Astoria, Queens Dental Implant surgeon Victor Terranova, DMD, MS, PHD answers all your questions about dental implants.
OPTIONS FOR DENTAL IMPLANTS IN QUEENS - SINGLE AND MULTIPLE TOOTH REPLACEMENT.
If you are worried about your smile, are missing a few teeth, don’t want to get a bridge done or may have trouble chewing due to loss of teeth then the time may have come for you to consider dental implants. Dental Implants have revolutionized how people smile and live as millions of Americans each year choose to have dental implants. The most common form of dental implants is SINGLE TOOTH REPLACEMENT, but we also do MULTIPLE TOOTH REPLACEMENT. This is performed using a process known as osseo-integration, whereby titanium becomes fused to the bone. The dentist places the dental implant on the lower or upper jaw. In some instances the dentist may place multiple dental implants, placing small titanium screws into the bone.
We also have the ability to give the patient a bridge using dental implants. This bridge is a restorative bridge used to replace many missing teeth. There are two types: fixed partial dentures and removable partial dentures. Fixed bridges are cemented in and cannot be removed. Partial dentures can be removed at night for cleaning.
Queens Dental Implant Dentist Victor Terranova, DMD, MS, PhD. discusses who is a possible candidate for dental implants.
Most patients are possible candidates for dental implants no matter what age they are. If the patients are in good health there is a high chance that they are a candidate, however some people who are medically compromised cannot have dental implant surgery.
Patients may have had such excessive bone loss that it would be either impossible or too risky to perform a bone graft. Patients that smoke must accept the fact that dental implant surgery may not be that effective for them.Dental Implant Candidate
Dental Implants are a highly successful treatment option for the right candidate. For a suitable dental implant candidate, the success rate of a successful dentalimplants procedure is about 94%, and can be as high as 97%. However there are several factors that could influence your suitability:
- There is not sufficient bone in the area.
- Gum disease is present
- The patient has bite complications
- The patient may have poor health or compromised immune system
- The amount of tobacco they smoke could adversely affect the outcome
While the above conditions will not prevent you from getting a dental implant, they may delay your dental implant procedure until they are remedied. Some patients with poor bone mass may require bone grafts, in order to receive dental implants. Patients with gum disease will first be treated before undergoing an implant procedure.
If you have significant bone loss the dentist may perform bone grafting surgery in order to build up bone mass so dental implant surgery may take place. You may have to wait up to six months from when the bone graft was performed.
The drawback of losing a tooth is that the patient will experience 25% bone loss across the ridge in the first year. This is because the jawbone begins to degrade as your body begins to remove bone tissue that is no longer necessary. This will cause your other teeth to shift and they will move into the gap, causing your bite to change. It is therefore imperative for patients that as soon as they lose a tooth they should get a dental implant to reduce the risk of bone resorption.
In most cases a patient can receive a dental implant as long as they are committed to the process. This may include the cessation of smoking, changing medications and overcoming periodontal disease.Dental Implant ConsultationWe understand that each patient has specific needs and that we may not have discussed all the issues that concern you regarding the dental implant procedure.
You can contact our staff today to setup at our Astoria office a dental implant consultation with Dr Victor Terranova on 718-626-1050.
If you are missing teeth the time to get treatment is now. When we place dental implants they become a life changing experience for most of our patients.
Dental Implants Versus Dentures
The problems that denture wearers experience with dentures.Removable false teeth also known as dentures have been the first option to replacing lost teeth for many years.
This option has been extremely helpful for many adults with missing teeth throughout the US,due to the fact that they have now become more advanced and less noticeable as dentures. Dentures however are far from a perfect solution for missing teeth and present their own problems often causing damage to a patient’s gums through their continued use.
Dentures have to be held in place with paste or adhesive dental glue which can be a time consuming and tiresome and embarrasing process that must be repeated continually each time the dentures are removed.
Not only is it a tricky process to secure the dentures initially but the adhesives used are not always reliable. This can cause the patients dentures to slip and move around. This can be embarrassing and uncomfortable when a patient is speaking or eating.
The lower dentures are more prone to this and through time can cause gum irritation and sores due to the rubbing process over time. Lastly, dentures require a huge amount of maintenance and cleaning in order to keep them clean. They must also be replaced when they wear out over time.
Dangers of Dentures and why dental implants are better
Older patients - with or without dentures - have higher bacterial counts in their mouths
For patients who suffer from dry mouth, contaminated dentures pose potential health risks
Partial and full acrylic dentures have surface pores - Some might wonder if this is really a cause for concern. After all, everyone’s mouth is filled with germs, thus we get morning breath. But research has isolated Staphylococcus aureus, Streptococcus mutans, Klebsiella pneumoniae, Escherichia coli, and hundreds of other garden-variety germs in acrylic dentures.
What types of dental implants are available to me?
There are 4 main types of dental implants. There are
- single tooth dental implants,
- multiple tooth dental implants
- combinations of fixed and removable bridgework
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DENTAL IMPLANT VS. DENTURES PROS AND CONS
Many people who are used to wearing dentures are skeptical of choosing an alternative to dentures. For most patients once they receive dental implants they quickly realize, the benefits of dental implants far outweigh the benefits of dentures.
BENEFITS OF DENTAL IMPLANTS INCLUDE:
The dental implants are placed securely into the jawbone with no slippage or movement.
The dental implants are easy to maintain and are low maintenance.
Dental implants are a lot more comfortable.
Dental implants are a permanent solution - They should last 20 years to life with proper maintenance.
Dental Implants have the Look and function of natural teeth.
Dental Implants prevent bone loss and encourage bone growth around the titanium implant.
Dental Implants prevent gum and bone deterioration, jawbone recession, and facial collapse.
THE DRAWBACKS OF WEARING DENTURES:
DUE TO ADHESIVES the bond created is weak causing slippage and movement
They can cause problems with speech
They can cause problems with mastication (chewing)
Patients complain of discomfort, irritation and sores
They require regular cleaning
Eventually they will have to be replaced
They present no ability to preserve the bone
Dentures can cause an increase in jawbone recession and facial collapse Ready to say goodbye to dentures? If you are a denture wearer and are looking to change the way you eat, smile and feel then make an appointment today to discuss dental implants.
Implant Retained Removable Dentures
Implant Retained Removable Dentures - An affordable alternative to traditional dental implants.Implant Retained Dentures are now within the financial reach of many patients who have experienced extreme tooth loss and are looking for a new solutions that offer different results from traditional dentures. The exact price that it will cost will be given by Dr Terranova but will firstly require a consultation and the preparation of a treatment plan.
Implant Retained Removable Dentures offer the following benefits to the patient:
- Improved self esteem and confidence
- The dentures are stable during eating
- Bone is preserved due to bone growth around the implants
- Gum tissue and shrinkage is decreased
- More hygienic since no food particles travels under denture
- Looks like real teeth
- Patients overall health is increased with dental implants due to no dietary restrictions
Dental Implant retained removable dentures basically snap in and you can have a partial or full set of dentures. They are composed of a plastic base that hold the artificial teeth on the frame. Implant retained dentures look natural and eliminate the problems associated with regular dentures including the ability to converse properly, to eat what you want without movement and better overall hygiene. Due to the fact that there are implant in your jawbone holding them in place it there is the benefit of bone growth around the implants. Therefore overall the patient experiences less bone loss and has minimized the loss of facial structure.
What is the procedure for Implant Retained Dentures?
During the Initial consultation before the dentist performs any work Dr. Terranova will review your individual case by analyzing your medical and dental records. He will then take X-rays and impressions of your teeth and gums and may perform a CT scan in order to ascertain the amount of bone you have available in which to place the dental implants. With these impressions the dentist will make models of your teeth structure and these will help with the temporary dentures that will be placed. Then the surgeon will make an incision into your gums and place the implants into the jawbone. Once the implants have been placed he will stitch up the incision. Dr. Terranova will then place a temporary denture in a way that no direct pressure will be exerted onto the implants.
The 2nd Procedure
During the second procedure which will normally be 5-6 months for the upper jaw or 3-4 months for teh lower jaw. During this period the bone and the implants will become fused in the process known as osseo-integration. At this point the surgeon will ascertain whether the implants have become fused. By taking an x-ray. During this procedure Dr. Terranova will make a small incision into the gum to expose so that the tops of the implants are exposed.Once he is certain that the implants have become fused with the bone he will schedule the second procedure.
Dr. Terrnaova will then confirm whether the implant is ready to have second procedure done by taking an X-ray.
This surgery is a lot more simple than the first surgery. Dr. Terranova will make a small incision in your gum that will expose the tops parts of the implants. On top of this he places a round piece of metal- this is known as a healing cap that is placed onto the head of the exposed implant.
This healing cap is used to hold the gums separate from the implant head for 10-14 days. Dr. Terrnaova will then adjust the temporary denture. The healing caps are then replaced with regular abutments about two weeks your second procedure.
By now the patient’s gums will have healed and Dr. Terranova can take impressions of your gum tissue and the abutments. He uses the model of your jaw and abutments to fabricate the permanent denture.Trying the denture At this final stage which is normally in month 5 or 7 – you will have the initial try-in of the new denture. Dr. Terranova will place the metal bar on the abutments making sure that it fits together with the dental framework.
Then the artificial teeth are temporarily placed on the framework in wax. Once everything fits correctly – with the whole denture tried in your mouth – the teeth would then be permanently lodged in the denture framework.
Depending on the type of implant-supported denture you have selected, Then either the ball or bar attachments will be secured at this time depending on the type of implant-supported denture that you have selected.
Dr. Terranova will then have you return for another visit to insert the completed denture. The denture may either be snapped into the ball attachments or clipped onto the bar.
Just as with one missing tooth, several missing teeth can be easily treated with dental implants. Implant supported teeth are permanently fixed in the mouth, unlike removable appliances like dentures. They don’t slip or click, and there is no worry about them moving or falling out when speaking, eating, or participating in activities. And because dental implants are placed directly into the bone, they help preserve the jawbone and prevent bone deterioration. If the implants will be placed next to natural teeth, the natural teeth and surrounding gums must be in good health. If you don't have enough bone to place and support the dental implants, the supporting bone can be built up using bone augmentation or grafting before the actual implant procedure begins.
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