How Periodontal (Gum) Disease Begins & Progresses

Posted on Apr 12, 2017 by William J. Claiborne, DDS MS

Periodontal (gum) disease begins without obvious symptoms. This is likely why it is allowed to progress. Yet, even when gum disease is fully underway, the warning signs are often ignored. For example, some people assume that seeing blood in the sink when brushing is a sign they are doing a good job rather than a symptom of inflamed gum tissues. (It’s not!)

Acquiring gum disease is easier than you might imagine. The following is the typical process of gum disease:

•  Accumulation Of Oral Bacteria: Our mouths are a warm, moist environment. Every day, it takes in an enormous amount of bacteria. Bacteria is on food, lipstick, and even the toothbrush we use. Bacteria in our bodies, including our mouths, is a fact of life and something we can process – at certain levels. The problem begins when too much bacteria accumulate.

•  Plaque: Without regular and thorough brushing, flossing, saliva flow and diet, oral bacteria can reproduce rapidly in the mouth. Their accumulation over the course of a day forms a sticky film you feel on teeth. This film, known as plaque, can form in just the brief time between your morning tooth brushing and evening brushing.

•  Tartar (or Calculus): In about 48 hours, sticky plaque film can harden into tartar. Tartar (also known as calculus) is a hardened form of oral bacteria that attaches to teeth. Tartar will continually reproduce and amass as oral bacteria subsist on tooth enamel and gum tissue.

•  Gingivitis: This is the first stage of gum disease. At this point, gum tissue is under attack. Gums are tender and bleed easily when brushing. You may have an aching sensation in some areas and your breath will be frequently bad. By taking effective measures at this point, you have an opportunity to restore your gums to a healthy state. Halting gingivitis at this point is important to avoid its progression to gum disease.

•  Periodontal (Gum) Disease: At this level, the gums are inflamed and tender. Gum tissues will darken in color and begin to pull away from some teeth, exposing darker root portions. Your breath will be frequently offensive. As gum disease worsens, pus pockets form on gum tissues and teeth will loosen. Gum disease can lead to the need to remove some teeth. It is the nation’s leading cause of adult tooth loss.

An estimated 47% of American adults have some level of gum disease. As devastating as tooth loss can be, research has been associated the bacteria of gum disease with serious health problems elsewhere in the body.

Oral bacteria can become bloodborne through tears in diseased gum tissues and has been shown to cause inflammatory triggers. This systemic inflammation has been associated with heart attacks, stroke, high blood pressure, some cancers, arthritis, diabetes, preterm babies and impotency. Yet, gum disease is one of the most preventable of all diseases with simple measures.

Re-examine your at-home oral care routine. Twice daily brushing, daily flossing, drinking plenty of water and limiting snacking, sweets and caffeine help to keep your mouth healthy between regular dental check-ups and cleanings. And, those check-ups are vital to keeping a healthy smile. During these visits, accumulated tartar can be removed and signs of early gum disease can be noted.

Good oral health practices can save you much in time and money by avoiding procedures to repair problems. Too, keeping a healthy mouth means you are helping to protect your overall health by lowering risks associated with oral bacteria. With proper care, you can easily enjoy a lifetime of healthy smiles.

If you are experiencing symptoms of gum disease, call 828-274-9440. As a specialist in all levels of gum disease, we can help you restore your oral health.

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.

Don’t Let Lupus Compromise Your Smile

Posted on Mar 22, 2017 by William J. Claiborne, DDS MS

Over the years, I’ve shared many findings that have revealed links between the infectious bacteria of periodontal (gum) disease to other serious health problems. The culprit tends to originate in how oral bacteria can trigger systemic inflammation elsewhere in the body. Because the bacteria can become bloodborne through tears in weakened gum tissues, it can freely travel throughout the body and lead to chronic inflammatory reactions.

Periodontitis is an advanced stage of periodontal (gum) disease. In the mouth, it causes destructive inflammation that leads to the loss of the structures that support teeth. Eventually, this leads to tooth loss and is the leading cause of adult tooth loss in the U.S.

A person with Lupus, depending on the type of disease, faces a variety of oral health challenges. As an autoimmune disease, Lupus affects the collagen tissue in the entire body. This includes the collagen that exist in the tissues of the mouth. This adds to the problems of Lupus patients with longer healing times required after oral procedures as well as the common symptom of dry mouth.

When a mouth is dry, oral bacteria can more easily accumulate. Having a dry mouth contributes to an increased risk of developing cavities, gum disease and candidiasis, a fungal mouth infection. Dry mouth can cause the gums to become red and leukoplakic lesions to form on gum tissues. These are white, scaly patches that appear on the gum tissues inside the cheeks and/or on the palate and inner border of the lips.

To overcome the challenges of dry mouth, Lupus patients should practice ways to stimulate the production of saliva flow. This can be done by chewing sugarless gum or sucking on sugarless hard candy.  They should drink plenty of water throughout the day to keep the mouth wet, preferably taking frequent sips. To soothe dry, cracked lips, a petroleum-based lip balm is recommended.

Dry mouth can be made worse by consuming caffeinated foods and beverages, spicy foods and alcoholic beverages. The worst drying agent to oral tissues is smoking or ‘chew.’

In addition to actions to prevent the problems associated with dry mouth, a saliva substitute may be helpful to replenish low saliva production. These products mimic some of the properties of saliva and help make the mouth feel wet. Some also contain fluoride, which can help to prevent cavities.  However, the benefits of saliva products are limited since they are eventually swallowed.  Because the effects last only a few hours, it may be necessary to use them several times a day.

Although the challenges that Lupus patients face are many, keeping good oral health can occur by devoting mere minutes to proactive oral health measures. In addition to helping to keep your mouth moist, be committed to a thorough at-home oral hygiene regimen. This includes daily flossing, twice daily brushing (at least two minutes each time), and limiting snacks.

We believe every person, regardless of their challenges, can enjoy a healthy, confident smile. If you have Lupus or any disease that creates hurdles when it comes to your oral health, let us help. Together, we can develop a plan that is appropriate for your individual needs. Call 828-274-9440 to arrange an examination to begin.

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.