Losing Teeth & The Problems Of Missing Teeth


Posted on Mar 02, 2015 by William J. Claiborne, DDS MS

Contrary to what many older adults think, losing natural teeth is not a normal part of the aging process. Periodontal (gum) disease is the nation’s leading cause of adult tooth loss and is easily preventable with simple measures applied on a daily basis.

Those with the highest susceptibility to gum disease are…
•    Males over the age of 35
•    Adults who fail to have professional dental care
•    Not brushing teeth
•    Smoking
•    Having diabetes, high blood pressure or rheumatoid arthritis (RA)

Teeth most commonly lost because of gum disease are in the front of the mouth rather than back teeth.

Although health issues such as diabetes and arthritis can make you more vulnerable to develop gum disease, this doesn’t mean you cannot take measures to overcome risk factors. Too, instances like smoking and twice-daily tooth brushing are choices you make.

Missing teeth compromises the appearance of a person’s smile, causing them to become self-conscious about smiling.  While the esthetic repercussions of missing teeth are significant, dental challenges caused by missing teeth are even more problematic. The space left by missing teeth needs to be filled to avoid teeth drifting.  Drifting teeth have a long list of challenges to oral health and the appearance of your smile, including:

• Compromised chewing efficiency
• The tooth above or below the missing tooth growing too long
• Neighboring teeth moving out of alignment
• More challenges with food accumulation, which promotes bacterial growth
• Uneven chewing patterns, which strains jaw joints and can lead to worn teeth, tooth fractures and chips, clenching and grinding, and headaches
• Loss of jaw bone mass in the extracted area
• Facial changes and biting/chewing problems in the area of tooth loss
• Increased incidences of accidental tongue biting & ulceration

When a tooth is lost, it is imperative that the tooth be replaced, preferably soon after. Dental implants not only restore the look and feel of a natural tooth, they recreate the presence of a tooth root in the jaw bone. This helps halt bone loss and protects your facial structure and the natural alignment of your bite.

If you have lost teeth, contact us about regaining the look, feel and function of a confident smile through dental implants. Call (828) 274-9440 for a consultation.

Just What Is A Periodontist?


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

When I meet people out of my office, they often inquire about my profession. When I say I am a Periodontist, it’s pretty typical to get a “and that is…?” tip of the head. I’m happy to explain.

A Periodontist is a dental specialist who receives three years’ additional training after dental school, focusing on the gums and supporting structures of the teeth, including placement of dental implants. They are team players with general dentists and other specialists in restoring your mouth to a healthy state.

Your smile has no future without a solid foundation of gum tissue and bone structure on which a Periodontist has made his or her specialty. We are often the ‘behind the scenes’ doctors who resolve gum problems or place implants so you can return to your general dentist for ongoing care.

Hopefully, you’ll never need a Periodontist. However, if you do, we’ll know how to restore your mouth’s foundation to a healthy state. It’s what we do!

Dental Implants – Risks Are Minimal, But Exist For Some


Posted on Feb 24, 2015 by William J. Claiborne, DDS MS

Although the success rate for dental implants is very high, about 95%, dental implants can fail. Knowing what contributes to implant failure before you have implants placed can help you enjoy a successful treatment outcome.

Some health and lifestyle issues can complicate the body’s ability to enable implants to integrate with your jaw bone and heal successfully. Those who smoke, have uncontrolled diabetes or other health problems tend to have lower success rates.

Incorrect placement of implants can also contribute to implant failure, which occurs when the implant perforates the sinus cavity or nerve running through the lower jaw.

Dental implant recipients should also be prepared for more-frequent dental visits for thorough cleanings, often four times a year versus twice a year. This helps to minimize bacteria at the implant sites, which can lead to infection.

Overall, dental implants are safe, successful for the majority and recreate the natural look, feel and function of the teeth you once had. Along with your commitment, having your implants placed by a Doctor who is specifically-trained and highly-experienced in all types of implants can greatly reduce your risk for failure.

To learn what type of implant will work best for your needs and goals, call (828) 274-9440 to schedule a consultation. I’ll answer your questions and make recommendations so you can decide what’s right for you.

Why Your Jaw Bone Is Shrinking


Posted on Feb 04, 2015 by William J. Claiborne, DDS MS

Natural teeth are held into your jawbones by their tooth roots, which are embedded in the bone. Throughout the day, actions such as biting and chewing create physical stimulation to the jaw by each root. The tooth roots stimulate the bone so it maintains a healthy mass.

Once natural teeth are removed, the lower and upper jaw bone structures begin to shrink (or ‘resorb’) due to the lack of stimulation. While conditions such as osteoporosis, gum disease and oral cancer can attack healthy bone structure, the leading cause of bone loss (‘resorption’) is missing tooth roots.

Although dentures and partial dentures provide low cost replacement of teeth, they actually accelerate this rate of bone loss. These rest on top of gum tissue, placing pressure on the jaw bone ridge whiling providing no direct stimulation to the bone.

Custom bridges, a popular treatment for replacing missing teeth, are no help, either. The bone underlying the span of missing teeth will experience resorption since no bone stimulation is provided.

There are many repercussions to bone resorption. Facial changes can be seen at early stages by removing dentures or partials and looking in the mirror. Once bone loss is underway, you’ll notice your mouth seems to collapse into the face, the chin becomes more pointed, and deep wrinkles form around the mouth. Eventually, jowls form from the detachment of facial muscles from the jaws.

This photo shows a healthy bone mass compared to a resorbed jaw bone from tooth loss.

Profiles of healthy jaw bone and resorbed bone.

Profiles of healthy jaw bone and resorbed bone.

Other signs of bone loss are: Periodic changes in the way your denture fits; Sore spots on gum tissues; Food becoming trapped between the gums and denture; and, Difficulty chewing even with the help of denture adhesives and pastes.

Because they are secured by the jaw bone, Dental Implants recreate the stimulation of the natural tooth roots you once had. This halts the rate of bone loss and preserves bone mass.  For those who have already experienced severe bone loss, bone rebuilding procedures can be performed to restore adequate bone structure.

Let’s discuss a confident, secure and dependable smile during a consultation appointment. Call (828) 274-9440 to schedule.

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