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.

If You Have Jowls, Thank Your Dentures. Here Is Why…

Posted on Apr 22, 2013 by William J. Claiborne, DDS MS

Long-time denture wearer?  If you suspect your face has grown longer, it is probably because jowls have formed on both sides of your face. This is often the result of facial muscles that have detached from the jaw bones once it shrinks to a certain point.

Here is why you’ve lost bone: When natural tooth roots are held by the upper and lower jaw bones, they provide stimulation to the bone, which helps to maintain its mass. When tooth roots are no longer present, lack of stimulation results in bone resorption, or ‘melting away’ of the bone.

Although resorption occurs slowly, pressure on the jaws from wearing dentures actually speeds the resorption process. Since many denture wearers also sleep in their dentures, this continual pressure accelerates the rate of bone loss even more.

When dentures are first placed, the fit can be satisfactory for one to five years. However, as bone loss progresses, it continues so the denture’s fit lasts at less-frequent intervals each time. For example, one year after the extraction of teeth, a denture wearer experiences a 25% bone loss. Three years later, 60% of the bone is gone. While the biting force with teeth is 250 pounds, an average denture wearer bites with only 5 – 6 pounds of force.

Today’s implant dentistry includes types, such as the ‘All-On-4,’ that need minimal bone for placement. Because these implants are placed at unique angles, just four implants (upper or lower) can support a full arch of non-removable teeth.

Although other implant types may require more bone, procedures that can rebuild the jaws to a healthy mass. Some cases are accomplished using bone generating materials. Others may require a bone graft. Upper implants may need a ‘sinus lift’ to ensure there is ample bone protecting the sinus cavity.

Regardless of the process, dental implants will enable you to chew comfortably and speak and laugh confidently without fear of embarrassment. Begin with a consultation and examination to learn what is required for your needs as well as treatment options. Call (828) 274-9440 to schedule.

Sinus Lifts & Bone Rebuilding For Dental Implants

Posted on Feb 25, 2013 by William J. Claiborne, DDS MS

When natural tooth roots are missing from the upper or lower jaw, the bone that was once their foundation begins to shrink. Over time, this bone loss can cause many problems.

A common frustration of denture wearers is uncomfortable rubbing or slips while eating. This is because the bone ridge that the denture was designed to fit is shrinking. Even with adhesives and pastes, a flattened bone ridge can make chewing with a denture difficult. Relines may help for a brief time, but eventually, they seem to do little good.

Bone loss becomes obvious in one’s facial appearance. Deep wrinkling occurs around the mouth, even with dentures in place. The mouth appears sunken-in and the corners of the mouth turn downward. Jowls form and the chin takes on a pointed shape.

To place Dental Implants, a sufficient amount of upper or lower jaw bone must exist. Once the implants are in place, your bone grows around them. This secures them firmly in place, giving a dependable foundation like that of the tooth roots you once had.

In the lower jaw, a nerve runs horizontally through the bone. Placing implants must be done so there is no risk of interfering with this nerve. And, because the upper jaw connects to the sinus cavities, upper placement must be done so each implant avoids close proximity. This is why sinus augmentation, or a ‘sinus lift,’ is occasionally necessary.

A key to implant success is not just in the selection of the implant, but where the implant is placed. When too much bone loss has occurred, bone rebuilding techniques are necessary. Although these extend the treatment time and add to the overall cost, the ability to eat and laugh without worry or discomfort is well-worth the procedure you have, even if added steps are necessary. This is why it is better to have Dental Implants placed before this extent of bone loss occurs.

Some implants are specifically designed to for people who have had a great deal of bone loss. We’ve had excellent results with the ‘All-On-4’ implant system. These are placed at unique angles so they require less bone depth. Another benefit of All-On-4 is their ability to support a full arch using just four implants. Because the cost of implant treatment is largely determined by the number of implants used, this helps to keep overall expenses down.

Today’s Dental Implants are highly-successful and tremendously advantageous for those who once struggled with dentures or partials. If you’d like to know more, call to arrange a Consultation at (828) 274-9440.

Things To Consider When Considering Dental Implants

Posted on Oct 10, 2012 by William J. Claiborne, DDS MS

For many reasons, Dental Implants are becoming the preferred tooth replacement option for today’s adults. Even though Dental Implants have the highest success rate of any in-bone implant in the body (including hip and knee implants), removal is occasionally necessary.

While it’s tempting to want to get the ‘best deal’ for implants, certain issues should be taken into consideration before selecting who will coordinate your treatment.

• One of the first decisions made by the Doctor is the type of implant that is best suited for you. This depends on the amount of bone you have available, the number of teeth each implant will support, and position of a lower jaw nerve and your sinuses. Without knowing precisely which implant type is best for these combined factors, the implants may require removal due to future problems.

• When a Doctor is only familiar with one or two implant systems, that’s the one he or she will likely recommend whether or not it is the best one to accomplish your goals and fit your specific needs. When an implant is placed that cannot adequately perform the role intended, failure down the road is not uncommon.

• The placement process can ‘make or break’ many implant cases. If an implant is placed at an incorrect angle, too shallow or too deep, it can create many problems, making removal eventually necessary.

• An implant can only be placed in a mouth that is healthy. If implants are placed where periodontal (gum) disease exists, the bacteria can lead to implant failure. It is vital that the Doctor ensure your mouth is healthy before placement occurs.

However, one of the most typical causes of implant failure does not occur from what happens inside the dental office. It is from lack of proper oral hygiene at home. It is absolutely necessary the patient is dedicated to home care that maintains a healthy mouth so bacteria does not compromise your implants. If you have implants, be especially committed to your periodic exams and cleanings. Also, follow the home care instructions of your hygienist to keep your mouth healthy between visits.

By selecting a dental practice wisely (rather than based on a cheap price) and maintaining a healthy mouth once your implants are placed, you’ll enjoy a lifetime of smiles, laughter and eating foods you love! To discuss Dental Implants, call (828) 274-9440.