Overview of Implant Placement | Montgomery AL
The Dental Implant Surgical Procedure
The procedure to place a dental implant takes 30 to 60 minutes for one implant and only 2 to 3 hours for multiple implants. The number of appointments and time required, vary from patient to patient. At Alabama Surgical Arts Dr. Nizam and Goerhing bring great precision and attention to the details of your case.
Prior to surgery, you may receive antibiotics and for greater comfort, intravenous sedation or nitrous oxide (laughing gas). These options are discussed with you at your consultation appointment. A local anesthetic will be administered to numb the area where the dental implant will be placed.
When you are comfortable, the surgeon makes a small incision in the gum tissue to reveal the bone (or removes the tooth being replaced immediately), creates space using special instruments, and gently inserts the titanium implant. The top of this implant is often visible through the gum. Sometimes it is better in the early stages of healing to have the implant covered by the gum tissue.
2. Tooth Loss
3. Healed Bone
4. Implant Placed
6. Implant Restored
Healing after Dental Implant Surgery
Now the healing begins. The length of time varies from person to person, depending upon the quality and quantity of bone. Osseointegration, the process of the bone permanently fusing to the implants takes 3-4 months. In some cases, implants may be restored immediately after they are placed. The surgeon will advise you on follow-up care and timing. After the initial 3-4 months of healing, the surgeon places an abutment (support post) or a healing cap onto the dental implant during a brief follow-up visit. This allows gum tissue to mature and provides access to the implant for the restoring dentist to place the final crown.
How long your mouth needs to heal is determined by a variety of factors. Follow-up care (one to four appointments) is usually needed to ensure that your mouth is healing well and to determine when you are ready for the restorative phase of your treatment.
It may be beneficial to perform a soft tissue graft to obtain stronger, more easily cleaned and natural appearing gum tissue in the area around the implant. This process involves moving a small amount of gum tissue from one part of your mouth to the area around the implant. Most often, it is a brief and relatively comfortable procedure.
Whether it’s one tooth or all of your teeth that are being replaced, your dentist will complete the restoration by fitting the replacement tooth (crown) to the dental implant.
Dental Implants Presentation
To provide you with a better understanding of dental implants, we have provided the following multimedia presentation. Many common questions pertaining to dental implants are discussed.
When are dental implants placed?
Implants are traditionaly placed 3-5 months after extraction and socket preservation with a bone replacement graft. Due to advances in imaging and implant technology implants may be placed immediately after extraction of a tooth. This cuts treatment time in half. When infection or other problems with the bone are present, immediate implant placement is not the best treatment.
If your tooth has been missing for some time, the adjacent support bone is likely to grow thinner and shrink. This occurs because the root of the natural tooth has to be present to stimulate the bone. As much as one third of your jaw’s thickness can be lost in the year following tooth extraction. If you are missing enough bone, you may benefit from having additional bone grafted into the area. This ensures the implant will be adequately supported when it is placed in the jaw.
How many implants do I need?
For single teeth 1 implant is required for replacement. For multiple missing teeth an implant bridge can be fabricated where 2 implants are placed to support 3 missing teeth. If you are missing all your teeth multiple options are avaialable for replacement ranging from 2-8 implants depending on your avaialbe bone and prefered final replacement teeth. Dr. Nizam and Dr. Goehring will work with your refering dentist to customize a plan for you that minimizes cost, downtime, and discomfort, but also maximizes esthetics, function, and longevitity.