Dental Implant FAQ

 

Dental Implants

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.

Am I a Candidate for Implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If your mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended. Call us today for a free consultation.

The Economics of Dental Implants

Permanent teeth add to the quality of life enhancing vitality, comfort, vigor, and confidence. Dental implants using the Bar Attachment Denture™ treatment protocol are the best alternative to dentures. A fixed smile eliminates lifelong visits for the refining of dentures as the gum tissue perpetually recedes. Dental implants answer many of the problems of natural teeth: decay, fracture, and the need for root canals. To see the long-term effects of dental implant placement, visit our Before & After Smile Gallery.

  • Long Term Effects of Dentures
  • Can I Have Teeth In A Day?
  • What Are Mini Implants?
  • Are Four Implants The Best Option?
  • IV Sedation Vs. Oral Sedation
  • Qualifications of General Dentists in Implantology
  • Am I A Candidate for Bar Attachment Denture™?
  • Are Periodontist Affordable?

Long Term Effects of Dentures

The adhesives to keep the dentures in place are also a hassle to manage and not always effective. It’s no wonder denture wearers are extremely self-conscious and reluctant to socialize. Without natural or artificial tooth roots, your jaw will begin to shrink due to bone loss. This causes your dentures to become ill-fitting and slick, making it difficult and often painful to eat.

Over time, a shrinking jawbone ultimately changes the shape of your face. The mouth and jaw appears to collapse, and the lips appear thinner. The skin around the mouth and neck can also begin to wrinkle. Without an adequate amount of bone, it can become difficult to wear dentures, and eventually dental implants may not be viable options. Placed early enough, dental implants can help prevent bone loss and help preserve facial contours.

Can I Have Teeth In A Day?

Some dentists and dental implant centers have advertisements claiming to give patients a tooth, or several teeth in one day. This is misleading. Dental implant placement is a sophisticated procedure that requires multiple appointments. Diagnosis and treatment planning, the implant procedure itself, and post-operative follow-up visits all must occur before the final restoration is completed.

“Accelerated” treatment protocols allow a temporary restoration to be placed at the same time as the implant is placed. However, this requires that stringent conditions be met. The implant must be rock solid, even in soft bone. The bite must be controlled at all times, as too much force will lead to implant loss.

In the case of a single implant or multiple implants in a straight line, the dentist must make every effort not to have the temporary teeth be in function through the teeth coming together. This includes natural occlusion (or bite) and chewing motions while eating. If the teeth come together, the likelihood of implant failure is very high.

The concept of immediate function…not always what it seems

Although dental literature has coined the term “immediate function” which describes the placement of a temporary crown on the same day as the dental implant placement, this really describes “immediate restoration without function”. Not quite as catchy.

There is an effort to commoditize and market complex processes as “teeth in a day”, or implants being completed in one visit.

In the case of a single implant or a bridge on implants, even at dental implant centers this requires multiple appointments. If a patient presents with no teeth, or is having them all extracted and 4-6 implants placed, they will leave with teeth in an acrylic temporary provided the same day. Bite function is permitted, however, there are dietary restrictions.

What Are Mini Implants?

A mini implant procedure can provide comparable results to traditional dental implants. They are non-invasive and can be more affordable. You may have even seen ads claiming that mini-dental implants are simpler and easier than traditional dental implants. But mini implants should really be considered transitional implants that temporarily work to stabilize dentures. The data on long-term success is very limited.

Are Four Implants The Best Option?

Generally this depends on the individual needs or desires of the patient. By way of explanation, there is an old saying in dentistry: There are two types of dentistry, fixed and loose.

Two Implant Procedure

Before implants, crowns and bridges replaced missing or decayed teeth and were fixed (not removable) or partials and full dentures which are loose (removable). This adage can also be applied to implant technology.

When two dental implants are securing a denture, the denture will not float or tip from side to side, however, the back can lift up and is therefore susceptible to food getting trapped underneath.

When four dental implants are securing a denture, the stability is much improved. With a removable implant denture, each implant is not rigidly stabilized by the other implants, resulting in movement in three axis. Therefore the implant denture, when subject to extra force, can result in failure and potential bone loss.

Four Implant Procedure

When dental implants are connected with a ridged superstructure, it provides the security and confidence of real teeth. Silverdale (fixed implant denture) stabilizes the implants as a unit, the prosthesis (denture) can be put into function immediately.

Finally, six dental implants with a fixed hybrid prosthesis can be put into immediate function in much the same way. This configuration may be advantageous in the upper jaw where the bone is much less dense. On the bottom, the nerves may exit too far forward and the superstructure will need to cantilever too many teeth off the back of the implants.

Click here to learn more about fixed hybrid prostheses.

IV Sedation Vs. Oral Sedation

When an IV sedation line is in place, the patient can receive a continuous infusion of sedative drugs. This results then in a continual sedation state. If a patient were to be found to be “too deep”, the sedative effect could be reversed by the addition of reversal agents.

In contrast, under Oral Conscious Sedation, the medication must be taken an hour prior to the procedure and can wear off at anytime. Adding more sedative medication requires another oral dosage and that is not always possible during a surgical procedure. More importantly, because an IV line is not in place, the effects of over sedation cannot be reversed as quickly.

During IV Sedation, the patient’s blood pressure, heart rate, oxygen saturation, respiratory rate, and blood pressure are continuously monitored, making it a safe and effective method of treatment.

Qualifications of General Dentists in Implantology

All dentists are qualified to perform dental surgery, unfortunately not all dentists performing dental implant surgery have had comprehensive training in surgical implant procedures, nor do all of them have experience managing complications.

It is legal for a licensed general dentist to place dental implants, but many may have insufficient training to prevent, diagnose, and treat complications that can occur.

Am I A Candidate for Bar Attachment Denture™?

If you’re about to lose your teeth, currently wear dentures, or want to update your smile, you are a candidate for Bar Attachment Denture. The procedure uses your natural bone structure more so than traditional dental implants. The Bar Attachment Denture procedure places an entire arch of teeth on four implants, and results in a natural looking, non-removable set of teeth. In most cases, patients can get a full restoration in a single visit. For more information about Bar Attachment Denture, click here.

Are Dental Implants Affordable?

Our quality of life, the confidence we have and a feeling of comfort can be disrupted on the care of our permanent teeth. Dental implants using the Bar Attachment Denture™ treatment protocol are the best alternative to dentures. A fixed smile eliminates life-long visits for the relining and re-adjusting of dentures as the gum tissue perpetually recedes. Dental implants eliminate many of the problems of natural teeth: decay, fracture, and the need for root canals.

Sedation Dentistry

Dr. Wilde has advanced skills and certifications in IV Sedation Dentistry. IV Sedation Dentistry, under the observation of a qualified and experienced dentist, is one of the most effective ways for patients to get the best results, and is very safe. The patient is always monitored by the doctor and staff, and is never alone.

Pain Free, Anxiety Free, Comfortable Memories.

Most patients experience no memory of the dental procedure, and experience no discomfort during treatment. This is an excellent way to avoid dental anxiety and aid the patient in experiencing a comfortable and safe dental visit.