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Periodontist
Best To Replace Single Tooth At Time Of Removal
Posted on Jun 07, 2015 by William J. Claiborne, DDS MS
Occasionally, a single tooth requires removal. This could be due to a fracture that extends below the gum line. Or, this is necessary when a tooth is beyond repair that can be resolved with a crown. Because each tooth helps to keep neighboring teeth in proper position, promptly replacing any lost tooth is a wise decision.
When a single tooth is removed, many adults now choose to replace it with a dental implant at the time of removal. One advantage of this is the prevention of bone loss. By inserting the implant at the same time of tooth removal, you minimize the risk of ‘resorption.’ Resorption occurs when tooth roots are no longer present to provide stimulation to the bone. Without this, the bone begins to shrink, or ‘resorb,’ over time. It is a fact that the teeth adjacent to areas of bone loss have the greatest risk of being the next to be lost.
Another benefit of same-day implant placement is the preservation of gum contours. When a tooth is lost, the arch of gum tissue and ‘points’ formed by tissues between each tooth begin to flatten within days. When an implant is immediately placed and the replacement tooth attached the same day, the natural contours of gum tissues are preserved.
Appearance is another reason for placing an implant and crown immediately following tooth removal. This means patients avoid the awkward and embarrassing look of a gap in their smile.
Immediate replacement is also beneficial when two or several teeth in a row are missing. Because one implant can often support a bridge of teeth, this saves on treatment cost while also preserving natural gum contours. Additionally, since the position in your upper or lower jaw bone is already to a proper depth and size, placing the implant following removal greatly simplifies the treatment time and procedural requirements.
As a Periodontal Specialist, I work with general dentists and other specialists on a regular basis. Through this team treatment approach, the patient receives a speedy result with an exceptional outcome. To discuss immediate placement implants or any type of dental implant, call (828) 274-9440. We’ll be happy to arrange a consultation appointment so I can explain the process and answer your questions thoroughly.
Major Study On Connection Of Periodontal Disease & Cardiovascular Disease
Posted on Jun 01, 2015 by William J. Claiborne, DDS MS
As a Periodontal Specialist, I frequently read about research that shows a connection between the bacteria of gum disease and other severe diseases, such as heart disease. The connection makes perfect sense.
Largely unknown by the general population, gum disease bacteria can trigger inflammatory reactions elsewhere in the body. Oral bacteria has been associated with heart disease, high blood pressure, stroke, preterm babies, diabetes, arthritis, depression, and even impotency.
Although most infections are obvious, periodontal disease begins silently. Most people do not suspect it until a dentist or periodontist diagnoses it. The National Institutes of Health cites that nearly 75% of American adults have some level of periodontal (gum) disease.
A recent study on periodontal disease included more than 15,000 adults. Their dental health was monitored to determine if one’s oral health could be a risk marker for cardiovascular disease.
Of the 15,828 participants (all with chronic coronary heart disease), 16% had no teeth and 41% had less than 15 remaining teeth. Over one-quarter of the participants had gums that bled when brushing. According to the findings, as the number of remaining teeth declined, the higher the levels for heart disease and diabetes. There was also an increase in higher glucose and cholesterol levels.
While the exact link between oral bacteria and serious diseases is yet to be pinpointed, the evidence of an association has been overwhelming, thus far. It is known that oral bacteria is a definite part of the equation when it comes to heart disease. As research continues, we will share the findings on the link of one to the other.
One thing is certain – your oral health and overall health are connected. Protect both through a thorough regimen of oral hygiene at home along with regular dental check-ups. If you are experiencing symptoms of gum disease or are behind on regular dental care, call us at (828) 274-9440.
It May Be Obvious That You Wear Dentures
Posted on May 26, 2015 by William J. Claiborne, DDS MS
As a Periodontal Specialist, I frequently place dental implants in patients who have been long-time denture wearers. Most want to be able to eat securely again, to chew and enjoy foods they have had to deny themselves because of “rocky dentures.” Some, however, most want their sense of self-esteem and self-confidence back.
My wife and I have a single friend who has recently begun internet dating. She shared an account of a “horrible evening,” one she said she “couldn’t get out of fast enough.” The man was nice looking, but Beverly noticed right away that the man had very thin lips. As they shared an appetizer, she then noticed he frequently tucked his upper lip under his upper teeth and would press his lips together. “I think he wore dentures,” Beverly added.
Obviously (to me – being aware of the typical habits of denture-wearing patients to keep dentures in place), the gentleman was trying to push his upper denture into position. The denture was apparently feeling loose as he ate, talked and laughed. Chances are he had absolutely no idea that he was doing this. Too, his denture may have been secure but he has developed a habit of doing this action.
A couple of generations ago, most adults assumed they would lose their teeth in old age and end up in dentures. Today we know better. Keeping natural teeth for a lifetime is a benefit to one’s overall health as well as an asset to our ability to feel confident socially and in close settings with others.
Think about what you may be doing unconsciously while wearing dentures. These actions indicate you are losing the foundation your denture was designed to conform. Without natural tooth roots, the ‘ridge’ that your denture curves around begins to flatten out. This is from bone ‘resorption.’ Unfortunately, the decline in bone mass will only continue. Thus, that denture will never fit well for very long, even after relines.
Dental implants recreate the presence of tooth roots, halting bone resorption. They serve as anchors to securely support teeth that can bite and chew the foods you love. You’ll regain a smile you are confident sharing and laugh without worry.
Regardless of your age, you are too young to live with the challenges caused by dentures. Look into the many options in today’s implant dentistry. You’ll likely find a type that fits your needs and your budget. Call (828) 274-9440 for a Consultation.
Extra Attention To Oral Health Needed For Diabetics
Posted on May 18, 2015 by William J. Claiborne, DDS MS
Diabetics face a number of challenges every day, including greater health risks. Diabetes can damage the kidneys, eyes, heart and nerves. However, many are unaware of the higher risk for periodontal (gum) disease.
Gum disease attacks gum tissues and tooth supporting bone structures. In early stages, gum disease symptoms cause tender gums that bleed when brushing and persistent bad breath. As the disease progresses, it can lead to painful chewing and eventual tooth loss.
As the nation’s leading cause of adult tooth loss, periodontal disease also increases your risk for serious problems elsewhere in the body. Like diabetes, gum disease can create an inflammatory reaction in the body. Research has linked gum disease bacteria with heart disease, stroke, preterm babies, and memory loss.
Dry mouth is often a symptom of diabetes even before it is diagnosed. Dry mouth occurs when you do not have enough saliva to keep your mouth moist. Saliva is your body’s oral cleanser that moves bacteria out of the mouth. Dry mouth can cause tender and sore gums, ulcers, infections and cavities. For diabetics who smoke, these problems are far worse.
To prevent gum disease and other health risks, controlling blood glucose levels is highly important. Those with poor glucose control are more prone to gum disease and have it at more severe levels than people with controlled diabetes.
If you are diabetic, you CAN put the odds for a healthy mouth in your favor. Control your glucose, brush twice a day, floss daily and have regular dental check-ups. If you are experiencing symptoms of gum disease, call us at (828) 274-9440 for an appointment. Once gum disease is underway, it will only worsen without treatment.
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