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Implants
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Introduction
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A dental implant is an artificial tooth root that is placed into your jaw to hold
a replacement tooth or bridge. Dental implants are an ideal option for people in
good general oral health who have lost a tooth or teeth due to periodontal disease,
dental caries, an injury, or some other reason.
While high-tech in nature, dental implants are actually more tooth-saving than traditional
bridgework, since implants do not rely on neighboring teeth for support.
Dental implants are so natural-looking and feeling, you may forget you ever lost
a tooth. You know that your confidence about your teeth affects how you feel about
yourself, both personally and professionally. Perhaps you hide your smile because
of spaces from missing teeth. Maybe your dentures don't feel secure. Perhaps you
have difficulty chewing. If you are missing one or more teeth and would like to
smile, speak and eat again with comfort and confidence, there is good news! Dental
implants are teeth that can look and feel just like your own! Under proper conditions,
such as placement and diligent patient maintenance, implants can last a lifetime.
Long-term studies continue to show improving success rates for implants.
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What Dental Implants Can Do?
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- Replace one or more teeth without affecting bordering teeth.
- Support a bridge and eliminate the need for a removable partial denture.
- Provide support for a denture, making it more secure and comfortable.
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After remarkable advances in dentistry in recent years, dental implants have become
the treatment of choice for people missing one, a few, or all of their teeth, and
for those with failing teeth or severe periodontal disease.
Dental implants are designed to provide a foundation for replacement teeth that
look, feel and function like natural teeth. The person who has lost teeth regains
the ability to eat virtually anything and can smile with confidence, knowing that
teeth appear natural and facial contours are preserved.
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What are dental implants?
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A dental implant is a metal device designed to replace missing teeth The device
is usually made out of titanium and is surgically placed into the jawbone where
the tooth is missing. Unlike a dental bridge, an implant is permanent.
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So what are the benefits?
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- Dental implants can be used for replacement of a single tooth, multiple teeth, or
all teeth. One of the greatest uses of dental implants is to help anchor traditional
dentures.
- Dental implants allow you to have adequate biting pressure very close to that of
normal healthy natural teeth
- Due to their permanent fixing in the mouth, they do not have to be removed from
the mouth like the removable dentures, neither they need the preparation of adjacent
natural teeth to gain support.
- Due to its placement in the bone, they are aesthetically very close to the natural
teeth, so are very natural to look at.
- It can be placed in harmony with the adjacent teeth and oral structure without additional
parts, like those in removable partial denture.
- Problems like loosening of denture are totally eliminated.
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Dental Implants at Global Dental Care
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Dental implants are life changing. They can restore you to an active lifestyle.
Swim, ski, give business presentations, and eat what you like without worrying about
your teeth slipping or falling out—dental implants are fixed in place.
At global dental care, implant placement is done with optimum sterility and patient
care.
We are delighted that we help our patient smile with confidence.
Dental implants are designed to provide a foundation for replacement teeth that
look, feel, and function like natural teeth. The person who has lost teeth regains
the ability to eat virtually anything and can smile with confidence, knowing that
teeth appear natural and that facial contours will be preserved. The implants themselves
are tiny titanium posts that are placed into the jawbone where teeth are missing.
The bone bonds with the titanium, creating a strong foundation for artificial teeth.
In addition, implants can help preserve facial structure, preventing the bone deterioration
that occurs when teeth are missing.
Dental implants are changing the way people live! With them, people are rediscovering
the comfort and confidence to eat, speak, laugh and enjoy life.
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Advantages of Dental Implants Over Removable Dentures or a Fixed Bridge |
Every way you look at it, dental implants are a better solution to the problem of
missing teeth.
- Esthetic Dental implants look and feel like your own teeth! Since
dental implants integrate into the structure of your bone, they prevent the bone
loss and gum recession that often accompany bridgework and dentures. No one will
ever know that you have a replacement tooth.
- Tooth-saving Dental implants don't sacrifice the quality of your
adjacent teeth like a bridge does because neighboring teeth are not altered to support
the implant. More of your own teeth are left untouched, a significant long-term
benefit to your oral health!
- Confidence Dental implants will allow you to once again speak and
eat with comfort and confidence! They are secure and offer freedom from the irksome
clicks and wobbles of dentures. They'll allow you to say goodbye to worries about
misplaced dentures and messy pastes and glues.
- Reliable The success rate of dental implants is highly predictable.
They are considered an excellent option for tooth replacement.
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Are You a Candidate for Dental Implants?
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The ideal candidate for a dental implant is in good general and oral health. Adequate
bone in your jaw is needed to support the implant, and the best candidates have
healthy gum tissues that are free of periodontal disease.
Dental implants are intimately connected with the gum tissues and underlying
bone in the mouth. Since We are the dental experts who specialize in precisely these
areas, they are ideal members of your dental implant team. they also have the special
knowledge, training and facilities that you need to have teeth that look and feel
just like your own.
A dental implant is an artificial tooth root that is placed into
your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option
for people in good general oral health who have lost a tooth or teeth due to periodontal
disease, dental caries, an injury, or some other reason.
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Welcome
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If, like many others, We feel implant dentistry is the right choice for you, we
ask that you undergo a dental/radiographic examination and health history. During
these consultation visits We will address your specific needs and considerations.
Your questions and concerns are important to us and our team will work with you
very closely to help make your procedure a success.
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Evaluation
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If, like many others, you feel implant dentistry is the choice for you, we ask that
you undergo a dental/radiographic examination and health history. During these consultation
visits,We will address your specific needs and considerations. Depending on the
results of this evaluation, We may refer you for a special CAT scan of your jawbone.
Your questions and concerns are important to us and our team will work with you
very closely to help make your procedure a success.
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Dental implants are titanium screws that act as tooth root substitutes. They are
surgically placed into the jawbone. After the dental implants have healed, a second
screw is placed into the top of the implant onto which your dentist will then be
able to make you a new crown.
Years ago, the placement of dental implants involved two surgical procedures. First,
implants were placed into the jawbone and covered completely with the gums. The
implants were then allowed to heal (integrate) for three to six months depending
on which jaw the implants were placed and the density of the bone. After the implant
had integrated with the bone, the second phase began. The surgeon would then uncover
the implant(s) and attach a small healing collar. In about two weeks your general
dentist would then start making your new teeth. The entire procedure usually took
2 to 4 months.
With changes in technology and our understanding of the biology of dental implants,
for most patients, there is only one surgical procedure involved. We will, whenever
possible, place the implant and the healing collar at the same visit. This will
allow for the implant to integrate with the bone while the gum heals around the
healing collar. Then, after the appropriate healing time, generally two to three
months, we can start making your new teeth.
In more and more cases, you may be able to have a bad tooth removed (extracted),
implant placed and a temporary crown made in a single visit. This is ideal for patients
who must have a front tooth removed. It alleviates the need for a removable temporary
tooth which can be both cumbersome and ill- fitting. We can match the color of your
natural tooth and preserve the gum tissue so that the final result looks more like
your own tooth.
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Replacing Single Tooth
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If you are missing a single tooth, one implant and a crown can replace it. A dental
implant replaces both the lost natural tooth and its root.
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C.T. Guided implant planning for replacing single or multiple teeth. |
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What are the advantages of implant-supported bridges over fixed bridges or removable
partial dentures?
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Dental implants provide several advantages over other teeth replacement options.
In addition to looking and functioning like natural teeth, implant-supported bridges
replace teeth without support from adjacent natural teeth. Other common treatments
for the loss of several teeth, such as fixed bridges or removable partial dentures,
are dependent on support from adjacent teeth.
In addition, because implant-supported bridges will replace some of your tooth roots,
your bone is better preserved. With a fixed bridge or removable partial denture,
the bone that previously surrounded the tooth root may begin to resorb (deteriorate).
Dental implants integrate with your jawbone, helping to keep the bone healthy and
intact.
In the long term, implants are esthetic, functional and comfortable. Gums and bone
can recede around a fixed bridge or removable partial denture, leaving a visible
defect. Resorbed bone beneath bridges or removable partial dentures can lead to
a collapsed, unattractive smile. The cement holding bridges in place can wash out,
allowing bacteria to decay teeth that anchor the bridge. In addition, removable
partial dentures can move around in the mouth and reduce your ability to eat certain
foods.
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How will the implants be placed?
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First, implants, which looks like screws, are placed into your jaw. Over the next
two to six months, the implants and the bone are allowed to bond together to form
anchors. During this time, a temporary teeth replacement option can be worn over
the implant sites.
Occasionally, a second step of the procedure is necessary to uncover the implants
and attach extensions. These small metal posts, called abutments, complete the foundation
on which your new teeth will be placed. Your gums will be allowed to heal for a
couple of weeks following this procedure.
There are some implant systems (one-stage) that do not require this second step.
These systems use an implant which already has the extension piece attached. Your
periodontist will advise you on which system is best for you.
Finally, replacement teeth, or bridges, will be created for you by your dentist
and attached to the abutments. After a short time, you will experience restored
confidence in your smile and your ability to chew and speak.
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Replacing All Teeth
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If you are missing all of your teeth, an implant-supported full bridge or full denture
can replace them. Dental implants will replace both your lost natural teeth and
some of the roots.
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What are the advantages of implant-supported full bridges and implant-supported
dentures over conventional dentures?
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Dental implants provide several advantages over other teeth replacement options.
In addition to looking and functioning like natural teeth, implant- supported full
bridges or dentures are designed to be long lasting. Implant- supported full bridges
and dentures also are more comfortable and stable than conventional dentures, allowing
you to retain a more natural biting and chewing capacity.
In addition, because implant-supported full bridges and dentures will replace some
of your tooth roots, your bone is better preserved. With conventional dentures,
the bone that previously surrounded the tooth roots begins to resorb (deteriorate).
Dental implants integrate with your jawbone, helping to keep the bone healthy and
intact.
In the long term, implants can be more esthetic and easier to maintain than conventional
dentures. The loss of bone that accompanies conventional dentures leads to recession
of the jawbone and a collapsed, unattractive smile. Conventional dentures make it
difficult to eat certain foods.
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What Can I Expect After Treatment?
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As you know, your own teeth require conscientious at-home oral care and regular
dental visits. Dental implants are like your own teeth and will require the same
care. In order to keep your implant clean and plaque- free, brushing and flossing
still apply!
After treatment, We will work closely with you and your dentist to develop the best
care plan for you. Periodic follow-up visits will be scheduled to monitor your implant,
teeth and gums to make sure they are healthy.
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Bone Grafting
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Minor and Major Bone Grafting
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Over a period of time, the jawbone associated with missing teeth atrophies or is
reabsorbed. This often leaves a condition in which there is poor quality and quantity
of bone suitable for placement of dental implants. In these situations, most patients
are not candidates for placement of dental implants.
Today, we have the ability to grow bone where needed. This not only gives us the
opportunity to place implants of proper length and width, it also gives us a chance
to restore functionality and esthetic appearance.
Bone grafting can repair implant sites with inadequate bone structure due to previous
extractions, gum disease or injuries. The bone is either obtained from a tissue
bank or your own bone is taken from the jaw, hip or tibia (below the knee.) Sinus
bone grafts are also performed to replace bone in the posterior upper jaw. In addition,
special membranes may be utilized that dissolve under the gum and protect the bone
graft and encourage bone regeneration. This is called guided bone regeneration or
guided tissue regeneration.
Major bone grafts are typically performed to repair defects of the jaws. These defects
may arise as a result of traumatic injuries, tumor surgery, or congenital defects.
Large defects are repaired using the patient’s own bone. This bone is harvested
from a number of different sites depending on the size of the defect. The skull
(cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites.
These procedures are routinely performed in an operating room and require a hospital
stay.
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Sinus Graft
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“A sinus graft makes it possible for many patients
to have dental implants.”
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The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses
are like empty rooms that have nothing in them. Some of the roots of the natural
upper teeth extend up into the maxillary sinuses. When these upper teeth are removed,
there is often inadequate bone separating the maxillary sinus and the mouth. Dental
implants need bone to hold them in place.
In some cases We can perform a crestal sinus lift. This is done at the time the
dental implant is placed. Bone graft particles are inserted into the osteotomy (implant
socket) that is created for the implant. A osteotome is then placed into the osteotomy
and the sinus is gently pushed up to create the desired height for the dental implant.
This is a very conservative procedure and most patients have no added discomfort
or side effects.
If the sinus wall is very thin, a lateral sinus lift may be required. Then we enters
the sinus from the side of the upper jaw. The sinus membrane is then lifted upward
and bone graft particles are inserted into the floor of the sinus. Keep in mind
that the floor of the sinus is the roof of the upper jaw. If enough bone between
the upper jaw ridge and the bottom of the sinus is available to stabilize the implant,
sinus augmentations and implant placement can be performed as a single procedure.
If this can not be done, dental implants are placed after the bone becomes part
of the patient’s jaw.
The sinus graft makes it possible for many patients to have dental implants when
years ago there was no other option other than wearing loose dentures.
The maxillary sinuses are behind your cheeks and on top of the upper teeth. Some
of the roots of the natural upper teeth extend up into the maxillary sinuses. When
these upper teeth are removed, there is often just a thin wall of bone separating
the maxillary sinus and the mouth. Dental implants need bone to hold them in place.
When the sinus wall is very thin, it is impossible to place dental implants in this
bone.
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Procedure
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The dental implant surgeon enters the sinus from where the upper teeth used to be.
The sinus membrane is then lifted upward and donor bone is inserted into the floor
of the sinus (which is the roof of the upper jaw). After several months of healing,
the bone becomes part of the patient’s jaw and dental implants can be inserted and
stabilized in this new sinus bone.
If enough bone between the upper jaw ridge and the bottom of the sinus is available
to stabilize the dental implant well, sinus augmentations and dental implant placement
can sometimes be performed as a single procedure. If not enough bone is available,
the sinus augmentation is performed first. Once the graft has matured, the implants
can be placed.
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Ridge Augmentation
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A key to dental implant success is the amount and quality of the bone where the
implant is to be placed.
Ridge deformities of the upper and lower jaw can leave you with inadequate bone
and tissue thickness for either an esthetic and functional bridge or dental implant
restoration. The defects may have been caused by trauma, developmental defects,
periodontal disease and wearing dentures.
Ridge augmentation procedures have been shown to greatly enhance the cleansability
and appearance of your restorations. They increase your chance for long-term successful
dental implants, both esthetically and functionally.
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Procedure
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Soft tissue ridge augmentations are performed to enhance the cleansability
and aesthetics of a deficient site prior to its final restoration. During this procedure,
an incision is made to expose the bony ridge. A soft tissue graft is then obtained
either from a suitable site in your mouth and/or a soft tissue substitute and inserted
into the area. The gum tissue is readapted over the soft tissue graft and sutured
into place.
Hard tissue ridge augmentations are performed to recreate adequate
bone dimensions prior to dental implant therapy. The hard tissue augmentation can
also be done in combination with a soft tissue augmentation to simultaneously enhance
the soft tissue profile of the deficient site. After the incision is made and the
gum lifted away, the bony defect or bone substitute is placed in to build up the
ridge. A membrane may be adapted over the bone graft based on individual defect
morphology. Depending on defect size, an average bony healing and maturation time
of 6-12 months is allowed before dental implants can be placed. In some cases, the
implant can be placed at the same time as the hard tissue ridge augmentation is
performed.
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Graftless(Zygoma) Dental Implants |
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The Zygoma Dental Implant System |
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This revolutionary dental implant system eliminates the need for bone grafting altogether.
Traditionally, if you did not have sufficient bone mass in your jaws, the only option
was dental surgery for a bone graft. This would then create sufficient foundation
for the dental implant. The Zygoma System is a graftless dental implant system where
the implant is directly embedded in your cheekbones (medically referred to as Zygoma).
This approach is on par with other advanced techniques like teeth-in-an-hour or
keyhole placement. Your total treatment time could be as low as a week or two and
likewise your healing would be much faster. As per case requirement we use this
system in our clinic.
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Fixed Hybrid Bridge
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A fixed hybrid bridge is an implant retained bridge that can permanently replace
all of the upper or lower teeth. Some patients have lost all their teeth and choose
to have them permanently replaced. Other patients have teeth, but suffer from periodontitis
and/or dental decay. Instead of choosing extensive treatment to keep them, they
opt for tooth removal and replacement with a fixed hybrid bridge.
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Ridge Preservation
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In severe cases, the ridge has been reabsorbed and a bone graft is placed to increase
ridge height and/or width. This is a technique used to restore the lost bone dimension
when the jaw ridge gets too thin to place conventional implants. In this procedure,
the bony ridge of the jaw is literally expanded by mechanical means. Bone graft
material can be placed and matured for a few months before placing the implant.
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Ridge Preservation
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When a tooth is extracted it should be done in the least traumatic way. Careful
management of extraction sockets after tooth extraction prevents unsightly bone
loss and provides a better cosmetic outcome for tooth replacement.
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Guided Bone Generation
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Over a period of time, the jawbone associated with missing teeth atrophies or is
reabsorbed. Traumatic extractions, periodontal disease or injuries can also damage
the implant site. This often leaves a condition in which there is poor quality and
quantity of bone suitable for placement of dental implants. Today, we have the ability
to grow bone where needed. Bone is either obtained from a tissue bank or your own
bone is taken from the jaw. In addition, special membranes may be utilized that
dissolve under the gum and protect the bone graft and encourage bone regeneration.
This is called guided bone regeneration or guided tissue regeneration. This not
only gives us the opportunity to place implants of proper length and width, it also
gives us a chance to restore functionality and esthetic appearance.
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CT Guided Implant Planning
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CT Guided Implant Planning is a revolutionary treatment planning and surgical implementation
system, enabling us to transfer extra oral planning into the mouth with unrivalled
accuracy and ease. |
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The implant guide software enables us to carry out the entire treatment planning
extraorally using a Virtual 3D model of the patient jaws and transferring this into
a surgical template there by making the entire process of implant placement, fast
and minimally invasive ( flapsless). |
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Its guided surgery components combined with a customized surgical template created
to guide our drills help us reach the result we planned. |
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Since the final position of the implant is known prior to the actual surgery, the
restoration to be given on the implant can be planned in advance. |
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Placement Of Implants
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Dental implants are titanium posts that act as tooth root substitutes. They are
surgically placed into the jawbone. Implants can be used in many ways to replace
teeth.
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Immediate Placement
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If you have a tooth needing extraction to be removed and the gum and bone around
the tooth root is healthy, We can remove the tooth and immediately place an implant.
It may also be possible to place a temporary crown on the implant. Another option
to replace the tooth is to have a removable temporary partial denture or “flipper”
made by your dentist before the tooth is removed. This is like an orthodontic retainer
with a tooth attached to it. Once the implant integrates with the bone your we will
place an abutment and permanent crown on the implant.
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Delayed Placement
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If the gum and bone around the tooth root is infected an implant can not be immediately
placed. A temporary tooth replacement (probably a “flipper”) will be made by us
before the tooth is extracted. Then we remove the tooth and bone graft particles
are placed in the socket. A membrane may be used to protect the site. The gum is
then sutured closed. The dental implant is placed at a later date.
Some people decide to have implants placed months or even years after teeth are
lost. Implants can still be placed. If the bone has atrophied, We can use a variety
of techniques to regenerate the lost support.
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Two Stage Surgery
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For some patients, the placement of dental implants involves two surgical procedures.
First, implants are placed within your jawbone and covered with gum tissue. Healing
time following surgery varies from person to person and is based on a variety of
factors that include hardness of bone. For the first two to six months following
surgery, the implants are beneath the surface of the gums gradually bonding with
the jawbone. You should be able to wear temporary dentures and eat a soft diet during
this time. At the same time, your restorative dentist designs the final bridgework
or denture that will ultimately improve both function and aesthetics.
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After the implant has bonded to the jawbone, the second phase begins. We will uncover
the implants and attach a small healing cap or collar. Then we can start making
your new teeth. An impression must be taken. Then posts or attachments can be connected
to the implants. The teeth replacements are then made over the posts or attachments.
The entire procedure usually takes six to eight months. Most patients do not experience
any disruption in their daily life. |
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