< Back to list

Dental Implants & Prosthetics

More and more people are replacing tooth loss with dental implants. Having a more natural feel than traditional bridges or dentures, most implant procedures involve placing metal anchors into the bone of the jaw, allowing the anchor and bone to fuse, placing an extension or abutment in the anchor, and fixing a prosthetic tooth, or crown, on the extension. After undergoing this multi-step process, many patients find they have a better feeling, better looking, and more stable solution to their tooth loss than more traditional dental reconstructive approaches.

CONTACT US now to learn more about this procedure.

> See all available services

• What Can Dental Implants Do for You?

  Replacing a lost tooth is vital to maintaining the overall health and function of the surrounding teeth. It helps avoid tooth migration and loss of structure. It is necessary to avoid loss of bone from the jaw in that area. Dental implants are an effective means of counteracting these problems. Dental implants are also very strong and provide a feel as close to a natural tooth as can be currently achieved. Further, implants reduce the impact of the lost tooth on surrounding teeth, as traditional bridge structures often require reduction (filing down) of the two adjacent teeth to hold the bridge in place with crowns. Implanting avoids such alterations to the surrounding teeth when replacing a lost tooth.

  Dental implants, when replacing dentures, provide even more benefits. Dentures are notorious for slipping at the worst possible moments. Poorly fitting dentures can even affect diet, restricting food selections to easily chewed foods. Implants eliminate the possibility of slipping or pinching, and allow food of almost all types to be eaten (other than extremely hard foods such as chewing on ice, pits, or popcorn kernels, which is very bad for the implants and not good for natural teeth, either). In short, dental implants are the closest way to surgically restore a natural tooth to its original condition.

• Explanation of Procedure

  Under local anesthesia, the first step for many implant procedures is the exposure of the bone where the implant is to be made. This is followed by placement of the implant into the exposed jawbone. Implants that are placed in the bone are called endosteal implants and are made of titanium or a titanium alloy because this metal does not adversely interact with biological tissue. After placement of the implant a cover screw is put in and the wound is closed with stitches and allowed to heal. In general, placements in the lower jaw need to heal about three months, while placements in the upper jaw need to heal about six months.

  After healing, in a second surgical procedure, the implant is uncovered, the cover screw is removed and a healing abutment or a temporary crown is placed in the implant. Temporary crowns are generally used for aesthetic reasons, when the implant is in a place that is visible. Both healing abutments and temporary crowns allow the tissue around the implant to be trained to grow around the final prosthetics tooth. After about two months the soft tissue will be healed to receive the final prosthetic tooth.

  Impressions are taken to make a custom abutment that takes into account the shape of the neck of the implant. The prosthetic tooth is sometimes attached to a gold cylinder that can be screwed into the abutment or it can be directly cemented onto the abutment. This multi-stage process, where the two surgical procedures are separated by a lengthy healing time, has proven to provide excellent stability in the final implant. Single step surgical implants are available, but skipping the healing step often loses some stability of the final implant.

  Surgery time will vary greatly depending on the number of dental implants. For each of the two visits, one implant, going very smoothly, will take a little over an hour. Time goes up proportionally from there.

  Local anesthesia eliminates the pain that would be involved in the surgical procedures during implantation and uncovering of the implant fixture. Most patients state that implants involve less pain and discomfort than a tooth extraction.

• Post-Op Recovery/Time Back to Work

  Following surgery, there will probably be bleeding, controlled by biting down on some gauze. Swelling may be controlled using an ice pack. Gums are generally sore after both surgeries for seven to ten days. You may be given antibiotics to take during the period immediately following the surgery.

  Many people have very mild soreness, bleeding, or swelling, which can be treated with first aid and over the counter medicines and can return to work the day after surgery.

  In between the first and second surgery, there is a recovery period of three to six months while the implants associate with the bone. This growth of the bones around the titanium posts may induce a few weeks of soreness. This discomfort can usually be controlled using over the counter medicine. It is very important during your recovery to practice scrupulous oral hygiene. Poor care, resulting in chronic swelling of gum tissue, is a major contributor to implant failure. You may need to see your dentist about four times a year to keep track of the implant health. For most people, dental implants last between fifteen and twenty-five years.

• Risk and Limitations

  A further consideration as to suitability for implants is the patient's general health, especially whether or not the patient smokes. Although the exact cause of the connection is not known, dentists hypothesize that the nicotine in the cigarettes, known to shut down blood vessels, interferes with the healing of the dental implants. Whatever the cause, heavy smokers are known to have a higher failure rate for implants than those who do not smoke. Other chronic conditions that affect healing, such as cardiovascular diseases, diabetes, and immunosupression can also increase the chance of implant rejection.

  The greatest risk following the surgical procedures is that the implant will fail. For implants placed within the bone, most failures occur within the first year and then occur at a rate of less than one percent per year thereafter. Location of the implant can also predict the risk of failure. Implants in the back upper jaw fail most often, followed by the front upper jaw, the back lower jaw, and the most success seen in implant of the front lower jaw. Overall, the success rate for all implants runs from 90 to 95%. Most failed implants can be replaced with a second attempt.

   

  CONTACT US now to learn more about this procedure.

The information provided on surgeryBA.com is designed to support, not replace, the relationship between a patient and his/her physician. Individual results may vary according to each patient's individual objectives, health, and circumstances. The information provided here stems from our professional experience with patients and from our doctor's advise.