Implant dentistry ( Implantology ) is the most advanced therapy available for replacing missing teeth. Dental implant restorations generally look, feel and act like natural teeth. Patients who have been treated with implants are able to chew all the foods they desire and no longer have to suffer the embarrassment of having gaps in their smile or deal with appliances such as dentures or bridges.
What Are Teeth Implants?
Dental implants are the best alternative to natural teeth, because they replace both the root and the body of the tooth. An implant consists of two parts: a titanium steel peg that is surgically implanted into the jaw, and a porcelain crown which sits on top of the peg and effectively replaces the tooth. If you are missing multiple teeth, you don’t necessarily have to get one peg implanted for every tooth. Instead, you can replace multiple teeth with just a couple of pegs using implant-supported partial or complete dentures.
Dental implants have been used successfully for more than 30 years. The development stage of dental implantology ended more than two decades ago, and research studies have clearly established the safety and effectiveness of dental implants.
Reasons for Dental Implants:
replace missing teeth
eliminate the need for dentures
prevent bone loss that occurs after a tooth is lost
prevent the shaving down of healthy teeth for a bridge
provide patients with the confidence of real teeth
allow patients to eat all the foods they enjoy
Are you a candidate for dental implants?
You might be a candidate for dental implants if all of the following apply to you:
You are in good general health
You have healthy gums
You are not suffering from excessive bone loss
You are over 15 years old
You have a missing tooth or teeth and you want to eat, speak, and chew normally!
Why choose dental implants?
Dental Implants offer numerous benefits over other treatments for replacing missing teeth.
First of all, dental implants are the only treatment that actually arrest bone loss in the jaw. When a tooth’s root is lost, a process of bone resorption starts to occur immediately because the bone in the area no longer has any stimulation. When we place a dental implant the bone actually bonds with the titanium through the process of osseointegration. Once this happens there is no more danger of bone loss or deformation.
Dental implants are also more comfortable than most other treatments for missing teeth. They are definitely more comfortable than dentures, which may slip, click, cause sores, or even fall out if patients aren’t careful. Dentures get more uncomfortable as patients age, because changes in the underlying bone make the dentures stop fitting properly and patients must either get a new set or live with the discomfort. Dental implants, on the other hand, truly are a permanent solution that will always deliver superior comfort and performance.
Dental implants are superior to bridges for several reasons. Besides the fact that a bridge can’t address bone loss, a bridge may also lead to problems with surrounding teeth. In a situation where a tooth is lost and the adjacent teeth are shaved down for a conventional bridge, the teeth that have been shaved down now have to take more force because the false tooth has no supporting root. Over time, this extra stress can cause problems in the abutment teeth. In a study done on the average longevity of three-tooth bridges, it was found that one out of every four bridges were lost after 15 years. The failure rate increases with four-tooth bridges. Typically, when a bridge fails, one or both of the abutment teeth are also lost. Of course, had the missing teeth been replaced with an implant, the neighboring teeth would not have been adversely affected.
Another important benefit of dental implants is that they give patients improved self-confidence over other methods of tooth replacement. In a study done on patients who had received dental implants, 80% said that their overall psychological health improved after they received dental implants. This is probably because having dental implants allows patients to more fully enjoy life. With dental implants patients can enjoy all the foods they like and are never worried about their false teeth in social situations. Dental implants offer patients a lifetime of better chewing and more confidence because they function just like real teeth.
Some people think that dental implants are out of their price range, this is not necessarily the case. Book a consult at SPINEL DENTAL today to discuss the different options that are available and determine if dental implants are right for you.
How much does Dental Implant cost?
There can be a huge variation of dental implant costs in Canada from office to office.Generally speaking, Dental Implants and Dental Implant Restorations are among the most costly of all dental procedures. Basic fees for placing a single implant where suitable bone exists can range from a low of $1875.00 to a high of $3200.00. The fee may be significantly more depending on whether bone augmentation or bone grafting is necessary before the implant can be placed.
Also the brand of the Dental Implants may change the range of prices.
After implant integration there will be additional procedures and costs for the titanium or zirconium post that inserts into the implant plus the cost of the crown that goes onto the post. The inclusive post-crown combination can cost range from a low of $380.00 to a high of $3000.00.
As the number of implants increase and the complexity of the surgery increases, so generally will the costs.
In Dentistry fees can vary significantly as can quality, particularly when it comes to implant services. Because each patient's treatment may vary from other one, its highly recommended to have an appointment to discuss about your treatment and exact Dental Implant costs for your treatment with our dentists in Spinel Dental.
Implants & Surgery FAQ
What Exactly Is a Dental Implant?
A dental implant is a threaded titanium screw that is strong enough for a post to be placed inside it. Once the screw and post are placed, the dentist finishes the tooth with a cap or crown. Many people incorrectly believe that a dental implant makes up the entire replacement tooth; in fact, the implant replaces the root only. The dentist places the crown or cap on top of the replacement root.
Why Do People Get Dental Implants?
If a patient is missing a tooth or a series of teeth, a dental implant may be suggested. Missing teeth can cause a number of problems, including difficulties chewing or eating.
Once these patients get dental implants, they no longer have to struggle with gaps caused by missing teeth. These people feel more confident in their smile and can attend social functions without fear of uncomfortable situations. Dental implants give patients a beautiful smile, more confidence, and the ability to resume eating solid foods without worry.
Does the Body Ever Reject an Implant?
Very rarely does a person’s body reject a dental implant. The jawbone readily accepts the implant, and the few rejections that do occur are caused by rare allergies to the titanium alloy that makes up the implant.
Are Dental Implants Noticeable?
No one, not even you, will be able to tell you have a dental implant. Implants are made to feel completely natural in the mouth. The dentist matches the color and shape of your other teeth to the implant. The only way to discover a dental implant involves a radiograph to show the metal that replaced the root of the tooth.
How Long Will Dental Implants Last?
Dental implants last upwards of forty years if taken care of properly. They often last a lifetime for patients that regularly brush, floss, and follow the dental recommendations made at their check-ups. While a dentist cannot guarantee the long-term success of a dental implant, the dentist can provide guidelines and suggestions to better care for your teeth. These suggestions are based on proper hygiene procedures, your own genetic history (including diseases that run in your family), and your nutritional habits. Following the recommendations put in place by your dentist ensures the implant has the best chance to last the rest of your lifetime.
What Are the Chances of Implant Failure?
Nationally, the success rate of dental implants averages about 95%. Ask your dentist to see what the practice’s personal success rate is and how regularly it performs the procedure.
When Should You Get an Implant?
Make an appointment with your dentist as soon as you lose the tooth. The implant’s success depends on the strength of the jawbone. Over time, the bone wears down and decays, leaving a weaker structure on which to affix the implant.
Does an Implant Require Special Care?
Implants require the same care that your natural teeth need. Scheduling regular checkups, proper oral hygiene, and a nutritious diet are the best ways to ensure your dental implant lasts a lifetime. Flossing every day is also critical to keep your dental implant healthy. Most tooth decay and loss occur because patients do not properly or regularly floss, resulting in gum decay and disease.
Is Dental Implant Surgery Painful?
Most patients manage pain by taking over-the-counter medicines like Tylenol and Advil for 2–5 days after the surgery. If a patient requires bone grafts or multiple dental implants, more significant post-operative discomfort may occur.
How Long Does It Take to Put in a Dental Implant?
Placing a single implant may take as little as thirty minutes, while a complex surgery requiring multiple replacements can take more than 3–4 hours. After the implant is placed, the patient schedules a follow-up appointment several months later to allow the implant to properly heal and fuse with the jawbone. Then, the doctor will fit the cap or crown over the implant.
Does Smoking Affect Dental Implants?
Dental implants in smokers are four times as likely to fail when compared to implants in non-smokers. Smoking leads to gum recession and disease, making the implant structure weaken over time.
How Old Is too Old for an Implant?
Dental implants help patients at every age over adolescence. If a patient is too young, the jawbone may still be growing, causing issues over time with the fit and placement of the implant. But otherwise, a dental implant works for any patient that is healthy and willing to undergo a simple surgery.
How Long Does the Entire Process Take?
After the initial scheduling, the entire process takes around 6–8 months, unless more complex surgery is required. During the first appointment, your surgeon fuses the actual implant with the jawbone. Then, the surgeon covers the implant with gum tissue to allow the implant to heal properly.
Does the Surgery Require Time Off?
Most people go back to work the day after the surgery, although it depends on your individual experience and the difficulty of the surgery. Some people prefer to take a day off to completely recover and allow their mouth to rest after the procedure.
Are Dental Implants Safe?
Dental implants have been proven safe for patients whose health allows for the surgery. They provide a longer-lasting alternative to a bridge or dentures and restore comparatively more functionality to teeth.
How Expensive Are Dental Implants?
Dental implants require a significant investment but hold up over time to make the process worth the price. Surgical fees often cost $2,000–3,000 for a single tooth, on top of the price of required crown(s) the procedure.
Does Insurance Pay for Implants and Surgery?
Some carriers may at least partially cover implants, some do not provide for the surgical placement of implants. Check with your insurance provider to get a detailed look at what portions, if any, are covered in the surgical placement of dental implants.
What are The post-op cares of Oral Surgery?
The Day of Surgery
TO REPEAT, take 2-4 Advil as the numbness wears off. Do not take the prescribed severe pain medicine unless absolutely necessary.
2. DO NOT DISTURB THE AREA OF SURGERY. The first stages of healing are aided by placing tissues at rest. Avoid vigorous chewing, excessive spitting, or rinsing as initial healing may be delayed, active bleeding restarted, or infection introduced.
3. Expect minor bleeding or OOZING from the operative site. This bleeding may continue throughout the first day. For the first hour, keep firm pressure on the area of surgery by biting on the wet gauze sponge placed in your mouth at the office. If bleeding persists, continue pressure on a fresh wet sponge for an additional 30 minutes to an hour. Biting on a moist tea bag wrapped in gauze may help control persistent oozing from the surgical site. Tea has an ingredient that promotes blood clotting.
If active bleeding should recur at any time, carefully rinse your mouth with cold water and apply a fresh wet gauze sponge to the bleeding site. Firm pressure for 15-30 minutes usually controls the problem. Should active bleeding persist, please call the office.
4. LIMIT PHYSICAL ACTIVITY during the first 24-48 hours after surgery. Over exertion may lead to postoperative bleeding and discomfort. When you lie down, keep your head elevated on a pillow.
5. PAIN FOLLOWING ORAL SURGERY will be most severe within the first 6-8 hours after the operation. To limit the amount of pain, you should take Advil before the numbness wears off. If you have to take the prescribed severe pain medication, remember to have some food intake prior to that and to start slowly. Please do not drink alcoholic beverages while taking prescription pain medication. Do not wait for the pain to become unbearable before using some form of pain medication, as then it will be more difficult to control. Moderate to severe pain usually does not last longer than 24-48 hours, and there should be no more than the slight pain or discomfort after the third day. Persistent or increasing pain 3-4 days following oral surgery may be caused by early loss of the blood clot (dry socket) or infection. If you feel that this may be happening to you, please contact us so that we can help make you more comfortable.
6. SWELLING RELATED TO THE SURGICAL PROCEDURE usually develops during the first 12-24 hours following surgery, often increasing on the second day. It should begin to subside by the third day. Swelling can be minimized a great deal by wearing an ice pack on the side of your face for 30-45 minutes every hour while you are awake during the first 24 hours following the surgery, unless you receive special instructions. Anti-inflammatory medications, such as Motrin or Advil, also help decrease swelling.
7. FLUID INTAKE IS IMPORTANT. I suggest you start with clear carbonated beverages, such as ginger ale, Seven-Up, or Sprite. Once your stomach has settled, you can advance to other fluids such as water, teas, soda, broth, soups, or juices. I suggest avoiding dairy products initially, such as milk, milk shakes, and egg nogs. Also avoid hot liquids until the numbness has worn off, and the bleeding has stopped. It is important to drink all the fluids you desire and to drink plenty of fluids.
8. AVOID USING A STRAW FOR SEVERAL DAYS as it may cause the blood clot to dislodge and delay healing.
9. FOOD SELECTION is largely a matter of your choice. Soft, cool foods that require little or no chewing are most easily tolerated at this time. A nutritious diet throughout your healing process is most important to your comfort and temperament. Hungry people become irritable and less able to deal with discomfort which can follow surgery.
10. Take any special medication such as ANTIBIOTICS we have prescribed on the specified dosing schedule. Yogurt with active cultures or acidophilus should be taken while on antibiotics to prevent diarrhea. It is important to take the antibiotics to completion. If you are given antibiotics and take birth control pills, you should be aware that the birth control pill may become ineffective, therefore take appropriate precautions.
11. Take any regularly scheduled medication (for diabetes, high blood pressure, etc.) on your regular schedule unless advised to do otherwise.
12. TRY TO AVOID SMOKING COMPLETELY, as it tends to slow the healing process and may also contribute to development of a dry socket.
13. DO NOT DRIVE AN AUTOMOBILE for 24 hours following surgery if you have had intravenous sedation, or if you are taking prescription pain medication.
14. IF YOU WERE INFORMED THAT A SINUS COMMUNICATION OCCURRED DURING SURGERY, as a result of the close relationship between the roots of your upper teeth and your sinuses, or if you have had some surgery that involved work near your sinuses or in your sinuses, please follow these instructions:
DO NOT blow your nose.
DO NOT sneeze through your nose. If the urge to sneeze arises, sneeze with your mouth open.
DO NOT smoke or use a straw.
AVOID swimming and strenuous exercise for at least one week.
It is not uncommon to have a slight amount of bleeding from the nose for several days.
Please remember that occasionally a second procedure may be required if there is a persistent sinus communication.
2. DO NOT WORRY ABOUT STITCHES. Stitches (also known as sutures) are usually placed to control bleeding, aid healing and help prevent food from collecting in the surgical site - - especially for lower teeth. The sutures we use dissolve in 3 to 5 days and DO NOT HAVE TO BE REMOVED.
3. ANY SWELLING, SORENESS, OR STIFFNESS IN THE JAW MUSCLES can be relieved by applying a warm moist towel to the affected side of the face several times a day. Moist heat should be used after the first 24 hours. If swelling, tenderness, or pain should increase after the first few days, call the office.
4. Sometimes a soft diet may be necessary for the first few days following surgery. Most patients are able to resume regular food intake within a short time.
5. Bruising marks may appear on the skin of the face during the first few days after surgery. Moist heat application will help relieve this condition once again.
Post-op instruction for Endosteal implants?
If you had endosteal implants placed, general postoperative instructions apply, but I’d like to emphasize a few things:
1. Placement of endosteal implants usually do not create a great deal of pain. Once again, start with Advil first.
2. You need to brush the area after the first 24 hours with a very soft toothbrush. Do not avoid brushing the area. Most times the sutures that are placed are dissolvable sutures which will dissolve on their own in 8-12 days.
3. If a one-stage implant was placed so that you can actually see the metal part protruding from the gum tissue, it is very important for you to keep this area clean. You may start with a Q-tip dipped in Listerine or even warm salt water. Just clean the metal part protruding from the tissue. Then you can proceed to a soft toothbrush.
4. Avoid chewing hard foods on the implant sites. Chewing forces during the healing phase can decrease the body’s ability to heal around the implant.
What are Dry Sockets
Dry sockets continue to be the most common problem people experience following dental surgery. They arise due to premature loss of a blood clot in the empty tooth socket and affect approximately one out of five patients. This seems to occur with greater frequency in people who smoke or are taking birth control pills. While both jaws can be affected, they usually occur in the lower jaw on the third to fifth day. They cause a deep, dull, continuous aching on the affected side(s).
Post-Op Instructions for sucket bone grafting
In addition to the general postoperative instructions, I would like to emphasize a few points.
Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. It’s normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:
Do not vigorously rinse or spit for 3-5 days.
Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
For the first day, I would suggest letting the blood clot stabilize and not even rinse your mouth. Following the first day, gentle rinsing would be advised but not too vigorously as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you will probably have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.
Post-Op Instructions following Sinus Grafting
If you had a sinus grafting procedure performed, the general postoperative instructions still apply, but I would like to emphasize a few important points about your particular procedure and remind you of some instructions:
1. Do not blow your nose.
2. If you must sneeze, do so with your mouth open to avoid any unnecessary pressure on the sinus area.
3. Do not smoke or use smokeless tobacco. Smoking greatly inhibits the healing, especially in the sinus graft.
4. Do not take liquids in through a straw.
5. Do not lift or pull up on your lip to look at the stitches, as this may actually create damage and tear the stitches.
6. Take your antibiotics as directed and until finished.
7. You may have some bleeding from the nose. This is not uncommon and should pass quickly.
8. You may be aware of small granules in your mouth for the next few days. This is not unusual, as your graft is mainly made of particles and not all of them are accepted by the body.
9. If you feel congested, you may need to use antihistamines or decongestants. If you do, use over-the-counter products such as Tavist-D or Dimetapp. I would also suggest that you avoid nasal sprays unless they are saline. Most of the time, patients do fine without any nasal sprays, antihistamines, or decongestants.