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About Implants

Dr Becker specializes in Dental Implants in Denver, Colorado.
Below is some information on Dental Implants.

Pain and Implants:
In most cases, the removal of a teeth is move discomforting than the placement of implants. The surgical procedure is done under the influence of a local anesthetic. Intravenous sedation is available upon request. Minor discomfort can be experienced immediately after the anesthetic wears off. This is counteracted with the use of prescription medication. Typically, by the second day only Tylenol is needed. Resorbable sutures are used so within 7-10 days the patient looks and feels as if nothing had been done.

Time and Application of New Teeth:
When root form implants were first introduced in North America in 1982 the protocol was for submerging the implants under the gum and jawbone for 6 months or longer. A second surgery was then needed to uncover the implant so it could be used to anchor the dental work. Today, most of the time, only one surgery is needed to place the implant in the jaw and it can be used in 6-8 weeks. In some situations the implant can even be loaded the same day as the surgery. Regardless of the needed healing time Dr. Becker will usually provide for some type of temporary appliance so that the patient can function and meet the public with confidence.

Tooth Removal and Implants Together:
YES. Most single-rooted teeth can be removed and an implant place at the same appointment. The technology for removing molars (multi-rooted) and placement of an immediate implant is evolving. At this time Dr. Becker usually has the molar removed, it is allowed to heal for 2 months and then placement of the implant. Example below:

1. Eye tooth broken off below gum line:

2. Tooth removed and implant placed at same appointment:

3. Temporary crown placed on implant (same day):

4. Final crown 2-3 months after surgery:

5. Smile:

Implant Rejection:
The process of the bone growing to the titanium implant is called Osseointegration. With the early implant systems about 10% of the implants placed did not osseointegrate. These had to be removed. With the advent of roughened surfaces and improved implant design the occurrence of non-osseointegration has been reduced to less than 0.1%. If an implant does not osseointegrate, it is removed, the site is allowed to heal about 2 months and a new implant can be placed in the same site. Oddly, the statistical success rate for this second implant is greater than the first—no one knows why this phenomenon occurs.

Dental implants can be utilized in a variety of ways:

As anchors for removable prosthesis, called overdentures:

Example 1: Using two implants in the lower jaw.
 
 


Example 2: Using four implants to lower jaw.
 
 

Example 3: Using four implants to upper jaw and four implants to lower jaw.

 
 

As an anchor to retain a single missing tooth:
Example 1:
 
 

Example 2:
 
 

As anchors to replace several missing teeth:

Example 1:
 
 

Example 2:
 
 

As anchors to retain fixed bridges for many missing teeth:

Example 1:
 
 

Example 2:
  

As part an overall treatment plan restoring natural teeth and missing teeth:

 
 

Combination of the above options utilizing overdentures in one jaw and fixed bridges in the other:

 

 

Implant Expense:
Technology in the biologic world is wonderful but expensive. The quality control assuring each implant meets exacting standards of precision and is totally sterile is costly. The care, knowledge, experience and precision to place and restore each implant case takes years to develop and is also costly. Even so, the cost of placement and restoration of dental implants has come down over the last few years. In some cases, placement of implants can be cheaper than conventional alternatives, such as bridges.Why won’t my dental insurance cover dental implants?

Prior to the generation of implants introduced in 1983, the success for implant systems was less than 50% over 5 years for the lower jaw and worse in the upper jaw. Dental insurance companies saw this as a futile and experimental procedure that they were unwilling to support, so they all placed a clause in the insurance contract that disallowed coverage for implants. Since insurance companies are more interested in the “bottom line” than in your health, they have been slow to acknowledge the proven benefits of dental implants. This trend may be easing since we are seeing some coverage allowed for the restoration of the implant but not for the surgical phase.