out hundreds of dollars each month (or more, based on deductibles and dependents), it can be an investment that gives peace of mind and strains our budgets at the same time. I have friends who pay MORE for health insurance coverage than their monthly home mortgage. Ouch!

Regardless of the type of insurance coverage you have, using its benefits to the max is a yearly goal. Some people have Health Savings Accounts (HSA) to help buffer certain non-covered, health-related expenses. However, because of the monthly costs, it is to no surprise that we monitor treatment accepted to keep our out-of-pocket within covered levels.

Dental insurance was developed to give people some help for typical annual expenses. For many, this includes twice-a-year dental exams and cleanings. Some policies include assistance for an annual crown or filling, and some coverage for periodontal (gum) therapy to treat gum disease. Higher end policies may cover portions of orthodontic treatment (braces) or oral appliances to treat TMJ (jaw joint) disorder.

For smile-conscious individuals, these benefits sound terrific. For an affordable monthly fee, the annual costs for dental care are more budget friendly. But, are they smile friendly?

The ‘catch’ for policy holders occurs in what these for-profit insurance companies deem coverage-worthy. What is appropriate for a patient’s long term oral health versus what is approved for coverage may be very different. This has become a real dilemma for many dentists and dental specialists.

For example, when I consult with a patient who is missing several teeth, I recommend dental implants. My recommendation is based upon what will provide the patient with a lifelong solution for missing teeth as well as other benefits.

I look at a dental implant as the ideal in tooth replacement, since it is held in the jaw bone just as natural tooth roots. An implant restores the dependable foundation necessary for biting and chewing, enabling the patient to eat a healthy diet and chew foods comfortably, which supports the digestive system and overall health.

Yet, dental implants are a more expensive option (initially) than crown-&-bridge combinations, dentures, or partials. So, guess what is often deemed as ‘elective’ by insurance companies? Right! But, is protecting your overall health and smiling confidence elective to YOU?

What it comes down to is, essentially, how we perceive insurance coverage. While major medical insurance gives us peace of mind should we experience a health challenge that would otherwise drain us financially, most dental insurance coverages are different.

Dental insurance, for the most part with most policies, is set up to provide ‘support’ in maintaining a healthy mouth. For people who already have good oral health and are able to tend to it sufficiently between regular dental checkups, this is fine. However, for most American adults, tooth repair, tooth loss and gum problems are a fact of life, particularly as we age.

For most of us, the decisions we make today will affect us in the years to come. When it comes to your oral health, don’t let your long-term oral wellness, the longevity of your teeth, the comfort of eating, or the confidence of smiling and laughter be dictated by what insurance coverage allows.

If you trust your dentist and others involved to help guide you towards good oral health and maintaining your smile, consider the recommendations made and ask questions. Be an informed consumer. But, most importantly, be sure to make decisions that are in your best interests rather than that which a for-profit insurance company deems worthy for your smile.

You may be interested that the five largest insurance companies in the U.S. (Aetna, Anthem, Cigna, Humana, United Health Group) enjoyed $4.5 billion in NET earnings in just the first quarter of 2017. That’s BILLION, with a B! (https://www.axios.com/profits-are-booming-at-health-insurance-companies-1513302495-18f3710a-c0b4-4ce3-8b7f-894a755e6679.html) And, that’s just a 3-month period!

Healthcare is a dilemma our nation will struggle with for years to come. In the meantime, put YOUR needs first and take charge of YOUR well-being by finding dental caregivers you feel will guide you best to a lifetime of confident, comfortable, and healthy smiles – for a lifetime!

If you don’t have regular dental care and would like recommendations, feel free to contact us at 828-274-9440. We work with exceptional general dentists in Western North Carolina and will be proud to connect you. Or, feel free to begin with a thorough periodontal exam here. We will make recommendations based upon your unique needs and goals.

Is Your Face Melting?

Posted on Feb 27, 2018 by William J. Claiborne, DDS MS

In dentistry, the term used for bone loss is resorption. This describes the melting away of bone structures that support teeth, caused by the loss of natural tooth roots.

The relationship that tooth roots have with the bone structures that support them is not something most people think about. We tend to focus on the teeth we see in a smile. Yet, loss of bone mass of the upper or lower jaws can create a number of problems – some related to oral health and some related to facial appearance.

To begin, understand that tooth roots provide nourishment and stimulation to the jaw bones. This helps the jaws to maintain a healthy depth. When tooth roots are removed, the bones slowly begin to shrink. This bone loss begins almost immediately, yet most don’t notice it until it reaches problematic levels.

Because we humans are visual creatures, I’ll begin by explaining the ‘look’ of bone loss, which results from changes in facial structures. Initially, you may only notice more wrinkles around the mouth. Later, you may realize that the corners of your mouth are turning downward, even in a smile.

The extreme visual change of bone resorption is referred to as a ‘granny look.’ This is when the shrinking jaw bones have caused the chin to become pointed and the mouth appears collapsed into the face. The nose gets closer to the chin and jowls form from the detachment of facial muscles. None of this is a good look.

Yet, what’s taking place beneath the gum tissues should be cause for even more concern.

For those who wear a denture or partial, losing jaw bone mass will cause a change in the way the denture or partial fits. For example, your denture may fit fine the first year after your teeth are removed and a denture is fitted. However, you’ll eventually notice slips when biting or chewing.

As bone loss continues, you’ll likely experience uncomfortable rubbing on tender gum tissues while eating. You may start to bypass foods that require rigorous chewing, such as a crusty bagel or thick pork chop. You may also worry about embarrassing slips when dining with friends or family.

When frequent applications of denture pastes or adhesives are of little help, a reline may be recommended by your dentist. Of course, this simply readjusts your denture or partial to fit the current contours of your gum ridge (the raised arch that your denture sits on). Eventually, continued bone loss will require yet another reline as the ridge flattens further.

Denture wearers are typically unaware that the pressure on the gums from wearing a denture actually speeds up the rate of resorption. This means that the problem will only continue, unless stimulation to the jaw bones is recreated.

One of the reasons we recommend dental implants is because of their ability to halt bone loss. Dental implants act as replacement tooth roots, thus restoring stimulation to the jaw bones. Additionally, dental implants use the same, sturdy foundation as natural teeth once had. This means you can bite and chew the foods you love without worrying about embarrassment or uncomfortable movement.

A Periodontist is a dental specialist who has advanced training in the treatment of gum diseases as well as in the diagnosis and placement of dental implants. He or she is specially trained to determine the best implant system for your needs. And, a periodontal specialist can enhance your outcome through proper placement.

If you are missing natural teeth or have become frustrated with a denture or partial, call 828-274-9440. You can begin with a consultation to discuss the type and number of implants most appropriate for your needs. We can also explain the procedural process, comfort options, and review easy payment options.

Your smile goes much deeper than what you see in the mirror. Make sure its structure is solid. Dental implants, which are designed to last your lifetime, can help you enjoy a confident, worry-free smile through your life.

 

 

Men Have Room For Improvement When It Comes To Caring For Their Smile!

Posted on Feb 20, 2018 by William J. Claiborne, DDS MS

Guys – when it comes to the battle of the sexes, you’re losing when it comes to your smile!

According to a survey by the Centers For Disease Control & Prevention (CDC), only 66 percent of males brush their teeth twice or more a day compared with 86 percent of females who do so.

The study of over 800 participants included completion of a written questionnaire on dental knowledge and oral health habits. The study, shared by the Journal of Periodontology, also included an oral exam of each participant to detect signs of periodontal disease. (https://www.perio.org/consumer/gender-differences)

Things don’t get much better when it comes to flossing, but that pertains to both sexes. Only 49 percent in the survey stated they floss on a daily basis. Even worse,1 out of 3 assumed that seeing blood in the sink when brushing is normal and were unaware it is a sign of periodontal (gum) disease.

The study also showed women as twice as likely to see their dentist for regular dental check-ups and more likely to follow through with recommended dental treatment. As a result, it was no surprise that the study revealed women had better levels of gum health with less dental plaque, calculus, and bleeding.

Men – remember that gum disease is the nation’s leading cause of adult tooth loss. If the thoughts of enduring tooth extractions and replacement decisions don’t motivate you to brush and floss more, try this image. Oral bacteria are living, breathing and eating creatures that live in our mouths. Like any living thing, what is eaten is then released through defecation. Yes, these organisms do this in your mouth! If you’ve ever wondered about bad breath, keep this vision in mind and, if nothing else, that alone should motivate you to brush more often!

Also, be aware of the signs and symptoms of gum disease, which is an over-accumulation of bacteria in the mouth. Initial symptoms are tender or swollen gums, seeing blood in the sink when brushing, and frequent bad breath. However, keep in mind that some signs don’t emerge until gum disease is running rampant.

As the disease worsens, you may experience persistent bad breath, gums that turn red in color (versus a healthy pink) and pus-filled pockets that form at the base of teeth. Untreated, you’ll eventually experience gums that pull away from teeth and teeth that loosen and may require removal.

It takes mere minutes each day to avoid this disease. And it’s easy and inexpensive. Use a soft to medium toothbrush and brush for two minutes twice daily. Brush in a swirling motion rather than scrub back and forth, which wears down tender gum tissues. After brushing teeth, brush your tongue to remove hoards of oral bacteria embedded in the tongue. Swish and spit several times.

You should also floss daily to remove food particles caught between teeth that a toothbrush can’t dislodge. If you find flossing too awkward or uncomfortable, purchase a water flosser. These are easy to use and equally as effective.

Last but not least, see your general dentist twice a year. These appointments remove calculus (also referred to as tartar), which are hardened forms of oral bacteria that eat away at tooth enamel and gum tissues.

It is important to have a healthy mouth, which research has shown also supports a healthy body. It has been found that the toxic bacteria of gum disease can trigger inflammatory reactions elsewhere in the body. A growing number of health problems have been linked to gum disease, including some cancers, heart disease, stroke, arthritis, diabetes, preterm babies, erectile dysfunction (ED) and impotency.

If you are behind on dental visits or are experiencing any of the signs of gum disease, call 828-274-9440 to schedule an appointment. I’ll discuss ways to restore your mouth to a healthy state and easy ways to help you maintain good oral health between visits. We will also be happy to discuss comfort options and financial plans, if desired.