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Dental Implants - Common Questions Answered By Implant Dentist

If you have lost a tooth, it is likely that one of your options is to replace it with a dental implant. Before you decide a course of action, you should consider asking your implant dentist some simple questions:

What is a dental implant?

A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone by a specially trained implant dentist or oral surgeon. As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration. After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures. Dental implants are the most natural replacement for a missing tooth.

What does the implant dentist do?

The process should begin with a thorough evaluation of the patient's medical and dental history, and a full clinical examination of the entire mouth and missing tooth area by your dentist. The clinical exam should also include specific X-rays. After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia. The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or denture.

What happens if the dental implant fails to fuse to the jawbone?

If an implant fails to bond to bone, another implant can immediately be put in its place, usually of a slightly larger diameter. In situations where another implant cannot be immediately placed, the area is allowed to heal for a few months and then another one can be put in the same place.

How many implants should be placed?

This is a question that should be determined during the treatment plan. A good rule-of-thumb is to place one implant for each tooth replaced. Other decisive factors for the number of dental implants needed for success is the quality and quantity of the patient's bone. Equally as important are the existing anatomy of the bone and the financial resources of the patient.

Placing enough implants to restore teeth is vitally important to the long-term success of the restoration. Simply stated, the most costly mistake is to have an implant fail because not enough implants are placed to support the teeth. If the number of implants is limited due to financial constraints of the patient, then the implant treatment should be avoided or the type of restoration must be altered.

When you are more knowledgeable about your implant treatment, you will be able to have more input to give your dentist and better your chances of a successful treatment outcome.

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.

What's the Difference Between a Dental Bridge and a Dental Implant?

What is used to get across a gap -- a bridge of course! A dental bridge spans the gap between one or more missing teeth giving you a better smile.

Your teeth not only help you chew and speak correctly, but also contribute substantially to your smile and overall appearance (your teeth give form to your face and without them, your facial features can be significantly affected.) If lost teeth are not restored, other teeth often shift, causing crooked teeth, leading to cavities and gum disease. Dental bridges restore potentially compromised oral health to full function.

What Is a Dental Bridge?

A bridge is a special dental appliance used to restore missing teeth. There are several types of bridges used to span the space. The three most common types include:

• Fixed Dental Bridge - This type of bridge is cemented next to the teeth adjacent to the gap, called the "abutment" teeth. A replacement tooth, called a pontic, is attached to crowns that provide added support and cover the abutment teeth. Fixed bridges can only be removed by the dentist.
• Removable Partial Dentures - When the span is large, your dentist may suggest this type of bridge. A removable partial denture fastens to natural teeth with clasps or attachments. This type of appliance can be removed for cleaning and is less expensive than the fixed type. However, it's usually not as durable as the fixed bridge.
• Dental Implant Supported Bridges - When implants have been placed in spaces that have no teeth, they serve as "abutments" or anchors for a bridge.

What Materials Are Used in a Dental Bridge?

An assortment of materials are available depending on the function and appearance. Porcelain, tooth-colored acrylics, gold alloys, and alloys made from non-precious metals all provide important restorative qualities along with making your smile the way you want it.

What's Involved in the Procedure?

Normally at least two visits are needed for preparing the teeth, custom-designing the bridge, and making adjustments for proper fit and comfort.

How Do I Care for My New Dental Bridge?

With bridges, extra care must be given to your gums and teeth. Bridges add more stress to existing teeth and must be supported by healthy gums. Otherwise, these key teeth are susceptible to decay and affect the bridges.

Brushing twice a day and flossing daily along with regular dental visits are essential to good oral hygiene. Flossing is often easier by using floss threaders that help to remove cavity-causing bacteria between the dental bridge and adjacent teeth.

Because bridges are intricate and sometimes difficult to clean, your dentist might suggest a special instrument that helps in caring for your teeth. Similar in design to professional dental cleaning instruments, it's made of tiny filaments that rotate to "swoosh" into the crevices between the teeth and below the gum line. Ask your dentist about this special cleaning device.

With good oral hygiene, a fixed dental bridge can last eight to ten years or more and provide years of service enhancing your smile and appearance and your oral health.

By Danine M. Fresch, 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.