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Dental Implants

What are dental implants?

Dental implants are small screws designed to replace the root of a tooth and restore the physical appearance and the chewing function of patients with partial or full tooth loss.  Nobel Biocare dental implants are intended for use in either the upper and/or the lower jaw to support prosthetic devices, such as artificial teeth. By integrating with the jaw, they enable restorations that range from replacement of one single tooth to an entire arch of bridgework, or as stabilizing elements for overdenture applications. Nobel Biocare manufactures dental implants from titanium, which is both biocompatible and strong.

Are you a good candidate for dental implants?

Patients must undergo a medical evaluation to determine whether the implant placement procedure poses any health risks, and whether any factors exist that may affect the healing capacity of either their bones or their associated soft tissues.

Who can receive dental implants?

  • Patients who are medically fit to participate in a general oral surgical procedure.

 Who should carefully consider dental implants?

  • Patients who have medical or other conditions that may interfere with the healing process of either their bones or soft tissues (e.g., connective tissue disorders, steroid therapy, bone infections, cigarette smoking) must carefully evaluate, with their dentists, the potential risks and benefits of using dental implants.
Precautions for implant treatment

Dental implants should not be used in patients that have inadequate amounts of bone to permit placement of implants in sufficient size and numbers to support their biomechanical loads. Mechanical failures, including fatigue fracture of implants, prosthetic screws, and/or abutment screws, may occur if dental implants are insufficient in size or number to support their biomechanical loads, or are not properly positioned. To reduce the risk of overload or fatigue failure, dentists must place the implants and design prosthetics to accommodate the physical or medical conditions of their patients, such as bruxism (i.e., grinding or clenching of teeth) or unfavourable jaw relationships.


REPLACING TEETH

Tooth extraction is quite common due to poor dental health and gum disease. Leaving the missing tooth space empty may not sound too serious, but the consequences of not filling in the space from the missing tooth can include:

  • The teeth adjacent to your missing tooth can change position to fill the gap; 
  • The loss of your missing tooth’s root can cause your jawbone to shrink, making your face appear prematurely older; and,
  • A missing tooth in the front of your mouth can affect your smile and your self-confidence.

In many situations, a dental implant is the most pleasingly esthetic solution for replacing the missing tooth. An all-ceramic dental crown or dental bridge, secured to a dental implant, provides a complete and beautiful solution for improving your smile. A dental implant takes the place of the missing tooth’s root and helps prevent the above consequence


IMPLANT CROWN

or the most esthetically pleasing solution to a missing tooth, there is no better option than an all-ceramic dental crown on a dental implant.

Click on each of the steps below to find out how you can get a new beautiful smile with an all-ceramic dental crown on a dental implant. If you have specific questions, we recommend you discuss them with your dentist.

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Examination

The first step is to visit your dentist for an examination and to discuss your individual solution options.

Preparation

The second step is the preparation phase, where your dentist will plan the next steps of the process. Here, your dentist will gain insight into how your dental implant will be placed.

Implant

This is the step where your dentist will place the dental implant in your jaw.

Smile

You’ll return once more to your dentist to have your final tooth placed and leave with your beautiful new smile.
The first step to your new teeth is an examination of your current situation by your dentist. During the examination, you may be presented with the option to follow a conventional process or a state-of-the-art guided process to place your single dental implant.
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Conventional Process

Under the conventional process, your dentist will take x-rays to see how your jawbone looks to determine the position for placing the dental implant. Often an impression will be taken of your current teeth and jawbone.

Guided Process

Under the guided process, your dentist uses a computerized tomography (CT) scan, or a model of your jawbone, to plan your entire dental procedure before it begins. Keyhole surgery is used to place the dental implant. This minimally invasive technique reduces the healing time traditionally experienced in the conventional process, as well as the need for stitches, a significant amount of swelling, and much of the discomfort arising when your dental implants are placed using conventional methods.
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Conventional Process

Under the conventional process, you’ll undergo the following:

- You’ll receive local anesthesia

- Your dentist will place your dental implant

- Your dentist will place a temporary tooth to your dental implant, so you can eat during the healing process

- At the same time, your dentist may take an impression from which your final tooth will be made

Guided Process

Under the keyhole method, you’ll undergo the following:

- You’ll receive local anesthesia

- Using the surgical guide and keyhole surgery, your dentist will then place your dental implant

Once placed, your dentist will place a temporary tooth and take an impression for your final all-ceramic crown
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Conventional Process

After your dentist has determined that your gums have sufficiently healed you’ll return to have your final tooth fitted and cemented. Your dentist will ensure that your bite is correct and you’re pleased with the results.

Guided Process

You’ll return to your dentist and have your custom-made all-ceramic crown fitted.


IMPLANT BRIDGE

All-ceramic bridge on dental implants procedure

When you're missing several teeth, your jawbone can shrink making you look older than you are. A simple solution to stop this process is a dental bridge on dental implants.

More details on each step are available by clicking on Read More. If you have specific questions, we recommend you discuss them with your dentist.

1

Examination

The first step is to visit your dentist for an examination and to discuss your individual solution options.
2

Preparation

The second step is the preparation phase, where your dentist will plan the next steps of the process. Here, your dentist is gaining insight into how your dental implants will be placed.
3

Implant

This is the step where your dentist will place the necessary dental implants in your jaw.
4

Smile

Multiple visits may be required prior to receiving your final teeth.
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The first step to your new teeth is an examination of your current situation by your dentist. Then, you and your dentist can determine which solution works best for you.

During your examination, you may be presented with the option to follow a conventional process or a state-of-the-art guided process to place your dental implants

Under the guided process, your dentist uses a computerized tomography (CT) scan, or a model of your jawbone, to plan your entire dental procedure before it begins. Keyhole surgery is used to place the dental implant. This minimally invasive technique reduces the healing time traditionally experienced in the conventional process, as well as the need for stitches, a significant amount of swelling, and much of the discomfort arising when your dental implants are placed using conventional methods.
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Conventional Process

Under the conventional process, your dentist will take x-rays to see how your jawbone looks. Often an impression will be taken of your current teeth and jawbone.

Guided Process

Under the guided process, your dentist will map your jawbone or your jaw and teeth will be scanned using computerized tomography (CT) enabling your dentist to plan your entire dental procedure before getting started. From this planning, a guide is created that will help the dentist to place the dental implants into the optimal positions.

At the same time, a laboratory will begin making your final teeth, so they are ready for placement at the same time your dental implants are placed.
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Conventional Process

Under the conventional process, you’ll undergo the following:

- You’ll receive local anesthesia

- Your dentist will place your dental implants

- Your dentist may place a temporary dental bridge to your dental implants, so you can eat during the healing process

- At the same time, your dentist may take an impression from which your final dental bridge will be made

Guided Process

Under the keyhole method, you’ll undergo the following:

- You’ll receive local anesthesia

- Using the surgical guide and keyhole surgery, your dentist will then place your dental implants

- Once your dental implants are placed, your dentist will place your final dental bridge or a temporary dental bridge

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Conventional Process

After your dentist has determined that your gums have sufficiently healed, you’ll return to have your final dental bridge fitted and cemented. Your dentist will ensure that your bite is correct and you’re pleased with the results.

Guided Process

You’ll return to your dentist and have your custom-made all-ceramic dental bridge fitted.


COMMONLY ASKED QUSETION

We knew you’d have questions, so we asked the experts for you:

About all-ceramic crowns

Photo of Nobel Biocare All-Ceramic crown and Porcelain-Fused-to-Metal (PFM)

What is the difference between a Nobel Biocare all-ceramic all-ceramic crown and a porcelain-fused-to-metal (PFM) crown?

An all-ceramic crown is beautifully translucent, like natural teeth. The all-ceramic material leaves no unnatural grey line near the gums, because it is metal-free and biocompatible. A porcelain-fused-to-metal (PFM) crown has a core of cast metal alloy covered with porcelain. If your gum recedes, a gray line will become visible.

Caption:
1. All-Ceramic crown
2. Porcelain-Fused-to-Metal (PFM)

About Dental implants

What is a dental implant?

A dental implant is a small titanium screw that serves as the replacement for the root portion of a missing natural tooth. Dental implants can be placed in either the upper or lower jaws. Due to the biocompatible properties of titanium, a dental implant fuses with the bone and becomes a good anchor for the replacement tooth. Dental implants can be used in solutions for replacing single or multiple missing teeth.

Why dental implants?

There are a number of reasons why you should consider a dental implant:

  • Without the root structure of a natural tooth present, the jawbone can shrink. This shrinkage will make your face look older than it is.
  • There are no loose parts to worry about losing. The dental implant is stable and comfortable. No adjustment is needed after placement. Normally, it will serve its owner for life.
Are dental implants successful?

With more than three decades of clinical experience and over a million patients treated, statistics confirm a success rate of nearly 95 percent for individual Nobel Biocare dental implants*, and even higher for the bridges they support.

* Results based on dental implants and dental bridges remaining and in function over a five-year period.

Who places the dental implants?

In most cases, your dentist can place your dental implant. However, if he or she isn’t familiar with dental implants you can search for local area providers through the Find-A-Dentist search engine found on this website.

How much do dental implants cost?

The fee for tooth replacement with dental implants depends on several factors, including the number of teeth being replaced and the number of dental implants required to support your replacement teeth. Some additional procedures may be required prior to the placement of your dental implants to ensure the long-term health of your dental implants. To obtain a specific fee estimate, it is necessary to have a doctor examine your mouth. After a thorough diagnostic examination, your dentist will recommend the treatment that is best for you.

Who is a Candidate

Will dental implants work for me?

Anyone who is missing one or more teeth due to injury, disease or tooth decay may be a candidate for dental implants. The determining factor is the amount of available bone. Your dentist is the best person to evaluate whether dental implants are a viable solution for you.

Is old age a problem?

Occasionally, older patients express concern that their age may prevent them from enjoying the benefits of dental implants. However, health is more of a determining factor than age. If you’re healthy enough to have a tooth extracted, you’re probably healthy enough to receive dental implants. Certain chronic diseases may contraindicate dental implant treatment. Your dentist will determine if you are a candidate for dental implants after a careful evaluation of your dental and health history.

Benefits over Traditional Treatment

What are the advantages of dental implants over dentures or a dental bridge?
  • Improved appearance: When you lose the entire tooth - crown and root - shrinkage of the jawbone may cause your face to look older. Dental implants can stop this process. A traditional denture or dental bridge doesn’t.
  • Preserve natural teeth: With traditional dental bridges, teeth adjacent to missing teeth are normally ground down to be used as anchors for a dental bridge. Dental implants often eliminate the need to modify healthy teeth.
  • Permanent solution: There are no loose parts to worry about losing. The dental implant is stable and comfortable. No adjustment is need after placement. Normally, it will serve its owner for life.

Expected Results

How will dental implants affect my life?

Dental implant-supported replacement teeth look, feel and function like natural teeth. This means that you can eat and drink whatever you choose. But most importantly, dental implants often improve quality of life in a very concrete way. People who have felt embarrassed and worried because of their tooth problems are often overwhelmed by what new permanent teeth can do for their self-esteem.

Will my new teeth look natural?

When dental implants are used in combination with modern restorative dentistry, their appearance, comfort and function are very likely to exceed your expectations. Often they are hard to tell apart from your natural teeth.

Will I be able to chew with the same force and pressure I use with my natural teeth?

Yes. Following a brief adaptation period, chewing capacity is comparable to that of natural teeth.

Treatment and Care

How much time is required for a dental implant placement?

Today, state-of-the-art guided surgical techniques are convenient alternatives to place dental implants and allow you to have the dental implant placed in a single session using keyhole surgery. This new method has significantly simplified the procedure, for both patients and dentists. The major advantage of the guided surgical technique is the minimal amount of manipulation of the soft tissue due to keyhole surgery. This significantly reduces the healing time and the discomfort normally associated with traditional dental implant surgical techniques.

The conventional process can take from three to six months. First, the dentist places the dental implant, which is left for three to six months to heal and integrate with the jawbone. During the healing period, your are given a temporary prosthesis until the permanent crown is put in place.

The procedure chosen depends on several factors, such as your dental health, the number of teeth involved and which teeth are replaced. These factors will also determine the total number of visits to the dentist throughout the treatment period.

Is the treatment painful?

With any surgery, there can be some discomfort. Placing one implant normally causes less discomfort then placing several. Anesthesia and patient sedation are commonly administered to help reduce any discomfort during the dental implant process. Most patients report that they were much more comfortable following the procedure than they had anticipated. Your doctor will prescribe medications to ease any discomfort that may occur. Ask your dentist to recommend another patient who has already had tooth replacement therapy to assess their personal experience.

How will I feel after the treatment?

It is normal to have some bruising and swelling in the gum and soft tissues. But usually the discomfort, if any, is treated with an ordinary painkiller. You should expect to be able to work the next day.

How will I care for my dental implants?

Your new teeth must be cared for and checked regularly, just like your natural teeth. Brush and floss as recommended by your dentist or dental hygienist. See your dentist in six months, or more frequently if so advised.

 

 

Member of the American Academy of Periodontology   TEL: 626-285-6968    Address: 288 S. San Gabriel BL. Ste #205, San Gabriel, CA 91776
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