“Futuristic” Technology Surrounds Patient Care
Posted on Jul 30, 2020 by William J. Claiborne, DDS MS
Many adults are unfamiliar with the specialized skills of a periodontist – until they need one.
At Biltmore Periodontics in Asheville, most patients are referred by their general dentist or other dental specialist. However, a professional referral is not required. We accept patients from the recommendations of other patients as well as those who find us through internet searches, etc.
To clarify what we are and what we offer, a periodontist is a dentist who extends his or her education and skills further (typically 3 years past completing dental school) to specialize in the prevention, diagnosis, and treatment of periodontal disease and other gum conditions.
Additionally, a periodontal specialist has advanced skills in the diagnosis and placement of dental implants. A periodontal specialist is also trained in performing esthetic procedures that involve gum tissues, such as crown lengthening and correcting a “gummy smile”.
A periodontist’s office may have a similar look and feel of your general dentist’s office. However, the advanced skills and techniques are typically supported by advanced technology. Some offices, as ours (serving Western North Carolina) provide a rather “futuristic” array of technology to enhance treatment outcomes, save the patient time in treatment, speed healing time, and optimize comfort throughout care.
Periodontists are able treat complex periodontal cases of severe gum disease or caring for patients who have complex medical histories or health issues. They offer a wide range of treatments using a range of surgical or non-surgical procedures.
A periodontal office is also attuned to caring for high-fear patients. Periodontists understand that many people who develop periodontal (gum) disease do so because they were too afraid of dental treatment to see a dentist on a regular basis. Without a solid combination of thorough at-home oral hygiene and regular dental check-ups and cleanings, the potential to develop gum disease greatly increases.
In a recent report by the Centers for Disease Control & Prevention (CDC) on data related to prevalence of periodontitis in the U.S.: 47.2 percent of adults 30 years and older have some form of periodontal disease. Periodontal disease rates increase with age, affecting 70.1 percent for adults 65 years and older.
One study, published by StudyFinds.org, shares recent findings of 2,000 adults in the U.S. regarding dental visits. Results show a whopping 62 percent of those surveyed stating they were too afraid to even visit a dentist’s office. (https://www.studyfinds.org/adults-too-scared-visit-dentist-teeth/)
Surprisingly, the age group most likely to avoid dental care because of fear were millennials (currently ages 22 – 38). With past decades of advancements in comfort and greater sensitivity surrounding anxiety and fear in the dental office (versus what older generations often experienced), their higher levels of avoidance due to fear was unexpected, but clearly significant.
In our Asheville periodontal dental office, we provide special measures to ensure the safety and comfort of all patients – for every appointment. For many patients, Dr. Claiborne and Dr. Boyland offer Oral and I.V. Sedation. Sometimes referred to as “twilight sleep,” I.V. Sedation allows patients to be totally relaxed before, during and after treatment with little or no memory of the procedure.
Our periodontists also offer Oral Sedation in pill form to give a high level of relaxation, which typically has an amnesiac effect on patients. Throughout any type of sedation, patients are closely monitored by trained professionals and advanced safety equipment.
When it comes to technology, however, Biltmore Periodontics prides itself on some of the most advanced features available in the Southeast. These 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 a laser. This offers a minimally invasive (non-surgical) treatment alternative for patients with moderate to severe periodontal disease in as little as one session. It is safe for people with conditions such as diabetes, heart disease, and hemophilia. LANAP treatment leaves very little discomfort and has a quick recovery time.
LANAP technology is also able to stimulate bone regrowth in damaged areas. It can regrow periodontal ligament, alveolar bone (the bony ridge that supports the upper teeth), and regrow the bony film that adheres teeth to the jaw.
• Dental Radiology With 3-D Cone Beam Technology
– Using 3D imaging for diagnostic and treatment planning, the entire dentition area provides clear, detailed views of the mandible and maxilla (upper and lower jaw) for precision diagnosis in endodontics (tooth roots), periodontics, orthodontics, dental implants, temporomandibular joints (TMJ) and prosthodontics as well as dental and maxillofacial surgery.
In addition, cone beam images can locate and trace the mandibular nerve canal, which optimizes pre-surgical planning of dental implant positioning.
Radiation levels are at minute levels and the imaging process is quick and comfortable.
• CareStream Cone Beam Computer Tomography Imaging
– This technology provides panoramic and 3D imaging with exceptional detail and range at significantly lower radiation – up to an 85 percent lower dose than traditional panoramic imaging.
• CS 3600 intraoral scanner
– Unlike impressions made with bulky, goopy trays held in a patient’s mouth, this modern scanner quickly and comfortably scans the mouth’s interior to provide digital impressions accurately. The device is a small, handheld scanner and ideal for impressions to design crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments and RPD. Its accurate HD 3D color images give precision 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.
This extensive array of technology is in keeping with our commitment to provide each patient with advanced skills, experience and comfort to provide the very best in periodontal and dental implant treatment. Added to this is the truly talented, committed staff who tend to our patients in a warm, compassionate and respectful manner.
Overcoming gum disease can help patients to save natural teeth. This means the trauma of tooth loss and decisions for replacement can be avoided.
If you suffer with symptoms of gum disease (tender gums that bleed when brushing, persistent bad breath, or gums that have turned red in color), the condition will only worsen without treatment. Call our friendly staff to discuss your needs: 828-274-9440.
Afraid Of The Dentist? Let’s Help You Get Past That For A Healthy Smile!
Posted on Jul 22, 2020 by William J. Claiborne, DDS MS
By some estimates, having a fear of dental visits affects over 70 percent of American adults. When people are afraid of going to the dentist, many often do not receive the regular care necessary to maintain a healthy smile.
As an Asheville Periodontist, I find that the origin of many who develop periodontal (gum) disease is from fear associated with dental visits. It is not unusual for a fearful dental patient to avoid going to the dentist for years, only ‘giving in’ when something becomes so painful they can no longer delay treatment.
We know that when it comes to dental fear, different people have different levels. Some patients are very relaxed in our office from the moment they walk in and throughout treatment. Others are fine until they are seated in the treatment chair. Still, others are anxious throughout their visit.
A study published by the Dental Research Journal revealed nearly 59 percent of 473 adult participants had 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.
Unfortunately, a traumatic experience in a dental chair with a too-rough dentist tends to remain in the subconscious forever. Many fears are the result of a frightful experience as a child, feeling helpless and afraid. Such an experience tends to make an indelible mark on the subconscious and resurface whenever a dentist or dental office comes to mind.
If you experience these feelings associated with dental visits, there is nothing ‘wrong’ with you. However, delays in care can allow small problems to become more complex, requiring more involved treatment.
Many high-fear patients only force themselves into a dental chair when they are in such pain that they have no choice. It is far easier for adults to find a way to have regular exams and cleanings to prevent emergency needs. This begins by finding the right dental office.
Until then, regular dental check-ups are something that can’t be duplicated at home. Even a thorough, daily brushing and flossing routine misses bacteria on occasion. Within the course of just 48 hours, oral bacteria can form a cement-hard colony attached to tooth surfaces. This accumulation of bacteria eats away at tooth enamel and gum tissues.
As oral bacteria consume gum tissues, inflammation begins. This is gingivitis, the initial stage of gum disease. In this, the gums are tender and occasionally bleed when brushing. As gingivitis progresses to periodontal disease, symptoms include persistent bad breath and gums that turn red versus a healthy pink color. Gum tissues may begin to recede, exposing sensitive areas of tooth roots.
Eventually, the infectious bacteria will attack further beneath the gum line. This inflammation leads to damage to the bone structures that support tooth roots. Pus pockets may form on gums and teeth may loosen. To no surprise, periodontal disease is the nation’s leading cause of adult tooth loss.
This infectious bacteria doesn’t just remain in the mouth. Through tears in weakened gum tissues, it can enter the bloodstream. It’s presence can trigger inflammatory reactions that have been linked to heart disease, stroke, some cancers, preterm babies, arthritis, diabetes, erectile dysfunction (ED), and impotency. Some studies are showing a correlation to Alzheimer’s disease.
What we often find with high-fear patients is their assumption that good at-home care can take the place of their regular care visits. However, even a diligent home-care routine leaves them susceptible to oral bacteria. A number of factors heighten vulnerability to bacterial accumulation, including dry mouth and diet.
Dry mouth occurs due to a wide range of factors. Some medications have a drying affect on the mouth. Certain foods and beverages contribute to dry mouth, especially those containing caffeine and alcohol. Smoking is very drying to oral tissues. And, the aging process leaves us with drier mouths.
Eating sugary foods and many carbohydrates are just as detrimental to oral health. Many Americans snack during the day, often on chips, crackers and candy bars – which are then washed down with sugary sodas. All this converts into a sugar based super-food in the mouth that provides oral bacteria with sustenance that super charges their reproduction.
How does a fearful adult overcome the problem so they can have the dental care they need?
In our office, patient comfort is a priority at every visit. We have even designed our reception area to pamper you from the moment you enter. Patients in this area can enjoy a selection of gourmet coffees, cable television and WIFI connection. The seating is comfortable and our front office staff are attentive to your needs.
We offer a private consultation room for patients as well. In this room, we can discuss treatment and answer questions in a comfortable setting. This allows patients to become better informed about their treatment needs and options versus communicating while they are seated in a treatment chair.
Our surgical suite offers a rather unique setting for a periodontal office. A large window provides beautiful mountain views, very soothing to our patients. In addition, we offer oral sedation as well as I.V. sedation (twilight sleep) for most procedures, if desired.
Oral sedation is a pill that helps patients relax. It also has an amnesiac effect, leaving most with little or no memory of treatment afterward. I.V. sedation places the patient in a deeper sedative state, also erasing memory of the procedure. It is administered by a doctor of anesthesiology for optimal comfort and safety. With both, patients are monitored with advanced safety equipment throughout treatment.
Our patients also find our entire staff is a unified team who reflect sincere compassion and commitment to exceptional, comfortable care. While the doctors involved in your care are all top-notch, I must admit that our staff are the pros at making our patients feel truly pampered.
When patients realize that our goal is to provide exceptional care and comfort, most relax. This creates a sense of trust that causes many to no longer perceive dental care as dreaded, frightening events. Once the obstacle of fear is replaced with feelings of trust, the process to achieve a healthy, confident smile becomes a much easier one.
If you or someone you know has fear that has prevented dental care, the possibility of gum disease is pretty high. We suggest beginning with a consultation appointment, which occurs in our private consultation room. This is removed from the clinical area and provides a relaxed setting where patients can share their unique needs and concerns.
Call 828-274-9440 to schedule or learn more. I’m sure you’ll find our friendly telephone staff is welcoming and reassuring from the very first conversation.
Pregnancy & Your Gum Health
Posted on Jul 09, 2020 by William J. Claiborne, DDS MS
Today’s American female has a long list of guidelines that enhance the potential to have a healthy, full-term baby. Even so, pre-term births in this country occur at a rather high rate for the advanced health care available to most.
According to data released in 2017 by the National Center for Health Statistics (NCHS), the U.S. preterm birth rate actually rose from 2015 -2016, from 9.6 percent of births to 9.8 percent.
There seems to be a rather close connection between gum disease and preterm babies, as unrelated as the two may seem. First, consider the risks cited by the Centers for Disease Control & Prevention (CDC). As far back as the year 2000, the Surgeon General warned that pregnant females who had gum disease had a far greater risk of a pre-term, low birth weight baby.
Research has shown that gum disease increases the risk for pre-term delivery (prior to 37 weeks) and low birth weight babies (less than 5.5 lbs.).
“Studies have found that expectant mothers with periodontal disease are up to seven times more likely to deliver premature, low birth weight babies.” (https://www.adha.org/resources-docs/7228_Oral_Health_Total.pdf)
One study showed the preterm birth rate for pregnant women with moderate to severe periodontal disease to be nearly 29%.
Estimates are that over half of pregnant women have some form of gingivitis (gum inflammation, an early stage of gum disease) or periodontitis (infectious, advanced gum disease). Nearly a third of pregnant females will acquire gum disease because of their higher vulnerability to inflammation.
Infections in the mother have been identified as increasing the risk for pregnancy complications. Due to varying hormone levels, nearly all females will develop gingivitis during their pregnancy.
Referred to as pregnancy gingivitis, symptoms include swollen, tender gums that bleed easily when brushing. The goal is to halt the inflammation before it progresses to a more infectious stage.
Most obstetricians now urge their pregnant patients (or those trying to conceive) to have a thorough periodontal examination. Even with no obvious signs, gum disease can still exist. It lies beneath the surface of the gum tissues and should be resolved before it worsens and is able to seep into the bloodstream.
Symptoms of gum disease include gums that bleed when brushing, swollen or tender gums, receded gums or gums that darken in color.
When periodontal disease is present, successful treatment has shown to lower the risk of preterm births. A periodontal specialist is trained to treat all levels of disease in a way that is safe for pregnant women (as well as all patients).
Pregnancy is not the sole risk factor for developing gum disease, of course. Most adults of both genders have at least one factor that heightens susceptibility to this oral infection. Among these are stress, poor diet with high sugar intake, smoking, obesity, age, and poor dental hygiene can all contribute to an increased potential for developing periodontal disease.
Other risk factors include clinching or grinding teeth, predisposition due to genetics, diseases such as diabetes or cancer, some medications, and changes in female estrogen levels (puberty, pregnancy, menopause).
Gum disease bacteria is obviously a potent threat to any individual. As the nation’s leading cause of adult tooth loss, oral bacteria of this disease have been linked to heart disease, stroke, some cancers, diabetes, arthritis, high blood pressure and impotency.
If you have symptoms associated with gum disease, schedule an appointment at your earliest convenience by calling 828-274-9440. Gum disease will only worsen without treatment.
Missing Teeth Can Lead To Facial Bone Loss
Posted on Jun 09, 2020 by William J. Claiborne, DDS MS
For people who need to replace missing teeth, they are seeking the restoration of their smile’s appearance and the ability to eat. Some look into dentures or partials. Yet, when people are initially fitted for these dental prosthetics, there is often no warning of what is to come.
There are many reasons why dentures don’t have a great reputation. Most individuals have heard many of the common complaints that come with them. These include movement when biting or chewing, sore spots on tender gum tissues, drooling, uneasiness when speaking or eating during social settings, and having to remove them at bedtime.
Dentures have been around for many centuries, even before Christ (B.C. years). Although a famous trait of George Washington was his ‘wooden teeth,’ dentures have been significantly improved over the years. (By the way, according to Mount Vernon Museum, Washington had dentures made of materials such as ivory, gold and lead, but not wood. (Mt. Vernon Museum)
A denture’s “false teeth” are supported by a gum-colored base. The base that holds these artificial teeth is often made out of a resin or a more flexible polymer material. This is designed to fit the unique shape of the ‘arch’ where tooth roots were once held. This arch is actually the protruding portion of upper or lower jaw bone, covered over by gum tissues.
Replacement teeth are commonly made of the same resin or polymer as the base, colored and shape to mimic teeth. However, this material can easily chip or crack if dropped. The material also wears down, requiring replacement every 5-7 years, as recommended by the American Dental Association (ADA). This is because the denture’s fit changes year after year.
Let’s go back to before you lost your teeth for a moment. When natural teeth are present, the jaw bones that support their roots are nourished and nurtured. After tooth roots are removed from the bone, the jaw bones begin to shrink. This causes the arch to flatten out, which causes dentures to slip and move, especially when eating.
As the arch (or “ridge”) loses height, the fit becomes less and less secure. More-frequent applications of denture adhesives or pastes are needed. Relines can be done to re-contour the denture’s base to conform to the individual’s declining arch. However, the declining arch height will continue, requiring periodic relines and, eventually, a new denture. And more relines, and so on and so on.
To add to the frustrations of the denture’s fit, food choices typically change to softer foods that dissolve quickly in the mouth. Laughter becomes overshadowed with concern over embarrassing slips. Social invitations aren’t as readily accepted.
Changes in facial appearance also take place when bone structures shrink. For example, as the jaw bone thins, deep wrinkles form around the mouth. The corners of the mouth will start to turn down, even in a smile. Jowls form on each side of the face as facial muscles detach from the shrinking bone structure.
As the jaw bone declines further, the chin becomes more pointed and the nose seems to get closer to it. This leads to a collapsed mouth that is known as a “granny look.” This look ages the appearance of an individual far beyond their actual years.
As an Asheville periodontist, my dental specialty includes the diagnosis and placement of dental implants. Dental implants are the closest thing to natural teeth.
Among the benefits of dental implants, they provide stimulation to the jaw bone. This helps to halt the process of bone loss. For those who have already lost a great deal of bone, bone rebuilding procedures can be performed to restore a healthy, more youthful facial shape.
Dental implants restore the ability to bite and chew comfortably and without worry. Because implants are placed in the jaw bone, they provide the same dependable foundation as that once enjoyed with natural teeth.
Keep in mind that most implant types today are non-removable. You’ll be able to brush your teeth in your mouth again, laugh with friends, and eat the foods you love – without worry.
Dental implants are also designed to last a lifetime. They can last as long as you do! With the help of dental implants, the shape of your face and the strength of your jaw bone can be preserved long after tooth loss.
Call 828-274-9440 to schedule a consultation to discuss dental implants.