Oral Surgery

Dental Implants & Bone Grafting

Dental Implants

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat a normal diet, knowing that his or her teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence. Statistics show that 69% of adults ages 35 to 44 have lost at least one permanent tooth to an accident, gum disease, a failed root canal or tooth decay. Furthermore, by age 74, 26% of adults have lost all of their permanent teeth.

What are Dental Implants?

The implants themselves are tiny titanium threaded screws that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small extensions (abutments) that protrude through the gums are then attached to the implants. These abutments provide stable anchors for artificial replacement teeth. Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing. With an overall success rate of about 95% and almost 50 years of clinical research to back them up, dental implants are frequently the best treatment option for replacing missing teeth.

What is the procedure?

For most patients, the placement of dental implants involves two surgical procedures. During the first procedure, implants are placed within the jawbone. This surgery is usually accomplished with IV sedation and local anesthesia and there is usually minimal post-operative discomfort. For the first three to six months following surgery, the implants are beneath the surface of the gums, gradually integrating with the jawbone. Patients are usually able to wear temporary replacement teeth and eat a soft diet during this time.

After the implant has integrated into the bone, the second phase begins. The implants are uncovered and small posts (abutments) that will protrude through the gum are attached. These abutments will act as anchors for the artificial teeth. The entire course of implant treatment usually takes six to eight months. Most patients experience minimal disruption in their daily activities.

In selected cases, implants can be placed at the time of tooth extraction, minimizing the number of surgeries as well as the overall treatment time.

Are Dental Implants Right for Me?

Almost anyone can have dental implants. If you are considering implant treatment an evaluation visit will be scheduled. At that visit, we will review your medical history and perform a comprehensive clinical and radiographic evaluation. If you can have routine dental treatment, you can generally have an implant placed. While precautions are advisable for certain conditions, patients with such chronic diseases as high blood pressure and diabetes are usually successful candidates for dental implant treatment. Although smoking lowers the success rate of implants, it doesn’t eliminate the possibility of getting them. Whether you are a young, middle-aged or older adult; whether you need to replace one tooth, several teeth, or all your teeth, there is a dental implant solution for you. With the exception of growing children (implant tooth replacement in children is usually deferred until their jaw growth is complete.), dental implants are the solution of choice for people of all ages.

In general terms, there must be sufficient jawbone structure present to allow implant placement. In marginal cases, surgical techniques such as bone grafting can often be done to allow implant placement. These various options can be discussed during an evaluation visit with our doctors for dental implants in NYC.

Bone Grafting

Over a period of time, the loss of teeth causes the jawbone to atrophy or resorb. Once this occurs, the lack of quality or quantity of bone may make the site unsuitable for the placement of dental implants. However, there are procedures that can augment and restore missing bone in order to allow placement of implants. Types of bone graft procedures include:

Socket Preservation Graft

This procedure involves placing bone graft material in the socket at the time of tooth removal. This will maintain the level of bone present, and prevent the collapse of the socket where the tooth was located. A few months later the site should be ready for implant placement

What are Dental Implants?

The implants themselves are tiny titanium threaded screws that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small extensions (abutments) that protrude through the gums are then attached to the implants. These abutments provide stable anchors for artificial replacement teeth. Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing. With an overall success rate of about 95% and almost 50 years of clinical research to back them up, dental implants are frequently the best treatment option for replacing missing teeth.

Sinus Lift Procedure

In the upper jaw, the maxillary sinus is an air-filled space that is located above the posterior teeth. If these teeth are lost the proximity of the sinus may result in insufficient bone available for the placement of implants. The sinus lift procedure involves elevating the maxillary sinus membrane and placing a bone graft onto the sinus floor, thus providing more bone to allow implants to be placed.

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Ridge Augmentation

In cases of severe ridge resorption, an autologous bone graft may be placed to increase the ridge height and/or width.

What are Dental Implants?

The implants themselves are tiny titanium threaded screws that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small extensions (abutments) that protrude through the gums are then attached to the implants. These abutments provide stable anchors for artificial replacement teeth. Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing. With an overall success rate of about 95% and almost 50 years of clinical research to back them up, dental implants are frequently the best treatment option for replacing missing teeth.

Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants in the lower jaw.