Dental Implant Treatment

Teeth Implants, Close Up and Natural - Is Implant Dentistry for You?

Teeth implants are a tooth replacement therapy offering natural-looking options for patients. Dental implants anchor artificial or prosthetic teeth into the jawbone. Their performance is nearly equal to natural teeth, providing a secure and comfortable fit, a natural appearance, and a big dose of confidence for people of all ages.

A tooth implant duplicates the tooth's structure. Dental implants are inserted into the jawbone is made of titanium. This metal does well in the body and rarely causes any reaction in patients. It is the same material that is used in knee and hip replacements.

• The implant is cylindrical in shape, resembling a screw, and may even have a thread-like surface. They're uniquely designed with small holes at the outside surfaces for a very good reason. Like the roots of natural teeth, tooth implants stimulate bone growth. It even fools Mother Nature! Over time, the bone tissue actually grows into the small holes, securing the implant.
• The abutment rests over the metal implant. It's a small piece of metal whose purpose is to connect the prosthesis to the tooth implant.
• The prosthesis is the replacement tooth, a natural-looking crown or bridge (if there are multiple teeth missing). A prosthesis that's used to replace a complete set of teeth can be either fixed or removable. A removable prosthesis can be taken out for easy cleaning; a fixed one can only be removed by the dentist, but usually offers better reliability for chewing.

How Do These Different Teeth Implants Parts Work Together?

Since the tooth implant duplicates the tooth's structure, each part contributes to a natural-like functioning of the teeth. Whether replacing one or more teeth, the process of repair is the same. The teeth implants insertion procedure involves three main steps:

1. The first is the surgical insertion of the metal implants.
2. This is followed by a second surgery, about three to six months later, to insert the abutment.
3. The third step, usually two to four weeks later, is custom-making the prosthesis and attaching it to the abutment. There are typically several adjustments needed until the prosthesis is attached to the abutments.

Once the prosthesis comfortably fits, your future is secure. You'll enjoy comfort, confidence, and security in meeting the world and smiling in a whole new way with your new teeth implants.

By Brian J. Gray, DDS, MAGD, FICO

Implant Dentistry Gives You Better Fitting Denture Implants

The art and science of implant dentistry has advanced rapidly during recent years and new techniques and materials have greatly improved our ability to replace missing tissues with functional and natural-looking artificial prostheses called dentures implants. However, it must be remembered from the outset that no prosthesis or artificial substitute will ever function as well as the original living tissues. Research has shown that the chewing efficiency of experienced denture patients is, at best, less than 20% as efficient as the average chewing efficiency of patients with natural teeth.

Why Is the Lower Complete Denture So Hard to Wear?

Both upper and lower dentures are retained in the mouth by an intimately close fit of the plastic denture base to the gums. The intimately close fit is achieved by a combination of muscle control and suction. Mastering the function of the lower denture is more difficult than learning to use an upper complete denture. By comparison, the lower denture has less stable tissue with which to rest on than the upper denture. The lower denture stays in place largely due to the ability of the denture wearer to control their tongue well enough to hold the denture down while they speak and chew. Therefore, lack of tongue coordination in a lower complete denture wearer can severely affect the patient's ability to wear a lower complete denture.

Bone Loss and Complete Dentures

For various reasons, teeth have to be removed. After tooth removal, the residual bone that is used to support the teeth will then shrink away quite rapidly over the first year because the body knows that the residual bone is no longer needed. The greatest amount of shrinkage occurs during the first year after tooth removal. Research has shown that wearing dentures will accelerate jawbone shrinkage. As the shrinkage of the jawbone support progresses over time, new dentures will need to be fabricated in approximately six to ten years. Because each denture wearer is unique, sometimes the internal surface of the denture needs to be readapted to the gum tissues. This procedure is called a reline.

Lower Complete Dentures and Denture Implants

Some patients are never able to adapt to functioning day-to-day with their complete dentures. Many of these patients do not have adequate bone to stabilize a lower denture. Others never develop enough muscle coordination to learn to chew with their dentures. For many years, dentistry had nothing more to offer patients other than a denture adhesive. Today, such problems can often be managed through the use of implant dentistry. Even with as few as two dental implants, the retention and stability of a lower denture can be greatly increased with denture implants. In fact, the chewing efficiency can also be greatly increased. Some patients have estimated that they regained up to 70% of their original chewing capacity. Overall, patients feel more confident when they are in public because they no longer fear that their dentures will slip or cause them embarrassment with denture implants.

By Benjamin O. Watkins, III, DDS

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