Why Dental Implants Are Excellent Investment

Posted on Dec 13, 2017 by William J. Claiborne, DDS MS

Some things aren’t as clear as comparing apples to apples. For example, if you’ve ever purchased a piece of furniture that ‘looked’ well-built but was a bargain price, it doesn’t take long to realize it really wasn’t much of a bargain after all. The drawers may start to stick, it may begin to wobble or the surface may crack or loosen from the base. Eventually, your mind begins to calculate how much better that money could have been spent.

Of course, we all want to know that our money is being spent wisely. That means getting desirable results for a fair price. When people tell me that Dental Implants are too costly, I ask them what they are comparing them to. If they’re comparing them to a denture, partial or crown-&-bridge, consider these factors before making a final decision.

 

I begin by helping them to understand that missing teeth were once held by a sturdy foundation – the jaw bones. Natural tooth roots held by your upper or lower jaw provided a dependable, secure foundation for biting and chewing.

I then explain how the upper and lower jaw bones were nurtured by the presence of tooth roots, being stimulated to keep the bone at a healthy mass. Without their presence, the jaw bones experience ‘resorption,’ which causes the bones to decline in height and width.

Once resorption begins, remaining natural teeth in the area of bone loss are affected. A shrinking bone that abuts areas of resorption weakens tooth root stability. This creates a domino effect with statistics showing the next tooth to be lost will likely be a tooth adjacent to this area.

As bone loss continues, I discuss how the risk for additional tooth loss increases. With each extraction, the continued process of bone loss leaves you with an ever-shrinking jaw and thinner foundation for remaining natural teeth. Bone resorption becomes obvious in people who appear to have a collapsed mouth (referred to as a ‘granny look’) where the nose gets closer to the chin. Other signs are deep wrinkling around the mouth, jowls and having the corners of the mouth turn downward even in a smile.

Bone loss is also the reason for dentures and partials that slip and cause uncomfortable rubbing on gum tissues. When a denture is first made, it is designed to wrap the unique contours of your gum ridge (the arch that once held natural tooth roots). As the bone shrinks, the once-secure fit loosens and eventually moves while eating. Although denture pastes or adhesives can help,  even relines (reshaping the previously-made contours) offer little help as resorption continues.

When choosing Dental Implants to replace teeth, you are making a lifelong investment. Since implants are designed to last a lifetime, they provide a ‘one and done’ choice for dependable tooth replacement.

In cases where one or several teeth together are missing, crown-&-bridge combinations are often considered. However, crowns and bridges can require repairs and/or replacements over time. Crowned teeth may need root canals. Bridges can break. Too, when natural teeth are crowned for the sole purpose of supporting a bridge, the integrity of otherwise healthy, natural teeth has been forever compromised.

Because they are held in the jaw bone, Dental Implants do not rely on adjacent teeth for support. With the jaw bone for its foundation, implanted teeth have the same, dependable foundation as natural teeth once had. And, because the implanted portion recreates the presence of a tooth root, the process of resorption is halted.

As a Periodontist, I have specialized training in the diagnosis and placement of Dental Implants. As has always been my goal, I strive to provide each patient with the best outcome possible while enjoying a comfortable process from start to finish.

Begin with a private consultation to discuss your goals or concerns. Call 828-274-9440 to schedule.

Important Reasons Why You Need Healthy Gums

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

As responsible adults, we take certain precautions that help to keep us healthy. We use sun screen when we’re going to spend time in the sun. We wear appropriate shoes when hiking or jogging. We wear a helmet when biking or motorcycling. We assign a designated driver rather than drink and drive.

These actions help to protect us and hopefully prevent occurrences that may otherwise result in health problems. Certainly, it makes more sense to avoid problems in the first place rather than endure the time, expense and even disabling consequences of ignoring practical preventive measures.

Then, doesn’t it make sense that adults would be especially devoted to having good oral health?

The Centers For Disease Control & Prevention (CDC) reports that over 47 percent of American adults have some level of gum disease. This is astounding for a country as advanced as the U.S.

I believe one of the reasons the rates of periodontal disease are so high is largely based on a population that is unaware of the ramifications of gum disease. This, in addition to a high number who are unfamiliar with its symptoms.

Let’s look at just a few reasons to be highly-committed to achieving and maintaining good oral health.

• Periodontal disease is the nation’s leading cause of adult tooth loss. I believe it reaches such a state because people are not aware of the warning signs. For example, some people believe that seeing blood in the sink when brushing is a sign they’re doing a good job at tooth brushing. (It’s not.)

• Research has found that the bacteria of gum disease is linked to systemic inflammation. This is when the body’s immune system goes out of whack and can’t turn itself off. Symptoms of chronic inflammation are chronic pain, fatigue, obesity, memory loss and insomnia.

• The bacteria of gum disease doesn’t necessarily stay confined to the mouth. Through tears in weakened gum tissues, the oral bacteria of gum disease can enter the bloodstream. As it travels throughout the body, it can contribute to serious health risks, including heart disease, stroke, some cancers, preterm babies, impotency, arthritis and diabetes.

• Good gum health is the foundation for keeping your natural teeth healthy, and for a lifetime. Research has shown that people with their natural teeth live ten years longer, on average, than those who wear dentures. And, healthy teeth support the ability to eat a healthy diet and feel socially confident to smile and laugh.

A 2006 report by the the Centers for Disease Control and Prevention (CDC) stated “the baby boomer generation will be the first where the majority will maintain their natural teeth over their entire lifetime.”

It adds, “Over the past 10 years, the number of adults missing all their natural teeth has declined from 31 percent to 25 percent for those ages 60 years and older, and from 9 percent to 5 percent for those adults between 40 and 59 years. However, 5 percent means 1 out of 20 middle-aged adults are missing all their teeth.” (https://www.cdc.gov/oralhealth/basics/adult-oral-health/index.html)

It’s easy to enjoy good oral health. It takes just minutes for proper brushing twice daily and daily flossing so the overall health advantages of healthy gums can be enjoyed. It is also important to have 6-month dental cleanings and exams. These opportunities help to remove bacterial buildup between appointments, often preventing the need for more expensive and time-consuming treatment later.

Symptoms of gum disease include tender gums that bleed easily when brushing, persistent bad breath, swollen gums, gums that turn red in color (versus a healthy pink), and pus pockets that form on gum tissues. Without treatment, teeth will eventually loosen and may require removal.

Protect your smile AND your overall health by keeping your gums healthy. If you’ve delayed care or suspect you have gum disease, call us at 828-274-9440. We are a ‘lecture-free zone’ and respect each patient and his or her needs. We just want to help you enjoy the advantages of a healthy, confident smile!

Facing Tooth Removal? Why Dental Implant Placement Is Best Done Within 24 Hours.

Posted on Nov 20, 2017 by William J. Claiborne, DDS MS

For various reasons, a number of adults face the removal of a single tooth at some time in their lives. This may be necessary when a tooth is beyond repair than can be resolved with a crown or because of a fracture that extends below the gum line. Since every tooth plays a role in keeping adjacent teeth in their proper positions, promptly replacing a tooth after removal is a wise move.

A growing number of adults are now choosing to replace teeth with dental implants. There are a number of advantages in doing so at the time of removal, a particular one being the prevention of bone loss. By placing the implanted portion when the tooth is extracted, the risk of bone loss, known as ‘resorption,’ is minimized.

Resorption occurs when tooth roots no longer exist in the jaw bone to provide stimulation. Without the nourishment and stimulation of tooth roots, the bone begins to shrink over time. It is a fact that the teeth adjacent to areas of bone loss have the greatest risk of being the next to be lost.

Another benefit of immediate implant placement is the preservation of gum contours. When a tooth is removed, the arch of gum tissue and ‘points’ that dip slightly between each tooth begin to flatten. When an implant is placed promptly after removal, the natural contours of gum tissues are preserved.

When two or several teeth in a row are missing, immediate implant placement can also be beneficial. Because one implant can often support a bridge of two or more teeth, this can help to curtail treatment cost while preserving the natural contours of the gum tissues.

Additionally, since the position in your upper or lower jaw bone is already to a proper depth and size, placing the implant following removal may simplify the treatment time and procedural requirements.

As a periodontal specialist, I have advanced training in treating all levels of periodontal (gum) disease as well as in the diagnosis and placement of dental implants. I regularly work with general dentists and dental specialists in team treatment so the patient enjoys an optimal outcome in minimal time.

To discuss dental implants, call 828-274-9440 for a consultation appointment to discuss the process and associated expenses.

 

New Study Finds Clogged Arteries More Connected To Oral Bacteria Than Fatty Foods

Posted on Nov 13, 2017 by William J. Claiborne, DDS MS

For years, we’ve been led to believe that the main cause of clogged arteries is the cholesterol-rich diet we consume. However, a recent study published by the Journal of Lipid Research has found fat molecules unrelated to butter, fatty animal meats and eggs may be the true source.

According to an article in Medical News Today (https://www.medicalnewstoday.com/articles/319967.php), the University of Connecticut (Storrs) conducted a study showing the fat molecules in plaque that are typically blamed for clogged arteries may actually originate from oral and gut bacteria.

In past studies, researchers have known there are strong connections between the bacteria of gum disease and an increased risk of heart attack and stroke. Yet, pinpointing the precise cause-&-affect has been elusive. This study may have tracked down the intricate path.

Atherosclerosis occurs when fat molecules, calcium, cholesterol, and other compounds in the blood form plaque on the inside walls of arteries. These arteries are what carry oxygen via the bloodstream to the heart, brain, kidneys, and other parts of the body.

When plaque accumulates, it can harden and narrow the arteries, thus depriving oxygen-rich blood to vital organs and tissues. This can lead to heart attack, stroke, other serious health problems and, in some instances, even death.

For decades, it was assumed that the fatty molecules of atherosclerosis, or lipids, are the result of a diet rich in foods high in fat and cholesterol. This study focused on the formation of plaque (that include fat molecules) as well as other growths known as atheromas.

Atheromas  refer to fatty masses that develop in the artery walls. Their presence activates the immune system, which recognizes that the lipids are not of human origin. This, in turn, tends to trigger inflammation. Inflammation is what leads to the thickening of the smooth muscles that line artery walls.

When the research team analyzed atheromas of hospitalized patients, they found the chemical makeup of lipids were not from animals. Rather, the fat molecules matched bacteria belonging to the Bacteroidetes family.

Bacteroidetes, fatty acids that do not have the same features as animal fat, are not typically harmful. They exist in the mouth and, in some situations, can activate gum disease but are not known to invade blood vessels. The culprit, however, lies in the lipids they secrete, which can penetrate cell walls and enter the bloodstream.

Apparently, it is an enzyme that breaks down the bacterial lipids that can activate a process that manufactures molecules that promote inflammation. When the immune system encounters the bacteria and then couples with the enzyme that creates inflammation, their combined actions can lead to an even higher risk for the formation of plaque.

The researchers are continuing efforts to further study how atheromas form where Bacteroidetes lipids accumulate. They are seeking even more evidence that fat molecules from Bacteroidetes are linked to atheroma growth, and thus to heart disease.

In the meantime, we certainly encourage you to eat a diet low in cholesterol. Yet, keep this study in mind as reinforcement to the need to maintain good oral health. For decades, research has shown the close relationship of oral health and overall health.

In addition to heart disease and stroke, past research has correlated the bacteria of periodontal (gum) disease to diabetes, arthritis, preterm babies, some cancers and impotency. Obviously, this is potent bacteria and keeping its accumulation to a minimum is beneficial to your overall health.

Is is important to know the signs of gum disease. Seeing blood in the sink while brushing, tender or swollen gums, frequent bad breath, and gums that pull away from teeth and expose sensitive tooth roots are just a few of the signs. Without treatment, gum disease will only worsen. It affects over 47 percent of American adults and is the leading cause of adult tooth loss.

Protect your smile and your overall health. In addition to a thorough at-home commitment to oral hygiene, have twice-yearly dental check-ups and watch for signs of gum disease. If you suspect gum disease exists, call 828-274-9440 to schedule an exam. This will be the first step to protecting your smile, and apparently, your heart!