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| As we
pass the 21st century, dental implant therapy is rapidly becoming
the most ideal and conservative method of "permanently"
replacing one or more missing teeth. This remarkable advancement in dental treatment will
significantly enhance the quality of life by restoring
health, function and appearance. |
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 first developed over 30 years ago in Sweden. A Swedish orthopedic surgeon and
researcher, Dr. Per Ingvar Branemark, observed that a titanium implant could naturally and
predictably bond with bone. This phenomenon was termed "OSSEOINTEGRATION".
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 Implant
Innovations implant fixtures and components which are produced by Implant Innovations, the world leader in dental implant
manufacturing, education and research.
We strongly believe in the "team concept" of
providing patient-centered care. As a highly trained surgeon, the periodontist is
responsible for all surgical aspects of implant therapy. The surgeon works closely with
the general dentist or prosthodontist and laboratory technician, each of whom have
received advanced, specialized education in the restoration of dental implants. The end
result of this collaborative process is a beautiful and functional "permanent" tooth replacement that leads to an enhanced quality of life for our patients. |
EXAMINATION AND TREATMENT PLAN
| During the examination process, the overall condition of the mouth
will be evaluated. Information is gathered regarding 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 visualize the teeth and jawbone. In many cases, more
sophisticated imaging such as a CAT SCAN will be required to
precisely determine bone contours and the position of vital anatomical structures.
Impressions and study casts of the teeth and gums contribute to the careful analysis
process. |

| Once all of the information is recorded, the periodontist, dentist and
lab technician will determine which type of dental implant
restoration best suits the patients needs. Some examples of "fixed" and "removable"
treatment options can be seen below: |
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


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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