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.

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.

Best To Replace Tooth With Dental Implant Promptly After Removal

Posted on Mar 23, 2017 by William J. Claiborne, DDS MS

Even with the best of care, a tooth needs to be removed. Removal may be necessary because of an injury or break that extends below the gum line. Occasionally, removal is necessary when a tooth needs repair beyond what a crown can provide. When it is necessary to remove a tooth, there are several reasons to replace it immediately.

For many people, appearance is an important reason for placing an implant and crown right after tooth removal. Immediate replacement means they can avoid having an awkward and embarrassing gap in their smile. More importantly, however, is making sure that neighboring teeth are kept in their proper positions.

When an open area exists, the teeth on either side and the one above (or below) no longer have their reinforcement. The teeth on each side will tilt inward to the open area and the tooth above will grow longer. This begins a process of bite misalignment.

The delicate balance of upper to lower teeth is vital to your oral health, and beyond. A misaligned bite leads to cracked, broken, fractured or chipped teeth. Because an improper bite places strain on the jaw joints (TMJ), it can lead to frequent headaches, migraines, worn teeth (from grinding or ‘bruxing’), sore or popping jaw joints, difficulty opening the mouth fully, ear ringing, dizziness and sore facial muscles.

Before other teeth can move, it is wise to replace the tooth. As a lasting solution to a missing tooth, many adults choose to replace it with a dental implant immediately following removal. In addition to helping neighboring teeth hold their proper positions, another advantage is the prevention of bone loss. By inserting an implant immediately after a tooth is removed, you minimize the risk of bone loss, or ‘resorption.’

The process of resorption is when a tooth root is no longer present in the jaw bone. Because tooth roots stimulate and nurture the bone, their absence leads to bone shrinkage over time.  The declining foundation of bone places adjacent teeth at the greatest risk of being the next to be lost. This tends to set off a domino effect. Statistics show that the next tooth you’ll lose will be the next tooth in line.

Another benefit of immediate implant placement is the preservation of natural gum contours. Within days of having a tooth removed, the natural arch of gum tissue and the ‘points’ of gum tissue that dips between the top of each tooth will start to flatten. Placing an implant promptly following tooth removal helps to preserve the natural contours of your gum tissues. And the gums provide a natural frame for teeth, offering both esthetic appeal and protection.

Immediate replacement is also beneficial when two (or several) teeth in a row are missing. Because implant treatment fees are largely based on the number of implants placed, having one implant support a bridge of teeth saves you money while also preserving natural gum contours.

Additionally, since the positions for an implant (depth, angle, etc.)  in your jaw bone is already at proper dimensions, placing an implant following removal greatly simplifies treatment time, healing and procedural requirements.

To discuss immediate placement implants or any type of dental implant, call 828-274-9440. As a Periodontist, I have advanced training and skills in the diagnosis and placement of all types of implant systems. Begin with a consultation to discuss the implant best for your needs, the implant process and associated fees.

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.

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.

Meds For Osteoporosis Can Cause Severe Damage To Jaw Bone

Posted on Mar 06, 2017 by William J. Claiborne, DDS MS

It seems every time I turn on the television, I see a commercial touting some new ‘wonder drug.’ Typically, I’m blown away when the list of potential side effects are mentioned. Apparently, many of these drugs solve one problem only to create ten more. This brings to mind a concern for those who are taking drugs for osteoporosis.

As we age, so does the structure of our bones. After the age of 40, adults begin to lose bone as the body’s ability to build up bone tissues decreases. Adults who have the most risk for bone loss include:

• Females
• Being over the age of 65
• Women who are going through menopause or are post-menopausal
• Being small in statue or having low body weight
• Using tobacco and excessive alcohol use
• Having a family history of fractures associated with osteoporosis
• Seventy percent of people with osteoporosis are women. Because men lose calcium at a slower rate than women, their risk is lower. However, older men are also at risk for osteoporosis.
• Osteoporosis is also more common in people who have a small body frame and bone structure. Low body weight also contributes to osteoporosis risk.
• Calcium and vitamin D deficiencies are risk factors for both males and females.

Osteoporosis literally means ‘porous bone’ and occurs when bones become weak and fragile. People who have osteoporosis are at greater risk for fracturing their bones, especially in the hip, vertebrae (spine) and wrist.

For an aging adult, the dreaded risk of breaking a hip is one reason many consider taking osteoporosis medications. Hip fractures often require hospitalization, surgical procedures, and can require lengthy healing periods. Some never fully recover after a hip fracture.

Among the aging, these fractures are a common cause of disability and death, especially in post-menopausal women. Only 40% of hip fracture patients ever regain their independence and nearly 25% die within a year. Vertebral fractures can cause debilitating back pain, and they, too, increase the risk of premature death. (see interesting information at: http://www.health.harvard.edu/diseases-and-conditions/whats_the_story_with_fosamax)

Bisphosphonates have emerged as the leading medication for preventing and treating osteoporosis. Studies show these drugs are effective and safe for up to 5 years. Eventually, however, bone loss continues with bisphosphonates.

So, what does this have to do with your dental health? Keep in mind that the teeth, their roots and the bones that support them are bone. Add to that the fact that many people are often surprised by the wide range of medications that affect their oral health.

Some medications – including prescription, over-the-counter and even herbal supplements – can cause complications during oral surgeries like extractions or dental implant placement. While drugs such as Coumadin, a commonly-prescribed blood thinner, may cause more bleeding during oral procedures, certain drugs create a much greater risk. 

The complication with bisphosphonates, often prescribed to treat osteoporosis, is a risk for jaw osteonecrosis. In simple terms, this is death of the jaw bone. Jaw osteonecrosis occurs when the bone fails to heal after a surgery, even a minor procedure such as a tooth extraction. The risk for jaw necrosis is highest with procedures that directly expose the jaw bone, such as tooth extractions and other oral surgery.

Osteonecrosis results from obstruction of blood supply from the drug’s potential interference with the bone’s ability to repair itself. Initially, it causes pain, swelling or infection of the gums and jaw. It also prevents gum tissues from healing and can lead to tooth loss. Its onset, however, can occur without obvious symptoms.

Trade names of the most prescribed bisphosphonates are Fosamax, Actonel, Boniva, Reclast, Binosto, Prolia, Zometa and Xgeva. The most prescribed, Fosamax, is one of the top 25 most prescribed drugs on the drug market today. Approved by the FDA in 1995, reports began surfacing in 2003 that linked Fosamax with jaw osteonecrosis.

Jaw osteonecrosis risk seems to increase with the amount of time the medications are taken. However, researchers have determined that bisphosphonates can create a risk for necrosis with even short-term use.

In a study of 208 participants who took Fosamax for varying durations, 4% developed osteonecrosis. Not only did the study show that short-term usage can place the patient at risk, the drug can maintain a 10-year ‘half-life’ in bone tissue. This finding was in contrast to the drug makers’ claims that bisphosphonate use only posed a noticeable risk for those who took the medication intravenously, such as in treating cancer patients.

Although the drug makers of bisphosphonates claim a low risk to any adverse reactions, prescribing physicians have often failed to warn patients of actual risks when having dental procedures. This is why it is important to make us aware of all the drugs you take, including over-the-counter types.

Our goal is to provide you with a successful outcome for every procedure. If you have questions regarding the medications you are taking in regard to oral risks, call our office at 828-274-9440.