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be
installed in the morning and in the afternoon the patient receives
the permanent fixed
crown, bridge or denture.
Inclusion/Exclusion
Criteria for Immediate Implants
If
you have a fractured or decayed tooth that needs to be extracted,
a dental implant may
be placed at the time of the tooth extraction. However, if your
fractured or decayed tooth is
infected, immediate dental implant placement is not advisable. There
should be no apical
disorder or inflammation at the area of the implant site.
Good bone quality and quantity is required for immediate implants
to be successful, thus
single day implants may not be applicable to all cases. Different
bone volume and density
and preparation techniques will influence the level of stability.
The patient should be
healthy and compliant with good oral hygiene.
Other criterias include having good gingival/ periodontal or periapical
status of adjacent
teeth as well as favourable and stable occlusal relationship.
As with any procedure, it is always important to consult with your
dental specialists on
whether a particular treatment such as immediate implant is suitable
for you.
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Implant
Site Preparation
The
gum tissue is opened to expose the bone area where the implant will
be placed. In
situations where there is insufficient bone structure, bone grafting
may be a
recommended procedure. Once healthy bone material has been established,
a special
drill is used to prepare the bone to receive the implant.
Placing
the Implant
After
the bone has been prepared, the implant is placed and the tissue is
sutured.
The
Healing Process - Osseointegration
The
healing process takes about two months. This is the amount of time
it usually takes
the implant to become part of the lower jaw, commonly refered to as
osseointegration.
The sutures are typically removed however, seven to fourteen days
after surgery.
Attaching
the Post
When
the gum tissue is ready, a special post is attached to the implant.
It is the support
for the new porcelain crown. Today's technologies often include zirconium
abutments
attached to the implant post, to assure that the new porcelain tooth
possesses
translucency properties similar to a natural tooth.
Placing
the Crown/ Denture
After
impressions are taken a crown is made and shaded to match your existing
teeth.
The crown is then slipped over the post and cemented. The completed
implant with its
final prosthetic crown appears as a natural tooth.
Maintaining
your Implant*
Once
fully installed, regular dental visits and scrupulous oral hygiene
are necessary for
keeping the implants clean and the mouth healthy. The dentist will
provide instructions
regarding oral hygiene and proper dieting.
Frequently
Asked Questions*
Is
there discomfort involved?
Just
as with any surgery, there can be some slightly discomfort. However,
anesthetic and
pain-controlled medications are used to eliminate any discomfort at
the time of the
procedure. Approximately 95 percent of patients report discomfort
of 0-2 on a scale of 0-
10 the day after the implants are placed. The doctor will prescribe
medications to ease
any discomfort that may occur. Special care will be taken to stay
in contact with you
after the surgery to be sure that you remain comfortable.
How
long does it the treatment take?
To
complete treatment takes an average of 6 to 8 weeks or shorter. Nowadays,
in some
cases, a temporary crown can placed on immediately so called "
Immediated loaded
implants " or " One day implants ". We do, however,
provide patients with temporary
teeth if it is the anterior tooth in all cases. AT NO TIME are you
without teeth unless you
elect to do so.
How
long can I expect to be off work?
Generally,
we recommend the day of and the following day after surgery, that
no
strenuous exercise be done. Generally, taking time off work is not
necessary for a single
tooth replacement case because the procedure is not more complex than
a tooth
extraction. However, the amount of time off required is an individual
decision.
Is
there a chance of rejection?
The
body does not reject a dental implant, as it might a soft tissue transplant,
such as a
lung, heart or kidney. This does not mean that an implant cannot fail,
but it would be due
to other factors, such as improper force on the implant or other conditions
or existing
diseases of the patient or poor oral hygiene. Dental implants are
made of a material,
titanium, that is totally compatible with body tissues and actually
integrates with the
surrounding bone and becomes part of the body.
Who
is a candidate for implants?
Anyone
who is missing one or more (even all) of their teeth may be a candidate
for
implants.
If one or a few of the teeth are missing, implants in conjunction
with a crown or bridge can
replace those teeth and function as normal teeth without losing more
bone and being
subject to decay.
If all or most of your teeth are missing, then implants may be placed
to anchor a loose
denture. Sometimes, if there is already some bone loss, bone can be
added and
regenerated or a technique called bone expansion can be used to create
a more ideal
site for the implant(s). Ultimately, a consultation with a dentist
who is knowledgable on
these procedures can help determine your individual needs.
What
can happen with missing teeth without treatment?
When
you lose your teeth, you gradually lose the bone that supported them.
As this
bone disappears, problems with other teeth nearby and a lack of support
for dentures,
partials and bridges increase. These could include pain, mobility,
lack of retention for
prosthetics, sharp, painful ridges, mobile gum tissue and sore spots.
The tongue enlarges to accommodate spaces of missing teeth. With tooth
loss, a five-
fold decrease in function occurs and the diet shifts to softer foods.
Also, when bone is
lost, numbness to the lower lip or even the possibility of fracture
of the jaw rises.
Since the bone is deteriorating, it will spread and deteriorate around
healthy teeth and
ultimately cause the loss of those teeth smiliar to a domino effect.
This progresssion affects the ability to provide the same treatment
in the later stages of
bone loss than if treatment had been started earlier in the process.
It's much better to
replace a tooth BEFORE these side effects occur. A patient risks the
possibility of not
being able to provide the same, simple type of treatment that would
have been possible
earlier if treatment is delayed. |
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