Replacing Teeth – Weighing Your Choices

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

While today’s dentistry offers a number of excellent methods for replacing teeth, there are advantages and disadvantages to each option. It is my goal to help patients understand why we recommend Dental Implants so they can determine what is best for their needs.

Missing teeth can be replaced with crown-&-bridge combinations, partial or full dentures, or dental implants. Crown-&-bridge is only possible when natural teeth border both sides of the area of missing teeth since crowned, natural teeth are the bridge’s support.

A partial denture does not require teeth on each side for support. However, it does need teeth on one side to provide support for clasps or framework that attach to adjacent, natural teeth.

A full denture replaces a teeth for those who have lost all of their upper and/or lower teeth. These teeth are held by a base that mimics gums, which is contoured to the shape and size of your ridge. The ridge, which is actually the jaw bone covered by gum tissue, is the raised arch that once supported natural tooth roots.

In these options, the absence of natural tooth roots leaves the gum ridge without the stimulation that once kept it healthy. Thus, the bone will eventually begin to shrink in height and mass.

The pressure of wearing dentures or partials accelerates the pace of bone loss. For those who sleep in their denture or partials, the 24/7 pressure speeds up the rate of bone loss even more.

As the bone declines, the fit of the denture or partial changes. Slips become common when eating, often rubbing sore spots on gum tissues. Although a crown-&-bridge will not slip, bone loss will be apparent when an open space develops below the bridge.

Because Dental Implants are placed in the jaw bone, they recreate the stimulation of tooth roots. This halts bone loss and preserves the stability of your bite as well as a healthy facial structure.

Dental Implants are also designed to last your lifetime. With proper care, they will never need removal or replacement. They do not need the support of adjacent teeth and actually help preserve the integrity of other teeth.

The downside? The cost is higher than other tooth replacement options. However, over time, they are a far better investment. With the upfront cost being the ONLY problem associated with Dental Implants, the fact that it is a ‘one and done’ expense (with a lifetime of benefits) really makes them a better choice compared to other tooth replacement options.

If you are missing natural teeth and would like to discuss replacement with Dental Implants, call 828-274-9440 to schedule a consultation. During this time, we’ll discuss how Dental Implants may be the perfect choice!

Afraid Of Dental Visits? Fear Only Makes Problems Worse.

Posted on Dec 14, 2015 by William J. Claiborne, DDS MS

Fear is one of the biggest factors when it comes to reasons that people avoid dental care. While expenses are an issue for a number of Americans, fear is the culprit that prevents most adults in the U.S. (up to one-third, it is estimated), from having regular dental care.

Avoiding the dentist is a sure way for bigger problems. When the hygienist is not able to remove plaque that has accumulated on teeth every six months, it continues to grow. This typically results in cavities and early stage periodontal (gum) disease.

Repairing a small cavity or treating gingivitis (the initial level of gum disease) requires minimal time and expense. However, many individuals who have dental fear avoid going to the dentist for years. Often, they only end up in a dental chair when they have developed a problem that is so painful they are forced to endure fear’s grip in lieu of pain relief.

When cavities form, pain (or an ache) develops, signaling a problem. Most people realize that this discomfort will only intensify without treatment. On the other hand, gum disease begins without obvious symptoms. Those that do arise, such as gums that bleed when brushing or receded gums, are often associated with aging or even deemed normal. These misconceptions merely allow these problems to worsen.

Here is where things get more complicated for adults with dental fear. When problems do arise, delayed treatment enables these problems to worsen. As a cavity deepens or gum disease intensifies, treatment requirements become more complex with procedures needed often more costly and time-consuming. Unfortunately, post-treatment tenderness is also a lengthier process. This tends to reinforce a fearful patient’s stance of avoiding dental care.

When I take my car in for its regular servicing, I have to devote several hours of time and be prepared for associated expenses. Oil changes, tire rotations, fluid checks, etc. aren’t anything I want to pay for and, like most adults, have little time to devote while these processes take place. However, I know the problems that can occur when these areas are not tended to. I also know that, by delaying them, I’m placing myself at risk for being stranded beside the road or having an accident. So, we car owners force ourselves to endure for the good of our investment.

Your smile deserves no less. If dental fears are preventing you from having a clean, healthy smile and fresh breath, don’t wait until you are in dire straits. Make every attempt to keep your 6-month dental check-ups. These visits will be quicker and far less expensive than to take care of what’s likely coming from avoiding care.

Want an added incentive to go along with cost savings and shorter time? Dental cleanings and repairs are more comfortable for people with healthy gums. When plaque is present, the gums are more inflamed. This makes them tender. Regular dental visits will keep your smile in good health and save you money over time.

So, how do you overcome dental fears to have regular care? It begins by finding the right dentist to care for your needs. Begin by calling several offices and explain your concerns. If the receptionist is adept at discussing their protocol for fearful patients, you’ll know this is a dental office that is experienced caring for adults with high anxiety and fear levels.

You may wish to begin with a consultation appointment. This will enable you and the dentist to discuss your needs and their process to help ease you through what is necessary to begin. The doctor should make you feel at ease, unrushed and answer your questions in easy-to-understand terms.

We see a number of patients who have gum disease or need Dental Implants because their fears have led to lost teeth. While we can provide medications to help these patients relax, our goal is to help them overcome their fears through a relationship of trust. Once they understand we are highly sensitive to the unique needs of patients with dental fear, many relax. We pride ourselves on a gentle touch, and that goes for all patients.

Let’s begin with a conversation in our consultation room. This is a living room setting that’s away from the clinical area. We can sit and chat, after which time you can determine how you’d like to proceed, or if you would like to do so. Call 828-274-9440 to arrange a time that’s best for you.

Dental Implants Are Wise Investment

Posted on Nov 16, 2015 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I’ve been pleased to stay on top of the advancements in dental implants as the optimal replacement for missing teeth. The various systems that employ unique techniques and materials have provided exceptional choices for about any individual who has lost natural teeth.

Along with these developments in implant dentistry, I’ve completed advanced training that has expanded my skills to provide optimal results. Not surprisingly, at treatment completion our patients mainly see the results of an appealing, confident smile. Yet, it is the foundation of it all — beneath the gums — that is the true benefit to dental implant recipients.

Think about your smile the way nature made it. Natural teeth are held by tooth roots situated in your upper or lower jaws. The jaw bones actually thrive on the presence of tooth roots, which provide a stimulating interaction that keeps the bone healthy. Without their presence, the jaw bones go through a process referred to as resorption. Resorption causes bones to lose mass, declining in both height and width.

Bone loss causes a number of problems. Once resorption begins, remaining teeth adjacent to the area of bone loss are affected. A shrinking bone that abuts areas of resorption weakens tooth root stability. This creates a domino effect. When a natural tooth is lost, statistics show the next to go will most likely be an adjacent tooth.

As bone loss continues, your potential to lose more teeth increases. With each extraction, the continual process of bone loss leaves you with an ever-shrinking jaw and weaker foundation for remaining teeth. Bone resorption can even be seen in people who appear to have a collapsed mouth (referred to as a ‘granny look’) where the nose is unusually close to the chin. This is actually the result of severe bone loss.

Bone loss is also the culprit for dentures and partials that slip and cause uncomfortable rubbing on gum tissues. When a denture is first made, it is designed to conform to the unique contours of your gum ridge (the gum-covered arch that once held your natural tooth roots). As the bone declines in mass, this secure fit loosens and moves while chewing or laughing. Denture pastes or adhesives can help, but eventually even relines (reshaping the previously-made contours) are of little help.

To many people who opt for dental implants, however, it is the appeal of having a lifelong investment that is the deciding factor when comparing implants to other tooth replacement options. Because dental implants are designed to last a lifetime, many see them as an appealing ‘one and done’ choice for treatment.

In cases where one or several teeth together are missing, crown-&-bridge combinations are an option. However, crowns and bridges can require repairs and/or replacements over time, they do nothing to halt bone loss and crowning natural teeth for the sole purpose of supporting a bridge forever compromises the health of otherwise natural teeth.

Dental implants do not rely on adjacent teeth for support since they are held in the jaw bone, providing the same, sturdy foundation as natural tooth roots. An added bonus is how the implanted portion recreates the presence of a tooth root, halting the process of resorption.

Our goal is to always provide the best outcome possible based on the long term goals you desire. Let’s begin with a private, no obligation consultation to discuss your specific goals or concerns. Call 828-274-9440 for an appointment.

 

Quit Smoking For Your Smile – And More

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

Wow – we are nearing the end of another year already. As is common for many Americans, new year’s resolutions are being considered as the holiday season is upon us. For smokers, cutting back or quitting altogether is a common resolution, for good reasons.

When you quit, NOT smoking can cut your risk for heart attack in half. If you quit before age 40, you can also reduce excess mortality that’s attributed to smoking by 90%. Quit before you turn 30 and you’ll reduce this by more than 97%. However, it’s not just YOU who benefits when you quit. Second-hand smoke contains at least 50 known carcinogens and other harmful chemicals.

Smokers shorten their life expectancy by 10–15 years on average. It is responsible for an estimated 30% of all cancer diseases and deaths and 90% of all lung cancers and increases the risk of lung cancer, pancreatic cancer, cervical cancer, cancer of the  kidneys, liver cancer, bladder cancer, stomach cancer and leukemia. Smoking or chewing of tobacco causes 80 – 90% of oral cancers (mouth, lips, throat).  Smokers who are also alcohol drinkers have a risk of oral cancer greater than the combined risk of those who only smoke and those who only drink alcohol. Smoking is also a cause for emphysema and other respiratory diseases, heart disease, stroke and diabetes.

Pregnant women who smoke create heightened risks of first trimester spontaneous abortions, placenta abruption, preterm births, low birth weight babies and sudden infant death syndrome (SIDS). Women are also at risk for early menopause. Men who smoke have a higher risk for sperm abnormalities and impotency.

Tobacco contains chemicals that are known to be harmful to the body. Smokers also have an increased risk of periodontal (gum) disease, bad breath, stained teeth, an increase in dental plaque, and slow healing after extractions, gum therapy or oral surgery.

Smoking dries out the oral tissues, creating a vulnerable environment for the rapid growth of oral bacteria. Once gum disease begins, you can expect persistent bad breath, sore gums, gums that bleed easily when you brush and gums that turn red in color. As the disease progresses, pus pockets will form at the base of teeth. The teeth will become loose as the bacteria destroys bone and tissues that support tooth roots. Eventually, these teeth will require removal.

If you ever needed a reason to quit, look at the loved ones around you who not only breathe in the deadly smoke you exhale. Then, consider the health problems they’ll likely see you endure. Finally, imagine losing your smile and having to wear dentures or partials to replace the teeth you lost due to the effects of smoking.

There are a number of online support sources for those who wish to quit. Begin there, and be committed to keeping this resolution. Your life, literally, depends on it.