The Makeup Of Dental Implants


Posted on Jul 10, 2017 by William J. Claiborne, DDS MS

Every once in a while, I find it is helpful to explain the components of Dental Implants. Because implant systems come in many different shapes and sizes, understanding the basics can often help an individual determine which is best suited to his or her overall goals.

For example, some people who have worn a denture for years prefer an implant system that has ‘fixed’ teeth attached. This means they will not need to remove the replacement teeth for cleaning.

First, it’s important to understand that a Dental Implant is not the replacement tooth, but a component that serves as the stablizer. The actual implanted portion is positioned into the jaw to serve as a tooth root replacement. This restores a dependable, sturdy foundation that supports teeth that can bite and chew without movement.

In placing the implant portion, an insertion point is made in the gum tissues and the bone underneath where natural tooth roots were once held. Into this, the implant, which is similar to a hollow screw-like cylinder, is placed.

In most cases, the implants are recovered with gum tissue and allowed to bond with surrounding bone for several months. Throughout this period, you can wear your denture or temporary teeth comfortably.

The process of bone growing around the implant is known as ‘osseo-integration.’ During this time, the bone grows around the implant and secures it in place. After several months, the gum tissue is uncovered and a post is secured inside the implant. Onto this post, the final replacement tooth or teeth are attached. These teeth are referred to as crowns or restorations.

One implant can often support a bridge of two or more teeth. Several strategically-placed implants are often used to support a full arch of teeth. For people who have lost a great deal of bone mass, certain implant systems rely on implants that are placed at specific angles to support teeth in minimal bone depth. However, some levels of bone loss need bone rebuilding procedures. These can be performed prior to implant placement and help restore facial appearance as well as overall eating and speaking function.

Because of the wide variety of implant systems, it is important to carefully choose the doctor who will place your implants. A Periodontist has advanced training in the diagnosis and placement of Dental Implants and works closely with other general dentists and dental specialists to help you enjoy a successful outcome.

The type of Dental Implant best suited for your needs can be discussed during a private Consultation. Call (828) 274-9440to arrange a time to discuss the choices that will work best for you.

Losing Teeth Can Lead To Shrinking Jaw Bone


Posted on May 24, 2017 by William J. Claiborne, DDS MS

If you’ve worn dentures or partials for ten years or more, take a moment to literally see what is going on with your jaw bone.

Remove your denture or partial and look in the mirror. You may notice deep wrinkles around your mouth. The corners of your mouth may turn downward even when you smile. Your mouth may appear to be slightly sunken in, moreso than when you had your natural teeth. You may have jowls on the sides of your face.

These are all telltale signs of bone loss. This occurs beneath the gum tissue because your jaw bone is shrinking. Here is why this occurs.

Healthy Jaw Bone Vs Bone Loss From Missing Teeth

When a tooth root is removed from the jaw bone, the bone is no longer nourished and stimulated by the root. Thus, a process known as ‘resorption’ begins. Resorption is a term used to describe a shrinking or declining mass of jaw bone.

Bone resorption also leaves adjacent teeth susceptible to the effects of bone loss. As the area of bone declines in height and width, neighboring teeth are at a greater risk of cavities, gum disease, and tooth fractures. It is a fact that when a tooth is lost, the one next to the one missing is most likely the next to be lost.

And, it’ not just tooth loss that contributes to a shrinking jaw bone. The pressure on the gums from wearing a denture or partial denture adds to the rate of bone loss. For those who sleep in their dentures, this constant pressure accelerates this rate even more.

For people who opt to replace a tooth (or teeth) with a crown-&-bridge, they can also expect bone loss. Over time, this can be detected through a gap that appears between the bridge and gums. In a smile, this gap may be visible.

As a periodontal specialist, the most common complaint I hear from those who wear dentures or partials is having discomfort while eating. Many long-time denture and partial wearers experience sore spots on tender gum tissues. This occurs because their appliances move when chewing.

This movement is the result of the declined bone mass that supports the denture. This gum-covered ‘ridge’ where teeth were once held flattens as the jaw bone declines in height and mass. Because a denture or partial is made to contour to this ridge, it begins to slip as the bone shrinks. This is when people tend to use denture adhesives and pastes more frequently.

To avoid discomfort when eating, denture wearers may adjust their diets to consist of soft foods that dissolve easily in the mouth. In many cases, these diets lack the nutritional benefits of fiber, vitamins and protein necessary for a healthy body. Due to fear of embarrassing slips, people also begin to avoid social gatherings where food is the centerpiece.

It stands to reason that there is a need to replace more than the presence of teeth. This is why so many dentists and dental specialists now recommend Dental Implants. Over the years, they have proven to be a successful alternative to dentures and partial dentures.

There are many advantages to Dental Implants. From a health standpoint, I see their ability to halt bone loss as a leading benefit. Dental implants are placed in the jaw bone, recreating the stimulation of tooth roots. This helps to preserve the strength of the jaw bone while restoring biting strength and chewing stability.

I also like that Dental Implants are self-supporting since they use the jaw bone for support. They do not rely on having otherwise-healthy, natural teeth crowned for the mere purpose of supporting replacement teeth (as in crown-&-bridge combinations).

From a value perspective, Dental Implants are an excellent investment. With proper selection, placement and care, they are designed to last your lifetime. And, it’s an investment you’ll enjoy every day as you comfortably eat foods you love, smile and laugh without worry, and wake up with a smile!

There is much to know as to why keeping your natural teeth is so important. However, when tooth loss does occur, you can protect your health and well-being by replacing them with Dental Implants. With Dental Implants, you are able to avoid the long-term repercussions of bone loss.

Ask about Dental Implants to restore a natural look and feel while you protect surrounding teeth and bone structure. As a Periodontist with advanced training in the diagnosis and placement of all types of implant systems, I can recommend options that will work best for your individual situation.

Call 828-274-9440 to learn more or ask for a consultation appointment to personally discuss your needs and preferences. If you’ve already experienced a great deal of bone loss, I’ll explain methods to rebuild your bone to a healthy level, often with no grafting needed.

For Replacing Teeth, Dental Implants Are Best Value


Posted on Apr 17, 2017 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I stay current on the advancements in implants dentistry because, for many reasons, it is the ideal replacement option for missing teeth. The various systems, modern techniques and advanced materials now offer exceptional choices for any individual who is missing natural teeth.

Along with the developments in implant dentistry, my advanced training in the diagnosis and placement of dental implants gives me expanded skills to provide optimal results. While our patients mainly see the results of an appealing, confident smile once their treatment is completed, it is the foundation of healthy gums that is the true benefit to dental implant recipients.

Think about the way nature created your smile with natural teeth held by their roots in the upper or lower jaws. The jaw bones are nurtured by the existence of tooth roots, which provide stimulation that keeps the bone healthy. Without their presence, the jaw bones experience a process known as resorption. Resorption causes bones to lose mass, declining in height and width.

Healthy Jaw Bone Vs Bone Loss From Missing Teeth

Bone loss leads to a number of problems. Once resorption begins, remaining teeth adjacent to the area of bone loss are affected. A shrinking bone that abuts areas of resorption weakens tooth root stability. This creates a domino effect. When a natural tooth is lost, statistics show the next to go will most likely be an adjacent tooth.

As bone loss continues, your potential to lose more teeth increases. With each extraction, the continual process of bone loss leaves you with an ever-shrinking jaw and weaker foundation for remaining teeth. Bone resorption can be detected visually in people who have a collapsed mouth (referred to as a ‘granny look’) where the nose is unusually close to the chin.

Bone loss is also the reason that once well-fitted dentures and partials begin to slip and cause uncomfortable rubbing on gum tissues. When a denture is first made, it is designed to conform to the unique contours of your gum ridge (the gum-covered arch that once held your natural tooth roots). As the bone declines in mass, this secure fit loosens and moves while chewing or laughing. Denture pastes or adhesives can help, but eventually even relines (reshaping the previously-made contours) are of little help.

To many people who choose dental implants to replace teeth, however, it is the appeal of making a lifelong investment that is the determining factor when comparing costs of implants to other tooth replacement options. Since they are designed to last a lifetime, many see dental implants as a ‘one and done’ choice for treatment.

In cases where one or several teeth together are missing, crown-&-bridge combinations are an option. However, crowns and bridges can require repairs and/or replacements over time. And, they do nothing to halt bone loss. The other consideration is the need to crown natural teeth for the sole purpose of supporting a bridge. This compromises the integrity of otherwise natural teeth for the mere purpose of holding a bridge.

Since they are held in the jaw bone, dental implants do not rely on adjacent teeth for support providing the same, sturdy foundation as natural tooth roots. An added bonus is how the implanted portion recreates the presence of a tooth root, halting the process of resorption.

Our goal is to always provide the best outcome possible based on the long term goals you desire. Let’s begin with a private, no obligation consultation to discuss your specific goals or concerns. Call 828-274-9440 for an appointment.

Selection Of Dental Implants Offers Affordable Options


Posted on Mar 20, 2017 by William J. Claiborne, DDS MS

Have you ever made a purchase decision based on a lower cost but found you ended up with less than pleased with the outcome? We all have. It’s natural to want a ‘good deal’ when it comes to how we spend our hard-earned money. However, there is nothing worse than the feelings of regret upon realizing the savings weren’t worth what was sacrificed in the end.

When I discuss dental implants with new patients, I find some arrive with preconceived notions that Dental Implants are out of their price range. Since the costs for dental implants are, for the most part, upfront, they are often assumed as more expensive when comparing costs to other tooth replacement options. With implants, however, there is far more to consider when comparing actual costs.pigbank

When it comes to replacing teeth, the majority of adults understand options like dentures, partials and crown-&-bridge combinations. While people are generally familiar with how these work, dental implants can be more complicated.

For example, dental implant systems come in a variety of shapes and sizes to accommodate different needs and preferences. Some are designed for minimal bone depth and others help to support a full arch of teeth. Naturally, a number of factors play a role in calculating the overall cost for treatment.

Yet, unlike a bridge or dentures, dental implants are a one-time expense when it comes to replacing teeth. Dental implants will never decay, need root canals or compromise neighboring teeth or supporting structures. Even more appealing – dental implants are designed to last a lifetime. With proper selection, placement and maintenance, dental implants are designed to last your lifespan.

The advantages of dental implants go beyond tooth replacement. Dental implants are positioned in the jaw bone, which provides the same, dependable foundation as natural teeth. Their presence restores stimulation to the jaw bone, helping to preserve the bone’s mass. Without this stimulation, the bone resorbs, which is a process of continual decline in bone mass.

Resorption is the reason that dentures that fit snugly when first made will begin to move and slip over time. Because resorption reduces bone height, the ridge that the denture was made to conform to begins to flatten. The declining ridge can no longer provide the denture with a sufficient base. Denture adhesives become of little help while chewing. Eventually, people opt for a diet of soft foods that dissolve easily in the mouth to avoid sore spots on tender gum tissues or embarrassing slips.

Declining bone mass also leads to changes in facial appearance, contributing to an appearance that is far older than one’s actual age. As bone mass declines, people see the formation of jowls, deep wrinkling around the mouth, and having the corners of the mouth turn downward, even when smiling. As the bone thins further, the chin points and the nose moves closer to the chin, creating a ‘granny look.’

The fees for Dental Implants are largely determined by the number of implants placed. In most cases, an implant is not necessary to replace each missing tooth. For example, if you are missing several or even a full arch (all upper or lower) of teeth, several strategically-placed implants can often provide sufficient support. To replace several teeth that are missing in one area, one implant can often support a bridge of two or more teeth.

An added advantage of implants is they do not rely on the crowning of adjacent teeth in order to support a bridge. While a traditional crown-&-bridge combination relies on adjacent teeth for support, an implant uses the sturdy foundation of your jaw bone.

We believe the investment you make when replacing teeth should make you as happy now as it does twenty years from now. If you feel the barrier to achieving a confident smile is the cost, begin with a consultation appointment. During this time, we will discuss the implant system that will work best for your individual needs and goals and anticipated cost. We can also recommend payment plans that help you achieve your goals while making easy monthly payments.

The comfort and confidence of your smile is too important to compromise. Call 828-274-9440.

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