Dr. Giscombe and Associates, P.A.

3921 Sunset Ridge Rd. Suite 303
Raleigh, NC 27607

(919) 781-3862




My Blog

Posts for: February, 2020

By Blue Ridge Dental Care
February 20, 2020
Category: Dental Procedures
Tags: veneers  

To make a smile beautiful, it requires some extra work from your dentist. As we age, time can take a toll on teeth and make them appear veneerslackluster, dull, and unattractive. If yours could use some renewal, Dr. Ajamu Giscombe may recommend enhancement with porcelain veneers. The results are sure to make you grin from ear to ear because they offer a complete transformation of the color, shape, size, and durability. We recommend Raleigh, NC, patients schedule a consultation to determine if this cosmetic dental service is right for you.

What are Porcelain Veneers

For teeth that have severe discoloration, are worn down in size, or suffer from chips cracks or fractures, veneers are wafer-thin shells of porcelain that recreate the natural appearance of teeth. The procedure is minimally-invasive and typically takes two visits over six weeks to complete. Dr. Giscombe can discuss the process in detail once you decide to move forward. Porcelain veneers are an irreversible process, so you must be sure that they are the best solution for your specific needs. He'll make sure that you are as informed as possible before choosing to proceed.

Benefits of Porcelain Veneers

Porcelain veneers are popular with patients because they are virtually invisible, which means they are barely noticeable by family and friends. Because of this, you won't have to worry about their appearance once Dr. Giscombe applies them to the enamel. Other benefits include:

  • Looking and feeling like natural teeth
  • Are combinable with other cosmetic services
  • Require no extra attention aside from routine oral care
  • Stain-resistance for a brighter, whiter, smile

Caring for Your Restorations

Porcelain veneers are stain-resistant, but that doesn't mean they don't require daily upkeep. You'll need to care for them just as you would your natural teeth. Home care for these restorations should include a devotion to brushing at least twice a day and flossing at least once daily to remove food particles. Additionally, it helps to eat a nutritious diet that consists of fruits and vegetables to keep bacteria at a minimum and reduce your risk of developing periodontal disease. You'll also need to schedule annual checkups to our Raleigh, NC, office to ensure that your porcelain veneers stay in tip-top shape.

If you're hiding your smile because of discoloration, chips, cracks, or enamel that has worn down, consult with Dr. Ajamu Giscombe to speak about what you'd like to achieve from a cosmetic dentistry transformation. After performing a smile assessment and addressing questions or concerns, he'll determine your candidacy during the initial visit. For more information about porcelain veneers, and other services provided at Blue Ridge Dental Care, visit our website. Please call (919) 781-3862 for appointment scheduling in our Raleigh, NC, office.

By Blue Ridge Dental Care
February 19, 2020
Category: Oral Health
Tags: gum disease   oral health  

It’s February and time for a little heart love. And not just the Valentine’s Day kind: February is also American Heart Month, when healthcare providers promote cardiovascular health. That includes dentists, because cardiovascular health goes hand in hand with dental health.

It just so happens that February is Gum Disease Awareness Month too. If that’s a coincidence, it’s an appropriate one: Although different in nature and health impact, heart disease and gum disease are linked by a common thread: chronic inflammation.

Inflammation (or tissue swelling) in and of itself is beneficial and often necessary. When cells in the body are injured or become diseased, the immune system isolates them from healthier cells through inflammation for the protection of the latter. Once the body heals, inflammation normally subsides.

But conditions surrounding both heart disease and gum disease often prevent a decrease in inflammation. With heart disease, for example, fatty deposits called plaque accumulate within blood vessels, impeding blood flow and triggering inflammation.

A different kind of plaque plays a pivotal role with gum disease. Dental plaque is a thin biofilm that builds up on tooth surfaces. It’s home to bacteria that can infect the gums, which in turn elicits an inflammatory response within those affected tissues. Unless treated, the infection will continue to grow worse, as will the inflammation.

The bad news is that these two sources of chronic inflammation are unlikely to stay isolated. Some recent studies indicate that cardiovascular inflammation worsens gum inflammation, and vice-versa, in patients with both conditions.

The good news, though, is that treating and managing inflammation related to either condition appears to benefit the other. Patients with cardiovascular disease can often reduce their inflammation with medical treatment and medications, exercise and a heart-friendly diet.

You can also ease gum disease inflammation by undergoing dental plaque removal treatment at the first signs of an infection. And, the sooner the better: Make a dental appointment as soon as possible if you notice swollen, reddened or bleeding gums.

You can lower your gum disease risk by brushing and flossing daily to remove accumulated plaque, and visiting us at least twice a year for more thorough dental cleanings and checkups. If you’ve already experienced gum disease, you may need more frequent visits depending on your gum health.

So this February, while you’re showing your special someone how much you care, show a little love to both your heart and your gums. Your health—general and oral—will appreciate it.

If you would like more information about gum health, please contact us or schedule a consultation.

By Blue Ridge Dental Care
February 09, 2020
Category: Dental Procedures

Moving teeth through orthodontics may involve more than simply wearing braces. There are many bite conditions that require extra measures before, during or after traditional orthodontic treatment to improve the outcome.

One such measure is extracting one or more teeth. Whether or not we should will depend on the causes behind a patient's poor dental bite.

Here, then, are 4 situations where tooth extraction before orthodontics might be necessary.

Crowding. This happens when the jaw isn't large enough to accommodate all the teeth coming in. As a result, later erupting teeth could erupt out of position. We can often prevent this in younger children with space maintainers or a palatal expander, a device which helps widen the jaw. Where crowding has already occurred, though, it may be necessary to remove selected teeth first to open up jaw space for desired tooth movement.

Impacted teeth. Sometimes an incoming tooth becomes blocked and remains partially or fully submerged beneath the gums. Special orthodontic hardware can often be used to pull an impacted tooth down where it should be, but not always. It may be better to remove the impacted tooth completely, as well as its matching tooth on the other side of the jaw to maintain smile balance before orthodontically correcting the bite.

Front teeth protrusion. This bite problem involves front teeth that stick out at a more horizontal angle. Orthodontics can return the teeth to their proper alignment, but other teeth may be blocking that movement. To open up space for movement, it may be necessary to remove one or more of these obstructing teeth.

Congenitally missing teeth. The absence of permanent teeth that failed to develop can disrupt dental appearance and function, especially if they're near the front of the mouth. They're often replaced with a dental implant or other type of restoration. If only one tooth is missing, though, another option would be to remove the similar tooth on the other side of the jaw, and then close any resulting gaps with braces.

Extracting teeth in these and other situations can help improve the chances of a successful orthodontic outcome. The key is to accurately assess the bite condition and plan accordingly.

If you would like more information on orthodontic options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removing Teeth for Orthodontic Treatment.”