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Posts for tag: Dental Implants

By Silvestri & Deniger Dentistry
April 15, 2019
Category: Dental Procedures
Tags: dentures   Dental Implants  
DentureswithImplantsCouldHelpYouAvoidBoneLoss

Even with modern prevention and treatment advances, losing teeth in later life is still a sad but common part of human experience. Just as generations have before, many today rely on dentures to regain their lost dental function and smile.

But although effective, dentures have their weaknesses. The most serious: they can't prevent jawbone deterioration, a common problem associated with tooth loss.

Bone health depends on chewing forces applied to the teeth to stimulate replacement growth for older bone cells. When teeth are gone, so is this stimulation. Dentures can't replicate the stimulus and may even accelerate bone loss because they can irritate the bone under the gums as they rest upon them for support.

But there's a recent advance in denture technology that may help slow or even stop potential bone loss. The advance incorporates implants with dentures to create two hybrid alternatives that may be more secure and healthier for the supporting bone.

The first is known as an overdenture, a removable appliance similar to a traditional denture. But instead of deriving its support from the gums alone, the overdenture attaches to three to four implants (or only two, if on the lower jaw) that have been permanently set into the jawbone. This not only increases stability, but the implants made of bone-friendly titanium attract and foster increased bone growth around them. This can help slow or even stop the cycle of bone loss with missing teeth.

The second type is a fixed denture. In this version, four to six implants are implanted around the jaw arch. The denture is then secured in place to these implants with screws. It's a little more secure than the overdenture, but it's also more expensive and requires good quality bone at the implant sites.

If you've already experienced significant bone loss you may first need bone grafting to build up the implant sites for these options, or choose traditional dentures instead. But if you're a good candidate for an implant-supported denture, you may find it provides better support and less risk of continuing bone loss than traditional dentures.

If you would like more information on implant-supported dental restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Overdentures & Fixed Dentures.”

By Silvestri & Deniger Dentistry
January 15, 2019
Category: Dental Procedures
Tags: Dental Implants  
DentalImplantsBetterthanEverthankstoOngoingTechAdvances

While many people still consider dental implants the "new kids on the block" in dental restoration, they're now in their fourth decade of use. And since their inception implant technology has continued to improve and revolutionize how we replace missing teeth.

Implants are a different "species" compared to other restoration methods. To be precise, an implant is a tooth root replacement—usually a titanium metal post imbedded directly into the jaw bone. Titanium is not only a biocompatible metal, but bone cells naturally grow on its surface to create a strong and durable hold. It's this secure hold that's most responsible for implants' high long-term success rate.

But we should also credit some of this success to the steady stream of advances over the years in implant construction and supporting technologies. For one thing, we're now more accurate and precise with implant placement thanks to advances in computer tomography (CT) and cone beam CT (CBCT) scanning.

These digital processes merge a series of images taken by a special camera to form a three-dimensional model of the jaw. We can manipulate this model on a computer monitor to view it from different vantage points. It can help us locate and avoid anatomical structures like nerves and sinuses when determining where to place a future implant. CT and CBCT are especially useful when there's a concern about adequate available bone, a necessity for stable implants.

Technology has also improved how we create surgical guides, often used during implant surgery to obtain the most accurate results. Surgical guides are custom-made devices that fit over the teeth with the drilling locations for the implants marked on them. Recent advances in 3-D printing have made these guides even more accurate so that they fit more securely in the mouth. This greater stability increases their accuracy during the drilling sequence during surgery.

These and other advances are helping ensure every implant is a success story. The end result is both a functional restoration and a beautiful smile.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How Technology Aids Dental Implant Therapy.”

By Silvestri & Deniger Dentistry
December 24, 2018
Category: Dental Procedures

Dental ImplantA missing tooth can cause a whole array of issues with your smile. From shifting teeth to bone atrophy, leaving a gap untreated can have a detrimental effect on the health of your teeth. The versatility of dental implants lets you fill in your smile in various situations — from a single missing tooth to a whole arch of gaps. Find out more about dental implants with Dr. Susan Silvestri and Dr. Ronnie Deniger at Silvestri and Deniger Dentistry in Slidell, LA.

What is a dental implant?
Dental implants are a restorative dental procedure that focuses on replacing one, several, or all of your missing teeth. Implant dentistry is unique from other forms of tooth replacement options because it integrates into the bone below your missing tooth, providing a secure foundation for the replacement tooth itself. Implants are often considered the most lifelike solution to missing teeth and are made to last a lifetime.

Are dental implants safe?
Implant dentistry is FDA-approved and considered safe for use. Like any dental procedure, especially one requiring anesthetic, there are certain risks associated with implants and the process to place them in the mouth. However, the risk is considered low and most people can benefit from this powerful dental procedure.

Dental Implants in Slidell, LA
If you think you can benefit from dental implants, you should first determine if you are a good candidate for the procedure. Someone considering dental implants should be free from teeth decay and gum disease or be willing to undergo the procedures necessary to reverse these conditions prior to placing their implants. The patient should also have a strong at-home oral care routine to ensure that both their natural teeth and implants remain healthy and free from complications such as cavities or gingivitis.

For more information on dental implants, please contact Dr. Susan Silvestri and Dr. Ronnie Deniger at Silvestri and Deniger Dentistry in Slidell, LA. Call (985) 641-7200 to schedule your appointment for a consultation today!

By Silvestri & Deniger Dentistry
May 18, 2018
Category: Dental Procedures
Tags: crowns   Dental Implants  

A smile gap due to missing teeth is so embarrassing. Besides that, your bone structure, gums, and remaining teeth deteriorate. How can you close a smile gap? At Silvestri & Deniger Dentistry in Slidell, LA, dental implants fully restore oral function and personal appearance. They are today's best replacement for missing teeth, and Dr. Susan Silvestri and Dr. Ronnie Deniger are proficient in implant placement, beautifully restoring damaged smiles.

The dental implant

Conventional bridgework or dentures cannot mimic real teeth the way dental implants can. The single tooth implant is composed of an artificial titanium root, a metal alloy post, and a realistic porcelain crown. Because the dentist inserts the implant right into the patient's jaw bone, this prosthetic is firmly anchored, and it actually improves the density and size of the bone through an amazing process called osseointegration.

Every time an implant patient bites and chew on his or her new tooth, the jaw bone strengthens. Contrast this with traditional prosthetics which simply rest on the receding gums and bone.

In addition to single tooth applications, Silvestri and Deniger Dentistry can use multiple dental implants to support full and partial dentures. These appliances deliver optimal biting and chewing and clear speech.

Qualifying for dental implants

Most older teenagers and adults qualify for dental implants. During a restorative dentistry consultation at their Slidell office, Dr. Silvestri or Dr. Deniger will examine your remaining teeth and gums for decay and gum disease. Also, you must have adequate jaw bone density to receive dental implants. Digital X-ray imaging and a CT scan tell your dentist if your jaw is sufficiently sized. If it is not, the doctor may advise a bone grafting procedure performed in-office at Silvestri & Deniger Dentistry.

Caring for dental implants

Most dental implant procedures succeed and stay in place for decades, says the Institute for Dental Implant Awareness. But, of course, you must brush twice a day and floss daily just as you do your natural teeth. While implants do not get cavities, implant sites can develop an infection called peri-implantitis if plaque and tartar accumulate. This condition frequently leads to implant failure. Your hygienist will show you ways to keep your implants sparkling clean and fully functional.

No more gaps

Make that a reality with dental implants from Silvestri & Deniger Dentistry. Contact our office today for a one-on-one consultation with Dr. Silvestri or Dr. Deniger in Slidell, LA. Call (985) 641-7200.

By Silvestri & Deniger Dentistry
October 26, 2017
Category: Dental Procedures
SurgicallyAccessingSinusescanHelpGrowNewBoneforImplants

Dental implants are by far the best way to replace missing teeth. But they do more than improve your smile: they can restore your ability to eat, chew and talk properly, especially if the teeth replaced are in the back of your mouth. What’s more, they can improve the entire look of your face by restoring facial height and cheek support lost because of the missing teeth.

There is, however, one obstacle to overcome before receiving dental implants — a lack of sufficient bone at the implant site. Bone loss usually occurs when teeth have been missing for some time. This is because when we chew the forces generated by the teeth stimulate continual bone growth to make up for older bone that has dissolved (resorbed). This stimulation doesn’t occur after teeth are lost, which slows the rate of bone growth. Over time the amount of healthy bone diminishes.

Without enough bone for support, implants can’t be placed properly. Fortunately, some of the bone can be regenerated through techniques that place bone grafting material at the site to stimulate and serve as a scaffold for new bone.  The new bone will eventually replace the graft.

For missing upper back teeth with bone loss, we can take advantage of facial anatomy to grow the bone needed for implants. This area of the face is where the maxillary sinuses, air spaces lined with a tissue membrane, are located on either side just above the upper jaw. After determining their exact size and location through detailed x-ray imaging, we can surgically access the area inside the mouth just above the missing teeth.

The sinus cavity is an area where bone growth can occur by placing a bone graft between the floor of the sinus and the sinus membrane. Sometimes bone growth enhancers are used to stimulate and speed up regeneration. The procedure can usually be performed with local anesthesia (much like a routine tooth filling), with only mild discomfort afterward for a few days managed by an anti-inflammatory drug like ibuprofen and a decongestant for sinus swelling.

After six to seven months, we re-evaluate the area to see if sufficient bone has returned for implant surgery. If so, you will be well on your way to achieving a new look and better function through dental implants.

If you would like more information on building new bone through sinus surgery, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sinus Surgery.”



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