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Considering Dental Implants?
Post: #1

Considering Dental Implants?

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Many people are unaware of the consequences of losing their teeth or the effects of wearing
partial or full dentures upon their jaws and bones. Dr. Fred Rabinowitz, specialist in implant and
cosmetic dentistry, explains the reasons. When teeth are lost, the surrounding bone immediately
begins to shrink [atrophy]. Implant treatment, for tooth replacement therapy, can be the optimal
treatment plan. Here are some important facts to take into consideration.
• Wearing dentures [plates] accelerates bone loss, and old dentures become loose because of
this bone loss. It is possible to watch and wait for bone to disappear to the point where treatment
success of any kind is in doubt.
• At the end of a five-year period, only 40% are still wearing the original partial denture made
for them. This is not a great testimonial for value and utility. Those lucky enough to have a
functioning partial denture after 5 years are still losing valuable supporting bone.
• Of those patients who wear a partial denture, 50% chew better without it.
• One study showed that after 8 years, 40% of the supporting teeth [abutments] that the partial
hooks onto were lost through tooth decay or fracture.
• Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite
with approximately 50 pounds of force. Those wearing dentures for 15 years or more can bite
with only about 6 pounds of force, and their diet and eating habits have had to been modified
• The average lower full denture shifts from side to side during chewing and is a significant
problem that new denture wearers must get use to and accept.
• Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of
denture wearers can only eat soft foods.
• The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to
the implant are no more at risk than if no teeth were missing.
• Implant-supported bridges or dentures have 95% success rates over 10 years without the severe
loss of supporting bone.
“The success rate and benefits of dental implants are astounding. All of our patients are glad they
chose implants over conventional bridges” states, Dr. Rabinowitz.
For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient
comfort, implant therapy is the treatment of choice. Implants can restore chewing function to
the equivalent of someone with natural teeth. If you have questions or want to know if you are a
good candidate for implant tooth replacement therapy, please call Fred M. Rabinowitz, DDS. at
Post: #2
Thanks for sharing your case study with us, this will help me in my future practice. To get Genuine dental services call (949) 548-8218
Post: #3
A dental implant (also known as an endosseous implant or fixture) is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called osseointegration where materials, such as titanium, form an intimate bond to bone. The implant fixture is first placed, so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic.

Success or failure of implants depends on the health of the person receiving it, drugs which affect the chances of osseointegration and the health of the tissues in the mouth. The amount of stress that will be put on the implant and fixture during normal function is also evaluated. Planning the position and number of implants is key to the long-term health of the prosthetic since biomechanical forces created during chewing can be significant. The position of implants is determined by the position and angle of adjacent teeth, lab simulations or by using computed tomography with CAD/CAM simulations and surgical guides called stents. The prerequisites to long-term success of osseointegrated dental implants are healthy bone and gingiva. Since both can atrophy after tooth extraction, pre-prosthetic procedures such as sinus lifts or gingival grafts are sometimes required to recreate ideal bone and gingiva.

The final prosthetic can be either fixed, where a person cannot remove the denture or teeth from their mouth, or removable, where they can remove the prosthetic. In each case an abutment is attached to the implant fixture. Where the prosthetic is fixed, the crown, bridge or denture is fixed to the abutment with either lag screws or dental cement. Where the prosthetic is removable, a corresponding adapter is placed in the prosthetic so that the two pieces can be secured together.

The risks and complications related to implant therapy are divided into those that occur during surgery (such as excessive bleeding or nerve injury), those that occur in the first six months (such as infection and failure to osseointegrate) and those that occur long-term (such as peri-implantitis and mechanical failures). In the presence of healthy tissues, a well integrated implant with appropriate biomechanical loads can have 5-year plus survival rates from 93 to 98 percent and 10 to 15 year lifespans for the prosthetic teeth.

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