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.

A Missing Tooth Disrupts Positions Of Other Teeth

Posted on Jun 13, 2016 by William J. Claiborne, DDS MS

Being in a periodontal specialty, a particular part of my expertise involves the diagnosis and placement of Dental Implants. While periodontal (gum) disease is the nation’s leading cause of adult tooth loss, there is another contributing factor that many people are unaware.

The position of each tooth has unique importance to neighboring tooth. Primarily, one tooth helps to hold adjacent teeth in place. This means that when one tooth is lost and not replaced, the teeth on both sides are also left without a bolstering neighbor. This gap enables neighboring teeth to move out of their proper positions.

Because an open space allows a tooth above or below to grow longer or the teeth on each side to tilt, a long list of problems are set into motion. The teeth that grow longer or tilt typically cause chips, cracks or fractures to other teeth since the bite is now out of alignment. When a tooth fractures below the gum line, it will require removal. This results in a whole net set of expenses and problems.

When a tooth is missing, it also leads to the potential shifting of other teeth. This shifting can result in crowded, crooked teeth that are more difficult to keep clean. Imagine how much more challenging it is to sweep and mop the floor in corners than it is along straight surfaces. Your tooth brush has far more challenges trying to get into tight angles.

Bite misalignment can even lead to worn teeth since it can lead to night-time clenching and grinding. This is typically due to strain on the TMJ (jaw joints) from the now-misaligned bite. Clenching or grinding during sleep can contribute to frequent headaches, migraines, sore jaw joints, facial and neck muscle pain, ear ringing and dizziness.

The open space from the missing tooth leads to yet another ordeal. Without natural tooth roots in the jaw, the bone that once held the root begins to shrink. As the bone in this area declines in mass, bordering tooth roots are now vulnerable to a shrinking foundation of bone. It is a fact that a missing tooth leaves an adjacent tooth most likely to be lost next.

When you consider all these issues, it’s no surprise that the result is a number of dental repairs and costs. The easiest way to avoid problems and associated expenses when a tooth is lost is to replace the tooth with a Dental Implant.

Dental Implants recreate the presence of tooth roots in the jaw bone. This helps to prevent bone loss from a declining jaw that occurs when tooth roots are no longer present. The replaced tooth also helps surrounding teeth to hold their proper positions, greatly reducing the potential for chips, cracks and the barrage of problems associated with bite misalignment.

Although Dental Implants are initially more expensive than most other tooth replacement options, the investment is a one-time expense. Dental Implants do not decay and are designed to last your lifetime. They also have one of the highest success rates of all implant-in-bone treatments.

And, unlike crown-&-bridge combinations, an implant will halt further bone loss. It will never need adjacent natural teeth to be crowned to support replacement teeth. Dental Implants are held in the jaw bone, just as natural tooth roots, and do not need other teeth for support. Overall, they are an ideal investment for replacing one tooth, several teeth or a full arch.

If you are missing one or more natural teeth, call us at 828-274-9440. We will explain the process and advantages of Dental Implants so you can make the decision that is right for you.

Feel Good When You Smile, From The Inside Out!

Posted on Jun 01, 2016 by William J. Claiborne, DDS MS

What makes you smile? REALLY smile?

You may find yourself smiling joyfully when a child or grandbaby smiles at you. A favorite comic or a funny movie may cause you to open up and smile or laugh. Isn’t it great to smile? Smiling just seems to make us feel great!

However, certain reasons leave many adults feeling self-conscious about smiling, causing them to conceal their smile or ‘hold back’ rather than reveal a full smile.

An attractive smile looks good and creates an impression of an upbeat, happy individual. Healthy teeth and gums also project good health standards. And, people who feel good about their smile tend to smile more often.

The benefits of an attractive smile actually go much deeper than enhancing one’s facial appearance. Research has shown that smiling activates endorphins, which are the ‘feel good’ chemicals in the brain. Studies also show that faking a smile when you don’t feel like smiling tricks the brain into releasing endorphins.

Smiling can also add years to one’s life. Some studies indicate that people who smile more often can add ten years to their lifespans, on average. People who frown more often live an average of three years less!

There are a number of reasons that can make individuals feel less apt to smile openly. Cosmetic flaws, such as teeth that are stained or crooked, can detract from the appearance of a smile. As a Periodontist, I see people who have severe gum disease, missing teeth or a gummy smile.

If you are not smiling as often or as openly as you’d like, let’s start with the foundation of your smile — your gums. The health of your periodontal (gum) tissues provides the foundation for your teeth. If you are experiencing symptoms of gum disease, you may have gum recession. This is when the gums pull away from the teeth, exposing darker sections of tooth roots.

Gum disease also causes frequent bad breath and tender gums that turn red in color versus the pink tint of healthy gums. The disease can cause gums to bleed when brushing and eventually leads to loose teeth. In some cases, teeth have to be removed. As a matter of fact, gum disease is the nation’s leading cause of adult tooth loss. And, studies have shown that nearly half (47.2%) of American adults suffer with some level of gum disease. (https://www.perio.org/consumer/cdc-study.htm)

When teeth are lost, many people worry about wearing dentures or partials. Typical concerns are teeth that don’t look (or feel) natural, embarrassing slips, difficulty eating certain foods and chewing discomfort. These common problems have motivated many adults to opt for Dental Implants.

Dental Implants are positioned in the jaw bone, restoring the same, stable foundation as that of natural tooth roots. This restores your ability to bite and chew the foods you love comfortably and confidently. And, since the teeth attached to the implants are custom-designed for each individual, creating an improved smile appearance is incorporated into the process.

If a gummy smile prevents you from smiling widely, repairing it can be done in a single visit, in most cases. This repositions the gum tissue that arches the teeth most visible in a smile. For many who have a gummy smile, the procedure enables them to finally open up and smile without feeling awkward.

Crown lengthening can also add beautifully to the appearance of a smile. This recontours the gums so the smile line (the gums over teeth) is more even.

Healthy teeth and gums can make a dramatic improvement in one’s appearance, self-esteem, confidence level. Let this year be the year of your best smile! Begin with a consultation to discuss a confident smile that you’ll share openly and often! Call 828-274-9440 for an appointment.

Dental Fear & Gum Disease In The U.S.

Posted on May 25, 2016 by William J. Claiborne, DDS MS

In dentistry, caregivers are always encouraging you to be committed to your 6-month exams and cleanings. These periodic visits help to remove buildup that can lead to damage to teeth and gum tissues. Too, they are often able to catch small problems while treatment needs are still minimal.

It is very difficult, however, to coax a fearful patient into a dental office. Typically, many avoid regular care and only force themselves into a dental chair because they are in pain. By this time, many treatment needs are more involved, more costly and require greater treatment time. This tends to acerbate the problem, merely adding to their dread of dental visits.

It is estimated that up to 75% of American adults have some level of fear associated with dental visits. This is a huge number! So, as a Periodontist, it’s no surprise that nearly half of the adults in the U.S. have some level of periodontal (gum) disease.

Even a thorough oral hygiene routine at home misses bacteria on occasion. When oral bacteria are not quickly removed by thorough brushing and flossing, they amass together and form a cement-hard colony that attaches to tooth surfaces. This accumulation of bacteria reproduces rapidly as they eat away at tooth enamel and gum tissues.

This hardened mass of bacteria is known as calculus, or tartar. It can only be removed by special instruments used in a dental office by a dentist or dental hygienist. If not removed, it continues to thrive and expand.

As oral bacteria consume gum tissues, inflammation begins. This causes tender gums that bleed when brushing. As it progresses, you may notice persistent bad breath and gums that darken to red versus a healthy pink color. Gum tissues may recede, exposing sensitive areas of tooth roots.

Eventually, the infectious bacteria will penetrate the gums and attack below the gum line. This is when the inflammation can damage the bone structures that support tooth roots. Pus pockets may also form on gums and teeth may loosen. As a matter of fact, periodontal disease is the nation’s leading cause of adult tooth loss.

While people who avoid dental visits may try to be ultra-diligent in their home-care routine, it’s easy to be susceptible to oral bacteria. A number of factors heighten your vulnerability, including dry mouth and what you eat.

Dry mouth occurs due to a wide range of factors. Some medications have a drying affect on the mouth. Certain foods and beverages contribute to dry mouth, especially those containing caffeine and alcohol. Smoking is very drying to oral tissues. And, the aging process leaves us with drier mouths.

Eating sugary foods and many carbohydrates are just as detrimental to your oral health. Many Americans snack during the day, often on chips, crackers and candy bars – which are then washed down with sugary sodas. All this converts into a sugar based super-food in the mouth that provides oral bacteria with sustenance that super charges their reproduction.

So, even as a twice-daily brusher and daily flosser, you are not immune from developing gum disease. Avoiding regular dental check-ups is a sure recipe for needing treatment down the road that may have easily been prevented.

How does a fearful adult overcome their problem so they can have the dental care they need? I believe it begins with a conversation. This time together helps us to understand the background to your fears — when they began, how long you’ve had them, etc. I’ll explain the various comfort options that will help to relax you as well as ‘signals’ you can do to indicate you’d like a break.

When many fearful patients understand they are in control of their care, they are more willing to have the care they need. However, it is equally important that they develop a sense of trust with their caregivers. Feeling that the goal is to help them avoid uncomfortable sensations should be evident throughout each visit.

When more adults are able to release their fears and have the dental care they need, we will hopefully see a nation of healthier smiles and less tooth loss. Until then, encourage fearful individuals you know to consult with dentist after dentist until they find one they feel is sensitive to their unique needs.

In our office, consults are held in a private consultation room that’s removed from the clinical side of the practice. Here, we sit in a living room-like setting to discuss your specific needs and options that are recommended for your goals.

Call 828-274-9440 to schedule a time when we can meet.