The 1-2-3 Of Dental Implants

Posted on Feb 05, 2016 by William J. Claiborne, DDS MS

As dental implants become more mainstream in tooth replacement, people are beginning to better understand what they are, and aren’t. However, for some, there are still some misconceptions. I thought I’d give a basic outline of what they are and how they work.

1.  Dental Implants are actually replacements for tooth roots. The implanted portion is placed in your jaw bone where a tooth root was once held.
2. The implant is not the tooth. It will help to hold the tooth (referred to as the ‘restoration’) but its primary function is to serve as the anchor for an attached tooth. By being placed in the jaw bone, just as natural tooth roots, the implant can support the replacement with a firm foundation for optimal stability.
3. The implant becomes anchored in the jaw bone through a process known as ‘osseo-integration.’ The word ‘osseo’ refers to bone, and the integration process is like a rope tied around a tree branch. In time, the branch grows around the rope. Osseo-integration is like this but occurs at a much more rapid pace.
4. Once the implant has become secured by the bone, a post is inserted into the center of the implant. The replacement tooth (or teeth) is attached to this post. You are then ready to enjoy a tooth that looks, feels and functions like the natural tooth once positioned there.
5. An implant is not always necessary for each missing tooth. In some instances, one implant can hold two or a bridge of teeth. Several strategically-placed implants can also support a full arch of teeth in many cases.
6. Implants CAN fail. If infection sets in and reaches the implanted portion, the implant may need to be removed so treatment can resolve the problem. Clenching or grinding teeth can also lead to implant failure. Smoking complicates and delays the healing process and is also a known contributor to implant failure.
7. A dental implant is designed to last your lifetime. Made from titanium, this metal bonds to living bone successfully. As a matter of fact, dental implants have one of the highest success rates of any implant-in-bone procedures.
8. Dental implants do not decay. They will not need root canals. And, with proper care, they’ll last as long as you’re alive.
9. Dental implants restore the ability to eat with stability, chew comfortably, laugh and speak with confidence and even sneeze without worry!

There are many types of implants, each designed to accommodate specific needs. As a Periodontist, I have extensive and specialized training in the diagnosis and placement of the implant that will work best for you.

Call 828-274-9440 to arrange a consultation. Together, we’ll discuss treatment that will achieve your needs and goals as well as the process and anticipated costs.

Replacing Teeth – Weighing Your Choices

Posted on Dec 29, 2015 by William J. Claiborne, DDS MS

While today’s dentistry offers a number of excellent methods for replacing teeth, there are advantages and disadvantages to each option. It is my goal to help patients understand why we recommend Dental Implants so they can determine what is best for their needs.

Missing teeth can be replaced with crown-&-bridge combinations, partial or full dentures, or dental implants. Crown-&-bridge is only possible when natural teeth border both sides of the area of missing teeth since crowned, natural teeth are the bridge’s support.

A partial denture does not require teeth on each side for support. However, it does need teeth on one side to provide support for clasps or framework that attach to adjacent, natural teeth.

A full denture replaces a teeth for those who have lost all of their upper and/or lower teeth. These teeth are held by a base that mimics gums, which is contoured to the shape and size of your ridge. The ridge, which is actually the jaw bone covered by gum tissue, is the raised arch that once supported natural tooth roots.

In these options, the absence of natural tooth roots leaves the gum ridge without the stimulation that once kept it healthy. Thus, the bone will eventually begin to shrink in height and mass.

The pressure of wearing dentures or partials accelerates the pace of bone loss. For those who sleep in their denture or partials, the 24/7 pressure speeds up the rate of bone loss even more.

As the bone declines, the fit of the denture or partial changes. Slips become common when eating, often rubbing sore spots on gum tissues. Although a crown-&-bridge will not slip, bone loss will be apparent when an open space develops below the bridge.

Because Dental Implants are placed in the jaw bone, they recreate the stimulation of tooth roots. This halts bone loss and preserves the stability of your bite as well as a healthy facial structure.

Dental Implants are also designed to last your lifetime. With proper care, they will never need removal or replacement. They do not need the support of adjacent teeth and actually help preserve the integrity of other teeth.

The downside? The cost is higher than other tooth replacement options. However, over time, they are a far better investment. With the upfront cost being the ONLY problem associated with Dental Implants, the fact that it is a ‘one and done’ expense (with a lifetime of benefits) really makes them a better choice compared to other tooth replacement options.

If you are missing natural teeth and would like to discuss replacement with Dental Implants, call 828-274-9440 to schedule a consultation. During this time, we’ll discuss how Dental Implants may be the perfect choice!

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.

 

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.