Implant Dentistry






Overview

Implants

Millions of Americans suffer tooth loss, mostly due to tooth decay, gum disease, or injury. Dental implants replacement tooth roots which are made of titanium – provide a strong foundation for the attachment of permanent or removable artificial teeth (crowns). Instead of individual crowns, some patients may have attachments on their implant that support a removable denture.

Crown

Symptoms

Cracked Teeth

Discolored teeth

Unattractive teeth

Crooked

Severe tooth loss due to decay

Pain

Bridge

A bridge is a missing a tooth. You need a tooth in front and in back of the missing tooth. Then you file down the teeth to replace the missing tooth.

Symptoms

Dislodged Teeth

Knocked-Out Teeth

Missing

Implant

Root form that replaces the tooth. It can be placed in areas where a bridge can be placed instead. It can be placed in areas where a bridge cannot go.

Symptoms

Endosteal Implant is the single root form that goes into the bone.

Cross bite

A cross bite occurs when any or all of the upper teeth fit into the wrong side of the lower teeth.

Misplaced midline. In people who have a misplaced midline, the front center line between the upper front teeth doesn’t match up with the center line of the lower front teeth.

Open bite. Although the molars fit together in a person who has an open bite, the upper and lower front teeth don’t overlap. This creates an opening straight into the mouth. An open bite can also be present on one or both sides of the mouth.

Overbite. In a person who has an excessive overbite, the upper front teeth reach too far down over the lower front teeth and, in severe cases, can cause the lower teeth to bite into the roof of the mouth.

Rotation. Rotation is present when a tooth turns or tips out of its normal position.

Spacing or crowding problems. Too much or too little room for the teeth can cause spacing or crowding problems. Crowding can prevent permanent teeth from coming in properly or at all (impaction).

Transposition. Transposition occurs when teeth grow (erupt) in one another’s place.

Underbite. An underbite is present when the lower front teeth are farther forward than the upper front teeth.

Upper Protrusion (overjet)In an upper protrusion, the upper front teeth are pushed outward (buck teeth). A small lower jaw may be the cause. Pacifier use or thumb-sucking can also create this condition by pushing the teeth outward, sometimes causing the roof of the mouth to change shape (upper palate).

Benefits

 Benefits of Permanent Teeth in 1 Day

  • New teeth in as little as just one day
  • Minimally invasive procedure
  • Less pain and swelling
  • No more ill-fitting dentures
  • Eliminates denture adhesives
  • Teeth are secure like your natural teeth
  • Fewer dental visits
  • Immediate results
  • Cost effective compared to traditional implants
  • Life changing procedure

Dental Implants: Consultation, Procedure, Recovery and Aftercare

The dental implant procedure is categorized as a form of prosthetic (artificial replacement) dentistry, but also is considered a form of cosmetic dentistry. Dental implants are artificial tooth roots used to support a restoration for a missing tooth or teeth, helping to stop or prevent jaw bone loss.

People who have lost teeth might feel too self-conscious to smile or talk. Additionally, biting irregularities caused by tooth loss can have a negative effect on eating habits, leading to secondary health problems like malnutrition.

By replacing missing tooth roots, dental implants provide people with the strength and stability required to eat all the foods they love, without struggling to chew. Additionally, dental implants stimulate and maintain jaw bone, preventing bone loss and helping to maintain facial features.

Causes

 Tooth Loss

Teeth are lost because of:

  • Tooth decay
  • Root canal failure
  • Gum disease (Periodontitis)
  • Trauma to the mouth (tooth injury)
  • Excessive wear and tear
  • Congenital defects

 Dental Implants: Consultation, Placement, and Recovery

To determine if implants are right for you, a consultation with your dentist, oral surgeon, and/or periodontist or prosthodontist is needed. During this appointment, your dental professional will thoroughly examine your teeth and gums and evaluate bone density and quantity. This may involve X-rays and computer tomography scans (CT scans) to ensure there is sufficient bone structure for placing the implant(s), and to determine exactly where the implant should be placed.

Based on the condition of your oral tissues, oral hygiene and personal habits, and commitment to follow aftercare instructions, your dentist will advise you of the most appropriate dental implant treatment plan. Some patients with insufficient bone or gum tissue require bone or soft tissue grafts and/or the use of small diameter implants (also called mini implants).

Depending on your situation, your dental professional will advise you of how long the entire treatment process will take, how many appointments will be necessary and what you can expect after each procedure. During the consultation, options for local anesthesia (to numb the affected and surrounding areas) and sedation dentistry, if necessary, also will be discussed.

The Dental Implant Placement Procedure

Today’s dental implant restorations are virtually indistinguishable from other teeth. This appearance is aided in part by the structural and functional connection between the dental implant and the living bone. Implants are typically placed in a single sitting but require a period of osseointegration.

Osseointegration is the process by which the dental implant anchors to the jaw bone. Osseointegrated implants are the most commonly used and successful type of dental implant. An osseointegrated implant takes anywhere from three to six months to anchor and heal, at which point your dentist can complete the procedure by placing a crown restoration. If osseointegration does not occur, the implant will fail.

Dental implantation, which is performed to replace missing teeth, can be done any time after adolescence or when bone growth is complete. Certain medical conditions, such as active diabetes, cancer or periodontal disease, may require additional treatment before the implant procedure can be performed.

Detailed procedural steps are as follows:

Preparing the Jaw for Implantation

 A dental implant restoration is commonly composed of a titanium material screw and a crown. A small-diameter hole (pilot hole) is drilled at edentulous (where there is no tooth) jaw sites in order to guide the titanium screw that holds a dental implant in place. To avoid damaging vital jaw and face structures like the inferior alveolar nerve in the mandible (lower jaw), a dentist must use great skill and expertise when boring the pilot hole and sizing the jaw bone. In many instances dentists use surgical guides created based on the CT scans when placing the dental implants.

Placement of the Implant

After the initial pilot hole has been drilled into the appropriate jaw site, it is slowly widened to allow placement of the implant screw. Once in place, surrounding gum tissue is secured over the implant and a protective cover screw is placed on top to allow the site to heal and osseointegration to occur. After up to six months of healing, your dentist will uncover the implant and attach an abutment (which holds the crown or tooth-like replacement) to the implant. In some cases, the abutment may be attached during the initial procedure. When the abutment is in place, your dentist then will create a temporary crown. The temporary crown serves as a template around which the gum grows and shapes itself in a natural way. The process is completed when the temporary crown is replaced with a permanent crown.

Dental Implants Recovery

 Dental implant recovery depends on a number of factors, one of which includes the various procedures required to complete your treatment. However, it is generally recognized that once an implant has been placed, maintaining diligent oral hygiene habits is required to ensure proper fusing of the implant and bone structure. If cared for properly, an implant restoration can remain in place for more than 40 years.

After the initial surgical procedure, discomfort should be minimal. Swelling of your gums and face may occur, as well as minor bleeding and bruising of the implant site. Prescription pain medications may be prescribed by your dentist to relieve any pain or discomfort you feel after the procedure.

Healing from the surgical procedure to place the dental implant(s) takes up to six months, while the fitting and seating of the crown(s) can take up to two months. Again, this timeframe depends on individual cases and treatments. Follow-up appointments with your treatment coordinators are essential for monitoring your progress.

Implant Surgery Follow-up and Aftercare

 For five to seven days after surgery, your diet should be restricted to soft foods. If stitches are present, they may need to be removed by your dentist; however, self-dissolving stitches that do not require removal are typically used.

If provisional restorations were placed along with the dental implant, it will be important to clean them as you would your natural teeth to ensure the best possible healing and fusing of the implant.

Failure to floss and brush is a leading cause of implant failure, and infection can occur if the implant and surrounding areas are not cleaned properly. Smoking also is attributed to high failure rates with dental implants and should be avoided following implant procedures.

Tooth Restoration

Dental Bridges

Dental bridges, dental implants, and partial dentures are used to replace missing teeth that would otherwise adversely affect your mouth. The negative effects of one or more missing teeth can include the shifting of other teeth to accommodate for the open space, a change in the bite that may affect your ability to eat, a speech impediment, and an increased risk for periodontal disease and tooth decay.

Dental Crowns

Whether a crown is needed for tooth cracks, excessive tooth decay, damaged tooth protection, teeth grinding, missing teeth, need for beautification or an improper bite resulting from the natural wear and tear produced by aging, dental crowns of today can satisfy your functional and esthetic needs. The purpose of a dental crown is to encompass and protect a needy tooth with a custom-designed tooth material, much like a fitted cap.

Dental Crown Dentists: Both the dentist and the laboratory technologist play a role in the design and treatment outcome of a crown. Art and science are important factors in designing the proper anatomical features of the crown to provide the best possible fit in the mouth. General dentists, family dentists, cosmetic dentists and prosthodontists may perform all treatment options; however, the level of expertise varies among dentists.

Dental Fillings

Dental fillings are used to repair minimal tooth fractures, tooth decay, or otherwise damaged surfaces of the teeth. Dental filling materials may be used to even out tooth surfaces for better biting or chewing. In many cases, individuals with enamel loss resulting in tooth sensitivity will notice a significant improvement or complete elimination of sensitivity once the appropriate dental filling material is placed.

Dental Filling Materials

You have many choices when it comes to restoring damaged or decayed teeth, even down to the type of dental filling material to use. You may choose to have white “tooth-colored” fillings (composite or porcelain) or silver amalgam restorations. There are a number of pros and cons associated with both composite and amalgam fillings.

Dental Implants

In many cases, dental implants may be the only choice to restore all necessary functions of the teeth and supporting structures. An implant can replace a single missing tooth and multiple implants can be used to support a dental bridge for the replacement of multiple missing teeth. Implants can also be used to increase the retention of dentures, helping to minimize gum irritation. Another implant advantage is that they do not require the preparation of adjacent teeth that would be necessary for bridgework. How much do dental implants cost?

Dental Implant Cost and Candidacy

The cost of dental implants depends on many factors, including the type of implantation, the dentist performing the procedure, the location where it is performed, the material used and the amount of dental insurance you have. Determining your candidacy is a process that starts with a comprehensive oral health evaluation.

Dental Implant Frequently Asked Questions

What are dental implants? What are dental implants made of? How much do they cost? Is this cost covered by insurance? Are dental implants safe? Answers to these questions and more.

Dental Implant Types

More than 60 companies manufacturer dental implants and/or the materials used to create the restorations placed on top of them. Dental implants usually are categorized based on the type of procedure used to place them: two-stage or single stage.

Dental Materials 411: Dental technicians’ work serves as the cornerstone in the manufacturing process of most dental prosthetics. Your dentist usually relies on one or more dental lab technicians to help craft your single tooth restoration, full mouth reconstruction, or smile makeover. Tooth restorations must feel comfortable. An ill-fitting tooth restoration may affect the outcome and longevity of the procedure. Ill-fitting restorations can house bacteria that may cause tooth decay. The lab technician’s familiarity with and comfort in using the materials impact the fit and comfort of the restoration. Because of this, you may wish to discuss certain dental lab issues with your dentist.

Denture Care

It is extremely important to practice healthy dental hygiene when wearing dentures. There is an increased risk of developing a more serious medical condition should oral irritation result from improper dental hygiene.

Dentures: Complete dentures are used to replace missing teeth for people with no remaining teeth. Dentures may also be used for people who have lost several teeth. It is very important to replace missing teeth. The ill effects of not doing so can be a shift in remaining teeth, an inability to bite and chew properly, as well as a sagging facial appearance, which makes one appear older than they are.

Denture Preparation

During the first dental visit to evaluate the need for dentures, your dentist will examine your gums and supporting bone structure to identify the appropriate treatment plan. In some cases, oral surgery is performed to correct bony ridges that may interfere with the stability of the denture. In other cases, the remaining teeth may need to be extracted before dentures can be placed.

Full Mouth Reconstruction

Full mouth reconstruction, full mouth rehabilitation and full mouth restoration are terms often used interchangeably to describe the process of rebuilding or simultaneously restoring all of the teeth in both the upper and lower jaws. Most full mouth reconstructions involve multiple phases and office visits. It is not unreasonable to expect treatment to take 12 months or more, depending on your situation.

Inlays and Onlays

Inlays and onlays are dental restorations used by a select number of dentists. In certain cases, inlays and onlays are a conservative alternative to full coverage dental crowns. Inlays and onlays can often be used in place of traditional dental fillings to treat tooth decay or similar structural damage.

Same Day Dentistry

Same day dentistry refers to an innovative new brand of treatment that condenses some traditional procedures into a single office visit. Thanks to in-office dental CAD/CAM technology, patients can receive milled metal-free crowns, veneers, onlays and inlays in one office visit, while they wait.

Same Day Dentistry Frequently Asked Questions: What is CAD/CAM dentistry? Are same-day restorations long lasting? What does same day dentistry cost? What are the advantages? Answers to these same day dentistry questions and more.

Save That Tooth

According to the American Association of Endodontics, more than five million teeth are knocked out every year. A knocked-out tooth can be saved if the proper emergency steps are taken immediately to preserve it. Consider five reasons why it’s good to save a knocked-out tooth.

Temporaries

Today’s natural-looking temporaries, also called “temps” or provisional restorations, have undergone radical changes. Provisionals now enable you to “preview” the final result of your smile design or reconstructive treatment. They allow you to make a more informed decision about the size, shape, feel, function and color of your final restorations.

Temporaries Concerns and Care

Temporaries are designed to restore your teeth for a provisional or interim period of time. Although today’s temporaries are significantly more lifelike and durable than those used previously, it is not uncommon for some people to experience problems with their temporaries.

Temporaries Restoration Preview

In addition to serving a functional purpose, temporary restorations also offer you a preview of your final treatment outcome. If necessary, you can ask your dentist for adjustments to provide the best possible lip support, teeth length, shape, color and esthetics.





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