We know no one enjoys filling out paperwork, but in any medical environment, all those questions about your medications and medical history are incredibly important. Most people acknowledge that they need to fill out paperwork at places like their GP or orthopedic, but at dental offices, paperwork is often left ignored and unfinished. Because people typically come to the dentist twice a year, it can feel more routine than going to other medical offices. This translates to people not feeling the need to mention things like new medications or recent surgeries. Your teeth don’t have much to do with the rest of your body, right? In reality, your overall health has a strong impact on the health of your teeth and gums. Even small changes to your medical history can impact how we approach your dental treatment options.
Almost all medications — even over-the-counter drugs — come with long lists of side effects. Most decongestants and many antihistamines can severely reduce saliva production. Saliva helps keep your teeth “clean” in-between brushing by washing away harmful bacteria. If we know that you’re on a medication that affects saliva production, we can take some proactive measures to ensure your teeth and gums stay as healthy as possible.
Some other medications that may affect your saliva production include painkillers, diuretics, and antidepressants. If you’re taking any kind of medication regularly, make sure your dentist knows — even if you don’t think it’s affecting your teeth or mouth directly. With anything medical, it’s always better to be safe than sorry.
Your mouth is a gateway for harmful bacteria, allowing them to easily move from your teeth and gums to affect the rest of your body. Poor oral health can exacerbate, and even cause, certain conditions, including endocarditis and cardiovascular disease. Letting your dentist know about your health conditions — including your family’s health history — is vital. If endocarditis runs in your family, your dentist may recommend coming in for three or four cleanings a year instead of two, just to make sure there are no bacteria that can wind up near your heart.
Your oral health can also impact pregnancy. Recent studies link periodontal disease to low birth weights and premature births. We typically recommend that pregnant women come in for cleanings every three months instead of every six months if they’re struggling with their gum health.
Other conditions that relate to your oral health include diabetes, HIV/AIDS, and osteoporosis. These illnesses can make the mouth more susceptible to gum disease, mucosal lesions, and tooth loss respectively. The best way to keep yourself healthy is to tell your dentist exactly what sort of conditions you have so they can create a treatment plan that works for you.
Surgeries and injuries — on any part of the body — can affect oral surgeries and treatments. At our office, we approach every case with individual, personalized care. If we don’t know your medical history, we could make a mistake. Keep us in the loop on any and all changes by filling out all requested paperwork and talking to your dentist while you’re in the office. We want every visit to our office to be beneficial and worthwhile to you but for that to be possible, we need your help.
“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!
Gum recession (where the gums gradually pull away from the teeth) is an incredibly common problem among adults. Recession appears due to a variety of reasons including poor dental hygiene (leading to periodontal disease), aggressive brushing, and general aging. Because so many patients have it, dentists are always trying to find new techniques that can effectively “cover-up” the exposed tooth root(s). Years ago, the only true way to repair receding gums was to perform a traditional connective tissue gum graft. Nowadays, we have a few different techniques that we can also use that are less invasive and painful for the patient. At Stanley Dentistry, we use the “No-Hole” technique as often as we can because it’s minimally invasive, has a high success rate, and is significantly less painful than other methods.
Also known as the “Tunnel” technique, the No-Hole technique does not involve creating any kind of incision. Instead, the doctor uses a special set of tools to “tunnel” underneath the gum tissue, forcing it away from the tooth. This space between the tooth and gum tissue is very small but it’s just large enough for the doctor to place an allogenic dermal substitute (AlloDerm). Once the AlloDerm is in place, the doctor raises the gum tissue to cover the exposed root and sutures it into place.
The No-Hole technique allows the gum tissue to stay intact which improves vascularity (blood flow) around the area. Better blood flow means higher chances of a successful and esthetic outcome. This technique also grants the doctor the ability to correct gum recession on numerous teeth during one procedure. With traditional gum grafting methods, patients with extensive, full-mouth recession have to come in for numerous, lengthy procedures. The No-Hole technique needs just one quick procedure to produce long-lasting results.
Dr. Robert Stanley coined the name “No-Hole” in reaction to the popular “Pin-Hole” technique. With Pin-Hole procedures, the doctor creates a small hole in the gums and uses an instrument to stretch the tissue before inserting a collagen matrix. The procedure can be successful for minor gum recession but it is very difficult to perform and the introduction of a hole in the gum tissue is unnecessary when the No-Hole technique works so well.
New dental techniques take a long time to catch on because they frequently require extensive training and experience to master. At Stanley Dentistry, our doctors are always signing up for new continuing education courses so they can stay abreast of current dental trends. This is how we’re able to offer procedures like the No-Hole technique at our office.
The No-Hole technique can be difficult to perform because it requires the doctor to work in a very small area (the pouch between tooth and gum). Dr. Robert Stanley has significant experience with the No-Hole technique and has performed the procedure successfully on countless patients.
Most patients experience pain during the first three to four days post-surgery. By their one or two-week post-op appointment, most patients are feeling little to no discomfort. We encourage patients to stick to soft foods for the first few days and to slowly introduce semi-solid foods into their diet as the site of the graft heals. By a month after surgery, patients are completely healed and pain-free.
One of the main reasons why doctors began searching for alternatives to traditional grafting is because of the pain patients were experiencing. The No-Hole technique, unlike traditional grafting, is minimally invasive and heals quickly and easily. During the procedure, we use various kinds of sedation dentistry to keep the patient comfortable.
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.”
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!
Peggy came to our office in need of a complete smile transformation. She was self-conscious and concerned about her ability to eat. Now that her treatment process has been completed, this is the first time she has seen her forever smile.
“I put [fixing my teeth] off and put it off for so many years. It was not only that — it was my health. I couldn’t eat properly so I was having digestive problems. I was blessed I didn’t have a really bad toothache during this time. I kept pushing it. My sister [would say] ‘Have you called the dentist yet? Have you gone to the dentist yet?’ And then my doctor — my medical doctor — [was also encouraging me to get it done].
It went very well. When I woke up, I had no trouble at all. My whole head would hurt sometimes from my teeth. I had a lot of phantom pain. Trying to eat was getting more and more ridiculous. I knew I had to have [some teeth pulled]. I was very blessed that I had some money my mother and father left me that I was able to do this process. I still would have had to go somewhere to have surgery for my mouth because my mouth was bad. It was very bad.
I never really had any pain — even right after the surgery. [The prosthesis was uncomfortable] but not pain[ful]. Of course, when I got to eat for the first time after two months of liquids and mashed potatoes…I remember the first time I got to bite into a pear. I took a bite out of it and I was like “I can eat!” It had probably been ten years [since I bit into a pear] because my teeth were so bad so I’d always have to cut stuff up. To just take a whole pear and bite it — to be able to chew meat and stuff like that. I was really having a hard time eating because my teeth were so bad.
One of the bank tellers at the Credit Union I always go to said ‘You know, you’re smiling now! You never used to smile.’ I said no, because I was really ashamed of my mouth. I remember I had a picture I sent to a friend of mine and I haven’t seen her in a few years and she said “Peggy, why don’t you get that tooth fixed?” And I said, ‘Nedra, you just hit on my biggest worry. And it’s not just one tooth — it’s the whole mouth.’ I would have to keep my mouth closed but now I can take pictures smiling.
Everything here. You have to trust somebody to do something like this. Knowing that you all had an anesthesiologist who was here. That made it easier because that’s who’s got your life for those few hours that you’re having the surgery.
I would say come in and look at the options. Really look at your health. Sure, it’s expensive when you first hear it but when you think about all that you’re getting. Just having [Dr. Rob] pull the teeth and get all the roots out…if you went to a regular oral surgeon, that would’ve cost three hundred or two hundred. So that alone, just getting all of that out, [was worth it]. If you’re suffering, don’t let it go on. Get something done about it and this is a great place to go.”
Living life in constant pain from dental decay and periodontal disease is hardly living. Don’t put your health and self-confidence in jeopardy by pushing off dental surgery. Come in for a complimentary consultation and we’ll walk you through what the Omega Teeth process entails, how much it costs, and whether or not it’s right for you. This is your opportunity to finally get the pain-free long-lasting smile you’ve always wanted! Call (919) 460-9665 or set up an appointment here. We’ll see you soon!
“How did I end up at Stanley Dentistry? Well, Dr. Rob and Dr. Bobbi — before Dr. Rob was a dentist — lived up the street from me and that’s how I came to be a patient here.
It’s been really nice. Being a patient here, I feel like part of a — this is so corny — but I feel like part of a family because everyone is so friendly and professional. I get really good, quality care. It never hurts — NEVER — and I can’t say I look forward to dental visits, but I look forward to seeing everyone here. They are just so…it’s great.
Well, the implant came after I had a tooth extracted. And, first of all, the extraction was really simple. I was amazed. Then we went ahead and did the implant and that took a little while, but I didn’t feel anything. I felt nothing and then the recovery from it was easy. Do you know what the hardest part was? When they put the crown on, it just pinched the gums. But, compared to everything involved in putting an implant in, it was easy — it was great! I don’t have any regrets.
I feel like I’m really taken care of when I come here. I started out with Dr. Bobbi, and then Dr. Rob went to dental school, and he jumped in! And he’s awesome. They are both so professional, so friendly, so engaging and they know what they are doing. They are up on everything. And I have seen the procedures grow as far as what’s available here at Stanley Dentistry. They used to refer me out for a root canal, but now it’s just a one-stop dental visit. It’s awesome. They take care of all my needs here. I always recommend this practice for dental care. I can’t think of anything, I can’t think of a better place to come!”
Interested in learning more about dental implants? If you’re on the fence about getting dental implants, read about our unique dental implant system Omega Teeth here. Dental implants, as opposed to bridges, partials, or dentures, allow you to eat, talk, and live life without having to worry about your teeth. They’re long-lasting and require very little maintenance. The majority of patients who get dental implants never have to think about them again after they’re healed.
If you’re ready to get started on your dental implant treatment, you can set up a complimentary consultation with our implantologist, Dr. Robert Stanley. He’ll take a look at your teeth and let you know if you’d be a good dental implant candidate. Our team will then draw up a treatment plan for you, outlining costs and appointments. Just call (919) 899-4062 to get started! We’ll see you soon!
Most dental practices only offer the implant post. Patients then have to go from dentist to dentist searching for cosmetic dentistry. At Stanley Dentistry we do it all! We use state-of-the-art technology to completely restore your smile from start to finish in as little as one day.
“I’ve really enjoyed it. I’m really satisfied. If I would’ve known, I would’ve come before I went to another dentist to get my implants. I would’ve gotten everything done here. I didn’t know but I know now!
He [her husband] made a comment: ‘I can’t believe you went all the way to Cary to get your mouth done!’ You know what I told him? I said, if they do a good job, why not drive all the way out to Cary?
I would recommend it to anyone. I’ve been trying to get people to come!”
Our office specializes in dental implants so we have a ton of information about them. If you’d like to learn a little more about them before scheduling a consultation, here are a few helpful links: