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All posts by Rodney Mayberry

bonegrafting

When Should Dental Implants Be Considered?

This is an example of a complete upper dental implant patient: This patient hates going to the dentist and only sees a dentist for emergency treatment. He is very anxious and will only accept treatment under sedation. This patient has a history of ongoing dental problems, such as untreated tooth decay, gum disease, and missing
teeth. He presented with multiple missing front teeth that negatively affected his smile and his public presentation; had several infected abscessed teeth that required root canal and crown treatments to be saved; and had gum infections that would require many appointments to treat. He would require sedation and Novocain to get through these appointments.

These conventional dental treatment options could salvage the teeth, but they would require many treatment
appointments, with sedation and local anesthetic injections. For conventional treatment to be successful long term for people like this they must commit to regular maintenance care; cleanings, scaling and root planing, fluoride treatments in the dentist’s office every 3-4 months for the rest of his life. Patients like this are
termed Periodontal Patients, because they require regular periodontal maintenance care the rest or their lives, otherwise they face increased risk of tooth loss. An alternative treatment plan was to remove natural teeth and replace them with dental implants. This option would require a surgery appointment with sedation and Novocaine similar to the conventional option, but only one treatment appointment would be required. Upon reviewing both of these treatment plan options the cost for each option was almost the same. After reviewing the plans the plan using dental implants was chosen. The reason for choosing this option was based on the fact that conventional treatment would require more appointments where sedation and Novocaine would have to be used.

The implant treatment option was seen as less painful and difficult because all the painful surgery would be
done in one appointment under comfortable sedation and the follow up appointments would not require any local anesthetic injections or painful treatment. Lastly, the cost for both options was going to be close to identical. From the perspective of the anxious patient the implant option was the best choice. It is not unusual for patients faced with this kind of prognosis to attempt to change and become compliant dental patients. Unfortunately many of these people discover the difficulty of staying compliant with long term maintenance plans and drop out of the program. For many people like this, dental implants are the best long term treatment option for several reasons. Dental implants don’t decay and gum disease seen around natural teeth is not the same around dental implants. Dental implants can also stimulate jaw bone to grow up and strengthen around the implant, something never seen around natural teeth, and because dental implants are made of titanium they are stronger than natural teeth. The cosmetic results using implants can be excellent when everything is done properly resulting in a beautiful smile.

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Dentistry Is Changing

Dentistry Is Changing
R.S. Mayberry, DDS,
Mayberry Dental
General Dentistry – Dental Implants

In the last article I discussed a way dentists have preserved teeth for many years using root canal
therapy. A problem with many teeth treated this way is that they can become re-infected over time since all
the infecting germs cannot be removed inside the dead tooth, no matter who does the treatment.

Often these dead teeth turn dark brown after root canal treatment as the germs inside the tooth continue
to grow and multiply, spreading inside and discoloring the tooth.

There are teeth like this where the gum tissue surrounding them is chronically inflamed, but the gum
tissue around the vital neighboring teeth shows no such red color or inflammation.

Cleaning the surface of these dead teeth and removing surface build up of toxic bacterial residue from
dental plaque makes little to no improvement as it does around vital teeth. Dead teeth like this example can
trigger an immune system response resulting in an inflammatory reaction.

When the immune system recognizes a threat from a foreign body – germs, viruses, or anything it sees
as threatening, it will attempt to get rid of it by attacking the foreign body on a cellular level. A dead tooth
after root canal treatment can be perceived by the immune system as a threat and the body may try to
remove it.

Once a dead tooth like this is removed the inflammatory reaction that was around it disappears and the
tissue looks normal again. After replacing an infected tooth with a dental implant, there is typically no
inflammatory reaction from the immune system as seen around some infected teeth.

For reasons not understood, the immune system does not recognize dental implants made of titanium
and some other materials as foreign bodies. This discovery has made the use of dental implants the most
successful long-term treatment to replace natural teeth in the history of dentistry.

Dental implants have been used to replace damaged or missing teeth for more than 40 years. A very
high percentage of these teeth had previous root canal treatments completed at least once.
In the next issue I will be discussing when is the best time to place a dental implant.

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dental implant dentists in Vienna va

To Root Canal, or Not To Root Canal

My Philosophy Of Dental Care: Part 1
By R.S. Mayberry, DDS
General Dentist

Thirty-seven years ago, when I was in dental school, we were taught to go to lengths to save teeth. Often this meant dreaded, more than one visit root canal treatments where the area around the infected tooth is numbed with Novocain, and then the tooth is filed as clean as possible and filled with a bacteria killing medicated filling.

Then on another visit the area around the tooth is numbed again with Novocain and the tooth is ground and shaped for a crown, a messy impression is made of the tooth and an uncomfortable temporary crown is made and placed on the tooth for two weeks while the permanent crown is being made at a dental lab.

Then another visit is required, where more Novocain is used to numb the area around the tooth and the permanent crown is tried on and if fits is cemented with permanent cement over the remaining tooth. This kind of treatment can be a pain for everyone involved, dentist and patient, but it usually saved the tooth for some years to come for chewing and smiling.

Much of this has changed today with CEREC one visit, no gooey impression crowns, but other aspects described have remained the same.

In all of healthcare, dentists are the only health care providers that try to preserve a dead body part in the patient after completing their treatment. Root-canaled teeth are dead teeth, and all have a number of germs left inside when the treatment is completed. It makes little difference who or how an acceptable treatment is done; the main concern is how many germs are left inside the dead tooth when treatment is finished.

This is often not under the control of the dentist, but is a matter of when the tooth undergoes treatment. The inside of a tooth root has a main root canal, but to the sides of this main canal are millions of micro canals big enough to harbor germs, but too small to be filled like the main canal(s). These micro canals, or the main canals, are where these germs can begin to grow and multiply, eventually spreading and reinfecting the tooth causing an abscess or pus pocket in the jawbone. So, what happens when the tooth becomes infected again?

Often the recommended treatment is to start over with another root canal treatment; repeating the same multi visit regiment of numbing, grinding, filing and so on. Re-treatment sometimes buys more time for this dead tooth, but often it will become infected again sometime later with an unpredictable prognosis. When a tooth like this becomes re-infected again the next step is to surgically cut off the end of the infected root tip, what is called an apicoectomy. Sometimes this procedure buys more time, but often problems return and the offending tooth is finally removed.

There are patients who have invested close to $20,000 over a decade trying to save a single tooth like this. Situations like this are the reason I no longer recommend root canal treatment for the majority of my patients, especially when there is a much more permanent, successful, and lower cost option available.

To be continued…

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dental implants vienna va

Free Dental Implant Seminar

Come learn about dental implants and how they provide a permanent answer to missing teeth or uncomfortable dentures. Dental implant technology has improved dramatically over the last few years. Even if you’ve been told in the past that you were not a good candidate for dental implants, you may not have all the current facts!

Join Dr Mayberry, a general dentist with over 36 years of comprehensive dental implant experience, as he shares the many benefits of dental implants. During this educational seminar Dr Mayberry will share the latest facts about dental implants procedures, costs, and financing options.

Free Educational Seminar Details:

Date and Time: Monday, August 10th 2015 @ 3PM

Location: Mayberry Dental, 112 Pleasant St. NW. STE H, Vienna, VA 22180

To RSVP go to: http://www.eventbrite.com/e/free-dental-implant-seminar-tickets-17953818354

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dental implants vienna va

Why Are We Different?

At Mayberry Dental we are different from most other general dental practices. A general practice has the freedom to offer any dental service to patients that meets the Standards of Care that has been set for that particular treatment. While most other general practices do not offer “specialty care” and send their patients out to other doctors for treatment they do not provide, at Mayberry Dental our goal has always been to provide specialty treatments in addition to our regular general services.

Over the last 36 years we have continued to improve and become proficient providing the most common dental specialty services, especially surgical services and treatments associated with dental implants treatment. Orthodontic treatment was the first specialty area of continuing education that we invested in, starting in 1980. Shortly thereafter our dental implant training and education began. In 1983 we first replaced a missing tooth with a dental implant. Since then we have successfully treated hundreds of orthodontic patients, adults and children, and have provide the Hybridge dental implant treatment, to replace all the upper or lower teeth. This techniques, commonly advertised on “TV” as “teeth in a day” or “all on 4” has allowed us to replace multiple teeth in one day with provisional teeth, or temporary teeth. Then after a sustained healing period these temporary teeth are replaced with the permanent teeth fabricated a few months later. The difference between us and the others is that we use more supporting implants, but at a cost similar to using only 4 implants. This allows us to be faithful to our philosophy of always providing the best service for our patients a fair fee.

We have instituted and utilized the latest dental technology in the practice to stay current and maintain a high standard of care. We use digital x-rays that decrease patient and staff exposure to the lowest levels in all of healthcare. We have invested in 3D x-ray, using SIRONA cone beam technology allow us to visualize and diagnose conditions that were not possible previously. We have used CEREC CAD Cam technology since 1996. This technology allows us to fabricate permanent all porcelain crowns in our office in one visit, no temporary crowns required. We are one of a handful of general dental practices permitted to use IV sedation in the entire region.

Our goal is to generate and foster a relationship of trust and confidence with our patients, treating them as members of our own family as good friends.

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dental implants vienna va

Why Preventive Dentistry is Your Most Important Health Care?

Why Preventive Dentistry is Your Most Important Health Care

Medical studies have shown that people who see their dentist for regular preventive care live an average of ten years longer than people who don’t. Surprised, you shouldn’t be here’s why. The oral cavity is the prime entry way to the body, a dirty mouth smells bad, looks bad and is unattractive to say the least. If the oral cavity is not regularly and thoroughly cleaned at home and professionally in the dental office it is only a matter of time before the consequences of neglect will become manifest in any number of ways. All our lives we are fighting against the microbes, germs are all around us in every space imaginable. It is only because our immune system is constantly fighting the battle against the germs, and for the most part winning, that we stay alive. Once our immune system cells become outnumbered by the bacterial invaders, do we succumb and die, it is all a numbers game.

Our digestive tract starts in the mouth and extends through our body and exits through the rectum, bacteria inhabit the entire system, but there are more of them in the lower digestive tract than in the mouth. Fifty percent of fecal matter is composed of germs. That is why it stinks; the same germs in the mouth can make it stink too when the numbers of these germs become too great from lack of cleaning. Gum disease and tooth decay are caused by these germs. Gum disease occurs when bacteria that are not cleaned away sufficiently begin to burrow into the gum tissue and get into the blood stream becoming transported throughout the rest of the body. Such germs have been linked to heart disease and stroke where they contribute to cardiovascular disease by increasing inflammation of blood vessels. These same germs increase the severity of diabetes and make controlling blood sugar more difficult for diabetics. These same germs can be inhaled into the lungs causing or contributing to lung diseases as bronchitis, pneumonia, and asthma. Untreated gum disease is usually painless, but is equivalent to having a nine square inch open wound on the skin where bacterial invaders have easy access to the blood stream and can invade other body organs causing or contributing to systemic diseases.

Untreated, painless, easily ignored, gum disease can kill a debilitated person with a compromised immune system, say in a nursing home. The immune system could be controlling the bacterial invaders satisfactorily, until for example, the person develops a bed sore in the skin that allows more germs to invade the blood system, and then the immune cells have to fight the war on two or more fronts and can become overwhelmed. If the bacterial numbers cannot be controlled with antibiotics giving the immune cells added help the body can become septic and the individual dies of Gum Disease! A healthy mouth is the best way to overall health, that’s why your dentist is the most important doctor you will ever see to prevent future disease in the mouth and throughout the body.

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