Dental Implants

Dental Implants

When you lose a tooth or several teeth, whether it’s recent or something you have lived with for years, chances are you have never become fully accustomed to losing such a vital part of yourself. Dental implants can be your doorway to effectively replace what you have lost so that you can renew your self-confidence and regain peace of mind. These implants are truly changing people’s lives. We are honored to work with so many patients in the Greater Manchester area, and work hard to suit their individual needs and helping them restore their confidence.

Why dental implants?

Dental implants are designed to provide a foundation to support replacement teeth. They look, feel and function just like natural teeth. The patient who has prematurely lost teeth regains the ability to eat virtually anything, knowing that their replacement teeth appear natural and that facial contours will be preserved. Patients with dental implants can once again smile with confidence.

What are dental implants?

Dental implants are small titanium posts that look like little screws. They act like artificial tooth roots and, once surgically inserted into the jawbone, will support replacement teeth in many different forms (e.g. individual crowns, multiple tooth bridges, “overdentures,” or full arch sets of teeth).

Types of dental implants

Once surgically placed into the jawbone, the bone will intimately bond with the titanium on the surface of the implant. Small attachments called abutments are then connected to the top portion of the implants. These connect and support the replacement teeth. Implants also help preserve facial contours, preventing bone deterioration that occurs when teeth are missing.

The surgical procedure

Using the most recent advances in dental implant technology and custom 3D digital surgical guidance, Dr. Abel can place dental implants with the utmost accuracy and, in some cases, using a minimally-invasive technique. The adequacy of your jaw structure and the stability of the implants at the time of insertion will determine the time necessary for the implants to heal before artificial teeth can be placed onto the implants.

In some, but not all, situations, dental implants can be placed at the same time as teeth extraction.  And, in select cases, a tooth or several teeth can be extracted with dental implants placed and crowns or dentures attached, all on the same day.  This procedure, known as immediate loading or immediate provisionalization, can simplify the surgical process for the patient. When the entire upper or lower jaw has all of its teeth removed with dental implants placed and a set of teeth attached, all on the same day, this is known as the “All-on-4” or “Teeth-in-a-Day” technique.  This requires close coordination with your referring dentist.

Who actually performs the implant placement?

Implants are a team effort between an Oral Surgeon and a Restorative Dentist. While Dr. Abel performs the actual implant surgery, as well as any tooth extractions and bone grafting necessary, your restorative dentist fabricates the permanent replacement teeth. Your dentist will also make any temporary teeth needed during the implant process.

What types of prostheses are available?

A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and requires at least two implants, sometimes more. A complete dental prosthesis (full arch prosthesis) replaces all the teeth in either your upper or lower jaw. The number of implants necessary for this latter option varies depending upon which type of complete prosthesis (removable or fixed) is recommended by your dentist and surgeon. A removable prosthesis (“overdenture”) attaches to special connectors placed in the top portions of the implants, whereas a fixed prosthesis is permanent, screwed or cemented in place and can only be removed by your dentist.

Why would you select dental implants over more traditional forms of tooth replacement?

There are several reasons: Removable partial dentures must be inserted every morning and removed every night. This may be inconvenient, not to mention dentures can slip, can be uncomfortable and can cause unnecessary embarrassment. Fixed partial dentures, or bridges, can provide stable sets of replacement teeth, but this comes with a price. The patient must accept that at least two, and sometimes more, teeth adjacent to the lost tooth space must be cut down, or prepared so that the bridges have something to connect to. Dental implants eliminate the need to cut down perfectly good teeth!

Are you a candidate for implants?

If you are considering implants, first your mouth must be clinically examined thoroughly by Dr. Abel and your medical and dental history will be reviewed. Then, a radiographic evaluation must be performed and correlated with clinical findings. This will determine whether you have enough bony height, width and length to place, stabilize and maintain dental implants. If it is found you do not have enough bone for dental implants, our doctors will discuss ways of improving your individual situation, such as bone grafting, so that you too will be able to benefit from dental implants in the future.

Do implants need special care?

Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with both your regular dentist and your surgical specialists. You’ll be expected to follow-up at least yearly with your regular dentist to ensure there are no detrimental bony changes occurring around your implants.