WHEN BAD THINGS HAPPEN
Sometimes efforts at saving an implant make things worse. This case showed signs of recession shortly after the final crown was placed. Tissue recedes when there is no bone to support it and getting it back can be extremely difficult. In this case, the site was grafted five times before the patient gave up and sought another opinion.
When the area was opened there was no bone on the facial side of the implant and there was no choice but to remove the implant and start over. Without the pre-treatment records it is challenging to know what the site looked like prior to implant placement. The patient didn’t know if any grafting was done at the time of surgery, but the implant was placed immediately.
The resulting defect after the implant was removed was significant and the patient really wanted an implant in the area. Gaining vertical bone height is usually done with either a block graft or a mesh with bone protein or a combination of those techniques.
The case was grafted with bone protein and a titanium mesh. The story here is that this most likely could have been avoided if the dentist had planned the case with a properly trained oral surgeon. Rather, he placed the implant after a weekend course and then tried to save it using techniques that were doomed to failure.
The lesson learned is how important is to have a qualified board certified oral surgeon for dental implants. They will use cone beam scan technology and have years of training and experience with the knowledge and skill for bone and tissue grafting when needed.
A word of thanks from a patient
Are you hiding your smile?
dentures. Your smile is one of the first things people notice! Call us for a
consultation and we’ll help you find the confidence in your smile! Our oral
surgeons are board certified specialists with the experience and training
to make your dental experience a great one.
Frequently Asked Questions about Dental Implants
Many consumers are unfamiliar with dental implants until they suddenly have a broken tooth or a failed bridge and face the prospect of having to replace one or more missing teeth. There is a great deal of information available on the internet about implants and it can be overwhelming. A dental implant is basically a titanium root replacement that is placed in the jawbone to support a crown, bridge or even dentures. Crowns or bridges placed on dental implants appear and act the same as natural teeth. The concept of implant dentistry is simple, but selecting the appropriate specialist can be more difficult. Email us for a FREE copy of an article recently published in our local newspaper with frequently asked questions along with answers to guide your implant decision making process (firstname.lastname@example.org).
Do dental implants hurt?
Sometimes the biggest factor keeping people from getting necessary dental care is FEAR of pain. We’ve got good news for those patients who have been delaying treatment because they are just afraid that it will be too painful. Having a dental implant is much simpler, and easily causes less discomfort than a tooth removal. The most frequent comment we hear in our office after a patient gets a dental implant is “THAT WAS EASY! I wish I didn’t wait so long.”
While having a dental implant placed is fairly simple and causes very little discomfort, we understand that some people have a real fear of all dentistry. For those patients, we can provide solutions ranging from a simple premedication for anxiety all the way to general anesthesia to put you completely asleep during the procedure.
One thing is true, delaying dental implant treatment can lead to a costlier and more extensive treatment later due to bone loss and teeth shifting. So, don’t delay your dental implant treatment due to fear or anxiety. We have the solutions to help you feel completely comfortable. Still not sure? Check out some of the patient videos on our TESTIMONIALS tab on this website and hear for yourself! Call for your implant consultation today!
How Long Do Dental Implants Last?
When patients lose a tooth, they have a few options of how to replace it. What are the options?
1. A partial is an appliance similar to a retainer and is taken in and out. It can replace one or more missing teeth. The disadvantage is that it must attached to the neighboring healthy teeth (using a metal clasp) and often weakens them. Eventually, you lose more teeth and end up adding more to the partial. Additionally, you lose bone in the area of the missing tooth.
2. A bridge is often offered as an option to replace a single missing tooth. The disadvantage is that you must literally grind down the healthy teeth on both sides of where the missing tooth is located. Then a three (or four) unit bridge is placed. Teeth prepared for a bridge are statistically shown to need root canals more often. Root canal treated teeth can break more easily and you end up having another tooth extracted. Again, the bone in the area of the missing tooth is resorbing (or going away) due to the lack of a tooth root.
3. Dental implants are the most natural way to replace a missing tooth. The implant serves as an artificial root and helps keep the bone from resorbing. A crown is either cemented onto or screwed into the implant. This option allows you to replace the root and crown portion of the tooth. For patients with no teeth who wear dentures, implants can also help hold the denture in place either by snapping in, or actually being screwed in permanently. This helps preserve bone and allows denture wearers a much greater biting force to enjoy foods we love! Dental implants that are a medically implanted device and care should be taken to choose an experienced, board certified oral surgeon. The surgeon should use current technology such as a cone beam scan and surgical guides to ensure your dental implant is the proper size and location. Dental implants should last a lifetime when placed properly according to your medical needs and conditions and are truly the best way to replace a missing tooth or secure dentures.
Call today for an implant consultation . . . or visit our patient testimonials tab to hear about a patient’s dental implant in our office.
Dental Implants: Replacement Tooth Roots
The dental implants used by most dentists and dental specialists today are root-form implants. This basically means that they are
replacement, or substitute tooth roots, used to replace natural tooth roots in areas of the mouth where teeth are missing.
The reason it is so important to replace the tooth root and not just the visible part of the tooth (crown) is that natural tooth roots,
which are embedded in the bone, preserve the bone. When teeth are missing, the bone that previously supported those teeth melts away, or deteriorates. This process is called bone resorption.
However, the bone can be preserved by replacing missing tooth roots with dental implants. Since the bone actually forms a strong bond to the
implants, they can serve the same functions as natural tooth roots: a strong foundation for biting and chewing, and stimulation for the bone to hold it in
place. With an overall success rate of about 95%, and over 50 years of clinical research, dental implants have the best long-term prognosis of any
method of tooth replacement.