Dental Implantology

The predictable use of dental implants has revolutionized prosthodontics and the way missing teeth are replaced. Dental implants is going to be the standard of care for the replacement of teeth because dental implants allow a missing tooth (or teeth) to be restored to optimum function and appearance without invading or damaging any other teeth or tissues.A fixed partial denture (bridge) was used to replace a missing tooth, in the past. However, with today’s technology the patient is ideally treated by a crown supported by a dental implant, avoiding any drilling of the other teeth. Dental implants are the ideal solution for young people with congenitally missing teeth such as lateral incisors.

Dental implants can also replace multiple missing teeth which are traditionally replaced by a removable partial denture. Occasionally dental implants can act as anchors for a fixed bridge to replace the teeth making the removable partial denture obsolete. In some cases there are too many teeth missing to use a fixed bridge; however, using a dental implant with an attachment that snaps into the removable partial denture will significantly improve its stability and improve the patient’s chewing function.

A dental implant is similar to a tooth root that holds a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. On the other hand longevity of a single implant crown is significantly longer than a three unit bridge. In many cases the broken tooth can be extracted and replaced with a dental implant and a provisional crown will be connected to the implant immediately so that patient will leave the office with a new crown on the same day. (tooth in a day!). However, immediate implant placement and immediate load is a technique sensitive procedure and will require knowledge, training and skills beyond the four years of dental school, or a short mini residency or a couple of weekends course on a resort.

While high-tech in nature, dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support.

Dental implants are so natural-looking and feeling, you may forget you ever lost a tooth.You know that your confidence about your teeth affects how you feel about yourself, both personally and professionally. Perhaps you hide your smile because of spaces from missing teeth, maybe your dentures don’t feel secure, or perhaps you have difficulty chewing. If you are missing one or more teeth and would like to smile, speak and eat again with comfort and confidence, there is good news! Dental implants are teeth that can look and feel just like your own! Under proper conditions, such as placement by a specialist and diligent, patient and professional maintenance, implants can last a lifetime. Long-term studies continue to show improving success rates for implants when they are done by specialists.

 

  • Surgical implant placement
      • No surgical implant procedure should be started without a proper and definitive restorative plan, knowing exactly what is going to be fabricated, the different restorative options and alternative, as well as the restorative limitations if the ideal surgery is not achievable as requested. Otherwise it will be setting the stage for future complications. Surgical placement of dental implant requires creating a space in the jaw to allow a screw type implant be inserted in the jaw. It will require a 3 months waiting period for the implant to fuse to the bone.
  • Same Day Implant placement 
      • Under certain circumstances a dental implant can be placed immediately after a tooth extraction.  It is a predictable procedure and the success rate is of this approach is similar to a staged implant placement (delayed, or a few months after extraction and grafting).
    • Implant supported crown to replace a single missing tooth
      • A missing tooth is ideally replaced by a single dental implant and is restored with and abutment and a Crown that goes over it. This approach will eliminate the need to file the adjacent teeth. Dental Implants in the hands of skilled specialists can last many decades while many complications may occur if performed by inexperienced clinicians who are trying to learn. Choose your health care providers carefully.
  • Implant supported bridge to replace multiple missing teeth
      • If you are missing multiple teeth, you may not need to replace each tooth with a dental implants. A carefully designed plan and strategic implant placement (4-6 implants) can provide adequate support for several teeth (ten teeth).
  • Implant supported overdenture
      • In cases where fabrication of a bridge is too costly, or its fabrication is complicated, an implant supported overdenture, which is fixed by feel and its stability, and removable by nature (since patient can take it out), might be an appropriate option. It is basically a denture which is supported and retained by dental implants so it does not move during chewing. Consult with Dr. Noohi, and discuss your needs and find out what is the best option for you.
  • “All on four” Concept / Teeth in a day
    • It is a concept or a welll established treatment solution to provide fixed implant support denture that replaces all your teeth. It is fixed to your jaw so you cannot remove it however, it should be removed by your dentist to clean once a year.The prosthesis ( your teeth) are made of acrylic or porcelain. It is usually a one whole day treatment where the surgical and restorative procedures are done on the same day. On the day of surgery patient receives an immediate interim denture, and after 3-4 months the final prosthesis is delivered. Many patients are scared of the “same day” and always ask, “how it is possible”. Well it is not a simple procedure, requires a lot of knowledge, skills, support and planning to make it happen, that is why it is mostly done by collaboration between two specialists, a Prosthodontist and an Oral surgeon.