Don’t Let Tooth Loss Equal Bone Loss

Posted on Sep 13, 2013 by William J. Claiborne, DDS MS

What we DON’T know CAN harm us. As a periodontal specialist, I wish every American was aware of what happens in their mouth when they lose teeth. By understanding the ‘domino effect’ created by tooth loss, I believe the oral – and overall – health of the U.S. population would significantly improve.

When natural teeth are lost, some adults still believe that the sufficient replacement of teeth is through a denture or partial. Although this does, indeed, replace teeth, these are not ideal solutions.

When a tooth is lost, surrounding natural teeth shift out of proper position if the tooth is not replaced. However, using a denture or partial to replace teeth puts pressure on the gum-covered ‘ridge’ that once held natural teeth. This pressure accelerates the rate at which the underlying jaw bone shrinks.

Without natural tooth roots in the bone, the jaw bone begins to shrink, losing height and thinning over time. This not only puts the jaw at risk for fractures and breaks, it can lead to changes in one’s facial appearance. Bone loss causes deep wrinkling around the mouth with corners of the mouth that turn downward, even in a smile. The chin takes on a more pointed look and the mouth tends to sink into the face, creating what is known as a ‘granny look.’

Bone loss can be halted with the placement of Dental Implants. One type of implant is suitable even when severe bone loss has occurred. For those missing all of their upper or lower teeth, the All-On-4 Implant system is affordable, placed in a simple procedure, and can have teeth attached immediately.

Few things in life deserve more than the benefits of a healthy smile. We rely on it to bite, chew, speak, and express ourselves. It is the beginning of the digestive process and the “window to our bodies.” Consider your options for replacing teeth so you can enjoy a healthy, worry-free smile. And remember, bone loss will not stop on its own. The sooner you put a halt to the process, the more options you’ll have.

Call (828) 274-9440 to arrange a consultation to discuss tooth replacement through Dental Implants. I look forward to hearing from you!

If You Have Jowls, Thank Your Dentures. Here Is Why…

Posted on Apr 22, 2013 by William J. Claiborne, DDS MS

Long-time denture wearer?  If you suspect your face has grown longer, it is probably because jowls have formed on both sides of your face. This is often the result of facial muscles that have detached from the jaw bones once it shrinks to a certain point.

Here is why you’ve lost bone: When natural tooth roots are held by the upper and lower jaw bones, they provide stimulation to the bone, which helps to maintain its mass. When tooth roots are no longer present, lack of stimulation results in bone resorption, or ‘melting away’ of the bone.

Although resorption occurs slowly, pressure on the jaws from wearing dentures actually speeds the resorption process. Since many denture wearers also sleep in their dentures, this continual pressure accelerates the rate of bone loss even more.

When dentures are first placed, the fit can be satisfactory for one to five years. However, as bone loss progresses, it continues so the denture’s fit lasts at less-frequent intervals each time. For example, one year after the extraction of teeth, a denture wearer experiences a 25% bone loss. Three years later, 60% of the bone is gone. While the biting force with teeth is 250 pounds, an average denture wearer bites with only 5 – 6 pounds of force.

Today’s implant dentistry includes types, such as the ‘All-On-4,’ that need minimal bone for placement. Because these implants are placed at unique angles, just four implants (upper or lower) can support a full arch of non-removable teeth.

Although other implant types may require more bone, procedures that can rebuild the jaws to a healthy mass. Some cases are accomplished using bone generating materials. Others may require a bone graft. Upper implants may need a ‘sinus lift’ to ensure there is ample bone protecting the sinus cavity.

Regardless of the process, dental implants will enable you to chew comfortably and speak and laugh confidently without fear of embarrassment. Begin with a consultation and examination to learn what is required for your needs as well as treatment options. Call (828) 274-9440 to schedule.

Sinus Lifts & Bone Rebuilding For Dental Implants

Posted on Feb 25, 2013 by William J. Claiborne, DDS MS

When natural tooth roots are missing from the upper or lower jaw, the bone that was once their foundation begins to shrink. Over time, this bone loss can cause many problems.

A common frustration of denture wearers is uncomfortable rubbing or slips while eating. This is because the bone ridge that the denture was designed to fit is shrinking. Even with adhesives and pastes, a flattened bone ridge can make chewing with a denture difficult. Relines may help for a brief time, but eventually, they seem to do little good.

Bone loss becomes obvious in one’s facial appearance. Deep wrinkling occurs around the mouth, even with dentures in place. The mouth appears sunken-in and the corners of the mouth turn downward. Jowls form and the chin takes on a pointed shape.

To place Dental Implants, a sufficient amount of upper or lower jaw bone must exist. Once the implants are in place, your bone grows around them. This secures them firmly in place, giving a dependable foundation like that of the tooth roots you once had.

In the lower jaw, a nerve runs horizontally through the bone. Placing implants must be done so there is no risk of interfering with this nerve. And, because the upper jaw connects to the sinus cavities, upper placement must be done so each implant avoids close proximity. This is why sinus augmentation, or a ‘sinus lift,’ is occasionally necessary.

A key to implant success is not just in the selection of the implant, but where the implant is placed. When too much bone loss has occurred, bone rebuilding techniques are necessary. Although these extend the treatment time and add to the overall cost, the ability to eat and laugh without worry or discomfort is well-worth the procedure you have, even if added steps are necessary. This is why it is better to have Dental Implants placed before this extent of bone loss occurs.

Some implants are specifically designed to for people who have had a great deal of bone loss. We’ve had excellent results with the ‘All-On-4’ implant system. These are placed at unique angles so they require less bone depth. Another benefit of All-On-4 is their ability to support a full arch using just four implants. Because the cost of implant treatment is largely determined by the number of implants used, this helps to keep overall expenses down.

Today’s Dental Implants are highly-successful and tremendously advantageous for those who once struggled with dentures or partials. If you’d like to know more, call to arrange a Consultation at (828) 274-9440.

An Ideal Implant? Hmmm, Could Be…

Posted on Jan 25, 2013 by William J. Claiborne, DDS MS

Over the years, Dental Implants have evolved into what is becoming American adults’ preferred method for tooth replacement. And, why not? They restore the ability to chew comfortably, halt bone loss, and are designed to last a lifetime. As a matter of fact, Dental Implants have one of the highest success rates of all implant-in-bone types, including hips and knees.

One fairly recent implant is setting quite a precedent for all others. The ‘All-On-4’ implant system uses unique angles so it works well for even those who have experienced severe bone loss. Because it uses only 4 implants to support a full arch of teeth, it is a more-affordable option that many traditional types.

Another bonus of the All-On-4 is their ability to support teeth as soon as they are placed. They also hold teeth that are non-removable, so you can brush your teeth in your mouth and wake up with a smile!

I can’t think of one reason why a denture wearer would be miserable and struggle to chew when All-On-4 is such an ideal option. To discuss ‘All-On-4’ or any Dental Implant, call (828) 274-9440 to schedule a consultation.