Secret information from a Cosmetic and Implant Dentist
Jonathan Abenaim DMD FICOI DICOI
www.jonathandentalspa.com
Hawthorne, NJ
973-423-4460
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Tuesday, January 15, 2008
What Are dental implants???
A dental implant is really a very simple metal screw which is designed to thread into the bone of the jaw and to allow for the attachment of a (prosthetic) tooth at the top. Implants are made of Medical grade Titanium or Titanium Alloy. Your dentist will purchase the implants in sterile packaging and place them in a small hole in the bone which he or she has prepared as part of the implant placement procedure. The bone will fuse to the implant over a short period of time in a process referred to as 'osseointegration' and once this process is successfully completed (3 to 4 months) the implant is permanently in place.
Lets talk a little about credentials and dental implants.
Who does implant dentistry? All ICOI members do! Each office is involved with implant dentistry. Implants involve two phases of treatment, placement of the implant(s) and placement of the crown(s) or restoration(s). Some dentists feel they can offer better solutions for you by using the different expertise of other team members, e.g. performing the surgery or the restoration. Other practitioners feel that performing both the surgery and the restoration within one office is optimal for many patients. What exactly are dental implants and what can they do for me?
Implants are substitutes for teeth and they are today's best alternative to your natural teeth. They offer you a permanent or secure solution for replacing one or more teeth. They are made of biocompatible materials, just the same as hip implants or similar orthopedic devices, and function as anchors or support for traditional forms of dentistry, such as crowns, bridges or dentures. Many of our patients will tell you that implants have changed not only their smiles, their overall appearance but also even their lives! There are numerous other reasons to choose dental implants: Esthetically, they support teeth that look like real teeth. Functionally, dental implants feel and act like real teeth. With implants, you can eat and chew again without pain or irritation. Foods that were forbidden are now back in the diet. Implants eliminate the need for distasteful adhesives. There is no longer a need to use "glue" when your prosthesis is anchored to implants. Implants can actually improve the taste of food. With less plastic covering the roof of your mouth, you can enjoy natural flavors and sensations again. Lastly, implants can help maintain your bone structure and support your facial tissues. They can reduce or eliminate bone atrophy, which causes "shrinkage" or facial cosmetic changes.
Are implants successful? Implants, as we know them today, have been in existence for at least twenty-five years. For the last ten years, however, success rates at many treatment centers are consistently over 95% with proper personal and professional care. Few forms of medical, orthopedic or dental treatment have such high success rates. What is the procedure like? There are actually two phases to implant dentistry: Phase 1: Using very accurate surgical techniques, an incision is made in the gum tissues and implants are placed into dimentionally controlled sites (depth and width) in the jawbone. The gum tissues are then closed and the healing phase begins. This may take anywhere from 3-6 months to ensure a strong base. Phase 2: Creating and fixing the new tooth or teeth to the implant structure constitutes the second and final phase. Implants can replace a single tooth, several teeth or your dentures.
Are they expensive? Initially, you might feel dental implants are expensive. However, they represent a more permanent and natural solution than dentures and partials. Thus, there is a greater initial investment. They should last for years, particularly if you have an "ideal" case. Independent surveys of implant patients show that they felt the investment was worth every penny and would do it again! How much do they cost? Each case is different. Cost is a function of your particular needs. After a complete examination, your doctor will more specifically determine your dental needs and the best treatment alternative(s) for you. At that point, you can specifically address the question of cost and be helped with financial arrangements.
Does it hurt? Usually, discomfort is not a problem. In fact, many have said that having a tooth pulled was more painful! For the placement of an implant(s), your doctor will use one of many anesthetic regimens so there won't be any discomfort. When you leave the office, you will be given appropriate medications. We urge you to ask other patients how they felt after implant therapy. Your doctor(s) and their office teams are available at anytime to make sure that you are comfortable.
What benefits can I really expect?
Eat whatever you like! Implants improve your health with the ability to chew a wider variety of foods. Smile with confidence. Discolored or missing teeth ruin your appearance. Implant supported restorations help increase your self-esteem. People will approach you more readily. Express yourself clearly or simply be understood. Implants increase the retention and stability of your teeth. Improve your external facial structure and decrease the likelihood of continued bone loss. Your jaw and teeth will smile together.
How long will it take? Recent advances by implant manufacturers are reducing the time for initial implant procedures. Treatment for the simple cases could take anywhere from 4-8 months, based on where the implants are placed and the type of restoration you desire. Do not compromise because your implants and the new teeth that they support should last for years.
Will I be without teeth?
You will never be without teeth. Your doctor will make sure that in the interim period, you look and feel very natural.
Am I too old?
Implant patients can be in their early teens or be mature adults in their seventies and eighties. Good health and adequate bone are the most critical factors in evaluating implant candidates.
Is one implant system better than the others?
No. There are many FDA approved implant systems available to your doctor.
What will it feel like when it is done?
Once the entire procedure is complete and the final restorations placed, they will actually feel or function like your natural teeth!
How do I take care of my implants?
Normal routine home care and professional cleaning visits are required. It is important to know that every 3-4 months, you will need to have a routine cleaning and re-care treatment and evaluation. An individualized program will be designed for you to optimally care for your new teeth. Are there alternatives?
Your doctor should describe all reasonable alternatives. Then you will make a decision together as to what is best for you.
When can I get started? As soon as your doctor has all the necessary information and team members in place to give you excellent short term as well as life long care.
Can any licensed dentist(s) legally perform implant surgery or restoration? Yes. However, education and experience are critical! Ask your dentist or dental specialist questions about his or her training in implant therapy and in-office implant experience. Additionally, we believe that a recommendation from your own dentist (if he or she is not involved in implant therapy) is an important criterion.
Is it safe to have dental implant surgery performed outside the hospital, in an office-based facility? Most cases are. Safety refers to the nature of the procedure and the medical and\or anesthetic needs of the patient.
How do I know if a dentist is qualified to perform implant treatment?
We recommend you talk to treated patients of record and to referring dentists.
We should discuss teeth in an hour and see some of the benefits.
What is Teeth in an Hour? By now, I bet that many of you have seen ads or news stories about “Teeth in an Hour” and wonder what this is really all about. Over 30 years ago, Dr. P. I. Brånemark put together a technique for placing and restoring dental implants that proved to be far superior to anything that had come before. Dr. Brånemark’s use of Titanium for the construction of the implant proved to be a boon to the profession and the patients who were missing teeth. The procedure was almost 100% successful and lead to the development of major dental implant markets throughout the world providing thousands of patients with “new teeth”. There was one problem, however, in that it took literally months to get these new teeth and many patients and dentists did not want to wait this long. Researchers and clinicians began to study methods of speeding up the process and one of the major results of this research lead to “teeth in an Hour”. Teeth in an Hour is a method utilizing radiographic 3-dimensional scans to make a totally accurate representation of the patients jaw and then constructing a mechanical template on this jaw which allows the dentist to place implants with extreme precision. As a matter of fact, the precision is so good that you can actually make up the final restoration (the new teeth) on the model and transfer everything exactly to the patient’s real jaw. Using the template in the patient’s mouth, the implants are precisely placed and then the new teeth are attached allowing the patient to leave within and hour or two or three with a complete set of teeth ready for action. Benefits: Of course, you get your teeth right away instead of waiting 3 to 6 months or more. You also benefit from faster healing with the implant surgery and implant placement is more precise than if the dentist did it by hand. Problem Areas: This type of treatment is much more expensive than the “old fashioned” way of placing implants and waiting until they are ready for the new teeth. If it is not done absolutely correctly, the new teeth may not fit and there may be a significant delay in getting the teeth. There is a slightly higher incidence of implant failure in these cases.
Here is a video Discussing how Implants are a simple procedure, and Mostly painless. We discuss what type of Anaesthetic is needed and reccomended for treatment.
Jonathan Abenaim DMD DICOI FICOI
Cosmetic & Implant Dentist
Diplomate and Fellow of The International Congress of Oral Implantologists
Clinical Assistant Professor Dept. of Periodonticts and Implant Dentistry
NYU College of Dentistry
Uwe Mohr, MDT,, founder & owner of Smart Ceramics Dental Art Studio, is a Graduate of the prestigious German Master Dental Technician's Program.