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Dental Implants
For Permanence & Performance
It's not uncommon for adults to lose teeth due to accident, injury, disease
or extraction. In such cases, we may recommend dental implants as a secure,
functional replacement option because they do not rely on neighboring
teeth for support. Instead, they're permanently, surgically anchored to
the jawbone as tooth root substitutes. The implant's stability helps restore
normal eating ability, provide face muscle support, and prevent jawbone
atrophy.
Understanding the Procedure
Implants are tiny posts made of either a metallic or bone-like ceramic
material. Typically, a periodontal surgeon with special implant training
inserts the implant 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 we attach artificial teeth shaped to match your
existing teeth. If your jawbone is insufficient for this procedure, we
can also fit a custom-made metal framework directly onto the existing
bone instead. In some cases, we use implants to anchor bridgework. Regardless
of the specific type of implant, the process generally requires a couple
of separate steps: "anchoring" and "attachment".
Establishing the Foundation
In most implant situations, we rely on an expert periodontal surgeon
to perform the first step of surgically 'anchoring' the tooth root substitute
"post" into the jaw-bone below the gum tissue. For the next
three to six months, we'll allow this post to incorporate into the bone,
forming a solid, enduring base with sufficient stability to withstand
the tremendous mechanical pressure involved in normal chewing. Most patients
find the presence of these posts to be imperceptible. Meanwhile, we often
provide a temporary bridge or dentures to facilitate eating and maintain
face muscle support.
Affixing the Replacement
After the implant post has bonded with the jawbone, a second procedure
fixes the custom designed top of the implant onto the anchor post. To
accomplish this, we carefully uncover each implant anchor, connect it
to a small post that protrudes above the gumline. An accurate impression
is taken of this and sent to our lab. During this time, our laboratory
carefully designs and custom manufactures artificial teeth for use over
the implant tops.
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 may take around two weeks
to complete.
Enjoying the Results
If you're unfamiliar with implant technology, you may be interested to
know about the procedure's success rate. In fact, the nearly 20-year-old
technique has proven highly effective as a tooth replacement option, depending
primarily on the recipient's health, as well as the location and function
of the teeth being replaced. Lower front jaw placement is typically successful
in 95% of cases, while side or rear placements may be only 85% successful.
Of course the outcome is always better for those in good general health,
and who have 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 procedure's success rate immensely. Finally,
smokers and those who drink alcohol may also be poor implant candidates.
Considering the Cost
Due to the surgery involved, implant procedures are typically more expensive
than traditional bridgework. However, dental and medical insurance may
cover portions of the overall restoration. It's best to discuss this with
Dr. Jeppson and our staff during your evaluation for implant placement,
so we can assist you in working with your insurance company.
A final consideration is that of your own commitment to future oral health,
since research shows that poor oral hygiene itself can cause implant failure.
So if you do receive implants, you'll need to be dedicated to brushing
and flossing around your fixtures at least twice a day, according to our
specific instructions. Further, we may recommend that you come in for
up to four annual professional cleanings to maintain healthy gums.
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