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.

Arthritis Patients Urged To Keep Oral Health In Tip-Top Shape

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

As a Periodontist, I have spent my career seeing how destructive periodontal (gum) disease can be to the mouth. Imagine an infectious bacteria so potent it destroys gums, eats into tooth enamel, an damages the bone and tissues that support tooth roots.

To no surprise, gum disease is the nation’s leading cause of adult tooth loss. It affects an estimated 47% of American adults yet is often ignored until symptoms become unbearable. Symptoms include gums that bleed easily when brushing, sore and swollen gums, gums that darken in color, gums that recede from teeth, persistent bad breath, pus pockets that form on gums at the base of some teeth and loosening teeth.

Modern research has found a link between the bacteria of gum disease and serious health problems such as heart disease, stroke, memory loss, preterm babies, diabetes and impotency. The connection occurs from inflammation that is triggered when the infectious oral bacteria of gum disease enters the bloodstream through weakened gum tissues.

For people who have rheumatoid arthritis (RA), research is showing a strong connection to periodontal disease through the inflammatory triggers brought on by this potent oral bacteria.

Research has found that gum disease and RA share a genetic likeness. Their clinical makeup shows similar structures, primarily in pathogens, which are agents in the body that cause disease or illness. Studies have shown that the pathological processes that occur in periodontal disease and RA are almost identical.

Both conditions cause chronic inflammation in tissues that connect to bone. Yet, researchers have also noted that both diseases have a similar inflammatory trigger. Also alike is the particular species of bacteria found in periodontally-diseased oral tissues and tissues that surround joints in those who suffer with RA.

In another study, a particular pathogen associated with periodontal disease was found to activate the same destructive process of rheumatoid arthritis. It has also been shown that, by treating periodontal disease in RA patients, RA symptoms often improve. This is likely due to the system’s reduced burden of oral inflammation.

RA is a debilitating and painful disease that destroys joints. RA typically emerges on a gradual basis, often beginning with morning stiffness and weak, aching muscles. Joints that are stiff and sore follow, typically affecting the fingers, wrists, elbows, ankles, toes, hips, knees, shoulder and neck.

As inflammation from RA increases, joints swell and are often accompanied by fever, disfiguring of hands and feet, numbness and tingling. There is no cure for RA and lifelong treatment is required, including medications, physical therapy or surgery for certain cases.

These research findings show just how closely our oral health relates to our overall health. Hopefully, as more Americans become aware of how gum disease can increase one’s risk of serious health conditions, its prevalence will decline. With proper oral hygiene measures, including a thorough oral hygiene regimen at home, gum disease rates will drop.

Be committed to your oral well-being just as you are your heart health, prevention of cancers and your vision. If you have signs of gum disease (as mentioned above), call 828-274-9440 to arrange an appointment, and promptly. As a specialist in this field, I can assure you that gum disease will only worsen without treatment.

Protect Heart With A Healthy Smile

Posted on Feb 02, 2017 by William J. Claiborne, DDS MS

The human body is not only built to house bacteria, it is made to utilize some bacteria in a healthy way. For example, much of your gut bacteria help the digestive system operate more efficiently.

However, most of us know that a great number of bacteria strains can be harmful. This can happen when a cut becomes infected, the result of too much ‘bad’ bacteria. Although the body’s immune system responds to infection by sending white blood cells to conquer the ‘bad’ bacteria. At certain levels, however, rapidly growing bacteria can overwhelm white blood cells. This is when a doctor may prescribe an antibiotic to give your white blood cells added reinforcement.

Periodontal (gum) disease is an infection in the mouth. It begins when oral bacteria have accumulated beyond what the immune system can manage. As the infection spreads, gum disease destroys oral tissues and tooth-supporting structures, including bone, ligaments and tooth roots. Periodontal disease, not surprisingly, is the leading cause of adult tooth loss in the U.S.

As harmful as oral can be to the mouth, the problem can easily become more widespread, and more severe. Through tears in diseased gum tissues, this infectious bacteria can enter the bloodstream. As it travels throughout the body, research has found that it can trigger inflammatory reactions elsewhere. Studies have shown that the bacteria of gum disease is related to heart disease, stroke, high blood pressure, arthritis, diabetes, some cancers, preterm babies and even impotency. Research is also finding a correlation between gum disease bacteria and Alzheimer’s disease.

One of the first correlations between oral bacteria and other serious health problems was found in heart disease. One notation of this was published in Harvard Medical School’s newsletter, Harvard Health Publications:

“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.”

Generations ago, maintaining a healthy mouth was not the priority it has become today. And, the priority has garnered favor that goes far beyond the appearance of a smile. Because we now know our oral health is so closely related to our overall health, the medical community is taking a stronger standing in encouraging their patients to achieve good oral health.

As a matter of fact, a growing number of surgeons are advising their adult patients to have a periodontal check-up to ensure bacteria levels in their mouths will not burden the immune system’s ability in efficient healing. Ob-Gyn’s are also encouraging pregnant women to ensure their gums are healthy – for the sake of both the mother and their unborn baby.

Research has also shown that, by improving the oral health in diabetic patients, their insulin levels improve. This is also true for men who have elevated PSI levels, even when they receive no treatment for prostrate problems.

It is important to know the symptoms of gum disease. These include gums that bleed easily when brushing, tender or swollen gums, gum tissue that recedes from teeth, frequent bad breath, gums that deepen in color from a healthy pink, and pus pockets that form near the base of some teeth.

Don’t delay care. Gum disease will only worsen without treatment. Begin by seeing a Periodontist, who specializes in treating all levels of gum disease. Then, be committed to your at-home oral hygiene regimen. Twice daily brushing and daily flossing is necessary to keep oral bacteria at a manageable level. Also, stay current with your twice-a-year dental exams and cleanings, which give you a periodic clean slate and can catch problems while still small.

For more information, call 828-274-9440 or schedule a consultation. Your smile – and your body – will thank you!

Individualized Care For Unique Patient Needs

Posted on Jan 25, 2017 by William J. Claiborne, DDS MS

I once heard the term, “not everything fits into a box.” I agree. While this may be related to the phrase, “think outside the box,” it reminds me of how we approach patient care.

As a Periodontist, my specialty includes treating all levels of periodontal (gum) disease, reshaping gum tissues, and the diagnosis and placement of dental implants. Summed up, however, I restore smiles to a healthy, confident state. This is why I love what I do.

In our office, we only exist because of our patients. That’s where our commitment lies and is the foundation for every decision we make. This is also why we look at each patient’s needs individually. No two mouths are alike and no two patients are alike.

As far as gum disease goes, there are various stages that require different approaches in order to effectively treat it. Although some individuals may have similar stages of gum disease as others, certain factors must be considered as the most appropriate treatment is determined.

In addition to their existing level of gum disease, we take into account the patient’s age, medical and dental history, their current medications, and number of remaining teeth. We also consider any anxiety or fears associated with dental procedures.

Fear has been a major deterrent for many to receive regular dental care. This is why adults often end up with gum disease and tooth loss. By the time many arrive at my office, they are at a point where they have no other choice in order to rid their mouths of the infectious bacteria or replace missing teeth from to the destructive nature of gum disease.

To help anxious or fearful patients relax, we make sure we are communicating thoroughly. Our belief is that patients who are fully informed of their needs and the procedures required are more confident in proceeding with treatment. This, in turn, creates a patient who is able to relax and let fears go.

Some patients are unable to relax, however. This is why our office provides Oral or I.V. Sedation. Oral sedation is a pill form of relaxation. Although most patients have little or no memory of the procedure afterwards, this provides deep relaxation with a quick recovery.

I.V. sedation (also referred to a ‘twilight sleep’) is a deeper level of relaxation. This is an in-the-vein medication administered via a drip. Patients doze while their procedures are accomplished and have no memory of their treatment. Recovery time is longer but some patients are fine with that. Most are able to resume normally within 24 hours.

Regardless of the sedation chosen, patients are closely monitored by trained staff and advanced safety equipment. Your safety is as important to us as your comfort, so we ensure all measures are taken to provide both to optimal levels.

Please know that your procedure, comfort option, and individual needs are important to everyone in this office. We promise you’ll be respected, given exceptional care, and never over-treated or under-treated. We are here to help you regain the smile you desire.

Your oral health is a vital component of your overall health. Research has shown that the health of your gums and number of teeth directly correspond to a healthier you. Don’t delay care that you need, even if fear has prevented this in the past.

To begin, call 828-274-9440 and schedule a consultation appointment. During this time, we can discuss the treatments that may work best for your needs. I’ll explain comfort options and have our financial coordinator review payment options with you, if desired.