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Dental Implantology

Much is being said about dental implant procedures. A national radio spot states that steak and corn-on-the-cob are no longer just a memory for people with tooth loss. Tooth implants, they say, can bring back bite strength and, certainly, improve all-around dental function.

Just what are dental implants though?

Tooth replacement systems differ but continue to evolve as materials and methods allow. Teeth implants are a great and functional alternative to removable dentures.

An implant device is inserted into the upper or lower jawbone. After a healing period, posts are attached to each implant. And to that, a fixed bridge or "over-denture" is placed by the implant dentist. This is known as the "business end" of the implant. Only the "tooth part" is visible. The result is not new teeth. But for more and more people, tooth implants count plenty as the next best thing.

Why go for it?

Over 42% of people 65 and have a missing tooth or teeth. Dentures work fine in some cases, and not so well in others. In fact, ill-fitting dentures can contribute to the loss of supporting teeth or bone, and aggravate deterioration of your mouth.

Other tooth replacement alternatives?

Well, you could go toothless. But along with that comes a change in eating habits, quality of speech, and level of self-esteem.

"My mouth is me again."

In many dental practices, implant dentists have had great success with "osseointegrated" (osseo = bone) dental implants, a system where bone and implant mesh. As implant research has grown into dental implantology, many types of appliances have been tested (and some discarded). The Branemark implant, a titanium device developed in Sweden, has the longest track record, a 95% success rate over 20 years.

What makes a successful tooth implant?

In the Branemark system, it's the osseointegration, the meshing of implant and bone. The properties of the implant are such that a chemical and mechanical bond is formed. The jawbone actually grows into the implant. But the real benchmark for the success of a dental implant procedure is this: The patient has to be happy with it. For years.

For certain people, a single implant to bridge a gap is called for. Another person might require two to support a bridge, or two to four implants to stabilize a lower denture. In other people, bone loss is already severe, and what remains cannot support an overdenture, so a tooth implant procedure is not the solution. However, when they work, they're as real as it gets.

If you think you might benefit from teeth implants, call your implant dentist for a consultation.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Immediate Dental Implants: What Are They?

Implant dentistry is a safe, predictable method for replacing missing teeth. "Immediate dental implants" or the placement of tooth implants at the time of extraction is a great method of implant placement. This method can be considered when a single upper front tooth is traumatized, when one or two teeth have advanced decay, or when the remaining roots are too short to support a crown. The purpose of this method of tooth replacement is to maintain as much bone volume as possible. This means preserving bone height and width. The benefits to the patient after restoration of dental implants are a beautiful, natural-looking tooth without cutting down healthy adjacent teeth and being able to eat in comfort without the fear of having the tooth loosen or fall out.

An implant dentist can easily determine if a person is a candidate for the immediate dental implants method of replacing missing teeth. They will examine the teeth adjacent to the involved tooth for periodontal disease and take a traditional dental X-ray. Impressions of the teeth will aid in determining one's prognosis. Additional X-rays may be necessary to determine the exact bone width and height, as well as the root position.

Implant placement is performed with local anesthesia. The remaining root is removed and the gum tissue is gently displaced from the surrounding tissue. The dental implant site is prepared with small drills. Special equipment is used to gently place the tooth implant into the prepared site, after which the gums are replaced over the implant with sutures. A temporary tooth replacement is placed in the space where the tooth was removed. Post-operative discomfort is minimal. The sutures are removed in a week, and oral hygiene is resumed.

In the upper jaw, bone grows and adheres to the tooth implant within five to six months, while the immediate dental implants in the lower jaw require three to four months for proper bone formation. After healing, there is a series of visits when an implant dentist will make a tooth that will be attached to the implant. Within a few weeks after receiving the implant-supported crown, patients consider the restoration as their own tooth, rather than an implant.

Implants require good oral hygiene, dental maintenance, and periodic evaluation by a dentist. For further information regarding placement of tooth implants at the time of extraction, look in PubMed, searching the following key words: placement of implants at time of extraction, dental implants, immediate implants.

By William Becker, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.