“Hello everyone, Dr. Robert Stanley, Smile Engineer, here. Today, I want to talk to you about something that really is close to my heart which is, ‘what is a dental implant made out of?’
So, most dental implants are made out of titanium. But what most people don’t realize is that titanium comes in different grades. So, we have commercially pure grades 1, 2, 3, and 4. Then we have something called the alloys. In the alloys, we have something called alloy-23 and that is medical-grade titanium.
When we select a dental implant, and if you’re looking for a dental implant, one of the questions you’d want to ask your provider is, “what is the implant made of?” And when they say, “titanium,” which is what most are made of, then say, “what type of titanium?” You need to figure this out and here’s why. Grade one titanium is 66% weaker than the grade 23 titanium that we talked about. CP, commercially pure, grade one, is 66% weaker than grade-23 alloy.
In our office, we don’t use CP1. We don’t use CP2, 3, or 4. All of those commercially pure titanium’s are weak. They’re just not strong enough. We use medical-grade, German titanium and that has an alloy and it’s extremely strong. How does that matter to you? Why does that matter? Well, if we put the dental implant in and it’s made out of a softer metal, it might fail, over a period of time with use. So, it’s just like a coat hanger. If you have a coat hanger and you bend that coat hanger back and forth, you can eventually break it in half. Well, if the coat hanger was made out of a stronger metal, it would take longer before you’d get that coat hanger to break in half. So, in our office, we don’t ever want to have an implant break. We use the strongest metal that we can, grade 23 titanium.”
You may be thinking “grade 23 titanium implants are strong…but are they safe?” The answer is a resounding “yes”! Grade 23 titanium is medical-grade which means the FDA has approved it for use in medical devices, including orthopedic pins and screws, surgical staples, joint replacements, and, of course, dental implants. It is 100% safe and will not cause any ill side-effects. Some patients find the thought of having titanium in their body a little unnerving but it’s truly the best substance for mimicking bone or tooth. It’s incredibly long-lasting and strong. Once it’s placed and healed, you’ll most likely never have to think about it again!
Suffering from missing teeth and looking for a real solution? Dental implants may be the answer. Call our office at (919) 460-9665 to set up a complimentary consultation today!
Every year, Cary Magazine recognizes some of the top businesses in the Triangle area with the prestigious Maggy Awards. The awards honor all kinds of businesses and business owners with categories like “Best Real-Estate Agent,” “Best Bakery,” and, of course, “Best Dentist.” Dr. Bobbi Stanley has won Best Dentist numerous years in a row and we hope to grab that esteemed title again in 2021! To do so, we need your help.
To vote for Dr. Bobbi Stanley, just click on this link, go to the third page of nominations, and go down to “Best Dentist.” It’s that simple! Make sure to write in nominations for some of your other favorite Triangle businesses. Voting for awards and writing Google reviews are great and easy ways to help small businesses. It may not seem like a big deal to you, but a few awards and five-star reviews can make a huge difference for an office like ours.
At Stanley Dentistry, we pride ourselves on being one of the oldest family-owned dental offices in the Triangle. Dr. Bobbi Stanley opened the practice back in 1995 so we’ve been operating for twenty-five years. During those twenty-five years, Dr. Bobbi’s husband, Dr. Robert Stanley, decided to go to dental school as well and joined the practice as our surgeon and dental implantologist. Today, we also have Dr. David Baronowski along with two hygienists, a talented lineup of dental assistants, front desk staff, and a marketing team.
We’ve overcome everything from the 2008 recession to this year’s catastrophic COVID-19 shutdown and we always come back stronger than before. How do we do that? It’s all about our team and our patients. Everyone who works in our office, from the assistants to the doctors, is incredibly passionate about helping as many people as possible obtain healthy, beautiful smiles. We truly love helping people find their “smile confidence”. When you have that sort of pure passion, people tend to notice, which is how we’ve managed to create such an amazing patient base. Many of our patients have been with us since 1995 because they know the care we provide is unparalleled.
A lot of businesses use the saying “When you’re here, you’re family,” but at Stanley Dentistry, it’s more than just a saying. Our office is a solidified part of a Cary community. For us, this is home and the patients who come into our office every six months are our family. We’ve been lucky enough to be able to stay here and serve the Triangle for over two decades and we hope to continue to serve for as long as our team is able. Help our small business stick around by voting for Dr. Bobbi Stanley in the Maggy Awards! Just one vote goes a long way.
“Hello everyone! Dr. Robert Stanley, Smile Engineer here. Today I want to talk to you about solutions for gum recession. If you’ve been diagnosed with having gums that are moving away from the tooth or your teeth are starting to look long, there are two main types of solutions that we can do [to fix it]. They’re both grafting solutions. The only difference is where the graft material comes from. The first option is to take graft material from somewhere else in the body. Typically, it comes from the roof of the mouth. We then simply move it to the area that needs it. And then we put it [the grafting material] on the roots of those exposed teeth so that they’re protected.
The second option, which sounds a whole lot better to most people, is an option where we actually open up a package and we take out an acellular dermal matrix. This basically just means that the material comes out of a bag. We hydrate it and then we place the grafting material over the defect. In both scenarios, we get great results but there is some clinical decision making that needs to be determined behind the scenes. Your doctor will take care of [those decisions] to make sure they are giving you the right solution for the right location in the mouth. Some of these solutions work better in certain areas than others.
So, why do we do root coverage? If we have this lengthening of the tooth, why do we need to do any of these procedures? When you see longer teeth, and the gums are running away from the tooth, what you’re actually seeing underneath that is bone loss. We’re not just seeing the gums getting longer and running away from the tooth, but the bone underneath is melting away. If the bone melts away too much around a tooth, you can imagine that eventually that tooth would become loose and you might lose the tooth. So, the main reason why we’d want to do an intervention where we stop this from occurring (or we slow it down significantly) is to prevent the loss of the tooth long-term.
The second reason we would do it is for aesthetics. Say, for instance, when you smile you have this defect in your smile line. You see these really long teeth and you’re like, “I don’t want my teeth to be really long in this region — I want them to look like they were when I was younger.” That would be an aesthetic reason to get gum grafting done.”
Gum grafting is considered an oral surgery since it involves some minor suturing, and, in certain cases, removal of gum tissue from another part of the mouth. For some people, that may sound a little scary but you can rest assured that, in our office, gum grafting is a routine procedure that our team has perfected. The type of sedation we use depends on the length of your specific procedure and your own desires. If you wish to not remember the surgery at all, we can use IV sedation. In other cases, we may just use a local anesthetic and an oral sedative. Post-procedure, most patients use over-the-counter painkillers to manage mild discomfort.
If you have dental anxiety, we recommend talking to your doctor about the different sedation options so you can choose the one that’s right for you.
Before we do any sort of procedure at Stanley Dentistry, we like to do a consultation first. During the consultation, we go over different treatment options and lay out all the finances. We’ll take a look at your teeth and gums to make sure you’re a good candidate for the surgery. If you are, we can set a date for the procedure.
“Dentistry is essential health care because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health.”
In response to the spread of COVID-19 in North Carolina, our office has decided to postpone all elective treatment until May 11th. Your health and wellness is always our number one priority. Elective treatment includes cleanings and new patient consultations. As always, we will still be open for emergencies and for major procedures that could not be rescheduled. We will also be conducting virtual consultations for people who would like to start their dental treatment while in the safety and comfort of their homes. Simply go to our Make an Appointment page and let us know that you’re interested in setting up virtual consultation. We will call you shortly to schedule.
Like our in-person consultations, our virtual consultations are 100% free. They offer patients some time with the doctors to ask questions about different procedures. The doctor may ask you to take some pictures of your smile so they can start putting together a customized treatment plan. Once our office opens back up, you can come in and immediately get started with whatever procedures the doctor has recommended.
Unless you are experiencing an emergency, we recommend scheduling a virtual consultation at this time. We may not be able to give a diagnosis, but we will be able to answer some of your questions and begin your journey to a healthier, brighter smile. So many of our patients go into their first consultation thinking they need one thing and, after talking to the doctor, leave knowing they need something completely different. This virtual consultation is a time to clear the air and get both the patient and the doctor on the same page.
We understand that this is a challenging time for everyone. We’re more than willing to work with you when it comes to choosing a good platform for your virtual consultation. If you have an iPhone, we recommend using FaceTime. If that doesn’t work, we are open to using other platforms including Zoom and Skype.
We are also offering virtual consults that do not need to be scheduled. For these, you can simply send in a description of your smile along with a few pictures. One of our doctors will create a short video for you explaining a good course of treatment. If this style of consult interests you, please click here.
This is the easy part! To schedule a virtual consultation with one of our doctors, you can either call 919-371-4454 or you can go to our Make an Appointment page and request one. We’ll handle it from there!
Dental implants aren’t particularly new (the first one was placed in 1965) but they’ve never been as popular as they are now. This means a lot of patients who never considered getting a dental implant in the past are now scheduling consultations to see if a dental implant is the right choice for them. Even if you’ve waited years and years after an extraction to get a dental implant, you will most likely still be able to get one.
In some cases, your doctor might have to do some work before the dental implant surgery to make the spot implant-ready. These include:
Depending on how long you’ve waited to get an implant post-extraction, you may need some form of orthodontics. Teeth naturally move over time and if there’s a missing tooth, your other teeth will move to close the gap. If the gap is closed, there’s no way to place a dental implant. That’s where ortho comes in. Braces or Invisalign will realign the teeth and re-open the missing tooth gap.
Moving teeth via ceramics or plastic isn’t easy so the process will take a few months. During that time, your doctor can take a look at your case to make sure there’s nothing else that needs to be done pre-surgery.
Dental implants get their strength from their position. Doctors place them in the jawbone so that the implant and the bone can fuse, creating a nearly unbreakable bond. If there isn’t enough bone in the jawbone for the implant to fuse, the implant will fail. This is why, before the surgery, your doctor should take a 3D scan to examine the jawbone and make sure it’s sturdy enough to support an implant. If it isn’t, your doctor will give you a bone graft prior to the implant surgery to help strengthen the jaw.
Most people who need bone grafts have had (or still have) severe periodontal disease. In its advanced stages, periodontal disease can eat away at both gum tissue and the underlying bone structure.
We always recommend that our patients get a cleaning before undergoing oral surgery. Removing any built-up bacteria prior to surgery is a good way to keep the risk of infection down. The lower the risk of infection, the better chance your dental implant procedure will be successful.
If you had an extraction years ago and would like to get a dental implant, schedule a free consultation with our dental implantologist, Dr. Robert Stanley.
You’re doing your standard morning routine: showering, drinking a cup of coffee, and brushing your teeth. Everything seems normal until you notice a little bit of blood on your toothbrush. A closer look in the mirror yields alarming results: your gums are bleeding.
Unfortunately, this is a common occurrence for millions of Americans every day. It’s so common that a lot of people don’t even consider bleeding gums abnormal or upsetting at all. After all, a few spots of blood on your floss isn’t a big deal, right?
Wrong. If you’re bleeding when flossing or brushing, you need to schedule an appointment to visit our office. Periodontal disease (aka, gum disease) is no laughing matter and can have serious, long-term effects. Patients who leave their periodontal disease untreated are at a greater risk of certain kinds of cancers and will undoubtedly suffer a multitude of oral health issues including:
You probably don’t look at your gums very often but that doesn’t mean they aren’t an important part of your smile. Your gums hold your teeth in place — without them, you wouldn’t have any teeth. Because they’re made of tissue, your gums are not as resilient as your teeth. If not taken care of properly, they become susceptible to bacteria and disease. When bacteria get underneath the gums, causing inflammation and bleeding, gingivitis and eventually periodontal disease manifest.
At first, gum disease presents only mild symptoms. Doctors call this beginning stage gingivitis. The gums will turn red and they may be a little swollen. Brushing or flossing will cause them to bleed easily. A lot of people ignore gingivitis because there isn’t a lot of pain associated with it. Bleeding gums may be a little sensitive but, for most patients, it’s a painless condition.
Compared to the later stages of gum disease, gingivitis is easy to treat. Brushing and flossing more and using a special anti-bacterial toothpaste should cure it within a few weeks. Problems arise when patients get gingivitis but don’t do anything about it. That’s when gingivitis becomes periodontal disease.
Periodontal disease is the later stage of gum disease. At this stage, bacteria will begin to grow underneath the gums, forcing them to recede from the teeth. Patients sometimes think their teeth are getting “longer” but in reality, their gums are getting smaller. The more the gums recede, the higher the likelihood of tooth loss. Without the gums holding the teeth in, they can become loose and, in severe cases, fall out.
Patients who wait for years and years to get their periodontal disease treated typically have drastic gum recession and bone loss. Dr. Rob uses bone grafts, gum grafts, and dental implants (all of which require surgery) to treat severe, late-stage gum disease. For periodontal patients, the longer you wait to get treatment, the fewer treatment options you’ll have.
If you have periodontal disease and your hygienist catches it, they’ll perform what we call a “deep cleaning” or a scaling treatment. During a deep cleaning, the hygienist removes as much of the bacteria from the gums as she can using a very small instrument called a hydro dental scaler. The scaler uses a high-powered stream of water to blast away bacteria build-up in and around the gums. As you probably assumed, scaling is uncomfortable so we always give patients local anesthetic to numb the gums prior.
The procedure is common but it does add another step to the average dental visit which no one wants. Plus, most deep cleanings don’t get all of the bacteria so patients have to come back for follow-up perio-maintenance appointments.
Save yourself some time and money by getting regular dental cleanings every six months and taking care of your teeth at home. You’ll thank us in the long run!
We’ve said it before and we’ll say it again: if you have dental insurance, the best way to save yourself a lot of money is to remember the “use it or lose it” principle. Every year, we run a campaign encouraging our patients to schedule their cleanings, fillings, and other dental services before the end of the year, since dental insurance doesn’t rollover. If patients don’t use the amount allocated by their insurance by the end of the year, they lose that money.
August probably seems a little early to begin thinking about the end of the year but schedules fill up quickly. Back-to-school is just around the corner and before you know it, the holidays will be here. Evade the unnecessary anxiety by scheduling early and using your dental insurance before it’s too late.
Dental insurance is an overly complicated web of unnecessary rules, insane numbers, and fine print. Very few of our patients truly understand how it works since the insurance companies do their best to keep anyone and everyone in the dark. They want their policyholders “out of the know” because that often means making more money. If you don’t know how something works, you won’t notice when the system cheats you.
In dental insurance, that cheat is losing the services you already paid for at the end of each calendar year. In a typical dental insurance plan, you probably get the following:
If you only get one cleaning in May and don’t go in for another one six months later, you lose the money you paid to the insurance company. The insurance company is happy because you paid them for a cleaning that they never had to cover. If you try to go in for a cleaning in January to use one of your two cleanings from the previous year, you’ll just end up using money from your current annual plan instead.
It is never a good idea to sit on needed dental work. Many serious operations, from knee replacement to open-heart surgery, require dental clearance so it’s best to stay abreast of any dental concerns. Of course, that isn’t always easy and we understand that. A lot of people push dentist visits to the back burner because of financial concerns. If you need a lot of treatment, it can get expensive.
The thing is, a lot of our patients come into the office for the first time not knowing that their insurance will cover the majority of their treatment. They assume that insurance won’t cover things like fillings, crowns, or oral cancer screenings when in reality, they will. If you haven’t already gone past your limit for the year, many dental insurance companies will cover a variety of services.
The best way to know what your dental insurance covers is to come into the office and meet with our insurance experts. They’ll give you a complimentary insurance check to see what insurance will and won’t cover.
If you have a dental insurance plan, you’ve already paid for regular visits to the dentist. You’ve already paid for the occasional filling or crown. Isn’t it better to schedule those appointments and effectively use that money instead of allowing the dental insurance companies to scam you out of hundreds of dollars?
We hear a lot of questions about dental health from our patients: “How do I get rid of bad breath?”,“When do I need my wisdom teeth removed?”,“Will my veneers stain?” Those, we anticipate — we’re a dental office after all. We love helping patients understand their oral health better. What might be a little surprising is how often we hear insurance-based inquiries. “Are you in-network with (fill in the blank here)?” is undoubtedly the most frequently asked question in our office.
Patients assume that dental insurance is comparable to normal health insurance because there’s similar verbiage. Unfortunately, the two share very few similarities. This leads to a lot of confusion, hence the inundation of dental insurance questions we receive daily. We’re here to clear the air on what exactly dental insurance is and how it can both help (and hurt) your wallet.
With health insurance, you’re paying the insurance company to cover the costs of potential injuries, check-ups, etc. Health insurance has its own problems but it typically does cover at least part of big, medical expenditures.
Dental insurance does not. If you’re paying for dental insurance, you’re essentially paying for a dental coupon. You have a certain amount of money (typically $1000) that you can spend on dental care for the year. If you break a tooth and need immediate care but you’ve already spent that $1000, your dental insurance will not cover the treatment. To make matters worse, if you go all year and only spend $200 on dental care, the remaining $800 does not rollover. You lose all that money.
If dental insurance is one of your employment benefits, use it. Schedule your six-month wellness visits and don’t let it go to waste. If you don’t have dental insurance, consider paying out-of-pocket. We know that sounds scary but in the long run, you will save money. Dental insurance companies stay afloat because they rely on people’s ignorance. They know that most people don’t know how dental insurance works.
Follow these links to learn more about dental insurance:
If you’re considering paying out-of-pocket for your dental care, give us a call at 919-371-4454 . We’ll talk to you about our financing options and any and all available discounts.
Dr. Bobbi Stanley went into dentistry for one single reason: because she loved it. From a young age, she knew that dentistry was the only thing she could do for the rest of her life that would make her truly happy. Stanley Dentistry is the result of her and Dr. Rob Stanley‘s unparalleled passion for the dental field and, more importantly, their patients. Why does Dr. Bobbi Stanley love dentistry so much? Because she loves seeing patients leave the office with beautiful, pain-free smiles. For us, dentistry isn’t so much about teeth as it is about making people feel healthy, happy, and confident.
For the Stanley Dentistry team, we have a motto that we all live by: never compromise. When it comes to our patients, every Stanley Dentistry team member is focused on finding the best possible treatment plan for each unique individual. What works for one patient may not work for another which is why we give individualized attention. We believe that every trip to Stanley Dentistry should be stress-free, comfortable, and beneficial to the patient.
Our team is honest with their patients about every step of their treatment, including finances. If a patient cannot afford a certain service, we are always willing to find alternative solutions or set up a financing plan. Our slogan, Find Your Smile, is a constant goal at Stanley Dentistry. No matter what your circumstances, we want you to have the amazing smile you deserve.
Going to the dentist isn’t exactly a fun experience. Lots of people dread going because they think it entails pain, anxiety, that gross “clinical” smell, and a lot of money. For a lot of dental offices, those fears are warranted. Luckily for our patients, we aren’t most dental offices.
Dr. Bobbi Stanley and Dr. Rob Stanley set out to make Stanley Dentistry a place where patients could feel comfortable, relaxed and well taken care of. We offer bluetooth headphones, warm blankets, and sessions in our in-office massage chair to make our patients feel like they’re at a five-star spa instead of a dental office. For patients with high anxiety, we have an array of sedation options to make each visit quick and painless.
Our team builds relationships with everyone who walks through the door not because they have to but because they want to. The Stanley Dentistry team believes that no one should have to ever “endure” a dental visit. Everyone deserves to come into a dental office that has a friendly, anxiety-free environment. We take the time to get to know you and what you value. After your first appointment, we make a point of taking those values into consideration during your following appointments.
At the end of the day, Stanley Dentistry isn’t about fixing teeth. It’s about giving people back their self-confidence. It’s about taking the anxiety and pain out of going to the dentist. It’s about forming relationships with the people who care about your health.
If Stanley Dentistry feels like a good fit for you, set up an appointment today!