Posts for tag: dental implants
Dental implants have become the standard for long-term tooth replacement. From mechanics to movie stars, people from all walks of life have discovered the advantages of replacing a missing tooth with an implant. Obviously, restoring your smile is a definite advantage, but an implant can also help to maintain the health of your jawbone and adjacent teeth.
The implant is a small, screw-like titanium post that is placed into your jawbone to function as the root part of the tooth. The living bone tissue will actually attach to the titanium post, fusing them together. This will not only provide a sturdy anchor for a natural-looking crown, but will provide stability for bridgework or dentures. You will then be able to smile, chew and talk as if all of your teeth are natural. The procedure will also help to stabilize the bone, reducing long-term bone loss that occurs when a missing tooth is not replaced.
At this point, if you are thinking that there must be a lot of pain involved, I have good news for you. There is very little pain involved after the procedure is completed and no pain at all during the procedure. Typically, it is a routine surgery that takes place in a dentist’s office under local anesthesia where the immediate area is numbed. If there is any apprehension at all about the procedure, we will offer alternative anesthesia or sedation options during the planning process.
To determine who will be a good candidate for the implant procedure, a plan must be in place to assure the success of the implant. Part of the plan includes:
- Reviewing your past medical and dental history. We must know your complete past and present medical history and medication use, since good health is essential. There are certain conditions and diseases that can affect the healing of an implant.
- Performing a comprehensive dental examination. An evaluation of your dental problems and needs will determine if implants are in your best interests. An assessment of the health and mass of the jawbone as well as the number and location of the implant(s) that are needed to restore your bite and smile back to health will also be determined.
When the implant procedure has been successfully completed, there is one more step. As with your natural teeth, preventive maintenance is crucial for long-term success. A daily routine of brushing and flossing along with regular professional dental cleanings and checkups will help ensure continued gum health and proper functioning of your implants.
If you are wondering whether dental implants are right for you, contact us for more information or schedule an appointment for a consultation. You can also learn more about dental implants by reading the Dear Doctor magazine articles “Dental Implants” and “Dental Implant Surgery.”
You've seen ads for “Teeth in One Day” that promise immediate implant placement at the same time you have the problem tooth removed. But this presumes the gums and underlying bone are healthy and able to support and protect the implant. If that's not the case, it may be ill-advised to place an implant on the same day.
Even with immediate placement, there will be a small degree of bone and gum opening or space around the implant after it's placed into the socket. This can often be remedied by placing a bone graft and sometimes a gum graft when we install the implant. It's also possible for natural healing to gradually fill in the space, but we'll need to monitor the site carefully for several weeks.
On the other hand, if we detect significant bone loss (or strongly suspect it will occur), immediate placement may not be an option — there's not enough bone or it's too weak to support an implant. In this case, it's necessary to wait on placement and focus on improving the bone health and quantity, beginning when we remove the old tooth and place a bone graft.
After completing the extraction, we typically place a bone graft in the empty socket. The graft will become a “scaffold” for new bone cells to grow upon. We may then allow about two to four months for new bone to partially replenish the area and then place the implant. The bone will continue to regenerate as it grows and attaches to the titanium implant to create a solid attachment.
If the site, however, still appears fragile even after partial bone growth, we may opt to wait another two to four months before attempting placement. From a long-term perspective, this is the best scenario for ensuring a durable foundation for the implant. It also allows for a socket severely compromised by disease to heal more thoroughly.
To determine which of these placement scenarios is best for you, we'll first need to conduct a thorough dental examination. From there we'll be in a better position to discuss the right implant timeline for your situation. Our main goal is to ensure we can securely place your implant in just the right position to achieve the most successful and attractive result.
If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implant Timelines for Replacing Missing Teeth.”
You’ve decided to obtain dental implants for your missing teeth. It’s a good choice — they provide the closest restoration to the function and appearance of natural teeth. You will, however, need to undergo a surgical procedure to imbed the implants’ threaded titanium posts into supporting bone.
It’s understandable if you’re a little apprehensive about undergoing surgery. We’re here, though, to set your mind at ease: implantation is a relatively minor procedure carefully planned in advance. Most patients experience no discomfort during the procedure and very little afterward.
We begin by completely numbing the surgical site with a local anesthetic. If you have a high level of anxiety, we can also administer a sedative or similar medication to help you relax. We then access the underlying bone through a series of incisions that create a flap in the gum tissue that we’ll later suture closed.
It’s quite common to have prepared a surgical guide or template beforehand. The template placed in the mouth marks the exact site for a small channel (or hole) we create in the bone. We then incrementally increase the size of the hole by drilling until it matches precisely the implant’s size and shape. This takes time to avoid overheating and damaging the bone.
We then remove the implant from its sterile packaging and insert it into the opening. We’ll also take x-rays to ensure correct positioning, which is critical for achieving an attractive result. We then suture the gum flap in place using stitches that will eventually dissolve. The implant will then integrate with the bone for a few weeks to create a strong, durable hold before we continue with the restoration.
Most patients can manage any post-surgical discomfort with mild anti-inflammatory pain relievers like aspirin or ibuprofen, although we can prescribe something stronger if you need it. We may also prescribe a mouthrinse with an anti-bacterial agent like chlorhexidine for you to use while the gums are healing to reduce the risk of infection.
Implant surgery is part of a long process that will eventually result in regaining the function of your lost teeth. What’s more, undergoing this minor procedure will also help you regain something just as important — a beautiful smile.
If you would like more information on dental implant restoration, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Surgery.”
Dental implants are considered the best tooth replacement option available. An implant replaces the root of a tooth and allows for the replacement of the crown via attachments or abutments. They not only look like a real tooth, they function like one too.
Implants, though, for some are a significant investment and may be well beyond a person's financial means if they've experienced a sudden tooth loss. For that reason, many opt for a less expensive tooth replacement option like a removable partial denture.
Later when they can afford it, a person might consider an implant. But this could pose a complication. When a tooth is missing for some time, the underlying bone doesn't rejuvenate normally because it no longer receives stimulation from the tooth. Over time, the amount of bone may diminish. Restorations like dentures can't stop this bone loss and actually aggravates it.
For proper positioning, an implant requires a certain amount of bone volume. So, it's quite possible when the time comes to replace the old restoration with an implant that there may not be enough bone available.
We may be able to overcome this bone loss with bone grafting and regeneration. A specialist such as a periodontist or oral surgeon accesses the area surgically and inserts bone graft material, usually processed material that's completely safe. Properly placed, the bone graft serves as a scaffold that, along with growth stimulators, encourages bone cells to grow.
When the bone grafting has healed enough, we're then able to place the implant. Once imbedded in the bone, one of the implant's unique qualities comes into play. The imbedded post is made of the metal titanium, which is not only bio-compatible with body tissues, it also has an affinity with bone. Bone cells will easily grow and adhere to the implant surface. This further boosts bone growth in the area and strengthens the implant's hold.
These extra procedures to build back lost bone do add to the cost and time for installing an implant. But if you're ready for a more permanent restoration for a missing tooth — not to mention better bone health — the extra time and money will be well worth it.
If you're considering dental implants, they'll need to be surgically placed in the jaw bone. But don't be alarmed — it's a relatively minor procedure that usually requires nothing more than local anesthesia.
But that being said, it's still an invasive procedure that involves making incisions in gum and bone tissues. That could introduce bacteria into the bloodstream and pose, for certain individuals, a slightly greater risk of infection.
But infection risk is quite low for most healthy patients. As a result, implants enjoy a greater than 95-percent success rate ten years after installation. But some patients have health issues that increase their risk of infection. These include older adults with a weakened immune system, smokers, diabetics or those well under or over their ideal weight.
If you have these or similar health situations, we may recommend undergoing an antibiotic treatment before you undergo surgery. This can help prevent bacteria from spreading and reduce the likelihood of an infection.
Preventive antibiotic therapy is commonplace with many other dental procedures. Both the American Dental Association and the American Heart Association recommend antibiotics before any invasive oral procedure for patients with prosthetic (false) heart valves, past endocarditis, a heart transplant or other heart conditions. To lower the risk of implant failure due to infection, we often advise antibiotics for patients who fall in these categories, as well as those with similar conditions mentioned earlier.
Of course, whether pre-surgical antibiotics is a wise choice for you will depend on your medical history and current health status. We'll consider all these factors thoroughly before advising you. But if you are more susceptible to infection, antibiotics before surgery could potentially lower your risk for an implant failure.