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DENTAL IMPLANTS BOSTON MASSACHUSETTS

Dental implant therapy is rapidly becoming the most ideal and conservative method of "permanently" replacing one or more missing teeth. This remarkable advancement in dental treatment will significantly enhance the quality of life by restoring health, function and appearance.

WHAT IS A DENTAL IMPLANT?

ImplantA dental implant is a biocompatible screw-like titanium "fixture" that is surgically placed into the jawbone. After healing is complete and the implant is anchored in the bone, an implant post or abutment and permanent tooth can be attached in a variety of designs.

HISTORY

The scientifically-based method of implant therapy was first developed over 30 years ago in Sweden. A Swedish orthopedic surgeon and researcher, Dr. Per Ingvar Branemark, observed that a titanium implant could naturally and predictably bond with bone. This phenomenon was termed "OSSEOINTEGRATION". Since the original implant was placed three decades ago, several hundred thousand patients have enjoyed the benefits of successful "permanent" tooth replacement with dental implants.

EXAMINATION AND TREATMENT PLAN

During the examination process, the overall condition of the mouth will be evaluated. Information is gathered regarding the health of the gums, quality and quantity of underlying bone, position of teeth, occlusion and cosmetic desires. Routine x-rays will be necessary to help visualize the teeth and jawbone. In many cases, more sophisticated imaging such as a CAT SCAN will be required to precisely determine bone contours and the position of vital anatomical structures. Impressions and study casts of the teeth and gums contribute to the careful analysis process.

Cat Scan

Once all of the information is recorded, the periodontist, dentist and lab technician will determine which type of dental implant restoration best suits the patients needs. Some examples of "fixed" and "removable" treatment options can be seen below:

REPLACEMENT OF A SINGLE TOOTH

Single Tooth


REPLACEMENT OF A SEVERAL TEETH

Several Teeth

"FIXED" REPLACEMENT OF A LOWER OR UPPER ARCH

Fixed

"REMOVABLE" REPLACEMENT OF A LOWER OR UPPER ARCH

Removable

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SEQUENCE OF EVENTS DURING IMPLANT TREATMENT

STEP 1: IMPLANT PLACEMENT

Using regular dental anesthetic, the surgeon lifts the gum tissue away and performs a precise and gentle technique to place the dental implant fixture into the jawbone. The gum is repositioned and sutured. Most patients experience no major discomfort after the procedure.

Step 1

Step 2

STEP 2: OSSEOINTEGRATION PERIOD

The dental implant fixture will be left undisturbed in the jawbone for a period of four to six months. During this time, the bone attaches to the implant and OSSEOINTEGRATION takes place. Depending on the case type, a temporary removable denture may be worn to preserve cosmetics, as shown at right.

STEP 3: ABUTMENT CONNECTION

Once osseointegration of the implant is complete, the surgeon exposes the top of the implant and attaches a post or abutment. This abutment passes through the gum and ultimately supports the new tooth.

Step 3

Implant

STEP 4: FINAL PROSTHETIC RESTORATION

Your dentist will take an impression of the implant and will work with the lab technician to make the new implant-supported tooth, as per the original treatment plan. The final prosthetic tooth can be screwed to place or cemented. The new tooth is firmly anchored into the bone and gums, and will look and feel just like a natural tooth.

This information was adapted from the Nobel Biocare brochure "Dental Implants, Bringing Quality Back to Life"

TREATMENT IN CONJUNCTION WITH IMPLANT THERAPY
RESTORATION OF THE BONY RIDGE
PRIOR TO IMPLANT PLACEMENT

Gore-Tex 1

RESTORATION OF THE BONY RIDGE AT
THE SAME TIME AS IMPLANT PLACEMENT

Gore-Tex 1

This information was adapted from the Guidor USA brochure "Information on Guided Tissue Regeneration" and the W.L. Gore and Associates, Inc. brochure, "Regeneration of Bone: Helping The Body Heal Itself".

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