You Can Help Your Dental Implant’s Success

Posted on Jul 14, 2016 by William J. Claiborne, DDS MS

Over the years, the design and placement process of Dental Implants have been so perfected that they’ve come to hold one of the highest success rates of all in-bone implant types – nearly 97%.

One of the reasons that Dental Implants are such a wise investment is that they are designed to last your lifetime. However, there is a potential for failure. Like any procedure that involves an implant in human bone (including hip, knee, etc.), there is an element of risk.

Having an implant removed due to infection or malfunction is difficult for the patient. Although it’s not a frequent occurrence, removing an implant means the patient has lost their investment and must endure additional procedures and expenses for repair and replacement. How can you help to minimize this risk?

One of the most important factors in any successful medical or dental procedure begins with the doctor who coordinates your care. Your doctor should never be selected based on the lowest fee. The doctor chosen should have extensive training and experience in the diagnosis and placement of all types of Dental Implant systems. This enables him or her to select an implant that is appropriate for your individual needs.

In selecting the doctor who will oversee your treatment, you should also look for advanced skills in the placement of your implants. Successful placement relies on the ability to assess for adequate bone mass to support an implant without interfering with adjacent structures. The ability to select the proper implant type for available bone depth is equally important.

Without proper placement in sufficient bone, an implant risks coming in contact with a nerve that extends horizontally through the lower jaw. Upper implants placed too close to the sinus cavity can, over time, penetrate that area. Removing an implant in either of these situations, of course, is no simple task.

Obviously, a qualified doctor can enhance your potential for a successful outcome. This is why many people rely on a periodontal specialist. A Periodontist has particular expertise in the diagnosis and placement of all types of Dental Implants. As a matter of fact, many general dentists prefer to have a Periodontist place implants in their patients. The patient then returns to their dentist for the attachment of teeth to the implants.

While the doctor involved in your treatment is important, much of the risk falls into the patient’s hands after the placement process.

As a patient, helping to have a successful outcome begins as soon as your implants are placed. First, closely follow your post-placement instructions. For a few days following placement, most patients are advised to eat only cool, soft foods. This helps to minimize swelling and bleeding, which helps gum tissues to more quickly seal incision sites. This can lower your risk for infection.

Once home, other factors can also place your implants at risk. For example, smokers have a higher risk for implant failure. Because the chemicals in cigarette smoke are very drying to oral tissues, the healing process takes longer. Delayed healing creates a greater risk for infection to occur.

An element of risk that may surprise you is grinding or clenching teeth during sleep, which is typically a symptom of a misaligned bite. Some clenching is so intense the force can be likened to that used to crack a walnut. A sign of night-time clenching or grinding may be worn, chipped or broken teeth. However, even without signs, if you suspect you grind or clench, mention this to your implant dentist prior to treatment. This way, proactive measures can be taken to resolve the problem before complications result.

Most important of all is the patient’s commitment to maintaining good oral hygiene. Although Dental Implants themselves do not experience decay, the gum tissues and bone supporting the implants are as susceptible to oral bacteria as before. When oral bacteria infection (gum disease) penetrates to the implant site positions, the only way to treat the infection may require removing the implant.

Having Dental Implants will require you to be highly committed to your oral hygiene at home. Additionally, your dental check-ups will likely be scheduled for every four months than twice a year. During these visits, a hygienist will remove accumulated oral bacteria to reduce risk to your Dental Implants. The condition of your gums will also be assessed.

At Biltmore Periodontics, we are very proud of our success rate. When our patients regain the ability to bite, chew and laugh with confidence, we celebrate right along with them. Our goal, for every patient, is to have each enjoy confident smiles for a lifetime!

If you’ve considered Dental Implants, let’s discuss the types that may be best for you. Call 828-274-9440 to schedule a consultation appointment. I’ll explain the process and answer your questions thoroughly.

Frightening Statistics Of Oral Cancer

Posted on Jul 11, 2016 by William J. Claiborne, DDS MS

When you ask the American population which cancer affects most adults, you usually hear replies of breast cancer or colon cancer. Yes, these cancers are widespread and can be deadly. However, several cancers have had the voices of famous celebrities to help bring them to the forefront. This has been a positive step in helping to save lives.

Being aware of the symptoms of cancers is important. It helps us detect early warning signs and see a doctor, who can take appropriate action. The publicity has also garnered governmental guidelines for regular screenings and even inspired the development of advanced technology. This has furthered the ability to catch the disease at its earliest stages.

Yet, for Oral Cancer, having a widely-known and influential public spokesperson has yet to occur. Quite frankly, even though your regular dental checkups and exams include an annual screening for Oral Cancer, that has left a large percentage of American adults unchecked.

The latest figures from the Centers Of Disease Control & Prevention (CDC) show that only 62% of adults ages 18 – 64 have a dental check-up each year. So, if the key component in catching Oral Cancer early lies in the hands of a dentist, until the patient is in the dental chair, the challenge will continue.

What makes Oral Cancer so deadly is its ability to progress long before symptoms emerge. By the time they do, it becomes a difficult cancer to battle. Treatment is often very disfiguring. Even worse, it is known to be one of the deadliest of all cancers, taking the life of one American every hour of every day.

According to the National Cancer Institute Survey, there has been a 15% rise in oral cancer rates over the past three decades. Adult males are at the highest risk for Oral Cancer, with Black males being the most susceptible.

Oral cancer risk also increases with age, especially after age 50. Risk levels generally peak between ages 60 – 70. The highest rates have been noted with males between ages 50 – 59.

A particular factor that is spiking numbers in younger age groups is the sexually transmitted human papillomavirus (HPV). Other risk factors (for all ages) includes tobacco and alcohol use. While most cases of oral cancer are linked to cigarette smoking or heavy alcohol use, combined tobacco and alcohol use increases the risk even more than the two risk factors combined.

Unfortunately, many people assume “if it doesn’t hurt, then nothing is wrong.” This, I believe, is one of the reasons our nation has such high levels of periodontal (gum) disease and subsequent adult tooth loss. And, as rising Oral Cancer statistics show, the casual attitude toward dental exams can lead to far worse than losing teeth.

Be aware of warning signs of oral cancer, including:

•    A sore, irritation, lump or thick patch in the mouth, lip, or throat
•    White or red patch inside the mouth
•    Feeling something is stuck in the throat
•    Difficulty chewing or swallowing
•    Difficulty moving the jaw or tongue
•    Numbness in the tongue or other areas of the mouth
•    Unexplained swelling of the jaw
•    Pain in an ear without hearing loss

While the symptoms above do not always indicate Oral Cancer, any that do not clear up on their own within 2 weeks should be examined immediately. Being proactive can mean the difference between resolving the problem simply or disfiguring surgeries, and even death.

A Periodontal specialist has extensive training in the treatment of the soft tissues in the mouth. A periodontist is your best choice when any unusual symptom in the mouth arises and is your first step in protecting your smile and adding to a healthy YOU.

Call 828-274-9440 for an examination appointment. Also, the American Cancer Society has excellent information at: http://www.cancer.org/cancer/oralcavityandoropharyngealcancer/detailedguide/oral-cavity-and-oropharyngeal-cancer-key-statistics

Problems Experienced When Jaw Bone Shrinks

Posted on Jul 05, 2016 by William J. Claiborne, DDS MS

When natural teeth are lost, there are a number of ways to restore the appearance of your smile. However, there is only one way to maintain dependable, secure biting and chewing – Dental Implants. Here’s why…

Natural tooth roots provide stimulation to the jaw bone, which preserves its ability to maintain a healthy mass. When tooth roots are missing, the jaw bone loses the stimulation needed to keep blood flow active. Over time, this results in ‘resorption,’ or a decline in bone mass.

The resorption process causes the gum ridge to flatten. The pressure on the gum ridge from wearing dentures actually accelerates the rate of bone loss. For those who sleep in their dentures, this 24/7 pressure speeds the rate of bone loss even more.

When a denture is first made, it is designed to conform to the unique contours of the bone ‘arch’ where tooth roots were once positioned. The reason that denture wearers commonly experience movement or slips is because the denture’s foundation is shrinking. Even with the help of adhesives or pastes, this dwindling foundation means a denture is likely to move while eating.

A new denture may fit securely for the first five years. However, as the jaw bone continues to lose height, relines may help on a temporary basis. As bone loss continues, relines to your denture or partial will need to be done at more frequent intervals each time.

One year after natural teeth have been extracted, denture wearers average losing about 25 percent of this bone ridge. After three years, the average decline in bone is approximately 60 percent. Biting becomes risky. Chewing is more difficult. The biting force of natural teeth is about 250 lbs. while an average denture wearer is able to apply about 5 lbs. of force.

Want to see the extent of resorption you’ve experienced? Begin by looking in the mirror without your denture in place. Your mouth may appear sunken-in with your chin more pointed than before tooth loss. Other signs of bone loss include deep wrinkling around the mouth, the corners of the mouth turning downward (even when smiling), and jowls from the detachment of facial muscles.

There is a solution to the ongoing challenges of bone loss. Today’s implant dentistry offers excellent options to replace missing teeth and overcome the problems associated with bone loss (even when bone loss is severe). Implant systems such as All-On-4 can be positioned in minimal bone using just four implants. Placed at specific angles, All-On-4 can support a full, non-removable denture in minimal bone.

There are many reasons so many adults are now choosing Dental Implants for tooth replacement.  They halt the process of bone loss while restoring chewing comfort and confidence when speaking or laughing.

A Periodontist specializes in the treatment of gum tissues as well as the diagnosis and placement of Dental Implants. Although the failure rate of Dental Implants is rather low, having a successful outcome can greatly depend on the Doctor who selects and places your implants.

Begin with a consultation by calling 828-274-9440. I’ll be happy to answer your questions and discuss our many comfort options, including Oral and I.V. Sedation.

Losing Teeth In Old Age Is NOT To Be Expected

Posted on Jun 27, 2016 by William J. Claiborne, DDS MS

With proper care, your natural teeth are designed to last your lifetime. And it is important that you do everything possible to keep your natural teeth.

It has been shown that denture wearers take more medications and have more gastrointestinal problems than those with their natural teeth. It should also be noted that denture wearers die ten years sooner, on average, than those who have their natural teeth.

The discomfort, inconvenience, and embarrassment experienced by most denture or partial wearers is due to a shrinking bone foundation. When natural tooth roots no longer exist in the jaw bone, the bone begins to shrink in depth and height. While denture adhesives may lessen the amount of movement for brief periods, difficulty when eating forces many people to resort to a diet of soft foods that dissolve easily in the mouth.

Bone loss also causes changes in one’s facial appearance, including deep wrinkling and a sunken-in appearance of the mouth. The corners of the mouth turn downward, even in a smile. Jowls form when facial muscles detach from the declining mass of jaw bone. This causes denture wearers to look far older than their actual age.

Because Dental Implants are held by the jaw, just as natural tooth roots, they halt the bone loss that dentures and partials actually accelerate. Another benefit is that Dental Implants are ‘self-supporting’ so it is not necessary to crown otherwise healthy, adjacent teeth to serve as a support for a bridge.

With proper selection and placement by an experienced Doctor, Dental Implants will provide as much pleasure and satisfaction as natural teeth. To discuss replacing a denture or partial, call 828-274-9440 to arrange a consultation appointment.