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Dental Care
Dental Implantation
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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