Oral Sedation May Help You Kick Dental Fears For Good!

Posted on Sep 16, 2013 by William J. Claiborne, DDS MS

It is estimated that nearly 70% of American adults have some level of dental fear, and about a third of those have such deep levels of fear that they’re classified as ‘dental phobics.’ These are people who find it difficult to even call a dental office.

The majority of fears begin with a traumatic dental experience in the past. Those with severe levels often avoid dental care until they have an emergency need. Typically, the discomfort becomes so intense that it forces them into treatment. What I often see, at this point, is a mouth full of problems that could have easily been avoided had they been able to receive regular check-ups and cleanings.

Regardless of an individual’s level of fear, we know people must feel a sense of trust that we won’t hurt them. We begin with a conversation in a Consultation Room that’s removed from the clinical side of the office. We sit in comfy arm chairs and discuss your oral problems, what you’d like to accomplish and what may have triggered your dental fear.

During this conversation, I explain the various options we use for comfort. Since many people are uneasy about dental visits before they walk into a dental office, I may recommend oral sedation. In pill form, oral sedation is highly-effective and safe. The patient takes the pill before leaving home (with a companion who drive them to our office). By the time of arrival, they are very relaxed but able to walk in on their own.

Before treatment begins, the medication has taken full effect and you are totally relaxed. Sedated patients are fully monitored by a trained staff member along with monitoring equipment to ensure safety and comfort. Too, I administer numbing medication to the areas being treated so there are no worries about discomfort.

Another plus with oral sedation is its ability to erase most or all memory of treatment afterwards. Some patients recall hearing my voice but most have no memory of their time in the chair at all. Oral sedation has a quick recovery as well. After a brief nap at home, most patients feel refreshed and back to normal.

As a Periodontal Specialist, I appreciate oral sedation’s ability to enable fearful people to have much-needed dental care. A healthy mouth plays a significant role in your overall health, as research has shown. Oral bacteria can become bloodborne in the body and has been linked to heart disease, memory loss, stroke, diabetes, arthritis and some cancers.

Often, after one or two visits with oral sedation, patients feel they no longer need sedating and overcome their fear altogether. Seeing a formerly fearful patient able to have regular dental care and enjoy a healthy, confident smile gives our entire office tremendous joy.

Don’t let fear prevent you from a healthy smile. Begin with a friendly phone call as a first step: (828) 274-9440.

A Worry-Free Smile Is Closer Than You Think!

Posted on Sep 11, 2013 by William J. Claiborne, DDS MS

I never cease to be amazed at the transformation of people who regain a healthy, confident smile. It’s easy to be excited with them! The benefits they’ll come to realize are much more than an improved smile’s appearance.

A healthy mouth, free from persistent bad breath, plaque, tartar and periodontal problems and disease, is the foundation to a more confident smile. It also helps to lessen the constant dental repairs that many people endure as a result of an unhealthy oral environment.

If you’re frustrated by continual oral problems, overcoming these perceived obstacles may be easier than you realize.
•Cost: Granted, many dental treatments that require extended chair time and advanced skills can be quite the financial commitment. While I’ve never had a patient say their restored smile wasn’t worth every cent, those who forgo treatment due to cost are often missing the big picture. Spending large amounts on trips, cars, boats, etc. may give a temporary feeling of excitement, yet, the daily and longterm physical and psychological benefits of healthy smiles are priceless.
•Financing: When a patient makes the commitment to optimize their oral health or have dental implants, many inquire about financial options. We offer excellent payment plans, some with no down payment and no interest the first year. For those who prefer to pay without financing, our Financial Coordinator is a wiz at helping patients combine insurance and financing. Ask to meet with her after you have your treatment plan — you may be surprised how manageable our payment arrangements can be!
•Fear of discomfort: In this day and age, it’s sad that many adults still have dental fears. Today’s dentistry offers many comfort options and many practices use advanced technology, which optimizes comfort and shortens treatment and healing time. We offer sedation to help patients relax before and throughout treatment, typically erasing memory of the procedure afterward. I’m pleased that most patients who opt for sedation initially soon feel they don’t really need it. This comes from a relationship of trust and our commitment to making comfort a priority at every visit.
•Treatment time: Many procedures can be completed in just a few visits. Our advanced technology also helps lessen treatment time while increasing your level of comfort. Some patients prefer to combine several appointments into one or two long appointments. With the help of Oral Sedation, they are able to remain totally relaxed throughout and enjoy a quick recovery afterward.

Your smile plays a significant role in your appearance and overall health. Having a confident, healthy smile helps you avoid time and expense for repairs in the future. If you have questions, please call (828) 274-9440 to schedule a consultation so we can discuss treatment options. You may be closer to a healthy, worry-free smile than you know!

Keeping You Informed & Involved!

Posted on Aug 26, 2013 by William J. Claiborne, DDS MS

Recently, I used the term “gingiva” to a patient. When she asked me to explain what I meant, I was slightly caught off guard. It occurred to me that this term has become so common to me that I assume it is a familiar one to my patients. However, that is an unfair assumption. Many terms I use on a regular basis are those I learned in college or dental school and anything but commonplace to others, as they have become to me now.

Below are some terms you may hear us use, along with brief explanations of what they mean. And if you ever hear any term used by my staff or me that you aren’t sure what it is, feel free to ask. We want you to be involved in your oral health in an informed way!

Alveolar Bone – The jaw bone that anchors the roots of teeth.


Anterior Teeth – The six upper or six lower front teeth.

Bite – Relationship of the upper and lower teeth on closure (occlusion).

Bone Resorption – Decrease in bone supporting the roots of teeth, which is a common result of periodontal gum disease.

Bruxism – Grinding or gnashing of the teeth, most commonly while the patient is asleep.

Calculus – Hard residue, commonly known as tarter that forms on teeth due to inadequate plaque control.

Caries – Tooth decay or “cavities.”

Curettage – Removal of diseased tissue from a periodontal pocket.

Cuspid or Canine – The four “eye teeth”.

Fistula – The channel that emanates pus from an infection site, which is a gum boil.

Flap surgery – The lifting of gum tissue to expose and clean underlying tooth and bone structures.

Frenectomy – The removal or reshaping of thin muscle tissue that attaches the upper or lower lips to the gum, or the tongue to the floor of the mouth.

Gingiva – Gum tissue.

Gingivectomy – The surgical removal of gum tissue.

Gingivitis – The inflammation of gum tissue.

Gum Recession – The exposure of dental roots due to shrinkage of the gums as a result of abrasion, periodontal disease or surgery.

Halitosis – Bad breath of oral or gastrointestinal origin.

Hyperemia – Increased blood flow that may cause sensitivity to temperature and sweets.


Incisors – The four upper and lower front teeth, excluding the cuspids (canine teeth).

Mandible – The lower jaw.

Maxilla – The upper jaw.

Palate – Hard and soft tissue forming the roof of the mouth.

Plaque – A soft sticky substance that accumulates on teeth and is composed of bacteria and food debris due to inadequate dental hygiene.

Prophylaxis – Cleaning of the teeth for the prevention of periodontal disease and tooth decay.

Restoration – The replacement of a portion of a damaged tooth.

Rubber Dam – A soft latex sheet used to isolate one or more teeth from contamination by oral fluids and to keep materials from falling to the back of the throat.

Scaling & Root Planning – The meticulous removal of plaque and calculus from tooth surfaces.

Tartar – A common term for dental calculus, a hard deposit that adheres to teeth and produces a rough surface that attracts plaque.

When A Dental ‘Cleaning’ Is A Waste Of Money.

Posted on Jul 01, 2013 by William J. Claiborne, DDS MS

Your six-month dental hygiene appointment likely includes a ‘cleaning,’ which, among other things, removes plaque buildup that has formed around teeth between visits. This buildup typically occurs when daily brushing and flossing fails to remove bacteria accumulation in the mouth.

When bacteria multiply in the mouth, they soon form a sticky film that hardens on teeth. This hardened form of bacteria is ‘plaque.’ It eats away at tooth surfaces, gum tissues and eventually the bone that supports teeth. When plaque is above the gum line, a hygienist uses special tools to scrape it off. However, when bacteria get below the gum line, a more rigorous line of treatment is required.

To rid bacteria below the gum line, one treatment is “soft tissue management.” This is a process of cleaning below the gums where oral bacteria now thrive. Although you may not perceive the presence of gum disease, this stage requires a more aggressive form of ‘cleaning’ beyond what a standard cleaning appointment can help, yet, not so severe that a more advanced level of treatment is needed.

Untreated gum disease will worsen and lead to severe tenderness, persistent bad breath, bleeding gums, pockets of pus that form around the teeth, and eventual tooth loss. At this stage, teeth may be saved with intensive, surgical periodontal treatment.

Gum disease will not go away without treatment. Brushing and flossing cannot remove plaque, nor will a basic cleaning remove bacteria that exists below the gums. Of course, the best way to deal with this problem is to avoid it in the first place. However, if you’re dealing with the consequences, the sooner you have treatment, the less cost and treatment time will be required. Keep in mind that the resulting tooth loss creates an entirely new round of expenses and appointment times.

Early treatment also helps to reduce the risk of oral bacteria contributing to serious health problems. Through tears in gum tissues, oral bacteria can enter the bloodstream. This bacteria has been associated with increased risks of heart disease, stroke, memory loss, diabetes, some cancers, impotency and preterm babies. Without a doubt, this bacteria is nothing to ignore for many reasons.

A Periodontist has specialized skills to successfully treat all stages of periodontal problems, comfortably and efficiently. Call (828) 274-9440 to learn more or arrange a consultation appointment.