dental implants (11)

Dental implants are one of the well known cosmetic dentistry choices to supplant your missing teeth. The implant is carefully put into the jawbone by your dental specialist or an oral specialist. Dental implants are screw-like parts produced using titanium that copy the capacity of a tooth root and keep a dental crown in its place.

The Three Phases of the Dental Implant Procedure

  1. A dental implant procedure is normally finished in three-phases. The principal stage is tied in with placing the implant. Subsequent to applying nearby sedation, an incision will be made on your gums and the implant will be precisely screwed into the jawbone. The gums are then shut over the implant using a couple of joins. The gum will be left to recuperate for three to a half year with the goal that the implant safely integrates into the jawbone.
  2. The subsequent stage involves placing the post or projection on the implant. This period of the dental implant procedure is done simply after the gums have recuperated totally. Another little incision is made in the gums and a projection is connected to the implant. The projection protrudes through the gum tissues. The capacity of a projection is to make sure about the dental crown securely set up.
  3. The third and final period of the dental implant procedure is the crown connection. In this stage, a tweaked crown will be appended to the implant post by your dental specialist.

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Doing the dental implant in these three stages permits sufficient opportunity to check the shape and attack of the finished crown in your mouth. Accordingly, a three-stage dental implant is normally suggested by dentists when you have a solid jawbone to help dental implants.

How Long Does a Dental Implant Procedure Take?

The time expected to finish a dental implant procedure relies upon different variables, for example, your oral wellbeing, regardless of whether tooth extraction is to be performed before the implant procedure, the number of teeth involved, and their situation in your mouth. By and large, a dental implant can take around six to nine months to finish.

Is the Dental Implant Procedure Painful?

Likewise, with any surgery, dental implants additionally have a certain degree of uneasiness. Be that as it may, sedation dentistry will assist you with easing your distress. You are given nearby sedation at the hour of the implant procedure. Your dental specialist may likewise endorse drugs to assuage any pain or distress that may happen after the procedure.

On the off chance that you are looking for an expert dentist in Des Moines who can play out your dental implant expertly, call us to plan an appointment.

Related blog: Dental Implants: Key Things You Should Know

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Do you have one or more missing teeth and want to know whether you should get dentures or dental implants? Both are popular alternatives for restoring your teeth and enhancing your smile. Although both options work great for almost everyone, it’s better to understand which one will suit you better. 

Which Is Better - Dentures or Dental Implants?

Both dentures and dental implants work well for most patients. While dentures are removable, dental implants refer to the implantation of an artificial tooth in your mouth. Dentures are prescribed to patients with unhealthy and weak gums, while dental implants are for patients who have healthier gums. 

Who Is Better Suited for Dentures?

According to maxillofacial surgeons, dentures are suitable:

  • If you have a set of missing teeth: Adults, especially older adults, usually have a set of missing teeth. Getting a set of removable teeth works best in these situations. Dentures are easy to put on and remove when you are sleeping or eating.
  • If you have a set of missing teeth: If you have weak gums: If your gum is too weak to sustain implants, your dentist will most likely to prescribe dentures for you.

Learn more: Dental Implants or Dentures: What Suits You Better

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Advance Cosmetic Dentistry Methods

 

Cosmetic dentistry is any dental work performed to improve the appearance of your smile. It mainly concentrates on dental aesthetics such as alignment, color, size, position, and shape of the teeth. There are different procedures involved in cosmetic dentistry to enhance the appearance of your smile. The cost of cosmetic dentistry in Des Moines, Iowa varies depending on the procedure you need to correct your problem.

 

Here are some modern-day cosmetic dentistry procedures available:

Teeth Whitening

Teeth whitening is a natural and affordable method to restore discolored and stained teeth, especially those teeth that are damaged due to smoking, medications, or certain beverages.  These stains can be removed at your dentist's office or home, using your dentist recommended teeth whitening products. 

Dental Veneers

Dental veneers are delicate, custom-built shells of tooth-colored resin or porcelain that cover the superficial area of the teeth. These shells get cemented to the front portion of the tooth and enhance the color, size, and shape of your teeth. 

Dental Bonding

Dental bonding is performed by applying a tooth-colored, durable, plastic, putty-like resin to the tooth and then hardening it with laser or ultraviolet light which bonds the material to the tooth. Your dentist then shapes, trims and polishes it. Dental bonding can repair chipped, decayed, cracked, or disproportionate teeth. 

Dental Crown

A dental crown or cap covers and replaces the whole damaged tooth above your gum line. It helps to restore the size, shape, durability, and appearance of the tooth. Dental crowns can be constructed from metal, resin, porcelain-fused-to-metal, or ceramic materials. 

Inlays and Onlays

Inlays and Onlays or indirect fillings, are made from substances such as gold, porcelain, or composite materials, and are used to fill damaged teeth. Unlike dental fillings, these are created in a dental laboratory and later bonded into their place by your dentist. 

Dental Implants

With dental implants, natural tooth roots are replaced by titanium screws that are inserted surgically into the jawbone of the misplaced tooth. Once the jawbone heals after the procedure, the metal post can anchor a dental prosthesis such as a crown, bridge, securely in the jaw. 

Our expert dentist in Des Moines, practice these methods with advance dental technology. 

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What are Dental Implants? 

Wikipedia's definition of dental implants "A dental implant is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor". Let's break that down into simple terms. A dental implant is made of titanium and is one of the few metals that will successfully fuse with our bone and tissue. The surgical component is the titanium piece that is surgically installed into your gum tissue. After being installed the implant works as the root of your tooth and will hold a crown, bridge, or denture depending on the extent of your tooth loss.

Dental Implants are becoming a popular choice for teeth replacement. In the past, traditional dentures were the only option for replacing missing teeth. As technology and medical advancements increased we were introduced to the Dental Implants. This new breakthrough in dentistry has allowed for people to have their teeth replaced while offering a wide variety of benefits for the patient. In this article, we will explore the benefits of dental implants and give you a better understanding of the process of getting implants. 

 

Are dental Implants Expensive? 

The average price for a single implant can range from $2,500 to $3,000. Dental Implant cost is generally high but the price varies depending on if you need a bone graft and also depending on the number of teeth extractions.  When the teeth are missing and the root is gone you start to lose the bone that helps maintain your facial profile. The bone graft is usually needed when the patient has suffered significant bone loss due to the teeth missing. Some Cosmetic Dentistries also charge extra for the abutment crown. It is important to get a consultation with your dental specialist in order to get the best idea of the cost. Most patients are offered convenient financing options to help them with the cost of the implants.  

Should I get my implants out of the country to cut costs?

Many people choose to leave the country in search of a better deal on dental implants. It is strongly recommended that you DO NOT sacrifice the quality of care needed for this procedure to save money. This procedure requires a great amount of care and the right technology, equipment and most importantly the best dentist! 3D X-Rays allow a doctor to see if you need a sinus lift or if any other complications are present that can seriously harm the patient. Some out of country doctors do not have these types of imaging capabilities and if the patient is not properly examined they can cause irreversible damage. It is important that you know what kind of equipment the doctor you are going to uses and that you also do research on the doctor to determine their success rate.

Implant placement is a very sensitive cosmetic procedure that requires a lot of cosmetic training for optimum placement. When placed incorrectly, the metal might show through the gum tissue causing a non-cosmetic appearance. Although some general dentists do place implants, always look for a dental specialist like a prosthodontist or a periodontist. They have at least an extra 3-years of advanced training for implant placement and restoration and usually, they offer the implants at the same price compared to general dentists.

What are the benefits of Dental Implants? 

  • Maintain Original Bone 
  • Improved Speech 
  • Comfort and feeling of your natural teeth
  • No movement allowing for easier chewing of food
  • A permanent solution to replacing your natural teeth

Please visit iSmile Specialists for more information on dental implants. 

 

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Bone Grafts And Dental Implants

We don’t often give much regard to the importance of the bone our teeth sit in until there is a problem. The bone not only serves as the foundation for our teeth but it also plays a big part in our visual aesthetic appearance. Bone can be lost by tooth removal or periodontal disease. If a tooth is missing or removed, the bone may collapse into the empty socket and cause a sunken appearance to our cheeks or jawbone. A bone graft can restore these problems caused by dental disease or those that result from an accident. One of the main reasons for bone grafts in modern dentistry is to form a good foundation for dental implants.
 

What is a Bone Graft?

 
bone graft is the replacement or augmentation of the bone around the teeth. Bone grafting is a term used to describe a variety of procedures used to add or build bone so that dental implants can be placed.
Dental Bone Grafting
bone graft typically involves adding bone or bone like materials to the jaw. The bone graft can be your own bone (also called Autologous  bone), synthetic bone, be processed bone obtained from a cadaver (also called Allograft), or can even come from bovine/cow sources (these types are also called Xenografts). After grafting, you generally have to wait several months for the grafted material to fuse or become one with the existing bone structure.  Processed bone grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. Autologous bone transplants bone cells or a block of bone that fuses to the jaw.

Implant Dentistry

It is often used to augment bone to allow for a more successful implant placement. A few reasons for bone grafting in implant dentistry include:
1) Augmenting bone in the sinus area to allow for implant placement.
2) Augmenting bone to enhance the fit and comfort of removable prostheses (dentures)
3) To enhance aesthetics of a missing tooth site in the smile or aesthetic zone. This zone is generally defined as the visible area seen upon full smile, including the teeth, gingiva, and lips.
 
For a dental implants to be a success, the patient must have sufficient bone in the jaw to place the implant into.
Assumptions were once made that if a patient did not have sufficient quality or quantity of bone in their jaw they would not be suitable candidates for dental implants. Today, thanks to the exponential advances in dental techniques, materials, and technology, patients with insufficient bone in their jaws can have the bone rebuilt using bone grafting.

Bone Grafting Procedure

The actual bone grafting procedure is quite straightforward. A dentist will assess the quantity and quality of your bone during the treatment planning stages. It will be at this time that he/she will determine if there is a need for bone grafting. Then your dentist will review the different types of bone grafts with you and decide which will be the most suitable for your individual case.

Once this has been decided the bone graft procedure can be performed. The actual procedure requires the dentist to place bone under the gum tissue at the site where the bone graft is needed. The dentist will then be able to place the bone to be grafted onto the site and then cover it with a membrane for protection. Membranes are often used to help stabilize the bone graft as well as keep the gum tissue from invading the healing bone graft. The gum tissue will grow at a much faster rate than bone, therefore, membranes are used to prevent gum tissue from growing in and displacing the bone graft before it fully matures.This membrane is also used to protect the boneDental Bone Graftingfrom any germs found in the oral cavity and ensure that the area is perfectly clean to allow the healing process to take place. Finally, the area is closed and the tissue is stitched into place. Bone graft healing time is usually right around 4-6 months. But this can vary from patient to patient. Patients are given a prescription for antibiotics to take following their bone graft. Antibiotic mouthwashes can also be prescribed to preserve the health of the gum covering the bone graft.

On follow up visits the dentist will check on the success of the bone graft by taking x-rays to determine the height and width of the new bone. Once this has been verified as satisfactory, and the site of the bone graft is completely healed, the next stage of the dental implant process can begin.

Dental bone grafts for the purpose of dental implants has a very high success rate. But there is always a possibility that the bone graft will not work as planned, even if your own bone was used. Bone grafts are not rejected by the body like organ transplants. There is still some mystery as to why some bone grafts fail. We do know that certain people (for example, smokers, diabetics, patients with poor dental hygiene) have higher risks of graft failure.

A failed graft will need to be removed. Once healed properly, you and your dentist may choose to place a second graft.

A bone graft gives the implant dentist and patient one more tool to achieve a successful outcome to just about any implant treatment.

Dental Bone Graft

© 2012 – 2019, Marielaina Perrone DDS. All rights reserved. Dental Implants Las Vegas

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Dental Implants Vs Dental Bridge

Dental implants vs bridge is a question many patients are faced with when attempting to replace a lost tooth or multiple teeth. The traditional dental bridge was the main dental procedure used by dentists for a very long time to replace missing teeth. As dental implants have become popular due to long term success rates the traditional dental bridge has become in many people’s mind the lessor alternative. Dental implants vs bridge is an interesting scenario as they both achieve the same thing but in different ways. The dental implants vs bridge debate is one that many of us will face in our lives. Below are some facts about both to help with your decision.

Dental Implants Vs Bridge Procedure

Steps For A Dental Bridge

During the first visit to your dentist for the fabrication of a dental bridge, the teeth surrounding the missing tooth are prepared to accept a dental crown. The preparation involves removing the outer layer of teeth to allow for a dental crown to be placed over top them. Next, dental impressions of the teeth are taken, which give the dental lab technician a precise dental model from which the dental bridge, pontic (fake tooth between the dental crowns), and dental crowns will be fabricated. Your dentist will create a temporary dental bridge for you to wear to protect the exposed teeth and gums while the dental bridge is being made. This generally takes about 2 weeks.

At the second visit, your temporary bridge will be removed, the temporary cement will be cleaned off the teeth, and the new porcelain or metal bridge will be checked and adjusted, as necessary, to achieve an ideal fit. Depending on how extensive the dental bridge is multiple visits may be needed to check the fit of the metal framework and ensure the bite is correct. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly during time in between visits. If the fit is acceptable to the dentist, the dental bridge will then be cemented permanently in place. In the discussion of dental implants vs bridge, a traditional bridge is placed in only one way (cemented) while a dental implant can be placed in 2 different ways (screw retained or cemented).

Steps For A Dental Implant

-Initial Consultation. At this initial appointment, your dentist will complete a thorough dental examination, including all necessary x rays, and then take dental impressions of your teeth. After your dentist gathers all the necessary preliminary information, your dentist will talk with you about the recommended treatment plan. You may also discuss at this time whether or not there is a need for a bone graft. At this visit, you can ask about the dental implants vs bridge discussion. Your dentist will happily review the positives and negatives with you.

-Bone Grafting And Teeth Removal. If the tooth needs to be extracted, your dentist will evaluate the bone density and quality and decide if a bone graft is necessary. The bone graft will add 4-6 months generally to the time line. This extra time gives your bone time to heal properly and add the new bone structure.

-Dental Implant Placement. Once healing has taken place you will be ready for the dental implant placement. The procedure generally takes about 1-2 hours and completed under anesthesia. Once the dental implant is placed, you will need approximately 6 months for healing to take place and the dental implant to integrate into the bone (this process is called osseointegration).

-Healing Cap And Temporary Dental Crown. With the dental implant fully integrated in the bone, your dentist will attach what is called a healing collar to the top of the dental implant. This healing collar will allow the gum tissue to form around the implant in a natural looking way. The healing collar is simply a round piece of metal that keeps the gum tissue away from top of implant. The healing cap stays on for about 7-14 days. In some cases a temporary dental crown is fabricated as well at this visit.

-Abutment Placement. The healing cap will be removed and a dental implant abutment will be replace it. This abutment will be where the new dental crown will attach (either thru a screw or cement). Once the abutment is in place, your dentist will take a dental impression and send it off to the dental laboratory for fabrication of your new dental crown.

-Permanent Dental Crown Placement. The dental implant and dental crown should be a permanent fixture without the possibility of tooth decay forming over time like a traditional dental crown or dental bridge.

Dental Implants Vs Bridge Maintenance

This is where a dental implant will shine in the debate of dental implants vs bridge. A single dental implant will be cleaned just like your natural teeth. This means you can floss around the tooth just like a natural tooth. A dental bridge since it is one longer piece encompassing multiple teeth you will not be able to use regular floss. You will need to use what is called a floss threader. This will allow you to get under each part of the dental bridge and effectively clean around the areas of the dental bridge. This can be an issue for some patients with dexterity issues.

Dental Implants Vs Bridge Cost

The dental implant will require more time (at least 6-7 months in best case) to allow for each step to be completed and healed properly. The dental implant tends to cost more overall especially if bone grafting is involved. In my opinion, dental implants vs bridge cost will be up to the patient. Time in some cases is just as important as the financial factor.

Dental Implants Vs Bridge Pros And Cons

Dental Implants Vs Bridge Las Vegas Marielaina Perrone DDSDental Implant Positives

-Surrounding Teeth Unaffected. With a dental implant, there is no need to shave down possibly healthy tooth structure in adjacent teeth as there would be in a traditional dental bridge.

-Success Rate And Durability. Dental implants should with proper care last a lifetime and have a better than 98% success rate.

-Bone Loss Prevention. With a dental implant in place, your bone structure will remain as is and not resorb or break down. This is what happens when a tooth is missing in an area of the mouth

Dental Implant Negatives

-Surgery Required. A big negative in the dental implants vs bridge debate. This is especially true of those with dental phobia.

-Healing Time Needed. As mentioned above a minimum of 6-7 months are needed in the best case scenario to complete a dental implant procedure from start to finish.

-Financial Expense. There is generally a slightly higher fee for a single dental implant vs bridge and could go even higher if other procedures are needed like a bone graft.

Dental Bridge Positives

-Permanent. The dental bridge will be cemented in place and will never be removed to clean unless your dentist finds an issue.

-Simpler and Quicker Dental Procedure. Generally takes only 2 dental visits and can usually be completed in about 2 weeks time. This can be a huge positive for many in the dental implants vs bridge discussion.

Dental Bridge Negatives

-Dental Hygiene More Difficult. With a dental bridge, you must brush and floss under and around the false tooth. Using floss threader as mentioned above may be difficult for some. Dental hygiene maintenance is a must if there is any chance of long term success for a dental bridge.

-Lifespan Shorter. A dental bridge generally lasts about 7-10 years. Some dental bridges can last longer and some can fail sooner. This is due to the wear and tear on adjacent teeth (these teeth remain susceptible to periodontal disease and tooth decay. Either tooth decay or periodontal disease can weaken support for the dental bridge.

-Surrounding Teeth Affected. A dental bridge requires support from the surrounding teeth that are used to hold the artificial tooth in place. If these teeth are not strong enough to have dental crowns, a dental bridge might not even be possible.

Dental Implants Vs Bridge Conclusion

Choosing dental implants vs bridge can be a difficult decision. Your dentist will help guide you through the process and help you make an educated dental implants vs bridge decision that is best for your smile. It is important to maintain regular dental visits no matter which side you choose in the dental implants vs bridge decision.

© 2019, Marielaina Perrone DDS. All rights reserved. Exceptional Dentist Las Vegas

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Dental Implants Las Vegas have changed the way dentists treat patients over the last 20 years. They have been nothing less than a miracle in the replacement of teeth whether it be a single tooth, multiple teeth, or as an anchor for a denture. As the technology matures, new advancements and techniques can be offered to patients. One of those newer dental advancements is called the All On 4 Dental Implants Las Vegas system. This dental technique allows for the placement of four dental implants (hence the name all on 4 dental implants), and the restoration to be placed on the same day. Patients leave the office with a full set of teeth. For this reason all on 4 dental implants are also called “new teeth in a day“. Who Wants All On 4 Dental Implants? The patients who choose all on four, do so for many reasons including, poor fitting existing dentures, terrible trauma causing tooth loss, decay or periodontal disease causing progressive tooth loss. The most common patients to choose all on
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Lucky are those who have a perfect smile and a magnetic outlook. But at a certain age of life, our body starts losing the strength whether it’s about the muscles, skin, or teeth. By adopting a few things, and avoiding a few habits, we can stabilise our wellbeing. Before you book an appointment with Dental implants in Ahmedabad or visit a dental clinic for a routine check-up, you need to know a few basic things.

Dental Implants in Ahmedabad

As a well-known Dentist in Ahmedabad, I have handled many dentistry cases successfully. But, I feel it my responsibility to let them know about basic things to be careful about at an initial state.

To be frank, no one likes to visit the clinic or it’s not anyone’s hobby to approach the dental clinic for the check-ups frequently. On the other hand, there exist some people who are desperate about their oral health and visit the dental clinic usually. But, certain habits need to be controlled before it’s too late.

Here I share 3 out of many.

1. You should stop using teeth as a tool

Teeth play a major role in the digestive system as it chews & tears the food in digestive form. So, stop doing activities like trimming fingernails, or tearing down the packets. In short, you should never treat your teeth as a scissor. If you bite your nails, there remains the possibility that teeth got cracked due to extreme pressure. I’ve seen many people breaking nuts with their teeth which may become a dangerous problem.

This kind of activity can lead you to the gum disease and chronic bad breathing smell so, you should be careful and stop using teeth as a scissor.

2. Quit drinking soft drinks

We all know that soft drinks can be the reason for tooth decay and it can be a reason for tooth loss in the long run. This can be the case if you sip on the soft drinks throughout the day because the soft drink has an excess amount of sugar which can affect your teeth. Also, consumption of sugar-free beverages isn’t a healthy choice. All kind of drinks contains a certain level of citric acid which is the most responsible element for enamel erosion.

3. Never ignore bleeding gums

We always ignore the teeth bleeding or gums bleeding problem. Imagine, suddenly you found bleeding nose or other body parts, we rapidly contact the doctor. But when it comes to bleeding gums issue, we sit back and let it be. We take it as a casual issue but that’s actually not. Start taking bleeding gums issue seriously and contact the nearby dentist as soon as possible.

In addition, you should start improving your flossing teeth habit. To keep your oral health complete, you should drink lots of water after drinks.

Thank you so much!

Dental Implants in Ahmedabad

If you feel your oral health needs an improvement, without taking much time you should take a visit to the Dental implants in Ahmedabad Centre. Do you have any questions or concerns? You can freely ask to us and I will be active there to answer you. Keep smiling!

Source: Never Forget To Consider Few Things For The Better Oral Health

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When a tooth is lost, many people consider dental implants as a tooth replacement option because the space left in their mouth isn’t exactly aesthetically pleasing. Who wants to walk around looking like they just lost a boxing match, right?

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Aside from a person’s physical appearance, however, getting a tooth replaced is also very important to your oral health, and lacking a tooth can escalate into bigger problems than you could have anticipated the longer you wait.

Why Replace aMissing Tooth?

Teeth serve many purposes when it comes to the strength and functionality of your mouth. After all, teeth weren’t just put in your mouth for decoration. Teeth help you bite and chew your food, and they need to remain strong and intact to do that.

Now, if you’re thinking “It’s not like I can’t chew with one tooth gone,” you may want to rethink. Teeth also help keep your jawbone strong and prevent bone deterioration. If a tooth is lost and not replaced, the jawbone begins to weaken and deteriorate because of the stimulus and pressure of chewing keep the jawbone functioning and healthy. If there is no stimulus or pressure in a portion of the jaw because a tooth is missing, that area will weaken and, if left alone, lose function and lead to bone loss.

Having a missing tooth is like having a house with a broken foundation... if one part is missing the whole thing could very well collapse. With dental implants, you’re replacing the missing part of the foundation, keeping the jawbone strong and functional.

Of course, having all your teeth makes your smile look beautiful! An unsightly gap in your mouth may lead to you feeling self-conscious, making you hide your smile in family reunion photos or at your child’s birthday party. Dental implants can cure these confidence issues! With dental implants, you’ll not only be able to flash a dazzling smile to your friends and family, but eat, drink, smile, laugh, and be yourself without worrying about the tooth gap. Your social life and career prospects are saved!

The Dental Implant Procedure

Although replacing a missing tooth is a serious matter, the two-part procedure is pretty straight-forward.

In the first part of the procedure, a bone graft may be made if you’ve already experienced bone loss in the jawbone due to the missing tooth. A bone graft is when the dentist takes a little bit of healthy bone from one part of the jaw to replace what was lost in the damaged area. But don’t worry! This is typically done under oral sedation or general anaesthesia, so you won’t feel any discomfort. Once sufficient bone is available to accommodate the dental implant, the dentist installs a titanium screw in the jawbone. Part one of the procedure is complete!

Once your dental implant surgery is complete, you may receive a temporary crown to put on the implant that same day. If a bone graft was necessary, the jawbone may not be ready to bear the load of chewing right away and you’ll have to wait a few weeks for the surgical site to heal. During that time, the dental implant fuses to the jawbone to create a strong foundation for the implant crown.

When your dentist is satisfied that your dental implant is strong enough to withstand everyday chewing function, a permanent crown will be placed on top of your implant. Congratulations! You are now ready to enjoy your new smile!

Strong, Stronger, Dental Implant

If you’re beginning to think replacing your missing tooth is more necessary than you initially thought, then you are right. Dental implants are considered the gold standard of tooth replacement, with many benefits for the appearance, functionality, and health of your smile. If you feel like dental implants are the right solution for you, talk to your trusted dental implant dentist and get your smile back!

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Periodontal Reconstruction - Dr. Victor Terranova discusses the  restoration of structure and function of the diseased periodontium.

 

Dr. Victor Terranova received his BA from Rutgers College of Rutgers University in New Jersey. He received his DMD from the University of Medicine and Dentistry of New Jersey in 1972 and his MS and PhD in Molecular Biology at the University of Rochester in 1978. Specialty training in Periodontolgy was completed at the Eastman Dental Center of Strong Memorial Hospital, affiliated with the University of Rochester under the mentor of Dr. Helmut A. Zander in 1976.
After his training Dr. Terranova spent seven years as Senior Staff at the National Institutes of Health and National Institute of Dental Research. Dr. Terranova is currently on the faculty of the California Implant institute. In 30 years of practice, Dr. Terranova has performed thousands of surgical procedures, including implant placement, periodontal surgery and grafts, sinus augmentation, and simple and complicated tooth extractions including 3rd molar extractions.

Periodontal disease was first treated back in the 1950’s and has undergone significant changes in the modality of treatment in the last 4-5 years.  During the 1950’s the main focus of treating periodontal disease was to eliminate  the ‘pyorrhea’ that was found in the patient’s mouth. Pyorrhea was the ‘man in the street’’ term for bleeding, pussy gums.

 

Since then various treatments have been proposed for treating adult periodontal disease and are used effectively. These include scaling and root planing and pocket elimination which has been the very foundation of treating periodontal disease. Getting rid of the periodontal pocket and making the tooth surface more accessible for the patient to clean.

 

Within the last 20 years however the methodology has changed. Instead of eliminating the periodontal pocket by cutting the gum tissue away, people have been more focused on rebuilding the periodontal apparatus in the mouth than the previous method of removing diseased gum tissue and  enlarging the tooth surfaces.

 

By this we mean periodontal reconstructive surgery - rebuilding  the patient’s periodontium ( the specialized tissues that both surround and support the teeth). This entails surgically opening the gums to expose the diseased root surfaces and the bone, then cleaning the inside of the soft tissue flap and reconstructing the ‘boney’ environment around the diseased teeth.

 

In doing this we are undertaking a process now termed ‘periodontal regeneration’. Periodontal regeneration  has been shown to a limited degree. We are now proposing to rebuild the bone structure around the teeth and then consequently place the gum tissue at it’s natural position in the mouth therefore re-establishing a periodontal situation that is disease free and appears natural.

 

By doing this we take bone graft and membrane for guided tissue regeneration and we supplement this with Platelete Rich Plasma  derived from the  patient in conjunction with  the patient’s own mesenchymal stem cells. PRP technology is a highly effective technique used in bone and soft tissue regeneration that yields quicker results and also reduces the discomfort due to improved and faster healing.

 

This process of using PRP and Stem Cells allows for:

 

Better healing

Accelerated healing

Using bone graft material from patient or from tissue bank


In this way the patient’s entire periodontal well being  is rebuilt as we slowly  supply the patient with a disease free periodontium.



Advantages of this technique after the procedure is that:

 

The process  involves minimum post-op discomfort to the patient

There is increased bone around the teeth

There is more stability around the teeth

A more natural environment is created that the patient can clean and maintain.

 

If you are worried about periodontal disease or have been told by your dentist that you need to be referred to a periodontist and you would like to have a consultation with Dr. Victor Terranova, then please call us on 718-499-2375.


Our website is www.dentistparkslope.com and http://www.austindentalplusny.com our you can read about periodontal reconstruction here at http://www.dentistparkslope.com/periodontist-park-slope-brooklyn.php and  http://www.dentistparkslope.com/periodontist-brooklyn.php where you can learn about what we perform at Jim Sarji's office, Advanced Gentle Dentistry of Park Slope where I am the periodontist. Our practice is located in Park Slope, Brooklyn. The practice focuses on all forms of general and cosmetic dentistry. We also offer dental implants, dental crowns, porcelain veneers The practice is located in the heart of Brooklyn and has a number of hygienists offering dental cleanings from Monday to Saturday. 

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