The Mirror Image Of Dental Implants

Posted on Sep 16, 2024 by William J. Claiborne, DDS MS

A study conducted in the United Kingdom in 2015 revealed that men check out their reflection 23 times a day while women do about 16 times. While other studies dispute the gender disparity (such as women using the mirror 34 times a day on average), all adults use the mirror more often than is probably perceived.

https://www.dailymail.co.uk/femail/article-3077919/Men-vainer-women-research-reveals-guys-look-reflection-23-times-day-women-glance-16-times.html

https://www.reuters.com/article/world/us/women-seen-checking-mirror-every-half-hour-idUSL05402197/

Naturally, part of that time in the mirror is spent each morning or evening as people prepare for the day and then get ready for bed. Ideally, several minutes of this time is being devoted to brushing and flossing. But, are they really getting a good look inside their mouths?

Typically, people don’t think all that often about the presence of their teeth, unless something hurts. Certainly, when hot or cold causes a sharp “jolt” of pain or a constant ache occurs around a particular tooth, an individual realizes something needs attention. After all, there is rarely pain in the mouth that is going to repair on its own. And, pain is our brain’s way of getting our immediate attention that something is wrong.

Adult tooth loss is fairly common in the U.S.  Accidents, tooth (or tooth root) fractures, decay and certain health conditions can increase one’s potential for losing natural teeth. However, periodontal (gum) disease is the most common.

It is estimated that nearly half of the adult population have some form of periodontal disease (47.3%). Symptoms may include:

• tender and swollen gums that bleed easily when brushing

• persistent bad breath

• gums that are red in color rather than a healthy pink

• gums that recede from the base of teeth

• pus pockets around teeth as bacterial accumulate

• gums that are a spongy texture

• teeth that shift or loosen

According to the Centers for Disease Control & Prevention (CDC), over one-fourth (26%) of American adults ages 65 and older have 8 or less natural teeth. The CDC equates this number (having 8 or fewer teeth) as “severe tooth loss” since it impacts an individual’s ability to thoroughly eat a healthy diet.

While losing a tooth during a lifetime seems “normal,” any loss of an adult tooth should be a wake-up call. As an Asheville periodontist, I know that losing a natural tooth can set into motion a snowball effect. And, it’s what occurs below the gums that creates the path that, for many older adults, leads to dentures.

The absence of a tooth root in the upper or lower jaw bone is a loss of stimulation to the bone mass where it was once positioned. These roots provide both stimulation and nourishment that enables the bone to maintain a healthy mass. Without the presence of tooth roots, the bone begins to “melt away” in a process known as resorption.

It is commonly known that muscles, not used, will shrink in mass. When the jaw bones are lacking stimulation by the tooth roots they’re designed to hold, bone mass begins to shrink.

Resorption begins shortly after the tooth’s root is removed. Once it starts, it continues at an ever-increasing pace. For example, the first year after a tooth root is missing, bone decline may be minimal. With each passing year, however, the pace of bone loss accelerates.

As the bone shrinks in height, natural tooth roots adjacent to the area of missing teeth are subject to movement and root damage. On average, the next teeth you’re most likely to lose are the ones bordering areas of missing teeth.

How do you halt the process of tooth loss due to bone resorption?

Because dental implants replace the tooth above the gum line AND the root portion below it, the bone is able to retain its mass. Using the sturdy foundation of the jaw bone, dental implants are able to restore the look, feel and chewing stability like that of natural teeth.

A periodontist has advanced training to properly diagnose and treat all stages of periodontal (gum) disease (including gingivitis and periodontitis) as well as placement of dental implants. Because we understand the issues that occur above and below the gums, we are proponents of replacing teeth with dental implants, for a wide number of reasons.

1. Dental implants help to prevent declining mass of the jaw bone. In addition to problems associated with dental prosthetics (dentures, partials) when it comes to biting and chewing, bone loss causes changes in facial appearance that are aging far beyond one’s actual years. An implant restores stimulation to the bone and halts the progress of bone loss.

2. Dental implants have one of the highest success rates of any in-bone implant in the body, including hips and knees. When properly selected, placed and maintained, they are designed to last your lifetime.

3. Unlike crown-&-bridge combinations or partials, dental implants do not rely on neighboring teeth for support by adjacent teeth. And, because they help to preserve the bone that supports neighboring teeth, they are actually beneficial to the life of other natural teeth.

4. Dental implants are a one-time expense. They do not decay, require root canals, crack or break, future expense for upkeep or repairs is not needed. The material they are made of (titanium) biologically integrates with living bone and is not rejected nor will it cause adverse reactions to surrounding structures. With proper care, they will last throughout your life.

5. Because dental implants are supported by the upper or lower jaw bone, just as natural tooth roots, they are able to restore biting strength and chewing stability. After an implant is placed in the bone, the bone grows around it to fully secure it in the jaw. This enables confident biting and chewing without fear of movement that is possible with a denture or partial.

Like anything that is implanted into your body, dental implants should be placed in the hands of an experienced specialist. Ideal diagnosis is important, and can even save the patient in overall treatment costs. For example, when missing more than one tooth in one area, one implant can often hold two or a bridge of teeth. Several strategically-placed implants may also be used to support a full arch of teeth.

Proper placement and support in caring for implants is an important part of a successful outcome. However, dental implants can fail. A periodontal specialist can be an asset to your investment. When dental implants are chosen and placed by a periodontist, he or she is trained to select the one that will work best for you now and throughout your lifetime.

In addition to our specialized skills, our Asheville periodontal dental office provides advanced technology and a compassionate approach to care so you can enjoy a comfortable, efficient experience that allows you to have optimal success. Some of this technology is specific to dental implants, including:

• LANAP With PerioLase MVP 7 – Laser-Assisted New Attachment Procedure is an advanced protocol that efficiently and effectively treats advanced gum disease with the added advantages of a dental laser. For patients who are preparing for dental implant placement, resolving gum disease prior to treatment is mandatory. LANAP offers a non-surgical alternative for patients with moderate to severe periodontal disease with very little discomfort and a quick recovery time.

• Cone Beam Imaging – These provide 3D images that are ideal for diagnosing and treatment planning. The highly-detailed images show sagittal, axial, and coronal planes, which locates and tracks nerve canals to optimize implant placement.

• Computerized Dental Implant Placement – This system provides the futuristic ability to position dental implants before the process actually begins. Through computerized technology, the implants are selected and “ideally positioned” on a 3D model of the patient’s jaw. From this, a template is developed for optimal treatment success, even for complex cases.

• CS 3600 Intraoral Scanner – Rather than make impressions with bulky, goopy trays, this scanner quickly and comfortably captures digital impressions accurately and easily. These are used to create precision models or appliances (dental implant crowns, bridges, or full arches). The scanner can also reach hard–to–access areas in the patient’s mouth for superior results with improved patient comfort.

For individuals who have lost teeth because dental fear or anxiety kept them from receiving regular dental care, we are especially sensitive to the concerns of these patients. Our entire team is committed to optimal patient comfort at every visit. Additionally, we offer:

• Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward.

• I.V. sedation (also known as “twilight sleep”) places the patient in a deeper sleep state and erases memory of the procedure. It is administered by a Medical Doctor (MD) who is a board certified Anesthesiologist.

For those who feel dental implants are out of reach financially, we encourage them to have a consultation to see exactly what their options may be and the treatment fees entailed. We offer several excellent payment plans, some with no down payment and no interest charged when paid according to the terms.

If you are considering dental implants, you may wish to begin with a consultation appointment. During this time, we can explain the vast difference in comfort, treatment time, and success available through our specialized skills and extensive technology.

Call 828-274-9440 to schedule. New patients are always welcome and a referral is not always required.

A Periodontist Is Your “Go-To” For Healthy, Beautiful Smiles

Posted on Sep 04, 2024 by William J. Claiborne, DDS MS

Children seem to know something adults don’t: Research shows that children smile an average of 400 times per day, compared to the average “happy” adult who smiles 40-50 times per day while the typical adult smiles only 20 times per day.

While a beautiful smile can make us more confident in how we appear to others, it also has health benefits you may not realize. According to Henry Ford Health, smiling can:

• Boost mood by causing the release of cortisol and endorphins
• Reduce blood pressure
• Increase endurance
• Reduces pain
• Reduces stress
• Strengthens immune system

In the article, they also share that studies show people who smile are perceived as more likable, courteous and competent. Smilers are also seen as more productive at work and are higher earners.

https://www.henryford.com/blog/2017/10/health-benefits-smiling

A pleasant smile is considered a symbol of beauty and well being. The appearance of a smile is influenced by a variety of factors including the shape and position of teeth and surrounding gum tissue levels. In cases where the gum tissues can greatly enhance esthetics, people often seek out the advanced skills of a periodontal specialist for periodontal plastic surgery.

Many general dentists and other dental specialists refer their patients to a periodontist for their specific skills. A periodontist is a dental specialist who is the expert in caring for the gum tissues. This includes all levels of periodontal disease as well as in the reshaping of gum tissues.

Crown Lengthening:
When the enhanced appearance of a smile is being sought, a periodontist is the pro in creating a balanced smile line. In the procedure known as “crown lengthening,” the arch of gum tissues over teeth visible in a smile can be repositioned. This is done in a procedure known as a gingivectomy.

In smiles that have an uneven line of gum tissues, the up-and-down line of tissue creates a jumbled look. Crown lengthening can alter the height of the gum arches over teeth, typically performed prior to placement of crowns (“caps”) to provide a more balanced smile line.

A crown lengthening procedure can sometimes save a tooth from removal, particularly when a tooth breaks near the gum line. By exposing more of the tooth’s structure, it may be possible to place a crown over the remaining tooth. This can help the patient avoid the extensive costs and potential upkeep of replacing it.

“Gummy” Smile:
Esthetically, a balanced smile typically shows the front top 6 or 8 teeth. Arching each tooth, there is generally minimal gum tissues showing, and sometimes none.

A gummy smile, in the periodontal specialty, is known as EGD, an abbreviation for excessive gingival display or a gingival smile (GS). The trait occurs more often in females than in males. (Gingival is of or relating to the gums.)

For individuals who have a “gummy” smile, it can be seen as a personal trait that many feel is a positive part of their individuality. A famous gummy smile is that of Katie Couric, who shares hers openly and beautifully.

However, not everyone with this trait feels comfortable with the look nor the way it makes them feel when smiling. Some people tend to suppress smiling fully. Others conceal their smile with a hand when smiling fully or laughing or “hold back” by smiling with their lips only.

A periodontist can determine the proper amount of gum tissue for your individual smile and provide contours that are natural and flattering to teeth. Because a periodontist is respectful to the care of tender gum tissues, they are the go-to of many general dentists when it comes to ideal and gentle treatment. This also helps in minimizing healing time.

Receded Gums:
Another procedure a periodontist expertly performs is gum grafting. This is often performed to cover exposed roots, reduce further gum recession, protect vulnerable tooth roots from decay, and improve your smile. Recession can occur as a result of periodontal disease, which causes tooth roots to become exposed and makes the teeth look long.

Gum tissues are very tender tissues with many nerves. Procedures that involve the gums must be performed with precision to minimize discomfort and speed healing time. A periodontist excels in the skills to create an optimal outcome with the most conservative treatment needed.

Replacing Teeth:
When tooth loss has occurred (whether from gum disease, an accident, or due to genetics), our Western NC periodontal dental office also works with a number of dentists in the diagnosis and placement of dental implants.

With over 40 different implant systems, the one suited best for you depends on factors that an experienced dental specialist takes into consideration. His or her skills in placement – achieving optimal angles and depths – helps to maximize treatment outcomes while enhancing comfort.

Patient Comfort:
Patient comfort has always been a high priority in our our Asheville periodontal practice. We are widely known for an environment of compassionate and respectful care and understand that over 70% of the adult population have some level of dental fear or anxiety. After all, we would want such an approach to care for ourselves and our loved ones.

For optimal comfort and relaxation, we offer several sedation options, including oral and IV sedation.

• Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward.

• I.V. sedation (“twilight sleep”) places the patient in a deeper sleep state and erases memory of the procedure. It is administered by a Medical Doctor (MD) who is a board certified Anesthesiologist.

With both sedatives, patients are closely monitored with advanced safety equipment throughout treatment.

In addition to advanced skills, our Asheville periodontal dental office is known for utilizing some of the industry’s most advanced technology, including LANAP Protocol using PerioLase MVP-7. This laser efficiently and effectively treats periodontitis (advanced gum disease). It causes very little or no discomfort and has a quick recovery time. This laser has also been found to stimulate bone regrowth in damaged areas.

Affordable Treatment:
We believe that every individual can live a happier, longer life with a healthy smile they enjoy sharing. If financial constraints are holding you back, ask about our easy payment plans. Most of these break treatment fees into monthly payments that are manageable to most budgets. They are interest-free and require no down payment.

Get the coming year started with your smile goals achieved! Call 828-274-9440 to schedule a consultation or exam at our Asheville periodontal dental office. Our friendly staff can help you arrange this private time together and will make you feel welcome.

Don’t Let Tooth Loss Make You LOOK or FEEL Old.

Posted on Aug 26, 2024 by William J. Claiborne, DDS MS

I have never imagined how old I could look until the first timerI saw my image on FaceTime. It reminded me of a time I unexpectedly passed by a mirror and saw an old man looking at me, which of course was my reflection.

Aging is tough enough without looking or feeling old. While adults have gotten better at staying more active and eating better diets than some previous generations, having an aged appearance beyond one’s actual years is a downer.

Something people often do not factor into the telltale signs of aging is bone loss. Generally, people acknowledge that they’ll lose some height with age as the skeleton submits to typical bone loss. However, bone loss due to missing natural teeth isn’t typically perceived as part of the process.

Yet, losing bone mass in the jaws can greatly affect one’s appearance, regardless of their actual years. This is due to the lack of stimulation provided to the jaws that natural tooth roots once provided.

Your natural teeth are supported by your upper and lower jaw bone, known respectfully as the maxilla and mandible. These strong, study bones support tooth roots securely.

When a natural tooth is removed, its absence causes a reaction below the gum line. This is through a process known as “resorption.” Without tooth roots present in the bone, the stimulation and nourishment needed for the bone to maintain a healthy mass is removed. Thus, the bone begins to decline.

As it shrinks in height, the adjacent teeth are more vulnerable to loss. Statistics show that teeth adjacent to areas where natural teeth are missing will be the most likely to be lost next.

Resorption begins shortly after the tooth root is removed. Once it starts, it continues at an ever-increasing rate year after year. For example, the first year after a tooth root is absent, the loss of bone may be minimal, probably unnoticeable. With each passing year, however, the pace of loss accelerates.

Over time, resorption’s effects become visible. As the bones decline in mass, deep wrinkles form around the mouth. The corners of the mouth turn downward. The chin takes on a more pointed shape and the mouth sinks into the face. The nose seems to get closer to the chin as the jaw bones thin. Jowls form as facial muscles detach from shrinking bone structure.

For people who wear a denture or partial, the pressure of wearing these appliances can speed up the rate of bone loss. For those who sleep in their denture, the 24/7 pressure speeds this pace even further. Even people who have a “bridge” may start to notice a space between the bridge and the gums, one that was probably not obvious before.

As a periodontist, I specialize in the prevention, diagnosis, and treatment of all stages of periodontal (gum) disease. In addition, periodontists are particularly skilled in performing cosmetic periodontal procedures. I also have advanced training and skills in the selection and placement of dental implants.

When it comes to replacing natural teeth, dental implants are the ideal for many reasons. When it comes to halting bone loss, they are able to restore stimulation to the jaw bone. Additionally, dental implants restore the ability to eat with stability, chew comfortably, and laugh and speak with confidence. Dental implants do not decay and will never need root canals.

There are over 40 different implant systems, each designed to accommodate various needs and goals. Obviously, a strong consideration in determining which type of dental implant is recommended is in the amount of jaw bone mass present.

An implant needs a particular amount of bone structure to support it.  Depending on the amount of bone present to support the implant(s), the choice of which implant system to recommend can be made.

For some, we may recommend a bone rebuilding process prior to implant placement. Or, we may advise an implant that uses unique implant lengths and placement angles (the “All-On-4”) that can overcome the challenges of bone loss.

While there are also many considerations in selecting the right type of dental implant, the final choice, of course, is the patient’s preference. Does he or she want an implant that is non-removable (“fixed”)? Is cost the determining factor? Does the patient need just one implant or several? Can one implant dependably support a “bridge” of teeth in one area?

All in all, however, dental implants are an excellent choice for replacing teeth. Implants have an extremely high success rate, higher than any implant-in-bone option. And, dental implants are designed to last a lifetime. With proper selection and maintenance, they will never need replacing or repair.

Our Asheville periodontal practice is known for its priority on comfort and providing respectful care. With over 70% of the adult population having some level of dental fear or anxiety, we have a long-standing reputation for compassion and understanding.

For optimal comfort and relaxation, we offer several sedation options, including oral and IV sedation. With both sedation options, patients are closely monitored with advanced safety equipment throughout treatment.

• Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward.

• I.V. sedation (“twilight sleep“) places the patient in a deeper sleep state and erases memory of the procedure. It is administered by a Medical Doctor (MD) who is a board certified Anesthesiologist.

Ideal diagnosis is another important aspect of care here, which can save the patient much in overall treatment costs. For example, when missing more than one tooth in one area, one implant can often hold two or a bridge of teeth. Several strategically placed implants may also be used to support a full arch of teeth.

To support diagnostics in our Western NC periodontal dental office, we feature some of the region’s most advanced technology in the industry, including Cone Beam 3D imaging and laser dentistry. Our dental implant patients also have the advantages of technology that can minimize treatment speed healing and enhance comfort, thanks to Simplant.

With the support of Simplant computerized dental implant placement, we can actually position the implants on the computer using a 3D model of the patient’s jaw pre-surgically. This aids in the selection of the implant type that ensures a precision fit.

For individuals who have lost a great deal of bone and need bone rebuilding procedures prior to placement, we are highly skilled in the procedures of bone grafting. However, in many cases, we are able to apply bone generation material to the area that is less involved than the grafting process.

We believe that proper placement and support in caring for implants is an important part of a successful outcome. However, dental implants can fail. This is why a periodontal specialist can be an asset to your investment. When dental implants are chosen and placed by a periodontist, he or she can select the one that will work best for you now and throughout your lifetime.

In our Asheville periodontal dental office, we combine technology with our advanced skills and compassionate approach to care so you can enjoy a comfortable, efficient experience that allows you to have optimal success.

Call 828-274-9440 to arrange a consultation. During this time, we can discuss treatment that can achieve your needs and goals as well as the process and anticipated costs. If interested, we will also explain payment plans, some that are interest free and require no down payment.

 

Connections of Oral Wellness and Overall Health

Posted on Aug 08, 2024 by William J. Claiborne, DDS MS

Over the past few decades, an increased number of studies have pursued the many connections of periodontal (gum) disease and our overall health. With the findings, research has become more focused with links found between infectious oral bacteria and a growing list of serious health problems.

Periodontitis is the most severe form of periodontal disease. It is a severe form of gum infection that damages soft tissues and destroys the bone that supports teeth. This occurs when toxins produced by the bacteria in plaque irritate the gums.

These toxins activate a chronic inflammatory response in which the body, which turns on itself. This systemic inflammation leads to break down and destruction of tissues and bone that support the teeth.

The potent bacteria of gum disease are able to enter the bloodstream through tears in weakened tissues. It is now known that it can trigger inflammatory reactions that are related to the development of the conditions mentioned above. While it can activate the development of serious health problems far beyond the mouth, it can also worsen others already underway.

The initial stage of periodontal disease is gingivitis. This may have mild symptoms or even some deemed “normal.” These include areas where the gums are tender or seeing blood in the sink when brushing teeth. However, gingivitis, if not halted, can soon progress to periodontal disease.

Gum disease symptoms include:

• Gums that loosen from teeth (or “recede”)
• Red or swollen gums
• Gums that bleed when flossing or brushing
• Persistent bad breath 

• Teeth that may loosen or drift

Without treatment, gum disease worsens. Many people are unaware of the severity of damage capable by these infectious bacteria. Below are some of the correlations that may surprise you.

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Using findings from previous research, studies have closely scrutinized two types of oral bacteria pathogens. Researchers found that one pathogen was far more prevalent in the saliva of participants who developed pancreatic cancer with a 59% increased risk of developing the deadly cancer. Just as alarming was that the second pathogen was shown to increase this risk by 50%.

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The connections between periodontal disease and other diseases in the body also include a link between oral health and psoriasis. Psoriasis is a chronic disease that affects the skin. Its cause isn’t fully understood but seems to relate to the immune system turning on itself.

This condition causes the life cycle of skin cells to accelerate beyond normal. Cells build up rapidly on the skin’s surface, forming scales and red patches that are often itchy and sometimes painful.

In one study, researchers found that while “people with psoriatic arthritis had about the same rate of gum disease as those without joint inflammation, people with psoriatic arthritis were more likely to have severe gum problems.”

https://www.psoriasis.org/advance/prevention-tips-for-uveitis-stroke-and-gum-disease

Other studies have shown that people with periodontitis (advanced gum disease) are nearly 1.5 times more likely to develop psoriasis than people with healthy gums. Could one trigger the other, and vice versa?

Another study showed that 36% of people with psoriasis had one or more sites of bone loss measuring at least 3 millimeters (over a tenth of an inch). This was compared to 13% of people without psoriasis.

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For people who have rheumatoid arthritis (RA), many are learning that research is noting close connections with arthritis and gum disease, too.

RA is a debilitating, painful disease that destroys joints. RA often emerges gradually, initially causing morning stiffness and weak, sore muscles. As inflammation from RA worsens, joints become swollen.  Joints become achy and stiff most often in the fingers, wrists, elbows, hips, knees, ankles, toes, and neck. Unfortunately, there is no cure for RA.

Apparently, gum disease and RA share a genetic similarity. The clinical makeup shows similar structures, primarily in pathogens that spark disease or illness. Research has found that the pathological process that occurs in both gum disease and RA are nearly identical.

Both conditions cause chronic inflammation in tissues that connect to bone with both diseases having a similar inflammatory trigger. Even more similar is the particular species of bacteria found in periodontally-diseased tissues when compared with tissues around arthritic joints. In one study, a particular pathogen associated with periodontal disease was found to activate the same destructive process of rheumatoid arthritis.

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Another example of damage possible by the infectious bacteria of periodontal disease is coronary artery disease. The heart disease connection, as explained by Harvard Medical School’s newsletter, states:

“In people with periodontitis (erosion of tissue and bone that support the teeth), chewing and toothbrushing release bacteria into the bloodstream. Several species of bacteria that cause periodontitis have been found in the atherosclerotic plaque in arteries in the heart and elsewhere. This plaque can lead to heart attack.

“Oral bacteria could also harm blood vessels or cause blood clots by releasing toxins that resemble proteins found in artery walls or the bloodstream. The immune system’s response to these toxins could harm vessel walls or make blood clot more easily. It is also possible that inflammation in the mouth revs up inflammation throughout the body, including in the arteries, where it can lead to heart attack and stroke.”

http://www.health.harvard.edu/press_releases/heart-disease-oral-health

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And the list goes on, even including connections between periodontal disease and erectile dysfunction (ED). For men in the 40 – 70 age group, ED affects over 40% with nearly 70% of men at age 70 affected.

https://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/erectile-dysfunction/

One study of 162 males ages 30 to 40 by Turkish researchers, 82 of the participants had normal erection function while 80 who complained of ED, nearly half. Some men in both groups had chronic periodontitis, but the condition was more than twice as prevalent in the ED group.

In another study, 80 male participants who had severe gum disease were more than twice as likely to suffer from erectile dysfunction. This was true even after adjustments were made for other issues that could distort the findings.

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Gum disease affects nearly 47% of American adults. It will worsen without treatment and, to no surprise, is the nation’s leading cause of adult tooth loss. As an Asheville periodontal specialist, I have an up-close view of the damaging effects of gum disease.

If you are experiencing signs of gum disease, start with a thorough periodontal examination. Call 828-274-9440 or ask our friendly staff about beginning with a consultation.

If dental fears have caused you to delay or avoid having regular dental care, many treatments can include oral or I.V. sedation (sleep dentistry, or “twilight sleep”).

And, if financial constraints are an obstacle in receiving treatment, we offer several payment plans. Most are interest-free with no down payment required (for qualified individuals). Feel free to ask about these during your consultation.