Dental Implants – Many Types Available For Different Needs & Preferences
Posted on Jul 10, 2019 by William J. Claiborne, DDS MS
As a periodontist, an area of my dental specialty includes advanced training in the diagnosis and placement of dental implants. This specialized expertise provides implant patients with a high level of success in treatment outcome. It also offers patients a wider variety of choices when it comes to implant systems.
When dental offices offer dental implants, some general dentists refer the placement portion to a periodontal specialist. For their patient, this can mean a higher level of success, especially for complex needs.
For example, a patient who is missing a lot of bone mass (often due to missing natural teeth for many years) benefits from the specialized skills of our Asheville periodontal office. Another example is a patient who has lost teeth due to periodontal (gum) disease. Because a periodontist combines advanced skills in treating gum disease as well as in dental implants, these patients are given a ‘leg up’ when it comes to treatment success.
Dental implant diagnosis and placement skills can vary greatly when offered by general dentists. While some have taken extensive courses in implant dentistry, others may have taken a weekend course here and there. These are typically ‘hosted’ by a particular manufacturer who provides ‘training’ in a limited selection of implant types. In turn, this can limit the patient’s choices when relying on appropriate recommendations for his or her unique needs.
Now seen as the preferred option for tooth replacement, dental implants are available to accommodate various challenges and preferences. There are numerous choices available. Some of the more common include:
Traditional Dental Implants: In this process, dental implants includes a couple of stages. Implant placement is performed first. This involves small incisions in pre-selected placement points. These points are determined through computerized imaging, taking the guesswork out of the depth and angle of each implant placed. Once the implant is in proper position, the gum tissue is closed over the implant sites.
For a ‘healing period’ of 3-6 months, the bone grows around the implants to secure each in place. This process is referred to as ‘osseo-integration,’ which describes the bone growing around the implanted portion. The process is similar to a rope tied around the branch of a tree. Over time, the branch grows around the rope. Osseo-integration is similar to this but occurs at a much more rapid pace.
After several months, the implant sites are uncovered and a post is positioned inside each implant. Onto the posts, the replacement teeth are secured. Rest assured, during the healing phase, patients are able to wear their denture or partial comfortably. Once the final teeth are attached, patients can enjoy their ‘new’ smile along with the biting and chewing comfort like that of natural teeth.
Non-Removable Teeth Attached To Implants: In the past, the more affordable ‘full arch’ systems were typically those designed to support removable teeth. (An ‘arch’ replaces all upper or all lower teeth.) However, some people feel removable teeth are too similar to the denture they have (and detest). Although firmly secured, the chore of having to remove their new teeth to clean is undesirable to many people.
A number of implant systems are available, designed to provide non-removable options that are more affordable. For example, the All On 4 dental implant system is made to support non-removable teeth, often on just 4 implants. With the implanted portions placed at unique angles, these longer implants can fully distribute biting and chewing forces.
Another advantage of All On Four is their ability to be placed in minimal bone. This is good news for people who are long-time denture wearers and were told they have too little bone to support implants. Or, they may have been advised to have bone grafts to rebuild the bone to an adequate height. This adds time and expense to implant treatment. Often, the All On 4 design is able to overcome this obstacle.
‘Same-Day’ Dental Implants: With advanced implant systems and technology, implant placement and teeth attachment can be accomplished in a single day. Advanced implant designs can position implants in the jaw bone that are ready to support replacement teeth. With the replacement teeth created prior, the teeth may be attached without delay.
In some cases, a previously-made denture or partial can be reconfigured to attach to newly placed implants. “Implants in a day” isn’t wise for all situations, however. This option should be diagnosed and performed by a skilled, experienced professional who understands both the requirements and limitations involved. Putting your care in the hands of an experienced, skilled and highly-trained dental specialist is the best way to achieve a successful outcome. Just a note – while these quick-&-easy procedures can sound appealing, be cautious of ‘clinic’ settings who promote same-day implants. For an optimal outcome, choose care where your individual needs are a priority, rather than corporate profit goals.
Modern implant dentistry is successful, safe, dependable and can provide nearly immediate benefits. As a dental specialist who has stayed on the cutting edge of implant dentistry’s techniques, technology and materials, I am pleased to witness the transformations our patients undergo after treatment.
Dental implants are designed to last a lifetime and the closest thing to the natural teeth you once had. Too, the restored ability to bite, chew, speak and laugh confidently and even sneeze without worry can provide a tremendous boost to one’s self-esteem, self-confidence.
The type of dental implant best suited for you can be determined after an examination and review of x-rays (we use Cone-Beam digital imaging). Call 828-274-9440 to begin with a private, no obligation consultation to discuss your best options.
A Dry Mouth Can Have Many Causes And Lead To A Number Of Oral Health Problems
Posted on Jun 21, 2019 by William J. Claiborne, DDS MS
Our lips and teeth – our smile – is a stage curtain to what is actually going on inside the mouth. As an Asheville periodontist, I have a daily view of the hazards that exist beyond the veil.
Oral bacteria is the root source of most problems that occur in the mouth. Their presence is normal, of course. The mouth (or “oral cavity”) is designed to be able to manage a certain level of oral bacteria. It is the over-accumulation of this bacteria that is the origination source of many problems.
Although certain foods, such as a garlicky shrimp or onion-laden hot dogs, can create “stand-offish” bad breath, this breath odor is temporary. The bad breath that is truly offensive and occurs on a more consistent basis comes from an overload of oral bacteria.
The reason we’re advised to brush at least twice a day and floss our teeth daily is to remove accumulated oral bacteria from the mouth. When not removed on a regular basis, the bacteria form a sticky film that coats the teeth and gums. This film is known as plaque.
Keep in mind that bacteria are living, eating, and reproducing organisms. Because they eat, they also create waste – in our mouths! Although that in itself should be reason enough to be committed to brushing and flossing, without pain, people assume that all is well.
Yet, an over-accumulation of oral bacteria can lead to far worse than bad breath. Because oral bacteria critters eat, they look to the gum tissues. As they amass, they can create an inflammation that extends beneath the gum line. The infection they trigger can reach down into the structures that support natural teeth.
Periodontal disease is the leading cause of adult tooth loss. The advanced stage of gum disease, known as periodontitis, creates a bacteria so potent that it has been linked to a wide array of conditions and diseases elsewhere in the body.
The oral bacteria of advanced-stage gum disease has been associated with some cancers, heart disease, stroke, Alzheimer’s disease, diabetes, arthritis, preterm babies, and impotency. As research continues, more and more health problems are being correlated to this bacteria.
The saliva in the mouth is designed to move bacteria out. Twice daily brushing and flossing help. However, certain contributing factors complicate the ability to keep oral bacteria levels to manageable levels. These include:
• Colas/Sodas: Not only is the acidity level in these drinks harmful to tooth enamel, it can make oral tissue to dry out. Downing these beverages because you feel you are replenishing moisture is the last thing they do; refreshing they are not. Drink plain, filtered water instead. It’s much better for your mouth and hydrating to the entire body.
• Coffee/Tea: Like colas, these drinks contain acid added to caffeine. Even green tea often contains caffeine. Caffeine has a drying effect on oral tissues and therefore depletes the helpful rinsing benefits or saliva.
• Alcohol (including beer and wine): Mixed drinks, “shots,” wine and even beer are all drying to oral tissues. Add the acidity and sugar levels that exist in wine or mixers and these drinks pack a double-whammy to oral tissues. If you imbibe, alter your drink with a glass of water in-between to neutralize acids and wash sugars from the mouth.
• Smoking (cigarettes, cigars, vaping, cannabis): People who have smoked for years often have dry skin that has an aged appearance far beyond their actual years. The same is occurring inside the mouth. The smoke of cigarettes and cigars is laden with toxic chemicals; true for e-cigs as well. Vaping doesn’t keep your mouth much safer than cigarettes. Even marijuana has been found to have a negative impact on oral tissues.
• Aging: Through aging, our skin, cartilage, and tissues are less supple. Our bodies simply dry out more and more with each decade. Although there’s nothing we can do to halt the aging process, we can take measures to minimize the damage to our oral health. We recommend drinking plenty of water throughout the day, using an oral rinse designed to replenish moisture in the mouth, and limit sugar and caffeine.
As a periodontist, I also urge people to be familiar with the signs and symptoms of periodontal disease, which begins with gingivitis. In this early-stage of gum disease, the gums may feel tender and swollen in one area. You may notice some bleeding when brushing your teeth. Your breath may feel less-than-fresh more often. However, some people experience no symptoms at all at this early stage.
If not treated, gingivitis can progress to periodontal disease, where symptoms are more obvious. The gum tissues are sore and bleed easily when brushing. Your breath will be bad more frequently. The gum tissues may swell in some areas and turn red.
As gum disease advances, the gums can begin to pull away from their tight grip around the base of some teeth, exposing darker, more sensitive areas of the tooth’s root. The gums will ache often and pus pockets may form at the base of some teeth. The breath is foul, even after brushing. And, tooth brushing is very uncomfortable with blood in the sink each time.
Eventually, the disease will have penetrated the supportive bone and ligaments that support teeth. In advanced cases, the teeth will begin to move and some may require removal.
All of this devastation to the mouth can be avoided, however. When people respond to early signs of gum disease by seeing a periodontal specialist, they can avoid the time and expense required. In addition to preventing the loss of natural teeth,
Enjoy beautiful, relaxing views from our surgical suite.
research now shows that serious health problems far beyond the body can be avoided as well.
If you have delayed or avoided dental care, begin with a consultation to learn about your options to have a healthy smile that is worry-free. Regardless of your love of coffee, your smoking habit, or your age, we can develop a program that allows you to have good oral health.
Begin by calling 828-274-9440 to request a consultation, or begin with a thorough examination in our Asheville periodontal office. We offer the latest techniques, technology, and skills while always putting patient comfort at the top of the list!
Asheville Periodontic Specialty Office Offers Latest To Enhance Treatment Outcomes, Comfort.
Posted on May 13, 2019 by William J. Claiborne, DDS MS
As an Asheville NC periodontist, I know it is more than my specialized skills that keep us busy. Many dentists and other dental specialists refer patients to our office because they know each patient receives optimal care with a gentle, respectful touch.
Another thing we are known for is the state-of-the-art technology we use to save patients time while they achieve the very best results in minimal treatment time. Some of our advanced features available include:
LANAP Protocol Using PerioLase MVP-7 – An acronym for Laser-Assisted New Attachment Procedure, LANAP provides an advanced protocol to more efficiently and effectively treat periodontitis (advanced gum disease) with the PerioLase® MVP-7™ laser. This offers a minimally invasive (non-surgical) treatment alternative for patients with moderate to severe periodontal disease.LANAP treatment leaves very little discomfort and has a quick recovery time. It has also been found to stimulate bone regrowth in damaged areas.
Dental Radiology With 3-D Cone Beam Technology
– We rely on 3D imaging in diagnostic and treatment planning. This latest level of 3D imaging covers the whole dentition area, giving a clear view of the mandible and maxilla (upper and lower jaw) for intricate review for the diagnostic requirements of endodontics, periodontics, orthodontics, implantology, TMJ and prosthodontics as well as dental and maxillofacial surgery.
In addition to imaging, cone beam radiographs provide images in sagittal, axial, and coronal planes. This makes it possible to locate and trace the mandibular nerve canal for pre-surgical planning for an ideal implant position.
We also like that our patients are exposed to only minute levels of radiation through a process that is fast and comfortable.
CareStream Cone Beam Computer Tomography Imaging
– Our office features the Carestream 9300. This Cone Beam Computer Tomography provides dual modality panoramic and 3D imaging with exceptional detail and range. The CS 9300 can deliver 3D imaging at a significantly lower dose than 2D panoramic imaging. In fact, in a recent study, the CS 9300 and CS 9300 had up to an 85% lower radiation dose than traditional panoramic imaging.
CS 3600 intraoral scanner
– No longer do our patients have impressions made with bulky, goopy trays held in their mouths!
The CS 3600 Scanner is designed to quickly and comfortably scan areas inside our patient’s mouth. It acquires digital impressions accurately and easily, scanning a full or dual arch for the fabrication of digital models or appliances.
The CS 3600 provides a highly accurate digital impression using a small, handheld scanner. It can also reach difficult–to–access areas in the patient’s mouth for superior results with improved patient comfort.
Just some of the superior features of the CS 3600 Scanner include:
• Acquires digital impressions to design crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments and RPD;
• Has an Intelligent Matching System that prevents missing data in any area. Plus, it even sends a warning to indicate areas of the scan that lack detail;
• Has adaptive hole filling that automatically identifies holes and selects the appropriate anatomical color for optimal aesthetic outcomes;
• Enhances outcomes for restorations, orthodontics and implants; and,
• Displays precise, accurate HD 3D color images with vivid color and details for improved case review, analysis and communication between doctors, referrals and labs.
Simplant Dental Software for Computerized Dental Implant Placement
– This advanced software system allows for pre-surgical positioning of dental implants on the computer using a 3D model of the patient’s jaw. Once the implant type is selected, a surgical template is developed that ensures a precision fit. Simplant creates optimal implant treatment success, even for complex cases. It also simplifies the team treatment process so intricate aspects of the surgical process can be discussed prior to placement.
Intraoral Camera Technology –
This self-contained intraoral camera features full motion video with outstanding image quality from an internal camera that captures ideal angles and images with the click of a button. The images are sent to screen for a clear, crisp view so we can confer with patients on specific treatment issues.
Computer Imaging In Treatment Suites
– Treatment suites are equipped with computers for convenient image sharing with patients. This allows patients to have a more complete understanding of their individual needs through images that can be pulled up by our dental team, with the ability to enlarge certain areas to show specific details. Through this, patients have greater involvement in treatment decisions.
Advanced Sterilization – Our custom sterilization unit is designed to adhere to or exceed established Centers For Disease Control & Prevention (CDC) guidelines for instrument processing protocols. Intuitive colored lighting identifies the receiving and cleaning of instruments.
Fully-Equipped Surgical Suites – Relax during treatment (under sedation, if desired) while you are surrounded with the serene views surrounding our Asheville periodontal office.
So you see, we are committed to providing each patient with advanced skills, experience, comfort, and technology that provides the very best in periodontal and dental implant treatment available.
If you have experienced periodontal (gum) disease or are considering gum recontouring or tooth replacement with dental implants, being referred is not always needed. Call our friendly staff to discuss your needs: 828-274-9440.
Scared? Afraid? Simple Steps To Get Past Dental Fears.
Posted on Apr 30, 2019 by William J. Claiborne, DDS MS
If you’re one of those people who have no dread of going to see a dentist, be glad. For the large percentage of adults who do experience anxiety or fear associated with dental visits, they are actually in the majority.
In the U.S., an estimated 70 percent of adults have some level of dental fear, unfortunately. About 5-10 percent of them can be categorized as “dental phobics.” These individuals have such an intense fear of dental visits that the mere thoughts of walking into an office causes reactions such as sweating or more rapid breathing.
As a periodontist, I’m a frequent witness to just how severe dental fears can be. Some people cry, some keep a white-knuckled grip on the arms of a dental chair (once they finally talk themselves into one), and some ask to be put to sleep for things as minor as dental cleanings.
The periodontal specialty provides patients with a dental professional who has advanced training in the diagnosis and treatment of gum disease. It also covers the diagnosis and placement of dental implants, which are the “ideal” tooth replacement. In this field, I’ve seen the repercussions of both due to dental fear.
By not receiving regular dental cleanings and exams, the risks for developing gum disease rise significantly. And, since gum disease is the leading cause of adult tooth loss, it plays a key role in one’s potential to lose natural teeth.
Dental fear leads to a vicious cycle of poor oral health and tooth loss. When people are too afraid to see a dentist for regular care and fail to have small problems repaired while treatment needs (and costs) are still minimal, the process is ongoing. As gum health declines, the risks for tooth loss increases.
No one wants to end up in dentures. While TV commercials for denture adhesives or same-day denture clinics try to come across as upbeat, life wearing a denture is anything but. Long-time denture wearers struggle to bite, chew, and even speak without worrisome, uncomfortable slips or rubbing against tender gum tissues.
Too, the uncertainty of a denture can make some people uneasy when dining out or in other social settings. It’s not unusual for denture wearers to decline invitations when food is a key centerpiece of the gathering. This is sad. It is also detrimental to one’s health. Social involvement is an important part of our overall well-being.
If you are among those who avoid dental care because of uncontrollable jitters or downright “scared” feelings, below are several steps you may wish to consider to help you move past them:
• Begin by writing down what you believe caused your fears in the first place. Was it a painful procedure? Was it a rough dentist who ignored your obvious discomfort? If you know what sparked your fear in the first place and can look-it-in-the-eye in actual words, you can begin to deal with them. This may help you bring them out of the shadows and into the light where you can begin to conquer them.
• Close your eyes and imagine your life with a healthy smile — one that makes you feel good about being close to others. Imagine conversations having fresh breath and smiling with confidence. Imagine getting compliments on your smile! Think about how you may interact more confidently with others with a smile you’re proud to share.
• If you haven’t seen a dentist on a regular basis, you may need to begin with a periodontal examination. You can do an internet search (Periodontist) in your area and get to know them through their web sites. Read the doctor’s bio and become familiar with what he or she offers in terms of technology and comfort options. When a periodontist keeps current on the techniques and technology surrounding this specialty, patient comfort is typically a leading factor among these features.
• Visit the periodontist’s office after hours. Yes, go there when they are closed so you’ll feel less intimated. Sit in the parking lot and imagine where you’d park for your visit, once scheduled. Walk up to the entrance and become familiar with the look of the entryway. This way, when your appointment is made, you’ll feel more comfortable making your way in the door.
• Call the office and be comfortable sharing your concerns. Don’t feel shy about saying, “I have a lot of dental fear and would like to begin by meeting the doctor.” Most offices have these conversations with new callers more often than you realize. As mentioned prior, dental fear and anxiety are fairly common. Most offices offer an initial consultation so you can get to know the doctor before scheduling an exam. Ask about where this consult will be held. The periodontist should have a private room available for this, where it is not part of the clinical side of the practice.
• The day of your appointment, call the office and ask about anticipated waiting time for your appointment. Most offices run on-time and your wait should be less than 15 minutes. However, unforeseen emergencies do arise that may disrupt an on-time schedule. If delayed, consider rescheduling. Having a lengthy wait time may add to your anxiety and it may be best to arrange another visit.
• When you go, take a book, newspaper, or favorite magazine for your wait time. Don’t assume that the periodontist has a selection you’ll be interested in. Some people like to work a crossword or ‘Jumble’ during their brief wait here.
• When meeting the doctor or staff, know that it is important to be straight-forward about your fear level. Don’t gloss over it. Being upfront will help the doctor tailor your care to address your fears or concerns at an appropriate level.
• Ask the doctor about comfort options, including sedation. Both oral and IV sedation (twilight sleep) should be available. Feel free to ask questions about how they are administered, recovery time, and safety monitoring measures. Your safety is as important as your comfort.
• Finally, listen to your gut. Did you feel the doctor truly ‘heard’ your concerns? Did you feel the staff was attentive? Did you feel confident in the appearance of the practice? Sometimes, the most important measure of comfort is what that “little voice” inside is telling us. If you don’t feel good about moving forward, consider a consult at another periodontal office. You should leave your consult feeling positive about moving forward.
One of the most satisfying parts of my specialty is watching a once-fearful patient transform into one with a healthy, confident smile! And, the foundation of that is a relationship of trust between the doctor and the patient.
If you are ready to get past your dental fears so you can have the smile you desire, begin by calling our Asheville periodontal office and speaking with our friendly staff at: 828-274-9440. Or, start with the steps listed above and move at a pace that feels best for you.