DENTAL IMPLANTS – Replacing Missing Teeth 1. What is Dental Implant An implant is an alternative treatment that replaces a missing tooth with an almost equivalent restoration in terms of function, strength, and esthetic. A dental implant is a titanium post/cylinder that can be utilized in the same way as a tooth root. Dental implants have many advantages over dentures and bridges: Dental implants are teeth that can look and feel just like your own. Under proper conditions, such as placement by your dentist and diligent patient maintenance, implants can last a lifetime Patients find they can eat better Patients can eat foods that may have caused problems with regular dentures like biting into an apple Patients are able to talk and laugh without feeling selfconscious Almost all implants placed in patients who have lost their teeth to periodontal disease or decay have been successful By stimulating the bone, implants help maintain bone, thereby eliminating the potential for future bone loss 2. What Dental Implants Can Do? Replace one or more teeth without affecting bordering teeth. Support a bridge and eliminate the need for a removable partial denture. Provide support for a denture, making it more secure and comfortable. Before dental implant The possible complications of dental implants include the following: Bleeding, infection, numbness or injury to nearby muscles Injury to nearby sinus cavity Incomplete healing of the bone around the implant leading to a implant failure. 4. Options of Implants Treatment A treatment plan will be tailored to meet your needs, depending on your specific condition and the type of implant chosen. The treatment options are described below. Replacing a Single Tooth If you are missing a single tooth, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root. Replacing Several Teeth If you are missing several teeth, implant-supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots. Replacing All of Your Teeth If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots. Sinus Augmentation A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Ridge Modification Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come. After dental implant 5. Anatomy of a Dental Implant 3. Are You a Candidate for Dental Implants? Dental implants are not for everyone. First, you must have enough healthy jawbone to support an implant, or you may require a bone graft. Gum tissues should also be disease free. Patients with medical conditions that affect the body’s ability to heal and repair itself, such as diabetes and cancer may not be good candidates. Likewise, patients who are not committed to thorough home care are better off with other restorative options. 5. Stages of Implants Treatment The first stage in implant treatment is to place the cylinder within the jaw so that the bone grows in close contact with it. Just like a natural tooth root the metal implant cylinder can provide a stable well anchored support for a crown, bridge, or a removable denture. It has been found that the presence of an implant fixture prevents the loss of bone and sometimes encourages it to grow back. During the first surgery, your dentist places anchors in your jawbone. The implants are placed beneath the tissue, and the gum is stitched back into place. You may experience some swelling and discoloration of the gums as well as some discomfort. To allow implants to heal properly, you should eat a soft diet such as soup or mashed potatoes. Integration Phase. The Second stage of surgery is usually performed 6 months after the first. Your dentist will attach extension posts or abutments that will join the anchors to the prosthesis. These abutments may be permanent connectors, or may be temporary space holders until your dentist makes permanent abutments. You will also be taught how to keep the abutments clean by using a small toothbrush. Restoration Phase. After the gum has had time to heal (normally 6 months), your new teeth will be fitted. Your dentist will create a prosthesis and fit it to the abutments inside your mouth. Several checkups will be scheduled to ensure that your implants are functioning properly. Be sure to call your dentist if you have any pain or discomfort in your jaws or mouth. 6. What Can I Expect After Treatment? Dental implants are like your own teeth and will require the same care. In order to keep your implant clean and plaque-free, brushing and flossing still apply. After treatment, your dentist will work closely with you to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth, and gums to make sure they are healthy. A Dental implant designed to replace a single tooth is composed of three parts: the titanium implant that fuses with the jawbone; the abutment, which fits over the portion of the implant that protrudes from the gum line; and the crown, which is fitted onto the abutment for a natural appearance. Because implants stick to the bone, false teeth attached to implants look and act much like natural teeth. You must brush and floss your implant(s) very carefully. Be gentle, but make sure you brush all sides of your implant(s). Floss very carefully at least once a day. You will need to be gentle with the floss where the implant meets the gum (called the gumline). You may find a floss threader useful for cleaning this area. OTHER INFORMATION: DENTAL IMPLANT Success Rates of Dental Implants Teeth are a very important part of our personal look. They give us self-confidence and substantially they form a part of our quality of life. Teeth enable us fullvalue biting, unlimited smile, speech and natural feeling. The success rate for upper jaw implants is slightly lower because the upper jaw (especially the back area) is less dense than the lower jaw, making successful implantation and osseointegration potentially more difficult to achieve. Implant placement at the back of the lower jaw has the highest success rate for all dental implants. DENTAL IMPLANT Replacing Missing Teeth Dental Implant Risks Dental implants may fail for a number of reasons, but the cause often is related to a failure in the osseointegration process. There is a risk for dental implants to break, or the site in which they were placed may become infected, or the crown restoration on top of the implant could become loose. Poor oral hygiene can lead to peri-implantitis around dental implants, a disease that is similar to the development of periodontitis (severe gum disease) around a natural tooth. However, dental implant restorations are not susceptible to cavities the way natural teeth are. Smoking has been shown to increase the risk of rejection as have certain medical conditions such as diabetes. When an implant is rejected there are usually no symptoms and it is only apparent to the surgeon at the second stage procedure. Our aim is that an implant fixture should remain for the life of the patient. Bone Grafting A popular treatment for deficient or inadequate bone structure is the use of bone grafts. This procedure can forestall the final placement of implants because integration must take place between old bone and the newer bone graft material. The graft material itself may be natural or synthetic, each having different properties that best suit a particular patient need. Implants give the patient the dental health and smile that he/she was looking for. Implants were utilized to make complex rehabilitation possible. Dental implants give patients the ability to have natural looking and functioning teeth. Dental implants can restore the ability to chew and smile with confidence. Although it is not always possible to predict or guarantee the long-term results of the implant procedure, individual case studies have shown modern dental implants to last for more than 20 years. Additionally, success rates of more than 95 percent are common. Mini Dental Implants Another strategy for implant placement within narrow spaces is the incorporation of the mini implant. Mini implants may be used for small teeth and incisors At Mo’s Dental, all phases of Implant treatment are provided. The smaller mini implants are about the size of a standard wooden toothpick (they are made out of a titanium alloy) Mini implants are less costly Mini implants are solid though they do not contain a screw Procedure generally involves no major incisions FDA approved the MDI mini implant as a long term method of denture stabilization Family Dentistry 10104 – 79 Street Edmonton, Alberta T6A-3G3 Tel: (780) 468-2529 Fax: (780) 465-9806 Email: MODENTAL101@gmail.com Website: mosmiles.shawwebspace.ca If you have any questions or concerns. Do not hesitate to call us at the clinic (780)468-2529. If it is an inquiry after office hour, Contact our emergency number at (780)709-8645 Mini implants are approximately half the width of their traditional counterparts The implant is not fully submerged during a narrow implant procedure, and integration is usually immediate MO’S DENTAL Implant Procedure Date: _____________ Implant Check Up Date: _____________ NOTES/QUESTIONS