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.
Get The Most For Your Investment When Replacing Teeth.
Posted on Jun 12, 2019 by William J. Claiborne, DDS MS
Losing a natural tooth is a big deal. Its loss not only leaves a gap in the appearance of a smile, its absence can lead to movement of surrounding teeth.
Without all teeth in their proper positions, an open area can cause others to tilt and turn. Additionally, the one above or below will grow longer without having its ‘roommate.’ These issues can lead to broken, fractured, or chipped teeth.
Replacing a tooth involves decisions, and costs. While there are ‘cheap’ ways to replace a tooth, the ideal method – a dental implant – offers lifetime replacement that actually enhances the well-being and lifespan of surrounding teeth.
In dental implant treatment, the ‘implanted’ portion is positioned into the jaw bone as a tooth root replacement. This provides the teeth attached the same foundation as natural tooth roots have. A partial or bridge simply sits on top of gum tissues and relies on adjacent teeth for support.
When a tooth must serve as a support for ‘prosthetic’ teeth, its key role becomes greater. With the added pressure and stress to the natural tooth, there are also more risks to its structure on its own.
Because of the ability to restore the presence of natural teeth to such a great extent, dental implants are the preferred choice for replacement. Although the costs seem greater, over time, the benefits far outweigh the expense. This is why more and more adults are choosing implants to replace one, several, or all missing teeth.
However, there are many factors that can come into play when going forward with a dental implant. Your choice of doctor to place the implanted portion can greatly increase your potential to enjoy your dental implant for a lifetime.
As a Periodontist, my specialty encompasses treatment of all levels of gum disease, the re-contouring of gum tissues, and advanced training in the diagnosis and placement of dental implants. This includes the proper selection of the implant type best for each patient’s needs as well as placement at correct depths and angles.
The most troubling thing I see in implant dentistry is when a patient opted for a “good deal” with a less-experienced doctor, and having to remove a ‘failed’ implant.
Along with an intricate knowledge of the specific type of implant needed, proper placement angles and depth have much to do with the overall success of the implant. For optimal results, the doctor placing the implant should be skilled in the selection of the implant angles and positioning depths.
For example, an implant placed in the upper jaw in too-shallow bone can work its way into the sinus cavity. A lower implant in insufficient bone depth can reach a nerve that runs horizontally through the lower jaw (the mandible).
Additionally, the shape, size and the number of teeth to be attached to an implant have much to do with the type of implant system selected. When the placement doctor is only familiar with one or two types, disasters can occur.
In our Asheville periodontal office, we enjoy restoring the health and appearance of smiles. We also help patients who once struggled with dentures or partials to resume eating the foods they love again and laugh confidently in social gatherings.
The doctor is not the sole factor in success, however, Along with proper selection and placement, a patient must take measures to ensure proper oral hygiene at home. Oral bacteria can contribute to an infection that works its way into the bone surrounding the implant. In some cases, the only way to resolve the infection is to remove the implant.
When a patient entrusts their implant treatment to a skilled doctor and adheres to hygiene and healing guidelines, having an implant fail is very unlikely. The success rate of today’s implant dentistry is excellent – over 97 percent.
If you are considering dental implants, increase your potential for a successful outcome by asking a Periodontist to join your dentist in team treatment. Most general dentists have close relationships with periodontal specialists for implant placement and in treating gum disease.
Feel free to discuss your specific needs and desires before you make your decision. Call (828) 274-9440 to schedule a consultation.
For Dental Implants, Begin With A Specialist For Optimal Results.
Posted on Apr 10, 2019 by William J. Claiborne, DDS MS
If you are considering dental implants to replace teeth or an appliance (dentures or partials), having your treatment BEGIN WITH a Periodontist offers many advantages to achieving a successful, overall result.
A periodontist is a dentist who specializes in the he placement of dental implants as well as the prevention, diagnosis, and treatment of periodontal disease. Periodontists are experts in the treatment of oral inflammation of the gum tissues, which make up much of the foundation for an implant.
A periodontist is familiar with the latest techniques for diagnosing and treating periodontal disease and trained in performing cosmetic periodontal procedures. To specialize in periodontology, he or she must undergo an additional 11 years, on average, to complete the educational, clinical and specialty requirements after high school.
Essentially, a periodontist becomes a dentist and continues on in education and training to further expand his or her realm of knowledge and skills. While some general dentists offer dental implant diagnosis and placement in their dental office, having a specially-trained periodontist can help you enjoy an optimal outcome based on a unique understanding of the supporting gums, bones, and appropriate implant types and placement.
For example, a dentist who offers dental implant services may actually have completed a brief weekend course hosted by a particular implant system company. The dentist, while ‘taught’ to place the particular implant type, is essentially instructed in what the hosting company teaches as far as diagnosis and placement of their system alone.
Yet, every mouth is different. An implant designed by one company may not be appropriate for the number of implants you actually need, nor the bone structures you have, or the number of teeth being supported. There are a number of factors that must be taken into consideration for a successful result.
A periodontist uses specialized training that covers all types of implant systems to carefully select the type of implant that is most appropriate for unique needs. From this, a treatment plan will be developed for the number of implants needed and ideal positioning in regards to existing bone structures and surrounding gum tissues.
If finding the “cheapest” price for your implant is the priority in your decision, the involvement of a periodontist will probably not be less expensive than what you’ll find advertised online. You’ll find bargains that sound too good to be true (which often are).
However, your choice in dental implant treatment should factor in the risks of failure. Some people are unaware that dental implants can “fail.” While insufficient at-home care can be a contributing factor to the need for implant removal, an implant that is placed at an improper depth and angle, or one that is too big or small to support the attached restorations (replacement teeth) is also a cause.
As a Periodontist in Asheville, I’ve had to remove a number of implants that were poorly selected or placed over the years. I feel badly for these patients, knowing they have to go through the entire process again, and make the investment all over again. In our practice, we take every step to “do it right the first time” so implant selection and placement is the very best for each patient.
At Biltmore Periodontics, we offer oral sedation for added relaxation. We also have a Board Certified Anesthesiologist on our team. Dr. Brad Stone is a medical doctor providing sedation and anesthesia for optimal comfort and relaxation. Here, our patients know us for making comfort and safety high priorities. (https://www.biltmoreperiodontics.com/comprehensive-care-team/) IV sedation provides patients with a “twilight sleep” state with a quick recovery. Too, it typically erases all memory of the procedure afterwards.
It may be tempting to consider a “cheap” dental implant offer or a “one-stop clinic” for your treatment. However, your overall comfort and long-term success should be the guiding force in your decisions in tooth replacement.
Begin with a consultation appointment. Call 828-274-9440. During this time, we can discuss the implant type that may work best for you and the process involved. We will also be happy to address anticipated fees and payment options, if desired.
Dental implants, when properly chosen, placed, and cared for, are designed to last your lifetime. In the proper hands, your new smile will be an everyday joy, every day of your life!
How Our Asheville Periodontal Dental Office Makes Your Care Comfortable, Easy.
Posted on Jan 20, 2019 by William J. Claiborne, DDS MS
When people understand what a periodontist does, they realize the advantages of having this specialized treatment when it comes to the health and appearance of a smile.
A Periodontist has advanced training and skills in all stages of periodontal (gum) disease as well as in the re-contouring gum tissues. Additionally, they offer unique skills in the diagnosis and placement of all types of dental implants. (Learn more at the web site of the American Academy of Periodontology: http://perio.org/consumer/what-is-a-periodontist)
However, in any dental office, whether specialty or general, there must be a commitment to the individual needs of each patient.
In our Asheville office, this is where people who have periodontal (gum) disease properly diagnosed and successfully treated. This begins with early-stage gingivitis and through the advanced level of periodontitis. And, our advanced technology optimizes diagnosis and treatment, enhancing comfort and saving treatment time.
Research has shown that your oral health is a vital component of overall health. Studies continually uncover intricate interactions that oral bacteria of advanced periodontal disease has with other processes in the body.
For example, that the health of your gums and number of teeth directly correspond to a healthier you. Don’t delay care that you need, even if fear has prevented this in the past. For example, an article published by Johns Hopkins Medicine stated, “Diabetes that is not properly controlled can lead to periodontal (gum) diseases in both young and old people.”
There is a flip side of this. They go on to share, “… if diabetes is poorly controlled, higher glucose levels in the mouth fluids will encourage the growth of bacteria that can cause gum disease.” (https://www.hopkinsmedicine.org/healthlibrary/conditions/diabetes/diabetes_and_periodontal_gum_disease_85,P00349)
An unfortunate obstacle for many to receive regular dental care, however, has been fear or anxiety associated with dental visits.
According to findings of a study that included over 18,000 people (reported in Dental Products Report), “61 percent of the respondents said they’re suffering from dental fear, and almost 4 percent of them said they’ve never been to a dentist. The biggest percentage of people (39 percent) are afraid of the pain, followed by the smell of chemicals (24 percent) and the sound of the drill (21 percent).”
This is why adults often end up with gum disease and tooth loss. As a matter of fact, the Centers For Disease Control & Prevention (CDC) estimates that over 47 percent of American adults have some level of gum disease, which is the leading cause of adult tooth loss.
To help anxious or fearful patients relax, we make sure we are communicating thoroughly. Our belief is that patients who are fully informed of their needs and the procedures required are more confident in proceeding with treatment. This, in turn, creates a patient who is able to relax and let fears go.
Some patients are unable to relax, however. This is why our office provides Oral or I.V. Sedation. Oral sedation is a pill form of relaxation. Although most patients have little or no memory of the procedure afterwards, this provides deep relaxation with a quick recovery.
I.V. sedation (also known as ‘twilight sleep’) for a deeper level of relaxation. This medication is administered via a drip. Patients comfortably doze throughout their procedures are accomplished and generally have no memory of treatment afterwards. Although recovery time is longer with IV sedation, most are able to resume normally within 24 hours.
Regardless of the sedation chosen, patients are closely monitored by trained staff and advanced safety equipment. Your safety is as important to us as your comfort, so we ensure all measures are taken to provide both to optimal levels.
Sedation can be used for procedures involving gum reshaping, treatment of gum disease, or placement of dental implants. For any procedure, however, we carefully assess each patient’s current gum health, age, medical and dental history, medications, and number of remaining teeth.
Please know that your procedure, comfort option, and individual needs are important to every member on our team. Here, you’ll be respected, given exceptional care, and never over-treated or under-treated.
To begin, call 828-274-9440 to begin with a consultation appointment. During this time, we can discuss the options that may work best for your needs. I’ll explain comfort options and we can have our financial coordinator review payment options with you, if desired.