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Are implants ever rejected?<\/h4>\n
Implants made of pure titanium have very low corosion\u00a0and are not rejected. The titanium in contact with your bone is actually a microscopic layer of inert ceramic titanium oxide. It is this oxide layer that bonds to the bone. The oxide layer is very stable and maintains\u00a0bone implant bond over time. \u00a0The risk for titanium allergy is extremely rare and in the millions \u00a0placed annually there is\u00a0minimal\u00a0data showing true allergy to pure titanium dental implants.<\/p>\n
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Can any dentist place an implant for me?<\/h4>\n
Yes, but there is variability in experience and\u00a0training with implant surgery. Periodontists and Oral Maxillofacial Surgeons have taken 2+year graduate level\u00a0training in surgical procedures. Also, for every procedure there is a “learning curve”<\/strong> <\/a>and for complex cases like immediate implants, sinus lifts and\u00a0bone grafts it is advised to consider\u00a0practitioners with advanced training and experience.<\/p>\n <\/p>\n No,<\/strong> and the variations in material and shape will\u00a0affect success rates. \u00a0 \u00a0The most\u00a0common\u00a0material is pure Titanium it has well\u00a0proven biocompatability. \u00a0Some systems use titanium alloy with\u00a0Aluminium-Vanadium (Ti-Al-Va) but they do not \u00a0bond bone\u00a0as\u00a0well. \u00a0There is a new improved alloy of\u00a0Titanium-Zirconia that increases strength\u00a0and also\u00a0improves bone bonding ( straumann roxsolid ), this is now our most commonly used implant material.<\/p>\n Titanium Zirconia alloy There are hundreds types of implants including;\u00a0bullet shape,\u00a0straight screw and\u00a0tapered screw but most have\u00a0no\u00a0research. The various shapes\u00a0can affect success rates.<\/p>\n various screw shape implants<\/p><\/div>\n Using a proven implant with\u00a05 years research is advised<\/strong> since complications increase over time. \u00a0Such systems as\u00a0Straumann<\/a>, Nobel Biocare<\/a>, 3i <\/a><\/strong>and Astra<\/a><\/strong>\u00a0are active in\u00a0research\u00a0(see our research section)<\/strong><\/a>. \u00a0Using a proven system is\u00a0more important than ever as there is a trend to discount implants that\u00a0may be\u00a0used in “Tourism Dentistry” locations as well as in\u00a0Canadian\u00a0offices.<\/p>\n <\/p>\n Like teeth, they could last a lifetime but there are many factors affect\u00a0long term success.\u00a0Research\u00a0over the past 15 years\u00a0report\u00a0implant survival\u00a0rates >\u00a090%. Some factors we can control such as accurate diagnosis,\u00a0treatment planning, implant type and surgical technique, but patient risk factors\u00a0like\u00a0systemic and oral\u00a0health\u00a0may not be in the Dentist’s control. \u00a0 \u00a0As well, even with\u00a0surviving implants complications rates of\u00a010% are reported ( ie: bone loss , infection, screw\u00a0breakage). \u00a0Dental\u00a0implants can get gum disease so proper home care and routing dental exam\u00a0is critical. There are no\u00a0guarantees, but \u00a0by choosing\u00a0a skilled\u00a0practioner, using a\u00a0research\u00a0proven implant and living a healthy lifestyle you can improve your success.<\/p>\n <\/p>\n Yes, a loose implant is a failed implant. \u00a0Implants bond to bone so should have no mobility. A loose implant must be removed to prevent further bone loss and efforts to fix a loose implant only worsen the\u00a0correction. A bone graft may be needed\u00a0to allow a replacement\u00a0implant,\u00a0by definition a\u00a0complex case so specialist consultation may be considered.<\/p>\n Each patient’s insurance plan has different things they cover. Our administration team will give you the proper paperwork to submit to your insurance company so you can maximize your benefit. You then can follow up with your insurance company to verify your coverage.<\/p>\n Implant placement is done with local anesthetic so is not painful during placement and \u00a0afterward typically does not result in much pain. It is comparable to having a tooth extracted and managed with 2-4 days of prescription pain medication and a soft diet. If bone grafting or complex\u00a0treatment is completed\u00a0then there may be more pain and swelling so medication may be needed\u00a0for\u00a0about 7 days. Usually patients can resume normal activities after 2-3 days. See our detailed post operative care sheet. pdf post op sheet.<\/a><\/strong><\/p>\n We usually recommend you stay in town for 2 weeks post operatively, after that you can resume your normal travel schedule. Keep in mind that the implants \u00a0will need to be evaluated at\u00a02-3 months after surgery to verify bone integration before the\u00a0\u00a0final crowns at your\u00a0Dentist.<\/p>\n It varies from “same day”\u00a0to 6 months.<\/p>\n The most common scenario is \u00a03 months\u00a0from implant to final crown if the tooth is already missing.\u00a0\u00a0In some cases you can have the extraction, implant and temporary crown the same day , a procedure \u00a0referred to as “immediate implants” \u00a0or \u00a0“teeth in a day<\/strong>“. \u00a0While in\u00a0some cases it takes 6 months\u00a0(3 mos for extraction healing then 3 months for implant healing). \u00a0Your dentist will make a\u00a0removable appliance ( partial denture)\u00a0while the\u00a0implant heals. The timing affects success rates\u00a0<\/strong><\/a>so the decision to\u00a0immediate is an important part of\u00a0treatment planning as it can increase risk for implant loss in some cases.<\/p>\n In certain cases we can place an implant at the same time that we extract the tooth. Generally this is done on teeth with only 1 root ( on front teeth). \u00a0There must also be\u00a0good bone beyond the\u00a0root and no infection present.\u00a0The timing of the implant can affect success rates<\/strong>\u00a0<\/a>so the decision to\u00a0immediate is an important part to treatment planning.<\/p>\n In some cases the \u00a0bone may be missing volume so \u00a0a bone graft is needed, this is a complex procedure and requires a skilled surgeon\u00a0as it\u00a0can affect success rates.<\/a>\u00a0<\/strong><\/p>\n In some sinus cases a more conservative osteotome elevation can be done rather than bone graft placed in sinus. \u00a0This technique does not require two stages of surgery and does not need bone graft. \u00a0Dr French has been researching this techniqe and has two research <\/strong><\/a>papers that help to define the expectations \u00a0and parameters of this procedure.<\/p>\n Though there is some benefit in “preserving” ridge dimension, in many site it is not required. A bone graft in a socket adds cost and gains only 2mm bone width on average \u00a0compared to a non grafted socket. Furhtermore there is no long term data on whether socket grafts have comparable success as compared to naturally healed bone. \u00a0\u00a0In our clinical experience we have\u00a0found that after extraction in our practice 1\/3 sites needed a bone graft for implant so we usually prefer to graft the site only if needed after the area has healed. \u00a0see contorversies in our research <\/a><\/strong>section.<\/p>\n The procedure is done in our office with local anesthesia and takes about 1\u00a0hour for a single implant. More complex\u00a0multiple site\u00a0or\u00a0bone graft cases can take 2-4 hours.<\/p>\n Most of our patients find they do not require sedation. \u00a0However if you are anxious we\u00a0offer carefully monitored oral sedation. This can be discussed in detail at your consultation. \u00a0Generally if you are comfortable with regular dental procedures like fillings or extraction then sedation is not required.<\/p>\n Complex implant cases involve bone grafts, sinus lifts, multiple-sites ( >3\u00a0implants) or visible\u00a0areas ( front tooth).<\/p>\nAre all dental implants the same?<\/h4>\n
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Stronger and more biocompatible<\/p><\/div>\n<\/a>How long will implants last?<\/h4>\n
If my implant is loose has it failed?<\/h4>\n
Are implants covered by my insurance?<\/h4>\n
Is it painful to get implants placed?<\/h4>\n
I travel out of town, do I have to restrict my travel plans?<\/h4>\n
How long do I have to go without teeth?<\/h4>\n
Can I have implants placed the same day as my teeth are extracted?<\/h4>\n
Do I need a sinus lift or bone graft?<\/h4>\n
Do I need a socket bone\u00a0graft if my tooth is extracted?<\/h4>\n
How long is the procedure?<\/h4>\n
Do I get “put under” for the procedure?<\/h4>\n
Is my case a complex\u00a0implant surgery?<\/h4>\n