Sedation Can Help Relax Dental Patients

Posted on Jun 10, 2016 by William J. Claiborne, DDS MS

In our office, many procedures involve incisions into tender gum tissues. As a Periodontal practice, it is necessary to penetrate periodontal tissue in order to treat some levels of gum disease. It is also necessary to open up gum tissues to place dental implants. And, in repairing gum recession, performing gum grafts or recontouring gum tissues, incisions may be part of the process.

We pride ourselves on providing optimal comfort to all patients – for any procedure. However, we are aware that many people have developed gum disease or lost natural teeth as a result of dental fear. Being afraid of dental visits prevents a great many adults from having regular dental care. As a matter of fact, it is estimated that nearly 70% of American adults have some level of dental fear.

Just as a general dentist does prior to a filling or extraction, we use novocaine to numb the areas in the mouth being treated. However, we also offer I.V. sedation to help patients be totally relaxed throughout their procedure.

For fearful patients, I.V. sedation (also known as ‘twilight sleep’) places them in a sleep state prior to and throughout their procedure. Although the patient may be able to respond to my request to things like, “Turn your head a little towards me,” they are essentially sedated to the point of snoozing. This removes the anxiety of anticipating things such as sounds or smells that may evoke thoughts of pain.

Another benefit of I.V. sedation is its ability to erase most or all memory of the procedure afterwards. While a few patients may remember hearing my voice a time or two, the time is generally erased from their memory. All most remember is a peaceful sleep.

I.V. stands for intra-venous, which is translated as “in the vein.” The sedation is administered by a drip into a vein, typically in the arm. Patients are in a sleep-like state very quickly thereafter. Throughout your time, you will be closely monitored by a trained staff member who uses advanced safety equipment.

Once your treatment is completed, the I.V. is removed and you will be monitored for a recovery period in our office. Your companion will then return you home where you will relax or even nap for a brief time until you feel back to normal. We do advise that I.V. sedated patients avoid driving or using machinery for 24 hours.

Some patients who have no dental fears prefer the relaxation effects of I.V. sedation. Certain procedures that require lengthy appointments can be tiring and I.V. sedation is an advantage to the patient in being comfortable while in a dental chair in one position for long treatments.

Our ultimate goal is to restore our patients to a healthy, confident smile. We believe this can be accomplished with gentle hands and a respectful environment. In many situations, sedation can be advantageous to providing a positive experience and successful outcome.

If you have dental fears or wish to discuss comfort options related to periodontal or dental implant procedures, feel free to call us at 828-274-9440.

 

Different Types Of Dental Implants For Different Needs

Posted on Jun 06, 2016 by William J. Claiborne, DDS MS

A rose by another other name may still be a rose, but unlike Shakespeare’s writings, we know that roses come in all colors and sizes.

When the term ‘Dental Implant’ is used, it refers to the basic principle of this form of tooth replacement. Generically, the ‘implanted’ portion is what is positioned into your jaw bone to provide the same foundation as that afforded by natural tooth roots.

However, when considering the shape, size and even what is attached to an implant, the type of implant system can vary widely. For example, some implants are designed to be placed at unique angles to compensate for minimal bone depth. Some implant types are made to support a single tooth or bridge of several teeth while others are positioned to hold a full arch of teeth.

A successful outcome in Dental Implant treatment begins with the selection of the proper type of implant. In doing this, the doctor must have intricate knowledge of the specific type needed for the amount of bone mass present, location of implant sites, and the number of teeth to be supported.

Proper placement angles and depth are also important. The doctor placing the implants should also be skilled in the selection of the implant angles and positioning.

As a Periodontal specialist, my training includes the diagnosis and placement of Dental Implants. The most troubling thing I see in implant dentistry is when a patient opted for a “good deal” in Dental Implants and had a less-experienced doctor place an implant that must now be removed.

It’s amazing how seemingly minor miscalculations can become major issues that require implant removal. For example, an implant placed in the upper jaw in too-shallow bone can work its way into the sinus cavity. A lower implant in too little bone depth can reach a nerve that runs horizontally through the lower jaw.

In our office, it is a joy to see our patients who once struggled with dentures or partials complete Dental Implant treatment. They are able to resume a diet of healthy foods and feel confident in social settings. However, when we are referred an individual who learns his or her implant has ‘failed’ and must be removed, it is unfortunate.

As a dental specialist, I also must occasionally remove implants when a patient has not taken proper care of their oral hygiene at home. Oral bacteria can contribute to an infection that works its way into the bone surrounding the implant. In some cases, the only way to resolve the infection is to remove the implant.

While this is unfortunate, it is ultimately a choice the particular patient made that created the outcome. However, when a patient entrusts their implant treatment to a doctor and adheres to hygiene and healing guidelines, having an implant fail due to poor selection or placement is more than frustrating for dental specialists to witness.

If you are considering Dental Implants, increase your potential for a successful outcome by asking a Periodontist to join your dentist in team treatment. Many general dentists already have close relationships with Periodontists for implant placement and treatment of gum disease.

Feel free to discuss your specific needs and desires before you make your decision. Call (828) 274-9440 to schedule a consultation.

 

Healthy Body Begins With A Healthy Mouth

Posted on May 23, 2016 by William J. Claiborne, DDS MS

As a dental specialist, I diagnose and treat a number of problems in the mouth. A Periodontist has advanced training in treating all levels of gum disease and other problems associated with gum tissues. We are also the experts in dental implant placement and recontouring gum tissues (such as repairing gummy smiles or gum recession).

In my specialty, I see the origins that can destroy a smile as well as complicate one’s quality of life. What happens in the mouth can create a downward spiral for the entire body. For example, periodontal (gum) disease can lead to tooth loss. Tooth loss can lead to eating a less healthy diet. Consuming a poor diet can lead to a decline in overall health and more gastrointestinal problems. And so on.

While tooth loss can be overcome with Dental Implants, the cycle of destruction that is possible from an overload of oral bacteria is a far deeper problem. As damaging as oral bacteria can be in the oral cavity (the mouth), the bacteria of gum disease can become bloodborne and cause severe reactions elsewhere in the body.

Here is how the problem begins: First, gum disease bacteria eats away at gum tissues in the mouth. This weakens the tissues, which are easily torn and bleed. Oral bacteria are then able to enter the bloodstream by penetrating these tears.

As the infectious bacteria travel through the body via bloodflow, they can trigger inflammatory reactions elsewhere in the body. This inflammation has shown correlation to some serious health problems, including heart disease, stroke, high blood pressure, arthritis, diabetes, pre-term babies, impotency (ED) and more.

Although the destruction of oral bacteria can be severe, and even deadly, it is also rather easy to prevent. The bacteria of gum disease occurs when there is an accumulation of oral bacteria in the mouth, typically as a result of poor oral hygiene at home. The age-old urging from the family dentist to brush twice daily, floss each day, and limit snacking on sugary treats stands true today.

When bacteria in the mouth are not removed thoroughly each day, they band together to form a sticky film, known as plaque. As this film remains, it takes just days to harden into a cement-like substance that attaches to teeth. This is calculus (or tartar), which is actually a massive colony of oral bacteria that is so destructive it can eat into tooth enamel.

As the oral bacteria reproduce and thrive, they subsist on gum tissues as sustenance. Gums become weak and bleed easily when brushing. Gums become tender and darken in color. Persistent bad breath sets in and pus pockets form at the base of some teeth. If not treated, gum disease will eventually lead to teeth loosening, requiring removal.

How many times in our lives have we wanted to turn back the hands of time and take proactive measures to prevent costly and time-consuming problems? It makes perfect sense to us that a car needs regular maintenance, sufficient oil levels and proper tire tread. Yet, having 6-month check-ups and cleanings seem less necessary since “nothing hurts.”

The mouth has been described as the window to the body. As research continues to find links between gum disease bacteria and serious health problems, this is becoming a more profound statement. It can also be said that the mouth is the moat to the castle. It can either serve to protect the structure (your body) or pollute it.

Just as you are committed to maintaining good overall health, remember that your oral health is a key component in that goal. Take the proper steps to avoid the pitfalls of gum disease, for your smile and your whole-health. If you are experiencing signs of gum disease, call 828-274-9440 for an exam. Gum disease will only worsen without treatment.

The Mayo Clinic has excellent explanations of periodontal disease. Visit the site at: http://www.mayoclinic.org/diseases-conditions/periodontitis/multimedia/periodontitis/img-20008444

When It Comes To Replacing Missing Teeth, Dental Implants Are The Ideal

Posted on May 16, 2016 by William J. Claiborne, DDS MS

Modern dentistry provides excellent options to replace missing teeth. When replacing several teeth in one area, a standard method has been a crown and bridge combination. However, when considering all options along with the advantages and challenges of each, Dental Implants stand out as the ideal, for many reasons. They are the closest thing to the look, feel and function of natural teeth. Quite frankly, the only deterrent for most is the higher cost of implants.

When a bridge is used to replace missing teeth, it must be attached to neighboring teeth on both sides for support. This requires that the supporting teeth to be crowned for this reason alone. Remember, once a tooth is crowned (or ‘capped’), it will always require a crown. When a Dental Implant is placed, it does not rely on the support of adjacent teeth.

Without the presence of natural tooth roots in the jaw bone, the bone begins to decline in mass. This process is known as resorption. This can become more obvious when the area of gum tissue under (or above) the bridge diminishes in height. Eventually, a gap may be visible between the bottom of the bridge and the gums.

As the bone declines in mass, the teeth supporting the bridge are more susceptible to problems. On average, the next teeth to be lost are teeth adjacent to areas of missing teeth. This is one reason Dental Implants have such an edge. They actually recreate the presence of tooth roots, halting the bone resorption process. And, since implants are held by the jaw, just as natural tooth roots, they restore dependable biting and stable chewing.

For those who are missing two or more teeth, one Dental Implant can often support a ‘bridge’ of teeth. Because the cost of implant treatment depends greatly on the number of implants placed, this helps to keep expenses more manageable for most.

Dental Implants are made from a material that bonds successfully with your jaw bone. Properly chosen, placed and maintained, an implant can last a lifetime. Dental Implants will never need root canals, do not decay and do not compromise the well-being of adjacent natural teeth. And, because implants become a part of you, they are your ‘own teeth’ once again! They’re like a “do over” for tooth loss!

Although the initial costs are higher than many options for tooth replacement, the advantages provide a wise investment when compared with other tooth replacement options. If you are considering replacing teeth, call 828-254-9440 for a consultation.