Many Dental Implant Types For Every Need

Posted on Feb 09, 2017 by William J. Claiborne, DDS MS

When you run out of tissues, do you think, “I need to buy more Kleenex?” Or, do you ask for “Tabasco Sauce” when you want a hot sauce for your food?

We often refer to certain items by brand names even though we’re thinking of a more generic product. This also happens when the term ‘Dental Implant’ is used. Although there are many types of implant systems, Dental Implants describe this particular genre of tooth replacement.

What sets Dental Implants apart from other tooth replacement systems is basically the ‘implanted’ portion. This is what is positioned into the jaw bone to provide the same foundation as that afforded by natural tooth roots.

However, there are a number of implant types, designed to accommodate specific needs. they can vary in shape, size and even what is attached to an implant. For example, some implants are designed to be placed at unique angles to compensate for minimal bone depth. Some implants are designed to support a single tooth or bridge of several teeth while others are strategically positioned to support a full arch of teeth.

A successful outcome in Dental Implant treatment begins with the selection of the proper type of implant. As a Periodontal specialist, my training includes the diagnosis and placement of Dental Implants. It is vital to a successful treatment for the doctor placing your implants to have intricate knowledge of the specific type needed. It is important that the amount of bone mass present, location of implant sites, and the number needed to support the attached teeth is factored in accurately.

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.

It’s amazing how seemingly minor miscalculations can create major issues that result in implant failure. For example, an implant placed in the upper jaw in too-shallow bone can penetrate the sinus cavity. A lower implant in too little bone depth can come in contact with a nerve that runs horizontally through the lower jaw, creating pain.

In our office, we take great joy in seeing patients who once struggled with dentures or partials complete implant treatment. They are able to resume a eating a wide variety 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 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 patient made that resulted in implant failure. However, the most troubling thing I see in implant dentistry is when a patient opted for a “good deal” and had a less-experienced doctor place an implant that must now be removed.

When a patient entrusts their implant treatment to a skilled, qualified specialist and adheres to hygiene and healing guidelines, implant failure becomes a non-issue. You can 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.

Taking Prescriptions? Some Supplements Can Cause Problems.

Posted on Sep 27, 2016 by William J. Claiborne, DDS MS

As baby boomers age, a growing number are turning to alternatives to prescription medications. Thus, there has been a growing demand for natural supplements. It is estimated that over 15 million Americans are using vitamins and herbal supplements along with prescription medications.

Surveys estimates show that herbal supplements are used by 12 – 24% of the American adult population with usage of those aged 65 and older doubling from 1999 to 2002.

Since supplements are available over the counter (OTC), many adults don’t see them as medications. So, when a new patient is completing their medical history form, these are not always listed. They should be.

Both medical and dental health care providers need this information to determine how these supplements will effect your body’s ability to clot properly during procedures that cause bleeding. Too, excessive bleeding can occur when these supplements are not acknowledged prior to procedures.

A number of aging adults take prescription medications to prevent arterial or venous thrombosis and stroke. When completing your medical history form, most patients readily acknowledge their use of these medications and understand that some drugs increase bleeding during certain procedures or hamper their ability to clot when bleeding. Knowing the patient is on these medications enables the medical or dental caregiver to monitor bleeding and clotting before complications arise.

However, patients are less informed that the use of OTC medications can impact bleeding in conjunction with their prescription medications. Yet, according to the Natural Medicines Comprehensive Database, approximately 180 dietary supplements have the potential to interact with warfarin and more than 120 may interact with aspirin, such as clopidogrel (Plavix) and dipyridamole (Aggrenox).

The National Institutes of Health (NIH) identified these supplements as having the potential to cause adverse bleeding interactions:
• Anise
• Dong Quai
• Omega-3 fatty acids in fish oil
• Ajoene in Garlic
• Ginger
• Ginkgo
• Vitamin E
• Fucus
• Danshen
• St. John’s Wort
• American Ginseng

The Centers for Disease Control and Prevention (CDC) shows the supplements having the highest sales include ginseng, ginkgo blob, garlic, St John’s wort and ginger. It is not unusual for a patient to take up to seven dietary supplements at the same time with some taken inconsistently.

In addition, the following herbs may affect blood clotting:
• High doses of Vitamin E
• Alfalfa
• Coenzyme Q10

While more studies are needed to determine precisely how these supplements alter bleeding or interact with prescription medications, it is important for medical and dental professionals to have consumption information in order to properly plan for procedures.

Warfarin (Coumadin®, Jantoven™), an oral anticoagulant, is used prevent and treatment VTE (venous thrombo-embolism), PE (pulmonary embolism), and atrial fibrillation (A-Fib) patients who are at risk of embolism. Warfarin is highly affected by medication use. In fact, more food and drug interactions have been reported for warfarin than with any other prescription medication.

A study in England noted a high number of patients were taking herbal supplements along with warfarin. In a survey of nearly 1400 patients, it was found that nearly 9% regularly took one or more of garlic,  ginseng,  ginkgo biloba, feverfew, ginger, and St. John’s
wort. Yet, nearly all admitted to failing to share this information with any of their health care professionals.

In addition to many herbal supplements, alcohol has been found to increase bleeding in warfarin users along with Vitamin C and Cranberry juice. However, the herbal supplements that tend to complicate clotting ability the most during bleeding include:
• Bromelain
• Cat’s claw
• Dong quai
• Evening primrose
• Feverfew
• Garlic
• Green tea
• Ginseng
• Ginkgo
• Horse chestnut
• Red clover

In addition to Aspirin’s ability to reduce mild to moderate pain, inflammation, and fever, it is also used in the prevention of myocardial infarction (MI) and cardiovascular problems, such as stroke. Aspirin may also be advised as added therapy during procedures like coronary bypass. While many users of Aspirin realize it “thins the blood,” many regular users fail to notify their dental professional.

As a periodontist, I perform a number of procedures that cause bleeding to tissues in the mouth. It is important for your safety and a successful outcome of your procedure to have this information prior to treatment planning.

While filling out those often-lengthy medical history forms seem daunting, the information they provide is necessary. It is also necessary that it be complete. Herbal and vitamin supplements taken regularly should always be listed.

If you have questions, please call 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.

 

Why Tooth Loss Causes Your Jaw Bones To Shrink

Posted on Jun 22, 2015 by William J. Claiborne, DDS MS

The presence of natural teeth is vital to the health of upper and lower jaw bones. Tooth roots create stimulation to the bone, which stimulates blood flow so the jaws maintain a healthy mass. Without tooth roots, the lack of stimulation causes the bone to slowly decline. This process is known as “resorption.”

Resorption causes the gum ridge to flatten out over time, giving your denture a foundation that continually shrinks. Regardless of the amount of denture adhesive applied, the denture will begin to move while eating, causing uncomfortable rubbing. Laughing becomes overshadowed by the fear of embarrassing slips.

The pressure from wearing dentures actually accelerates resorption, especially for those who sleep in their dentures. The 24/7 pressure speeds the process of resorption to an even greater degree.

When dentures are first made, they may feel secure for the first five or so years. However, as resorption continues, relines help only on a temporary basis. As bone loss progresses, relines will last at less frequent intervals each time.

On average, denture wearers experience a 25% bone loss one year after natural teeth have been extracted. Three years later, 60% of the bone is gone. While natural teeth provide a biting force of 250 pounds, the average denture wearer bites with about 5 pounds of force.

Want to see the extent of bone loss you’ve experienced? Remove your denture and look in the mirror. Do you see deep wrinkles around the mouth? Do the corners of your mouth turn downward, even when you smile? Does your mouth appear collapsed inward with a pointed chin? Have jowls formed on the sides of your face?

New designs in Dental Implant systems can overcome even severe bone loss. Types like All-On-4 can be placed in minimal bone using just four implants. Using specific angles, the All-On-4 system can support a full denture that is non-removable.

When a greater level of bone mass is necessary, procedures can restore the bone to a healthy level. Bone generating materials or a bone graft can be performed prior to implant placement. A “sinus lift” may be advised so sufficient bone exists between the upper jaw and sinus cavity.

Regardless of the procedure or implant type selected, a dental specialist who is trained and experienced in all implant types is the best choice for a successful result. A Periodontist is a dental specialist with advanced training in the diagnosis and placement of Dental Implants as well as bone rebuilding procedures.

Dental Implants restore chewing comfort and the ability to speak and laugh with confidence. Today, bone loss doesn’t necessarily prevent you from enjoying these benefits! Begin with a consultation by calling (828) 274-9440.