Dental implants are changing the way people live. They 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, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence.
What Are Dental Implants?
The implants themselves are tiny titanium posts that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts that protrude through the gums are then attached to the implant. These posts provide stable anchors for artificial replacement teeth.
Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.
The Surgical Procedure
For a few patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three 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 to normal diet during this time. At the same time, your dentist is forming new replacement teeth.
After the implant has bonded to the jawbone, the second phase begins. Dr. Domanico or Dr. Abughazaleh will uncover the implants and attach small posts that protrude through the gums and will act as anchors for the artificial teeth. When the artificial teeth are placed, these posts will not be seen. The entire procedure usually takes three to six months. Most patients experience minimal disruption in their daily life.
Using the most recent advances in dental implant technology, Dr. Domanico and Dr. Abughazaleh are most often able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of twelve to sixteen weeks of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction further minimizing the number of surgical procedures.
Dental Implant placement is a team effort between an oral and maxillofacial surgeon and a restorative dentist. While Dr. Domanico and Dr. Abughazaleh perform the actual implant surgery, initial tooth extractions, and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.
What Types Of Prosthesis Are Available?
A single prosthesis (crown) is used to replace one missing tooth each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.
Dr. Domanico and Dr. Abughazaleh perform in-office implant surgery in a hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.
Why Dental Implants?
Once you learn about dental implants, you finally realize there is a way to improve you life. When you lose several teeth whether it’s a new situation or something you have lived with for years chances are you have never become fully accustomed to losing such a vital part of yourself.
Dental implants can be your doorway to renewed self-confidence and peace of mind.
A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than 35 years ago. With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.
Why Select Dental Implants Over More Traditional Types Of Restorations?
There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a partial at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing. Implants also prevent jaw bone loss.
Are You A Candidate For Implants?
If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.
What Type Of Anesthesia Is Used?
The majority of dental implants and bone graft can be performed in the office under local anesthesia, with or without general anesthesia.
Do Implants Need Special Care?
Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists.
Dr. John M. Domanico is a graduate of the Misch Implant Institute and has been awarded a Fellowship to the International Congress of Oral Implantologists. We use implants from BioHorizons and Straumann.