Implant Dentistry

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 — titanium (a very strong and bio-compatible material) could be structurally integrated into living bone with a very high degree of predictability, without long-term soft tissue inflammation, orultimate fixture rejection. Branemark named the phenomenon osseointegration.

The first practical application of osseointegration was the implantation of new titanium roots in an edentulous patient in 1965. More than thirty years later, the non-removable teeth attached to these roots were still functioning very well.

A dental implant is a “root” device, usually made of titanium. Titanium is used in dentistry to support restorations that resemble a tooth or group of teeth to replace missing teeth.

All implants placed today are root-form endogenous implants, i.e., they appear similar to an actual tooth root (and thus possess a “root-form”) and are placed within the bone (endo- being the Greek prefix for “in” andosseous referring to “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.

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. The first practical application of osseointegration was the implantation of new titanium roots in an edentulous patient in 1965. More than thirty years later, the non-removable teeth attached to these roots are still functioning very well.

A dental implant is a “root” device, usually made of titanium, used in dentistry to support restorations that resemble a tooth or group of teeth to replace missing teeth.

All implants placed today are root-form endosseous implants, i.e., they appear similar to an actual tooth root (and thus possess a “root-form”) and are placed within the bone (endo- being the Greek prefix for “in” andosseous referring to “bone”). The jawbone accepts and osseointegrates with the titanium post. Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone.

Implant Dentistry is basically superior screws created, of a medically pure and biocompatible metallic Titanium. These screws are then placed (screwed in) in the jaw bone and rest underneath the gum for five to six months. Throughout this time, they truly fuse to the jawbone.

Implant Dentistry can be used to support a number of dental prostheses, including crowns, implant–supported bridges or dentures.

Dental Implants Before 1
Dental Implants After 2

One implant was placed for tooth number 7 and there were 7 veneers as well.

Dental Implants Before surgery
Dental Implants After surgery

Full Mouth Reconstruction was Done for This Patient

The first practical application of osseointegration was the implantation of new titanium roots in an edentulous patient in 1965. More than thirty years later, the non-removable teeth attached to these roots are still functioning very well.

A dental implant is a “root” device, usually made of titanium, used in dentistry to support restorations that resemble a tooth or group of teeth to replace missing teeth.

All implants placed today are root-form endosseous implants, i.e., they appear similar to an actual tooth root (and thus possess a “root-form”) and are placed within the bone (endo- being the Greek prefix for “in” andosseous referring to “bone”). The jawbone accepts and osseointegrates with the titanium post. Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone.

Implant Dentistry can be used to support a number of dental prostheses, including crowns, implant–supported bridges or dentures.
Implant Dentistry is basically superior screws created, of a medically pure and biocompatible metallic Titanium. These screws are then placed (screwed in) in the jaw bone and rest underneath the gum for five to six months. Throughout this time they truly fuse to the jawbone.

How Does Implant Dentistry Work?

Implant Dentistry placements are done in two stages: During the first dental visit the implant is screwed into the jawbone. At this point it is not sticking out of the gum surface, it is sleeping under the gum and requires 5 months of healing time. During the second visit, the implant is uncovered and an attachment is placed onto the implant. The attachment looks like a post, which is necessary to anchor the actual crown onto the implant. Dr. Goodman has performed many complicated implants of the upper and lower jaw. Only local anesthetic is necessary it often takes less time to do an implant than it takes to do a root canal.

In particular instances, I will ask for a CT scan, a three-dimensional x-ray that will assist me in evaluating the quality and quantity of bone before I start. A three-dimensional x-ray will give me a vital information before the surgery and allows me to plan your treatment in advance.

Once the implants have healed, you have several options of Implant Restorations:

I have placed a substantial number of implants and have figured out during my career the limitations. The implant placement is the easy part. The restorative dentistry aspects, such as crowns and overdentures, require knowledge in physics, biomechanics, occlusion, centric relation, TMJ and more. Several restorative options can be accomplished:

Option 2) Overdenture. Implants are attached to a denture.

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 to 6 implants. If it is not possible to do 14 implants due to cost or due to bone limitations, this can be a very effective alternative. A denture is connected securely to your implants. Because implants are retaining the denture, the denture is more stable and safe than just a denture without an implant. This system is removable; however you can choose to sleep with the denture and wear it all the time. It can be taken out for easy cleansing once or twice a day.

Option 2) Overdenture. Implants are attached to a denture.

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 to 6 implants. If it is not possible to do 14 implants due to cost or due to bone limitations, this can be a very effective alternative. A denture is connected securely to your implants. Because implants are retaining the denture, the denture is more stable and safe than just a denture without an implant. This system is removable; however you can choose to sleep with the denture and wear it all the time. It 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.

Upper implant dentures have no palatal coverage. 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 above) fabricated the conventional way has full palatal coverage, thus the patient has limited taste sensation.

In comparison, a full upper implant supported denture (shown above) is “cut out”, and therefore is exposing the palate – a huge improvement for tasting food. This is an implant denture with no palate coverage. No palate coverage allows for more comfort and a better ability to taste. The right picture above shows a snap on that allows the dentures to attach to the implant.

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