It May Be Obvious That You Wear Dentures

Posted on May 26, 2015 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I frequently place dental implants in patients who have been long-time denture wearers. Most want to be able to eat securely again, to chew and enjoy foods they have had to deny themselves because of “rocky dentures.” Some, however, most want their sense of self-esteem and self-confidence back.

My wife and I have a single friend who has recently begun internet dating. She shared an account of a “horrible evening,” one she said she “couldn’t get out of fast enough.” The man was nice looking, but Beverly noticed right away that the man had very thin lips. As they shared an appetizer, she then noticed he frequently tucked his upper lip under his upper teeth and would press his lips together. “I think he wore dentures,” Beverly added.

Obviously (to me – being aware of the typical habits of denture-wearing patients to keep dentures in place), the gentleman was trying to push his upper denture into position. The denture was apparently feeling loose as he ate, talked and laughed. Chances are he had absolutely no idea that he was doing this. Too, his denture may have been secure but he has developed a habit of doing this action.

A couple of generations ago, most adults assumed they would lose their teeth in old age and end up in dentures. Today we know better. Keeping natural teeth for a lifetime is a benefit to one’s overall health as well as an asset to our ability to feel confident socially and in close settings with others.

Think about what you may be doing unconsciously while wearing dentures. These actions indicate you are losing the foundation your denture was designed to conform. Without natural tooth roots, the ‘ridge’ that your denture curves around begins to flatten out. This is from bone ‘resorption.’ Unfortunately, the decline in bone mass will only continue. Thus, that denture will never fit well for very long, even after relines.

Dental implants recreate the presence of tooth roots, halting bone resorption. They serve as anchors to securely support teeth that can bite and chew the foods you love. You’ll regain a smile you are confident sharing and laugh without worry.

Regardless of your age, you are too young to live with the challenges caused by dentures. Look into the many options in today’s implant dentistry. You’ll likely find a type that fits your needs and your budget. Call (828) 274-9440 for a Consultation.

Extra Attention To Oral Health Needed For Diabetics

Posted on May 18, 2015 by William J. Claiborne, DDS MS

Diabetics face a number of challenges every day, including greater health risks. Diabetes can damage the kidneys, eyes, heart and nerves. However, many are unaware of the higher risk for periodontal (gum) disease.

Gum disease attacks gum tissues and tooth supporting bone structures. In early stages, gum disease symptoms cause tender gums that bleed when brushing and persistent bad breath. As the disease progresses, it can lead to painful chewing and eventual tooth loss.

As the nation’s leading cause of adult tooth loss, periodontal disease also increases your risk for serious problems elsewhere in the body. Like diabetes, gum disease can create an inflammatory reaction in the body. Research has linked gum disease bacteria with heart disease, stroke, preterm babies, and memory loss.

Dry mouth is often a symptom of diabetes even before it is diagnosed. Dry mouth occurs when you do not have enough saliva to keep your mouth moist. Saliva is your body’s oral cleanser that moves bacteria out of the mouth. Dry mouth can cause tender and sore gums, ulcers, infections and cavities. For diabetics who smoke, these problems are far worse.

To prevent gum disease and other health risks, controlling blood glucose levels is highly important. Those with poor glucose control are more prone to gum disease and have it at more severe levels than people with controlled diabetes.

If you are diabetic, you CAN put the odds for a healthy mouth in your favor. Control your glucose, brush twice a day, floss daily and have regular dental check-ups. If you are experiencing symptoms of gum disease, call us at (828) 274-9440 for an appointment. Once gum disease is underway, it will only worsen without treatment.

Too Old For Dental Implants? No, Unless You Smoke!

Posted on Apr 29, 2015 by William J. Claiborne, DDS MS

Dental Implants are nothing new, having first ‘formally’ emerged in the 1950’s. Over the past few decades, they have been perfected to provide a dependable tooth replacement system. There are now many types of Dental Implants, designed to accommodate various needs and preferences. While Dental Implants are designed to last a lifetime (having up to a 98% success rate), like anything that’s not a natural part of the body, there is a potential for failure.

Dental Implants are highly beneficial, restoring one’s natural ability to bite and chew comfortably. Because they recreate stimulation to the jaw bone like that of natural tooth roots, they also help to halt bone loss. This bone loss can contribute to the loss of neighboring teeth as well as changes in facial appearance. If you’ve seen someone with a mouth that seems collapsed into the face, this ‘granny look’ is a common result of bone loss due to missing tooth roots.

Any age can have a successful outcome with Dental Implants. Extended studies have shown that age is not a factor in implant success, with an equal success rate in younger and older patients. For example, a study of 133 adults over the age of 80 and having no teeth showed that the elderly patients had treatment results comparable to those achieved in younger age groups. The factors that enhance one’s potential to have a successful outcome, at any age, are having healthy gums and enough bone to hold the implant. Patients must also be committed to good oral hygiene and regular dental check-ups.

What is a significant contributor to implant failure is smoking. Studies have shown that smokers have more calculus (tartar) than nonsmokers. Calculus is a cement-like buildup on teeth that is an intense accumulation of oral bacteria. When gum tissues are already battling a bacterial onslaught, their ability to accept Dental Implants and enable successful healing is not good.

In studies, smokers were 3 – 6 times more likely to have gum diseases than nonsmokers. Smoking dries out oral tissues in the mouth and decreases the production of saliva. Likely due to less saliva and constricted blood flow, smokers have less gum bleeding and redness. This can lead to the assumption that they have healthy gums. Smoking also hinders healing in your mouth, making treatment much more difficult.

To illustrate this point, one study found that smokers were twice as likely as nonsmokers to lose teeth in the five years after completing treatment for gum disease. Smokers also don’t respond as well to oral surgery treatments. Dental implants are much more likely to fail in people who smoke, because of poor bone healing.

Researchers who have studies how tobacco smoke affects oral tissues say it appears to interfere with the body’s natural ability to fight disease and promote healing. Apparently, smoking affects the way gum tissue responds to all types of treatment, possibly due to tobacco chemicals that interfere with blood flow to the gums. This slows the healing process and makes treatment results less favorable.

Pipe and cigar smokers and those who use smokeless tobacco are just as likely to have Dental Implant complications than those who smoke cigarettes. According to a study at Temple University, 18% of former cigar or pipe smokers had moderate to severe gum disease, three times the amount found in non-smokers.
Pipe smokers have rates of tooth loss similar to cigarette smokers.

The Surgeon General has good news for those wanting (or trying to) quit smoking. A recent study reported that people who had quit smoking 11 years prior had nearly the same rate of gum disease as those who never smoked.

Can’t quit? Reducing the amount you smoke can also make a difference. One study found that people who smoked over a pack and a half a day were 6 times more likely to develop gum disease than nonsmokers. Those who smoked less than a half pack per day had only 3 times the risk.

While every Dental Implant placed is intended to provide a successful outcome for a lifetime, regardless of one’s age, those who smoke need to accept the risks for failure. The first step is a thorough evaluation of your gums and assessment of bone mass to support Dental Implants. From there, we can help you take the first step towards the ability to eat the foods you love and laugh with confidence! Call (828) 274-9440 for an appointment.

Before You Have A Crown-&-Bridge…

Posted on Apr 22, 2015 by William J. Claiborne, DDS MS

Adults who are missing one or several natural teeth often consider a Crown-&-Bridge combination for replacement. This is possible when the area of missing tooth or teeth are bordered by existing natural teeth. The natural teeth are crowned so they can serve as supports for the bridge.

Many dental insurance plans cover some costs associated with Crown-&-Bridge combinations. This is primarily because Crown-&-Bridge treatment is, upfront, less costly than having teeth replaced with Dental Implants. Yet, the issues ‘down the road’ from Crown-&-Bridge can create far more challenges while Dental Implants actually save in costs, time in treatment, and the ability to enjoy your “new” teeth without worry.

Dental Implants are held by the jaw bone, just as natural tooth roots. Since they do not rely on adjacent teeth for support, natural teeth are preserved. Additionally, Dental Implants will never need root canals or experience decay.

Not only do Dental Implants look and feel like your own teeth, they integrate into the structure of your bone. Through this, they help to prevent bone loss that frequently accompanies bridgework, partials and dentures.

Bone loss occurs when natural tooth roots no longer exist in the jaw bone. Without the stimulation of tooth roots, the bone begins to shrink over time. Bone loss can be seen through changes in facial appearance, such as deep wrinkles around the mouth and the corners of the mouth turning downward, even in a smile. Eventually, the mouth appears collapsed, creating a ‘granny look’ that makes you look far older than your actual age.

The success rate of Dental Implants is excellent. Properly selected, placed and maintained, this lifetime solution makes them a wise choice when it comes to tooth replacement. Since Periodontists specialize in gum tissues and underlying bone in the mouth, they have the knowledge, training and facilities to help replace teeth for a look and feel just like natural teeth.

When you compare Dental Implants to a bridge, consider the long-term advantages rather than initial costs. Because Dental Implants are designed to last your lifetime, they are a wise investment. To arrange a consultation to discuss your needs, call (828) 274-9440.