Posts for tag: dental implants
If you're considering dental implants, they'll need to be surgically placed in the jaw bone. But don't be alarmed — it's a relatively minor procedure that usually requires nothing more than local anesthesia.
But that being said, it's still an invasive procedure that involves making incisions in gum and bone tissues. That could introduce bacteria into the bloodstream and pose, for certain individuals, a slightly greater risk of infection.
But infection risk is quite low for most healthy patients. As a result, implants enjoy a greater than 95-percent success rate ten years after installation. But some patients have health issues that increase their risk of infection. These include older adults with a weakened immune system, smokers, diabetics or those well under or over their ideal weight.
If you have these or similar health situations, we may recommend undergoing an antibiotic treatment before you undergo surgery. This can help prevent bacteria from spreading and reduce the likelihood of an infection.
Preventive antibiotic therapy is commonplace with many other dental procedures. Both the American Dental Association and the American Heart Association recommend antibiotics before any invasive oral procedure for patients with prosthetic (false) heart valves, past endocarditis, a heart transplant or other heart conditions. To lower the risk of implant failure due to infection, we often advise antibiotics for patients who fall in these categories, as well as those with similar conditions mentioned earlier.
Of course, whether pre-surgical antibiotics is a wise choice for you will depend on your medical history and current health status. We'll consider all these factors thoroughly before advising you. But if you are more susceptible to infection, antibiotics before surgery could potentially lower your risk for an implant failure.
In real life he was a hard-charging basketball player through high school and college. In TV and the movies, he has gone head-to-head with serial killers, assorted bad guys… even mysterious paranormal forces. So would you believe that David Duchovny, who played Agent Fox Mulder in The X-Files and starred in countless other large and small-screen productions, lost his front teeth… in an elevator accident?
“I was running for the elevator at my high school when the door shut on my arm,” he explained. “The next thing I knew, I was waking up in the hospital. I had fainted, fallen on my face, and knocked out my two front teeth.” Looking at Duchovny now, you’d never know his front teeth weren’t natural. But that’s not “movie magic” — it’s the art and science of modern dentistry.
How do dentists go about replacing lost teeth with natural-looking prosthetics? Today, there are two widely used tooth replacement procedures: dental implants and bridgework. When a natural tooth can’t be saved — due to advanced decay, periodontal disease, or an accident like Duchovny’s — these methods offer good looking, fully functional replacements. So what’s the difference between the two? Essentially, it’s a matter of how the replacement teeth are supported.
With state-of-the-art dental implants, support for the replacement tooth (or teeth) comes from small titanium inserts, which are implanted directly into the bone of the jaw. In time these become fused with the bone itself, providing a solid anchorage. What’s more, they actually help prevent the bone loss that naturally occurs after tooth loss. The crowns — lifelike replacements for the visible part of the tooth — are securely attached to the implants via special connectors called abutments.
In traditional bridgework, the existing natural teeth on either side of a gap are used to support the replacement crowns that “bridge” the gap. Here’s how it works: A one-piece unit is custom-fabricated, consisting of prosthetic crowns to replace missing teeth, plus caps to cover the adjacent (abutment) teeth on each side. Those abutment teeth must be shaped so the caps can fit over them; this is done by carefully removing some of the outer tooth material. Then the whole bridge unit is securely cemented in place.
While both systems have been used successfully for decades, bridgework is now being gradually supplanted by implants. That’s because dental implants don’t have any negative impact on nearby healthy teeth, while bridgework requires that abutment teeth be shaped for crowns, and puts additional stresses on them. Dental implants also generally last far longer than bridges — the rest of your life, if given proper care. However, they are initially more expensive (though they may prove more economical in the long run), and not everyone is a candidate for the minor surgery they require.
Which method is best for you? Don’t try using paranormal powers to find out: Come in and talk to us. If you would like more information about tooth replacement, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Crowns & Bridgework,” and “Dental Implants.”
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
Installing dental implants involves more than the mechanics of placing them into the jawbone. Ultimate success — a natural and beautiful smile — requires painstaking attention to detail and artistry.
Here are a few of the factors we must consider to achieve a smile with dental implants you’ll be proud to display.
The amount of available bone. For the permanent crown to appear natural, it’s crucial to position the implant precisely. To achieve this precision requires an adequate amount of bone to be present. Unfortunately, bone loss is quite common after tooth loss; to minimize this we place bone grafts in the empty socket if at all possible after extraction to encourage bone growth. It’s also possible in some cases to perform bone grafting surgery before implants to build up bone volume.
Your genetic gum tissue type. There are basically two types of gum tissue people are born with: thin or thick. Thin tissues are more subject to wear, difficult to work with during surgery and can make it difficult to hide the metal components of an implant. Thicker tissues are easier to work with, but can have a tendency to overgrow.
Achieving a natural “emergence profile.” To look natural, the implant crown must appear to seamlessly emerge from the surrounding gum tissue. To achieve this, we must carefully plan and place the implant in the precise location in the bone, taking into account the implant shape and how far it should be placed within the bone to match the position and height of adjacent teeth and gum tissues.
Blending color shades with adjacent natural teeth. When it comes to color, everyone has subtle differences in tooth shades and hues. In fact, there are slight color variations within individual teeth, from the root to the tip of the crown. To make sure the implant blends in with adjacent teeth, it’s important to match the color incorporated into the porcelain crown with the natural crowns beside them.
These and other factors require both technical expertise and a sense of artistry. Carefully considering all of them will help ensure your dental implants result in the smile you want.
If you would like more information on smile transformations with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Matching Teeth & Implants.”
Dental implants are a long-term investment that pays off very well.
With their convenience and realistic appearance, dental implants have become the preferred way to restore your smile, for both dentists and recipients alike. However, they are still relatively new and many patients still have questions for Dr. Michael Wing about their advantages.
The Denture Dilemma
For hundreds of years, removable dentures and partials were the only option for people who wanted to replace one or more missing teeth. In that time, dentures gained a well-deserved reputation for being uncomfortable and unnatural-looking, living up to the moniker of "false teeth." Today, many people compare the costs of dental implants versus dentures and question the difference in price.
It's true: dentures and partials are generally cheaper. However, you tend to get what you pay for. With all the removal, cleaning, soaking, and repositioning, dentures are high-maintenance restorations. They are also restrictive on certain foods both in and out of your mouth. Made of porcelain, dentures are very fragile. One false move at the sink and the entire appliance could need costly repairs. They also require extra visits to your Huntersville dentist's office for resizing as the jawbone beneath them deteriorates from a lack of stability.
While the initial cost of dental implants is more than that of dentures, their convenience, durability and contribution to your oral health is invaluable. Once the post of the implant is integrated within your jawbone, it will provide much-needed support in the pockets previously occupied by the roots of your teeth. The top of the implant, called the crown, also provides reinforcement for the teeth on either side of it by preventing shifting into the empty spaces. Best of all, the implant looks and functions like a natural tooth, allowing you to eat, talk, and smile effortlessly. Regular dental checkups and good oral hygiene are the only instructions that your Huntersville dentist will prescribe.
Your dental implant can last decades, even a lifetime with proper care. Starting the journey to beautiful, comfortable, low-maintenance restorations is as easy as calling Birkdale Dental today.