The most common condition we see in our office (that isn’t a cavity) is undoubtedly periodontal disease. Periodontal disease, or gum disease, occurs when bacteria get underneath the gumline, multiplying and infecting the sensitive tissue. The bacteria encourages the gum tissue to lift away from the teeth. Without the gums stabilizing and protecting the teeth, the chances of losing a tooth (or teeth) skyrocket. This is why we take periodontal disease so seriously in our office. What begins as a little blood on your toothbrush can lead to eventual tooth loss.
So, how do you know if you have periodontal disease? According to the CDC, 47.2% of adults aged 30 years and older have some form of periodontal disease. Considering how easy it is to keep gum disease at bay, that number is staggering.
If you think you may have gum disease, chances are you do have some early stage of it. Here are a few of the symptoms that you may be experiencing:
The earliest stage of periodontal disease is gingivitis. Its symptoms are mild which is why people frequently ignore them. One of the best ways to self-diagnose gingivitis is by closely inspecting your gums. Are they red and “puffy” looking? Can you see a ridge of plaque building up near the gum line? If you answered “yes” to those questions, there’s a high chance you have gingivitis. Red gums that bleed when brushed are the number one symptom of early periodontal disease.
If you’re experiencing red, inflamed gums, schedule a dental cleaning immediately. If your gingivitis is more severe, they may recommend scheduling you for scaling. This is where a hygienist cleans underneath the gum tissue instead of just around it. Scaling is the most efficient way of removing built-up bacteria that lurks beneath the gums but, even after a scaling treatment, you have to keep up with your oral hygiene routine at home. Brushing twice a day with gum detoxifying toothpaste and flossing once a day will keep your gums healthy and pink.
When left untreated, gingivitis turns into periodontal disease. This may be when you begin to experience some gum recession. Gum recession is when the gums begin to pull away from the teeth, making the teeth appear “longer.” That’s actually where the expression “long in the tooth” comes from. Older people tend to have more gum recession than younger people because periodontal disease typically takes a while to develop — especially if you keep it from becoming too severe.
Adults with good oral hygiene may experience mild gum recession as they get older but, in those cases, there shouldn’t be a serious risk of tooth loss. Gum recession caused by long-term untreated periodontal disease is where tooth loss becomes a real problem. The longer the periodontal disease goes untreated, the worse the recession gets. If the gums shrink away so dramatically that there isn’t really anything holding the tooth/teeth in place, tooth loss is inevitable.
The best way to keep your mouth and teeth healthy is to follow two simple rules:
That’s it! If you stick to those two things, you’ll never have to worry about periodontal disease. If you’re already struggling with periodontal disease or gingivitis, here are a few things you should do:
That last one might be a little surprising but when it comes to keeping your teeth and gums clean, water is incredibly important. Water washes away bacteria and built-up food and can help prevent plaque build-up. Switching from sugary sodas and energy drinks to water is a great way to improve your oral health.
Live in the Cary-Raleigh area? We’d love to have you come in! We offer an array of services from pediatric dentistry and orthodontics to oral surgery and cosmetics. Call (919) 460-9665 to set up an appointment today.
There are only a few months left in 2020 which means there’s a limited amount of time to use up all of your dental insurance benefits. The money you pay into your dental insurance plan does not roll over to the next year so if you neglect to use your benefits before January, you’re essentially throwing away your money. Unfortunately, that’s exactly what your dental insurance company wants you to do. If you don’t take advantage of your semi-annual cleanings, they get to pocket the money they would have given us to cover the cleaning. That’s money you already paid, lining the pockets of an insurance company instead of going towards keeping your teeth healthy.
Most dental insurance plans give you two cleanings a year (though a few only include one). The best way to get the “most bang for your buck” is to schedule and come in for both of those cleanings if you have them available. They’re quick, easy appointments and they’re the best way to keep your mouth healthy and prevent future dental problems.
Depending on your plan, you may have some other benefits available as well. There are plans that cover a certain number of cavities, root canals, and, in certain cases, even dental implants. Give us a call if you’re confused about your dental insurance coverage. We’ll give you a free assessment to see what sort of benefits you have left this year. Once you know, you’ll be able to get started on the treatment you need (before 2021!)
We’ve made scheduling your six-month hygiene visits easier than ever. You can now choose the date and time of your cleaning without having to pick up the phone. Just click this link to head over to our secure scheduling portal.
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.
“Dentistry is essential health care because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health.”
Norma has been to dentist after dentist, looking for the right team of people to help heal her smile. After finding Stanley, she now commutes over 4 hours to come visit her family here at Stanley.
“I’m Norma Aguilar. I’m from Lenoir, North Carolina and I’m about 45 minutes from Boone, North Carolina. I’m on the west side. It takes me about 4 hours to drive here, and you’re the only place from now on that I’m coming. [I drive over] four hours, because my other dentist has not given me the information or done what you guys have done for me. Since I first came, you made me feel like I was your sister or brother.
I’ve gotten more understanding about my mouth than when I had cellulitis of the bloodstream because of a dental problem. You know when you feel comfortable, and you feel safe, and you feel like the truth is being given to you. Other dentists I’ve been to…I’ve not been that fortunate. I’ve had a lot of problems medically with my mouth that have put me in the hospital or in the ICU. I haven’t had [any of those problems] here. You’re very cautious and you’re very protective. That confidence makes you feel like you’re really appreciated and that you really want to do the right thing for me. And you handle it personally. I’m not just another person coming in the door and saying, ‘Oh we’re gonna get this done, and we can do this and this and make this money…’ You’re not about that. That’s the difference.
I’ve been here since [I moved from] Florida. Over the years, I’ve been to about 5 different dentists. I haven’t had [this level of] information, even [after] asking, they didn’t tell me [everything about my treatment.] Here, they tell me what’s the problem and what the cost is, and the prevention as well. So, this is my home. If I have to drive for hours to come every six months, I’m [still] coming. I’m not going to another dentist.
It would be [the] number [dentist] on my list. and I would tell them it would be worth the money to travel if they had to travel. They’d be foolish not to because you take care of the people like they are your mother or brother or sister, your cousin, your uncle. You don’t take care of them like they are another patient coming in that you can make money [off of]. That’s not the question here. The question here is ‘how can we help you? What would make you happy? How do your teeth feel? What can we do to make you improve as a person?’ There’s a difference when you walk in and a dentist says, ‘You got this, this, and this,’ but someone comes in and says, ‘How can we help you with your mouth? We know that money’s an issue but the real issue is what can we do for your health?’ Now that was the first question I had never heard in my life, said to me here by Dr. Bobbi. So I know that this is the place.”
Tired of hiding your smile? Frustrated by mounting dental bills for cavities, root canals, and extractions? Our office specializes in clear, simple treatment plans that allow patients to get long-term solutions quickly and easily. Our talented team can do everything from full-mouth restorations to Omega Teeth dental implants — all under the same roof. In just a few appointments, you’ll be able to show off your smile again. Give us a call at (919) 460-9665 to set up a complimentary consultation with one of our doctors. We’ll see you soon!
Your head hurts, you have a fever, and, weirdly enough, you have a toothache. You might think those three things are unrelated but, chances are, you’re probably suffering from a sinus infection. Sinus infections occur when a virus or bacteria wreak havoc on the sinuses, causing painful congestion and inflammation.
The most common symptom of a sinus infection is congestion and pain in the sinuses. Sinuses are located in a few different areas including behind the eyebrows and right below the eyes, in the upper cheek region. Sometimes, if inflammation in the sinuses becomes severe enough, tooth pain can occur. The pain is usually centered around the upper molars since they’re located near a sinus cavity. The tooth pain can be severe enough to cause people to become confused about its origin.
The best way to figure out if your tooth pain is coming from a sinus infection is to look at your other symptoms. Are you running a fever? Do you have nasal congestion or a headache? Are you having difficulties smelling or tasting? If you answered “yes” to those, your tooth pain is most likely related to sinus inflammation.
If you are not suffering from any of those symptoms, your tooth pain is related to decay or damage. Get to a dentist as soon as possible so they can do an exam of the tooth. You may need a filling, a root canal, or an extraction.
Viruses, not bacteria, are frequently the culprit when it comes to sinus infections. This is both a good and bad thing. It can be good because, in most cases, viruses only last a week. It can also be not so good because viruses are not easily treatable. You can treat the symptoms (stuffy nose, fever, inflammation, etc.) but you cannot rid your body of the virus. You have to wait for it to work through your system, which is typically a fairly quick process.
If the sinus infection is bacteria-based, you may have to get antibiotics from a doctor. You should resort to antibiotics only after experiencing symptoms for over ten days. Antibiotics can become ineffective after excessive use.
If the tooth pain from your sinus infection is unbearable, go to the doctor immediately. If it’s uncomfortable, here are a few ways to help keep that pain at bay:
“Pregnancy gingivitis is inflammation of the gums that comes from a surge in hormones. It can be many different hormones but progesterone is the number one cause of it. It [progesterone] causes red, swollen, irritated gums. That’s called pregnancy gingivitis. It can turn into something even more serious called periodontal disease. That’s not just from pregnancy. Periodontal disease is a more serious condition where bacteria actually creep below the gum line and causes an infection in the bone. It can end up causing you to lose your teeth down the road if you were not to treat it along with other health issues. Pregnancy gingivitis can be the precursor to periodontal issues so you want to make sure it doesn’t cross into that dangerous stage.
Periodontal disease can complicate the immune system and it can hurt your overall health. That’s true for men and women — but with women, it can cause preterm birth and low birth weight babies. Preterm birth can cause all types of issues for kids. They can have learning disabilities down the road, hearing and vision loss, and/or chronic health problems like asthma infections. You really want to do everything you can to make sure that the baby goes full-term.
Believe it or not, 40% of pregnant women have some form of periodontal disease. Come in and see your hygienist and your dentist and let them do an overall exam check of your periodontal health. They’ll make sure you’re healthy and that way, if you do have any issues going on, they can either give you some home care instructions or possibly treat any periodontal issues you might have. For gingivitis, that just means a really food cleaning and follow-up home care. Sometimes you’ll need some medicines and mouthwashes — things like that could help you get through it.
And then, if you have periodontal disease, there is treatment. We do periodontal therapy where we clean below the gemlike to clean some things out. You’d want to make sure that you schedule regular visits. Here at Stanley Dentistry, we like to see our pregnant patients at least every three to four months to make sure that, if there are any bacterial infections going on, you can get those taken care of before they become an issue.
I make sure I floss every day once, if not twice. Before, I was just a once-a-day flosser. I brush two to three times a day and I do get my cleanings more often while I’m pregnant.”
“I’m a big wuss. So, I need somebody that’s going to take care of my teeth on the painless dentistry side. I was looking for somebody who practices that. I heard about Dr. Stanley — the dentist to the stars. So, I came in and, once again, I never looked back. It’s an easy experience. I don’t mind coming to the dentist anymore.
Each and every time I’ve gotten more comfortable coming here. I’ve never been sedated — but I did get needles in the gums, which is fine. Both Stanleys, the docs, they’re great. I tell everybody — come on down.
They’re very professional at all times. Very friendly and easy-going. [They] explain to you everything that’s going on. They make sure that you’re comfortable with it. It’s just a great overall experience every time you come in the chair. Never an issue. They’re there for you the whole time — even afterward. Whatever work you have done — you can call them, they’ll call you. You’re going away, they’ll give you someone to talk to when you’re going away — if god forbid something should happen. They’re great people.
Absolutely. You gotta come down and see the Stanleys. Both of them. I got two screws [dental implants] in my mouth so I’ll say I got screwed by Drs. Stanley. Everything was good. It was awesome. That’s about it. I can’t say enough. Great job, guys!”
At Stanley Dentistry, we know getting dental work done (and sometimes, just entering a dental office) can be difficult for some people. Dental anxiety is a very real phenomenon for many of our patients which is why we take it so seriously. If you suffer from dental anxiety, we will do everything we can to make your dental visits as stress and pain-free as possible. Our hygienists, dental assistants, and doctors are experts on minimizing discomfort during dental procedures (even ones as simple as routine cleanings). When you’re here, we want you to be as comfortable as possible so if there’s ever anything that makes you feel uneasy or uncomfortable, please let us know. We’re here to help improve your health — not progress your anxiety.
If you’re ready to get started on your dental treatment, feel free to set up a complimentary consultation with one of our doctors. They’ll go over your different options and how they can help improve the health and function of your teeth. We’ll see you soon!
Hi, Dr. Robert Stanley, Smile Engineer. Today, I’d like to talk to you about sedation dentistry. So, there are a lot of different levels to sedation dentistry in terms of what we can offer people who are anxious or just need to be relaxed a little bit when they come into the dental office.
The first one we can do is pill sedation. We can give you something to relax you before you come and a couple of pills when you’re in the office. Now, I always like to warn people with this pill sedation, that it’s important to understand that this is like having a glass of wine or something. It just takes the edge off most of the time. If you think that you are going to need a little bit more than that, then that’s where IV sedation comes into play.
When we do IV sedation, we place an IV, usually in the arm somewhere or the hand, and the IV allows us to administer medication very rapidly. Now, the nice thing about this is that we can control the situation much more quickly and efficiently by using IV sedation. If we want to give you just a little bit more to make you a little bit more relaxed, we can do that. And we can stop it and as soon as we stop, the medicine wears off very, very quickly.
So, IV sedation is excellent for people that have not been to the dentist in a long time because of fear. We have a lot of those patients come in and they’ve had a bad experience when they were younger. They say: “Hey, I’m just really having a hard time just sitting across from you and talking to you.” Those kinds of people? Those are the most excellent patients for IV sedation because you come in, we wrap you in a warm blanket, you go off to la-la land, and when you wake up, your restorations are all done.
One of the nice things about doing IV sedation in an office like ours is that we have the ability to do a multitude of procedures all at the same time. So, say, for instance, you need a filling, and a crown, and a root canal, and an extraction — a variety of different things. You can get them all done in one short appointment. So, it’s a very efficient use of your time.
Sedation dentistry is the best and safest way to overcome dental anxiety. Set up a free consultation with Dr. Robert Stanley to learn more about which dental sedation option is right for you. Feel free to request an appointment here or call (919) 460-9665.
It’s weird, the way I came to see Dr. Stanley. See, I have a hypermobility syndrome that affects chronic pain throughout my body. I was searching for years and years and spent tens of thousands of dollars on different techniques to try and get this pain syndrome under control. Part of hypermobility, and controlling it, is having control over your structure because when you have hypermobility, your ligaments don’t hold you together very well. So, having structure, and strength in that structure, is very important. Dr. Stanley understands the relationship between the bite and the tongue and how it impacts the neck. Not only the physical structure but the neuromuscular structure functioning in that area.
I went to a neuromuscular dentist prior to Dr. Stanley and went into braces and it failed. I was actually in more pain than I was prior to, so I was very disappointed. I reached out to fifteen or twenty national experts across the country and no one really had an answer for me — but Dr. Stanley did. She said ‘I think I have something that will really help you.’
She expanded my upper palette and I have a frenectomy — a release of the tissue underneath your tongue — and then went back into braces the last time. And she helped me with the finances for that because she understood that this has been a long journey for me. It was one of those things that I can honestly say was a game-changer. There’s no magic bullet but having her as a part of my team is one of the best things to ever happen to me. I can’t talk more highly of Dr. Stanley — not jut as a dentist but as a clinician.
One of the biggest frustrations [going into previous treatment] was monetary. Everyone was selling me the magic bullet that was going to fix everything. It was a complex interrelationship of how my body was interacting with myself. She looked at me as a whole person — everything together. She seemed to have a mastery of the understanding of that. It put me at ease, immediately when I walked in.
This is something that I’ve been going through for ten years so my vocabulary and understanding of it is extremely in-depth. So, when I hear someone who can explain to me my symptoms and why this might be happening — when I finally have someone who can communicate with me in a way that I understand, and be compassionate towards me, and work with me…Not just in the sense that “in this alternate reality,” but to actually put something into practice, and plan for a successful outcome. To realize that, it’s just amazing. It’s wonderful.
When I say “game-changer,” it’s one of those things where, in my life, I was in a lot of pain and after that experience…getting my palette expanded, the braces, and everything moving into place — it really was a structural component. After I got out of braces, the tension was 70% less. When you have that relaxation of the tension and the muscles can contract and relax in a way that is neuromuscular-ly correct…I was able to incorporate exercises and do things that would reduce pain on down the kinetic chain. It was a game-changer from the top-down. I mean, I know a lot of times (I coach baseball), everything happens from the ground up! But, sometimes and in this case, it’s from the top down. She was really able to help me there.
So, primarily I worked with Brenda and she was just great, always in a wonderful mood, and they recognized my positive energy and they basically added to it. It’s a synergistic environment. That’s what I’m always looking for in a team — for people who can support who I am. So, that was, for me, the biggest thing. The office supported me personally.
TMJ is not always a strictly teeth thing. But, if it is related to your bite and it’s related to your upper cervical spine, then…in my personal experience and having seen seven or eight experts, I would [recommend] seeing Dr. Stanley first. I would not go to an upper-cervical specialist. I would rule this out first. If it’s a teeth problem that’s affecting your cervical spine and the relationships there that cascade down your body, I would go here before I went to any neuromuscular dentist in the state of North Carolina.”