Does Dental Fear Lead To Gum Disease?

Posted on Jan 28, 2015 by William J. Claiborne, DDS MS

I’ve always found it interesting that the percentage of American adults who have some level of dental fear (estimated at 75%) nearly parallels the percentage of adults ages 65+ who have some level of gum disease (70%).

It is the 65+  age group who endured dentistry in a different atmosphere than in most modern dental offices today. While today’s generation has a wide choice of dentists with reputations for gentle care who are attuned to the unique needs of fearful patients, many in the 65+ age group can recall less-than-pleasant experiences. Those born before 1949 also have the highest percentage of lost teeth and being totally edentulous (without any teeth).

Lack of regular dental care leads to the formation of cavities, gum disease, tooth loss and health risks from oral bacteria, which can trigger systemic inflammation. The inflammatory reactions have been linked to heart disease, diabetes, stroke, arthritis, preterm babies, and even impotency.

Dental fear is a major factor in the frequency of dental visits among a large percentage of aging adults. If fear has kept you from regular dental visits, regardless of your age, you will find today’s dental environments are highly sensitive to your comfort throughout each visit. Sedation options are available in most offices, however, finding a dentist you trust will have the best impact on your ability to release past fears and achieve the smile you desire.

If you are behind on regular dental exams and cleanings, call our office for a full periodontal exam. Chances are you have some level of gum disease. Once your mouth is restored to a healthy state, we can make recommendations to help you fulfill other needs for a confident smile! Call (828) 274-9440 for an appointment.

 

Dental Fear? Dental Phobia? You’re Not Alone.

Posted on Nov 10, 2014 by William J. Claiborne, DDS MS

Although an estimated 75% of American adults have some level of dental anxiety, approximately 10% of the adult population are categorized as dental phobics. These are people who have such severe fears that the mere thoughts of going to the dentist is unnerving. Many dental phobics can’t even bring themselves to call a dental office without breaking into a sweat or even crying.

Most dental fears stem from a past traumatic experience in the dental chair, often as a child. These memories become so ingrained that anything associated with dental visits recreates the trauma in their minds.

Today, many dentists are especially sensitive to individuals who have dental fear and phobia. However, before they can help them enjoy a healthy smile, it is necessary to get them into their office in the first place. As a Periodontist, I am concerned that the high number of adults with some level of gum disease is about the same percentage of those with dental phobia, fear or anxiety.

If you have dental fear or phobia, here are a few suggestions that may help you take that first step…

• If you cannot make the call yourself, have a close friend or family member call several dental offices and ask questions (Is the dentist trained and experienced in treating fearful patients? What comfort options are available? Do they offer a consultation so fearful patients can get to know the dentist before scheduling an appointment? Etc.)
• Consider visiting your chosen dental office after hours. Walk to the front door and become familiar with the office’s location and its appearance.
• When a dentist does not have a consultation room that is removed from the clinical section of the office, certain noises and smells can create discomfort for fearful patients. If the consultation must take place in a treatment suite, it may be best to look for another office.
• Most dentists experienced with fearful patients understand their need to share their concerns. They will listen without rushing the patient and answer their questions using easy-to-understand terms. The individual should leave feeling reassured about the dentist’s commitment to their comfort.
• Many offices offer Oral Sedation, which is in pill form and taken prior to the visit. This helps the patient to be in a relaxed state by the time they arrive at the office. For those who prefer a ‘twilight sleep’ state, ask if I.V. Sedation is available.
• When sedation is used, ask about safety monitoring equipment and training of staff members who will be assisting the dentist. Your safety is as important as your comfort.

Taking small steps at a comfortable pace is typically how most patients conquer dental fears and phobia. Some people will never be able to have dental care without anxiety, but in the proper hands, can accomplish the treatment necessary for a healthy mouth and confident smile.

If you have not seen a dentist in years and have gums that are tender, swollen in spots or bleed when you brush, you have gum disease. This is the leading cause of adult tooth loss and will only worsen without treatment. Additionally, the bacteria of gum disease has been linked to heart disease, diabetes, arthritis, stroke, perterm babies and more.

The sooner you receive treatment, the less involved it will be. And, the sooner you’ll be able to enjoy a terrific smile. Call (828) 274-9440 to arrange a consultation. A pleasant conversation in our private consultation room may be your first step to optimal oral health.

Does Dental Fear Give You Gum Disease?

Posted on Sep 18, 2014 by William J. Claiborne, DDS MS

Nearly 70% of American adults have some level of anxiety when it comes to going to the dentist. Even worse, about half of those have such a high level of fear they are categorized as dental phobics. These are people who become so upset at the mere thought of dental visits that physical reactions (such as breaking out in a sweat) occur.

Often, those with dental fears aren’t sure of the origins, although many are related to traumatic childhood dental experiences. Fortunately, modern dentistry has made much progress in comfort options. Additionally, most of today’s dentists are more sensitive to patient comfort and strive to deliver ‘painless’ dentistry. Many offices offer oral sedation as well as topical numbing before injections and headsets with soothing music to help relax patients.

During many procedures, we use oral sedation to place our patients in a fully relaxed, serene state. Numbing is still provided but injections are delivered after the patient is sedated. Oral sedation is given prior to your appointment so you are relaxed by the time you arrive at our office. Oral sedation provides total relaxation throughout your visit and typically erases memory of the procedure afterward.

The first step is to choose the Doctor who is right for you. For some, just making the appointment and getting in the door for the initial visit is a challenge. I suggest starting with a consultation. This will allow you to meet the Doctor in a non-clinical setting and determine if this practice is a good fit for you.

Often, fearful patients relax just by meeting the ‘right Doctor.’ If it has been years (or even decades) since your last dental check-up and cleaning, it is vital to your overall health to rid your mouth of the oral bacteria that is surely present. Please call (828) 274-9440 for a consultation as soon as possible. The earlier your care begins, the less will be required to restore your mouth to a healthy state. And, your comfort will be a priority at every visit!

Medication Side Effects That May Surprise You

Posted on Aug 06, 2014 by William J. Claiborne, DDS MS

For new patients, we ask them to complete a medical/dental history form PLUS a list of all medications they are currently taking. Although this may seem ‘busy work,’ it is vital information for your care in our office.

Some medications contribute to dry mouth, a side effect of more than 400 medications. Without a sufficient flow of saliva, oral bacteria  can accumulate, which results in plaque. This makes you more susceptible to periodontal (gum) disease and tooth decay. If your physician cannot prescribe an alternative medication that is less drying to the mouth, drink 6-8 glasses of water daily. We can also recommend oral rinses to help replenish saliva.

However, many medications can contribute to oral problems, some of which may surprise you. In fact, adults taking antidepressants and high blood pressure medications were found to have elevated levels of plaque and signs of gingivitis. Many cough drops, medications in syrup form and antacids contain sugars that can leave a sticky residue on teeth, making them more susceptible to decay. Certain antibiotics and ibuprofen can cause lesions or ulcers in the mouth.

Gingival enlargement, a condition that causes the gums to swell and grow over teeth, can lead to severe periodontal infection. In particular, calcium channel blockers used to control high blood pressure can contribute to this gum tissue overgrowth.

Oral contraceptives and blood pressure medications have been linked to mouth sores and inflammation. Tetracycline, typically used for treating acne, can discolor teeth as well as supporting bone.

While you may assume that herbal supplements don’t apply, they can actually have serious side effects for some dental patients. For example, Ginkgo Biloba and Vitamin E can act as blood thinners. When combined with aspirin, the combination may cause difficulties in blood clotting. For patients undergoing surgical procedures, this can be a serious problem.

Taking high dosages of vitamins before undergoing anesthesia can also put you at risk. For instance, high doses of Vitamin C can weaken the efficiency of anesthesia. On the flip side, supplements such as Kava Kava or St. John’s Wort can accentuate anesthesia’s effectiveness.

It is important that we know all prescription and over-the-counter medications you take. This way, we can help you avoid issues that can be risky or leave you vulnerable to problems. Be sure to keep us informed of any new medications you are taking at each visit as well as those that have been eliminated from the list we have in your file.

While not all side effects create great risk, we want to ensure each visit provides you with an optimal outcome. Working together, we can achieve this! If you have questions about any medications, please call us at (828) 274-9440 or bring us a current medication list (including dosage) to your next visit.