Asheville Periodontic Specialty Office Offers Latest To Enhance Treatment Outcomes, Comfort.

Posted on May 13, 2019 by William J. Claiborne, DDS MS

As an Asheville NC periodontist, I know it is more than my specialized skills that keep us busy. Many dentists and other dental specialists refer patients to our office because they know each patient receives optimal care with a gentle, respectful touch.

Another thing we are known for is the state-of-the-art technology we use to save patients time while they achieve the very best results in minimal treatment time. Some of our advanced features available include:

LANAP Protocol Using PerioLase MVP-7 – An acronym for Laser-Assisted New Attachment Procedure, LANAP provides an advanced protocol to more efficiently and effectively treat periodontitis (advanced gum disease) with the PerioLase® MVP-7™ laser. This offers a minimally invasive (non-surgical) treatment alternative for patients with moderate to severe periodontal disease.LANAP treatment leaves very little discomfort and has a quick recovery time. It has also been found to stimulate bone regrowth in damaged areas.

Dental Radiology With 3-D Cone Beam Technology
 – We rely on 3D imaging in diagnostic and treatment planning. This latest level of 3D imaging covers the whole dentition area, giving a clear view of the mandible and maxilla (upper and lower jaw) for intricate review for the diagnostic requirements of endodontics, periodontics, orthodontics, implantology, TMJ and prosthodontics as well as dental and maxillofacial surgery.

In addition to imaging, cone beam radiographs provide images in sagittal, axial, and coronal planes. This makes it possible to locate and trace the mandibular nerve canal for pre-surgical planning for an ideal implant position.

We also like that our patients are exposed to only minute levels of radiation through a process that is fast and comfortable.

CareStream Cone Beam Computer Tomography Imaging
 – Our office features the Carestream 9300. This Cone Beam Computer Tomography provides dual modality panoramic and 3D imaging with exceptional detail and range. The CS 9300 can deliver 3D imaging at a significantly lower dose than 2D panoramic imaging. In fact, in a recent study, the CS 9300 and CS 9300 had up to an 85% lower radiation dose than traditional panoramic imaging.

CS 3600 intraoral scanner
 – No longer do our patients have impressions made with bulky, goopy trays held in their mouths!

The CS 3600 Scanner is designed to quickly and comfortably scan areas inside our patient’s mouth. It acquires digital impressions accurately and easily, scanning a full or dual arch for the fabrication of digital models or appliances.

The CS 3600 provides a highly accurate digital impression using a small, handheld scanner. It can also reach difficult–to–access areas in the patient’s mouth for superior results with improved patient comfort.

Just some of the superior features of the CS 3600 Scanner include:

• Acquires digital impressions to design crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments and RPD;
• Has an Intelligent Matching System that prevents missing data in any area. Plus, it even sends a warning to indicate areas of the scan that lack detail;
• Has adaptive hole filling that automatically identifies holes and selects the appropriate anatomical color for optimal aesthetic outcomes;
• Enhances outcomes for restorations, orthodontics and implants; and,
• Displays precise, accurate HD 3D color images with vivid color and details for improved case review, analysis and communication between doctors, referrals and labs.

Simplant Dental Software for Computerized Dental Implant Placement
 – This advanced software system allows for pre-surgical positioning of dental implants on the computer using a 3D model of the patient’s jaw. Once the implant type is selected, a surgical template is developed that ensures a precision fit. Simplant creates optimal implant treatment success, even for complex cases. It also simplifies the team treatment process so intricate aspects of the surgical process can be discussed prior to placement.

Intraoral Camera Technology – 
This self-contained intraoral camera features full motion video with outstanding image quality from an internal camera that captures ideal angles and images with the click of a button. The images are sent to screen for a clear, crisp view so we can confer with patients on specific treatment issues.

Computer Imaging In Treatment Suites
 – Treatment suites are equipped with computers for convenient image sharing with patients. This allows patients to have a more complete understanding of their individual needs through images that can be pulled up by our dental team, with the ability to enlarge certain areas to show specific details. Through this, patients have greater involvement in treatment decisions.

Advanced Sterilization – Our custom sterilization unit is designed to adhere to or exceed established Centers For Disease Control & Prevention (CDC) guidelines for instrument processing protocols. Intuitive colored lighting identifies the receiving and cleaning of instruments.

Fully-Equipped Surgical Suites – Relax during treatment (under sedation, if desired) while you are surrounded with the serene views surrounding our Asheville periodontal office.

So you see, we are committed to providing each patient with advanced skills, experience, comfort, and technology that provides the very best in periodontal and dental implant treatment available.

If you have experienced periodontal (gum) disease or are considering gum recontouring or tooth replacement with dental implants, being referred is not always needed. Call our friendly staff to discuss your needs: 828-274-9440.

Revolutionizing The Process Of Taking Impressions – New Technology Enhances Outcomes, Comfort!

Posted on Nov 16, 2018 by William J. Claiborne, DDS MS

The Asheville periodontal dental office of Biltmore Periodontics is pleased to announce the latest technology – the CS 3600 intraoral scanner.

No longer do our patients have impressions made with bulky, goop-filled trays held in their mouths!

The CS 3600 Scanner is designed to quickly and comfortably scan areas inside our patient’s mouth. It acquires digital impressions accurately and easily, scanning a full or dual arch for the fabrication of digital models or appliances. (https://www.biltmoreperiodontics.com/services/advanced-technology/)

The CS 3600 provides a highly accurate digital impression using a small, handheld scanner. It can also reach difficult–to–access areas in the patient’s mouth for superior results with improved patient comfort.

Just some of the superior features of the CS 3600 Scanner include:
• Acquires digital impressions to design crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments and RPD;
• Has an Intelligent Matching System that prevents missing data in any area. Plus, it even sends a warning to indicate areas of the scan that lack detail;
• Has adaptive hole filling that automatically identifies holes and selects the appropriate anatomical color for optimal aesthetic outcomes;
• Enhances outcomes for restorations, orthodontics and implants; and,
• Displays precise, accurate HD 3D color images with vivid color and details for improved case review, analysis and communication between doctors, referrals and labs.

This highly-advanced technology joins the cutting edge features also available at Biltmore Periodontics. These include:

Dental Radiology With 3-D Cone Beam Technology
Dr. Claiborne and Dr. Boyland rely on 3D imaging in diagnostic and treatment planning. This latest level of 3D imaging covers the whole dentition area, giving a clear view of the mandible and maxilla (upper and lower jaw) for intricate review for the diagnostic requirements of endodontics, periodontics, orthodontics, implantology, TMJ and prosthodontics as well as dental and maxillofacial surgery.

In addition to imaging, cone beam radiographs provide images in sagittal, axial, and coronal planes. This makes it possible to locate and trace the mandibular nerve canal for pre-surgical planning for an ideal implant position. Our doctors also like that patients are exposed to only minute levels of radiation through a process that is fast and comfortable.

CareStream Cone Beam Computer Tomography Imaging
Our office features the Carestream 9300. This Cone Beam Computer Tomography provides dual modality panoramic and 3D imaging with exceptional detail and range. The CS 9300 can deliver 3D imaging at a significantly lower dose than 2D panoramic imaging. In fact, in a recent study, the CS 9300 and CS 9300 had up to an 85 percent lower radiation dose than traditional panoramic imaging.

Simplant Dental Software for Computerized Dental Implant Placement
This advanced software system allows for pre-surgical positioning of dental implants on the computer using a 3D model of the patient’s jaw. Once the implant type is selected, a surgical template is developed that ensures a precision fit. Simplant creates optimal implant treatment success, even for complex cases. It also simplifies the team treatment process so intricate aspects of the surgical process can be discussed prior to placement.

Intraoral Camera Technology
This self-contained intraoral camera features full motion video with outstanding image quality from an internal camera that captures ideal angles and images with the click of a button. The images are sent to screen for a clear, crisp view so your Periodontists can confer with patients on specific treatment issues.

Computer Imaging In Treatment Suites
Treatment suites are equipped with computers for convenient image sharing with patients. This allows patients to have a more complete understanding of their individual needs through images that can be pulled up by Dr. Claiborne, with the ability to enlarge certain areas to show specific details. Through this, patients have greater involvement in treatment decisions.

You can learn more about this technology at: https://www.biltmoreperiodontics.com/services/advanced-technology/

 

Ways To Have A Successful Outcome With Dental Implants

Posted on Jul 16, 2018 by William J. Claiborne, DDS MS

For many individuals who wish to replace one or more missing teeth, dental implants have become the leading preference. Dental implants restore the look, feel, and function like that of natural teeth. They also help to prevent bone shrinkage that occurs when tooth roots are no longer present in the jaw bone.

A periodontist has advanced training in the diagnosis and placement of dental implants. He or she can help you enjoy a higher potential for dental implant treatment that lasts your lifetime. There are a number of reasons you should strongly consider having a periodontal specialist involved in your treatment.

SELECTION OF IMPLANTS – Dental implants come in a wide array of shapes and sizes. Each system is designed to accommodate certain needs and preferences. For example, some implants are designed to support a full arch of teeth while others can be placed in areas where a great deal of bone loss has occurred. The selection of the implant type that is appropriate for your needs and goals requires a unique understanding of all implant types. That is, a periodontist can select the type that will work best for you rather than go with the one or two in which they have received training.

PLACEMENT OF IMPLANTS – In addition to selecting the best type for your needs, proper placement of implants has a great deal to do with having a successful outcome. When an implant that is too long, for instance, is placed in bone that is too shallow, it can have future repercussions that may require its removal. This could occur when a lower implant is placed too close to a nerve that runs horizontal through the jaw bone (mandible). Or, when an upper implant is placed in shallow bone, it can work its way into the sinus cavity. A periodontal specialist considers intricate factors that can effect your potential for success.

STRUCTURAL ISSUES – In addition to the factors involved with bone loss, other issues can ‘make or break’ having a successful treatment outcome with dental implants. For example, for people who have bite misalignment or TMJ disorders, they may be grinding or clenching their teeth during sleep – often unknowingly. Telltale signs of ‘bruxing’ including remaining, natural teeth that are chipped or worn. These forces have been measured to that enough to crack a walnut! When dental implants endure these forces, especially during their ‘healing’ phase, there is greater risk for implant failure. A periodontist considers these issues prior to your treatment, helping you to bypass problems that can result in eventual removal.

INDIVIDUALIZED TREATMENT CONSIDERATIONS – Our goal is to help you get the most from your dental implants. When there are individual habits or preferences that can complicate success, we work with each patient to help them enjoy their dental implants for a lifetime. For smokers, we advise ways to support saliva flow and minimize oral bacteria levels. For people who take certain medications that can interfere with oral moisture, we recommend methods to keep the mouth properly hydrated. And so on. We want to make sure your care is individualized so your potential for implant success is high!

Unfortunately, I have seen a number of patients over the years who have had implants that were improperly placed or chosen. It is a significant loss for the patient when they have to have these implants removed and start all over. Like any procedure, you want your treatment time and investment to be successful and a pleasant experience. We do, too!

If you’ve considered dental implants to replace missing teeth, let’s discuss how a periodontal dental office can enhance your potential to enjoy confident smiles and chewing comfort for your lifetime! Call 828-274-9440 to schedule an appointment.

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.