Dental
Implants
Answers to Commonly Asked Questions:
This page is intended to answer some of the questions you may have
regarding dental implants.
- What are
dental implants ? Dental implants are basically sophisticated
screws made of a medically pure metal, Titanium. These screws
are then placed in the
jaw bone and rest under the gum for 3 - 6 months. During this
time they actually fuse to the jawbone and become osseo(bone)integrated.
After the appropriate healing time, we uncover the implants and
use them to replace one or more missing teeth by fabricating some
sort of dental prosthesis.
- How long
have implants been used in dentistry ?
Dental implants
have been available for the past 50 or so years. There are significant
differences, however, between the various types of implants that
have been used to replace missing teeth. These differences are
important since they are directly related to
the implants success rates. The implants currently in use today,
OSSEOINTEGRATED IMPLANTS, were originally developed in Sweden
by Dr.
P.I. Branemark., a Swedish Orthopedist approximately 25-30 years
ago.
They have been used in the U.S. for the past 12 years.
- I understand
they originated in Sweden ? Is there a difference between
the different implant manufacturers? All implants in use in the
United States are regulated by the Food and Drug Administration.
Originally, the only system available was the Noblepharma
Branemark implant. Today, there are numerous implant companies
in use on a daily basis. All of these companies are FDA approved
and must meet very stringent requirements. Your dental team will
choose the system that is best for you and the one that allows
them to accomplish your mutual restorative goal
- What are
implants made of ?
Implants are made of commercially and medically pure Titanium.
This is the same metal that has been successfully used in hip
implants for many years. It is inert and is not known to cause
any type of rejection phenomenon.
- How complicated
is the surgery ? Implant surgery is done in two stages.
The first stage involves the placement of the implants into the
available jaw bone. This is most commonly done with just local
anesthesia. It is complicated only in the sense that the surgery
requires great precision. Every attempt is made to insure success.
The room is set up similar to an operating room, the equipment
thoroughly sterilized and the most modern techniques utilized.
Stage two
involves the uncovering of the implants after they have integrated
( fused ). This
can be accomplished with minor gum surgery or with a dental laser
and is a relatively minor procedure. In both instances, minimal
postoperative discomfort is noticed. You will be given the appropriated
antibiotics and analgesics just as a precaution. Very definitive
postoperative instruction will be given to you at the time
of surgery. If you follow the guidelines, everything should proceed
without a hitch.
- Can implants be rejected ? No! They are made of an inert
metal which has
no history of rejection by the body. They are not a living organ
such as the lung or liver and therefore there is no rejection
phenomenon. If failure should occur, and this is only a remote
possibility, it is mechanical in nature and not due to rejection
by the body. By the way, depending on the source you read, implants
are anywhere from 85-95 percent successful depending upon certain
factors such as implant location, amount and quality of bone etc.
These factors will be evaluated before we place your implants.
If you have any questions regarding this or any other aspect of
the implant process, ask your dentist. If I lose several teeth,
do they each have to be replaced with a separate implant? No.
Although implants simulate the roots of teeth, biomechanically
one implant can be used to replace one or more teeth. This will
depend upon the mechanical requirements
of your chosen prosthesis. At your consultation your dentist will
discuss the various treatment alternatives and the type and number
of implants that are needed in order to fulfill our treatment
objectives.
- What about infection and complications ? During the
surgery every attempt
is made to maintain a totally sterile field. This tends to minimize
any potential for postoperative infection. Once again, your dentist
will prescribe the appropriate antibiotics as a precautionary
measure. Once the implants have been engaged
in your prosthesis, it is imperative for you to maintain scrupulous
oral hygiene. Success very often depends on your cooperation and
homecare efforts.
- What types of restorations can be placed on implants ?
The answer to
this question depends upon your treatment objectives. This can
vary from
simple removable prostheses, using the implants for retention,
to totally implant supported porcelain fused to metal crowns and
bridges. Implant bridges can
be either removable or fixed (not removable) depending upon the
number of implants. We are now finally able to replace single
or multiple missing teeth returning the dentition to a biologically
healthy and esthetically pleasing state.
- Will I be able to chew and function normally ? Yes.
Once your implants have integrated, you will be able to function
normally without any unusual sensations. Your chewing ability
will really depend upon the type of prosthesis you have chosen.
-
How long is the entire implant process ? Dental implants
take approximately 3-4 months in the lower jaw and 6 months
in the upper to integrate. Once integrated, it takes several
visits to several months to complete the restoration depending
upon the complexity.
-
What is the cost ? The cost of implant dentistry is
based upon a combination
of the surgical phase and the prosthetic phase. Your total treatment
fee will depend upon the number of implants and the complexity
of your final restoration.
We hope that this brief explanation will answer some of your questions
regarding implant dentistry. Your dentist will be happy to discuss
any of these questions with you at your consultation. Please write
down your questions so that we can be sure to answer them to your
satisfaction.
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