Category: Blog/ News

A recent announcement from Delta Dental of Tennessee has brought big smiles to the intellectual disability community! Delta Dental is now offering expanded dental coverage for those who may need extra care in the dentist chair. This is a major step forward for many who desperately need attention from excellent oral care providers like Dr. Macon Singletary and our team here at North Raleigh Periodontics and Implant Center – Serving the greater Triangle area – Raleigh, Cary, Apex, Wake Forest and Clayton

“It’s very hard to get a dentist if you’re special needs. The minute you mention special needs it’s like, ‘uhhh, I’m not taking a new patient’,” said Shirly Lawhorn, who has been a foster parent for decades and still cares for two adult sons with intellectual disabilities.

Dental care is one of the biggest medical needs among children and adults with special needs, often requiring extra time or dentists with special training to get them through the appointment or procedure. Recognizing this, Delta Dental of Tennessee has stepped up to meet the challenge.

Missy Acosta with Delta Dental emphasized the company’s commitment to accommodating a range of patients. “This is a benefit that we are going to be providing to compensate the dentist for that time with the patient,” said Acosta. “The company is going to be offering these benefits and we’re doing that at no increase in premiums to subscribers, to the groups we work with. It’s something that we understand is a need in the community.”

At North Raleigh Periodontics and Implant Center, we deeply appreciate the opportunity to work with patients with intellectual disabilities and are honored to also work with patients who are insured by Delta Dental. Dr. Macon Singletary, who has a daughter with Down Syndrome, feels privileged to work with those with special needs. Our office is committed to providing compassionate and personalized care to all our patients, ensuring that everyone receives the dental attention they need and deserve.

We understand the unique challenges that patients with intellectual disabilities may face in the dental chair and strive to create a welcoming and supportive environment. Our team is trained to handle a variety of special needs with patience and understanding, ensuring a positive experience for both patients and their families.

If you or a loved one has special needs and is looking for a compassionate dental home, please don’t hesitate to contact us at North Raleigh Periodontics and Implant Center. We are here to provide the care and support you need for a healthy and beautiful smile.

Feel free to reach out to us to schedule your next appointment or to learn more about how we can assist patients with intellectual disabilities. Your comfort and well-being are our top priorities, and we are here to support you every step of the way.

For more information about Delta Dental of Tennessee’s expanded services, read their article here or contact our office. Together, we can ensure that everyone receives the high-quality dental care they deserve.

Additional Resource: Improving Oral Health for Individuals with Special Needs

 

 

We are honored to be named the 2025 Best Periodontist in the area by Midtown Magazine’s Diamond Awards. This recognition is a testament to the trust and support of our incredible patients and community. Thank you for giving us the ongoing opportunity to serve and care for the Raleigh area.

These words reflect not only the pride we feel in receiving this prestigious award, but also the deep gratitude we have for each and every person who has chosen us for their periodontal care. At the heart of our practice, we’ve always believed that the relationships we build with our patients are just as important as the treatment we provide. To know that our commitment to excellence in dental care has earned the confidence of the Raleigh community is truly humbling.

This achievement wouldn’t have been possible without the continuous support of our patients, staff, and the entire local community. We are fortunate to work in an area that values and prioritizes quality care, and we are inspired every day by the stories of resilience, trust, and loyalty that our patients share. Being named the Best Periodontist by Midtown Magazine is not just an accolade—it is a reminder of why we do what we do: to improve the lives of those around us by providing the highest level of care in a compassionate, professional environment. We look forward to continuing to serve and support the health and wellness of the Raleigh area for many years to come.

If you have any other questions or would like to schedule a consultation, please don’t hesitate to contact us. Your smile is our priority!

Click here to find out more about Midtown Magazine and their Diamond Awards!

Welcome to the North Raleigh Periodontics and Implant Center blog! Serving the greater Triangle area – Raleigh, Cary, Apex, and Wake Forest. We understand that considering dental implants can come with many questions and concerns. Our goal is to provide you with the information you need to feel confident and comfortable with your decision. Below, we’ve compiled a list of frequently asked questions about dental implants, along with detailed answers to help guide you through the process.

1. What are dental implants?

Dental implants are artificial tooth roots made of either titanium or zirconia that are surgically placed into your jawbone. They provide a strong foundation for fixed or removable replacement teeth that are designed to match your natural teeth.

2. What are the benefits of dental implants?

Improved Appearance: Implants look and feel like your own teeth.

Enhanced Comfort: Implants become a permanent part of your mouth, eliminating the discomfort of removable dentures.

Better Oral Health: Unlike tooth-supported bridges, implants don’t require reducing other teeth, ensuring more of your natural teeth are left intact.

Durability: Implants are highly durable and with proper care, they can last a lifetime.

3. Who is a good candidate for dental implants?

Most people who are healthy enough to undergo a routine dental extraction or oral surgery can be considered for dental implants. Ideal candidates have healthy gums and enough bone to hold the implant. Good oral hygiene and regular dental visits are crucial for the long-term success of implants.

4. What is the process of getting dental implants?

Initial Consultation: During this visit, Dr. Macon Singletary will evaluate your dental and medical history and take X-rays or 3D scans to determine your suitability for implants.

Implant Placement: The implant, either titanium or zirconia, is surgically placed into the jawbone.

Osseointegration: Over a few months, the implant integrates with the jawbone, providing a stable base for the artificial tooth.

Abutment Placement: Once the implant is securely in place, an abutment is attached to hold the new tooth.

Crown Placement: A custom-made crown is then attached to the abutment, completing the restoration.

5. Are dental implants painful?

Most patients report that implant surgery causes less discomfort than a tooth extraction. Local anesthesia is used during the procedure, and any post-operative discomfort can usually be managed with over-the-counter pain medication

6. How do I care for my dental implants?

Caring for dental implants is similar to caring for your natural teeth. This includes brushing twice a day, flossing daily, and visiting your dentist regularly for check-ups and cleanings. Avoiding habits such as smoking, which can affect the health of your gums and bone, is also crucial for the longevity of your implants.

7. What are the different types of dental implants?

Endosteal Implants: These are the most common type and are placed directly into the jawbone.

Subperiosteal Implants: These are placed under the gum but on, or above, the jawbone. This type is used for patients who don’t have enough healthy jawbone and cannot undergo a bone augmentation procedure.

Zirconia Implants: An alternative to titanium, zirconia implants are metal-free and offer a natural tooth-colored appearance, which can be advantageous for aesthetic reasons.

8. What implant options are available for missing teeth?

 Single Implants: Ideal for a single missing tooth, providing a natural look and feel without affecting adjacent teeth.

Multiple Implants: Suitable for replacing several missing teeth, using implants to support multiple crowns or a bridge.

Implant-Supported Overdentures: These are a great option for those who are missing all their teeth. The dentures are supported by and attached to implants, offering a stable and comfortable solution.

Fixed, Hybrid Implant-Supported Dentures: A combination of fixed and removable options for those with several missing teeth, providing both stability and ease of maintenance.

9. How long do dental implants last?

With proper care and maintenance, dental implants can last a lifetime. Regular dental check-ups and good oral hygiene practices are key to ensuring their longevity.

10. Are dental implants covered by insurance?

Coverage for dental implants varies by insurance plan. It’s best to check with your insurance provider to understand your specific benefits. Our office can also help navigate your insurance and discuss payment options to make your treatment as affordable as possible.

At North Raleigh Periodontics and Implant Center, we are committed to providing exceptional care and support throughout your dental implant journey. If you have any other questions or would like to schedule a consultation, please don’t hesitate to contact us. Your smile is our priority!

 

 

Wishing you and your loved ones a Merry Christmas and Happy New Year!

Our office will be closed from December 20th through January 1st so our team can enjoy the holidays with family and friends. We will reopen on January 2nd.

If you have an emergency or need to make an appointment, call Dr. Singletary on his cell at 919-795-0228.

At North Raleigh Periodontics and Implant Center, we proudly support Human Coalition, a compassionate organization dedicated to assisting mothers facing unexpected pregnancies

Human Coalition’s Raleigh location offers prenatal services such as sonograms, parenting classes, and childbirth instruction at no cost. Understanding the profound impact that pregnancy has on oral health, we are committed to providing necessary dental resources to ensure both the mother’s and baby’s well-being. Our practice recommends more frequent cleanings and extra care for expectant mothers, recognizing their unique needs during this crucial time.

Addressing the Oral Health Needs of Expectant Mothers

Pregnancy can bring about various changes in a woman’s body, including hormonal fluctuations that can affect oral health. Expectant moms are more susceptible to gum disease and cavities, making it crucial for them to maintain good oral hygiene. At North Raleigh Periodontics and Implant Center, we emphasize the importance of regular dental visits during pregnancy. We offer personalized, detailed guidance on maintaining optimal oral health during this critical time.

Financial and Practical Support for Human Coalition

Beyond providing essential dental services, we extend our support to Human Coalition in meaningful ways. Financial contributions from our practice help the organization’s support system for these women, empowering them to navigate pregnancy with confidence and peace of mind.

Enhanced Oral Hygiene Kits for Expectant Mothers

In addition to financial support, we provide enhanced oral hygiene kits to expectant mothers.

These kits include products such as:

• – toothbrushes
• – toothpaste
• – floss
• – oral rinse
• – proxabrushes
• – end tuft brushes
• – educational materials on maintaining oral health during pregnancy.

 

By equipping these moms with the tools they need, we aim to promote healthy habits that will benefit them and their babies long-term. We understand that good oral health is a fundamental aspect of overall well-being, and we are dedicated to making it accessible to all expectant mothers.

 

Empowering Mothers Beyond Pregnancy

Human Coalition’s impact extends far beyond pregnancy. The organization offers extensive resources, including further education, job training, and support services, to help mothers build stable, fulfilling lives for themselves and their families. At North Raleigh Periodontics and Implant Center, we are honored to contribute to this mission, knowing that our support plays a part in helping these women achieve their goals to thrive well beyond pregnancy. Together, we are making a difference, one smile at a time.

At North Raleigh Periodontics and Implant Center, Dr. Macon Singletary and his team bring years of specialized training and experience to every patient. We are committed to providing care that not only addresses immediate concerns but also promotes long-term oral health and overall well-being. Contact us today to learn more about how we can help you! Serving the greater Triangle area – Raleigh, Cary, Apex, and Wake Forest.

Modern medical solutions for diabetes and weight loss have evolved to be highly effective tools for combating these conditions. Ozempic, Trulicity, Victoza and Muonjaro (known as GLPs) are the latest iterations of drugs that are effective at mimicking the humble Gila Monster, a desert reptile, in its ability to stabilize its blood sugar and suppress its appetite. This is because a peptide in the Gila monster’s saliva suppresses its appetite, slows down its gastric emptying time, and stabilizes its glucose levels. Incretins are these hormones or peptides that can do the same thing in humans.

According to pharmacologist Tom Viola, who recently discussed these issues on the ADA podcast, Mounjaro is more effective than Ozempic. Mounjaro targets two incretins, gastric inhibitory polypeptide (GIP) and glucagon-like peptide-1 (GLP-1), which are responsible for weight loss, while Ozempic targets only one.

There are several ways in which GLPs can affect oral health. Here is how they can affect you and how Dr. Singletary ensures the safety and comfort of all of his patients:

Why dentists are interested in knowing more about GLPs and the known systemic effects on overall oral health:

A dentist who learns that a patient is taking GPLs may operate under the assumption that the patient is diabetic or prediabetic, and approach the treatment planning from that standpoint without realizing the patient is using it for weight loss.

Another potential issue arises when a patient does not inform the doctor of the drug at all, despite the fact that the drug can cause hypoglycemia. Nobody likes to eat before the dentist, but when a person is in a stressful situation and they haven’t eaten, a patient using GLPs could have lowered glycogen levels and be subject to hypoglycemia.

Additionally, a person may have a tendency to over-use these drugs in order to combat their weight.This can lead to stasis, and ultimately gastroparesis. This is because the body has suppressed the gastric emptying time so much that there’s no digestive movement. This means that the food doesn’t go anywhere and either the user must expel whatever they’ve eaten or it simply sits in the stomach causing bad breath; this is where the term “Ozempic Burp” comes from.

How Dr. Singletary approaches these issues for the health of the patient:

Dr. Singletary conducts a thorough consultation with the patients in order to learn everything he needs to maintain the safety of the patient and be fully informed on how to proceed.

First: Our office takes a complete medical history.

Second: If a patient uses a GLP drug we ask important follow-up questions related to the purpose for taking that medication.

Third: We ensure that we are prepared for a patient experiencing hypoglycemia, which can be due to the medication or the stresses involved in a dental visit.

Fourth: Dr. Singletary notes what is necessary to look for in the mouth. For example, there may be xerostomia due to elevated blood sugars and therefore frequent urination.

Dr. Singletary believes it is important to be able to spot the differences between a person using GLPs and a patient experiencing GERD, an eating disorder, or even cannabinoid hyperemesis syndrome (vomiting daily from excessive cannabis).

Interactions that GLP medications may have with other drugs

There are very few direct drug interactions, however there are a few indirect interactions.

While we know that GLPs can cause hyperglycemia, there are also some medications in dentistry that can alter blood glucose levels like corticosteroids (anti-inflammatories). For instance, epinephrine can raise blood glucose levels.

With a full medical history and an informed approach, our office can work to mitigate any negative interactions that otherwise might be possible.

The positive side of GLPs

GLP medications have helped many people treat type 2 diabetes and to lose weight in a healthy and responsible way. While clinicians must be able to recognize the potential pitfalls, it’s also important to recognize the positive qualities that GLPs offer.

GLP medications are approved by the FDA as safe and effective. Dr. Singletary encourages that if you’ve been prescribed a drug by your physician, take advantage of it, and use it responsibly. Finally, it’s important to avoid discounting the role that dentists play in good healthcare, not just oral healthcare alone.

For more information on this topic, listen to the Gum Guru Podcast by clicking the link below:

Popular Weight Loss Drugs Like Ozempic: How They Can Affect Your Oral Health