39540 Murrieta Hot Springs Rd. Suite #231 Murrieta, CA 92563
Phone: 951-696-8200

3330 Third Avenue Suite #100 San Diego CA 92103
Phone: 619-548-4825

39540 Murrieta Hot Springs Rd.
Suite #231 Murrieta, CA 92563
Phone: 951-696-8200

3330 Third Avenue
Suite #100 San Diego CA 92103
Phone: 619-548-4825

PatientBro_pg5 Implant IllsWhat is a Dental Implant?

Dental implants are “screw-like posts” made of titanium and other material that are compatible with the human body. Dental implants are surgically placed in the jaws.

How is an Implant Selected?

There are hundreds of companies that make dental implants. However, at New Smile Prosthodontics, the implants are selected based on scientific research that shows the highest success over a long term (at least 10-25 years of research).

 

What Should You as a Patient Need to Know When Thinking of whether You Should Have Dental Implants?

Dr. Paredes recommends to follow a process of narrowing down options:

First Question: Am I looking for removable or fixed prosthesis (dentures vs implants or bridges).

Second Question: When I am finished with my dental treatment, am I going to be happy with the decision I make today, for example having dentures vs implant crowns?

Third Question: What is my budget? Can I pay for the full treatment or can I make monthly payments?

At New Smile Prosthodontics (NSP), we advice our patients that don’t base the decision of what treatment to choose purely on finances.

Dr. Paredes has the knowledge, training and the team to do everything possible to give you the best functional and cosmetic result on the treatment option you choose. However, Dr. Paredes want you, as the patient, to be happy when all the work is completed.

We want you to show off your new smile. At NSP we feel proud of our work. Our patients come first and are our priority. At NSP will take very good care of you.

 

Fixed Implant Prosthesis (The restoration stays fixed in the mouth. People also referred to it as a permanent):

  1. Single Implant with porcelain crownsNormally the patient is missing one or a few teeth. The bone to hold the implant is present or it is possible to rebuild it with bone grafting.
  2. Multiple implants with porcelain crowns connected (bridged)The patient is missing at least 3 teeth. A full mouth reconstruction can be achieved  by making several implant supported bridges. It is expected that the bone to hold the implant is present or it is possible to rebuild it with bone grafting.
    1.  Note: When multiple teeth are missing, this option can provide the most esthetic and natural looking results. However, it is the most costly option of treatment.
  3. At least 4 implants with a fixed denture is connected. This denture is a one piece prosthesis that goes from the right to the left side (full arch). The denture is commonly made of acrylic teeth with a metal framework embedded inside for strength or the prosthesis can be made 100% of porcelain. This fixed option works very well for patients who do not have any teeth, or will have all remaining teeth extracted.
    1. This option requires that the patient has had some bone loss. When there is a lot of bone present, it might be required to remove some during the implant placement or prior to it.

 

Removable Implant Prosthesis:

  1. Overdenture: 2-4 Implants where a removable denture attaches (aka: Snap-on Denture). This could be a great option when the patient is missing a significant amount of bone. Also, when the current dentures is causing sores, pain, constantly moving causing difficulty speaking or eating. Financially, it is more affordable option than having a fixed implant prosthesis.
    1. Note: The prosthesis is removed to be cleaned after each meal and at night is kept out of the mouth. The advantage of having dental implants is that these implants provide retention, stability and support of the removable denture making it much easier for patients to wear it.

 

Dental Implant Background:

The placement of the implant is dictated by the position and design of the final prosthesis. Therefore, it is critical to have good communication with Dr. Paredes when deciding what kind of prosthesis you wish to have.

 

When the bone is not sufficient, it might require additional procedures, such as bone regeneration, socket preservation, sinus augmentation, soft tissue graft, among others. On the other hand, some prostheses do not work if you have too much bone. In this case, bone reshaping is done.

 

Implant Prosthodontics is done in 3 phases:

  • Diagnosis and Treatment Planning Phase: Dr. Paredes will an assessment and evaluation of your oral condition and planning for the final prosthesis.
  • Surgical Phase: Placement of the implant will be done surgically. In some cases bone graft and soft tissue grafts are done at the same time. Otherwise, additional procedures have to be done prior to the implant placement to prepare the site for the implant.
  • Restorative Phase: Consist of fabricating the final prosthesis.

 

“Connecting prosthesis to dental implants can greatly improve the comfort of the prosthesis. I’ve met many people who do not know they are good candidates for dental implants. It is a very rewarding feeling when a patient comes back after the implants and prostheses are completed and tell me about being able to smile and eat food that they had not eaten in decades.” Dr. Paredes

 

Call Dr. Paredes’ Office now and schedule an appointment to learn and find out if Implant Supported Prostheses are be a good fit for you.

Dental Implants (What Are They?)

Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures.  Implants provide excellent support and stability for these dental appliances.

Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist – a specialist of the gums and supporting bone.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!

Dental implants are strong and durable and will last many years.  On occasion, they will have to be re-tightened or replaced due to normal wear.

Reasons for dental implants:

  • Replace one or more missing teeth without affecting adjacent teeth.
  • Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
  • Restore a patient’s confident smile.
  • Restore chewing, speech, and digestion.
  • Restore or enhance facial tissues.
  • Support a bridge or denture, making it more secure and comfortable.

What does getting dental implants involve?

The process of getting implants requires a number of visits over several months.

X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant.  While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself for up to six months.   Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place.  With other implants the post and anchor are already attached and placed at the same time.

After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor.  Because several fittings may be required, this step may take one to two months to complete.  After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.

You will receive care instructions when your treatment is completed.  Good oral hygiene and eating habits, alongside regular dental visits, will aid in the life of your new implant.

If you have questions about dental implants or would like to schedule a consultation, please contact our office.

Bone Grafting

Bone grafting is often closely associated with dental restorations such as bridge work and dental implants. In the majority of cases, the success of a restoration procedure can hinge on the height, depth, and width of the jawbone at the implant site. When the jawbone has receded or sustained significant damage, the implant(s) cannot be supported on this unstable foundation and bone grafting is usually recommended for the ensuing restoration.

There are several major factors that affect jaw bone volume:

  • Periodontal Disease – Periodontal disease can affect and permanently damage the jaw bone that supports the teeth. Affected areas progressively worsen until the teeth become unstable.
  • Tooth Extraction – Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect”.
  • Injuries and Infections – Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jaw bone to recede in a similar way.

Reasons for bone grafts
Bone grafting is a highly successful procedure in most cases. It is also a preferable alternative to having missing teeth, diseased teeth, or tooth deformities. Bone grafting can increase the height or width of the jawbone and fill in voids and defects in the bone.

 

There are essentially two basic ways in which bone grafting can positively impact the health and stability of the teeth:

Jaw Stabilization – Bone grafting stabilizes and helps restore the jaw foundation for restorative or implant surgery. Deformities can also be corrected and the restructuring of the bone can provide added support.

Preservation – Bone grafting can be used to limit or prevent bone recession following a tooth extraction, periodontal disease, or other invasive processes.

Oral Examination

Initially, the dentist will thoroughly examine the affected area in order to assess the general condition of the teeth and gums. If periodontal disease is present or the adjacent teeth are in poor condition, these factors will be fully addressed before the bone grafting procedure can begin. The dentist will also recommend panoramic x-rays in order to assess the precise depth and width of the existing bone. On occasion, a CAT scan may be recommended to determine the bone condition. Depending on these results, the dentist may also anesthetize the area and explore into the gum in order to determine what kind and how much bone is required.

What Does Bone Grafting Involve?

There are several types of bone grafts. Your dentist will determine the best type for your particular condition.

Autogenous Bone Graft - Harvested from the patient’s own body (usually from the posterior part of the lower jaw or the chin). This method is usually preferred because it produces the most predictable results.

Allograft Bone Graft - Cadaver or synthetic bone is used in this type of graft.

Xenograft – Cow bone is used in this type of graft.

The bone grafting procedure can often take several months to complete. Bone is typically harvested from your own body (or on rare occasions obtained from a “bone bank”) and added to the affected site. This bone will fuse with the existing bone and the migration of cells will cause firm adhesion and cell growth. Supplementing the jaw with bone will result in greater bone mass to help support and anchor the implant(s).

During the surgery, the dentist will numb the grafting and extraction sites using local anesthetic. A small incision will be made to prepare the site for the new bone and it will be anchored into place. On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. The surgery does not require an overnight stay, and you will be provided with comprehensive instructions for your post-operative care. The dentist will prescribe medications to help manage infection, discomfort and swelling.

Sinus Augmentation

A dental implant is essentially an artificial tooth root which is attached to the jaw bone.  Eventually, a replacement tooth or bridge will be firmly fixed to this root, restoring complete function to the tooth.  The key to a successful and long-lasting implant is the quality and quantity of jawbone to which the implant will be attached.  If bone has been lost due to injury or periodontal disease, a sinus augmentation can raise the sinus floor to allow for new bone formation.

 

In the most common sinus augmentation technique, a tiny incision is made near the upper premolar or molar region to expose the jawbone.  A small opening is cut into the bone and the membrane lining the sinus on the other side of the opening is gently pushed upward.  The underlying space is filled with bone graft material and the incision is closed.  The bone which is used for this procedure may be from your own body or from a cadaver.  Sometimes the dentist might use synthetic materials which can also stimulate bone formation.  The implants are placed after healing has occurred; this will depend on the individual case.  Sinus augmentation has been shown to increase the success of dental implant procedures.