Posts for tag: dental implant
Losing teeth continues to be an all too common experience for people, especially those in their senior years. Fortunately, there are several ways to replace them, ranging from partial or full dentures to implants.
Some, though, postpone or simply choose not to replace a lost tooth, often because of the cost. But putting off a dental restoration could have a long-term impact on your health, and not in a good way. Continuing bone deterioration is one of the top consequences of delayed restoration.
Like other bones in the body, the jawbone is living tissue with cells that form, grow and eventually wear out. At the end of their life, these older cells give way to new cells. Eating and chewing play an important role in maintaining this growth cycle: the forces we generate as we chew travel up through the tooth roots to stimulate bone growth in the jaw.
When a tooth goes missing, though, the stimulus ends. Over time the bone cell replacement rate can fall off and the bone slowly loses volume. To make matters worse, bone loss can continue beyond the immediate bone underlying the tooth and affect the rest of the jawbone. The jaw can shrink in height and width, and in time become weaker overall and more susceptible to fracture.
But dental implant restorations in particular could help stop or even reverse bone deterioration at the site of the missing teeth. The titanium post implanted in the jaw attracts bone cells, which grow and adhere to its surface. Over time the bone fills in and becomes stronger.
You don't want to wait too long, though, because implants depend on a minimum amount of bone present for secure placement. You should therefore undergo an implant restoration as soon as it's practical after tooth loss. Otherwise, although we may be able to restore some of the lost bone with bone grafting, you may need to consider another restorative option.
When it comes to replacing missing teeth, time isn't on your side. But the right kind of dental restoration undertaken promptly can make for a brighter, healthier future.
If you would like more information on restoring lost teeth, 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 “The Hidden Consequences of Losing Teeth.”
Losing a tooth can be traumatic, but a dental implant can dramatically turn that experience around. Providing functionality, life-like appearance and durability, implants stand out as the premier restoration for lost teeth.
For adults, that is. An older child or teenager with a missing tooth may need to wait a few more years for an implant. The reason: jaw development. A person's jaws, particular the upper jaw, continue to grow with most growth completed by early adulthood. Natural teeth with their periodontal attachments develop right alongside the jaw.
But because an implant attaches directly to the jawbone, its position is fixed: it won't change as the jaw grows and may gradually appear to sink below the gum line. That's why we wait to place an implant until most of jaw maturity has occurred after full jaw maturity. For females, we try to wait until 20 years of age and for males, usually 21 years of age. These are guidelines as some people mature faster and some slower, so a discussion with your dentist or surgeon is necessary to make an educated decision.
While we wait, we can install a temporary replacement for a child's or teenager's lost tooth, usually a partial denture or fixed modified ("Maryland") bridge. The latter affixes a prosthetic (false) tooth in the missing tooth space by attaching it to the back of natural teeth on either side with bonded dental material. It differs from a traditional bridge in that these supporting teeth aren't permanently altered and crowned to support the bridge.
During the time before implants we should understand that the area where the implant will be placed will undergo some bone deterioration, a common consequence of missing teeth. Forces generated as we chew travel through the teeth to stimulate renewing bone growth all along the jawbone. But with a lost tooth the chewing stimulation ceases at that part of the bone, slowing the growth rate and leading to gradual bone loss.
Fortunately, the titanium posts of dental implants stimulate bone growth as bone cells naturally grow and adhere to their surfaces. Before then, though, if the bone volume is diminished, we may need to graft bone material to stimulate bone growth that will enlarge the jaw bone enough for an implant to be placed.
It usually isn't a question of "if" but "when" we can provide your child with an implant for their missing tooth. In the meantime, we can prepare for that day with a temporary restoration.
If you would like more information on dental restorations for teenagers, 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 “Dental Implants for Teenagers.”
A dental implant as a permanent replacement for a missing tooth can match or even look better than your original tooth. How this happens takes knowledge, skill, experience, and even some art.
Here are some of the factors involved:
- Bone quantity and quality: To look and function like an original tooth, an implant must be supported by an adequate base of (jaw) bone and gum tissue. Bone has a tendency to melt away or resorb after a tooth is lost. Using new bone grafting techniques can help minimize the bone loss that occurs during healing at the extraction site. Bone grafting can also be used to rebuild lost bone at the implant site.
- Adequate bone supporting neighboring teeth: If you lose bone that supports teeth on either side of an implant, the papillae (the little pink triangles of gum tissue between the teeth) may not regenerate after the implant is placed.
- Your inborn tissue type: If your gum tissues are thin and delicate rather than thick and robust, they will be more difficult to work with. To ensure that there is sufficient gum tissue support, (gum) grafting may be necessary.
- Using the temporary crown as a template: A dental implant actually replaces a tooth root. Most dental implants are made of commercially pure titanium, which fuses with the bone in your jaw, making it very stable. The crown, the part of the tooth that is visible above the gum line, is attached to the implant; a customized temporary crown can be fitted to the implant. The temporary crown is a trial for the final crown. It can be used to assess color, shape, the appearance of your smile, and the implantâ??s function in your bite and speech. It gives you the opportunity to decide about design adjustments before the final, permanent crown is placed.
- The skill, experience, and collaboration of your dental team: Each situation is different. The final success of your implant depends on your pre-surgical assessment and diagnosis, as well as how the surgical and restorative phases of treatment are performed. The use of an outstanding dental laboratory is vital to a successful result.
Contact us today to schedule an appointment for an assessment or to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Matching Teeth & Implants.”
It is not often that you find a celebrity who is willing to speak candidly about any cosmetic or restorative dentistry that he or she has had. Instead, most prefer that their fans just assume that their dazzling “Hollywood” smile is something that just happened naturally. However, that is not the case with Kathy Ireland, the former Sports Illustrated cover girl, current business mogul and founder of kathy ireland Worldwide, a billion dollar marketing and design firm. In a Dear Doctor magazine cover story she talks openly about her dental experiences, injuries and treatment so that people worldwide can understand what may be possible for them.
For Kathy, it happened several years ago when she was playing with her husband and children in their driveway. Kathy decided that she would stand in her children's wagon and surf across their driveway. Instead, she ended up “face-planting,” as she describes it, in a freak accident that left her with a broken nose, split forehead and several broken teeth. She recalls that it sounded like a watermelon had smashed. Luckily, her husband, an emergency room physician, was on hand to care for her. Kathy is just as thankful to her cosmetic and restorative dentist who restored her trademark smile with some veneers and a dental implant. Today, the only reminder she has from this accident is a small scar on her nose that she covers with a little makeup.
You would think that this accident would be enough trauma for one person; however, Kathy describes an earlier accident where she knocked out a tooth and then later knocked it loose again. Kathy also wanted to take the time to let readers know that her dental implant experiences were “pretty easy.” She did recall, “hearing all the sounds while all of it was going on” and then added, “but I have to tell you, that after being a mom and having kids, going to the dentist...is like going to the spa!” She said that she has even fallen asleep in the dental chair.
To learn more about Kathy Ireland, continue reading the Dear Doctor magazine article “Kathy Ireland.” Or if you think cosmetic or restorative dentistry is right for you, contact us today to schedule an appointment to discuss your specific goals.
If you've lost one or more of your teeth due to tooth decay, trauma, gum disease or a failed root canal, there are a variety of ways that our office can help you to restore your smile and increase your confidence. Crowns, conventional bridges and dentures aren't your only options for replacing missing teeth. Dental implants, surgically placed below the gums, are another alternative for replacing missing teeth.
Getting Started: If you would like to explore the option of having dental implants to replace one or more teeth, you will first need a comprehensive exam. The ideal candidate for implants is in good general and oral health. Adequate bone in your jaw is needed to support an implant. Smokers and those with uncontrolled chronic diseases like diabetes may not be good candidates for dental implants because healing may be impaired or slow. In addition, dental implants aren't appropriate for children or teens until their jaw growth is complete.
The Process: Dental implant surgery can be performed in our office using either a local or general anesthetic. The implants actually replace tooth roots; they are placed into the bone surgically. Generally made of commercially pure titanium, this metal has the remarkable ability to fuse with the bone as it heals forming a union known as osseointegration (“osseo” – bone; “integration” – to fuse with). This process takes two to six months depending upon many factors of which bone quality is the most important.
The next step is to place an abutment (a small connector) which attaches the implant to the crown. The crown is the part of the tooth that is normally seen in the mouth above the gums.
Assessment of your individual situation and deciding if dental implants are right for you takes knowledge and experience. Contact us today to schedule an appointment to discuss any questions you may have regarding dental implants. Read more about this topic in the Dear Doctor magazine article “Dental Implants: Options for Replacing Missing Teeth.”