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1. Is the concept of dental implants a new one?
Interestingly, dental implants have been performed for thousands
of years. Egyptian mummies have been found with gold wire implants
in the jawbones. Pre-Columbian skeletal remains exhibit dental
implants made of semi-precious stones. Recently, a Roman soldier was
unearthed in Europe with an iron dental implant in his jawbone. In
the Middle East, implants made of ivory have been discovered in
skeletons from the Middle Ages.
Modern implantology began in the United States at the beginning
of the 20th century. However, popularity really grew in the 1980’s
with the increased success of the titanium cylinder. Since then,
many brand name implants with minor variations have been approved.
2. What factors contribute to long-term success of Dental
Implants?
Long-term success depends on multiple factors. First off, success
will depend on the quality and quantity of bone. The better the bone
and the more available, the greater the chance of long-term success.
Secondly, the experience and ability of the dental surgeon will be a
factor. As with any surgical procedure, there is no substitute for
the experience and individual talent of the dentist. And finally,
the quality of the restoration placed on top of the implant will
play a big role in long-term success. If the design of the implant
crowns or overdentures are poorly constructed, and biting forces are
not balanced, even the best-placed dental implant will have a
compromised survival rate.
3. Who can place a dental implant in my mouth?
A periodontist, an oral surgeon, or an implantologist places
dental implants. The periodontist and oral surgeon are teamed with a
restorative dentist. They will place the implants and then the
patient will be seen by a restorative dentist for completion of the
crowns or overlying appliance. There will be two dentists during the
course of treatment. An implantologist is trained in both dental
implant surgery and restoration of the dental prosthesis. An
implantologist will do both the surgery and the restoration, and
there will be only one dentist during the course of treatment. Click
here to find an implantologist near you.
4. Who can restore the teeth on the top of dental implants?
A general dentist trained to restore implants, an oral
implantologist, or a prosthodontist can restore teeth. It is the
choice of the patient to use a "one doctor approach," whereby the
oral implantologist does both the surgery and the restoration, or
the "two doctor approach," whereby the surgery and restoration are
performed by two different clinicians. Click here to find an
implantologist near you.
5. Are there any age limitations for dental implants?
No. Any person at any age can have dental implants as long as
there is enough bone available in which to place the implants.
What might be some of the factors that would prevent me from
being an implant candidate?
There are some medical factors that might prevent a person from
being a good candidate for dental implants. Some of these may be
uncontrolled diabetes, chemotherapy or radiation therapy,
parathyroid disorders, blood disorders, rare bone disorders or bone
marrow cancer. Some physical factors may include insufficient or
poor quality bone, low sinuses or nerve bundles.
6. How often will I need to have my dental implants checked?
The success of your implants will depend greatly on how well you
maintain them. They will need to be professionally cleaned by a
hygienist and examined by your implant dentist every three to four
months. This hygienist should be trained in the specific procedure
of maintaining dental implants. Also, brushing and flossing daily is
absolutely necessary for long-term success.
7. Is dental implant surgery painful?
No. An effective local anesthetic is used during the surgery so
that you do not have any discomfort during the placement of the
implants. The mild discomfort you might experience after surgery can
be controlled with medications.
8. When can I return to work after implant surgery?
You can go to work the next day, unless some particular surgical
circumstance arises. Your implant dentist will discuss all
postoperative instructions with you.
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