Oral Health For Adults – Latest On Dementia And Alzheimer’s

Posted on Jan 16, 2018 by William J. Claiborne, DDS MS

These days, it’s not unusual to open the refrigerator and wonder to myself, “Now, what was I going to get?” Or, to get halfway up the stairs only to realize I’d forgotten what I was headed up for.

Quite frankly, most busy adults have the same things occur from time to time. Our minds become so preoccupied that our focus on one thing is quickly shoved aside by other things that are hovering around, calling out for attention.

While I can laugh with my friends about these happenings (since they experience similar things from time to time), for a percentage of aging adults in the U.S., this forgetfulness has no humor in it.

In the United States alone, 4 to 5 million adults are said to suffer with dementia. While this is a concern, a 2016 article in the New York Times shared how American adult dementia rates are actually declining – from 11.6 percent (in 2000) to 8.8 percent.

Too, the average age of being affected by dementia has risen from 80.7 years to 82.4 years. (https://www.nytimes.com/2016/11/21/health/dementia-rates-united-states.html) This is good news, although it fails to take into account the rising percentage of Alzheimer’s sufferers.

According to a 2017 report put out by the Alzheimer’s Association, “As the size and proportion of the U.S. population age 65 and older continue to increase, the number of Americans with Alzheimer’s or other dementias will grow. This number will escalate rapidly in coming years, as the population of Americans age 65 and older is projected to nearly double from 48 million to 88 million by 2050.”

https://www.alz.org/documents_custom/2017-facts-and-figures.pdf

Remembering that the first of those categorized in the baby boom generation turned 70 in 2016, there is a dire concern among the medical and dental communities surrounding the overwhelming needs of these individuals. Constant home care, frequent doctor visits and overseeing their unique needs as each declines in the ability to care for themselves.

The link between dementia and Alzheimer’s disease to oral health is revealing itself more and more through research. In one study shared by Reuters, a research team at the Chung Shan Medical University in Taichung City examined patients ages 50 and over who suffered with long-term periodontitis (advanced gum disease). The goal was to determine if this could cause a greater risk of developing Alzheimer’s disease.

Although no direct link between periodontitis and Alzheimer‘s was found, they did note that people who had gum inflammation for 10 years or longer had a 70 percent higher risk of developing Alzheimer’s disease than those without periodontitis.

The results rang true even after adjustments were made for factors that could influence the onset of Alzheimer‘s, such as heart disease, stroke and diabetes. (https://www.reuters.com/article/us-health-alzheimers-gum-disease/long-term-gum-disease-linked-to-alzheimers-disease-idUSKCN1AX2F0)

As a periodontist, one of the greatest challenges I see is how periodontal disease can exist for years without an individual realizing its presence. For example, when some adults see blood in the sink when they brush, they assume it’s because they’re doing a good job. In reality, this is NOT a good thing and actually an initial symptom of gum disease.

Other signs and symptoms are tender gums, swollen gums, persistent bad breath, gums that pull away from teeth (receded gums) and expose darker areas of a tooth (these are actually sections of your tooth root), and gums that darken in color to red rather than a healthy pink.

As gum disease worsens, pus pockets form and teeth may start to loosen as the bone structures that support them are destroyed by this destructive oral bacteria. Eventually, some teeth may require removal.

It is estimated that over 47 percent of American adults have some level of gum disease. Therefore, it’s no surprise that gum disease is the nation’s leading cause of adult tooth loss.

While these symptoms sound pretty severe, it’s amazing how many new patients I see tell me they haven’t noticed any obvious symptoms. And, a great many patients are totally unaware of what symptoms are associated with gum disease.

Protect your smile, your overall health and that of your loved ones. Be proactive when it comes to your oral health and share this information with others. The potent, infectious bacteria of gum disease should be deemed downright dangerous to your health. Yet, you can easily avoid gum disease with a committed oral hygiene routine at home and regular dental check-ups.

If you haven’t been diligent in your oral health in the past, we’re here to help. Call 828-274-9440 to begin with a thorough periodontal examination. If periodontal disease is found to exist, we’ll determine a treatment plan to help you achieve excellent oral health. From there, we’ll create an individualized care program so you can maintain your oral health between visits.

 

 

 

What’s Keeping You From Dental Visits?

Posted on Jan 10, 2018 by William J. Claiborne, DDS MS

You know how stressful it can be to go to the Ophthalmologist and have that puff of air shot into each eye. While it’s a necessary part of an annual eye exam, it tends to be the most dreaded part of the appointment, even moreso than having our eyes dilated.

Although a puff of air in our eye is not going to cause pain, going to the dentist, for some, creates an anticipation of pain. Even for visits that do not require numbing, some patients perceive pain to the extent that they actually feel it.

We see these patients all the time. In my office, we provide the specialized dental services of periodontal therapy (for treating all stages of gum disease) and dental implant diagnosis and placement. And, we stay pretty busy.

It is estimated that over 47 percent of American adults have some level of gum disease. (https://www.perio.org/consumer/cdc-study.htm) Because gum disease is the leading cause of adult tooth loss, our day involves a full schedule of treating gum disease and replacing teeth.

There are a number of reasons that people avoid dental visits, ranging from not understanding the importance of these visits (assuming “if it doesn’t hurt, then nothing is wrong”) to having limited funds. While it may seem that most adults avoid regular dental care because of dental fear, that’s just one of the reasons.

In a 2014 survey of 965 respondents (published by the American Dental Association: https://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_1114_1.ashx), the top three reasons for not seeing a dentist on a regular basis were cost, not feeling a visit was needed, and not having the time.

For me, this shows a nonchalant attitude among our adult population when it comes to the importance of oral health. Research has already linked the bacteria of gum disease to serious health issues. These include heart disease, stroke, diabetes, arthritis, preterm babies, erectile dysfunction and some cancers. Research is now delving into the connection between this bacteria and Alzheimer’s Disease. Why is oral health still a low priority with so many?

Although Americans love the look of a bright, white smile, the health of your gums is far more important than the shade of your teeth. Just because “nothing hurts” doesn’t mean an individual has a healthy mouth.

I believe the misconception of the value of healthy gums is partly due to the silent development of gum disease. For example, an early warning sign is seeing blood in the sink when brushing, yet many people assume that’s normal or even a sign they’re doing a good job.

One of the reasons that pancreatic cancer is so deadly is that, by the time symptoms become obvious, the disease is so far along that treatment is rarely effective. The same is true for oral cancer, which has one of the worst survival rates of all cancers. While regular screenings are advised for colon, breast, uterine, prostrate and skin cancers, the simple and inexpensive path to maintaining a healthy smile hasn’t been given nearly enough publicity.

Losing teeth is no small issue. When natural tooth roots are no longer present in the jaw bone, the bone begins to shrink, or resorb. This thinning jaw bone leads to a number of problems, including changes in facial appearance as well as a compromised ability to properly bite and chew.

If the eyes are the ‘windows to the soul,’ the mouth is the door to the body. Taking good care of your gums will help you keep your natural teeth and avoid the risks associated with the potent bacteria of gum disease.

This year, be determined to improve your overall health by being committed to good oral health. See your dentist twice this year and discuss an at-home oral hygiene routine that will help you maintain a healthy smile between visits.

If you are experiencing any of the following signs of gum disease, call 828-274-9440 for an examination as soon as possible. Gum disease only worsens without treatment. Watch for: sore gums that bleed when brushing, swollen gums, gums that pull away from teeth and expose tender tooth root areas, persistent bad breath, and gums that darken to a red color.

 

 

 

 

 

Whitening Teeth Won’t Give You A Healthy Smile

Posted on Jan 05, 2018 by William J. Claiborne, DDS MS

Imagine riding in a friend’s car and hearing an unusual pinging obviously coming from under the hood. Let’s say you eventually mention the strange noise, only to have the friend reply, “Oh yes, I’ve been hearing it for a month but am thinking of having the car painted.”

Huh? Although it makes no sense to ignore a problem, it makes less sense that someone would choose to mask it over so they can continue to ignore it.

This is what happens, occasionally, when it comes to tooth whiteners. Although the appearance of bright, white teeth allude to having ‘clean’ teeth, the facade quickly falls away when it comes to the gums.

Having poor oral health reveals itself in several ways. In your own mouth, symptoms of periodontal disease may include tender gums that bleed easily when brushing and swollen gums in certain areas (often near back teeth).

For others, however, white teeth won’t camouflage poor dental health. An unhealthy smile may be obvious to others in the form of bad breath and a smile that shows signs of gum recession (gums that pull away from teeth, exposing tender tooth root segments) or even gums that are darker in color versus a healthy pink.

In conversations with fellow dental practitioners, we are always concerned when patients seem less concerned about having good oral health and more concerned about the appearance of their smiles. And then again, we are not surprised. It’s human nature to want to be appealing to others.

In an article published in The Cut, it included findings from one study that revealed how human nature subconsciously distorts our opinions when it comes to pretty people, even though we don’t want to acknowledge the prejudice (https://www.thecut.com/2016/05/hot-people-experience-life-differently.html):

“Harvard economist Markus Mobius and Wesleyan University economist Tanya Rosenblat published the seminal paper “Why Beauty Matters” in 1994. They found that in three different samples of workers, more attractive people consistently earned 12 to 14 percent more than unattractive people — regardless of gender — with evidence that the “labor market sorts the best-looking people into occupations where their looks are productive.” To that end, a 2012 paper found that comely real estate brokers outperformed homely colleagues. More uncomfortably, first- and sixth-graders think attractive teachers are kinder and happier, and college students thought that attractive professors were clearer, more helpful, and of higher overall quality.”

Perhaps this is what motivates adults to place such a high priority on appearance, even when they realize there is a health issue they should tend to that’s more important.

Another reason may be because the symptoms of gum disease and other problems in the mouth are often easy to ignore. For instance, like body odor, our sense of smell becomes accustomed to particular scents. Therefore, it’s easy to be unaware of our own bad breath.

And, gum disease may be running rampant without obvious symptoms or signs that cause alarm. For example, some people assume that seeing blood in the sink when brushing is a sign they’re doing a good job. They don’t associate it as a symptom of gum disease.

Before you invest in a tooth whitening kit at the drug store, ask your dentist to evaluate your oral health. If your gums are healthy, he or she will give you a thumbs up. Plus, healthy gums will be less sensitive during the whitening process.

If, however, your gums have indications of gum disease, whitening your teeth is doing your smile no favors. Save your money and put it towards a healthy smile first. Your teeth and gums (along with fresh breath) will send a message of a health-conscious individual. That’s always impressive!

If you’re experiencing any of the signs of gum disease mentioned above, please call for an examination. Gum disease only worsens without treatment. It is also the nation’s leading cause of adult tooth loss.

Call 828-274-9440.

Important Reasons Why You Need Healthy Gums

Posted on Dec 06, 2017 by William J. Claiborne, DDS MS

As responsible adults, we take certain precautions that help to keep us healthy. We use sun screen when we’re going to spend time in the sun. We wear appropriate shoes when hiking or jogging. We wear a helmet when biking or motorcycling. We assign a designated driver rather than drink and drive.

These actions help to protect us and hopefully prevent occurrences that may otherwise result in health problems. Certainly, it makes more sense to avoid problems in the first place rather than endure the time, expense and even disabling consequences of ignoring practical preventive measures.

Then, doesn’t it make sense that adults would be especially devoted to having good oral health?

The Centers For Disease Control & Prevention (CDC) reports that over 47 percent of American adults have some level of gum disease. This is astounding for a country as advanced as the U.S.

I believe one of the reasons the rates of periodontal disease are so high is largely based on a population that is unaware of the ramifications of gum disease. This, in addition to a high number who are unfamiliar with its symptoms.

Let’s look at just a few reasons to be highly-committed to achieving and maintaining good oral health.

• Periodontal disease is the nation’s leading cause of adult tooth loss. I believe it reaches such a state because people are not aware of the warning signs. For example, some people believe that seeing blood in the sink when brushing is a sign they’re doing a good job at tooth brushing. (It’s not.)

• Research has found that the bacteria of gum disease is linked to systemic inflammation. This is when the body’s immune system goes out of whack and can’t turn itself off. Symptoms of chronic inflammation are chronic pain, fatigue, obesity, memory loss and insomnia.

• The bacteria of gum disease doesn’t necessarily stay confined to the mouth. Through tears in weakened gum tissues, the oral bacteria of gum disease can enter the bloodstream. As it travels throughout the body, it can contribute to serious health risks, including heart disease, stroke, some cancers, preterm babies, impotency, arthritis and diabetes.

• Good gum health is the foundation for keeping your natural teeth healthy, and for a lifetime. Research has shown that people with their natural teeth live ten years longer, on average, than those who wear dentures. And, healthy teeth support the ability to eat a healthy diet and feel socially confident to smile and laugh.

A 2006 report by the the Centers for Disease Control and Prevention (CDC) stated “the baby boomer generation will be the first where the majority will maintain their natural teeth over their entire lifetime.”

It adds, “Over the past 10 years, the number of adults missing all their natural teeth has declined from 31 percent to 25 percent for those ages 60 years and older, and from 9 percent to 5 percent for those adults between 40 and 59 years. However, 5 percent means 1 out of 20 middle-aged adults are missing all their teeth.” (https://www.cdc.gov/oralhealth/basics/adult-oral-health/index.html)

It’s easy to enjoy good oral health. It takes just minutes for proper brushing twice daily and daily flossing so the overall health advantages of healthy gums can be enjoyed. It is also important to have 6-month dental cleanings and exams. These opportunities help to remove bacterial buildup between appointments, often preventing the need for more expensive and time-consuming treatment later.

Symptoms of gum disease include tender gums that bleed easily when brushing, persistent bad breath, swollen gums, gums that turn red in color (versus a healthy pink), and pus pockets that form on gum tissues. Without treatment, teeth will eventually loosen and may require removal.

Protect your smile AND your overall health by keeping your gums healthy. If you’ve delayed care or suspect you have gum disease, call us at 828-274-9440. We are a ‘lecture-free zone’ and respect each patient and his or her needs. We just want to help you enjoy the advantages of a healthy, confident smile!