Dental implants

 

Implants are an excellent choice for patients who are in need of treatment for missing teeth. A implant act like the root of a real tooth, the titanium post is surgically inserted into the jaw, onto which can be placed a bridge or crown. Made from titanium, implants can also be used to support dentures, giving you back your confidence and leaving you with teeth that are comfortable and stable. After the implant has been placed it is then generally left to heal for a period of time depending on your individual case. This healing process allows the implant to integrate with the bone and surrounding tissue, to allow for firm support for your bridge, crown or denture.

Replacing a single tooth

Dental implants are an ideal solution for replacing a single missing tooth and eliminating the need to grind down healthy adjacent teeth as required by traditional crown and bridge procedures.

…or several teeth

Implants are also an optimal solution for replacing several teeth and can be placed to support individual crowns or a single bridge.  Because implants act as replacement tooth roots, support from adjacent healthy teeth is not necessary.

…or all of your teeth

In addition to looking and functioning like natural teeth, implant-supported dentures and full bridges are designed to be an effective and stable long term solution.  Implants eliminate the need for adhesives to keep dentures in place, as well as the sores and pain often associated with ill-fitting dentures.  By stimulating the jawbone, implants also help to maintain the bone and natural shape of your face.

What is a sinus lift?

A sinus lift, also called a sinus augmentation, is surgery that adds bone to your upper jaw in the area of your molars and premolars.

Bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be lifted upwards. A sinus lift usually is done by a specialist. This could be either an oral and maxillofacial surgeon or a periodontist.

What It’s Used For ?

A sinus lift is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this:

•             Many people do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.

•             Bone may have been lost because of gum disease.

•             Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.

•             The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies from person to person. The sinus also can get larger as you age.

Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.

Preparation

The bone used in a sinus lift may come from your own body (autogenous bone), or from cow bone (xenograft).

You will need X-rays taken before your sinus lift so the dentist can study the anatomy of your jaw and sinus. You also may need a special type of computed tomography (CT) scan. This scan will allow the dentist to accurately measure your existing bone and to evaluate the health of your sinus.

If you have seasonal allergies, you should schedule the procedure when they are not active.

How It’s Done ?

Your surgeon will cut the gum tissue where your back teeth used to be. The gum is raised, exposing the bone. A small, oval window is opened in the bone. The membrane lining the sinus on the other side of the window separates your sinus from your jaw. This membrane is gently pushed up and away from your jaw.

bone-graft material is then packed into the space where the sinus was. The amount of bone used will vary between patients.

Once the bone is placed the tissue is closed with stitches. Your implants will be placed four to nine months later. This allows time for the grafted material to integrate with your bone. The amount of time depends on the size of bone graft you’ve had.

Follow-Up

After the procedure, you may have some swelling of the area. You may bleed from your mouth or nose. Do not blow your nose or sneeze forcefully. This could cause the bone-graft material to move, and loosen the stitches.

Your dentist may give you saline sprays to keep the inner lining of your nose wet and prescribe medicine to prevent congestion and inflammation. You also will be given pain medicine, an antibiotic and an antimicrobial mouthwash to help prevent infection. Most patients have only a small amount of discomfort after a sinus-lift procedure.

You will see the dentist after 7 to 10 days. They will evaluate the surgical site and remove stitches if they will not dissolve on their own. You might be asked to return a couple more times to check the area is healing properly.

After a sinus lift, you need to wait several months for the bony material to harden and integrate with your jaw. Depending on the grafting material used, implants may be placed in four to nine months depending on the case.

Risks

The main risk of a sinus lift is that the sinus membrane could be punctured or torn. If the membrane is torn during the procedure, the surgeon will either stitch the sinus tear or place a patch over it. If the repair is not successful, your surgeon may stop the procedure and give the hole time to heal.

Your dentist can redo the sinus lift once the membrane has healed. This usually takes a few months. A healed membrane tends to be thicker and stronger, which means a second attempt at a sinus lift is likely to be successful. However, other factors also affect success.

Infection is a risk of any surgical procedure. However, this rarely occurs after sinus lifts.

On rare occasions, the existing bone does not integrate with the bony graft material, and the grafted area does not develop a blood supply. If this happens, any implants placed in this area will fail because there is no live bone for them to attach to. If this happens, you can have the sinus lift procedure repeated.

 

What is bone grafting?

If your jawbone isn’t thick enough or is too soft to support an implant, you may need bone grafting before you can have dental implant surgery. That’s because the powerful chewing action of your mouth puts great pressure on your bone, and if it can’t support the implant, it is likely the surgery would fail.  A bone graft can create a more solid base for the implant.  Were possible we try to use your own bone but if that is not possible we use artificial bone made up of Geistlich Bio-Oss® with 10%collagen.

This treatment can be carried out with or without IV sedation if you’re worried about the implant surgery, this can be discussed with you at your consultation.

The removal or extraction of teeth is carried out under local anaesthesia, with or without some form of anxiety control such as sedation.

If you’re searching for implants in the Newport, Telford, Stafford, Wolverhampton or the surrounding Shropshire areas then please contact Wycherley’s Dental Practice 01952 459459