Dr. Basarab at Lethbridge Periodontal Associates also provides implant services for patients with missing teeth.
Dental implants can be an option for our patients who have lost teeth due to injury or disease.
A dental implant is an artificial tooth root that is placed to hold a replacement tooth or bridge. Getting dental implants may be an option for patients in good general health who have lost a tooth or teeth due to periodontal disease, dental injury, or some other reason.
Implant supported dentures are alternative to convectional dentures.
Titanium implants are permanently placed into the jaw. A denture is custom made using the implants as anchors to firmly hold the denture in place. This allows patients to chew and enjoy all textures of food.
The body of implants are made of commercially pure titanium.
Implants are threaded like a screw. The purpose of the thread is to stabilize the implant while the bone heals.
The abutment screws on to the implant for the purpose of holding the crown, and is made either out of titanium, gold or ceramic.
The crown is the portion that will look and function like a tooth. They are often made of porcelain either with our without a metal substructure for strength.
The dental implant restoration typically consists of three portions- the body of the implant or fixture, the abutment (which is screwed onto the fixture and is used to support the restoration) and the restoration (which is the portion that looks and functions like a tooth).
General dentists place crowns on implants and build dentures for implant supported dentures. There are also some denturists that fabricate implant supported dentures.
To put a single implant into the bone takes about 30 minutes although the appointment takes an hour with prep time and follow up.
The periodontist will apply anesthetic before making an incision in the gum. This step is done to expose the bone so an opening can be made to thread the implant into place. An x-ray will be taken afterwards to confirm the position of the implant.
For the first few days you will keep the area clean with an antiseptic rinse. It may be recommended to take antibiotics for 1 week following the implant placement.
A prescription may also be given for a pain medication if you have discomfort.
If you currently wear a denture, you should be able to continue to wear the denture.
If the implant is in an area that shows when you talk or smile a temporary tooth is fabricated for you to use during the healing period.
As with any medical or dental procedure there are risks that need to be considered. With any work done in peoples’ mouths there is a risk of infection at the time of surgery.
There is risk of bleeding after the placement of the implant. This can occur in patients who take medications that influence blood clotting.
Be sure to tell your periodontist about any medications that you take and if you have had any prior history of bleeding after a medical or dental procedure.
There is also a risk that the bone around the dental implant will not heal. The implant can bump into adjacent teeth if there is not adequate space set out for the implant.
The space can be increased with braces, or another dental procedure. When implants are placed in the back of the upper jaw there is also some risk to the sinuses.
Implant failures can be divided into failures that happen shortly after surgery and those that happen a year or more after the tooth goes on the implant. The problems that arise shortly after surgery are:
When an implant is placed in bone, it is very dependent on both the quality and the quantity of the bone. Quality of bone refers to how dense the bone is. The lower jaw bone tends is more dense than the upper jaw bone.
The quantity of the bone has to be considered in all three dimensions: height, width and depth. There has to be an adequate amount of bone in each of these dimensions to hold the implant. This is typically determined by x-rays or by tomography.
Contact us today to book an appointment.