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Education
Dr. Rosen has completed training with Dr. Pat Allen in root coverage
with Alloderm
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Training
Dr. Rosen has trained with Dr. Steven Wallace in doing sinus grafts.
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Dr. Rosen gave a talk on Dental Sleep Medicine at Emerson Hospital as
part of a panel of sleep physicians.
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Dental implant therapy is tooth replacement
therapy that mimics nature. It helps preserve facial contours, may minimize
or reduce bone loss in areas where implants have been placed, facilitates
proper eating and chewing and enhances quality of life. They do not move as
do non-implant supported partials and dentures do. |
WHAT IS A DENTAL IMPLANT?
A dental implant is a biocompatible screw-like titanium fixture
that is surgically placed into the jawbone. After healing is complete and the implant is
anchored in the bone, an implant post or abutment and permanent tooth can be attached in a
variety of designs.
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HISTORY
| The scientifically-based method of implant
therapy was accidentally discovered over 30 years ago in Sweden. A Swedish orthopedic surgeon and
researcher, Dr. Per Ingvar Branemark, was performing an experiment on blood
flow in bone and this required a titanium cylinder be embedded in bone. It
contained a glass window to allow him to observe the blood vessels in a
sterile environment. When he tried to remove it he discovered that it
was so solidly embedded in the bone that he investigated this phenomenon
further. He observed then that a titanium implant of any type could naturally and
predictably bond with bone. This phenomenon was termed "OSSEOINTEGRATION"
and implants have since been used for attaching various missing anatomical
parts.
Since the original implant was placed three decades ago, several hundred thousand patients
have enjoyed the benefits of successful "permanent"
tooth replacement with dental implants. |
PHILOSOPHY OF TREATMENT
| Dr. Rosen and his staff are committed to providing the highest
quality periodontal and dental implant care for our patients in a safe and comfortable
environment. To help achieve this goal, we utilize Biomet 3i implant fixtures and components which are produced by
Biomet 3i, the world leader in dental implant
manufacturing, education and research.
We strongly believe that it's essential to work
as a team with the restorative dentist. The periodontist is a highly
trained surgeon and is
responsible for all surgical aspects of implant therapy. The surgeon works closely with
the general dentist or prosthodontist and laboratory technician, who have each received advanced, specialized education in the restoration of dental implants.
This process of collaboration results in a beautiful and functional rigid tooth replacement that leads to an enhanced quality of life for our patients. |
EXAMINATION AND TREATMENT PLAN
| During the examination process, it
is essential to evaluate the overall condition of the mouth
as the presernce of periodontal disease can compromise the success of a
dental implant. We gather Information about the health of the gums, quality and
quantity of underlying bone, position of teeth, occlusion and cosmetic desires. Routine
x-rays will be necessary to help evaluate the teeth and bone. In many cases, more
sophisticated imaging such as a CT Scan will be required to
precisely determine bone contours in 3 dimensions and evaluate the position of vital anatomical structures. Once
we record all of the information, we work together with the dentist and lab
technician to determine the best treatment options available.
We use Simplant software to evaluate the CT scan
results and simulate placement of the implants. The following is a screen
shot of a case. This allows us to take accurate measurements in 3 dimensions
and place an image of an implant on the CT scan to find the proper size and
position.
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| SINGLE TOOTH
REPLACEMENT SEQUENCE
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REPLACEMENT OF A SINGLE TOOTH
REPLACEMENT OF A SEVERAL TEETH
"FIXED" REPLACEMENT OF A LOWER OR
UPPER ARCH
"REMOVABLE" REPLACEMENT OF A LOWER
OR UPPER ARCH
OTHER EXAMPLES OF IMPLANT RESTORATIONS
SEQUENCE OF EVENTS DURING IMPLANT TREATMENT
STEP 1: IMPLANT
PLACEMENT
Using regular dental anesthetic, the surgeon lifts the gum tissue away and performs
a precise and gentle technique to place the dental implant fixture into the jawbone. The
gum is repositioned and sutured. Most patients experience no major discomfort after the
procedure. |
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STEP 2: OSSEOINTEGRATION
PERIOD
The dental implant fixture will be left undisturbed in the jawbone for a period of
four to six months. During this time, the bone attaches to the implant and OSSEOINTEGRATION takes place. Depending on the case type, a
temporary removable denture may be worn to preserve cosmetics, as shown at right. |
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STEP 3: ABUTMENT
CONNECTION
Once osseointegration of the implant is complete, the surgeon exposes the top of the
implant and attaches a post or abutment. This abutment passes through the gum and
ultimately supports the new tooth. |
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STEP 4: FINAL
PROSTHETIC RESTORATION
Your dentist will take an impression of the implant and will work with the lab
technician to make the new implant-supported tooth, as per the original treatment plan.
The final prosthetic tooth can be screwed to place or cemented. The new tooth is firmly
anchored into the bone and gums, and will look and feel just like a natural tooth. |
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| This information was adapted from the Nobel Biocare brochure "Dental
Implants, Bringing Quality Back to Life" |
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