Prior to the introduction of 3D dental imaging, clinical professionals had to rely solely on a two dimensional panoramic x-ray, along with personal experience to determine what size and type of implant could be placed. Conebeam 3D imaging allows us now to have a clear view of the patient's dental anatomy in three dimensions. This information can be used to allow surgery that is now minimally invasive and more predictable.
Our in-house imaging techniques are easily accepted by patients as they sit in a chair while a scanner sends a cone shaped beam of x-rays around the patientsâ€™ oral cavity. The process takes less than a minute. The three dimensional image are immediately stored on a computer, viewed by clinical professionals, and used to help plan the surgical phase of implant therapy. Images are available in a matter of seconds which allows for treatment to begin right away if desired.
Benefits of 3D imaging compared to 2D:
- Improves staging accuracy compared to 2D, which lacks in-depth information
- Gives access to a new, wider range of viewing planes that are unavailable with traditional x-rays
- Helps to determine the best treatment option for patients
Advantages of working with 3D imaging:
- Easily ascertains bone height, thickness, density, and nerve location; and can show other ancillary issues not common with 2D imaging
- Can identify lesions not typically found with conventional methods
- Images can be manipulated and rotated to get the best possible view, and these images can be saved and reviewed as many times as needed
- A diagnosis can be achieved offline when it is most convenient for the operator and patient, leading to faster patient turnaround
- Images can be sent electronically to all team members to assure the most accurate patient treatment and follow-up
An implant is a titanium "root" which can be placed into the jawbone. Once integrated with your bone, the implant can be used to support a crown, a bridge, or secure a complete denture. Dental implants may be used to eliminate partial plates and dentures. The success rates for dental implants are extremely high which is due in part to the fact that root-form implants are made of a bio-compatible material, titanium. Dental implant treatment represents a slightly greater investment than conventional treatment; however, the benefits of implant therapy for most patients outweigh the minor additional cost involved.
Dental Implant FAQs
What is a dental implant?
Implants are a tooth replacement option that involves placing a new "root" into the bone of your jaw. Once this titanium "root" has infused with your bone, it can be used to support a crown, bridge, or denture. These implants can also be used to replace partials and other forms of dentures. The success rates for dental implants are extremely high. This is due in part to the fact that root-form implants are made of a bio-compatible material, titanium. Because titanium is accepted so well by the human body, it is also used for orthopedic implants, such as hip and knee replacements. Dental implants have now become the standard for replacing older dentistry and missing teeth because they look and feel like your natural teeth, and have a higher success rate than all other forms of tooth replacement. The initial cost is generally higher for an implant over other forms of tooth replacement, but the long-term benefits easily outweigh the difference in additional cost. An investment in implant dentistry is an investment in overall health, appearance and well being, as it involves preserving the integrity of facial structures, as well as replacing missing teeth.
Why are dental implants the best option?
Dental implants can last a lifetime, unlike bridges, partials and dentures that may need to be replaced several times. Unlike bridges, partials and dentures, a dental implant replaces the lost tooth root, which will prevent jaw bone resorption that occurs with bridges, partials and dentures. The loss of tooth roots will cause a change of the smile and contours of the face over time. A bridge, once the common single-tooth replacement method, requires the alteration of each neighboring healthy tooth, which is cut down and shaped to accept a crown. With a dental implant treatment, there is no compromise to adjacent teeth. The lost root and crown is replaced leaving neighboring healthy teeth in place. Removable partials connect to healthy teeth by hooks. Partials may be removed for cleaning and may need to be replaced often. A partial hook connected to healthy teeth will create tooth stress and will loosened the healthy teeth over time. Full arch dentures and partials have the added disadvantage of accelerating the bone resorption process, which, among other things, causes the appearance of premature aging.
How will my teeth look and feel?
A single tooth supported by an implant is like turning back the clock of time. The implant replaces the natural tooth root so the jaw bone and supportive gum tissue is as vibrant as ever. Multiple single implants may support single teeth or an implant-supported bridge. Dental implants may also support the base for full arch dentures to attach to which provides the look, feel and function of natural teeth. Dental implant treatments is the only tooth replacement solution that prevents jaw bone resorption, which can cause your smile to look unnatural and in some cases, change your facial appearance. The long-term aesthetics of dental implants are superior to any other treatment option.
Am I a candidate for dental implant treatment?
If you are missing one or more teeth and in general good health, you are a candidate for dental implant treatment. There are a few qualifying factors that need to be addressed:
- Quality and quantity of available bone for implant placement.
- Uncontrollable diabetes or other medical conditions.
Overall, there are very few conditions that would keep someone from having implant treatment. Even people who have lost a significant amount of bone can qualify for dental implant treatment; although, an additional procedure(s) to add bone or to create new bone may be necessary. Advances in this type of treatment have made it possible for most people who would not previously have been considered candidates to have successful implant treatment.
Is my age a factor for dental implant treatment?
Providing your overall health is good, there is really no age restriction. The desire to improve your quality of life is frankly a more important consideration than age. It is not unusual for people with dentures to upgrade to implant-supported dentures. It provides a renewed self-confidence in their smile and speech. It also provides renewed chewing stability, plus it brings back foods into their life that were once off limits.
How long will it take to complete treatment?
Traditional treatment may take anywhere from several weeks to several months, depending upon the quality of the bone in which the implants are placed. If an additional procedure is required in order to augment the bone, the total treatment time may be between six to nine months. Some implant candidates may qualify for Immediate Load / Immediate Function procedures, also known as "same day implants."
Is a dental implant procedure painful?
Most implant patients report that the discomfort is far less than they expected and is no more remarkable than having a root canal or like having a tooth extracted. Of course you are anesthetized during the procedure; and although everyone's pain tolerance is different, most patients are very comfortable simply taking over-the-counter analgesics afterward.
How long do dental implants last?
Dental implants are designed to be permanent; however, there are a few factors that may contribute to the long-term success of dental implant treatment, such as the original quality of the surgical and restorative treatment, proper home care and regular check-up visits to your dentist or dental specialist. Dental implant treatment is one of the most successful procedures in the medical/dental field, with documented success rates over 95%. Dental implants have been around for over 30 years and have closely documented clinical research that demonstrates that dental implants will be successful throughout the lifetime of a patient. By comparison, research also demonstrates that the average tooth-supported bridge (conventional dentistry) lasts from 7-10 years and that partials and dentures are functional for approximately 5 years before having to replace the appliance.
Can a dental implant work with existing dentures?
Every patient's situation is unique; however, from time to time, we can use an existing denture by altering the denture to accommodate the necessary denture attachments to fit the implants.
What is the difference between a traditional crown and bridge and an implant-supported crown and bridge?
There are several differences:
- A dental implant preserves jaw bone.
- We do not have to destroy neighboring healthy teeth by grinding down the teeth to pegs in order to accept a crown.
- Implants last longer than a traditional crown and bridge. Implants are designed to last a lifetime, while a traditional crown and bridge is projected to last approximately 10 years and may need to be replaced.
Although dental implants have become the standard of care, they are more expensive than old tooth replacement methods. They are a better choice for the money; however, some dentists still recommend traditional tooth-supported bridges for patients due to their own comfort level or when patients insist on having the immediate lowest possible fee for tooth replacement. Most dentists today detest the idea of grinding down perfectly healthy teeth to place a traditional bridge; and therefore, will almost always recommend dental implant treatment in these cases.
When should a tooth be extracted and replaced with a dental implant?
There are times when it makes sense to extract a tooth and replace it with a dental implant.
- If a natural tooth is failing or about to fail.
- If a tooth has severe periodontal disease (gum disease) that has eroded the bone that supports the teeth. Sometimes in these cases, it is preferable to extract the teeth, eliminate the disease and infection, and replace the teeth with a dental implant.
- When a tooth has had a root canal (nerves have been removed from the tooth) leaving the tooth brittle and susceptible to fracture. Teeth with severe fractures are usually extracted and are ideal candidates for replacement with dental implant treatment.
Do dental implants require special care?
Home care for a single tooth dental implant or for a crown and bridge dental implant is cleaned like a natural tooth, with regular brushing, flossing and regularly scheduled hygiene appointments as directed by your dentist. Home care is a little more complicated for people who are missing all of their teeth, in that special brushes and floss are often recommended. Permanently fixed implant-supported replacement teeth are cleaned like all other bridges. If a surgical specialists who placed the implant(s) is involved, they may want to see you at least once each year in addition to your regular dentist. These visits, combined with proper home care, are essential to the long-term success of implant treatment.
What is the cost of dental implant treatment?
The actual cost of dental implant treatment is based on a number of factors, such as the number of missing teeth being replaced, the type of implant-supported teeth (treatment option) recommended and whether additional procedures are necessary to achieve the proper aesthetic and functional result. The only way to accurately estimate the cost for an individual patient is to have an examination and consultation with your dental specialist. The total fee is usually comparable to other methods of tooth replacement; however, long-term implant treatment is generally more cost effective than other options, such as bridges, partials and dentures that need to be replaced every 5-10 years.
Is dental implant treatment covered by my insurance?
Dental insurance coverage of implant treatment depends on your individual policy. Dental benefits are determined by the amount an employer is willing to spend on the policy. Generally, dental policies cover basic routine preventive maintenance, basic care and emergencies. Most insurance plans only cover the basics with an annual maximum allowable benefit of $1,000-$1,500. Most insurance plans do not include dental implant coverage; however, often they will pay the same benefit they would cover for the lowest cost alternative treatment option (partials and dentures) and some of the diagnostic records, if a specific request is made for alternative benefits. You should review your dental insurance plan and your medical insurance plan to see the coverage available to you. Medical coverage is very rare and Medicare does not cover implant treatment. All in all, it is best to assume that there is no medical insurance coverage available.
There are many benefits to receiving a dental implant over other forms of treatment:
- Neighboring teeth do not have to be compromised
- Implants allow you to keep your jaw structure
- They look and feel like natural teeth
- Dental Implants can replace partials and are used to secure loose dentures
Mini dental implants (MDI) were developed in order to provide greater denture stability for those patients who:
1) Cannot withstand the rigors of conventional dental implant surgery.
2) Do not have enough bone to allow full-size implants to be placed.
3) Are in on-going therapy from one prosthetic system to another.
The head of the mini implants are shaped like a ball, and the retaining fixture acts like a socket that contains a rubber o-ring. The o-ring snaps over the ball when the denture is seated and holds the denture at a predetermined level of force.
Mini implants can generally be placed start to finish in one to two visits. There is no waiting time for the bone to heal. In many cases, mini implants are placed and the patient walks out with their dentures secured on the same day.
In many circumstances, all of the upper or lower remaining teeth need to be removed due to advanced periodontal disease and/or dental decay. One approach is a full upper or lower plate; however, this treatment modality is not recommended. The treatment of choice is to replace the upper or lower teeth with caps that are in place permanently and supported by dental implants. A common goal of treatment is to have (12 teeth caps) supported by 8 implants. The 4 caps that are not supported by the implants are connected to adjacent implant-supported caps. With this optimal approach, the maximum amount of bone is preserved.
Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.
BLEEDING. Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a gauze pad placed directly on the bleeding area for 30 minutes. If bleeding continues please call the office for further instructions.
SWELLING. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon as it is the body's normal process in repairing itself. Swelling does not always appear immediately. It may take 12 to 24 hours before swelling becomes apparent. Swelling may not reach its maximum until 2-3 days post-surgery. Swelling may be minimized by the immediate use of ice packs post-surgery. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days call the office.
DIET. Drink plenty of fluids. Avoid hot liquids or hot food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
PAIN MEDICATION. You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Be sure to take the prescribed antibiotics as directed to help prevent infection. Do not take any of the above medication if you are allergic, or have been instructed by Sunset Family & Cosmetic Dentistry, PLLC not to take it.
HOME HYGIENE CARE. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem, but be gentle initially with brushing the surgical areas. Good oral hygiene is essential to good healing.
PHYSICAL ACTIVITY. Keep physical activities to a minimum immediately following surgery. Physical activity could cause throbbing or bleeding of the surgical implant area.
WEARING DENTURES. You will always have teeth during your recovery period. Temporary partial dentures or full denture arches should not be used immediately after surgery and for at least 10 days.
In many situations it is possible to remove the diseased and/or loose teeth and replace them with dental implants at the same time. In almost all situations simultaneous bone grafting is completed. This method of treatment reduces the number of surgical visits. It also speeds up the entire process enabling the implants to be ready to receive (caps/crowns) more quickly.
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 dimensionally controlled sites (depth and width) in the jawbone.
First, the gum tissue is opened and the jaw bone is tapped with a small drill and then drilled with a wider drill. The implant is inserted into place. 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: An abutment is secured to the top of the implant placing a new tooth crown onto the implant abutment. Implants can replace a single tooth, several teeth or your dentures.
Multiple tooth implants may be placed if you need or desire to permanently replace an extracted or lost tooth. Titanium implant bases are placed into the jawbone to replace the job of the tooth roots. We allow a period of time to allow for the jawbone to heal over the bases before fitting for a crown. Next, abutments are screwed into the bases of the implants to allow crowns to be attached. Finally, custom fabricated crowns are placed over the abutments and will function like a real tooth.
Do you have missing teeth? It is critically important to replace missing teeth. Eating and chewing with missing teeth can sabotage your bite and lead to incessant discomfort. Missing teeth can give rise to a mouth rearrangement that often results in facial changes that look decrepit. If a tooth is missing or has been extracted for any reason, a single implant can be used to replace the missing tooth. The implant is placed into the bone of the jaw and acts as the new tooth root. After the bone has healed over the implant, an abutment can be placed on the implant and a crown can then be attached. This method of tooth replacement looks and feels like natural teeth.
This prosthesis is used in special situations for patients who have enough bone in the anterior regions of the lower or upper jaws, but limited amount of bone in the posterior regions and are not candidates for extensive bone grafting.
On the day of your appointment please arrive 15-20 minutes prior to your scheduled time. This has proven to help patients settle in and release the pre-surgery nervousness. We will make you as comfortable as possible during your visit.
We recommend bringing along a friend or relative on the day of your treatment. Depending on the procedure itself, you may be receiving anesthesia and possibly other medication during the surgery. It is important that an adult accompany you to the office, stay during the procedure and drive you home after your recovery.
We will provide you with detailed information regarding medication, food, drink, and other preparations that you may need. Please follow their instructions on the day of your treatment. We will also provide you with complete post-surgery instructions including cleaning and maintenance instructions, and if necessary we'll provide you with prescriptions for any medications necessary to reduce the post-surgery discomfort and to help you toward a speedy recovery.
We'll arrange follow-up appointments to assure you maintain a beautiful, natural smile for years to come.
Before making the decision in going the implant route, ask yourself if there is another option. We offer many different implant alternatives.
The different alternative options to implants that we provide are:
- Tooth Supported Bridge
- Removable Partial Denture
- No Treatment
Our office provides smile makeovers to achieve the beautiful, natural look you seek. We can reshape your natural teeth to make them straighter or more youthful in appeal. Our offices is easily accessible and makes it convenient to those living near Miami Beach to get the care they deserve.
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