Treatment and Procedure Basics
Dental implants, as a procedure and treatment choice, achieved initial fame during the 60’s. Today they are regarded as the Gold Standard of tooth replacement.
A dental implant tooth replacement for a single location is a popular recommended treatment. Many patients will opt, however, for a 3 unit bridge primarily for economic reasons.
The downside for what is perceived to be an initially economical treatment is that, since two additional teeth (specifically anchor teeth) become modified to accommodate the bridge, treatment problems can arise with a few years if oral hygiene practices haven’t been “perfect.” Bridge anchor teeth tend to develop seepage problems that can cause loss of additional teeth or even bridge replacement.
A singular root form dental implant, properly placed and maintained, poses NO risk to adjacent teeth.
The initial cost of a singular implant can easily be outstripped by unforeseen treatment complications that typically accompany modification of healthy teeth to serve as bridge anchors.
Congenital Missing Teeth Replacements
Missing laterals, missing bicuspids and missing canines are not an uncommon issue. Dental implants, as a tooth “creation” treatment, are preferred by many patients.
Upon reaching adulthood, implants can be placed nearly effortlessly to “complete” the smile that all patients want.
In cases where the patient, at an earlier age, decided to undergo orthodontic movement of adjacent teeth to fill in the gaps can usually elect to recreate the “missing tooth gaps” and have implants placed.
Despite claims made by many orthodontists, moving teeth to fill in “missing tooth gaps” basically looks goofy. The patient is aware of this outcome, as well as people who “see” the smile.
While Maryland bridges provide a satisfactory “cosmetic” outcome of missing teeth, they don’t endure biting pressures well. A dental implant thrives on bite pressure dynamics in that it serves to maintain stimulation of underlying bone.
Implants and Bone Loss
A healthy tooth and root maintains optimal bone health in the immediate area of the tooth. If the root is missing or removed…. bone loss invariably occurs. Left untreated for too long, the bone loss can affect adjacent teeth and even cause them to shift or tilt.
Untreated extractions, which are fairly common among adults, will cause bone to deteriorate and may even cause the opposing tooth to “grow toward” the extraction site. Left untreated, this condition becomes quite ugly and can damage adjacent teeth.
Extreme Bone Loss
The bone loss progression models pictured here shows, in the left image, a normal complement of teeth and natural lower jaw bone mass and height.
Unfortunately, too many denture wearers discover that long-term use of unsupported dentures cause rapid deterioration of jaw bone. In extreme cases where denture usage exceeds 15 years, the lower jaw can become so thin that breakage occurs in some cases.
Specialized grafting products and implant placement protocols are available in our practice to replace lost bone and/or provide sensible anchoring methods for patients who prefer removable prosthetics.
For those patients who have been told they are not a candidate for traditional implant treatments, Dr. Nazarian has used subperiosteal devices to recreate an entire ridge of new bone necessary for attaching prosthetic teeth. Read our Subperiosteal Device page to learn more.
Implants for Failed Root Canals
Root canaled molar teeth is a common treatment that undergoes failure after a period of a few years. Because a successful root canal disturbs the nutrient supply to the tooth, extreme biting pressures (common for molars) can cause the underlying tooth structure to eventually fail.
Many dentists who are proficient with implant dentistry will recommend a dental implant as an alternative to a root canal retreatment. Retreating a tooth that already has a diminished nutrient quality cannot be expected to improve, overall, despite having a newly installed crown.
Because of the retreatment costs of a root canaled tooth, more and more dentists are recommending a dental implant replacement INSTEAD of a root canal treatment, based purely on economic reasons.
For most patients, multiple extractions, bone grafting, implant surgery and placement of replacement teeth CAN and DO occur within the same appointment.
Many implant patients (including denture patients) are concerned with being toothless during their overall treatment.
In our office, regardless of how many teeth require removal or how many implants are planned….. none of our patients leave without teeth. Dr. Nazarian has a variety of methods and products for assuring immediate tooth replacement… even if extensive surgery was required.
Hours Become Minutes
Although Dr. Nazarian’s formulations for using Oral Sedation are very efficient for many patients, IV Sedation, complete with a Licensed Anesthesiology RN is available for those who simply want the comfort level that a deep sleep experience provides.
Skillful combinations of medications can change the perception of a dental appointment of nearly any length… to something that seems to have been completed in 15 or 20 minutes.
Sedation services, regardless of type or level, also provide the distinct advantage of eliminating the routine concern of discomfort associated with having one’s jaw open for an extended period. Jaw muscles simply don’t become uncomfortable over time.
Most of our patients who have had full mouth reconstructive dentistry are comfortably eating complete meals either the same evening of the treatment appointment or by the next morning.
Extensive Tissue Loss
In cases where bone loss has been extensive due either to gum disease issues or cumulative bone deterioration (due to poor treatment histories or direct trauma), an extra appointment may be required to place additional implants that best rehabilitates what was lost.
These secondary appointments are as comfortable as the first treatment appointment and tend to be very short.
Dr. Nazarian has an exemplary record in assuring the best comfort imaginable for any dental implant patient. Simply put, even the most complex dentistry can be “made” easily managed…instead of endured.
Questions can be directed to Dr. Nazarian personally via our online email Ask The Dentist Form. He will respond to you directly with the answers you seek to any questions about the material on this page.