Implants are a huge part of our office. When we talk about implants, there are many parts that need to be explained.
Let’s talk about the history a bit: In 1952, in a modestly appointed laboratory in the university town of Lund, Sweden, Professor Branemark had a lucky accident — what most scientists call serendipity. Much to his irritation, Dr. Branemark discovered that it was impossible to recover any of the bone-anchored titanium microscopes he was using in his research. The titanium had apparently adhered irreversibly to living bone tissue, an observation which contradicted contemporary scientific theory.
To his curiosity, Dr. Branemark subsequently demonstrated that — under carefully controlled conditions — a titanium screw (a very strong and bio-compatible material) could be integrated into living bone with a very high degree of predictability, without long-term soft tissue inflammation, or ultimate fixture rejection. Branemark named the phenomenon osseointegration.
This is key, osseointegration. Please remember that name.
What is an implant and do we place implants in our office?
In our office we have placed 1000 implants. The reason it is important to place the implants in the same office where they are restored with a crown, is to know and plan the prosthetic (restorative) part.
Let’s start from the beginning. Not every broken tooth needs to be extracted. Dr. Joseph Goodman’s philosophy is always to “Respect The Tooth”. What that means is that Dr. Goodman will remove or extract the tooth only as a last resort. If there is a way to save the tooth, we will !
Unfortunately, it has become all too common that dentists extract teeth too fast and too easily and replace it with a dental implant. Yes, indeed implants are easy, fast, predictable, and beautiful and fascinating. They look and feel like a natural tooth, but they are after all last resort. At least in our office. Very few dentists put in the efforts and time it takes to save a badly broken tooth. Extraction and dental implants are all too often performed in many offices.
Not at Dr. Joseph M. Goodman.
There are many tools available: A root canal, a gum surgery, a crown lengthening, an hemisection, (splitting the tooth in half and safe and restoring the broken part, while the non-restorable part is extracted). That is cool in itself: Dr. Goodman can extract the broken part of the same tooth and save and restore the part that is still good.
In any case, there comes a time in your life that an implant is a must. Teeth consist of a tooth portion (crowns) and a root portion. The root portion is under the gum and the crown portion is above the gum.
A dental implant is a “root” replacement, usually made of titanium or full biocompatible, zirconia for our holistic patients. Titanium is an amazing metal that is very biocompatible. It is used in dentistry as a screw and literally the dental implant is a metal screw. This means that after the implant is placed and you go home, nothing is visible other than the stiches. The implant itself is always buried under the gum and not visible to you. The implants are placed into the bone, below the gum level. Basically, replacing the roots of your teeth, see photo.
All implants placed today are root-form implants, i.e., they appear similar to an actual tooth root (and thus possess a “root-form”, see photo above) and are placed within the bone. The jawbone accepts and osseointegrates with the titanium post. Osseointegration refers to the fusion of the implant surface with the surrounding bone so the dental implants will fuse with bone.
This is the basis of modern dentistry, a titanium screw replaces the root system of the natural dentition and thus, can support a denture, a crown, or a dental bridge.
Implant Prostheses, Implant superstructure and Implant crowns and bridges
If you are missing upper or lower teeth completely and like to restore them, we can do a round house for you. Basically, you have 14 upper and 14 lower teeth, 28 teeth in total.
If all your lower teeth are missing, we can place 7 to 8 implants on the lower and connect them with an implant bridge, with 14 teeth. This avoids placing 14 implants and 14 single crowns for economic reasons. The more implants, the better. The crowns or bridges are screwed into the implants and are fixed, non-removable and very secure!
SINGLE TOOTH IMPLANT REPLACEMENT
Here is another case performed by Dr. Goodman. A patient is missing a single tooth. One implant was placed and restored with a single crown.
IMPLANT SUPPORTED DENTURE, THE OVERDENTURE, ALL ON FOUR PROSTHESIS
Occasionally, life can have many challenges and difficulties. A patient with a history of drugs, neglect, financial limitations or poor oral hygiene are faced with rotten and decayed teeth. Placing 8, 10 or more implants and restoring them, is not always possible, either due lack of bone or lack of financial means.
The advantage of this system is that you can restore 14 upper or 14 lower teeth by attaching a full upper denture to only 4 (or 6 implants). If it is not possible to do more due to cost or due to bone limitations, this can be a very effective alternative. A denture is connected securely to your implants. Because dental implants are retaining (connected to) the denture, the denture is more stable and safe than just a denture without an implant. This system is removable or fixed. You can choose to sleep with the denture and wear it all the time. The removable denture can be taken out for easy cleansing once or twice a day.
Implant Dentures have no palatal coverage. This makes articulation, eating, chewing, taste sensation and comfort much easier.
No palatal coverage allows for better articulation and comfort. Moreover, it allows the patient to eat and chew more easily; as well as have a better taste sensation.
A full (traditional) full upper denture (shown before) has full palatal coverage; thus the patient has limited taste sensation.
Implant denture as a comparison:
In comparison, a full upper implant supported denture (shown above) has a“cut out”, and therefore is exposing the palate – a huge improvement for tasting food. This is an implant denture with no palate coverage. Four to six implants is all we need to replace 14 upper teeth.
There is much more to implants and implant restorations. Please call 310-860-9311 to inquire about implants.