Is Your Mouth Frequently Dry? Oral Bacteria Thrive In A Dry Mouth.

Posted on Mar 30, 2017 by William J. Claiborne, DDS MS

Okay, let’s admit it – we all have not-so-fresh breath at times. Upon wakening in the morning, after several cups of coffee, or indulging in a garlicky dish – we all have times that leave us hoping to avoid close interactions.

Occasional bad breath is fairly normal in situations as described above. Other than its source being certain foods (which can emerge from the stomach and linger long after consumption), smelly breath odor is most commonly the result of oral bacteria buildup.

It’s normal for every mouth to contain a certain amount of bacteria. It’s when the bacteria levels accumulate beyond what is manageable that creates the unpleasant stink of bad breath.

One source of persistent bad breath is periodontal (gum) disease. Frequent bad breath is a symptom of gum disease and is often accompanied by gum tenderness, seeing blood in the sink when brushing, or gums that deepen in color. If your breath odor is not coming from gum disease, however, your problem is likely related to a dry mouth.

Xerostomia, commonly known as ‘dry mouth,’ is a frequent state of oral dryness. Saliva is your mouth’s natural rinsing agent that helps cleanse oral bacteria from the mouth. This keeps bacteria to a minimum and their ability to cause problems at low risk.

When saliva flow is depleted, however, bacteria ‘hang around’ in the mouth longer and multiply rapidly. As oral bacteria thrive, reproduce and amass, the initial result is plaque. Plaque, the sticky film you can feel on teeth, also has an odor.

Periodic dry mouth can occur from consuming alcoholic beverages, coffee and certain medications. Although sugary drinks don’t necessarily dry oral tissues (unless they contain caffeine), sugar provides an ideal food for bacteria reproduction. When these beverages are both sugary and caffeinated, your mouth gets a one-two punch when it comes to oral bacteria growth.

Medications, such as antihistamines and some prescribed for depression and urinary incontinence can contribute to dry mouth. Medical conditions, including acid reflux, sinus infections, diabetes and bronchitis can also cause dry mouth. A bad cold, snoring or just being in the habit of breathing through the mouth are drying as well.

And the worst culprit of all for dry mouth? Smoking.

To begin, we examine patients who have a dry mouth to determine its source. Once the reason for your breath odor has been found, simple measures can often resolve the problem. These include:
 – Brush at least two minutes, twice daily. Use a tongue scraper or brush your tongue with your toothbrush after brushing teeth.
 – Floss daily. If this is difficult or awkward for you, purchase an electronic flosser.
 – Drink lots of water throughout the day. (Sports drinks do not count!) If you take medications that have drying side effects, use an oral rinse that replenishes saliva. There are several available over-the-counter.

Having fresh, confident breath begins with a clean, healthy mouth. If you have symptoms of gum disease or feel you have persistent bad breath, call (828) 274-9440 to schedule an examination.

Prostate Health Connection To Gum Health Revealed

Posted on Mar 27, 2017 by William J. Claiborne, DDS MS

For decades, research findings have shown health risks related to the effects of systemic inflammation. This is chronic inflammation inside the body that continually simmers and can’t turn itself off. While this inflammatory ‘boil’ is not obvious, it has been found to contribute to a number of serious health problems.

Research has found links between systemic inflammation and heart attack, stroke, memory loss, arthritis, diabetes, some cancers, preterm babies, impotency and even Alzheimer’s Disease.  In their quest to track down potential triggers of internal inflammation, researchers have been taking a closer look at periodontal disease, a bacterial infection in the mouth.

Periodontal (gum) disease begins when there is an over-accumulation of bacteria in the mouth. As bacteria reproduce and thrive, they attack gum tissues and the structures that support teeth. When this infectious bacteria enters the bloodstream through weakened gums, it can create inflammatory reactions that can set into motion the potential development of serious conditions.

Symptoms of gum disease include tender gums that bleed easily when brushing, persistent bad breath, gums that turn red, receded gums and pus pockets that form around teeth. Because many people are unaware that these symptoms are so harmful, periodontal disease is estimated to exist at some level in over 47% of American adults. Thus, it is no surprise that gum disease is the nation’s leading cause of adult tooth loss.

In addition to the health problems listed above, new research has shown a possible connection between gum disease bacteria and Prostatitis, an infection of the prostate. Like periodontal disease, Prostatitis is an inflammatory disease. Prostatitis causes a frequent urge to urinate and a painful or burning sensation during urination.

The connection between periodontal disease bacteria and Prostatitis was revealed as a result of a study by researchers at Case Western University’s School of Dental Medicine and the Case Medical Center’s Department of Urology & Pathology. They found that Prostatitis symptoms were greatly improved by treating gum disease, even when prostrate treatment was withheld.

In the study, all participants had moderate to severe levels of gum disease. Additionally, each had inflammation of the prostrate gland with higher than normal prostate specific antigen (PSA) levels.

The participants were divided into two groups. One group consisted of men who were treated for gum disease. The other group received no treatment for their gum disease. Throughout the study, both groups had prostrate symptoms and PSA levels monitored but none received treatment for their prostate conditions.

At one-month and two-month marks, the PSA levels were measured in both groups. The findings showed that an overwhelming majority of those who were treated for gum disease had significantly lower PSA levels.

While these findings may help Prostatitis patients achieve better treatment results, the study reinforces how closely our oral health is connected to our overall health, even more than previously thought. Based on the study, just managing oral bacteria levels can reduce the risk of triggering inflammatory reactions in the body. In addition, we avoid oral problems that can be costly and time-consuming to treat.

Obviously, the potent bacteria of gum disease is nothing to ignore. As research continues to find links between it and serious health problems, we will share them. For now, take good care of your body AND your smile! If you have any of the symptoms associated to gum disease, call 828-274-9440 to schedule an examination. As a periodontal specialist, I am trained to treat all stages of gum disease.

Diabetics Wise To Give Oral Health Added Attention

Posted on Mar 13, 2017 by William J. Claiborne, DDS MS

Diabetes is a metabolic disease that occurs when the body is unable to properly process carbohydrates, fats and proteins.. It stems from insufficient insulin secretion or being resistant to insulin.

The American Diabetes Association reports these statistics among adults in the U.S. (http://www.diabetes.org/diabetes-basics/statistics/):

Diabetes is a leading cause of death due to the vascular complications it causes. The most common types of diabetes are type 1, which requires insulin control, and Type 2, which is the non-insulin dependent form.

Diabetes is far from being a problem isolated to the United States. The World Health Organization (WHO) declared diabetes to be at a pandemic level with a prevalence that has risen dramatically over recent decades. They estimate that the number of those affected by diabetes will triple over the next decade.

Regardless of the advancements in treating diabetes, the U.S. National Library of Medicine & National Institutes of Health reports that it is “a growing public health concern and a common chronic metabolic disease worldwide.”

Although diabetes affects all age groups, it is most common in adults. According to the American Diabetes Association, the largest segment of those who suffer with diabetics have Type 2 diabetes, which usually begins after age 45. However, over 18,000 youth are diagnosed with diabetes each year.

In a study study published in the journal Diabetes Care, the Centers For Disease Control & Prevention (CDC) noted that the annual medical expenses for youth with diabetes to be over $9,000, compared to less than $1,500 per year for youth without the disease.

Early warning signs of Type 2 diabetes are bad breath and bleeding gums, which are also symptoms of gum disease. Gum disease has been found to be more frequent and severe for patients who have poor control of their diabetes. By properly controlling glucose levels, diabetics can greatly help in the prevention of periodontal (gum) disease, which is the nation’s leading cause of tooth loss. Well-controlled glucose levels also help when it comes to the successful treatment of gum disease.

For many years, the medical and scientific fields studied the connections between inflammatory diseases such as diabetes and periodontal disease. With gum disease being the sixth greatest complication of diabetes, they noted that diabetes would initially reveal symptoms in the form of oral problems. However, continued research has shown that one can even trigger the other.

Periodontal disease is an inflammatory condition that can create inflammatory reactions elsewhere in the body. This is because its bacteria can enter the bloodstream through tears in weakened gum tissues. As it travels throughout the body, it can cause inflammatory triggers elsewhere.

Because of the connections between diabetes and periodontal disease, diabetics are strongly urged to have dental exams every 3-4 months (versus the standard of every 6 months) to avoid the inflammatory reactions of gum disease, and vice versa. Diabetics should also respond to any signs of gum disease promptly, rather than wait for their next visit.

Symptoms of periodontal disease include gum tenderness, bleeding gums when brushing, frequent bad breath, receding gums and gums that darken in color. When these signs are present, seeing a Periodontal specialist is advised so the most appropriate treatment can be discussed.

Because diabetics have a greater vulnerability to inflammatory reactions in the body, the need for prompt treatment warrants immediate response. Call 828-274-9440 to arrange an appointment. And remember, gum disease only worsens without treatment, resulting in greater treatment time and expense with delays.

If You Have Arthritis (RA), Your Oral Health Could Influence Its Severity

Posted on Feb 28, 2017 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I treat all stages of periodontal (gum) disease as well as have particular expertise in the diagnosis and placement of dental implants. Over the years, I’ve watched miraculous progress made in the development of dental implant systems, becoming a dependable, safe and successful alternative to dentures and partials.

Where I’ve not seen much progress is the nation’s understanding of the hazards of periodontal disease. Still today, nearly 47% of American adults have some level of gum disease. And, this is in spite of research findings that have found a correlation between the bacteria of periodontal disease and a long list of serious health conditions. Because of the inflammatory triggers associated with gum disease bacteria, it has been linked to heart disease, stroke, memory loss, preterm babies, diabetes, some cancers and impotency.

In early stages, the condition causes gums to bleed when brushing, bad breath and gum tenderness. As gum disease progresses, gum tissues darken in color and pus pockets form at the base of teeth. Eventually, teeth loosen and require removal. To no surprise, gum disease is the leading cause of tooth loss among American adults.

Research is now showing a remarkably close connection between rheumatoid arthritis (RA) and gum disease. While the connections may seem unlikely, it’s been determined that gum disease and RA share a genetic likeness. Apparently, their clinical structures are similiar, primarily in pathogens, which are agents that causes disease or illness. Studies have noted that the pathological processes that occur in gum disease and RA are nearly identical.

While it has also been established that both conditions cause chronic inflammation in tissues that connect to bone, researchers have found that the two diseases also have a similar inflammatory trigger. The particular species of bacteria found in periodontally-compromised oral tissues and the tissues surrounding RA joints is nearly identical.

RA is a debilitating disease that destroys joints and is disabling and painful. RA typically emerges gradually, often beginning with morning stiffness along with weak and aching muscles. Eventually, joint pain emerges with sore and stiff feelings, typically found in the fingers, wrists, elbows, hips, knees, ankles, toes, shoulder and neck.

As RA-related inflammation worsens, joints become swollen with symptoms including fever, disfiguring of hands and feet, numbness and tingling. While there is no cure for RA, treatment options may include medications, physical therapy, or even surgery to ease the discomfort or slow its progress.

Like RA, gum disease causes pain, swelling, and tenderness. As it worsens, the associated inflammation can destroy the bone that supports teeth along with surrounding tissues. One study even showed a particular pathogen associated with periodontal disease could activate the same destructive process of rheumatoid arthritis. It has also been shown that, by treating periodontal disease in RA patients, RA symptoms often improve. It is suspected that this occurs because the system has a reduced burden of oral inflammation.

An exciting fact on the findings of past research is how oral health correlates so closely to our overall health. Hopefully, as more adults come to realize that the presence of gum disease can so greatly increase your risk for serious health conditions, there will be an increasing trend on achieving and maintaining healthy teeth and gums.

Begin with your own oral health and a healthy body and share this understanding with those you love. Be committed to a thorough oral hygiene regimen at home as well as a your 6-month dental check-ups and exams.

If you have signs of gum disease, seek treatment at your earliest convenience. Gum disease will only worsen and require more treatment time and expense as it progresses. Begin by calling 828-274-9440 to learn more and ask for a consultation appointment.