Tissue Regeneration In Dentistry Is Here & Now!
Posted on Jan 31, 2020 by William J. Claiborne, DDS MS
It may sound far-fetched to think of repairing the urethra by regenerating tissues from the mouth. Yet, it’s being done – with the help of advanced technology.
Stricture of the urethra (the duct that carries urine out of the bladder) affects about 1 percent of the male population. For the one percent who suffer with it, urethral stricture contributes to a severely diminished quality of life.
The condition causes patients to be chronically ill, have low urine flow, pain, urinary infections, urinary stones and can lead to failure of the urinary system. Untreated, life-threatening urinary retention can occur.
Recently, a breakthrough in the surgical treatment of male urethral stricture was reported when over 81 percent of patients with urethral strictures were successfully treated with MukoCell.
MukoCell is a method for tissue-engineered oral mucosa transplantation. It takes a small area of oral mucosa (the secreting tissues in the mouth) that is easily accessible in any patient. (https://www.healtheuropa.eu/treatment-of-mens-disease-with-regenerative-medicine/96925/)
In the past, the most successful treatment for urethral reconstruction was through an oral mucosa graft. However this process requires harvesting a large area of oral tissues. The repercussions can leave patients with persistent pain, bleeding, swelling, sensory loss and oral numbness.
Removing large segments of tissues in the mouth can also cause impaired ability to drink, eat and speak. It can lead to periodontal (gum) disease,tooth loss and dental implant failure along with an increased risk of oral cancer.
MukoCell is a method for a tissue-engineered oral mucosa transplant with even better success rates that the standard grafting procedure. Like our LANAP technology, MukoCell can regenerate tissues, although MukoCell regeneration is through a tissue factory that uses a small piece of the patient’s oral mucosa.
In our Asheville Periodontal dental office, tissue regeneration can be successfully performed in the patient’s mouth. Through our LANAP technology (Laser-Assisted New Attachment Procedure) this highly-advanced method efficiently and effectively treats periodontitis (advanced gum disease).
When it comes to oral structure loss, our LANAP technology is able to stimulate bone regrowth in damaged areas. It can regrow periodontal ligament, alveolar bone (the bony ridge that supports the upper teeth), and regrow the bony film that adheres teeth to the jaw.
LANAP includes a minimally invasive (essentially ‘non-surgical’) PerioLase laser that treats patients with moderate to severe periodontal disease – in as little as one session. It is safe for people with conditions such as diabetes, heart disease, and hemophilia.
LANAP’s laser also eliminates the need for cutting into gum tissues with a scalpel. There are no stitches and patients have minimal discomfort following the procedure.
The advanced technology of LANAP offers a simple yet successful way to rid the infectious bacteria of advanced gum disease. By combating this inflammatory disease, the body is at less risk for systemic inflammation that has been shown to contribute to serious and even deadly health problems.
Overcoming gum disease can help patients to save natural teeth. This means the trauma of tooth loss and decisions for replacement can be avoided.
While we applaud astounding developments in tissue regeneration, MukoCell’s progress reinforces the importance of having a healthy ‘oral cavity’. This is why we committed to include the LANAP protocol into our periodontal dental office, making this cutting edge technology accessible to people all across Western North Carolina.
Although people often think of their smile as ‘teeth,’ the tissues in the mouth are a vital part of your smile, your oral health, and your overall health. They are your blanket of protection that shields vulnerable structures beneath from bacterial destruction. When this covering of gum tissues becomes damaged, LANAP offers an efficient and effective method to restore the healthy state of what was lost.
If you suffer with symptoms of gum disease (tender gums that bleed when brushing, persistent bad breath, or gums that have turned red in color), call our office promptly at 828-274-9440. The condition will only worsen without treatment and could result in tooth loss as well as the release of potent bacteria into the bloodstream.
How Our Asheville Periodontal Dental Office Makes Your Care Comfortable, Easy.
Posted on Jan 20, 2019 by William J. Claiborne, DDS MS
When people understand what a periodontist does, they realize the advantages of having this specialized treatment when it comes to the health and appearance of a smile.
A Periodontist has advanced training and skills in all stages of periodontal (gum) disease as well as in the re-contouring gum tissues. Additionally, they offer unique skills in the diagnosis and placement of all types of dental implants. (Learn more at the web site of the American Academy of Periodontology: http://perio.org/consumer/what-is-a-periodontist)
However, in any dental office, whether specialty or general, there must be a commitment to the individual needs of each patient.
In our Asheville office, this is where people who have periodontal (gum) disease properly diagnosed and successfully treated. This begins with early-stage gingivitis and through the advanced level of periodontitis. And, our advanced technology optimizes diagnosis and treatment, enhancing comfort and saving treatment time.
Research has shown that your oral health is a vital component of overall health. Studies continually uncover intricate interactions that oral bacteria of advanced periodontal disease has with other processes in the body.
For example, 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. For example, an article published by Johns Hopkins Medicine stated, “Diabetes that is not properly controlled can lead to periodontal (gum) diseases in both young and old people.”
There is a flip side of this. They go on to share, “… if diabetes is poorly controlled, higher glucose levels in the mouth fluids will encourage the growth of bacteria that can cause gum disease.” (https://www.hopkinsmedicine.org/healthlibrary/conditions/diabetes/diabetes_and_periodontal_gum_disease_85,P00349)
An unfortunate obstacle for many to receive regular dental care, however, has been fear or anxiety associated with dental visits.
According to findings of a study that included over 18,000 people (reported in Dental Products Report), “61 percent of the respondents said they’re suffering from dental fear, and almost 4 percent of them said they’ve never been to a dentist. The biggest percentage of people (39 percent) are afraid of the pain, followed by the smell of chemicals (24 percent) and the sound of the drill (21 percent).”
This is why adults often end up with gum disease and tooth loss. As a matter of fact, the Centers For Disease Control & Prevention (CDC) estimates that over 47 percent of American adults have some level of gum disease, which is the leading cause of adult tooth loss.
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 known as ‘twilight sleep’) for a deeper level of relaxation. This medication is administered via a drip. Patients comfortably doze throughout their procedures are accomplished and generally have no memory of treatment afterwards. Although recovery time is longer with IV sedation, 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.
Sedation can be used for procedures involving gum reshaping, treatment of gum disease, or placement of dental implants. For any procedure, however, we carefully assess each patient’s current gum health, age, medical and dental history, medications, and number of remaining teeth.
Please know that your procedure, comfort option, and individual needs are important to every member on our team. Here, you’ll be respected, given exceptional care, and never over-treated or under-treated.
To begin, call 828-274-9440 to begin with a consultation appointment. During this time, we can discuss the options that may work best for your needs. I’ll explain comfort options and we can have our financial coordinator review payment options with you, if desired.
Reshaping Gums Can Protect & Beautify Your Smile.
Posted on Jan 08, 2019 by William J. Claiborne, DDS MS
As a periodontal specialist, I spend a great deal of my time treating patients who have periodontal (gum) disease and placing dental implants. My specialty has given me advanced training in both areas; both being important for the preservation of your smile and protection of your health.
Receded gum tissue
One aspect of the periodontal specialty that is not always familiar to the general public, however, is our ability to recontour gum tissues. While this can be done to enhance the appearance of a smile, reshaping the gum tissues is also performed to protect and even save natural teeth. I’ll explain.
For several reasons, gum tissues can pull away from the base of teeth. This can occur from gum tissues becoming drier with age or over-zealous tooth brushing. Gums can also loosen their grip around teeth when teeth tilt out of their proper positions.
When the tight seal around the base of teeth is compromised, the tooth becomes more vulnerable to oral bacteria. Darker, sensitive tooth root segments can be exposed. This not only causes discomfort, these areas are more susceptible to bacteria. And, because of allowing an entry point for oral bacteria, the tooth roots and bones that support teeth are more vulnerable to damage as well.
In cases when a tooth breaks near the gum line, gum re-contouring may be able to expose enough of the tooth structure so a crown can be placed. This means the natural tooth can be saved rather than require removal. Once a natural tooth is removed, it brings with it a long list of decisions and associated costs.
Although protecting and saving teeth is the priority, gum contouring can also be performed to enhance the appearance of a smile. For example, for people who have a “gummy smile,” too much gum tissue is visible above upper teeth in a full smile. A periodontist can use his or her specialized skills to reshape the tissues to provide a more balanced smile line.
This procedure is known as a Gingivectomy. This repositions or removes excess gum tissues so the smile line is more balanced to teeth. The procedure is performed while the patient is fully comfortable and the healing time is greatly reduced with our advanced technology.
Another procedure that greatly enhances the look of a smile is crown lengthening. This is recommended when the gum tissues that arch one or several teeth is at a different level than surrounding teeth. With this uneven alignment of gum tissue, it can create a jumbled look in spite of having attractive, healthy teeth.
A crown lengthening procedure typically combines the repositioning of gum tissues along with placement of a crown. This recreates a smile that has proper balance amongst teeth and gum tissues.
It’s not uncommon for new patients to arrive with misconceptions about the procedures. With advanced technology and techniques, along with specialized skills, our patients enjoy optimal comfort, minimal treatment time, and exceptional outcomes for every periodontal need.
Too, many patients feel these procedures are out of reach financially. For many treatments, we offer payment options that are manageable to most budgets. This way, you can make payments while enjoying the benefits of a healthy, beautiful smile.
Now that you know how a periodontist can enhance the health and appearance of your smile, consider scheduling a consultation and exam. Call 828-274-9440 or tap here to begin.
Gum Disease, Dental Implants – A Periodontist Can Make A BIG Difference.
Posted on Aug 06, 2018 by William J. Claiborne, DDS MS
When it comes to our health, most of us have an internist, or a ‘primary care’ physician. This doctor oversees our general health. However, should a strange rash appear, our internist will likely refer us to a dermatologist. The same is true if we experience persistent back pain; the internist is likely to refer us to an orthopedist.
When it comes to the best way to pinpoint and tackle specific issues with our health, it makes sense to see a doctor who has received specialized training in that area. This helps to take the guesswork out of diagnosis and enhances the potential for a successful outcome in an efficient process.
As a periodontal specialist, I work with a large number of general dentists in Western North Carolina as well as other dental specialists and physicians. In many cases, we work together in “team treatment” so the patient receives specialized dental care that blends comfortably with the positive relationship each has with his or her regular dentist.
Dr. William Claiborne,
What is a periodontist?
A periodontist is a dentist who has continued in education to specialize in the diagnosis and treatment of all areas of the tissues in the mouth. In addition to treating all phases of periodontal (gum) disease, we are uniquely qualified to reshape gum tissues.
For gum disease, we are able to help patients overcome the problems caused by the infectious bacteria in the mouth. Through decades of research, this bacteria has been associated with many health problems elsewhere in the body. It has been found to trigger systemic inflammation and has been linked to a number of health problems, including heart disease, stroke, diabetes and arthritis.
We begin by accurately diagnosing the stage of gum disease present. From there, we develop a customized treatment plan based upon factors such as the patient’s current overall health, their diet, medications, whether they smoke or drink alcohol, and age.
Treatment recommendations are made based on what will effectively resolve the problem without over-treating or under-treating. By restoring the patient to good oral health, we are able to help them avoid tooth loss and rid their mouths (and thus, their bodies) from an overload of oral bacteria.
Gum tissues also play an important role in protecting teeth. When they recede, or pull away from the base of teeth, tooth roots may be exposed. These darker, sensitive areas can be re-covered through procedures that restore the protective seal around teeth as well as the level of the gum line, which plays an important role in a smile’s appearance.
A periodontist specializes in gum contouring to enhance the look of your smile. For example, when the gum tissues that arch over each tooth are a different levels, it can distract from a smile’s appearance. Through reshaping procedures (often referred to as a gingivectomy), we can correct this for a more balanced “smile line.”
The same is true for an individual who is born with a “gummy smile.” This occurs when too much gum tissue shows above top teeth in a full smile. Often, with minor reshaping or “crown lengthening” procedures, we can adjust the gums to a more esthetically-pleasing level.
Periodontists also specialize in the diagnosis and placement of dental implants. They are trained to understand all the intricate concepts involved in selecting the proper type of implant. Then, they are skilled at placing implants at proper depths and angles. As they oversee your “healing” time, periodontists are also able to optimize your comfort and outcome.
A periodontist receives 4 years of “undergraduate” training at a college or university and then goes on to earn a dental doctorate. After 4 years of dental school, they further their education for another 3-4 years before completing stringent requirements for a specialty certification in periodontics.
This 11 years of higher education is a commitment I made with enthusiasm, and I have relished staying on the cutting edge of new developments in the field throughout my career. On an ongoing basis, periodontal findings have revealed the integral connection between our oral health and our overall health.
As research continues, the understanding of good oral health as it benefits our overall health will hopefully become common knowledge to every individual. Sadly, our nation now has an adult population of nearly half that have some level of gum disease.
If you would benefits from the advanced skills of a periodontal specialist, please know that we are fully trained to attend to your specific periodontal needs in a comfortable, effective manner. Our entire team is committed to compassionate, respectful care that is appropriate for each need and our office is equipped to handle your care efficiently, effectively, and gently.
Call 828-274-9440 to learn more or to schedule a consultation.