Gary A. Hartman, DDS, MS

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Dental Implant Procedures

Dental Implant Procedures

Implant placement is a multi-step process that may take up to a year to complete. The implant fixture is made of a durable, corrosion-resistant titanium that is surgically implanted into the jawbone. Through a process known as osseointegration, the titanium implant effectively bonds with the natural bone tissue. Each step of the implant process is followed by a period of healing to reduce the stress on the replacement teeth and allow for the implant to fully integrate with the bone.

Once the implant(s) are surgically placed, a healing phase from three to six months follows. The healing phase allows the native bone to grow and lock the implant in place permanently. In some instances, the implant can be placed and a temporary crown cemented the same day of the surgery. This is often done to replace missing anterior teeth where the temporary is used to mold and sculpt the soft tissue to make the final result as real as possible.

Dental implant surgeries are performed as an outpatient procedure, usually with minimal post-operative discomfort. Most patients return to work the following day.

Dental Implant Photos - Warning! Graphic content

Types of Implant Procedures

Endosteal (in the bone) is the most commonly used type of implant. In this procedure, a screw type implant (also known as root form implant) is surgically placed into the jawbone. If the jaw is too narrow for placement of the root form implant, bone grafting may be needed.

Bone grafting is the placement of synthetic or cadaver bone into the jawbone. Bone that is harvested from human donors is safely processed at a tissue bank prior to use for regenerative techniques. Bone grafting is performed under local anesthetic and patients experience very little post-operative discomfort. The area is stitched and a healing time of three to six months follows. After the implant has healed, the platform is uncovered and an abutment is attached. This type of implant is generally used as an alternative for patients with bridges or removable dentures.

Subperiosteal (on the bone) implants are recommended for patients who have minimal bone height. The implant consists of a metal frame that rests on top of the jawbone, under the gum tissue. The metal posts protrude through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures. However, due to advanced bone grafting techniques, this type of implant is infrequently used.

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