People are living longer than ever, and while regular brushing, flossing, and checkups allow many of us to maintain our natural smiles for a lifetime, sometimes our teeth just can't keep up. If you've lost a tooth (or a few teeth) due to injury or disease, dental implants can rejuvenate both your smile and your oral health.
An implant is a synthetic tooth root in the shape of a post that is surgically placed into the jawbone. The “root” is usually made of titanium: the same material used in many replacement hips and knees, and a metal that is well-suited to pairing with human bone. A replacement tooth is then fixed to the post. The tooth can be either permanently attached or removable. Permanent teeth are more stable and feel more like natural teeth.
The ideal candidate for implants is a non-smoker who has good oral health, including a sufficient amount of bone in the jaw, and healthy gums with no sign of gum disease.
Replacing Missing Teeth
Your teeth affect your whole body. When they’re healthy, you’re healthier too. A missing tooth can affect your bite, speech and eating choices. As you rely more on your remaining teeth, you increase the chance they will wear out prematurely, or be damaged or lost. You may also experience headaches and/or jaw pain.
Who would want their appearance and health to deteriorate? That’s the natural consequence of missing teeth – the jaw literally melts away. Generally, people will lose 25% of their supporting jawbone structure within the first year after tooth loss. Dental implants are more easily placed when teeth are first extracted because bone replacement becomes more complex as time passes. The great news? Implants act just like your natural teeth. They safeguard and preserve your bone structure, oral health and appearance. Your dentist and the implant surgeon will provide you with options so that you can make the most informed decision concerning tooth replacement.
Tooth Replacement Options
You can select from a number of different options to replace your missing teeth – from temporary to long-lasting solutions.
A good candidate is anyone missing one or more teeth, or who is unhappy with their dentures. Age is not a factor. However, smoking, diseases such as diabetes, and radiation therapy to the area, have been shown to lower the success rate of implant placement. X-rays of your jaw will be taken to evaluate whether they will accommodate implants. Detailed x-rays may also be required to determine if other tests or procedures are needed to place implants properly.
- Fixed Bridge: A fixed bridge is a connected set of replacement teeth. For support, it is cemented into position on top of the teeth adjacent to the empty space. The protective outer layer of these teeth is usually removed or ground down prior to attaching the bridge.
- Flipper: A fragile, temporary and inexpensive solution is a removable plastic tooth with a plastic retainer, often called a “flipper."
- Metal Partial: A less fragile option is a removable partial denture cast in metal and plastic. It is held in place by wire clips. A removable partial denture can be removed and reinserted when required by the patient.
- Denture: The most common solution, for people missing all teeth in one or both jaws are complete dentures. Some people adapt well to dentures. Others find them uncomfortable, even intolerable, because of differences in jaw size and shape.
- Dental Implants: Dental implants are the most comfortable and permanent solution. They form a strong foundation for teeth and keep the jaw healthy and strong. Implants support individual replacement teeth or secure specialized dentures in place. Unlike bridges, no healthy teeth are damaged. Unlike most bridges, dental implants can last a lifetime. Implant-supported replacement teeth can be attractive, stable, and comfortable for almost any patient.
Why Select Dental Implants Over More Traditional Types of Restorations?
There are several reasons to choose dental implants: A dental bridge can sacrifice the structure of surrounding good teeth to bridge the space of the missing tooth/teeth. In addition, removing a denture or a “partial” at night may be inconvenient, not to mention dentures that slip can be uncomfortable and rather embarrassing.
Advantages Over Dentures or Bridges
Conventional bridges and dentures are not fixed to the bone, and can therefore be unstable. This can make it difficult to eat or smile with confidence. Implants not only look more natural, but feel and act more like normal teeth, with a stronger biting force. And because they don't directly rely on neighboring teeth for support, implants don't compromise the health of your natural teeth. In fact, bridges are only expected to last seven to ten years, even less with root canals, whereas implants will typically last a lifetime.
Dental Implant Solutions For Everyone
Single or Multiple Implants
Implants are versatile. If you are only missing one tooth, one implant plus one replacement tooth will do the trick. If you are missing several teeth in a row, a few strategically placed implants can support a permanent bridge (a set of replacement teeth). Similarly, if you have lost all of your teeth, a full bridge or full denture can be permanently fixed in your mouth with a strategic number of implants.
Implant Supported Overdenture
An Implant Supported Overdenture is a contemporary restoration that has revolutionized the way surgeons and dentists think of replacing a full set of teeth. Standard dentures are unsecured prostheses with inherent limitations. Most often, dentures are painful, inconvenient and unstable. Such dentures can make chewing foods difficult, limiting the foods that you once enjoyed. Modern dentistry can help with implant supported dentures.
The Implant Supported Overdenture treatment concept replaces your missing teeth with a full dental bridge supported by dental implants. Fewer implants are needed and overall treatment time and cost is reduced. An Implant Supported Overdenture solution also ensures greater stability in the bone, reducing the need for bone graft surgery to increase bone volume. Implant-supported overdentures stay connected with bar and clip attachment methods or use a variety of abutment-based attachments (ball, magnets, and resilient stud attachments such as Locators). The most appropriate attachment system for your individual needs relates to a variety of factors that is determined early in the treatment. Typically, a temporary set of teeth can be placed on the same day of surgery. The temporary teeth allow you to lead a normal life immediately after surgery. After a short healing period, your dentist will place the final bridge. Your quality of life is improved, and you can start enjoying your favorite foods again with renewed confidence.
Implant Supported Overdentures Offer You Many Advantages:
- A cost effective solution. When compared to some other implant supported restoration methods, your new replacement teeth require fewer dental implants for each jaw. With fewer implants required, the cost is lowered.
- Reduced need for bone grafting. The special angled placement of two of the dental implants ensures a secure and stable anchorage for the replaced arch, often making bone grafting unnecessary.
- Faster treatment and healing time. Your replacement arch can be attached to your dental implants immediately after insertion.
- Scientifically proven and documented. Implant Supported Overdentures have had good clinical outcomes from decades long studies with favorable results.
Missing ALL Upper or Lower Teeth
Missing All Lower Teeth
Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.
Ball Attachment Denture
One option is to have two dental implants placed in your lower jaw and a denture made that snaps onto these dental implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.
Bar Attachment Denture
Another option involves placing four-to-six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the dental implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
Screw Retained Denture
A third option involves placing five or more dental implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.
Individual Dental Implants
The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more dental implants. Separate abutments or support posts for each one of these dental implants will be made and crowns for each missing tooth will be placed. The teeth are often joined together for sinus grafting to replace bone height strength and support. Overall, this is the most costly option, because it requires the most dental implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jawbone.
What If I'm Missing All of My Upper Teeth?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
TEETH-IN-AN-HOUR™ is a revolutionary concept providing patients with fully functioning teeth on dental implants in a single procedure that takes about an hour. This technology was developed by Nobel Biocare and utilizes collaboration between both the restorative doctor and the oral surgeon. This merging of knowledge and experience achieves not only increased safety, but also a more precise implant placement. In addition, the fabrication of a final prosthesis is completed prior to the surgery. The computer-guided implant surgery is done in an arthroscopic fashion without requiring any flap reflection. This benefits the patient in that there is less postoperative discomfort, less swelling, and less bruising. Patients can often resume their normal activities the next day.
The process begins when a CAT scan is taken of the patient’s jaw bone. This CAT scan allows for the generation of a three-dimensional model of the jaw bone that can then be used with virtual reality software to plan the implant placement without the presence of the patient. The results are a more accurate implant placement and less chair time for the patient.
Our implant services include:
- Sinus Lift Augmentation: Often the sinuses will enlarge following loss of the upper back teeth. This can preclude placement of dental implants in the upper back areas of the mouth, since the sinus is an air-filled space and dental implants need to be surrounded by solid bone. A sinus lift augmentation/graft is a surgical procedure that restores the sinus cavity to its original size, and replaces the bone that has been lost as a result of the enlarged sinus. This new bone graft typically takes nine to 12 months to heal before the dental implants can be placed into the grafted bone.
- Autogenous Bone Grafting: Occasionally, the ideal areas for dental implants do not have sufficient bone quantity to support the implants. In these cases, it is often necessary to “borrow” bone from another area of your mouth and graft it into the deficient area. Often, the area of choice is from the chin or in the back of the jaw where your wisdom teeth used to be.
- Implant Site Development: When a tooth needs to be removed due to infection, it is not uncommon to have lost bone around the infected tooth. In these cases, various types of bone grafting can be done at the same time the tooth is removed to facilitate the placement of a dental implant at a later date.
- Computer-Enhanced Treatment Planning: We have special software on our computer that allows us to evaluate your dental CT scan in three dimensions for bone quality, bone quantity, and bone location, enabling the best possible placement of your dental implants. This also allows us to work closely and smoothly with your restorative dentist to ensure an ideal result where your dental implants are concerned.
- Implant Maintenance: Once your dental implant restoration is completed, it is important to keep the area clean and infection-free. Dental implants can accumulate plaque and tartar just as teeth can. Whether you have just one tooth replaced by an implant or several, a professional cleaning schedule will be necessary to keep your implants healthy. The time interval for these professional cleanings will be determined by your individual needs.
The Surgical Procedure
The procedure to place an implant takes 30-to-60 minutes for one implant and only 2-to-3 hours for multiple dental implants. The number of appointments and time required, vary from patient to patient. The surgeon will bring great precision and attention to the details of your case.
Prior to surgery, you may receive antibiotics and for greater comfort, intravenous sedation or nitrous oxide (laughing gas). These options are discussed with you at your consultation appointment. A local anesthetic will be administered to numb the area where the implant will be placed.
When you are comfortable, the surgeon makes a small incision in the gum tissue to reveal the bone, creates space using special instruments, and gently inserts the titanium implant. The top of this implant is often visible through the gum. Sometimes it is better in the early stages of healing to have the dental implant covered by the gum tissue.
The Healing Phase After A Dental Implant Placement
Now the healing begins. The length of time varies from person to person, depending upon the quality and quantity of bone. In some cases, dental implants may be restored immediately after they are placed. The surgeon will advise you on follow-up care and timing. After the initial phase of healing, the surgeon places an abutment (support post) or a healing cap onto the implant during a brief follow-up visit. This allows gum tissue to mature and provides access to the implant.
Occasionally, impressions are made at the time the dental implant is placed. This enables the crown to be ready when the implants have healed. How long your mouth needs to heal is determined by a variety of factors. Follow-up care (one to four appointments) is usually needed to ensure that your mouth is healing well and to determine when you are ready for the restorative phase of your treatment.
It may be beneficial to perform a soft tissue graft to obtain stronger, more easily cleaned and natural appearing gum tissue in the area around the implant. This process involves moving a small amount of gum tissue from one part of your mouth to the area around the dental implant. Most often, it is a brief and relatively comfortable procedure.
Whether it’s one tooth or all of your teeth that are being replaced, your dentist will complete the restoration by fitting the replacement tooth (crown) to the dental implant.
When Are Dental Implants Placed?
Dental implants are often placed several months after tooth extraction. At times, an implant may be placed immediately after extraction of a tooth. This may involve a little more risk, but it simplifies the process—you won’t have to wait for another appointment to place the dental implant. When infection or other problems with the bone are present, immediate implant placement is not the best treatment.
If your tooth has been missing for some time, the adjacent support bone is likely to grow thinner and shrink. This occurs because the root of the natural tooth has to be present to stimulate the bone. As much as one third of your jaw’s thickness can be lost in the year following tooth extraction. If you are missing enough bone, you may benefit from having additional bone grafted into the area. This ensures the implant will be adequately supported when it is placed in the jaw.
How Many Dental Implants Do I Need?
Most frequently, one dental implant is placed per missing tooth. Because many of the larger teeth in the back of your jaws have two or three roots, the most common approach is to replace missing back teeth with larger dental implants.
Bone Grafting for Dental Implants
Do I Have Enough Bone For Dental Implants?
After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two-to-three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later.
There may be inadequate bone for dental implant placement if your tooth was removed many years ago and your bony ridge is extremely thin. In this case, a bone graft can be placed next to the thin bone and allowed to heal for up to six months. After the graft has fused to your pre-existing bone, the ridge will be re-entered and the implant placed. Bone grafting is usually a relatively comfortable office procedure. Many different bone-grafting materials are available, including your own bone.
After Dental Implant Placement
What Can I Use For Teeth While The Dental Implants Heal?
Many options are available, and they are tailored to your specific requirements. If you need a replacement tooth while the dental implants are healing, temporary removable teeth or a temporary bridge can be made. If all of your teeth are missing, we can usually modify your present complete denture or make you a new temporary denture. If you would prefer non-removable teeth during the healing phase, temporary transitional implants usually can be placed along with the permanent implants, and temporary teeth may be made and inserted the same day. Depending on your particular situation, some dental implants can be placed and “loaded” immediately. This means a temporary or permanent replacement tooth can be placed on, or shortly after, the day the implant is placed.
What Are The Potential Problems Afrer Dental Implant Placement?
Although it is natural to be concerned about the pain that may be caused by these procedures, most patients do not experience severe or significant post-operative pain. Pain medication and antibiotics will be prescribed for you to make your recovery as easy as possible. Occasionally, some people develop post-operative infections that require additional antibiotic treatment. Even though great care is taken to place the dental implant precisely, occasionally adjacent teeth are injured in the placement process. In addition, there is a chance that the nerve in the lower jaw, which provides sensation to your lower lip and chin, may be affected. If you are missing quite a lot of bone, it might be difficult to place an implant without infringing on the nerve space. Although we take great care to avoid this nerve, occasionally it is irritated during the procedure, resulting in tingling, numbness or a complete lack of sensation in your lip, chin or tongue. Usually these altered sensations will resolve within time, but they can be permanent and/or painful. If you notify us of post-operative numbness as soon as possible, it will allow us to manage your care in the most appropriate way.
How Long Will Dental Implants Last?
Dental implants usually last a long time. When patients are missing all of their teeth, long-term studies (more than 30 years) show an 80-to-90 percent success rate. For patients missing one or several teeth, recent studies show a success rate of greater than 95 percent, which compares favorably with other areas in the body that receive implant replacement (such as hips or knees). However, if one of your dental implants either doesn’t heal properly or loosens after a period of time, you may need to have it removed. After the site heals (or on occasion at the time of removal), another dental implant usually can be placed.
When Are the Replacement Teeth Attached to the Dental Implant?
The replacement teeth are usually attached to the dental implant when adequate healing has occurred and your jaw bone is firmly fused to the dental implant. Depending on a variety of factors, it may be possible to begin this phase of your treatment immediately or shortly after implant placement. We will review the most appropriate treatment sequence and timing for your particular situation.
The dental work required to complete your treatment is complex. Most of the work involves actually making the new teeth before they are placed. Your appointments are considered more comfortable and more pleasant than previous methods of tooth replacement. Frequently, this process can be performed without local anesthesia.
Your restorative treatment begins with specialized impressions that allow us to produce a replica of your mouth and dental implants. We will also make “bite” records so that we see the relationship of your upper and lower jaws. With this information, we will make the abutments (support posts) that attach your replacement teeth to your implants. Various types of abutments exist. Frequently, we can use “off the shelf” abutments. Other times, custom abutments must be made of gold or a tooth-colored ceramic material. As you can imagine, these custom made abutments add to the cost and treatment time involved. Which abutment to use is a decision that often cannot be made until after healing is complete and impressions have been made.
The number of appointments and the amount of time required for each appointment is different for each patient. No two cases are exactly the same and regardless of the number of teeth replaced, the work must be completed with great precision and attention to detail. If you are having only a few teeth replaced, as few as three short appointments may be required. Between appointments, we will need time to complete the necessary lab work to make your replacement teeth. It is most beneficial that you keep all of your scheduled appointments.
If your final restoration is a removable denture, you will need to come to as many as five office appointments (although it may be fewer) over the following several months. During these appointments, we will perform a series of impressions, bites and adjustments in order to make your new teeth, as well as the custom support bars, snaps, magnets, or clips that will secure your teeth to the dental implants. During this period, every effort will be made to ensure you have comfortable, temporary replacement teeth.
In general, once your dental implants are placed, you can expect your tooth replacement treatment to be completed anywhere from 1-to-12 months. For these reasons, it is difficult for us to tell you exactly how much the restorative phase of your treatment will cost, although you should receive a reasonable estimate from our office. It also is difficult to give you a specific timeframe for completion of your treatment until after the implants are ready for restoration.
How Do I Clean My New Teeth?
As with natural teeth, it is important that you clean implant-supported restorations regularly with toothbrushes, floss and any other recommended aids. You should also visit your dentist several times each year for hygiene and maintenance. As with regular dentures and other tooth replacements, your implants and their associated components are subject to wear and tear and eventually will need repair, including clip replacement, relines, screw tightening, and other adjustments.
Will One Doctor Do Everything?
Usually, a dental surgeon places the implant(s) and performs other necessary surgical procedures – your general dentist provides the temporary and permanent replacement teeth. Both doctors are involved in planning your dental treatment. Also, depending upon a variety of factors, different dental specialists may help with your dental care.
How Much Does All Of This Cost?
Before treatment begins, every effort will be made to give you an accurate estimate of all the expenses involved in placing the dental implants and making your replacement teeth. In many cases, there is an initial charge for the diagnostic work-up, including study models, x-rays, and the fabrication of a surgical template to ensure the best possible result. In addition you will be charged for the abutment or support post(s), plus the crown, dentures, or anything else that will be placed over the implants, including temporary restorations. Periodic maintenance such as hygiene visits, tissue conditioners, denture relines and other repairs will also incur additional charges.
When different doctors are involved in your treatment, you will be charged separately for their services. We will try to assist you in estimating what your actual payments will be after we evaluate your insurance coverage or other third party payments. Also, you should consider your personal financial investment in each treatment option as some insurance companies provide limited or no coverage.
Each patient is unique, and it is not possible for us to discuss every option and every contingency for treatment outcome. This website section is intended to help you understand the general treatment options available to you. If your specific treatment options are not clear, please contact us. We will be happy to answer any questions you have about your dental care.
Considering the Cost of Dental Implants
Dental implants have been available for several decades. However, for most patients, they are still a relatively new concept. When considering the cost of dental implants and comparing quotes, there are several important points that should be kept in mind.
When comparing the cost of dental implants to other tooth replacement methods such as dentures and bridges, it is important to take into consideration the longevity offered by dental implants that is not always afforded by other, more traditional methods.
While dentures and bridges are initially less expensive, their affordability can be short-lived. Because these older methods require repair and replacement every 5-10 years, they are often more expensive over time. By contrast, dental implants, when properly placed and cared for, can last a lifetime.
Jaw Bone Health
Over time, when a tooth is missing, the jaw bone deteriorates. So while a denture or bridge may seem to function similarly to a tooth, underneath the surface damage is being done to the jaw bone and ultimately to the structure of the face. This can result in the distortion of the shape of a person’s face, leading to additional cosmetic costs down the road.
On the other hand, dental implants are made of titanium, which actually integrates with the jaw bone, strengthening it and stimulating bone growth. This preserves the natural strength and quality of the mouth, lessening problems in the future.
Quality of Life
Dental implants can be seen as a long-term investment not only in terms of money, but also in terms of quality of life. A dental implant is the closest thing to a natural tooth. In addition to allowing the patient to eat the same healthy foods he or she has always enjoyed, it also eliminates the day-to-day hassles and possible embarrassment that are frequently caused by dentures.
Comparing Dental Implant Quotes
There are several steps (and often multiple professionals) involved in the placement of a dental implant. When comparing quotes, it’s important to factor in the cost of each of these steps:
- Exams/office visits
- Tooth/root extraction
- Bone grafting
- Placement of the titanium root (the “dental implant”)
- Placement of the crown
- X-rays, pre/post operative care
Financing for Dental Implants
First, check with your dental insurance carrier to see what portion, if any, of dental implants they cover.
There are health care credit companies that offer no-interest and low-interest loans for medical procedures including dental implants.
Dental Implants are an investment in your health as well as your appearance. A full set of teeth makes eating a pleasure again, making it easier to eat a balanced, healthy diet. A full set of teeth also preserves the contours of the face, keeping you from looking old before your time.
Schedule Your Consultation
The only way to receive an accurate price quote is to call us and come in for a consultation, and we can give you a specific price for your case.