Will Dentures Solve All My Problems?


Dr. Joshua Grooms treats denture patients routinely in his dental practice in Greeneville, TN.  He has seen patients as young as 18 and as old as 100.  What do they all have in common?  They all wish they had taken better care of their natural teeth.  If you are one of those patients who are thinking about getting dentures….here’s some things you should know.


  • Sure if you don’t have teeth anymore then you will feel much better if you have been suffering from pain/discomfort or infection from bad teeth.  However, having dentures opens a whole new set of issues to deal with
    • Eating: eating with a denture is not as easy as you might think.  The biting force that can be applied with false teeth is only 20-30% as effective as your natural teeth.  That means it takes a lot more work to make sure your food is being crushed and chewed enough.
    • Denture sores:  over time you can have small changes with the anatomy of the gums and you will slowly lose bone support. As these changes occur you may get more movement out of your denture or develop a pressure spot.  OUCH!!! These spots can cause ulcers that are very painful.  You will need to see the dentist to have these areas addressed
    • The dreaded lower denture:  Ask any dentist, including Dr. Grooms, what is one thing they hate seeing a patient do and its getting a lower denture without implants.  LOWER DENTURES DO NOT FIT WELL.  The lower jaw is the movable jaw.  Every time you open your mouth the muscles stretch.  Every time you talk the floor of your mouth moves and pushed that denture up and out.  The tongue prevents most denture wearers from getting any suction cup effect on the lower so without implants it can be almost impossible to be happy wearing a lower denture.


  • If you can avoid doing complete dentures that is great, but the fact is sometimes the teeth just need to go.  When the teeth have a overall poor prognosis, are causing pain, or risk of infection spreading then it may be best to have the teeth removed.  There are alternative to dentures but economically dentures can be the most affordable way to give someone back their smile and some function for eating.   If implants can be done, and are you are financially able to have some placed, they can greatly increase the comfort and function of a lower denture.


  • That question is very personal.  If you need some help in making a decision on your dental help, Dr. Joshua Grooms would be happy to perform an examination and discuss your options.  Contact his practice at ABC Family Dentistry, PLLC at 423-639-2176.   http://abcfamilysmiles.com

Time to for the tooth fairy to visit?

loose tooth

Everyday while treating a broad range of family dental needs, Dr. Joshua Grooms, encounters children with loose teeth.  Kids get so excited that the tooth fairy is surely coming soon, while parents want to shed a tear that their babies are growing up.  While every child is different, there are average ages that we can expect to see primary teeth shed.  Below is a helpful chart showing the average age primary teeth erupt and shed.


If your child is older than the age listed on this chart and has yet to have a tooth erupt ***DO NOT PANIC***

Every Child is different.  Some cut teeth early, some late.  If you have any concern at all, feel free to schedule an appointment with Dr. Joshua Grooms at ABC Family Dentistry.  Teeth can be congenitally missing but an exam with proper x-rays can evaluate if the tooth is taking its time coming in or never developed.

Contact information


1018 Tusculum Blvd., Greeneville, TN 37745

Benefits of Fixed Dental Implants for Elderly Patients

Joshua Grooms DDS pic
Joshua Grooms DDS
Image: abcfamilydentistrygreeneville.com

To ensure his patients receive the most up-to-date care possible, Joshua Grooms, DDS, of ABC Dentistry pursues regular continuing education. Joshua Grooms, DDS, recently attended a course on dental implants as a potential treatment for patients of various ages.

When disease and decay cause older adults to lose their natural teeth, they may have the option of choosing between a traditional denture and an implant. The traditional denture is by its nature less invasive, but many patients find that it can come lose or rub uncomfortably on their gum tissue. Patients may also lose bone structure and even approximately 70 percent of their sense of taste, as the denture often covers the palate.

Implants, by contrast, fuse permanently to the jaw and provide a solid support for an artificial tooth. Whereas traditional dentures may slide around in an elderly mouth due to natural changes in saliva and decreased muscle control, the implant stays in place on its own. Furthermore, because implants do not require overnight removal or special care, the transition itself can be easier for many elderly patients.

Statistics have shown that dental implants are as safe and effective for elderly individuals as they are for their younger counterparts. Appropriate even for patients with osteoporosis, they can provide a significant improvement in quality of life.

Dental Implants – Ideal for Older Patients With Dentures

Joshua Grooms DDS pic
Joshua Grooms DDS
Image: abcfamilydentistrygreeneville.com

Based in Greeneville, Tennessee, Joshua Grooms, DDS, provides a full range of services through ABC Family Dentistry, PLLC, including dental implants for patients who have lost their teeth. Joshua Grooms, DDS, has also completed a series of continuing education courses spanning teen, adult and geriatric implants.

With many people living productive lives into their 80s and 90s, it is not uncommon to encounter otherwise healthy patients who have experienced significant tooth decay and gum disease. Often, they start with partial or full dentures, which unfortunately do nothing to address underlying tooth and bone-loss issues. When dentures become loose, they may cause the gums to become irritated, making eating a slow and painful process.

Dental implants are an effective treatment for missing teeth; they help ensure that deterioration in the jaw does not occur, and they provide the freedom to eat any food, regardless of its shape and texture. There is no upper limit to the age at which patients can get dental implants, as it is a gentle procedure with a shorter recovery period than extractions. After the procedure, any discomfort felt by the patient can typically be managed through over-the-counter painkillers such as ibuprofen or Tylenol.

Considerations for Implant Placement in Adolescent Patients

Joshua Grooms DDS pic
Joshua Grooms DDS
Image: abcfamilydentistrygreeneville.com

As a practitioner with Tennessee’s ABC Family Dentistry, Joshua Grooms, DDS, pursues regular educational opportunities to remain up to date with developments in his field. In late 2015, Joshua Grooms, DDS, attended a continuing education series that focused on dental implants for adolescents as well as for adults and seniors.

When considering implants as a treatment option for an adolescent patient, orthodontic development stands out as a primary concern. Many practitioners recommend implant dentistry alongside orthodontia to achieve optimal results, in which case placement should occur in coordination with the patient’s natural tooth eruption schedule and after jaw growth completes. This may require careful maintenance of the space during orthodontic treatment, which for many patients involves the creation of a space-holding prosthetic tooth throughout and after orthodontia.

Practitioners also must consider the readiness of the bony ridge, which needs to provide a solid foundation for implant placement. This requires careful attention to extraction schedules of primary teeth, as the subsequent distal movement of a permanent tooth can help to reduce bone loss if performed with carefully determined timing. Such a consideration is particularly relevant for missing lateral incisors, which can require ridge augmentation without proper distal movement of the cuspid.

Regional Area Medical – Health Program Aimed at Remote Communities

Joshua Grooms DDS pic
Joshua Grooms DDS
Image: abcfamilydentistrygreeneville.com

Joshua Grooms, DDS, is a respected Greeneville, Tennessee, dentist who leads ABC Family Dentistry, PLLC, and offers patients a full range of restorative and cosmetic services. Community-involved, Joshua Grooms, DDS, volunteered with the Regional Area Medical (RAM) clinic in 2015. Taking part in an annual Bristol, Tennessee, clinic event, he provided no-cost fillings and extractions to patients in need.

RAM is a vital health program established by Stan Brock, a well-known media personality who had a pioneering role in wildlife and nature television as host of Mutual of Omaha’s Wild Kingdom. The UK native had a life-changing experience while living among the Wapishana tribespeople in Guyana, South America, in a remote village nearly a month’s journey from the nearest professional medical care.

After suffering a personal injury, and realizing first-hand the inadequacies of local medical resources, Stan vowed to find a way to enable the delivery of basic medical services to remote communities. Three decades ago, he established RAM as a nonprofit that facilitates clinics each year in underserved communities spanning the globe.