Are Dental Implants Worth The Cost?

Posted on Jan 29, 2018 by William J. Claiborne, DDS MS

As a periodontal specialist, I have advanced training in treating all stages of periodontal (gum) disease as well as in the diagnosis and placement of dental implants.

Over the years, I’ve seen exceptional developments in both areas. As research reveals more about the importance of having good oral health and the ability to bite and chew comfortably and securely, the adult population is taking note.

In some of my prior articles, I’ve addressed the correlation between the bacteria of gum disease and systemic inflammation. I’ve also mentioned the problems – both physiological and psychological – related to missing teeth, and primarily with wearing dentures and partials.

Losing teeth means their tooth roots are no longer held by the jaw bone. Without their presence, the jaw bone lacks the stimulation and nourishment needed to maintain a healthy mass. This leads to bone resorption. Simply put, this term describes a ‘melting away’ process of the bone where tooth roots no longer exist.

Not only do dental implants restore a sturdy, dependable foundation for replacement teeth, they recreate the presence of tooth roots. This halts the process of resorption and helps the jaw bone to retain it’s mass.

Why is the size of the jaw bone important?

When the jaw bone shrinks, the ability to bite and chew comfortably is compromised. The bone is also more susceptible to breaks and fractures. Another problem occurs with changes in facial appearance that are aging far beyond one’s actual years.

For example, as the jaw bone shrinks, facial muscles detach and jowls form. Deep wrinkling occurs around the mouth and the corners of the mouth turn downward, even in a smile. The chin becomes more pointed and moves closer to the nose. The mouth appears ‘sunken in,’ creating a ‘granny look.’

With all the positive aspects of dental implants, what keeps some adults from this ideal tooth replacement option?

In most cases, we find the only deterrent is the cost of implant treatment. Since treatment fees are all ‘up front,’ some people feel the expense is more than they can manage. Yet, there are payment plans that can help break implant fees into affordable monthly payments. Too, I like to remind patients about the life of a dental implant.

When properly selected, placed and maintained, dental implants should last your lifetime. Additionally, you’ll be able to bite and chew the foods you love without worrying about uncomfortable rubbing or embarrassing slips. You’ll also enjoy everyday pleasures, such as speaking, laughing and being close with others.

The American Academy of Implant Dentistry (AAID) also addresses the importance of dental implants from an oral health standpoint (https://www.aaid-implant.org/about-dental-implants/dental-implant-costs-3-things-you-need-to-know/):

“Dental implants may also offer better oral health-related quality of life compared with other tooth replacement options. This is related to the bonding of the implant with your jawbone – it can be more important than you might realize. Yes, it reduces the slipping associated with dentures, but just as importantly, it stimulates healthy bone formation. In contrast, dentures and other non-implant options can lead to bone loss over time as the body senses that the tooth is missing. In addition, while dentures may allow food to wedge in between the gums and the denture itself, dental implants behave like natural teeth.”

Rather than assume dental implants are out of reach monetarily, arrange a consultation appointment to discuss the fees as they would apply to YOUR INDIVIDUAL NEEDS. There are many different types of implants and the one best suited for you may come at less cost than you realize.

I also find that people have misconceptions when it comes to implants. For instance, some assume that an implant is needed for each missing tooth. In fact, one implant can hold a bridge of several teeth and several strategically-placed implants can secure a full arch of teeth.

Let’s discuss your needs and goals according to a process that will enable you to enjoy the advantages of dental implants within a realistic budget. Call 828-274-9440 to schedule a private consultation.

Dental Fear Can Lead To Lost Teeth.

Posted on Jan 23, 2018 by William J. Claiborne, DDS MS

There are many reasons that adults lose teeth. Poor oral hygiene, accidents and gum disease can all result in the loss of natural teeth. Yet, the most unfortunate reason, as far as I’m concerned, is dental fear.

Having a fear of dental visits affects over 70 percent of American adults by some estimates. When people are afraid of going to the dentist, they often do not receive the regular care necessary to maintain a healthy smile.

While twice daily brushing and daily flossing are beneficial in having healthy teeth and gums, those 6-month checkups provide a ‘clean slate,’ of sorts. During these visits, the hygienist is able to remove tartar (or calculus) that has built up from accumulated plaque.

Tartar is actually a hardened mass of oral bacteria that attaches to teeth. It eats away at healthy tooth enamel and gum tissues. As the bacteria mass thrives and reproduces, the gum tissues become inflamed. This is the beginning of periodontal disease, which is the nation’s leading cause of adult tooth loss.

In one study published by the Dental Research Journal, nearly 59 percent of 473 adult participants were found to have dental fears. The study included males and females of varying ages and education levels. Although females presented a higher likelihood for dental fear, there was very little difference elsewhere. What did stand out, however, was how many had experienced traumatic dental episodes. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432608/)

As a periodontal specialist, I have advanced training and experience in the diagnosis and placement of dental implants. Thus, over the years, I have treated a large number of adults who have lost natural teeth and wisely chose to replace them with dental implants.

However, when an individual loses a tooth (or teeth) because they avoided dental care due to fear, it’s a pretty big task for many to set those same fears aside in order to go through a dental procedure that is surgical in nature. So, how do they do this?

In our office, we have found the best results for fearful patients is to form a relationship that is built on trust. Our patients come to feel assured of knowing our commitment is to create a pain-free environment, with oral or I.V. sedation (‘twilight sleep’) available, if desired.

For some patients, they feel more relaxed after beginning with a conversation in our consultation room. This room is removed from the clinical side of the practice where we sit in comfy chairs and discuss specific needs and goals. We take the time to answer questions thoroughly and can recommend comfort options.

For most, after their first appointment, they feel more relaxed. Others need several visits to realize that dentistry doesn’t have to hurt. Still others can’t help but have anxiety during their dental care and we understand this. Every person is different and we try to tailor the pace and the comfort options according to each one’s need.

If you’ve lost teeth because you’ve found it difficult to have regular dental care, the solution may be as close as our consultation room. We will make this visit as relaxed as possible so you can decide if we are the right dental team for you.

It may also be helpful to speak with some of our once-fearful patients who now have healthy, confident smiles. Ask to be put in touch with some during your consultation to have a ‘first-hand’ understanding from people with similar issues.

Call 828-274-9440 to schedule a consultation.

 

Dental Problems Only Worsen With Delay In Care

Posted on Jan 03, 2018 by William J. Claiborne, DDS MS

“Never put off for tomorrow, what you can do today.” – Thomas Jefferson

The quote by Thomas Jefferson, today, would probably include modern terms such as “be proactive,” or “take charge of your to-do’s.” But any way we say it, the meaning is basically the same: Take care of things while they’re small so they don’t become bigger problems.

As a periodontal specialist, I’ve seen a great many patients who have lost their teeth because they didn’t take a few minutes a day to brush their teeth. They also felt they could avoid their 6-month dental checkups because “nothing hurts.” Yet, while in treatment for gum disease or having dental implants placed, the majority share the same regrets, that they didn’t take the small steps needed for prevention.

When an oil light comes on in our vehicle, we know there are costly consequences to ignoring it. When a ceiling shows signs of a leaky roof, we know that letting it go can lead to serious damage. When an appliance starts making a funny noise, we know to tend to it before it goes on the blink.

Then why don’t adults know to act – and be proactive – when it comes to their dental health?

The Centers for Disease Control & Prevention reported that only 64 percent of American adults had a dental visit in 2015. That leaves a third of our nation’s adults with oral wellness that is at risk. It’s no wonder that an estimated 47 percent of adults have some level of periodontal disease.

New Year’s resolutions often include weight loss, getting more exercise, and eating healthier. These are made to achieve a healthy body. Yet, the mouth is not only part of the precious body we are given, it plays a major role in our overall health.

Your mouth is far more than part of your facial appearance. It provides the first stage of the digestive process. As you chew, saliva flow brings in oral acids that help break foods down even before you swallow. The phrase your grandmother said, “Chew your food well,” was wise advice. The chewing process gives food time to be digested more efficiently.

However, research over the past few decades has revealed how our oral health integrates to a much greater extent with our overall health. It has been found that the bacteria of gum disease can travel throughout the body via the bloodstream. This bacteria has been linked to a number of serious health problems.

The bacteria of gum disease can create inflammatory triggers that have been correlated to heart disease, stroke, some cancers, preterm babies, arthritis, diabetes, and erectile dysfunction (ED). Research is underway to study strong indications of its links to Alzheimer’s disease. Obviously, this is potent bacteria that should be acknowledged as serious.

Tooth loss is no picnic. Just ask long-time denture wearers. Losing tooth roots means the bone that once supported them begins to shrink. This bone loss is a slow but continual process, which is why a denture that fit when first made begins to slip and move. As the ‘ridge’ the denture was designed for flattens, adhesives will be of minimal help. Eventually, even relines won’t help much.

As a periodontist, my specialty also includes the diagnosis and placement of dental implants. Dental implants are held by the jaw bone, just as natural teeth, so they restore biting and chewing stability and halt bone loss. However, it is so much easier and far less expensive to care for natural teeth and avoid tooth loss in the first place.

I’ve had many dental implant patients tell me, “If I could turn back time, I’d have taken much better care of my teeth.” When they learn that their implants will need to be cared for even better than natural teeth, they enthusiastically agree to “do what it takes.” Losing teeth the first time was hard enough. Losing their dental implants would be worse.

Your smile is an expression of who you are from the inside out! I hope 2018 brings you many smiles and much laughter. Take good care of your smile and be committed to a thorough oral health routine at home. Have twice-a-year dental checkups and follow the advice of your dentist and hygienist carefully. Drink plenty of water and limit sweets. (Your waistline will thank you, too!)

Happy 2018 to you and yours!

Why Dental Implants Are Excellent Investment

Posted on Dec 13, 2017 by William J. Claiborne, DDS MS

Some things aren’t as clear as comparing apples to apples. For example, if you’ve ever purchased a piece of furniture that ‘looked’ well-built but was a bargain price, it doesn’t take long to realize it really wasn’t much of a bargain after all. The drawers may start to stick, it may begin to wobble or the surface may crack or loosen from the base. Eventually, your mind begins to calculate how much better that money could have been spent.

Of course, we all want to know that our money is being spent wisely. That means getting desirable results for a fair price. When people tell me that Dental Implants are too costly, I ask them what they are comparing them to. If they’re comparing them to a denture, partial or crown-&-bridge, consider these factors before making a final decision.

 

I begin by helping them to understand that missing teeth were once held by a sturdy foundation – the jaw bones. Natural tooth roots held by your upper or lower jaw provided a dependable, secure foundation for biting and chewing.

I then explain how the upper and lower jaw bones were nurtured by the presence of tooth roots, being stimulated to keep the bone at a healthy mass. Without their presence, the jaw bones experience ‘resorption,’ which causes the bones to decline in height and width.

Once resorption begins, remaining natural teeth in the area of bone loss are affected. A shrinking bone that abuts areas of resorption weakens tooth root stability. This creates a domino effect with statistics showing the next tooth to be lost will likely be a tooth adjacent to this area.

As bone loss continues, I discuss how the risk for additional tooth loss increases. With each extraction, the continued process of bone loss leaves you with an ever-shrinking jaw and thinner foundation for remaining natural teeth. Bone resorption becomes obvious in people who appear to have a collapsed mouth (referred to as a ‘granny look’) where the nose gets closer to the chin. Other signs are deep wrinkling around the mouth, jowls and having the corners of the mouth turn downward even in a smile.

Bone loss is also the reason for dentures and partials that slip and cause uncomfortable rubbing on gum tissues. When a denture is first made, it is designed to wrap the unique contours of your gum ridge (the arch that once held natural tooth roots). As the bone shrinks, the once-secure fit loosens and eventually moves while eating. Although denture pastes or adhesives can help,  even relines (reshaping the previously-made contours) offer little help as resorption continues.

When choosing Dental Implants to replace teeth, you are making a lifelong investment. Since implants are designed to last a lifetime, they provide a ‘one and done’ choice for dependable tooth replacement.

In cases where one or several teeth together are missing, crown-&-bridge combinations are often considered. However, crowns and bridges can require repairs and/or replacements over time. Crowned teeth may need root canals. Bridges can break. Too, when natural teeth are crowned for the sole purpose of supporting a bridge, the integrity of otherwise healthy, natural teeth has been forever compromised.

Because they are held in the jaw bone, Dental Implants do not rely on adjacent teeth for support. With the jaw bone for its foundation, implanted teeth have the same, dependable foundation as natural teeth once had. And, because the implanted portion recreates the presence of a tooth root, the process of resorption is halted.

As a Periodontist, I have specialized training in the diagnosis and placement of Dental Implants. As has always been my goal, I strive to provide each patient with the best outcome possible while enjoying a comfortable process from start to finish.

Begin with a private consultation to discuss your goals or concerns. Call 828-274-9440 to schedule.