Missing Teeth

Learn how you can find the best implant dentistry in your area.

When the concept of dental implants and the mechanisms in which they work were introduced to mainstream dentistry during the late 1970's, the advent of dental implants opened up an excitingly new chapter in dentistry.

Through the 1980's, the news of the successful procedure of dental implant surgery spread at an explosive rate. It took approximately ten years of repeated long-term success for the procedure to gain validity.

By the early 1990's dentists readily accepted implant dentistry as an adequate and routine substitute for missing teeth in all areas of the mouth.

Restoring dental implants has undergone a paradigm shift from simply validating that dental implants work to recreating missing teeth with a chameleon-like effect. Even though implants can be restored with a very high degree of success, one of the most difficult and critical areas in the mouth to achieve great esthetic results is in the upper front jaw -- specifically when replacing a single upper central incisor tooth.

Single-tooth implant dentistry present dentists with unique challenges. When a single central incisor tooth is removed due to periodontal disease, tooth decay, trauma, or nerve failure, the body responds by shrinking the bone and gum tissue in place of the missing tooth. The body no longer needs the supporting bone structure; therefore, the bone is decreased and the gum tissue shrinks because of bone resorption.

In order to achieve a natural appearance to the final restoration, restorative dentists must attempt to replace what nature he as taken away. An unnatural appearance will be the result if the tooth is replaced without considering augmenting or "plumping up" the support structures. It would be like placing a great painting in the wrong frame, thus having a diminished outcome.

Achieving Esthetic Implant Dentistry with Crowns

Certain steps are necessary to achieve a successful outcome, especially in the most demanding implant cases, like replacing a single upper front tooth. Before the decision to place an implant is made, patients should know the sequential steps.

The process starts with a thorough exam. Clinically, dentists should examine the affected area and the entire mouth. A comprehensive exam of the bone and soft tissues must be performed along with taking specific X-rays and possibly detailed bone scans to identify any potential complications.

An analysis of your smile should also be performed. Do your teeth and gums show when you smile? Does your upper lip drape over your teeth? If the patient has a high lip line that shows teeth and gums, the need for bone and soft tissue grafting may be necessary.

By discussing several of the aspects necessary for implant treatment, you can be more aware of the possibilities, as well as the limitations, associated with implant dentistry. Armed with various soft and hard tissue grafting techniques, ceramic material advancements, and better dental implant components, dentists are able to satisfy even the most esthetically-minded patients.

By Benjamin O. Watkins, III, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

How The Success Rate Is Related To Possible Dental Implant Complications

The endosseous system of dental implants, currently the most popular system used in dentistry today, has been utilized to replace missing teeth for over thirty years. Dental implants are very successful. Dental implants are made of titanium, an inert metal that bonds with the bone and forms a very tight union. Dental implants have a 90% to 95% success rate and once placed and restored, can last for an indefinite amount of time.

Although rare, dental implant complications do occur. If the bond between the dental implant and the bone breaks, or the dental implant itself breaks, it may have to be removed. If so, it may be possible to replace the failed dental implant, either at the same time or after doing a bone grafting procedure.

There are two main reasons for dental implant complications are:

1. Infection of the implant surface can result in disintegration of the bond between the implant and the bone. Eventually, the dental implant may have to be removed. To avoid infection at the time of dental implant placement, sterile operating techniques are recommended and most implant surgeons prescribe antibiotics after surgical implant placement.
   The oral bacteria that causes periodontal disease can also affect implants. Around implants, this infection is called peri-implantitis. Just as with the natural teeth, meticulous oral hygiene that includes brushing and flossing, combined with periodic professional cleanings are critical to prevent peri-implantitis.
2. Excessive loading: If the forces on the dental implants are too strong or not in the right direction, the implant components can break or the bond between the implant and the bone can disintegrate. The bite on an dental implant has to be properly designed.

There are certain risk factors that may increase the risk of dental implant complications. Smoking, for example, halves the success rate of dental implants and is the number one risk factor for dental implant complications.

Also, persons that have a diminished healing ability such as people with uncontrolled diabetes may have an increased risk for dental implant complications. To reduce the risk of dental implant complications, and to prevent serious health complications from surgery, a thorough medical evaluation is required before dental implant treatment.

To reduce the risk of dental implant complications, make sure that the dentist that places the dental implants and the one that restores the dental crown on the dental implant have plenty of experience with dental implant procedures.

The success of dental implant treatment is dependent on the expertise of the dental team and the patient's ability to control plaque. With proper dental implant design and follow-up maintenance, you could enjoy the benefits of dental implant treatment for a lifetime.

By Laura Minsk, DMD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.