Having Teeth Pulled Will NOT Solve Dental Problems

Posted on Nov 20, 2014 by William J. Claiborne, DDS MS

I see patients on a fairly regular basis who feel like there is a revolving door at their dentist’s office. No matter how often they go, another need soon arises that requires treatment. Having their teeth pulled and wearing dentures can seem like their only solution.

Most patients who have this issue have some underlying gum problems. Many adults are unaware that the problems they experience in their mouths originate with oral bacteria. This bacteria is what creates the sticky film in the mouth that forms plaque. Plaque destroys healthy enamel and eats away at gum tissues. Under the surface, the bacteria attacks gum tissues that support tooth roots.

At first, gum disease has no symptoms. However, once the disease is running rampant, you’ll notice persistent bad breath, swollen areas of gums around teeth, gums that bleed easily when you brush and receded gums that expose tender tooth roots.

Not only does oral bacteria create problems in the mouth, it can become bloodborne through tears in gum tissues, traveling to other parts of the body. It can trigger an inflammatory reaction that is so harmful, it has been linked to coronary artery disease, stroke, preterm babies, diabetes and memory loss.

If you feel you are always in the dental chair, begin with a periodontal examination by a Periodontal Specialist. This specialist is trained to diagnose and treat all stages of gum disease and restore your mouth to a healthy state. Once this is done, missing teeth should be replaced, preferably with dental implants.

Although dental implants are initially more expensive than dentures or partials, they are a far wiser investment. Designed to last your lifetime, dental implants do not require the support of neighboring teeth. This means that crowning natural, adjacent teeth for the sole purpose of supporting a bridge or partial is not necessary. Additionally, dental implants do not contribute to bone loss of the jaw bones, which is common with wearing dentures.

Finally, ensure remaining teeth are optimally healthy with the help of a skilled dentist. He or she will structure a thorough program of maintenance and make repairs to eliminate the pattern of ‘patch-&-fill’ dentistry that creates a frustration for your life, and your smile.

Most dental offices offer financial options that enable you to make affordable payments while enjoying the benefits of a healthy, confident smile. The commitment of achieving a worry-free mouth will provide lifelong rewards, including a smile that gives you daily pleasure!

Begin with a consultation and periodontal exam. Call (828) 274-9440 to schedule.

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.

Mouthwash Not A Substitute For Oral Hygiene Routine

Posted on Nov 03, 2014 by William J. Claiborne, DDS MS

Several years ago, I heard Jessica Simpson had announced on an Ellen episode that she brushes her teeth “maybe three times a week.” Simpson said she uses Listerine and flosses everyday and uses “a shirt or something” to wipe her teeth. Claiming her breath is fresh, she feels her mouth has been adequately cleaned.

Being in the field of Periodontics, a dental specialty that focuses on the soft tissues in the mouth and dental implant placement, this misinformed attitude is jolting. By failing to adhere to proven preventive measures of twice-daily brushing, daily flossing and 6-month checkups and cleanings, there is an increased risk for a long list of oral health problems to come.

Plaque, the sticky film of bacteria that clings to teeth and gums, must be removed every 24 hours. In as little as 2 to 3 days, the bacteria begin to attack supporting bone and gum tissues around teeth. This is the beginning of decay and Gingivitis, the initial stage of periodontal disease.

Oral rinses are often best as a temporary breath freshener and an ‘add-on’ to a thorough oral hygiene regimen at home. While some oral rinses do help in the prevention of plaque or slowing the progress of tooth decay, they are ‘aids to’ rather than ‘substitutes for’ proper oral hygiene.

As plaque accumulates, calculus (or tartar), forms on teeth. Calculus is a hard substance formed by bacterial buildup that can only be removed by a dental professional using special tools. As calculus adds to the attack on tooth surfaces and gum tissue, this can lead to advanced gum disease, known as periodontitis. Periodontitis is the nation’s leading cause of adult tooth loss.

For oral rinses designed to temporarily reduce bad breath, most fail to combat the causes of bad breath. They don’t destroy the oral bacteria that cause bad breath nor inactivate odor causing compounds. Many assumed to clean the mouth are ineffective at reducing plaque or halting calculus.

If you frequently use mouthwash because of bad breath, there is an underlying problem that should be addressed by your dentist or a periodontal specialist. Persistent bad breath is a symptom of gum disease, which will only worsen without treatment.

Additionally, when oral bacteria enters the bloodstream through diseased gum tissue tears, it can trigger inflammation elsewhere in the body. The bacteria of periodontal disease has been linked to heart disease, stroke, diabetes, arthritis, memory loss, preterm babies and even impotency. This bacteria can even be transferred from one person to another through kissing or sharing food and beverages.

Some rinses actually do help in the fight against the oral bacteria that forms plaque. For individuals who find it physically difficult to brush and floss, certain oral rinses add some protection against cavities and periodontal (gum) disease. These preferably contain fluoride to protect tooth enamel as well. Too, for our patients who have had periodontal surgery, we typically prescribe an oral rinse to help deter bacteria buildup during the healing process.

If you’d like to add an oral rinse to your oral hygiene routine at home, ask your dentist to recommend a rinse with fluoride or antimicrobial agents to get the best benefit. However, twice daily brushing and flossing, combined with 6-month dental check-ups, is a necessary part of a healthy mouth – and there is no substitute.

Call (828) 274-9440 if you have questions or feel your periodontal health is at risk.

String Floss Vs. Water Flossers

Posted on Oct 20, 2014 by William J. Claiborne, DDS MS

Dental floss has been around for almost 200 years. With nearly two centuries of dentists pleading to excuse-laden patients, no wonder water flossers were invented.

The goal, whether using dental floss or a water flosser, is to remove food debris caught between teeth and scrape away the bacterial film formed during the day. This film is the beginning of plaque and, when not removed daily, hardens into calculus. Calculus is the cement-like substance that adheres to teeth. It consists of reproducing oral bacteria that feed on tooth enamel and gum tissue. Once formed, calculus cannot be brushed or flossed away. Only a dental professional can remove it using special tools.

When water flossers first emerged, the debate was whether they were as effective as dental floss. However, as water flossers have been fine-tuned over the years, they have proven to be more effective than standard flossing.

Although the companies who developed these water flossers provided early research showing the benefits of their product versus dental floss, dental researchers wanted their own proof. One study found that a water flosser combined with tooth brushing was nearly 93% more effective than using floss with brushing. It also showed that adults can have up to 52% better results at reducing gingivitis, which is the early stage of periodontal (gum) disease. Additionally, international research showed that combining a water flosser with brushing provided twice the effectiveness at reducing gingival bleeding than using brushing and dental floss.

For adults who have arthritis or find using floss is too awkward, water flossers are an excellent alternative. When combined with thorough twice-daily brushing, today’s water flossers can do a better job at removing oral bacteria, food particles and preventing the sticky film that forms plaque.

However, it is the commitment of the individual that makes the most difference. A thorough, committed oral hygiene regimen at home and twice a year visits to your general dentist is the best way to prevent oral bacteria buildup and the problems that result. In addition to cavities and gum disease, research has shown that oral bacteria can trigger inflammation elsewhere in the body, increasing the risk of heart disease, stroke, high blood pressure, diabetes, arthritis, preterm babies and impotency.

Adequate brushing and flossing (whether standard floss or a water flosser) can help you avoid cavities, gum disease, tooth loss and the heightened risk of health problems elsewhere in the body. Rather than plead with patients to floss daily, I’d much rather recommend an easy-to-hold device that has proven safe, effective, and promotes more compliance than that of string floss.

If you have delayed dental check-ups and suspect gum disease, call (828) 274-9440 to schedule an examination.