Dental Implants - Wellington Aurora Dental


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300 Wellington Street East, Aurora, ON L4G 1J5 I (905) 727-7043

Dental Implants

Perhaps you have lost a tooth, or maybe you never had one there in the first place. Maybe decay made your tooth impossible to restore, or perhaps you play a sport that has resulted in losing a tooth.

Sometimes the tooth simply can't be saved. Dental implants have been helping fill gaps in smiles for several decades and as a result the treatment options and procedures are rapidly evolving. Dr. Pasha has worked with dental implants for over 15 years and continues to modify and improve techniques and materials to provide the best possible treatment options for his patients.

What is a dental implant?

A dental implant is a fixture that replaces the root structure of a missing tooth. Usually made from a particular grade of titanium, ceramic implants are also available in a smaller quantity and are becoming a more popular option.

A dental implant is placed in the ideal location where a tooth is missing. The implant integrates into the patient's bone and serves as a very strong, durable anchor for the restoration or prosthesis attachment. More recently the term "dental implant" has been used, somewhat inaccurately, to describe the restoration that will later be placed on the fixture which is the part that the patient uses to chew and speak.

What is an "implant prosthesis" or "restoration"?

An implant prosthesis or restoration is the structure that attaches to a dental implant and provides function for individuals who are missing one or several teeth. There is a wide array of different types of restorations that can be used to replace teeth and selecting the right one is dependent upon many factors.

Single Tooth Replacement

If restoring a single tooth, typically a dental implant is placed where the root of the tooth would naturally be. Once the implant is integrated within the patient's body, a subsequent implant crown is fabricated to attach to the implant. The implant crown is attached by a small titanium screw or a specific type of cement.

The crown can be made of a variety of different materials including a combination of metal (titanium or a gold alloy), ceramic (porcelain), or pure ceramic (zirconia, lithium disilicate, among others). No crown material outperforms the other. Material choice depends on each individual's functional risks and esthetic demands.

Replacement of Multiple Missing Teeth

Multiple teeth replacement can be divided into two main categories: removable solutions and fixed solutions.

Removable Solutions

Removable Solutions are dentures that are either retained in place and /or supported by dental implants providing both function and esthetics for patients. Implant supported dentures can help individuals who are missing part or all of their teeth. Unlike fixed solutions, dentures are removable and must be regularly removed to be cleaned in between meals and at night time. Unlike fixed solutions, if an individual is diligent with their oral health, dentures can provide a better opportunity for cleaning than a fixed dental implant solution.

Fixed Solutions

When an individual is missing part or all of their dentition (smile), the teeth can be replaced by means of a fixed implant supported bridge. This fixed implant solution is fabricated of either acrylic, metal, ceramic materials, or a combination of these materials.

A fixed implant supported bridge is typically attached to the dental implants by means of screws, or sometimes, though less likely, with cement. The bridge is fixed within the mouth and does not need to be removed on a daily basis like a denture. However, fixed dental implant solutions may require a higher number and frequency of maintenance appointments and a greater attention to cleaning and care.

What is the procedure of a typical dental implant?

Placing a dental implant involves a surgical procedure performed by a dental surgeon. Usually patients can expect a 4-6-month period of healing and integration of the dental implant. Once the integration is successfully confirmed by the surgeon, the restorative process begins and may take anywhere between 3 weeks to multiple months depending on the complexity or requirements of the project.

What is the timeline for a dental implant treatment?

Timelines can vary from case to case. In a conventional process, a tooth is removed and there will be a 3-4 month healing period for development of bone in the recipient site. Afterwards, a dental implant is placed in the site followed by 4-6 months of healing and integration. Once the implant has healed and has successfully integrated, the restorations or crown can be fabricated. Continually improving industry techniques and materials have enabled certain cases to be completed outside of this conventional timeline.

In many cases, an implant can be placed at the time of the tooth removal. This practice is called immediate implant placement. In some cases, a temporary restoration is placed to address short term esthetic concerns for the patient. Treatment techniques are determined on a case-by-case basis. Healing of bone and gum tissues occurs at different rates, for different individuals, in different parts of the mouth, thus proving a challenge to estimate timelines for restorations.

Who is a good candidate for a dental implant?

The vast majority of individuals who are missing one or more teeth are a candidate for receiving dental implant treatments, provided they are in good health, have healthy gums, have enough bone to anchor the implants in the jaw, and are committed to taking care of the implants with regular brushing and flossing.

There are some risk factors involved with dental implants that can affect the success of a treatment such as smoking, poor oral hygiene, and even excessive forces on the teeth. These risk factors are determined by the surgeon and/or the restoring dentist in order to make modifications to the overall treatment plan in order to minimize complications.

Additionally, though uncommon, there are several health conditions that can make implants a less suitable treatment or even prevent certain individuals from receiving a dental implant. Dr. Pasha thoroughly reviews a patient' medical history prior to any dental implant treatment.

What is the maintenance involved with a dental implant?

All dental implant solutions, much like natural teeth, require a certain level of routine maintenance. Oral hygiene at home becomes of utmost importance as dental implants can develop gum disease (periodontal disease) similar to natural teeth.

Hygiene protocols with implants may require more time and effort depending on the type of prosthesis or restoration provided for the patient. Regular follow-up visits to the dentist are important after the restoration or prosthesis is completed. Most implants will require regular cleaning and screenings and some larger prosthesis will need to be removed at certain time intervals to be cleaned and maintained in order to prevent any future problems around the tissues or the dental implants. The nature and frequency of dental office visits are determined on a case-by-case basis with the patient prior and after the treatment is completed.

Learn more about your options and the cost of a tooth implant. Contact Dr. Pasha today.

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