What are dental Implants?
Dental Implants in Delaware are quickly becoming the most desired means of replacing missing teeth, and for a good reason! There is no other dental treatment in Georgetown that is as close to a natural tooth as a dental implant. A dental implant is comprised of 3 parts:
- A titanium rod that actually attaches to the jaw bone like a natural tooth root would.
- An “abutment” or part that serves to attach a crown to the implant
the crown itself.
- The titanium rod that your periodontist in Sussex County surgically places in your bone has small holes in it that your bone grows through to create a strong, natural bond. This process is called “osteointegration” and takes about 3 months to complete. It results in an attachment that is strong – just like a real tooth root.
Why dental implants?
Patients who have lost one or several of their teeth have functional and esthetic issues.
In most of our cases, dental implants in Sussex County can créate a natural, beautiful and functional bite
Here are some of the reasons to choose dental implants to get back your confidence!!!
They look natural. They are custom made achieving excellent esthetics and function
You will be able to smile and chew again
You will smile with confidence
Its long lasting and a conservative treatment option. Implants do require treatments on adjacent teeth so you only have to replace the missing tooth.
They can last a lifetime. You have to brush them good, though
Prevention of problems in other teeth. If a tooth is not replaced, the teeth right next to get overloaded, wear in an unhealthy way and can eventually be lost.
Teeth tend to shift when a tooth right next to is missing leading to problems with the occlusion. Replacing missing teeth with implants, avoid that.
It is the fixed solution that most closely resembles natural teeth. And, it has a treatment success rate of 95-98%.
Dental Implants vs Bridges and Partial dentures
Dental implants improve the performance of your mouth when teeth are missing.
Dentures do not allow you to chew properly, they cause bone loss and damage the teeth on which they rest. Bridges have the disadvantage of having to file down adjacent teeth where they rest which leads to decay and failure long term. With dental implants you can recover the aesthetic and masticatory functionality of your mouth, effectively and definitively.
The main advantages of implants over fixed prostheses or bridges and/or dentures are
– Greater durability. Fixed and removable prostheses have an approximate durability of 10-15 years, implants can last almost a lifetime.
– Greater stability or comfort. They behave like your own teeth.
– Non invasive treatment. To make a bridge teeth adjacent to the area where the tooth/teeth are missing must be prepared or reduced, which will weaken those teeth.
– Dentures are supported by hooks or attachments on the teeth adjacent to the area where teeth are missing, which over time, will overload these teeth, weakening them.
– Implants allow the preservation of the jaw bone. When a tooth is lost, the jaw bone that was supporting the teeth will be reabsorbed or lost over time. The placement of dental implants prevents the re-absorption of bone in an area of the jaw without teeth.
Dental Implants vs full dentures?
Full dentures sit on top of the gums where the missing teeth were. It can be uncomfortable, might affect the taste of food, cause sores on your gums, and shift and click in your mouth when you speak, eat and smile. The initial costs are low but they only last an average of 7 to 15 years, and the replacement costs can be significant over the long term. They need to be removed regularly for cleaning, which can be a time-consuming hassle. The jaw bone that supports a complete denture may deteriorate over time, permanently changing the appearance of your smile and face.
Dental implants in Delawaer are the best option to replace missing teeth. They are implanted into the jaw or gum so that they serve as an anchor for dental crowns and they won’t move or slip. They don’t require removal, special cleaning, or the use of adhesives, and maintenance is simple. If you brush them regularly like what you would do with your natural teeth, a dental implant can be a lifelong solution to your tooth loss.
The main disadvantage of dental implants vs full dentures is the initial cost. That is the main cause why patients do not choose implants. However, when you consider the additional costs of dentures ( adhsives, repaits and replacement) over time and the increase on life quality, implants are often a better financial solution worth the extra upfront cost.
What is the process?
We are going to describe the process in detail from the first to the last day of a simple implant treatment in Georgetown, Delaware:
First surgical phase:
A clinical and radiograhic assessment will be performed. The implant surgeon will assess the patient’s mouth, the amount of remaining bone and the general state of health. A cbct 3 dimensional xray is mandatory to assess the quality and quantity of bone and achieve treatment succes. With all the clinical and radiographic informatiomn the implant surgeon determines whether dental implant surgery is viable.
Each of the steps to place the dental implants will be explained to the patient. Advantages, disadvantages, alternative treatments will be explained and any questions that the patient has will be answered.
Treatment cost will be explained in detail. If dental insurance is involved and estimate of insurance will be given and a predetermination will be send to insurance
Implants should not be performed if other areas of the mouth have active dental disease. Teeth cleaning, gum treatment, caries removal, extraction of non salvagable teeth might be necessary prior to the surgical implant visit. Excessive presence of bacteria or infections in the mouth, can interfere with the success of dental implant treatment.
If the entire mouth is healthy, the surgery for the placement of the dental implants can be performed. Steps during this visit are as follow
Local numbing of the area to be treated. With the gentle touch of dr sanz, you will not realized any discomfort. With local numbing,also commonly call novacaine, you are not going to feel any kind of discomfort nor pain. There is no need of Deep sedation for treatment with dental implants.
Preparation of the jaw bone for the dental implant, through the use of a sequence of drills with the shape of the implant that are introduced from lower to higher until they leave the exact space for the dental implant.
Placement of the dental implant in the prepared area.
Stiches around the implant. After the surgical treatment, antibiotics and anti-inflammatory medication are prescribed for a week to prevent infection and to help alleviate the associated symptoms resulting from the implant procedure.
After 1 week, a quick follow up to assess the healing and removing the stiches is necessary.
After 3 months, a quick follow up to assess the final healing is necessary. A test to assess the osseointegration of the implant, ostem, and an xray will be taken.
Second Prosthetic Phase:
1. Our prosthetic specialist will take an impression ( standard or digital) to start the process to build the tooth that goes over the implant.
2.This impression is sent to a dental laboratory technician to make a custom tooth with the shape and color that look natural.
1. Test of the internal structure of the prosthesis on the implant.
2. X-ray to check that the fit between the prosthesis and the implant is correct.
1. Placement of the tooth
2. X-ray to confirm a correct fit.
3. Closing of the chimney (hole where the screw that will join the dental prosthesis to the implant is inserted).
In this visit, the patient leaves with his or her definitive tooth.
By following the steps to place the dental implants correctly, the chances of success of the treatment will be very high. It is important for the patient to be aware that dental implants require care and maintenance similar to that of a natural tooth, which is why periodic check-ups are necessary, according to the indications of the implantologist.
New tooth in just one day
Currently, it is possible to place fixed teeth in a day in Delaware. This technique is known as teeth in a day or immediate load implants. This means that after 24 hours, or at the same time as the titanium implants are placed, we can place temporary fixed teeth that will be worn during the months of osseointegration/healing of the implant. After several months the final fixed teeth will be placed.
You can leave Southern Delaweare Dental Specialist with fixed provisional teeth and you do not have to be without teeth at any time nor dentures!!!
It is a common technique that implant specialists with a lot of experience like dr sanz can easily perform. It is seen in a lot of commercials on TV and Dr sanz is a master on this technique
The technigue of tooth replacement in one day will avoid the transition from having natural teeth to wearing a denture which can be very traumatic for the patient.
Implants and bone grafting in Delaware.
It is key to have sufficient and good quality of jaw bone for the succes of dental implants.
After radiographic evaluation by the implantologist in Georgetown, it will be determined whether there is sufficient bone for implant integration or whether it will be necessary to add a bone graft for dental implant treatment, in order to ensure correct osseointegration.
When there is not enough bone structure, the options for bone grafting for the treatment of dental implants are varied.
Although the application of these techniques may increase the costs of dental implant treatment in Delaware, there is no doubt that when they are necessary, their application will ensure the success of the dental implant treatment.
Below we describe the most successful techniques and those most used for dental implant surgeries in Sussex County.
Bone graft at time of implant placement
When implants are placed the same day that teeth are removed, the gap between the implant and the walls of bone that was holding the tooth is filled with a bone graft. This improves the esthetics of the case and increasses the amount of bone surrounding the implant.
Sometimes severe bone deficiency is seen around a tooth which has to be removed due to periodontal disease or infection of the nerve. In these cases, a bone graft material should be placed after the removal of the tooth to restore some of the missing bone necesary to place an implant after several months. This is a technique called socket preservation or ridge preservation.
Maxillary sinus lift
This procedure is used in the upper maxilla, when the patient lacks sufficient bone height to ensure the stability of the dental implants. It is performed by applying bone, in conjunction with a resorbable membrane into the area that requires more bone.
The advantage of adding maxillary sinus elevation through the use of bone grafts for dental implants is that it will allow the placement of dental implants in areas where it was previously impossible.
Are dental implants painful?
Any type of dental surgery can involve some discomfort but patients generally find that the pain after the surgical treatment with implants in Southern Delaware Dental Specialist is minimal.
The placement of an implants in South Delaware usually causes very little to non existing discomfort. Local anesthesia, comonly known as novacaine, help eliminate the discomfort during the procedure.
Most patients report that the procedure of placing an implant is much more comfortable than they had anticipated.
After treatment, Dr sanz will prescribe medication to relieve any discomfort that may occur after treatment.
If you are concerned about discomfort during the procedure itself please visit our testimonials videos and reviews.
Instructions after treatment implant treatment. Can I work the day after?
When the implant is placed, we will explain the symptoms and instructions of what to do. Below are the instructions you must follow:
Bite into a gauze after the operation for 30 minutes.
Do not spit. Spitting can make the clot dislodge and make it bleed more. If you have blood or saliva in your mouth, we recommend for 24 hours swallowing or drooling into a napkin.
Do not rinse your mouth for 24 hours.
Avoid eating until the anesthesia wears off and take the medication prescribed by your dentist.
To eat we recommend soft food at room temperature. Drink plenty of liquids, chew on the area that has not been operated and avoid hot and irritating foods during the first days.
During the first hours you will notice that some blood oozes from the wound. Fold a piece of gauze, place it over the area and bite down on it for 30 minutes
It is advisable to maintain a posture in which the head is higher than the body. For example, sitting or in bed with pillows under the mattress.
The day after treatment it is recommemnded to rinse your mouth (you can do a rinse with water and salt or thyme, or use a chlorhexidine mouthwash for a week).
Normal symptoms after receiving implants
During the first 24 hours it is normal to notice some blood coming out of the wound that will gradually subside. If you notice that you are bleeding a lot, take a gauze pad and place it over the wound and bite again for 30 minutes.
During the post-operative period until the seventh day, it is normal to have symptoms such as swelling of the cheek and bruising or difficulty opening the mouth.
Swelling usually peaks between 24 and 72 hours.
It is normal for the stitches to pull the tissues. Once the stitches are removed after 7 days that pulling disappears.
Smoking can affect negatively and delay wound healing and increase the risk of infection, so smoking is not recommended during the postoperative period.
It is very important that you follow the postoperative instructions and take the prescribed medication correctly. In case of any doubt, contact us.
And yes, you can work after implant treatment!!!
Is there risk of rejection of a dental implant?
Although the success rate of implants is 95-98%, implants can be rejected. Dr sanz, our board certified periodontist in South Delaware, will go through your dental history and overall health to evaluate whether implants are the optimal solution for them.
The risk factors that can lead to implant failure/rejection are mainly the following four:
Poor or inadequate oral hygiene. There is a greater accumulation of plaque, so there may be inflammation and bone loss, periimplantitis.
Smoking: causes vasoconstriction, that is, the reduction of blood flow, so that it delays healing and favors bone loss.
Periodontal disease: is a chronic infection/inflammatory disease that might infect implants during and after healing.
Poorly controlled systemic diseases, such as diabetes, can lead to treatment failure.
How long do dental implants last? Dental Implants forever???
Inadequate dental care or lack of treatment when needed are the most common reasons for dental problems. The same is true for implants. With routine dental care and check-ups, implants should last a lifetime but other factors like overall health (uncontrolled diabetes, thyroid problem et ) and bad habits ( smoking, poor oral hygiene etc) might impact negatively the health on an implant long term. Therefore, the answer to this question really is impossible to answer. Guarantees can not and should not be given.
Success can be influenced by the aftercare and the quality of dentist you have chosen for your implants. All of these can tip the balance in your favor.
General dentist or board certified periodontist?
When you decide to have a dental implant treatment in Delaware is really important the implantologist who is going to be treating you. The implant material and the technology of the office is important but the profesional who is going to treat you is key for the success of the treatment.
Dr sanz, our periodontist board certified in dental implant surgery is exclusively dedicated to oral implantology. He studied three extra years to get his specialty and he is one the very few board certified periodontist in the state of delaware. He practices exclusively on gum disease and implant surgery so he has extensive professional experience in placing dental implants in Georgetown.
Currently, dentistry is highly specialized and therefore professionals are increasingly developing in very specific areas. The more specialized a professional is, the more experience he or she will have in a certain treatment and therefore, the more he or she will master the necessary techniques and the latest trends to achieve more successful treatments.
Patients should know then, that the price of your dental implant, should not be based entirely on the brand or the implant that is placed, if not in the hands of who performs the procedure and this, if it is going to have a big difference in the experience you have during the process and the result after treatment.
Remember also that a dental implant is not only made up of a titanium screw that is inserted into the bone, it will also be restored with a prosthetic crown and this must be carried out by a quality laboratory. Just as the implant surgeon must be very well trained, the skill of the technician and the technology he or she employs will also be decisive in order to carry out the prosthesis on the implant.
Brands of dental Implants? Different prices for the same treatment?
Not all materials are of the same quality and performance, and this is reflected in the price of the dental implant in Georgetown. It is important before contracting any service, especially if the price is too low, to ask your dentist in delaware about the materials and techniques that your treatment needs. A good professional will use the best technology and appropriate treatment and will not have doubts when it comes to answering all the questions you might have regarding the materials been used.
In the market there are several types of implant brands with different manufacturing origins which it is what determines the price of the implant. Broadly speaking there are high-end and cheap implants. The high-end ones present a series of qualities that the low-end implants cannot offer. The technology, the standards of quality, the scientific studies supporting the product vary depending on the brand used. A high end implants has better support leadning to better quality and durability.
The cheaper implants cannot be considered as an alternative to the high-end implants since they lack scientific support and are conditioned to suffer some failure.
Price of a dental implant in Delaware?
Implant treatments in Delaware can be a high cost treatment. Implants in Georgetown are durable and have long-term stability becoming an affordable treatment long term. The price of an implant in Sussex county will depend on certain variables that our specialist in implants, Dr Sanz, will take into account when carrying out a detailed evaluation. This variables, factors must be taken into account and that can modify the final price of a dental implant in Georgetown.
PRICE FOR A DENTAL IMPLANT WITH AN ABUTMENT AND CROWN IS 3,495.
Therefore an evaluation is important to know the final price of a dental implant. There are patients who have the quantity and quality of bone necessary to carry out this treatment quickly and easily. The price will be possibly be 3,495 dollars. However, there are patients who, due to the long time that has passed since the loss of their teeth, until the moment they decide to have Implants carried out, have lost a lot of bone and require bone grafts or various surgical procedures prior to implant treatment.
The price of an implant in delaware may also vary depending on the knowledge, professionalism and experience that the surgeon has, since the salary changes from a recently graduated dentist to an endorsed professional with experience, postgraduate and master’s degrees.
Does my insurance covers implants??? In network implant treatment available?
Before you schedule your dental implant procedure in Georgetown, you will also want to check with your dental insurance company to see if they will cover the cost of a dental implant in Delaware. Most dental insurance policies won’t cover the cost of dental implants or bone grafts, although they may cover part of the procedure such as the extraction or the crown. We are in network with most of the major dental insurances in Delaware. We might be one of the very few in network periodontist in Delaware. We work closely with them. We will help you maximize the benefits of your insurance toward implant treatment.