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Dental Implants
Dental Implants are a
proven solution for people who have lost one or more teeth due to
periodontal disease, trauma or injury, or any other reason. They are one
of the most predictable and conservative way of replacing missing teeth
with the best long term success. Implants are basically artificial tooth
roots that are placed into the jaw bone and are used to support the
teeth/crowns. While Dr. Gurinsky surgically places the manufactured post
that creates the stable foundation for your new tooth, the final natural
looking tooth restoration will be placed by your general dentist. Dental
Implants look, feel and function like natural teeth and can last a
lifetime if they are properly cared for. Dental implants are intimately
connected with the gum tissues and underlying bone in the mouth. As a
periodontist who specializes in precisely these areas, Dr. Gurinsky has
the special knowledge, training and facilities that you need, to have
teeth that look and feel just like your own.
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Tooth Crown and Tooth Root |

Dental Implant Tooth Replacement |
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Benefits of Dental Implants:
• are the most advanced tooth replacement
system ever devised.
• help preserve the jawbone to prevent the
appearance of premature aging.
• look and function like natural teeth.
• improve comfort, appearance, speech
• have a very high success rate
• allow you to eat the foods you love and
talk, smile and laugh with confidence
• represent a conservative treatment
option—adjacent teeth are left untouched
• never develop decay
• never require root canals
• can provide stability for a lower denture,
making it more secure and comfortable
• can completely eliminate the need for a
denture
• can help people of any age
• are placed in our office with minimal
discomfort
Are
You a Candidate for Dental Implants?
The ideal candidate for a dental implant is
in good general and oral health. Adequate
bone in your jaw is needed to support the
implant, and the best candidates have
healthy gum tissues that are free of
periodontal disease.
Although dental implant treatment may
initially be more expensive than other
treatment methods it often turns out to be
the best investment from a long term
perspective since most patients can expect
them to last a life time. Other treatment
methods like bridges and dentures often
requires regular alterations and adjustments
over time.
What
Is Treatment Like?
This procedure is a team effort between you,
your dentist and Dr. Gurinsky. Depending on
your specific condition and the type of
implant chosen, Dr. Gurinsky will create a
treatment plan tailored to meet your needs.
In some cases, the teeth can be extracted
and the implant placed at the same time.
However, if you have a severe infection in a
tooth root or your gums, we may wait a few
months after removing the teeth to allow the
area to heal. Before a dental implant is
placed, you may need to have the bone in the
area built up to increase the chance of
success. This is a common procedure called
bone grafting . You may have the bone graft
done and get the implants at the same time,
but Dr. Gurinsky may decide to do the
bone-graft procedure first and give the bone
time to heal before placing the implants. If
the bone graft is done first, you will need
4 to 12 months to heal before having the
implants placed in your jawbone.
Most
implants are placed using a two-step
process:
The
First Surgery
Dr. Gurinsky will use local anesthesia for
the procedure and will offer you sedation if
you want it. You can be sedated by taking
medication by mouth, or the medication can
be delivered through an intravenous line (a
needle attached to a small tube placed in a
vein in your arm).
To place the implants, the Dr. Gurinsky
first will make an incision (cut) in your
gums to expose the bone. He then will drill
a hole in the bone for the implant, and
place the implant in the hole. We will take
an X-ray of the area to make sure the
implant is where it should be. He will then
stitch (suture) your gum closed over the
implant. The time required for this
procedure depends on the number of implants
being placed and whether or not bone
grafting is being done at the same time. In
most cases, placing a single dental implant
requires about one hour. You will feel some
pain after this procedure. The level of
discomfort depends on the person, but
generally it has been described as
relatively mild.
Important instructions to follow after the
surgery include:
* Don't spit, suck on straws or smoke. This
can dislodge blood clots
and slow healing.
* Eat only soft food to avoid injuring your
gum tissues.
* Don't try to clean the implant area for
the next one to two
weeks, but clean the
rest of your mouth normally. We’ll give you
an antibacterial rinse to help keep the area
clean.
You will return to our office 10 to 14 days
later to have your stitches removed.
After the implant is placed in your jaw, you
will have to wait several months for the
bone to bond with the implant. This usually
takes 2 or 3 months in the lower jaw and 4
to 6 months in the upper jaw. During this
time, the head of the implant usually
remains hidden under your gum.
The
Second Phase
After the implants have integrated
(attached) with the surrounding bone, you
are ready for the second stage. After giving
you local anesthesia, Dr. Gurinsky will make
a small incision in the gum to expose the
implant. He will remove a protective screw
from the implant and replace it with a metal
healing abutment (collar). The healing
abutment looks like a small metal cylinder
that sits above your gums in the area where
your tooth would be and maintains the space
so that the gums heal correctly around the
implant.
Restoration
Generally, you will go to your dentist or
prosthodontist two or three weeks following
the second phase to start the process of
having your crown, bridge or denture made.
What
Can I Expect After Treatment?
As you know, your own teeth require
conscientious at-home oral care and regular
dental visits. Dental implants are like your
own teeth and will require the same care. In
order to keep your implant clean and
plaque-free, brushing and flossing still
apply!
After treatment, Dr. Gurinsky will work with
you and your dentist to develop the best
care plan for you. Periodic follow-up visits
will be scheduled to monitor your implant,
teeth and gums to make sure they are
healthy.
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