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Posts for tag: dental implant

GettingaNewToothinaDayWillDependonYourBoneHealth

If you know anyone with a dental implant, you may know it can be a long process in getting one. Several weeks or months can pass between removing the old tooth and placing the implant, and then several more weeks before affixing the permanent crown.

But with recent advances in implant technology, some patients don't have to wait as long for a new implant and crown. In fact, one procedure commonly known as "tooth in one day," allows patients to walk in with a problem tooth and out the same day with a new "one."

Not every implant patient, however, can undergo this accelerated procedure. If you're considering implants, the state of your bone health will determine whether or not you can.

Implants need a certain amount of available bone for proper placement. But bone loss, a common consequence of missing teeth or dental disease, can reduce bone volume to less than what's needed to place an implant. The patient may first need to undergo grafting to regenerate the bone or choose another restorative option.

If your supporting bone is sound, your dentist might then proceed with the implant. But you will still have to wait a while for your new crown. The implant needs to integrate with the bone to improve its hold. This integration process can take anywhere from a minimum of six weeks to more commonly twelve weeks. After the attachment is mature, the dentist may need to undo the gum covering before taking impressions for the formation of the new crown.

But it is possible to have a tooth or teeth in a day. For a single tooth, your dentist may be able to immediately attach a crown right after implant surgery if the implant is very stable. Even so, this crown will need to be temporary, slightly shorter than a permanent crown so that it won't make contact with other teeth and put too much pressure on the new implant. After further healing from bone integration, impressions will be taken so that you'll receive your permanent crown shortly.

Immediate crown placement can allow you to have the cosmetic and limited functional benefit of a new tooth right from the start. If multiple implants are placed in one arch in a day, it's possible to have immediate teeth if enough implants are attached together with a temporary restoration.

This is different from a single implant replacing a single tooth and does create confusion for patients when they read about teeth in a day. Regardless, no final tooth crown can be placed at the time of an implant—only a temporary restoration.

If you would like more information on your options for 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 “Same-Day Tooth Replacement with Dental Implants.”

YourTeenagernotReadyforanImplantHeresWhatWeCanDoInstead

Losing a tooth can be traumatic, but a dental implant can dramatically turn that experience around. Providing functionality, life-like appearance and durability, implants stand out as the premier restoration for lost teeth.

For adults, that is. An older child or teenager with a missing tooth may need to wait a few more years for an implant. The reason: jaw development. A person's jaws, particular the upper jaw, continue to grow with most growth completed by early adulthood. Natural teeth with their periodontal attachments develop right alongside the jaw.

But because an implant attaches directly to the jawbone, its position is fixed: it won't change as the jaw grows and may gradually appear to sink below the gum line. That's why we wait to place an implant until most of jaw maturity has occurred after full jaw maturity. For females, we try to wait until 20 years of age and for males, usually 21 years of age. These are guidelines as some people mature faster and some slower, so a discussion with your dentist or surgeon is necessary to make an educated decision.

While we wait, we can install a temporary replacement for a child's or teenager's lost tooth, usually a partial denture or fixed modified ("Maryland") bridge. The latter affixes a prosthetic (false) tooth in the missing tooth space by attaching it to the back of natural teeth on either side with bonded dental material. It differs from a traditional bridge in that these supporting teeth aren't permanently altered and crowned to support the bridge.

During the time before implants we should understand that the area where the implant will be placed will undergo some bone deterioration, a common consequence of missing teeth. Forces generated as we chew travel through the teeth to stimulate renewing bone growth all along the jawbone. But with a lost tooth the chewing stimulation ceases at that part of the bone, slowing the growth rate and leading to gradual bone loss.

Fortunately, the titanium posts of dental implants stimulate bone growth as bone cells naturally grow and adhere to their surfaces. Before then, though, if the bone volume is diminished, we may need to graft bone material to stimulate bone growth that will enlarge the jaw bone enough for an implant to be placed.

It usually isn't a question of "if" but "when" we can provide your child with an implant for their missing tooth. In the meantime, we can prepare for that day with a temporary restoration.

If you would like more information on dental restorations for teenagers, 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 Implants for Teenagers.”

By Applewood Dental
September 09, 2013
Category: Dental Procedures
HowDoWeMakeYourDentalImplantsLookSoGood

A dental implant as a permanent replacement for a missing tooth can match or even look better than your original tooth. How this happens takes knowledge, skill, experience, and even some art.

Here are some of the factors involved:

  1. Bone quantity and quality: To look and function like an original tooth, an implant must be supported by an adequate base of (jaw) bone and gum tissue. Bone has a tendency to melt away or resorb after a tooth is lost. Using new bone grafting techniques can help minimize the bone loss that occurs during healing at the extraction site. Bone grafting can also be used to rebuild lost bone at the implant site.
  2. Adequate bone supporting neighboring teeth: If you lose bone that supports teeth on either side of an implant, the papillae (the little pink triangles of gum tissue between the teeth) may not regenerate after the implant is placed.
  3. Your inborn tissue type: If your gum tissues are thin and delicate rather than thick and robust, they will be more difficult to work with. To ensure that there is sufficient gum tissue support, (gum) grafting may be necessary.
  4. Using the temporary crown as a template: A dental implant actually replaces a tooth root. Most dental implants are made of commercially pure titanium, which fuses with the bone in your jaw, making it very stable. The crown, the part of the tooth that is visible above the gum line, is attached to the implant; a customized temporary crown can be fitted to the implant. The temporary crown is a trial for the final crown. It can be used to assess color, shape, the appearance of your smile, and the implantâ??s function in your bite and speech. It gives you the opportunity to decide about design adjustments before the final, permanent crown is placed.
  5. The skill, experience, and collaboration of your dental team: Each situation is different. The final success of your implant depends on your pre-surgical assessment and diagnosis, as well as how the surgical and restorative phases of treatment are performed. The use of an outstanding dental laboratory is vital to a successful result.

Contact us today to schedule an appointment for an assessment or to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Matching Teeth & Implants.”

FiveWaystoMakeSureYourDentalImplantsSucceed

Modern dental implants, sometimes called “your third set of teeth,” have revolutionized the practice of dentistry. As permanent replacements for missing teeth, dental implants are highly successful.

A dental implant is composed of two parts. The implant actually replaces the tooth root (like the root of your original tooth). It is usually made of commercially pure titanium, which has the capacity to fuse with the bone of your jaw. This fusion is called osseo-integration, meaning “becoming part of the bone.” When this happens, living bone cells actually fuse with the surface layer of the titanium implant, which stabilizes the bone as well. A crown (the part of the tooth that is visible above the gum line) is attached to the implant and can be made of ceramic material that exactly matches the appearance of your natural teeth.

Studies have shown that the success rate of dental implants is greater than 95%. Here's what we need to know to make sure dental implants succeed:

  • We need to know about your general health. Do you smoke? What medications are you taking? Do you have osteoporosis or a compromised immune (resistance) system?
  • We will also perform a detailed assessment of the health of your teeth, gums, and jaws to ensure you are a candidate for dental implants.
  • Do you have sufficient bone to anchor the implants? Is the bone quality adequate? Tooth-supporting bone tends to melt away or resorb when a tooth is lost, so it is important to ensure that it is maintained when a tooth is lost or extracted. We can perform bone grafting to minimize resorption and build up bone tissue if necessary. We will consider the quality and quantity of your bone as part of your assessment.
  • After the implants have been placed, good dental habits are important. As with your natural teeth, carefully cleaning your new implant crowns and their surrounding gums every day is a necessity.
  • Continue to visit us on a regular basis. Regular checkups and maintenance can avoid breakdown of the surrounding bone and gum tissues.
  • If you grind your teeth, we can provide you with a night guard to help to protect your implants from wear and undue stress, which can affect the integration with the bone.

Implants are an excellent choice to replace missing teeth. Contact us today to schedule an appointment or to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine articles “Dental Implant Success Rate” and “Dental Implants: Your Third Set of Teeth.”

By Applewood Dental
August 12, 2012
Category: Dental Procedures
DentalImplantsQuiz

How much do you know about dental implants? Test yourself with this quiz.

  1. Earliest recorded attempts at using dental implants were from
    1. Medieval England
    2. The ancient Mayans
    3. U.S.A. in the 1950s
  2. Dental implants are called endosseous. What does this mean?
    1. They fuse with the bone
    2. They are inside the mouth
    3. They are not real teeth
  3. What are most dental implants made of?
    1. Aluminum
    2. Titanium
    3. Steel
  4. What part of the tooth does an implant replace?
    1. The implant is the root replacement
    2. The implant is the root plus the crown
    3. The implant is the crown
  5. What is the success rate of dental implants?
    1. 50 percent or less
    2. 75 percent
    3. 95 percent or more
  6. What could cause an implant to fail?
    1. Smoking or drug use
    2. Poor bone quality and quantity at the implant site
    3. Both of the above
  7. What is a tooth's emergence profile?
    1. The implant and crown's shape as it emerges from beneath the gum line
    2. A measure of the urgency of the tooth replacement
    3. A measure of the time it takes for you to be able to chew on the new implant
  8. What are some of the factors that go into the aesthetics of designing the crown?
    1. Choice of materials
    2. Color matching
    3. Both of the above
Answers:
  1. b. The concept of dental implants goes back to the Mayan civilization in 600 AD.
  2. a. The word endosseous (from endo meaning within and osseo meaning bone) refers to the implant's ability to fuse with or integrate with the bone in which it is placed.
  3. b. Most implants are made of a titanium alloy, a metallic substance that is not rejected by the body and is able to fuse with the bone.
  4. a. The term “implant” refers to the root replacement, which is anchored in the gum and bone. A crown is put around the implant where it emerges from the gumline.
  5. c. The majority of studies have shown long term success rates of over 95 percent.
  6. c. Factors that could cause an implant to fail include general health concerns such as smoking and drug use, osteoporosis, or a compromised immune system; poor bone quality or quantity; and poor maintenance such as lack of proper brushing and flossing.
  7. a. The emergence profile has a lot to do with the implant's natural appearance. It involves the way the crown, which attaches to the implant, seemingly emerges through the gum tissue like a natural tooth.
  8. c. Choices such as materials, color, and position can be worked out in the design of a customized temporary crown, which acts as a template or blueprint for a final crown.

Contact us today to schedule an appointment to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Matching Teeth & Implants.”



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