Teeth are lost for a variety of reasons such as tooth decay, periodontal (gum) disease, trauma, and root fractures. Whenever a tooth is lost, changes begin to occur in the oral environment. One of the most dramatic changes is the loss of bone in the area previously occupied by the tooth. If enough teeth are lost, there is loss of muscle support with the development of premature wrinkling and the appearance of aging.
When teeth are lost and not replaced in a timely manner, drifting and spacing occur. This not only presents an aesthetic problem with ugly spaces, but a physiological problem. Drifted teeth do not fit together properly. This leads to bite problems with pain in the facial muscles and jaw joint. Replacement of missing teeth in a timely manner can prevent these problems from occurring.
If these problems exist, we can "turn back the clock" by using a combination of dental implants in conjunction with other advanced dental procedures.
We have the wonderful option of performing these procedures comfortably while you sleep!
A root form implant is a metal cylindrical or cone shaped device that replaces the root of a missing tooth. It is normally used in the areas with adequate bone or in areas that have had bone grafting performed. This type of implant fits into the bone. A small hole is prepared in the bone and then the implant is threaded into the prepared site and allowed time to heal, usually 4 to 6 months.
This type of implant is a custom made metal framework. It is indicated for patients that have lost considerable bone and normally have difficulty chewing with a lower denture.
Root form implants replace missing tooth root support so that new teeth or tooth colored crowns can be used to restore beauty and function. This is done without cutting down healthy adjacent teeth, as was previously the case with fixed bridge work.
The above tooth was carefully removed after it had previously been treated with a root canal and subsequently developed a root fracture. After healing, an incision is made in the gum tissue to allow access to the proposed implant site.
Special x-rays, called tomograms, are previously taken of the implant site. These "mini cat-scan" x-rays help avoid damaging important structures such as nerves and blood vessels. The implant is then threaded into the bone and left to heal.
After 4 to 6 months of healing, a small opening is made over the top of the implant body (the part threaded into the bone), and a second part of the implant (the abutment) is attached. The abutment protrudes from the gum tissue.
An impression is made of the abutment and a porcelain fused to white gold crown is fabricated. Once the crown is fabricated, it is cemented to the abutment. The abutment supports the crown and a patient can immediately begin using the crown to chew.
A subperiosteal implant is to stabilize and/or support a loose denture. The type of implant used depends on the amount of bone loss. The result is a comfortable, stable, and great functioning denture.
A subperiosteal implant is one style of implant used to stabilize a lower denture.
The lattice, metal framework fits on top of the jawbone and under the gum tissue. There are usually 4 parts that protrude through the gum tissue from the metal framework and totally support the denture.
A mask is placed onto the patient to steady the head. A CT Scan of the jaw follows.
From the CT Scan, a resin duplicate model of the jaw is made in the lab.
After completion of the resin duplicate, an implant is fabricated to fit the model.
Simulation of the implant on the model.
The implant is placed (as shown above) followed by dentures the same day.