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.
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.
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.”
“We know that these past few weeks have been the most challenging that many of us have seen in our lifetime. In our twenty-five year history, we’ve seen a lot of changes but the uncertainty and complexity facing us now seem bigger than ever. But even during these challenging times, we never lost sight of what was most important: our patients.
Now more than ever, we want to say thank you. Thank you for letting Stanley Dentistry be a part of your healthcare team and a part of your lives. Thank you for continuing to show up for us even in the midst of these trials. Thank you for being a part of our family. And a part of being family means no matter how difficult this is, we will continue showing up for you and that’s our promise. To protect you, to care for you, and to keep you healthy. We’ll show up for you and we won’t stop. While you’ve been away, we’ve been implementing new and innovative ways to keep you and your loved ones safe. We’re eager to serve you and your family. We’re here and we’re ready to help you find your smile.”
Making sure you and your family feel safe when coming into Stanley Dentistry is our team’s number one concern. We know these are scary, uncertain times which is why we’re going the extra mile to create a safe space where you can get the dental treatment you need. A few of our new COVID-19 prevention methods include:
“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.”
“My name is Taylor Fisher and I grew up in South Florida. Essentially, when I was in nursing school in college, I was on the equestrian team and I had a really traumatic accident riding a horse. I shattered the whole left side of my jaw. I originally had four surgeries to reconstruct everything that first year when I was in nursing school — which was rough, really rough. When I graduated and moved to North Carolina, that’s when I started to try and get everything in place — fix everything other than the actual jaw area, which was fixed. But now, it was more dental and orthodontic.
I got four different answers from four different people telling me what to do. One endodontist was like ‘We could do a root canal but we’d have to slice open the entire gum line.” It was all this crazy stuff. I felt very confused because I didn’t know who to believe — some people were saying just take it out…So, it was scary. I didn’t know who to really trust. The people who took care of me for the original surgeries — one was in Miami and then my other doctors were in Boston. So, I was in a hard place because I didn’t feel like I trusted anyone here.
I had a patient in the ICU and his daughter was an oral maxillofacial surgeon. So, somehow, we got to talking and she also happened to live in Boston. We were talking about that and eventually it came up that she was an oral maxillofacial surgeon. We had that kind of report where I was like, ‘Can I ask you a question off the cuff? Because I really don’t know what to do in this situation and I’m getting so many different answers.’ So, I told her what was going on, with what had happened to me, and that I didn’t know where to proceed with getting implants and should this tooth stay or should it go — and on this side, what should I do? She basically looked at me and said ‘Well, you need to go to Stanley Dentistry.’
I asked her why and she said, ‘I trained under Dr. Rob and I know Bobbi really well. And [Dr. Rob] is very good with trauma and they have a great office, they do everything together in the same office. They can do the crowns, the orthodontics, everything — all in the same office.’ For me, that was like, ding ding ding! Finally! As someone who’s already been through a lot of trauma, already been through a lot of healthcare expenses and everything…knowing that I can have everything done at the same place was huge. And on top of that, she was vouching for their ability and their character. She was like ‘I trust them. My parents are going there.’
It was great and when I made an appointment here, I felt completely at home. It was just a great experience. I still had a lot to do in order to fix everything but I knew I was in good hands and I trusted what they said. Everything they explained to me was very logical, ‘this is how it’s going to be.’ I never felt uncomfortable or doubted their advice on what to do.
Really, all in all, it’s been a long journey and finally, I’m on the other end and I can’t thank them enough for finishing everything in my mouth but also for everything that they’ve done here. I really do think that, in the dental system, this is what you really want as a patient. To be able to go to people who have everything all together in the same place… because I can tell you, it’s really hard when you have a different oral maxillofacial surgeon, an endodontist, an orthodontist, a dentist. You have to go to multiple different places just to get the resources that you need. And then everyone disagrees with how they think things should be done. It makes you stressed out because you don’t know who to trust.
Unfortunately, coming from a medical background, I know how it goes — different people have different experiences and doctors are the same. Everyone has a different idea of what to do. I think at Stanley, they really take pride in working together, really exploring all options, and deciding that this is the best course of action. I think that’s really special.
I would want people to know that they [Dr. Rob and Dr. Bobbi] take a very systematic approach to what your major problems are. They work really hard to address that from all angles and to make sure it is being addressed. They really want you to have a better quality of life. I never once felt like just a patient — just someone who’s coming in and coming out. I’ve felt like family when coming in here.
They take everything in stride. All my dental visits…they know I have anxiety! So they always make sure they have this numbing medication ready — and this is just for dental cleanings — because I have a lot of sensitivity on my bottom teeth and I get very scared because I don’t know what to expect. This is something they do every time. They always have it ready. To me, that’s really, really thoughtful care. Knowing that these are the things that I need to feel comfortable — and I know it’s a pain in the butt and I know it’s a lot to ask for — but they have never made me feel bad for needing those things.
As a patient, you could never ask for anything more. For the people who’re taking care of you to take care of you like one of their own. That’s what it feels like when I’m here.
Dr. Robert and Bobbi Stanley are the leading dental trauma experts in the Cary-Raleigh area. They’ve dealt with countless trauma patients and have never failed to give them the quality of care they deserve. If you’ve suffered some kind of dental trauma that has left you in physical pain or has rendered you afraid to show your smile, our doctors have the answers you’ve been looking for. Schedule a free consultation today to see how a few dental appointments can change your life.
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.
We are reopening our office for elective procedures (including cleanings) on May 11th! While we’re very excited to see and help our patients again, we first wanted to quickly go over the precautions that we will be taking to keep you and your family as safe and healthy as possible.
At Stanley Dentistry, our responsibility to our patients is to provide the highest standards of dental office infection control. We consider protecting the health of our patients and our team our top priority.
It is important to us that our patients feel safe and well-cared for during their appointments. We have always maintained a high standard of cleanliness but we are now taking it a step further to curb the spread of COVID-19. In order to follow the infection control guidelines recommended by the ADA & NCDS, we are implementing some new protocols. When you come in for your appointment post-May 11th, you can rest assured that your overall health and well-being is our major concern. Below are our new sanitation guidelines.