A dental implant is an artificial root replacement fabricated of Titanium and is used in prosthetic dentistry to restore a missing tooth or teeth. The most widely accepted and successful implant today is the endosteal osseointegrated implant.
Four Steps to a More Youthful Smile
1) Tooth Extraction / Missing tooth
If not already removed, the original tooth and root will be extracted. Depending on the health and size of the tooth and root, a bone graft procedure and short term healing period may be needed before the implant is placed.
2) Implant Placement
Your new dental implant ( titanium tooth root ) is precisely placed into the implant site. Based on your dental treatment plan, the implant restoration steps may begin (one-stage procedure), or your dental implant may be completely covered by your gums for a healing period, requiring a two-stage procedure. Usually when a patient lose a tooth many years ago, the bone and the gum shrink causing a depression that might need to be leveled using bone graft in conjunction with the placement of the implant
3) Abutment & Crown Preparation
When your new dental implant is fully healed and osseointegrated ( aprox.3-4 months ) a high noble metal core or "abutment" is connected and locked to the implant. This step includes soft-tissue contouring (for aesthetics), impression (to replicate positioning of the implant and the abutment), and final impression, photos, shade selection and bite registration for the designing of the final crown.
4) Crown Placement
After crown is fabricated (by a dental laboratory), your dentist will cement permanently the crown. Further instructions on how to take care and some hygiene tips will be provided to you.
implant inserted healing cap placed tissue former abutment placed crown cemented
CLINICAL CASE , actual patient of Dr.Celis
Diagnosis: 24 years old female patient with four anterior defective porcelain-metal crowns and the upper front right tooth has severe internal root resorption. Also inflammation and dark blue coloration of the gums due to open margins and poor quality of the metal ( non precious metal ) used in her existing crowns.
Treatment plan : the old porcelain-metal crowns are removed and replaced with all ceramic Lava crowns, the central left tooth is extracted due to internal root resorption and an immediate implant is inserted in the bone. Gums are treated with Laser. Four months after the insertion of the implant, a final crown is permanently cemented on top of the abutment. Gums have improved to a healthy and good looking condition.
defective anterior crowns Lava ceramic crowns Implant placed
Lava crows bonded close up
In Conclusion, How do Dental Implants Work?
Dental implants are made of titanium and consist of an anchor (the implant), the abutment ( metal or zirconia ) and the implant-crown ( high noble metal with porcelain or Lava crown ).
The dental implant is surgically placed into the bone, under your gums, and actually encourages your bone to grow up on top of it.. This osseointegration secures the implant into the bone. The abutment is attached to the integrated dental implant four months after and then later a crown is cemented on top of the abutment to complete your smile. Dental implants can be used to support single teeth, bridges and dentures.
Special thanks to Dentsply USA