Dr. Giscombe and Associates, P.A.

3921 Sunset Ridge Rd. Suite 303
Raleigh, NC 27607

(919) 781-3862




My Blog

Posts for: September, 2017

By Blue Ridge Dental Care
September 29, 2017
Category: Cosmetic Dentistry

Working together--it's a great philosophy for interpersonal relationships, professional pursuits and even your dental care. Yes, your dentistdental crowns in Raleigh, NC, Dr. Ajamu Giscombe, joins with you in pursuing a laudable goal--your best oral health. If you have a failing tooth or are missing one or more adjoining teeth, Dr. Giscombe offers beautiful crown restorations and bridgework tooth replacements which work together to save your smile. At Blue Ridge Dental Care, you get the best that modern dentistry has to offer.

What is a dental crown?

It's a customized, tooth-shaped cap crafted from porcelain, gold or porcelain-fused-to-metal. If you have a severely decayed and/or abscessed tooth, a dental crown could restore the tooth's appearance and strength.

Through digital X-rays and visual inspection, Dr. Giacombe can tell you if a crown could spare your tooth from needless extraction and the subsequent bone loss and gum recession. Also, he can tell you what material would work best for your restoration.

To place a crown, your Raleigh dentist injects the area around the tooth with a local anesthetic. Then, he removes the decayed and cracked portions, along with any old fillings. He shapes the tooth to receive a crown and takes an oral impression which will give the dental lab a three-dimensional image of the tooth. Dr. Giscombe finishes this portion of the restorative process with a temporary crown.

At the next appointment, the dentist removes the crown and permanently bonds the new one in place. The crown covers the shaped tooth completely--right to the gum line. The result is a strong, functional and good-looking tooth.

What is fixed bridgework?

Fixed bridgework spans smile gaps with artificial, or pontic teeth, that are strong and lifelike. To anchor the replacement teeth, Dr. Giscombe designs dental crowns which cover the natural teeth on either side of the gap. The bridge actually is one unit composed of the pontics and the crowns.

Fixed bridgework looks natural and optimizes biting, chewing and speech. To place this prosthetic, Dr. Giscombe makes sure the support teeth and underlying gums and bone are viable. He also shapes the teeth appropriately to receive their crowns.

Bonding is permanent, and just as with single dental crowns, fixed bridgework requires regular brushing and flossing at home and six-month maintenance cleanings at Blue Ridge Dental Care.

Modern variations

Your dentist in Raleigh may use crowns and bridges to restore, or cover, dental implants--titanium cylinders which screw right into the jawbone for superior anchorage and longevity. These prosthetics boast an almost 95 percent success and retention rate, says the Institute for Dental Implant Awareness, and they improve jaw bone integrity through a process called osseointegration.

Do you need restorative treatments?

Ask your dentist at Blue Ridge Dental Care in Raleigh, NC if a crown or bridge would help your smile. Call today for a consultation--(919) 781-3862.

By Blue Ridge Dental Care
September 26, 2017
Category: Dental Procedures

Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.

In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.

For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.

Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.

It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.

That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”

We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?

By Blue Ridge Dental Care
September 11, 2017
Category: Oral Health
Tags: oral health   oral hygiene  

A new school year is right around the corner.  Here's something to add to your back-to-school list: Schedule a dental visit for your child. There are several good reasons for this:

1. Hidden Problems
Nearly 1 of 5 school-age children has untreated tooth decay. If decay progresses, it can interfere with eating, speaking, sleeping and learning. A checkup at the dental office can uncover a small problem before it turns into a much bigger issue.

2. Oral Hygiene
A back-to-school appointment is the ideal opportunity to get a professional cleaning. In addition, we can check on whether your child's oral hygiene efforts are up to par — and give pointers where needed.

3. Mouth Protection
Will your children be playing sports? If so, ask us about a custom mouthguard to help protect their teeth. If your child already has a mouthguard, we can check that the condition and fit are still adequate, given that your child is still growing.

4. Preventive Treatment
Speaking of protecting your child's teeth, an end-of-summer appointment is a good time to ask about preventive measures like tooth-strengthening fluoride treatments or protective dental sealants.

Make sure your child starts the new school year with strong, healthy teeth that will sparkle in school pictures. Please contact us to schedule a back-to-school dental appointment today!

By Blue Ridge Dental Care
September 03, 2017
Category: Oral Health

How many actresses have portrayed a neuroscientist on a wildly successful TV comedy while actually holding an advanced degree in neuroscience? As far as we know, exactly one: Mayim Bialik, who plays the lovably geeky Amy Farrah Fowler on CBS' The Big Bang Theory… and earned her PhD from UCLA.

Acknowledging her nerdy side, Bialik recently told Dear Doctor magazine, “I'm different, and I can't not be different.” Yet when it comes to her family's oral health, she wants the same things we all want: good checkups and great-looking smiles. “We're big on teeth and oral care,” she said. “Flossing is really a pleasure in our house.”

How does she get her two young sons to do it?

Bialik uses convenient pre-loaded floss holders that come complete with floss and a handle. “I just keep them in a little glass right next to the toothbrushes so they're open, no one has to reach, they're just right there,” she said. “It's really become such a routine, I don't even have to ask them anymore.”

As many parents have discovered, establishing healthy routines is one of the best things you can do to maintain your family's oral health. Here are some other oral hygiene tips you can try at home:

Brush to the music — Plenty of pop songs are about two minutes long… and that's the length of time you should brush your teeth. If brushing in silence gets boring, add a soundtrack. When the music's over — you're done!

Flossing can be fun — If standard dental floss doesn't appeal, there are many different styles of floss holders, from functional ones to cartoon characters… even some with a martial-arts theme! Find the one that your kids like best, and encourage them to use it.

The eyes don't lie — To show your kids how well (or not) they are cleaning their teeth, try using an over-the-counter disclosing solution. This harmless product will temporarily stain any plaque or debris that got left behind after brushing, so they can immediately see where they missed, and how to improve their hygiene technique — which will lead to better health.

Have regular dental exams & cleanings — When kids see you're enthusiastic about going to the dental office, it helps them feel the same way… and afterward, you can point out how great it feels to have a clean, sparkling smile.

For more information about oral hygiene, please contact our office or schedule a consultation. You can read the interview with Mayim Bialik in the latest issue of Dear Doctor magazine.