Procedure
Information
Three types of dental implants
exist, and the primary difference is the anchoring
system. A Subperiosteal implant refers to implants
affixed to a lightweight metal that is surgically
inserted on the jawbone. The bone then grows and
attaches to the metal piece. Endosteal implants are
affixed to holes drilled into existing jawbone.
Artificial bone substitutes are an option in which
an artificial bone is surgically inserted onto the
jawbone. Implants are affixed to the artificial
material after bone grows and attaches the material
permanently to the existing jawbone. Your surgeon
will recommend the best option for you.
There
are several stages in dental implantation. First, a
patient's mouth is prepared to receive the implants.
An endosteal implant, subperiosteal implant, bone
augmentation, or reshaping and contouring of the
jawbone may be required. Bone grafting or
distraction osteogenesis requires a waiting period
of 3 to 6 months before the next stage. During this
time, a denture can be worn.
The second
(or sometimes first) stage involves surgical
implantation of metal posts. An incision will be
made in the gums and holes drilled into the natural
jawbone or surgically inserted substitute. The
implants will be placed in the holes, and the gums
sutured. Extra care in eating and cleaning the
implant area is necessary for 1 to 2 weeks
afterward. A second waiting period of several months
will allow the implants to fuse with the bone.
When
your surgeon determines the implants have grown
around the bone and are well integrated, a minor
surgical procedure will expose the implant posts.
Either a temporary crown or a special metal post
will be affixed on each existing post. Another
waiting period of about 8 weeks is necessary to
allow the gums to start growing around the implant
the way they would grow around natural teeth.
The
last stage involves affixing artificial crowns.
After an imprint of your mouth is made, your
permanent crowns should be ready in about 2 weeks.
Your surgeon will affix the permanent crowns in
place to complete the implant procedure.
Anesthesia
A
local anesthetic is the norm.
Recovery
Time
Patients should be able to return to
normal activities between and after surgeries and
procedures. Each patient's situation will differ
based on whether bone grafting is required, how well
the implants integrate with your body, and whether
problems arise. Consult your surgeon for your
expected recovery time.
Risks/Complications/Side
Effects
Risks include rejection of the
implants, much like rejection of a kidney.
Infection, damage to roots of healthy teeth, nerve
damage, loosening or fracturing of implants, failed
bonding, and gum inflammation are the most common
risks and side effects for dental implants.
Post
Operative Care After each procedure, pain
medication such as Tylenol or Advil can ease
discomfort for a few days. Your surgeon will advise
a soft diet between procedures. Other special
instructions will be based on your unique situation.
Always follow your surgeon's instructions for a fast
and effective recovery.
Loose gums are
normal with dental implants. Flossing and brushing
regularly will promote healthy gums and teeth. You
may need to schedule dentist visits more than twice
a year after undergoing implant procedures.
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