Dental Implants Are Wise Investment

Posted on Nov 16, 2015 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I’ve been pleased to stay on top of the advancements in dental implants as the optimal replacement for missing teeth. The various systems that employ unique techniques and materials have provided exceptional choices for about any individual who has lost natural teeth.

Along with these developments in implant dentistry, I’ve completed advanced training that has expanded my skills to provide optimal results. Not surprisingly, at treatment completion our patients mainly see the results of an appealing, confident smile. Yet, it is the foundation of it all — beneath the gums — that is the true benefit to dental implant recipients.

Think about your smile the way nature made it. Natural teeth are held by tooth roots situated in your upper or lower jaws. The jaw bones actually thrive on the presence of tooth roots, which provide a stimulating interaction that keeps the bone healthy. Without their presence, the jaw bones go through a process referred to as resorption. Resorption causes bones to lose mass, declining in both height and width.

Bone loss causes 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 even be seen in people who appear to have a collapsed mouth (referred to as a ‘granny look’) where the nose is unusually close to the chin. This is actually the result of severe bone loss.

Bone loss is also the culprit for dentures and partials that 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 opt for dental implants, however, it is the appeal of having a lifelong investment that is the deciding factor when comparing implants to other tooth replacement options. Because dental implants are designed to last a lifetime, many see them as an appealing ‘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, they do nothing to halt bone loss and crowning natural teeth for the sole purpose of supporting a bridge forever compromises the health of otherwise natural teeth.

Dental implants do not rely on adjacent teeth for support since they are held in the jaw bone, 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.

 

Quit Smoking For Your Smile – And More

Posted on Nov 09, 2015 by William J. Claiborne, DDS MS

Wow – we are nearing the end of another year already. As is common for many Americans, new year’s resolutions are being considered as the holiday season is upon us. For smokers, cutting back or quitting altogether is a common resolution, for good reasons.

When you quit, NOT smoking can cut your risk for heart attack in half. If you quit before age 40, you can also reduce excess mortality that’s attributed to smoking by 90%. Quit before you turn 30 and you’ll reduce this by more than 97%. However, it’s not just YOU who benefits when you quit. Second-hand smoke contains at least 50 known carcinogens and other harmful chemicals.

Smokers shorten their life expectancy by 10–15 years on average. It is responsible for an estimated 30% of all cancer diseases and deaths and 90% of all lung cancers and increases the risk of lung cancer, pancreatic cancer, cervical cancer, cancer of the  kidneys, liver cancer, bladder cancer, stomach cancer and leukemia. Smoking or chewing of tobacco causes 80 – 90% of oral cancers (mouth, lips, throat).  Smokers who are also alcohol drinkers have a risk of oral cancer greater than the combined risk of those who only smoke and those who only drink alcohol. Smoking is also a cause for emphysema and other respiratory diseases, heart disease, stroke and diabetes.

Pregnant women who smoke create heightened risks of first trimester spontaneous abortions, placenta abruption, preterm births, low birth weight babies and sudden infant death syndrome (SIDS). Women are also at risk for early menopause. Men who smoke have a higher risk for sperm abnormalities and impotency.

Tobacco contains chemicals that are known to be harmful to the body. Smokers also have an increased risk of periodontal (gum) disease, bad breath, stained teeth, an increase in dental plaque, and slow healing after extractions, gum therapy or oral surgery.

Smoking dries out the oral tissues, creating a vulnerable environment for the rapid growth of oral bacteria. Once gum disease begins, you can expect persistent bad breath, sore gums, gums that bleed easily when you brush and gums that turn red in color. As the disease progresses, pus pockets will form at the base of teeth. The teeth will become loose as the bacteria destroys bone and tissues that support tooth roots. Eventually, these teeth will require removal.

If you ever needed a reason to quit, look at the loved ones around you who not only breathe in the deadly smoke you exhale. Then, consider the health problems they’ll likely see you endure. Finally, imagine losing your smile and having to wear dentures or partials to replace the teeth you lost due to the effects of smoking.

There are a number of online support sources for those who wish to quit. Begin there, and be committed to keeping this resolution. Your life, literally, depends on it.

Long History Behind Today’s Dental Implants

Posted on Oct 13, 2015 by William J. Claiborne, DDS MS

If you like history, you’ll find the following information both interesting and potentially useful, especially if you ever lose a natural tooth.

Dental implants actually date back to ancient Egyptian times. Archeological digs have discovered seashells and stones that were carved into tooth shapes. These were found positioned into jaw bones to serve as replacements for missing teeth.

Over the years, metal and other dental implant versions (including gold) have been found to exist in ancient cultures in North and South America as well as Middle Asia and the Mediterranean. One exciting find occurred in Honduras during the 1930’s. An excavation revealed the Mayan civilization of 600 AD had examples of dental implants. This was determined when a fragment of a lower human jaw bone was discovered with three carved shells in tooth shapes that had been placed in the sockets of three missing teeth.

In the Middle Ages, dental implantation was performed by attempting certain grafting techniques. However, these proved minimally successful due to infections that were not uncommon, some of which resulted in deaths.

Advancements in dental implants took a major jump during World War II when Dr. Norman Goldberg was serving in the Army. Realizing that some metals had been used successfully to replace other parts of the body, he began to apply this to dental implants. After the war, he and Dr. Aaron Gershkoff created the first successful implant type in modern times, the sub-periosteal implant.

Their success became the foundation of implant dentistry, inspiring more research. In 1957, Dr. Per-Ingvar Branemark, a Swedish orthopedic surgeon, discovered that living bone could grow around a new metal developed by NASA, called titanium. He found this metal would integrate successfully with bone without being rejected. This process became known as ‘osseo-integration’ and was the beginning of numerous studies.

In 1965, Dr. Branemark placed the first titanium implants in a mid-30’s patient, inserting four implants into the patient’s lower jaw. After allowing the bone to secure the implanted portions for several months, he attached a set of replacement teeth. The dental implants were fully functional for the patient for over 40 years throughout the life of the patient.

Dr. Brånemark’s success marked a turning point in implant dentistry with advanced techniques that are used still today. The Food & Drug Administration approved titanium dental implants in 1982. This furthered the development of fine-tuning implant systems and techniques, including computerized implant treatment planning.

In addition to the dependable function and longevity of today’s implants, modern ceramics has been incorporated into the restoration process. Teeth attached to the implants can be designed to provide the look and feel of natural teeth. Today’s Dental Implant patient can enjoy the best of all worlds!

The average age of today’s dental implant patient is 53, most who are replacing a single tooth or several. It is estimated that over 450,000 dental implants are placed every year with a success rate of 95% with minimum risks or complications.

Now that your history lesson is complete, the lingering question may be, “Why do so many people choose dental implants today?” That’s easy. Just ask someone who has had a dental implant to replace a partial, crown-&-bridge combination or full arch of dentures. Dental implants give them a lifetime solution for their missing teeth with dependable function and stability. And, their smile shows no signs of ‘false’ teeth.

If you’ve thought about dental implants, learn the type that’s best for your needs after an examination. We can then discuss recommended implant options, costs and treatment time. Call 828-274-9440 to schedule.

The Challenges Of Dentures

Posted on Jul 16, 2015 by William J. Claiborne, DDS MS

At every age, it is important to stay socially active. Being involved with others is good for our overall well-being as it nurtures our innate need for community. So many social activities seem to include food as the centerpiece. When unstable dentures cause an individual to feel uneasy when eating or speaking, they begin to decline invitations due to fear of embarrassing slips or clicks.

A common complaint of long-time denture wear is the unstable fit. Even though a denture may have fit securely when first made, over time it will begin to move while eating. Biting and chewing contributes to uncomfortable rubbing. Just having nuts or seeds become trapped between the gums and denture can painfully pierce tender gum tissues.

Bone loss causes the fit of the denture to change due to an ever-shrinking jaw bone. This is the result of no longer having natural tooth roots in the jaw bone. Without tooth roots to stimulate the bone, it slowly shrinks, or resorbs.

Denture wearers can actually see the extent of bone resorption by looking in the mirror without their denture in place. They’ll likely see deep wrinkles around the mouth with the corners of their mouth turning downward, even while they smile. Jowls form as facial muscles release from the shrinking jaw. The mouth may appear to collapse into the face with the chin becoming more pointed.

Dentures can also make it difficult to eat a healthy diet. To avoid uncomfortable rubbing on tender gums from denture movement, people tend to transition to a diet of soft foods that dissolve easily with minimal chewing. Unfortunately, these foods lack protein and fiber needed for good health. It is not surprising that denture wearers have higher incidences of gastrointestinal problems and take more medications than non-denture wearers.

To minimize ‘rocky dentures,’ relines may help, temporarily. However, modern dentistry offers a far better option that overcomes all the challenges of living with dentures – Dental Implants. Unfortunately, a denture’s cheaper price tag has kept many people stuck in the a miserable situation.

Dentures simply aren’t a good substitute for natural teeth. Although they may seem better than being without teeth, dentures actually contribute to a number of problems. The pressure of wearing dentures speeds up the rate of bone loss and, for those who sleep in their dentures, the pace of resorption is nearly double.

Dentures are an antiquated solution for tooth replacement. No adhesive or reline will ever make a denture a practical alternative for missing teeth. For today’s active adult, Dental Implants provide a dependable option that restores chewing stability and laughing confidence. And even though the cost is higher, for one’s overall health and well-being, they’re a bargain.

Today’s implant dentistry offers many options. Learn those that are best for your needs and budget in a Consultation appointment. Call (828) 274-9440 to schedule a time.