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1. Why should I undergo implant surgery, instead of simply wearing
a denture or a bridge?
A. A natural tooth does more than enable a person to cut and
grind food and look good. Teeth also are the reason the bones of the
jaws exist. When natural teeth are lost, those bones lose their
reason for being, and they begin to shrink. In dentistry, this is
known as resorption. For many patients, resorption is minimal, and
sufficient bone remains to provide a good foundation for a full or
partial denture. For other patients, however, bone loss becomes
severe. When this occurs, a number of unpleasant side effects may
occur:
Loose-fitting dentures make it difficult to bite or chew
properly. As a result, the range of food a person can comfortably
eat becomes limited. In some cases, this limitation is sufficient to
impact nutrition. Loose-fitting dentures often rub the underlying
gums, causing persistent soreness. Speech may be impaired.
Appearance is negatively impacted. A gag reflex could be induced.
Self-image is affected.
2. Does my age affect my ability to be treated with dental
implants?
A. Age is rarely a consideration in dental implant treatment. In
very young patients, implants are most often utilized to replace
teeth lost due to trauma. In older patients, they are used to
address teeth lost to disease.
In the past, bone resorption sometimes made it difficult to treat
patients if tooth loss had occured long before implant treatment was
sought. Today, new technologies have made it possible to rebuild the
bone so that patients that have been without teeth for decades may
still be treatable.
3. How will dental implants improve my life?
A. Dental implants provide a more stable and natural feeling than
loose dentures. You will be able to eat virtually any food with
ease, comfort, and confidence. you will notice an improvement in
your appearance, and possibly, in your speech. Many patients find
these improvements enhance their self-image and self-confidence. Top
4. Will treatment hurt? What can I expect during the
post-operative period?
A. Since the jaw bones have few nerve endings, the placement of
dental implants causes only minor surgical discomfort - perhaps
equivalent to having a tooth pulled. Depending on the extensiveness
of the procedure, many patients are able to work within a day of
surgery. Post-operative discomfort is controlled with prescription
pain medication. You will be placed on a soft diet and antibiotics
for a few days and told to use an antiseptic mouth rinse several
times daily. In most cases, you will be able to wear your existing
or new temporary bridge or appliance immediately after surgery.
Sutures are removed approximately 10 days after the implants are
placed. During the remainder of the healing period, you are seen
regularly by the implant dentist to confirm the health of the your
gums and implant sites. The healing period should be uneventful.
5. Once the treatment is complete, are the new artificial
teeth permanently in place?
A. That depends on the treatment option you and your dentist have
chosen. Implants may be used with a variety of prosthetics, both
fixed (non-removable), and removable. Your dentist will discuss the
various options during the evaluation phase of your treatment. In
many cases, lower dentures can be stabilized with no waiting period.
6. Is the treatment only for people who have lost all their
natural teeth, or can it be used to replace only one or two teeth?
A. Implants may be used to replace any number of natural teeth.
Among young adults in particular, an implant is often used to
replace a single tooth lost to an athletic, bicycling, or other
accident, or to provide artificial teeth where natural teeth never
developed. In older patients, implants are often used to replace an
entire mouthful of teeth.
7. How long after the loss of teeth can I be treated with
dental implants?
A. Until fairly recently, it was sometimes difficult to treat
patients who had lost their teeth many years before because so much
bone had been resorbed by the time they sought treatment. Today,
however, many materials have become available to to build up or
graft the natural ridge, creating sufficient bone for implant
treatment. As a result, timing is no longer as critical as it once
was. Implants can be placed into sockets where teeth have been
extracted or lost in an accident, and we put implants into jaw bones
that lost their natural teeth roots decades earlier. If a tooth, or
teeth, have been missing for years, quite often a considerable
amount of bone has been lost from disease. If the teeth happen to be
in the front where aesthetics are extremely important, the ridge is
built up with a graft first to restore it to its original shape and
size. The implants are placed only after the ridge has healed. This
procedure is done to give the most natural look possible.
8. How long do implants last?
A. Long-term studies of implants have shown that implants can
last as long as 20 - 25 years. Your own personal success will be
influenced by factors related to your general health (including
smoking, grinding, and oral hygiene). With an evaluation prior to
treatment, the probability of success is high.
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