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3 At-Home Tips To Lower Risk of Tooth Loss, Gum Disease
Posted on Jun 02, 2023 by William J. Claiborne, DDS MS
Gum disease is the nation’s leading cause of adult tooth loss and one of the most prominent diseases in the U.S., with over 47% of adults having some level.
Yet, this disease is far more devastating than many realize. When oral bacteria build to a point beyond the ability of the immune system to manage, inflammation sets in. This inflammation continues to build as the oral bacteria become infectious.
Oral bacteria is the cause of cavities, gum disease, and a long list of health problems as many years of research has shown. Oral bacteria can become bloodborne through tears in diseased gum tissues, allowing it to travel throughout the body. This can trigger inflammatory reactions that have serious consequences far beyond the mouth.
Because the initial symptoms of periodontal (gum) disease are silent, the early stages of the disease can be perplexing since patients don’t feel anything is wrong. However, like most diseases that form in our bodies, we don’t feel or see anything when they first begin. This allows the disease to progress without our knowledge.
Unfortunately, people tend to delay treatment until the symptoms of periodontal disease are obvious and uncomfortable. These include tender and swollen gums that bleed easily when brushing, consistent bad breath, and gums that are red in color rather than a healthy pink. As gum disease progresses, pus pockets form around teeth as bacterial accumulate. Eventually, teeth will loosen and need to be removed.
Although gum disease can begin without any obvious symptoms, once it exists, progression occurs in three stages (without treatment).
• Gingivitis – As the initial stage of gum disease, inflammation is triggered by plaque buildup at the gum line. When daily brushing and flossing fail to thoroughly remove plaque, toxins form that cause irritation to the gum tissues. Once signs emerge, they may include seeing blood in the sink when brushing or having sore, swollen gums. At this stage, however, damage may be reversed with prompt response.
• Periodontitis (gum disease) – As the disease progresses, the bone structures and fibers that support teeth are damaged by the destruction of infectious oral bacteria. At this stage, inflamed gums form pockets below the gum line, filling with bacteria-laden plaque.
• Advanced Periodontitis – In the advanced stage of gum disease, fibers and bone supporting natural teeth are destroyed. This can cause teeth to shift or loosen, requiring aggressive treatment to prevent tooth loss. Eventually, some teeth may require removal.
As devastating as tooth loss can be to one’s overall health, the bacteria of gum disease can enter the bloodstream. Research has shown this infectious bacteria can trigger inflammatory reactions elsewhere in the body, correlating to heart disease, stroke, high blood pressure, some cancers, diabetes, arthritis, impotency, preterm babies and more.
Obviously, it is important that people are diligent in the care of their oral health. Yet, statistics in America along these lines are not impressive. The Center for Disease Control’s Division of Oral Health cites that 1 out of every 2 American adults 30 and over has periodontal disease. They also shared that periodontal disease is higher in men than women (56.4% vs. 38.4%) with high prevalence rates among smokers (64.2%) and adults 65+ (70.1%).
As a proponent of dental implants to replace lost teeth, I must acknowledge that there is no perfect replacement for natural teeth. Natural teeth provide a stable, dependable means to chew and enjoy food while their tooth roots keep the jaw bones that support them nurtured and stimulated.
In addition to restoring chewing strength and stability, the dental field is a proponent of dental implants largely because of their ability to halt bone loss. Referred to as ‘resorption,’ this is the shrinking of bone mass, which occurs when tooth roots are no longer present in the jaw bone.
Once resorption begins, it continues at an ever-increasing rate with each year. For those who wear a denture or partial, the pressure an appliance places on the bone ridge accelerates it further. Sleeping in an appliance puts pressure on the ridge 24/7, speeding up the rate of bone loss even more.
Resorption can even be seen; it ages one’s appearance far beyond their actual years. As the jaw bone thins, deep wrinkles form around the mouth. Over time, the mouth appears to have sunk into the face. Jowls form and the chin becomes more pointed (creating a ‘granny look’).
Throughout all this, a denture or partial easily slips, requiring more frequent applications of adhesives or pastes. Relines may help for a time, but each reline will only help for a temporary time as the bone continues to decline in height.
Because dental implants are positioned in the jaw bone, they recreate stimulation, which helps them maintain healthy bone mass. They provide dependable, comfortable chewing and speaking ability. And, best of all, they’re designed to last a lifetime.
However, the goal is to avoid the devastation of gum disease. And, this begins at home. While your involvement with your general dentist is very important (with check-ups and cleanings every six months), daily care is a necessary part of having a healthy mouth, lowering disease risks, and keeping your natural teeth (or halting the pace of further tooth loss).
How can you improve your at-home care? There are several ways you can up your game with a few simple add-on’s…
Findings of an 11 year study published in the Journal of Clinical Periodontology tracked the oral health of over 2800 adults. Their use of ELECTRIC TOOTHBRUSHES was monitored to watch for periodontal disease, cavities, and the number of natural teeth.
Participants were examined in 2002 – 2006, with 18% being electric toothbrush users. Follow ups were conducted after 6 and 11 years. At the time of their 11 year follow up, 37 had converted to using electric toothbrushes.
The study showed electric brushing promoted better gum health and slower progression of gum disease. Electric tooth brushing also related to a reduction in tooth loss by 20% (compared to those who brush with manual toothbrushes).
Although manual tooth brushing can be just as effective, it must be done in a proper manner. For manual brushers, some manual brushes can actually be destructive used incorrectly.
For instance, a hard bristle tooth brush can wear down tooth enamel and gum tissues. Too, some people feel the need to press down firmly when brushing and tend to use a scrubbing, ‘back & forth’ motion. This action can wear down the protective shell of tooth enamel, leaving teeth more vulnerable to decay.
To avoid damaging tender gum tissues, choose a soft bristle toothbrush. As you apply gentle pressure on the brush, use a swirling motion. By using a circular pattern over both sides of each tooth and along the tops, teeth are cleansed without wearing away gum tissues. Hint: If the bristles on your toothbrush are fanned out after a couple of months, it’s because you are applying too much pressure when brushing.
Whether using a manual or electric tooth brush, it is necessary to brush twice a day for effective results. In order to thoroughly remove the sticky film of plaque from teeth, you should also brush at least two minutes each time.
Another way to improve gum health, lower cavity risk, and prevent tooth loss is through FLOSSING. It is estimated that only 31% of American adults floss on a daily basis. Because brushing cannot dislodge all food particles caught between teeth, daily flossing should be a part of oral hygiene routines.
Proper flossing is easy for those who are in the habit of it and takes less than a minute. However, the key word here is “proper.” Flossing is best done with about 18 inches of floss. We recommend unwaxed but people with tight teeth find waxed helps them avoid having to ‘pop’ in-between teeth, which can cut into tender gum tissues. Wrap both ends of the floss around the forefingers. Use the thumbs and middle fingers to help maneuver the floss.
Go slowly as you move the floss back and forth to get in-between and scrape down each tooth’s side several times. Move the floss just slightly below the line where teeth meet gum tissues to dislodge bacteria at the base of teeth. Adjust the floss so you have a clean section after flossing every 3-4 teeth. Be sure to scrape the backs of molars (or the farthest back teeth) on top and bottom.
For those who have problems with manual dexterity or find the maneuver awkward, WATER FLOSSERS are effective alternatives (shown to be just as effective as manual flossing) and easy to use. A water flosser pulsates a stream of water between teeth that is forceful enough to dislodge trapped food bits but without harming teeth or gums. They are affordable, available online or in many stores, and easy to use.
Finally, I’ll add the need to keep the mouth moist. A frequent state of ORAL DRYNESS can cause bad breath and lead to higher risks of cavities and gum disease. Saliva, the mouth’s natural rinsing agent, helps to cleanse oral bacteria from the mouth. This keeps bacteria to a minimum and their ability to cause problems at lower risk.
When saliva flow is insufficient, however, bacteria are able to accumulate and multiply rapidly. Contributors to having a dry mouth can occur from consuming alcoholic beverages, caffeine, many medications (both OTC and Rx) and is a normal part of the aging process. Some medical conditions, including acid reflux, sinus infections, diabetes and bronchitis can also cause dry mouth. A bad cold, snoring or just being in the habit of breathing through the mouth are drying as well. Smoking is a major cause of dry mouth.
To overcome the risks imposed by a dry mouth, drink lots of water throughout the day (sports drinks and colas don’t count). Use an ORAL RINSE that is formulated to replenish moisture in the mouth. There are several available over-the-counter (look for ones that DO NOT contain alcohol, which is very drying to oral tissues).
As an Asheville periodontist, I specialize in the treatment of all stages of gum disease, the re-contouring of gum tissues, and the diagnosis and placement of dental implants. Our periodontal dental office optimizes patient outcomes and comfort through our vast array of advanced technology and a commitment to exceptional care. Call (828) 274-9440 to schedule an examination or ask to begin with a consultation.
If dental fear has prevented you from achieving the healthy, confident smile you desire, ask about Oral and I.V. sedation (“twilight sleep”). These are safely administered and recovery is generally quick.
Amazing Technology In Treating Gum Disease
Posted on May 09, 2023 by William J. Claiborne, DDS MS
Recently, an episode of the CBS News’ television program “60 Minutes” provided an in-depth update on the development of prosthetic limbs. Now “robotic” in description, advancements are making it possible for people with spinal cord injuries and amputations to control prosthetic limbs with their minds, including grasping objects.
What is miraculous, however, is how these advanced prosthetics can also restore a sense of touch to their brains. The decades-long project is due in most part to the Defense Department.
Technology today is remarkable. Advancements are moving forward at an impressively accelerating pace. We are witnesses to the the repair and rejuvenation of bodily parts in almost a “good as new” state. This is also true in the area of dental technology.
A periodontist is often a “behind the scenes” dental specialist, working with general dentists and various other dental specialists. While periodontists may be in the background, they stay busy. In addition to treating all stages of gum disease, these specialists have advanced skills in the placement of dental implants.
It is estimated that over 47% of American adults have some level of periodontal (gum) disease. This disease is the nation’s number one cause of adult tooth loss. However, gum health needs to be seen by the general population as a vital player in one’s overall health.
The destruction of periodontal disease is not just confined to the mouth. It spreads. Gum disease destroys bone structures below the gums. These structures are the upper and lower jaw bones, which support natural tooth roots.
The jaw bones are actually kept healthy by the presence of tooth roots. These roots provide stimulation to the bone as well as nourishment that feeds through the tooth’s interior.
By holding their roots securely, the jaw bones provide natural teeth with a sturdy foundation. This enables the ability to bite and chew comfortably and dependably.
However, when a natural tooth is lost, so is the stimulation and nourishment to that area of the jaw bone. Without it, the bone begins to shrink. As it declines in mass, the adjacent teeth are more vulnerable to loss. Statistics show that teeth adjacent to areas where natural teeth are missing will be the most likely to be lost next. This creates somewhat of a domino effect.
Dental implants were designed to recreate the presence of natural teeth both above and below the gum line. Because teeth attached to dental implants are supported by the jaw bones, the study foundation as was had by natural teeth is restored, along with the ability to bite and chew without movement or embarrassment when dentures (or partials) slip.
In addition to tooth loss, gum disease is a serious health threat. Although people are often aware of the issues that come with wearing dentures and partial, many are not familiar with the health problems associated with gum disease bacteria.
This infectious bacteria of gum disease are capable of causing inflammatory reactions elsewhere in the body. Systemic inflammation is the now-known epicenter of a number of major health problems, including heart disease, stroke, high blood pressure, diabetes, arthritis, impotency and more.
Whether the patient’s need is the restoration of gum health or the replacement of missing teeth, the advanced skills of a periodontist can be highly advantageous. Through their unique understanding, they can help to minimize treatment time and complexity of treatment.
In our Asheville NC periodontal dental office, we feature some of the most advanced imaging and computerized technology available in the industry. These include:
LANAP Protocol Using PerioLase MVP-7: Efficiently and effectively treats periodontitis (advanced gum disease) with laser technology. It causes very little discomfort and has a quick recovery time. This has also been found to stimulate bone regrowth in damaged areas.
Dental Radiology With 3-D Cone Beam Technology: This imaging is ideal for diagnosis and treatment planning. The imaging covers the entire dentition area with clear views of the mandible and maxilla (upper and lower jaw).
CareStream Cone Beam Computer Tomography Imaging: This computerized tomography provides imaging in exceptional detail and range.
CS 3600 intraoral scanner: Patients no longer have to endure having impressions made with bulky, gloopy trays held in their mouths! This quickly and comfortably scans the mouth’s interior for digital impressions using a small, handheld scanner. It can also reach difficult–to–access areas in the patient’s mouth with improved patient comfort.
Simplant Dental Software for Computerized Dental Implant Placement: This system helps in pre-surgical positioning of dental implants on the computer, using a 3D model of the patient’s jaw. This aids in the selection of the implant type that ensures a precision fit.
Intraoral Camera Technology: This provides outstanding quality of images within the mouth. These 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.
Advanced Sterilization: Our custom sterilization unit adheres to (or exceeds) CDC guidelines for instrument processing protocols, particularly in the cleaning of instruments.
Fully-Equipped Surgical Suites: Relax during treatment while surrounded by beautiful mountain views of Asheville.
My staff and I also take great pride in providing patients with optimal comfort, along with an environment of respect. Some adults comes to us embarrassed by the condition of their oral health or missing teeth. Here, we strive to make patients feel they are not only in the right hands, but they are in the right place.
Comfort is supported by our sedation options. These include oral and I.V. sedation. Also referred to as “twilight sleep” or “sleep dentistry,” these sedatives are administered by skilled professionals who utilize advanced safety monitoring equipment.
I believe that the rampant number of people who have gum disease in the U.S. is largely in part due to being unaware of the symptoms. Some are easily ignored or “brushed off” as normal.
This is why it is important to be familiar with the signs and symptoms, which include:
• Red, swollen or tender gums or other pain in your mouth
• Bleeding while brushing, flossing, or when eating certain foods
• Gums that are receding (pulling away from the teeth) or make the appear teeth longer than normal
• Loose or separating teeth
• Pus between your gums and teeth
• Sores in your mouth
• Persistent bad breath
• A change in the way your teeth fit together when you bite
• A change in the fit of partial dentures
If you have any of these, you are urged to seek periodontal care as soon as possible. This disease will only worsen without treatment.
Call 828-274-9440 to schedule a consultation in our state-of-the-art Asheville periodontal dental office.
Nothing To Fear To Accomplish Healthy Smile Here
Posted on Apr 16, 2023 by William J. Claiborne, DDS MS
As a dental specialist, I find that many people are unfamiliar with exactly what a periodontist does. Yet, when they are recommended to see me (typically by their general dentist), it is because they need specialized care that falls under our unique set of skills.
A periodontist has advanced skills to help patients with a variety of needs that involve the gum tissues. These include:
– Treatment of all stages of gum disease (gingivitis, pregnancy gingivitis, periodontal disease, periodontitis)
– Reshaping gum tissues for esthetic enhancement (crown lengthening, gingivectomy for ‘gummy smiles’, repairing areas of gum recession)
– Diagnosis and placement of dental implants
– Treatment of lesions or cysts in oral tissues
Let’s begin with gum disease.
Because the majority of care I provide has to do with the treatment of all stages of periodontal disease, it may be helpful to understand how this develops. Although many people delay or avoid regular dental care (mistakenly thinking “if nothing hurts, then nothing must be wrong”), I have a close-up view of its destructive nature. Its formation creates cavities, periodontal (gum) disease, and leads to eventual tooth loss.
Even people who are committed to a regimen of thorough at-home oral hygiene (twice-daily brushing, daily flossing), can be doing an insufficient job of removing the daily buildup of plaque. Plaque is a sticky film of bacteria that accumulates in the mouth. When not thoroughly removed, it can harden into a mass that attaches to the base of, or in-between, teeth.
In the form of tartar, this cement-hard mass of bacteria cannot be brushed or flossed away. Once tartar forms, it can only be removed by a dentist or hygienist using special tools. Without removal, it will continue to amass and attack gum tissues, working its way beneath the gum line.
Below the gums lie the support system for natural teeth, consisting of tissues, ligaments and bone. When the bacteria reach an uncontrollable level, they become infectious. As these infectious bacteria accumulate further, symptoms of gum disease become more apparent, such as tender or swollen gums or seeing blood in the sink when brushing teeth. Breath odor may be bad on a regular basis.
As symptoms worsen, the gums become red with infectious and loosen their grip around the base of teeth. The gums may become spongy and pus pockets may form. Breath odor at this point is persistently putrid. Eventually, the structures that support teeth are compromised and teeth may loosen. Gum disease is the leading cause of adult tooth loss in the U.S.
Research has found that certain strains of oral bacteria from gum disease create reactions in the body that can trigger systemic inflammation. Thus far, research findings have shown a correlation between periodontal disease bacteria and some cancers (including pancreatic and lung), Alzheimer’s disease, pre-term babies, heart disease, stroke, diabetes, arthritis and erectile dysfunction (ED).
As if all that weren’t bad enough, one study suggests that gum disease relates to a reduction in one’s quality of life: “Periodontal disease has been linked to lower quality of life.” “Quality of life encompasses several domains, including psychological functioning and social relationships among others. Oral health-related quality of life has been shown to be reduced in patients with periodontal disease.” (https://www.hindawi.com/journals/prm/2017/5491923/)
While estimates show about 75 percent of American adults have some degree of dental fear or anxiety, over 47 percent have some level of periodontal disease. As a periodontist, both are alarming numbers. Nearly half our nation is walking around with a potentially life-threatening disease in their mouths.
Treating this may sound like it would be pretty intimidating. However, Although there are many treatments offered and at various levels, our main goal is to provide patients with comfortable and positive experiences at every visit. One way we accomplish this is through the advanced technology featured here in our Western North Carolina periodontal dental office. We feature some of the most advanced in dentistry, much of which is not available in dental offices elsewhere. Some of these features include:
LANAP With PerioLase MVP 7: Laser-Assisted New Attachment Procedure is an advanced protocol that efficiently and effectively treats advanced gum disease with the added advantages of a dental laser. This offers a non-surgical 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.
3D Cone Beam Imaging: Ideal for diagnoses and treatment planning, these images provide a clear view of the upper and lower jaw, used for: intricate review of endodontics; periodontics; orthodontics; implantology: TMJ; and prosthodontics, as well as dental and maxillofacial surgery. Because cone beam radiographs show sagittal, axial, and coronal planes, locating and tracking nerve canals optimizes implant placement. The process is quick, painless and at minimal levels of radiation.
CareStream Cone Beam Computer Tomography Imaging: This enhanced tomography works with 3D imaging for exceptional detail and range.
CS 3600 Intraoral Scanner: Rather than make impressions with bulky, goopy trays, this scanner quickly and comfortably captures digital impressions accurately and easily for creating precision models or appliances (crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments). The scanner can also reach difficult–to–access areas in the patient’s mouth for superior results with improved patient comfort.
Computerized Dental Implant Placement: This advanced system for pre-surgical positioning of dental implants uses a 3D model of the patient’s jaw. Once the implant type is selected, a template is developed for optimal treatment success, even for complex cases.
In addition, we offer a unique environment for comfort. We understand how dental fear or anxiety can cause people to delay or avoid having dental treatment, sometimes for decades. We believe that every patient deserves respect, a gentle touch and knowing they are in a “lecture free” zone. For those who have high fear levels, we offer several sedation options, including oral and IV sedation.
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 (also known as ‘twilight sleep’) places the patient in a deeper sleep state and erases memory of the procedure. It is administered by a doctor of anesthesiology for optimal comfort and safety. In our Asheville office, anesthesia is overseen by a Medical Doctor (MD) who is a board certified Anesthesiologist.
With both sedation options, patients are closely monitored with advanced safety equipment throughout treatment.
I hope I’ve given you a helpful and positive picture of what a periodontist does and how he/she can help you with some challenging needs; all the while keeping you comfortable, minimizing treatment time, and shortening treatment time.
Although most of our patients are referred to us by other dentists and dental specialists, a referral is not required for accepting a new patient. Call 828-274-9440 if you feel we can make recommendations for your specific needs or provide helpful information.
Helping To Curtail Opioid Misuse
Posted on Mar 23, 2023 by William J. Claiborne, DDS MS
No one wants to be in pain. In the dental office, dentists and dental specialists see many patients enduring a great deal of pain, some of which increases in time to excruciating levels.
To resolve the pain, treating the affected area is the first step. Healing can take time and may involve a period of continued discomfort. While a dental profession wants to help patients avoid problems and pain that can arise from them, helping you get through painful periods with ease is certainly a priority.
Like others in the health care field, the field of dentistry has become rather resistant to prescribing harsh and addictive painkillers. The opioid epidemic in the U.S. is running rampant and we want to do our part in curtailing the availability of these meds.
I felt it may be helpful to share some statistics and research findings on the opioid use in America. Hopefully, this information will reassure that the dental profession is not being “stingy” with prescribing painkillers. We are trying to help control what can easily be misused or over-prescribed.
Drug overdose deaths involving prescription opioids rose from 3,442 in 1999 to 17,029 in 2017. From 2017 to 2019, the number of deaths declined to 14,139. This was followed by a slight increase in 2020, with 16,416 reported deaths. In 2021, the number of reported deaths involving prescription opioids totaled 16,706. These numbers are headed in the wrong direction, obviously.
Although physicians, dentists and others in health care have been under close scrutiny for the number of opioids prescribed, dentists are also being more diligent in limiting patient access to pain medications. Yet, there is still a concerning number who make access easier than it should be.
According to International Association for Dental Research findings shared from two studies amongst dentists and oral-maxillofacial surgeons (OMFS) (presented in March 2023), the goal is to identify high prescribers of opioids. The study, conducted at the University of Pittsburgh, used data to detect actively prescribing dentists between 2015-2019.
The study found that during this period, 2,741,030 opioids were prescribed by 199,145 dentists/OMFS. Researchers noted that over 35% of prescribers prescribed at low rates in 2015 with this percentage falling to nearly 18% in 2019. In this period, those who were “moderate” prescribers of opioids also decreased prescribing by over 82%. A slightly more active group of prescribers also decreased their number of these prescriptions.
However, 3.5% of prescribers found to be consistent in opioid prescriptions decreased in number, yet with minimal decline. For these, the rate in 2015 averaged nearly 55%. In 2019, the average was only down to 44.7%.
A particular concern in prescribing opioids is that of prescriptions submitted for children. While total opioid prescriptions have decreased in patients under 25 years of age, trends in opioid prescribing for children, adolescents, and younger adults (under 25 years of age) remains a concern.
In a study from 2013 – 2018, researchers found the opioid dispensing rate for younger patients decreased annually at a rate of approximately 15%. The largest decreases were noted for patients ages 15 to 24 years. Among children aged 0 to 5 years for whom an opioid was dispensed, the investigators observed annual increases from 2011 to 2014. For high-dosage prescriptions, these decreased from 2014 to 2018 although high-dosage, extended-release or long-acting remained at a concerning rate — nearly 28%.
Even amid an epidemic of abuse, opioid painkillers are still commonly prescribed to teenagers and young adults for conditions like tooth and back pain. Between 2005 and 2015, opioids were prescribed to teens and college-age adults at nearly 57 million visits to doctors’ offices and emergency departments.
Although more common in an ER, 15% of visits concluded with an opioid prescription with only a small decline over the 10-year study period.
A report on opioid prescription misuse by the University of Michigan shared another concern that contributes to the problem. When people get a prescription for opioid painkillers to ease pain, it is assumed that the patient has it filled right away. However, there are now findings that show some of these prescriptions are being filled more than a month later, long after acute pain should have subsided.
In 2019, 1% of opioid prescriptions from dentists and surgeons were filled more than 30 days after writing. Although the number is low, that percentage equates to more than 260,000 opioid prescriptions a year in the U.S.
This indicates to prescribing surgeons and dentists that the medications are being used for other than intended. Whether over-prescribed by the doctor or misuse by the patient, this adds to the risk factor for opioid overdose.
These delayed-fill findings have led to call for state and federal laws to better regulate the expiration periods for filling these prescriptions. Changing the systems of monitoring along these lines has been slow in coming. In 2019, 18 states allowed prescriptions for opioids and other controlled substances to be filled up to 6 months after writing with 8 states allowing dispension up to 1 year after the prescription date.
The entire team at our Asheville periodontal dental office is highly committed to providing patients with optimal comfort throughout treatment. Here, we make oral sedation available as well as I.V. sedation (“twilight sleep”). These help patients to relax fully or snooze during treatment, erasing most (or all) memory of treatment afterward.
We also want our patients to heal comfortably after periodontal treatment or dental implant placement. As a periodontist, this is helped by being respectful of gum tissues and all areas in the mouth DURING procedures. We work with each patient to help them remain comfortable during their post-procedure time. Often, this can occur without the need for heavy medications with many patients only requiring OCT pain meds.
When it comes to your treatment, our advanced imaging technology helps us to pinpoint precise areas for incisions, which helps to minimize discomfort and speed healing time. Additionally, performing treatment at an easy pace allows for minimal disruption to sensitive gum tissues.
A periodontist has advanced skills in the treatment of all stages of gum disease, the re-contouring of gum tissues, and in the placement of dental implants. This dental specialist can help provide an optimal result while helping you enjoy the highest level of comfort – during and after treatment.
Please call 828-274-9440 if you have questions about comfort, treatment, or dental fear. New patients are always welcome and a referral is not always needed.
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