Lowering Medical Costs For Diabetes, Heart Disease & More

Posted on Jan 26, 2015 by William J. Claiborne, DDS MS

Could treating periodontal disease reduce medical costs and hospitalizations for pregnant patients and those with diabetes and heart disease? Researchers at the University of Pennsylvania recently conducted a study to determine if gum disease therapy could prevent or lessen some of the adverse effects associated with diabetes, coronary artery disease, arthritis and pregnancy.

Researchers analyzed medical and dental insurance records of 338,891 patients with periodontal disease from 2005 to 2009. Participants were either pregnant or had been diagnosed with type 2 diabetes, coronary artery disease, cerebral vascular disease or rheumatoid arthritis. The average age was 49 years with women comprising 45% of the patients and men 55%. Patients with gum disease who had 4 or more periodontal treatments in 2005 were compared to patients who were untreated.

Findings showed most had lower medical costs and hospitalizations following periodontal treatment. Although no significant difference was found among patients with rheumatoid arthritis, patients with diabetes or cerebral vascular disease had significantly lower medical costs, averaging 40% reduction in costs. The biggest decrease was among pregnant women who received treatment, having 74% lower medical costs than those with untreated gum disease. Coronary artery disease patients had nearly 11% lower costs.

Periodontal disease bacteria can enter the bloodstream of otherwise healthy patients through diseased and torn oral tissues. The bacteria has been found to create an inflammatory reaction elsewhere in the body, perhaps triggering or increasing severity of serious health problems.

So, back to our initial question: Could routine assessment and treatment of periodontal disease help to lower severity and costs of specific medical conditions? While the study’s findings do not prove that periodontal disease treatment directly improves the condition of these health problems, ensuring good periodontal health for those affected seems to provide positive outcomes when compared to those who do not have treatment.

As research continues, we will keep you up-to-date on the latest findings that link oral health to your overall health. In the meantime, pay particular attention to your gum health. If your gums bleed when you brush or you have tender, swollen spots on gums around teeth, call for an examination as soon as possible: (828) 274-9440.

Why You Can Have Gum Disease When Nothing Hurts?

Posted on Jan 19, 2015 by William J. Claiborne, DDS MS

Because the initial symptoms of periodontal (gum) disease are silent, the early stages of the disease can be perplexing since patients don’t feel anything is wrong. However, like most diseases that form in our bodies, we don’t feel or see anything when they first begin. This allows the disease to progress without our knowledge.

Unfortunately, people tend to delay treatment until the symptoms of periodontal disease are obvious and uncomfortable. These include tender and swollen gums that bleed easily upon brushing, consistent bad breath, and gums that are red in color rather than a healthy pink. As gum disease progresses, pus pockets will form around teeth as bacterial growth accumulate. Eventually, teeth will loosen and need to be removed.

The reasons for a healthy mouth are more numerous than many realize. Periodontal disease is a chronic inflammatory disease that has been associated with other inflammatory diseases in the body. Because the bacteria of periodontal disease can enter the bloodstream through tears in gum tissue, it has been shown to trigger inflammatory reactions in other parts of the body. This oral bacteria has been linked to cardiovascular disease, stroke, diabetes and arthritis, just to name a few.

The Center for Disease Control’s Division of Oral Health cites that one out of every two American adults 30 and over has periodontal disease. They also shared statistics, such as periodontal disease is higher in men than women (56.4% vs. 38.4%) with high prevalence rates among smokers (64.2%) and adults 65+, having prevalence rates of 70.1%.

This means that a significant portion of our adult population are living with bacteria-laden oral tissues that can contribute to inflammatory reactions, some with deadly risk levels. In other words, bacteria from gum disease can be a time bomb and should be treated at the earliest possible stage.

Treatment of early stage periodontal disease should require only a few visits with minimal expenses. We also make comfort a priority at all visits, regardless of the procedure being performed. If you suspect you have any level of gum disease, call (828) 274-9440 or visit the web site of the American Academy of Periodontology: www.perio.org.

Alzheimer’s Disease And Oral Bacteria – New Findings

Posted on Jan 07, 2015 by William J. Claiborne, DDS MS

If you think that the bacterial build-up in your mouth from poor oral hygiene is just related to bad breath and cavities, be prepared for a jolt. According to researchers, the bacteria found in gum disease has been linked to brain tissue degeneration. Research has already found links between oral bacteria and heart disease, stroke, diabetes, arthritis, impotency, preterm babies and more. The correlation between oral bacteria and Alzheimer’s disease and dementia adds to a long, devastating list.

In one study, brain tissue samples from patients with and without dementia showed that a particular component of oral bacteria was found in 4 out of 10 Alzheimer’s disease tissue samples. This same bacteria component was not found in any of the brain tissue samples of people who did not have Alzheimer’s disease. This clearly showed an association between oral bacteria and Alzheimer’s disease, and not just a causal association.

Oral bacteria build-up can destroy healthy gum tissues, weakening them. The bacteria is able to enter the bloodstream through tears in diseased gum tissues, which can travel through the bloodstream to the brain. This can lead to degeneration in brain tissue that appears similar to Alzheimer’s disease.

This extensive research was conducted after a previous study on mice infected with specific periodontal bacteria. Researchers in this study found the bacteria traveled to the brain in mice, which prompted further studies involving humans.

An early-stage level of periodontal disease, gingivitis, exists in nearly 97% of the population. Gingivitis is one of the most common diseases found in humans and is more common than the common cold. According to the Centers for Disease Control & Prevention, nearly 64% of adults ages 65 and over have moderate or severe levels of periodontal disease.

The Alzheimer’s Association states that Alzheimer’s disease is the nation’s sixth leading cause of death. It affects over 5 million Americans, with one in three older adults dying from Alzheimer’s or another form of dementia. The World Health Organization cites that about 36 million people globally are affected by Alzheimer’s disease. This figure is predicted to increase to 115 million by the year 2050.

Researchers think these bacterial components found in the brain may trigger a response by the immune system along with pathological changes. It is this chain reaction that the study shows can lead to Alzheimer’s. While the findings do not prove that oral bacteria causes Alzheimer’s disease, the links shown through research thus far are sound reasons to maintain good oral health.

Periodontal disease begins silently. You may not notice it in its early stages. However, gum disease is well underway by the time you see blood when brushing your teeth, have frequent bad breath, experience sore and swollen gums, and have gums that turn red rather than a healthy pink color.

Preventing gum disease requires minimal time and investment. Twice daily brushing (at least two minutes each time) and flossing will help keep oral bacteria to a minimum between your six-month oral hygiene exams and cleanings. If you are a smoker or take medications that are drying to oral tissues, consider hygiene visits every four months.

Alzheimer’s disease is a terrible way to spend those last years of life, and just as bad when we watch (or care for) people we love as they suffer through this nightmare. Keep your mouth as bacteria free as possible and stay involved with your general dentist to lessen your risk.

Gum disease will only worsen without treatment. In addition to creating susceptibility for serious diseases, it is the nation’s leading cause of adult tooth loss. If you are having symptoms of gum disease (as mentioned above), call our office at (828) 274-9440 for an examination.

A Healthier You Begins In Your Mouth!

Posted on Jan 02, 2015 by William J. Claiborne, DDS MS

Many New Year’s resolutions pertain to getting fit and improving one’s health. While people switch to salads and spending more time on the treadmill, there are several ways to improve your overall health, all orally related.

Your mouth takes in an enormous amount of bacteria.When not removed, food particles create oral bacteria and reproduce in your mouth. This bacteria is the origin of periodontal (gum) disease, which is the leading cause of adult tooth loss. When oral bacteria enters the bloodstream, it can trigger an inflammatory reaction elsewhere in the body. Oral bacteria has been linked to serious health problems, including heart disease, stroke, diabetes, arthritis, preterm babies and impotency.

Renew your commitment for twice daily brushing and flossing and keep those 6-month exams and cleanings. If your gums are tender or bleed when you brush, call (828) 274-9440 for a periodontal exam. The sooner your gums are restored to a healthy state, the less is required are treatment time and expense.

And, don’t forget that digestion begins in the mouth. Proper chewing helps the body break down food so it is processed efficiently. When you chew hurriedly, you feel less sated as well as complicate the body’s ability to break food down. Resolve to never put food in your mouth before swallowing well-chewed food that’s already in your mouth. With each bite, put your fork or spoon down while you chew thoroughly.

Before you renew your gym membership, remember the ways you can improve your health by focusing first on your mouth. Your decisions and commitment can be a tremendous asset to your health (and savings to your wallet)! Happy 2015!