Three types of endosseous implants
Copyright ©
2004 Dr.Javier Saldivar V. All Rights Reserved.
The term implant refers to a medical device that replaces a missing
body part. Implants, as the name implies, are placed or implanted inside the
body and function much like the missing body part that it is replacing.
Medical technology has advanced to the point where implants are commonly used
to improve not only the physical well-being but also the quality of life of a
vast number of patients. A good example of this is the use of an artificial
hip joint to replace a painful, worn-out arthritic hip.
Typically implants are constructed from materials that are biocompatible.
Biocompatible materials are not recognized by the body as foreign and
therefore the body does not reject them. The term dental implant refers
to a dental device that is used to replace the root portion of a missing tooth
or teeth. These artificial root replacements can then be used to support
natural looking teeth that enable patients who are missing some or all of
their natural teeth to smile and speak with confidence and to chew their food
well and more comfortably.
Dental implants come in a variety designs, however, the most common type of
implants are threaded titanium cylinders that are placed into the jaw bones
(Figure 1). Titanium is one of the biocompatible materials that is not
recognized by the body's immune system and, therefore, allows dental implants
to be placed without undergoing rejection.
Copyright
© 2004 Dr.Javier Saldivar V. All Rights Reserved.
Am I A Candidate For Dental Implants?
Simply put, any person who has had the misfortune to lose one or more
teeth, or even a part of the jaw bone, is a candidate for dental implants.
This includes those individuals who have congenitally missing teeth (i.e.,
some or all or their teeth have been missing since birth). As an aside, if you
fall into any of these categories you are not alone as it has been estimated
that approximately 125 million Americans are missing one or more teeth for one
reason or another!
Once we have established the absence of one or more teeth, as the
basic criteria for placing dental implants, we must consider two additional
factors that may ultimately affect the outcome of treatment.
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Firstly, patients need to be in a good state of health and we would
expect that any systemic illnesses or condition that may adversely affect
healing is well under control. The diabetic patient, as an example, may be
an acceptable candidate for dental implants provided that their disease
process has been addressed and they are carefully monitoring their
medications and level of blood sugar. If this is not the case and the
patient is unstable, then we would need to work with the patient's physician
to correct the situation prior to proceeding with treatment. Any concerns
that you may have regarding your medical history should be discussed with
your doctor at a consultation appointment.
Secondly, the patient must have enough high quality bone within which the
implant(s) can be placed. Whenever a tooth is lost, bone in the surrounding
area begins to remodel and slowly disappears. This physiological process is
called resorption. Consequently, patients who have been missing teeth
for a period of time may also present with resorption of the jaw bones. If
the degree of resorption is slight then it is usually possible to place
dental implants without any further treatment. However, if the resorption
process is extensive there may be insufficient bone available to support the
implant.
In the not too distant past patients who presented with insufficient bone
were simply classified as non-candidates, and were left untreated.
Fortunately we are now able to transform the majority of non-candidate
patients, with deficient bony support in either the upper or lower jaw, into
good candidates for dental implants with the use of a variety of simple
grafting procedures. Often the grafting can be done in conjunction with the
placement of implants in a single surgical procedure. This minimizes patient
inconvenience and decreases the treatment time.
Some patient's present with more significant bone loss and may require more
extensive grafting procedures that need to be accomplished prior to the
placement of implants. In any case, it is important to remember that almost
any patient can receive dental implants as long as they are committed to
treatment. Again, your doctor should discuss the necessity of any grafting
procedures at the consultation appointment.
Implantology is the branch of dentistry which deals with implantation; in
other words, the placement of mainly metallic parts (titanium screws) into
the jaw bone.

The Branemark System
was developed in Sweden by a research team led by Prof. P.I. Branemark. He
discovered that, when implants made of pure titanium and of a cylindrical
design were placed in bone using a controlled surgical technique, the bone
would then grow directly onto the surface of the implant.

This created a lasting
biological bond which is termed osseointegration. From these original
observations and many years of development, experiment and clinical trials
have led to the proven technical techniques available to patients today.
What is a dental implant?
A dental implant is a
small titanium fixture that serves as the replacement for the root of a
missing natural tooth. The implant is placed in the upper or lower jaw. It
will bond with the bone over time and thus serve as an anchor for the
replacement tooth. Dental implants can be used to replace a single lost
tooth or many missing teeth.
Who is a
candidate for dental implants?
Anyone who is missing one
or more teeth due to injury, disease or decay may be a candidate for dental
implants. The main limitation is the amount of available bone. Your dentist
is the best person to evaluate whether dental implants are a viable solution
for you.
Is old age a problem?
Occasionally, older
patients express concern that their age may prevent them from enjoying the
benefits of dental implants. However, health is more of a determining factor
than age. If you're healthy enough to have a tooth extracted, you're
probably healthy enough to receive dental implants. Certain chronic diseases
may contraindicate implant treatment. Your dentist will determine if you are
a candidate for dental implants after a careful evaluation of your dental
and health history.
What are the advantages
of dental implants over dentures or a bridge/crown?
1· Improved appearance: When you lose entire
tooth – crown and root – shrinkage of the jawbone may cause your face to
look older. Dental implants can stop this process. A traditional denture or
bridge doesn’t.
2· Maintained natural teeth: With traditional
practices, two teeth adjacent to a missing tooth must be ground down to
anchor a bridge. Dental implants often eliminate the need to modify healthy
teeth.
3· Permanent solution: There are no loose parts to
worry about. The implant is stable and comfortable. No adjustment is needed
after installation. Normally, it will serve its owner for life.
How will dental
implants affect my life?
Implant-supported
replacement teeth look, feel and function like natural teeth. This means
that you can eat and drink whatever you are used to. You can continue
smoking as well, if you must. But most importantly, dental implants often
improve quality of life in a very concrete way. People who have felt
embarrassed and worried because of their tooth problems are often
overwhelmed by what new permanent teeth can do for their self-esteem.
Will I be able to chew
with the same force and pressure I use with my natural teeth?
Yes. Following a brief
adaptation period, chewing capacity is comparable to that of natural teeth.
How much time
is required for an implant placement?
Traditionally, the
procedure has been performed in two steps. The dentist began by installing
the implant, which was left for from three to six months to heal and
integrate with the jawbone. During the healing period, the patient was given
a temporary prosthesis until the permanent crown could be put in place.
Today, there is an
alternative to the two-step method that allows you to have the implant
installed in one whole piece in one single session. This new method has
simplified the procedure a lot, both for patients and dentists.This method
is called: " Immediate Loading of Dental Implants"
The procedure which is
chosen depends on several factors, such as the patient’s dental health, the
number of teeth involved and which teeth are replaced. These factors will
also determine the total number of visits to the dentist throughout the
treatment period.
Immediate Loading Implants:
The Procedure from A to ZImmediate loading implants are
the implants that are loaded within 15 days of the insertion.
Part I
Day 1
Clinical and radiographical diagnosis and therapy planning.
Impressions for the production of the temporary teeth which will be used for
the 3 first days after the insertion of the implants.
Day 2
Surgery for insertion of the implants in position (when possible
flapless). If teeth or remaining roots are to be removed they will be
removed in this session.
- Impression of the inserted implants.
- Temporary teeth will be fixed in the patients' mouth for the next 3 days.
Day 5
Placing of the temporary fixed teeth in the mouth of the patient (these
teeth will remain in position for the next 3-6 months. They almost look like
the final ceramic teeth and they have almost the same function
Part II (2-6 months
later)
Day 1
Final impressions for the production of the final ceramic bridge.
Day 14
Final ceramic teeth will be evaluated.
Day 16
Cementation of the final ceramic teeth.
Is the
treatment painful?
Just as with any surgery,
there can be some discomfort. Anesthesia and patient sedation are used to
eliminate any discomfort at the time of the procedure. Most patients report
that they were much more comfortable following the procedure than they had
anticipated. Your doctor will prescribe medications to ease any discomfort
that may occur. Ask us to recommend another patient who has already had
tooth replacement therapy to assess their personal experience.
How quick is the
surgery?
The surgery is a
quick procedure. Our Specialists need about 30 min for the painfree
placement of 2 implants.
What is the Flapless
method and how is it done?
The Flapless Method is an
easy method of inserting the implants. No flap will be elevated so the
procedure is non-traumatic, with no bleeding and is really quick. For each
implant to be inserted a small hole is opened on the gum and from this hole
the implant gets placed in possition
How will I feel after the
treatment?
It is normal to have some
small bruises and swelling in the gum and soft tissues. But usually the
discomfort, if any, is treated with an ordinary painkiller. You should
expect to be able to work the next day. Expect the discomfort to go away
after the second day from the surgery.
What kinds of implants
will be used ?
There are many different
companies which produce implants nowadays. The implants we use are the Nobel
Biocare of Branemark system.
Why choose Nobel Biocare
Implants?
Nobel Biocare has been
the innovative leader in the dental industry for 50 years. The solutions and
products are at the very forefront, providing both dentist and patient with
efficient treatment procedures, excellent function and high esthetic outcome.
Nobel Biocare gives a 10-year-guarantee for every inserted implant and it
will be given to every patient of our clininc.
How much do implants cost?
The fee for tooth
replacement with dental implants will depend on several factors, including
the number of teeth being replaced and the number of implants required to
support your replacement teeth. Some additional procedures may be required
prior to the placement of your dental implants to ensure the long-term
health of your dental implants. Typically, there is a fee for the surgical
procedure and a separate fee for attaching the posts and constructing your
replacement teeth. To obtain a specific fee estimate, it is necessary to
have our doctor recommend the treatment that is best for you.
Copyright © 2008 Dr.Javier Saldivar V. All Rights Reserved.
The actual process of placing the implant into the jaw involves two
straightforward surgical procedures. These procedures are so simple that they
are usually performed in the office with local anesthesia (Novocain or
Lidocaine). The first procedure involves creating a precision channel in the
jawbone into which the implant is firmly threaded. The implant then remains
undisturbed for a period of four to six months. During this initial healing
phase the surrounding bone heals tightly to the implant's surface giving it
firm support. This healing process is termed osseointegration, which
literally means bone connection.
The implant usually remains covered over during this phase and the patient
is unaware of its presence. You can wear your existing denture or a temporary
crown or bridge may be worn over the area while healing takes place. Once the
implant is firmly attached to the bone it can be uncovered during the second
surgical procedure. The surgeon or restorative dentist will then select and
place an abutment onto which teeth can be attached (Figure 2).
At this point, the restorative dentist will fabricate the appropriate crown,
bridge or denture type restoration. There are other special circumstances that
also bear mentioning. For example, in some cases, an implant can be placed
immediately into a tooth extraction site. The tooth site must be free from
active infection and sufficient bone must be present to allow for initial
stabilization of the implant. Here the advantage is that the overall treatment
time is minimized. In most cases, however, the extraction socket needs to heal
(2-3 months) before implants are placed.
Dr.Saldivar will discuss this timing with you if you are a candidate.
Additionally, for those individuals who are very anxious or for those
patient's where a lengthy procedure is anticipated, sedation is available and
encouraged.
With all the recent advances in dental implantology patients should expect
their implants to remain in function for many years. The individual success
rates for an implant is determined in part by a number of patient factors that
may include the amount and quality of the existing bone when the implant was
placed, the type of restoration and the patientís hygiene or maintenance
program, to name a few.
Although implants are made of metal they are not bulletproof and
occasionally a problem may arise. Unlike natural teeth, however, if a dental
implant needs to be removed it can usually be replaced once the bone in the
area has healed. Once again implants have proven to be a reliable treatment
alternative for patients with missing teeth with the ability to significantly
improve the patientís the quality of life while restoring their physical well
being.
If you have further questions regarding this condition, wish to consult
further with us or are in need of a second opinion, please do not hesitate to
visit our consultation services section at the Center for Reconstructive Jaw
Surgery.
What Are Mini Implants?
The MDI System consists
of a miniature titanium implant that acts like the root of your tooth and a
retaining fixture that is incorporated into the base of your denture, The
head of the implant is shaped like a ball and the retaining fixture acts
like a socket that contains a rubber O-ring. The O-ring snaps over the ball
when the denture is seated and holds the denture at a predetermined leve of
force. When seated, the denture gently rests on the gum tissue. The implant
fixtures allow for micro-mobility while withstanding natural lifting forces.



Antes
Después
Is the Mini Implant FDA approved?
Yes.
Prior to his preliminary discussions with Dr. Bulard, Dr. Sendax had
submitted a formal application to the FDA in Washington, DC seeking
permission to market the mini dental implant devices to the general public.
After providing satisfactory technical and clinical evidence to that agency
that the product was safe for public use and in fact had beneficial
attributes, the FDA granted its formal consent to market the Mini Dental
Implant device not only as a transitional or temporary dental product, but
significantly, as a long-term item. ( IMTEC was the first company to receive
long-term approval of its MDI implants from the FDA, and for several years,
was the only company to have that distinction.) As stated, IMTEC's
introduction of the Mini Dental Implant to the dental industry and
appropriate marketing efforts under a license granted by Dr. Sendax followed
the FDA's consent to market.
Make
your appointment now.
(956)242
6826
When can Mini Implants be used?
When
critically needed for support purposes, and where solid bony adaptation (integration)
has clearly occurred, mini implants can function as long-term supporting
structures rather than as short-term or medium term devices. In fact, some
have been successfully functioning in patients' jaws for several decades. In
the past several years, some clinicians have been utilizing MDI's for single
tooth replacements and in crown and bridge cases..
Make
your appointment now.
(956)242
6826
What's the primary and most effective use for Mini Implants?
The most effective use of
this unique dental product is stabilization of a lower denture. There are
approximately 50,000,000 people in the United States who are "edentulous" (literally
meaning lacking teeth) who struggle daily with prosthetic devices. A
majority suffer a great deal of discomfort as a result of lose or ill-fitting
dentures. Many denture wearers simply withdraw from any type of social
engagement as a result of being compelled to wear them. Moreover, it's not
uncommon for family members to complain about a denture wearer's
disagreeable breath as a result of food being trapped and decaying under
their denture prosthesis. Successful placement of the Mini Dental Implant
addresses and solves all of these social and practical problems. Denture
patients all over the world have experienced relief from loos or ill-fitting
dentures from doctors who are trained to place the MDI. Uniquely, the MDI
can be utilized to stablilize a denture in a couple of hours by a trained
doctor, with the patient leaving the clinic with a stabilized prosthesis..
Make
your appointment now.
(956)242
6826
How specifically can Mini Implants help denture wearers?
The
standard insertion protocol for mini dental implants calls for four of them
to be gently screwed into the front of a patient's lower jaw. This is a
relatively painless procedure that can be performed by a general dentist,
requiring only a mild anesthesia. The mini dental implants, which are
approximately the size of wooden toothpicks, are placed about five
millimeters apart in the patient's mandible. The patient's denture is then
carefully adjusted by the dentist to allow it to snap onto the four mini
implants. The result? A tight fitting, completely reliable system that
allows a patient to speak and eat with confidence. The Mini Dental Implants
are placed in about an hour's time. Because of the unique, minimally
invasive procedure, the minute size of the implants, and the characteristic
placement area, the typical Mini Dental Implant patient can enjoy a light
meal an hour or so after having the mini implants placed. Further,a denture
patient who has had his or her prosthesis stabilized with MDI can remove and
replae the denture easily after a little practice, and can easily utilize
good dental hygiene. All in all, the MDI is quite satisfying.
Make
your appointment now.
(956)242
6826

La
solución total para su dentadura.
Hoy con los nuevos avances de la
ciencia y la tecnología, tengo la grata experiencia clínica de lograr que
los pacientes de la tercera edad, que presenten la perdida total o parcial
de su dentadura, recuperen la alegría, el buen humor y la satisfacción de
masticar o hablar cómodamente, sin ninguna limitación. Además con los MINI
IMPLANTES DENTALES se puede fijar dentaduras totales,evitando que los
pacientes sufran heridas en sus encías, y las molestias de no poder morder,
hablar, reír, etc.
Es una cirugía muy simple que hasta
con anestesia local la podemos realizar; es su
decisión. Los implantes dentales son pequeños dispositivos metálicos
de TITANIO, en forma de tornillos, que se colocan en el hueso de ambos
maxilares, los cuales se van a consolidar en el hueso, procediendo
inmediatamente a confeccionar la prótesis requerida.
Los pacientes que han seleccionado
este método informan, que se sienten contentos por primera vez desde que
perdieron sus dientes.
Cualquier persona (entre 18 y 75
años), a quién le falten uno o más dientes es candidato para el implante
dental.
Los Mini implantes dentales son
estables y se siente más como dientes naturales que las dentaduras totales o
prótesis convencionales
No sufra
más por la perdida de sus dientes
No limite
la sonrisa.
¡Mejore
100% su Autoestima!
¿Tiene Usted
Problemas con su Dentadura ?.
En hora y media puede tener
su dentadura firme y sin movilidad.
Con este sistema de MINI IMPLANTES,
le puedo solucionar su problema.

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