Dental Implants
Providing Restoration With a Sure Foundation
Sometimes, permanent teeth are lost due to accident, injury, disease
or extraction. In such cases, dental implants may be considered as a secure,
functional replacement option because they do not rely on neighboring
teeth for support. Permanently, surgically anchored to the jawbone as
tooth root substitutes, implants restore normal eating ability, provide
face muscle support, and prevent jawbone atrophy. Implants are tiny posts,
made of either a metallic or bone-like ceramic material. One variety is
inserted into the jawbone below the gum surface, at the location of the
missing tooth. The bone then bonds to the post and forms a secure foundation
onto which artificial teeth may be attached and shaped to match the patient's
existing teeth. If the jawbone is insufficient for such as procedure,
a custom-made metal framework can be fitted directly onto the existing
bone instead. Implants may also provide an anchor for bridgework. The
implant process generally requires a couple of separate steps, "anchoring"
and then "attachment".
Anchoring
In most implant situations, the first step surgically anchors the tooth
root substitute "post" into the jaw-bone below the gum tissue.
To form a solid, enduring base with sufficient stability to withstand
the tremendous mechanical pressure involved in normal chewing, this post
will typically be allowed to incorporate into the bone for 12 weeks to
6 months. The presence of these inserts is generally not noticeable by
the patient. During the wait, a temporary bridge or dentures may be provided
to facilitate eating and to help maintain facial muscle support. In the
meantime, carefully designed artificial teeth are custom manufactured
for use over the implant tops.
Attachment
Once the implant post has bonded with the jawbone, a second surgery fixes
the top of the implant onto the anchor post. To accomplish this, each
implant anchor is carefully uncovered, connected to a small post that
protrudes above the gum-line, and completely covered with a previously
designed, custom-made artificial tooth. The result is a secure, attractive,
replacement tooth or set of teeth, designed to function as effectively
as the remaining natural teeth. Depending on the number of teeth involved,
this final step in the implant process usually requires no more than two
months to complete.
Success
Those unfamiliar with implant technology may question the success rate
of such procedures. The technology is approximately 20 years old, and
has proven successful in tooth replacement, depending primarily on the
recipient's health, as well as the location and function of the teeth
being replaced. Teeth placed in the lower front jaw may be up to 95% successful,
while side or rear placements may be only 85% successful. It's also best
if recipients are in good general health, with proper bone structure and
healthy gums. Often, people unable to wear dentures are among those who
benefit most from implants. On the other hand, chronic health problems
such as clenching, bruxism, or systemic diseases may decrease the success
rate of the procedure immensely. Finally, those who smoke or drink alcohol
may also be poor candidates for implants.
Cost & Commitment
Due to the surgery involved, implant procedures are typically more expensive
than traditional bridgework. However, dental and medical insurance may
cover portions of such restoration. It's best to discuss this with Dr.
Radz and our staff during your evaluation for implant placement, so
that we can assist you in working with your insurance company.
Finally, implant candidates should seriously consider their own commitment
to future oral health. In fact, poor oral hygiene itself is a common cause
of implant failure. So, you'll want to be sure and brush and floss around
your fixtures at least twice a day, according to the specific instructions
we give you. Further, you may need up to four annual professional cleanings
to maintain healthy gums.
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