What You Need to Know About Dental Implants
A shocking number of individuals endure tooth loss in their lifetime, from damage, gum disease or tooth decay. For a long time, the main treatment choices to supplant missing teeth were dentures and bridges. Now, implants are a cutting edge practical option to replacing teeth.
Orthopedic specialist Per-Ingvar Brånemark invented modern implants in 1952. Today, they can be used to supplant a solitary tooth, a few teeth, or an entire row of teeth. The classic “Swedish-type” machined titanium screw is a common design. High success rates with the titanium screw are achieved when the root is at least 10 mm in length and preliminary bone enhancement / bone grafting may be needed to permit this length. The evolution of implant technology has led to microscopically textured implant roots which offer outstanding success rates with afar smaller size. Smaller implants can be placed with a better margin of safety.
Commonly the need for bone enhancement / bone grafting in poor recipient sites can be reduced or even eliminated. New research had demonstrated that the tiny, textured implants are as safe and trustworthy as the classic machined screw designs.
Traditional implant methodology involves placing the titanium root and then closing the gum over top a dormant period of 12-30 weeks. The implant is revealed in a second surgery and creation of the synthetic teeth starts shortly after.
Accelerated implant placement is possible in selected cases. The titanium root place and abutment is attached to allow the gum to form a tight cuff. A second surgery is not required. Regularly a temporary acrylic crown is attached to the abutment for esthetic purposes. This is a newer methodology with limited long term follow up. Nonetheless reports currently indicated a success rate equivalent to the traditional implant system.
Bone enhancement bone grafting may be needed in circumstances of low bone density and / or mass. These procedures could be done in conjunction with titanium root placement, or they may need a separate operation. Enhancement is osseous reshaping at the implant site to increase width and / or density. Grafting is the placement of either man-made hydroxylappetite crystals ( extracted from sea coral ) or bone ( from a near by part of the jaw ) to the implant site.
Dental implant treatment is a complex form of bioengineering. Complications are uncommon but may include:
1. Post-surgical bleeding, bruising, swelling and / or infection.
2. Rejection of the titanium root : this may occur even years after the placement.
3. Injury to the adjacent teeth, gums, tongue, cheeks and / or the jaw joint.
4. Sinus contact with the possibility of post-surgical nosebleeds and / or teeth.
5. Material fatigue failure such as fracture of the titanium root, foundation post and / or teeth.
6. Gingival contour irregularities resulting in food trapping.
7. Aesthetic issues stemming from gum / bone shrinkage before and / or after implant restoration.
8. Paresthesia / altered sensation or insensibility in the gums, lips, and / or cheeks.
9. Super normal reactions: altered taste, radio reception, ect.
A 95% success rate can be expected in a good implants candidate. Individual results may vary. The risk of rejection becomes even lower with time, but in unusual cases a rejection can happen years after the surgery.
Factors Which Reduce the Survival Rate of Implant Restorations:
1. Decline in health, the beginning of new medical problems and / or the use of certain over the counter drugs and Rx medicines.
2. Tobacco use, including smoke free tobacco and nicotine patches.
3. Poor home maintenance, such as insufficient brushing, flossing & rinsing.
4. Inappropriate profession care, such as probing, scaling, abrasive polishing of the titanium roots.
5. Unjustifiable bite pressure, from hard or sticky foods, as well as daytime clenching and / or nighttime grinding ( bruxing ).
6. Neglecting to attend, short term and / or long term follow-up appointments with our office.
7. Unapproved modification, and / or changes to the implant restorations and / or the opposing teeth.
Dental implants offer a reliable, comfortable and realistic looking replacement for missing or damaged teeth. With proper maintenance and care, implants can provide a life long solution to missing teeth. The procedure may not be fast, but the results have been found by millions of people to be worth waiting for. If you have missing or damaged teeth and want a replacement option with a superior look and feel consider dental implants.