While it is our aim to help you preserve your own natural teeth and bone, in some cases this is not recommended when:
– due to severe trauma or mobility of the tooth
– periodontal disease, i.e. not having enough bone to support the tooth leading to its’ loss
– recommendation by a specialist for example in the case of orthodontics for overcrowding and corrective ortho treatment
– wisdom teeth because of their awkward position behind your molars ( trapping food and debris) or below the gum line (creating pain and pressure)
In most cases when your tooth is above the gum line, simple extractions can be done by your general dentist. If it is a more complicated situation such as a tooth with curved roots, or under the gum line such as wisdom teeth you may be referred to a specialist called an oral surgeon.
By taking digital x-rays and examining your tooth the dentist can usually determine whether your extraction will be simple or complicated. There are times however when a simple extraction may turn into a complicated extraction for example if the decaying tooth breaks apart during an extraction, then the tooth will have to be taken out in pieces.
Wisdom teeth often face surgical extraction in many cases as they may be impacted ( not completely erupted). This procedure requires cutting through the bone and tissue.
During your initial consultation, the doctor will need to take some digital x-rays and a special panorex x-ray to look at your jawbone. Your doctor will be looking for the following characteristics:
– good general health
– healthy gums ( by clinical examination)
– sufficient underlying jawbone to support the implants
– healthy attitude and dedication to ensure that you follow through
with proper oral hygiene habits Once decided upon the doctor will design your treatment plan and present it to you for further discussion. The doctor or treatment/ co-ordinator will explain the surgical procedure and possible complications that may be associated , give pre-surgical instructions and prescribe medications.
The initial surgical implant (usually made of pure titanium) can easily be done under local anesthetic with some prescribed medication taken before and after your appointment. The implant is surgically placed into the jawbone, that will serve as the anchor for the post that will support the replacement teeth. Post surgical instructions are given at this time followed by a special diet for the next 24 hours.
Generally, three to six months is given for the bone tissue to grow around the implant to hold them securely in place. You may be fitted with some temporary dentures or temporary teeth to help you function as normally, as possible.
Once the jawbone has healed a small post is attached to each implant. After your gums have healed, the replacement teeth that have been designed by the dentist and laboratory are securely attached.
The advantages of choosing implants over prosthetics include:
– reduced bone loss (due to successful bone growth and production) improved function and bitting pressure when speaking and eating food you enjoy
– comfort and fit (no slipping and sliding) longevity and reliability ( with proper oral hygiene)
– increased self confidence