The doctors and staff at the office of Dr. Jessica Barr and Dr. David Spencer are dedicated to providing excellence in endodontic care and strive to treat our patients in a professional, kind and courteous manner. We aspire to the highest standards by pursuing professional advancements through education, communication and service to the profession.
Dr. Brad Stone is a Board Certified Anesthesiologist and Pediatric Anesthesiologist, a medical doctor providing sedation and anesthesia for patients of all ages. Dr. Stone received his undergraduate degree from Northwestern University in 1979 and his medical degree from the Medical College of Ohio (University of Toledo) in 1982. He completed residency in anesthesia at the University of Florida in 1985, where he received advanced training in pediatric anesthesia. He was initially certified by the American Board of Anesthesiology in 1987 and has twice recertified. He was certified in pediatric anesthesiology in 2015. He is licensed to practice in NC, SC, GA, VA and TN. He is certified in basic life support, pediatric advanced life support and advanced cardiac life support.
Dr. Stone has been a long time ambulatory surgery center director (16 years) with extensive experience in anesthesia for dental procedures and in the care of children. Dr. Stone has been involved dental office anesthesia since 2003. In addition, he was the director of anesthesia education for the MAHEC dental general practice residency.
Dr. Stone has published several articles on techniques and safety in anesthesia. He has also published a book chapter on intravenous access
Dr. Stone has practiced in Asheville, NC for over 28 years. He also provides care at dental offices throughout the southeast with Pediatric Dental Anesthesia Associates.
Dr. Howerton received a DDS degree from West Virginia University School of Dentistry in 1985. He completed a certificate of Endodontics from the University of North Carolina School of Dentistry in 1987 and practiced surgical and nonsurgical endodontics in Asheville, North Carolina.
In 1999, Dr. Howerton entered the UNC Oral & Maxillofacial Radiology graduate program and completed a Master of Science in 2001. As of December 2003, Dr. Howerton became a Diplomate of the American Academy of Oral & Maxillofacial Radiology.
In 2004, Dr. Howerton began private practice in oral and maxillofacial radiology in Raleigh, with Cone Beam Computer Tomography imaging as a key feature. Since then, six additional Cone Beam Computer Tomography imaging satellite centers have been created throughout North Carolina.
Additionally, Dr. Howerton is a key opinion leader for Imaging Sciences iCAT and Dentsply SimPlant, giving presentations throughout the country regarding Cone Beam Computer Tomography and Computer Guided Dental Implant Software.
Endodontists, general dentists and patients tell their stories in two new videos from the AAE (www.aae.org).
Features interviews with patients from the AAE’s first Access to Care Project describing their positive, pain-free experiences
Explains the positive relationships endodontists have with their referring general practitioners
An endodontist is a dentist who has completed a 2 or 3 year specialty program beyond dental school that focuses on endodontic (root canal) therapy. This additional training expands extensively on the dental school endodontic curriculum. As specialists, endodontists specifically perform root canal treatment and associated procedures. These include complex root canal therapy , retreatments of existing root canals, root-end surgeries, whitening of root canal treated teeth and treatment of traumatic injuries in children and adults.
Root canal treatment is a way to help you save your natural tooth. You may need root canal treatment because of a cavity (tooth decay) or because of an abscess at the end of the tooth roots. Root canal treatment is occasionally performed to facilitate restoring a tooth and to keep it functional.
This is the question that we are asked most frequently. The procedure should not be uncomfortable. Modern dentistry has created wonderful options for anesthesia and pain management. Dr. Barr and Dr. Spencer want this to be a pleasant experience and will do everything they can to keep you comfortable.
You may experience some discomfort following root canal treatment. You may notice this if you tap on the tooth or push on it with your tongue or finger. This sensitivity can usually be managed by over-the-counter medications.
There will be a temporary filling in the tooth after the root canal treatment is completed. This temporary can seal the opening for up to 4 weeks. We recommend that you see your dentist for a definitive filling / crown within this time period. If you are still experiencing symptoms, we request that you contact our office prior to seeing your dentist for the final restoration. Failure to have a definitive filling placed can lead to re-contamination of the root canal system and the need for a root canal retreatment to be performed resulting in additional time and expense for you.
Research on root canal therapy done as early as the 1930s and 40s shows no correlation between root canal therapy and general physical illness. The presence of bacteria in the mouth has been proven, even in individuals who do not have any dental disease (cavities, gum disease, etc). Additional references and information can be found at http://www.aae.org/patients/mythsrootcanal/. Drs. Barr and Spencer are happy to answer any questions you may have regarding root canal treatment and your health.
If you choose to delay or decline treatment, several things may happen. You may develop pain or the tooth may abscess, creating a swelling of the gums, face or jaw that may be dangerous. The other concern is that bone may be lost around the roots of the tooth in response to the chronic infection. This can lead to mobility of the tooth and eventual loss of the tooth.
As a consumer you deserve to have all possible information prior to making any decisions about your healthcare. Options include extraction of the tooth and replacement with either a dental implant (screw placed in the bone with a false tooth to replace the missing one), bridge (two crowns cemented on the teeth on either side with a false tooth in the center) or a removable partial denture (a false tooth / teeth to replace the missing tooth / teeth that can be removed from the mouth)
Despite all of the advancements in dentistry, there is no real replacement for your natural teeth. The loss of even one tooth can cause shifting and changes in the bite (occlusion) that may require extensive treatment to correct.
Drs. Barr and Spencer are happy to discuss your treatment options with you at your visit. Your dentist is a wonderful resource as well.
The fees depend on several things, including root canal anatomy, location of the tooth in the mouth, the need for medications inside the tooth, what type of filling materials are used and if the procedure is a retreatment of previous root canal therapy or a surgical procedure.
Our staff is happy to provide you with a cost range based on the treatment that you require. A more specific fee can be provided at your evaluation or treatment appointment following the doctor’s evaluation of your specific tooth.
We do not accept dental insurance as a form of payment; however, our staff is happy to help you file your claim and obtain direct reimbursement from you insurance carrier. For your convenience, we accept all major credit cards and offer several financing options.
Please feel free to print the forms, complete them, fax them to 828-277-0277 or bring them to your appointment to expedite the registration process the day of your visit. Please contact our office with any questions.
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It is our sincere pleasure to have the opportunity to care for your patients who may need endodontic procedures. Your support and confidence in our office is the greatest compliment we can receive.
Please contact our office via phone, fax, or e-mail to discuss patient care or to tell us what we can do to improve the referral process for you and your patients.
15 Yorkshire Street, Suite 102
Downloadable referral form
We frequently attend continuing education courses and study club meetings that provide new and interesting information regarding the care of our mutual patients. Please refer to the organization links on the left for some current topics. We are happy to provide additional information. Just give us a call.
15 Yorkshire Street, Suite 102
689-C Blythe Street Court