Just What Is A Periodontist?


Posted on Feb 26, 2015 by William J. Claiborne, DDS MS

When I meet people out of my office, they often inquire about my profession. When I say I am a Periodontist, it’s pretty typical to get a “and that is…?” tip of the head. I’m happy to explain.

A Periodontist is a dental specialist who receives three years’ additional training after dental school, focusing on the gums and supporting structures of the teeth, including placement of dental implants. They are team players with general dentists and other specialists in restoring your mouth to a healthy state.

Your smile has no future without a solid foundation of gum tissue and bone structure on which a Periodontist has made his or her specialty. We are often the ‘behind the scenes’ doctors who resolve gum problems or place implants so you can return to your general dentist for ongoing care.

Hopefully, you’ll never need a Periodontist. However, if you do, we’ll know how to restore your mouth’s foundation to a healthy state. It’s what we do!

Dental Implants – Risks Are Minimal, But Exist For Some


Posted on Feb 24, 2015 by William J. Claiborne, DDS MS

Although the success rate for dental implants is very high, about 95%, dental implants can fail. Knowing what contributes to implant failure before you have implants placed can help you enjoy a successful treatment outcome.

Some health and lifestyle issues can complicate the body’s ability to enable implants to integrate with your jaw bone and heal successfully. Those who smoke, have uncontrolled diabetes or other health problems tend to have lower success rates.

Incorrect placement of implants can also contribute to implant failure, which occurs when the implant perforates the sinus cavity or nerve running through the lower jaw.

Dental implant recipients should also be prepared for more-frequent dental visits for thorough cleanings, often four times a year versus twice a year. This helps to minimize bacteria at the implant sites, which can lead to infection.

Overall, dental implants are safe, successful for the majority and recreate the natural look, feel and function of the teeth you once had. Along with your commitment, having your implants placed by a Doctor who is specifically-trained and highly-experienced in all types of implants can greatly reduce your risk for failure.

To learn what type of implant will work best for your needs and goals, call (828) 274-9440 to schedule a consultation. I’ll answer your questions and make recommendations so you can decide what’s right for you.

Tooth Replacement Is Important To Image & Health


Posted on Feb 02, 2015 by William J. Claiborne, DDS MS

When it comes to teeth, some American adults assume that missing one, two or a few won’t upset the apple cart. But it does.  Even though your missing teeth may not be visible in a smile, the gap disrupts the natural balance necessary for proper bite alignment.

For example, if you are missing two lower teeth in the back, the upper teeth that once ‘met’ these teeth begin to grow longer. The lower tooth next to the area of missing teeth begins to tilt out of position due to bone resorption. This ‘shrinkage’ of jaw bone occurs when natural tooth roots are no longer present in the bone to provide stimulation. Without them, the bone declines in mass and height.

In addition to chips and tooth fractures, improper bite alignment contributes to jaw joint disorders, which can lead to sore jaw joints, headaches, clenching or migraines. However, when missing teeth leave a gap in your smile, the social perception of others can have a negative impact as well.

Although it is assumed that there are minimum social consequences for individuals missing visible teeth, a study shared by the National Institutes of Health (published in their U.S. National Library of Medicine) shows differently. The study measured 200 college students’ “Social perceptions of individuals missing upper front teeth.” In the study, volunteer students with a medium age of 21 years rated five photographs, each depicting tooth presence or absence. The photos ranged from those clearly having all their teeth to those missing as many as four upper teeth. The students rated the photos on attractiveness, health, education, satisfaction with life, active social life, aggressiveness, intelligence, trustworthiness, friendship, potential of dating, and how likely they would be to live as a neighbor.

The findings suggested a person missing visible teeth was more negatively perceived on all social traits than a person with a full smile. Results were strongest when students were proposed to be linked to the individual who was clearly missing teeth in a personal way, such as their likelihood of dating or living as neighbor. Both men and women agreed on perceptions of social traits, seeing missing teeth as creating significant barriers to personal and social success.

If you are missing natural teeth, whether they are visible when you smile or not, replacement is recommended for the well-being of other teeth as well as how you are perceived in the world in which we live. We advise Dental Implants for tooth replacement for their ability to recreate the presence of tooth roots in the jaw bone, halting bone loss. They are also the closest thing to natural teeth when it comes to biting strength and stability, chewing comfort and self-confidence.

Begin with a consultation to discuss treatment options. For example, if you are missing 2 to 3 teeth in one area, one implant may be all that’s necessary to support a bridge of teeth. Call (828) 297-9440 to schedule a convenient time.

Smoking & Oral Health


Posted on Dec 22, 2014 by William J. Claiborne, DDS MS

Smokers already know they are taking health risks. However, many smokers are unaware of the negative oral health issues when it comes to tobacco use.

For example, research shows that smokers lose more teeth than nonsmokers. According to the Centers for Disease Control & Prevention, about 20 percent of people over age 65 who have never smoked are toothless, while over 41 percent of daily smokers over age 65 are toothless.

It’s no surprise to Periodontists that following periodontal treatment or any type of oral surgery (including implant placement), patients who smoke have longer healing times with less predictable treatment outcomes. Other oral problems include a heightened risk for oral cancer, bad breath, stained teeth, loss of taste, gum recession, mouth sores, tooth loss and deep wrinkling around the mouth.

As a smoker, you also have a far greater increase for periodontal disease. One reason is your increased susceptibility to calculus. This is the plaque that hardens on teeth and can only be removed through a professional cleaning.

When calculus is not removed, the bacteria it harbors can destroy gum tissue and cause gums to pull away from teeth. As a result, teeth look longer and are more vulnerable to bacteria. As bacteria growth develops into periodontal disease, sore pockets form between teeth and fill with bacteria, destroying tissues and supporting bone. Eventually, the teeth become loose and require removal.

Cigarette smoke contains a deadly mix of more than 7,000 chemicals. Smoking harms nearly every organ of the body and diminishes your overall health. Nearly 50 percent of those who don’t quit smoking will die of smoking-related problems.

Quitting is not easy but the benefits are almost immediate. Your circulation improves, your blood pressure starts to return to normal and breathing becomes easier. You’ll also have a healthier mouth.

A new year is an ideal time to kick the habit. The American Cancer Society’s web site, www.cancer.org, is an excellent resource for smokers who are trying to quit. Or, call us at (828) 274-9440 for more information.

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