YOU Can Affect Dental Implant Success

Posted on Sep 21, 2015 by William J. Claiborne, DDS MS

Studies show that dental implants continue to be one of the most successful of all implant-in-bone procedures, over 90%. As a Periodontal specialist, dental implants are an area in which I have received advanced training.

Periodontists are uniquely skilled in diagnosing a patient’s best options when it comes to dental implant treatment – the number of implants needed, the type of implant system, selection of placement locations and actual placement.

I pride myself on our success rate when it comes to selecting and placing dental implants. Absolutely, a successful outcome begins with the part of treatment I can oversee in my office. Once the patient leaves our office, however, the ability to enjoy the benefits of implants for a lifetime are mostly in their control. There are ways a patient can affect the outcome of dental implants — for the good and bad.

When dental implants ‘fail,’ it is typically due to the onset of infection. This occurs when an overload of oral bacteria has accumulated in gum tissues surrounding the implant. Infections cause gums to become inflamed. This inflammation can travel down the implanted post and attack the bone structure supporting the implant. When caught and treated early, many infections can be eliminated. If not, the implant must often be removed to allow the area to heal.

A common cause for infection is poor oral hygiene. Other reasons for failure include smoking, diabetes, teeth grinding during sleep and diabetes.

Although smoking is a well-known risk factor when it comes to implant success, bruxing (clenching and grinding teeth) can cause implant failure to a higher level than many realize. In one study on dental implants, 29% of patients who had bruxing problems experienced implant failure. Nearly the same percentage of patients with diabetes suffered implant failure.

Studies show that implant failure rates are higher when the placement doctor has less than 5 years of experience. Because your choice of who places your implants can have an impact on their success, choose carefully. Having a successful outcome will save you time, money and allow you to enjoy your dental implant without undue delays. To begin, ask for a consultation. During this time, I’ll answer your questions and make recommendations. Call 828-274-9440 to schedule.

Every doctor wants their patients to enjoy a positive experience when it comes to any procedure. While not all aspects of treatment are within the control of the doctor, being thoroughly communicative with patients on ways THEY can enhance the success of their implants is as important to us as the exceptional care you’ll receive.

Helping Patients Understand What They Can’t See

Posted on Sep 09, 2015 by William J. Claiborne, DDS MS

For many of us, we not only want to know how to do something, but why it’s beneficial to do it a certain way. For instance, if I understand that using a higher octane gas in a new car will give more efficient mileage than a cheaper grade, I’ll likely pay a little more at the pump to get a better value in the long run.

In dentistry, it’s also helpful to understand why a particular treatment is needed in addition to what is needed. Occasionally, we have patients who are referred to us for care but are unaware of the advantages of the care they’ve been sent to have.

We find that, once patients are familiar with the ‘why,’ they tend to feel better about the treatment that is recommended for their particular needs. This applies especially to people who have periodontal disease. Because periodontal (gum) disease can have mild symptoms in initial stages, some people do not comprehend the amount of damage that is actually occurring in their mouths.

Here’s an example… a patient is referred to us with severe periodontal disease. He is experiencing symptoms that include persistent bad breath, sore gums, gums that bleed easily and swollen pockets around the base of some teeth. We begin by explaining how oral bacteria is literally eating away at their gum tissue and supporting tooth structures. It’s not unusual for people to be surprised when we explain that some teeth have become so loose that removal is required.

The biggest surprise for many with periodontal disease is when we explain that oral bacteria can enter the bloodstream through tears in diseased gum tissue. Once bloodborne, the bacteria can trigger inflammatory reactions elsewhere in the body. Research has linked the bacteria of gum disease with heart disease, stroke, diabetes, arthritis, impotency and other serious health problems.

It is not only important that patients are aware of what is happening in their mouths, but what will happen if the problem persists. Gum disease, like any chronic disease in the body, does not just go away. It does not repair itself. To the contrary, gum disease runs rampant and is the nation’s leading cause of adult tooth loss.

When natural teeth are lost, an entirely new set of problems begin. Without natural tooth roots in the jaw bone, the bone begins to shrink. This decline in bone mass weakens the ability to bite and chew. For denture wearers, it decreases the foundation a denture is contoured to fit. This results in continual changes that lead to slips and uncomfortable rubbing.

Conquering periodontal disease early saves time and treatment expense. It can also save your teeth! And, by ridding your mouth of gum disease bacteria, you decrease your risks for developing other serious health problems, some that can have deadly consequences.

Keeping you ‘in the know’ gives you the ability to make decisions that are best for your individual goals. We will always strive to help you understand ‘why’ so you are a more-involved participant in your oral health.

Each Tooth Has A Beneficial Role To Other Teeth

Posted on Aug 31, 2015 by William J. Claiborne, DDS MS

Imagine a chair. It is designed with four legs to ensure the chair seat has a sturdy foundation. Yes, you could sit in a chair with a missing leg, but its stability would be far less. Plus, the pressure would be greater on the three remaining legs, weakening their strength over time. Eventually, one of the legs will crack or loosen from its attachment to the seat, soon followed by the other legs.

This is a good illustration for your teeth. Each one has importance to the other teeth in your mouth. For example, when one tooth is lost and not replaced, the open space no longer serves as an abutment to the tooth above or below. 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 is then 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. A tooth that fractures below the gum line will require removal.

Bite misalignment also leads to worn teeth since it triggers night-time grinding. Clenching during sleep can also occur, creating frequent headaches or migraines, sore jaw joints, pain in facial and neck muscles, ear ringing and difficulty opening the mouth.

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 thinning foundation of bone. It is a fact that a missing tooth makes an adjacent tooth the most likely to be lost next.

So, add all these issues together and you have a whopping number of dental repairs and costs ahead. What’s the wisest move when a tooth is lost? Replacing a missing tooth with a Dental Implant restores the presence of a tooth root in the jaw bone. This halts the potential for bone loss. The replaced tooth also helps surrounding teeth to hold their proper positions, greatly reducing the potential for chips, cracks and the many problems associated with bite misalignment.

Although Dental Implants are more expensive, the costs are upfront. Dental Implants do not decay and are designed to last your lifetime. Implants also have one of the highest success rates of all implant-in-bone treatments. Too, unlike a crown-&-bridge combination, you won’t have continued bone loss or need otherwise healthy natural teeth crowned for the sole purpose of supporting a replacement tooth. Overall, they are a far better investment than any form of tooth replacement option.

Before you make a final decision on tooth replacement (for one or more missing 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 best for your individual situation.

Tackle Gum Disease Quickly To Save Time & Money

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

Let’s say you noticed a spot on the door to your home that looked like termite damage. Because the results can be costly, you’d react quickly to have the problem resolved before the damaged progressed further. Right?

Then wouldn’t the same reaction be warranted when signs of gum disease appear?

As a Periodontist, I specialize in the care of oral gum tissues and the placement of dental implants. The majority of patients I see have periodontal (gum) disease that requires specialized treatment. Without this, tooth loss occurs as well as a higher risk for heart disease, stroke, arthritis, diabetes, preterm babies and impotency.

Often, the patients I treat were aware that something about their oral health wasn’t right. Perhaps they began having tender gums and noticed blood in the sink when brushing. Perhaps their gums receded, exposing sensitive, darker tooth root areas. Perhaps their breath was frequently bad, even shortly after brushing.

Sadly, the general population is more aware of the damage termites can cause than the destruction and heighten health risks associated with gum disease. However, the bottom line is this: When it comes to your smile, early care is the best way to save time and money required for more complex treatment later.

One of the reasons your dentist arranges your check-ups and exams is to remove built-up plaque (a hardened form of oral bacteria) and note areas that are at risk. Those who delay or avoid these visits thinking “if it doesn’t hurt, then nothing is wrong” not only delay costs, they are actually adding to overall expenses that will eventually be required once something does hurt.

Think of your mouth as the front door of your home and oral bacteria as termites. (Except oral bacteria are far worse! Termites eat wood. Oral bacteria eat YOU!) Gum disease can be easily avoided with regular check-ups and a thorough oral hygiene routine at home (totaling about 5 mins. a day). Think of this commitment to your smile as money you keep!

If you suspect you may have any stage of gum disease, call our office at (828) 274-9440. Time is not on your side.