How To Prevent Oral Problems & Expensive Treatment

Posted on Apr 28, 2016 by William J. Claiborne, DDS MS

Let’s face it – health care is expensive. Although insurance coverages help, just the price of the coverage is a strain for many people. The 2014 National Health Expenditures report estimated that U.S. adults spend over $9,523 per year on health care.

Caring for your smile requires a monetary commitment as well. The Government Accountability Office reported that between 1996 – 2010, the average out-of-pocket dental costs per individual per year increased 26%, from $520 to $653.

While these expenses are hefty amounts for most, caring for our health does require an investment and one that is well worth the cost. Even though people are typically committed to annual screenings and exams, many often fail to place an equal priority on their oral health.

Your smile influences far more than facial appearance. The presence of teeth is vital for maintaining jaw bone mass, processing a healthy diet and feeling confident in social settings. It is a fact that people who wear dentures have more gastrointestinal problems, take more medications and eat out less.

However, a deeper problem can emerge from having poor oral health. The bacteria of periodontal (gum) disease have been found to create internal inflammation elsewhere in the body. These inflammatory reactions trigger a higher risk for heart disease, high blood pressure, stroke, diabetes, arthritis, preterm babies and impotency.

Gum disease is also the nation’s leading cause of adult tooth loss. And, it’s running rampant in the U.S. It is estimated that over 47% of adults over the age of 30 have some level of gum disease. For those who are over age 65, 64% are said to have moderate to severe gum disease.

As a Periodontal Specialist, the majority of the problems I see and treat could have been prevented altogether. By taking proactive measures, it’s actually easy to prevent oral problems and costs for repairs. Simply spending a few minutes each day and having 6-month check-ups can save you greatly.

Your dentist structures your regular oral hygiene visits to remove buildup that can lead to problems or catch ones that may have emerged at early stages. Early treatment can help to keep time and expenses needed for repairs to a minimum.

The ‘way to save’ begins at home, for the most part. Your oral care routine at home can help you avoid problems by keeping oral bacteria to minimal levels. When performed correctly, twice-daily brushing and flossing are very effective in reducing oral bacteria and preventing buildup. Brush (for at least two minutes each time) using a soft to medium bristle brush and fluoridated tooth paste.

However, brushing without flossing is like rinsing off in the shower but not using soap. After brushing, food particles can remain between teeth, which provide oral bacteria the sustenance they need to thrive and reproduce. When you feel a sticky film on teeth and gums (known as plaque), it is actually an accumulation of oral bacteria.

For those who are in the habit of flossing, it takes about a minute a day. And this one minute can make a world of difference in helping to keep oral bacteria from damaging tooth enamel and gum tissues. If you would like, our dental hygienist can show you how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). However, for those who have dexterity problems, an electronic flosser can make the task easy but still very effective.

Oral bacteria can also be greatly reduced by using a tongue scraper. This tool gently uproots oral bacteria that are embedded in the tongue. Scrape 2 – 3 times over the tongue, starting at the back of the tongue where most bacteria exist and rinse after each pass. You can also brush your tongue after brushing your teeth, if preferred.

For many, a surprising cause for oral bacterial growth is ‘dry mouth.’ The natural flow of saliva in the mouth is designed to continually rinse oral bacteria. When saliva levels are low, oral bacteria can accumulate quickly. Smoking, alcohol, caffeine, some medications and mouth breathing (such as snoring) are all drying to oral tissues. The aging process and some health conditions, including anemia, hypertension, arthritis and diabetes also contribute to causes of dry mouth.

To lessen the negative effects of dry mouth, drink plenty of water throughout the day. If you take medications that are drying to the mouth, ask your doctor about alternative options. Also, consider using an over-the-counter mouth wash designed specifically to replenish oral moisture.

To protect the tooth’s enamel, delay brushing after eating for 20 – 30 minutes. The reason? Each time you eat, an acid attack begins in your mouth. While this is a helpful part of the digestive process, these acids tend to soften tooth enamel for about 30 minutes. Brushing during this time can wear away precious tooth enamel.

It may seem expensive to absorb the cost for crowning a tooth, but it can actually prevent costly future problems or even tooth loss. A tooth that is too laden with fillings or has cracks is vulnerable to breaking. If the break extends below the gum line, the tooth must be removed. This leaves you with an entirely new set of expenses.

Missing teeth affect the alignment of surrounding teeth and increase the risk for broken, chipped or worn teeth. Misaligned teeth can lead to night-time clenching and grinding as well as migraines, headaches, sore jaw joints, pain in facial and neck muscles, dizziness and ear ringing.

The added bonus of a healthy mouth is fresh breath and the ability to avoid preventable problems from occurring – thus, saving you time and money. Be committed to your dental health every day. You will be greatly rewarded!

If you are experiencing problems with missing teeth or have tender gums that bleed easily when brushing, call 828-274-9440 for an appointment.

The 1-2-3 Of Dental Implants

Posted on Feb 05, 2016 by William J. Claiborne, DDS MS

As dental implants become more mainstream in tooth replacement, people are beginning to better understand what they are, and aren’t. However, for some, there are still some misconceptions. I thought I’d give a basic outline of what they are and how they work.

1.  Dental Implants are actually replacements for tooth roots. The implanted portion is placed in your jaw bone where a tooth root was once held.
2. The implant is not the tooth. It will help to hold the tooth (referred to as the ‘restoration’) but its primary function is to serve as the anchor for an attached tooth. By being placed in the jaw bone, just as natural tooth roots, the implant can support the replacement with a firm foundation for optimal stability.
3. The implant becomes anchored in the jaw bone through a process known as ‘osseo-integration.’ The word ‘osseo’ refers to bone, and the integration process is like a rope tied around a tree branch. In time, the branch grows around the rope. Osseo-integration is like this but occurs at a much more rapid pace.
4. Once the implant has become secured by the bone, a post is inserted into the center of the implant. The replacement tooth (or teeth) is attached to this post. You are then ready to enjoy a tooth that looks, feels and functions like the natural tooth once positioned there.
5. An implant is not always necessary for each missing tooth. In some instances, one implant can hold two or a bridge of teeth. Several strategically-placed implants can also support a full arch of teeth in many cases.
6. Implants CAN fail. If infection sets in and reaches the implanted portion, the implant may need to be removed so treatment can resolve the problem. Clenching or grinding teeth can also lead to implant failure. Smoking complicates and delays the healing process and is also a known contributor to implant failure.
7. A dental implant is designed to last your lifetime. 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.
8. Dental implants do not decay. They will not need root canals. And, with proper care, they’ll last as long as you’re alive.
9. Dental implants restore the ability to eat with stability, chew comfortably, laugh and speak with confidence and even sneeze without worry!

There are many types of implants, each designed to accommodate specific needs. As a Periodontist, I have extensive and specialized training in the diagnosis and placement of the implant that will work best for you.

Call 828-274-9440 to arrange a consultation. Together, we’ll discuss treatment that will achieve your needs and goals as well as the process and anticipated costs.

Easy Ways To Lower Your Costs For Dental Needs

Posted on Dec 01, 2015 by William J. Claiborne, DDS MS

It is wise to care for our health (and the health of our loved ones) by taking proactive measures. Having annual exams and screenings can help prevent or minimize expenses for more-complex needs in the future. As a dental specialist, I see firsthand the many problems (and subsequent expenses), many that could have been avoided in the first place. Spending a few minutes each day and having 6-month exams and cleanings can save you greatly.

It’s actually easy to prevent oral problems and costs for repairs. Your regular oral hygiene visits are opportunities to remove buildup that can lead to problems. They can also catch problems that may have arisen since your last visit. Early treatment will help you minimize time and expenses needed for repairs.

Your home care regimen can help you avoid problems by keeping oral bacteria under control. You may feel that twice-daily brushing and flossing routines have minimal impact on avoiding problems. However, these steps are actually very effective in reducing oral bacteria and preventing buildup. Be sure to brush twice a day (for at least two minutes) using a soft to medium bristle brush and fluoridated tooth paste.

Flossing is another powerful way to reduce bacteria in the mouth. Even after brushing, food particles can remain between teeth. These particles literally rot over a day’s time. Oral bacteria feed on this and quickly reproduce. This is why you feel a sticky coating on teeth and gums, known as plaque. Plaque is an accumulation of oral bacteria.

Daily flossing takes only a minute or so once you are in the habit. Our hygienist can demonstrate how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). If preferred, an electronic flosser can be purchased to make the task easy yet effective. These are especially helpful for people with dexterity problems, such as adults with RA.

Dry mouth is a another reason for oral bacteria growth. Saliva in the mouth continually rinse oral bacteria away. When saliva levels are low, these bacteria can multiply quickly. Smoking, alcohol, caffeine, some medications and mouth breathing (such as snoring) are all drying to oral tissues. Some health conditions, including anemia, hypertension, arthritis and diabetes, also have symptoms of dry mouth.

Dry mouth can be improved by drinking plenty of water and using an over-the-counter oral rinse designed for those with dry mouth. If you are taking medications that have drying side effects, ask your doctor about alternative options.

Oral bacteria can also be reduced by using a tongue scraper. This uproots deeply-embedded bacteria in the tongue. Scrape 2 or 3 times over the tongue, starting at the back of the tongue where most bacteria exist. Scrape forward and rinse after each pass. An alternative is to brush your tongue after each tooth brushing.

To protect the tooth’s protective shell of enamel, avoid brushing right after eating. Whenever you consume food or beverages, an acid attack begins in your mouth as part of the digestive process. Unfortunately, these acids soften tooth enamel for about 30 minutes after eating. Brushing can wear away this precious enamel so wait 30 minutes after eating before you brush.

Crowning a tooth before problems begin can prevent costly future problems, including tooth loss. Missing teeth affect the alignment of neighboring teeth, increasing the risk for broken, chipped or worn teeth as well as migraines, sore jaw joints and ear ringing.

Be committed to spending wisely this year by being committed to your dental health every day. You’ll likely spend far less over time while enjoying a confident, healthy mouth and appealing smile.

If you are experiencing problems with missing teeth or have tender gums, call 828-274-9440 for an appointment.

Receded Gums – Symptoms & Causes

Posted on Nov 22, 2015 by William J. Claiborne, DDS MS

Each tooth is arched by gum tissue. When the gums pull away from the teeth, it exposes darker portions of the tooth , which are actually tooth roots sections. Being without the protective layer of gum tissue over these areas leaves the roots exposed to hot, cold or the bristles of a tooth brush.

While the darker segments of teeth detract from the appearance of a smile, they are also highly sensitive. Drinking hot coffee, eating ice cream or brushing across these areas can send a quick jolt of pain. Although some toothpastes are available to help with this sensitivity, there is a reason to determine what is contributing to recession so the process can be halted.

The process of gum recession occurs gradually. Many people may not notice it until they have a painful sensation, which can be a jolt of pain from hot or cold or an ache that is mistaken for pain from a cavity. Causes for gum recession include:
• Periodontal (gum) disease: When bacteria build up on teeth at the gum line, healthy gums are weakened and lose their grip on teeth. As gum disease continues, the tissues and supporting bone are literally eaten away by oral bacteria. Gum disease is also the leading cause of adult tooth loss.
• Rigorous tooth brushing: Using a tooth brush with hard bristles or being too zealous when brushing can wear down enamel as well as gum tissue. Also, abrasive substances such as baking soda are too gritty for teeth and can wear down gum tissues.
• Inadequate oral hygiene: Without thorough and regular brushing and flossing, oral bacteria accumulate. This results in a build up of plaque, which hardens into calculus. Plaque is a cement-like substance made up of an overload of oral bacteria and can only be removed by a dental professional. Whether plaque or calculus, these are colonies of bacteria that feed on gum tissues.
• Smoking: A dry mouth is when saliva flow is insufficient to effectively wash bacteria from the mouth. The chemicals in tobacco are terribly drying to oral tissues, which creates an ideal environment for the formation of plaque. Plaque is a build up of oral bacteria that destroys gum tissue and contributes to recession.
• Grinding & clenching teeth: When you clench or grind your teeth during sleep, the force that is placed on teeth can be so strong that they begin to tilt out of  position. As this continues, the gums eventually pull away from teeth.
• Hormonal changes: Pregnancy, menopause and puberty can cause changes in hormone levels. These hormonal fluctuations can cause gums to feel tender and be more vulnerable to recession.
• Misaligned teeth: When not properly aligned, teeth endure added force to bite and chew. This can also place added strain to the TMJ (jaw joints), gums and bone that supports tooth roots. This can lead to gum recession.

When dark areas of a tooth are visible, it detracts from a smile and makes the tooth more susceptible to decay or gum disease. For comfort, appearance and health of the tooth, repairing the problem before costly damage occurs is the best move.

As a Periodontal Specialist, I am specially-trained in gum recontouring procedures that repair recession comfortably and quickly. However, it is important to repair recession before it becomes several. Waiting may require more-extensive tissue grafting that may increase treatment time and expense.

Call 828-274-9440 to learn more.