Eat the foods you love with dental implants

Transcription

1 Eat the foods you love with dental implants Allan M. Acton DDS Apurva Maj DDS Keith Gaught DDS Steven Van Scoyoc DDS MA

2 Dr. Allan Acton opened Cary Family Dental in 2003 and since that time, has become one of the Triangle s most accomplished and trusted dentists. He is a graduate of the Virginia Commonwealth Dental School and completed his advanced dental education residency at the University of the Pacific School of Dentistry. Dr. Acton completed 216 hours of continued education in a nine-month implant continuum at the Triangle Dental Institute in Durham, NC. His training included lectures, workshops, and one-on-one mentoring on implant surgical placement and restoration, associated bone preservation and ridge augmentation grafting, and connective tissue grafting. He is a graduate of the Engel Institute's guided surgery, hands on training. Dr. Allan Acton DDS Dr. Acton graduated with honors from The Hornbrook Group s distinguished esthetic training program which included extensive hands on training in smile design and full mouth reconstruction. Dr. Acton is currently only one of several dentists in the state certified to provide DuraTHIN veneers. Dr. Acton was voted either #1 or #2 by the readers of Cary Magazine in their annual Maggy Awards for the last 7 years. Most recently, Dr. Acton received a Fellowship Award from the International Congress of Oral Implantologists (ICOI). The ICOI was founded in 1972 and has 12,000 members worldwide in 89 countries. It is the world s largest dental implant organization, as well as the world s largest provider of continuing dental implant education and currently has 2,582 active Fellows in the United States. The awarding of Fellowship status is one of the highest honors a professional society, such as the ICOI, can bestow on a dental professional involved in oral implantology. Nominees achieve Fellowship status through their efforts in education, research and actual clinical experiences. Dr. Acton and Cary Family Dental are also committed to their community. Together, they have raised over $80,000 for the Smiles for Life campaign, an annual four-month long campaign sponsored by the Crown Council that raises money to help children facing serious health and educational problems. The practice also provides free dental health presentations to local preschools and elementary schools in order to teach children on the basics of proper dental care. Their proudest accomplishment is their annual Dentistry From the Heart event. On this free day of dentistry they see over 150 patients and perform over $50,000 of free dentistry each year. Dr. Acton is proud of the fact that he graduated 1st in his dental school class...alphabetically. :) Dr. Acton is happily married and has an adorable daughter and son.

3 Dr. Apurva Maj is proud to say he is a native of Cary and has been studying and practicing in the area since Cary dentist Dr. Apurva Maj graduated with honors as he earned his Bachelor of Science in Public Health at UNC-Chapel Hill and continued with his studies there as he completed his Doctor of Dental Surgery in Cary dentist Dr. Maj has dedicated the last five years in providing the highest quality of care in all aspects of his profession. His patients are the most important and he continually educates himself to stay at the forefront of the latest advances in dental technology. He enjoys all aspects of general dentistry and is one of a few dentists in the area who is certified to perform conscious sedation dentistry. Dr. Maj and his wife currently live in Raleigh and are active in the local community. His wife teaches math for Wake County Public Schools. He is extremely excited to be a part of the outstanding team at Cary Family Dental. He grew up knowing he wanted to make a difference and be a positive influence in people s lives. Dentistry was the perfect vehicle to accomplish this goal. Accreditations Doctors of Oral Conscious Sedation (DOCS) Certified Invisalign Level I and Level II Certified Advanced Cerec Training Advanced Denture Techniques General Practice and Advanced Restorative Techniques UNC Dental School Alumni Association North Carolina Dental Society

4 Dr. Gaught was born and raised in Valparaiso, Indiana. He attended Indiana University and later Indiana University School of Dentistry where he graduated with a DDS in He is currently a member of the American Dental Association and the North Carolina Dental Society. Dr. Gaught said that it was Cary Family Dental s approach to patient care that initially attracted him to the practice. I liked that Cary Family Dental offered a caring, patient-centered approach to high-quality dental care, said Dr. Gaught. I also enjoyed their friendly staff and beautiful office that offers patients the latest in treatment technology. I hope to impress upon patients and staff that I am a hard worker that genuinely cares about our patients and practice, added Dr. Gaught. My goal is to educate and inform patients so that together, we can formulate a treatment plan that addresses their chief concerns while sustaining longterm oral health. Accreditations Dental School: Indiana University School of Dentistry Invisalign Certified American Dental Association North Carolina Dental Society

5 Dr. Steven Van Scoyoc is a specialist in Periodontics and Implantology. He is board certified as a Diplomate of the American Board of Periodontology. His practice specializes in conservative treatment of gum disease, including specialized interests in soft tissue reconstructive plastic surgery to aesthetically enhance the smile and dental implants that can replace single or multiple missing teeth. He uses the latest technology and science to regenerate bone in the jaws, where bone loss was caused by infection from gum disease, loss of teeth, or injury. This includes sinus bone grafting, where many patients lack sufficient bone thickness in the upper posterior jaw in order to place implants. He also diagnoses and treats oral pathology. Dr. Van Scoyoc s main interests include soft-tissue and esthetic surgery, as well as implant and advanced bone reconstruction. Dr. Van Scoyoc earned his Doctor of Dental Surgery degree (D.D.S.) from the University of North Carolina at Chapel Hill. He continued his Dr. Steven Van Scoyoc DDS MA education at UNC to complete a 3-year surgical residency in Periodontics, where he obtained his Masters in Periodontics. This advanced training certified him to practice as a specialist in Periodontics and Implantology. In addition, during his residency at the University of North Carolina, he practiced general dentistry to gain perspective on how his specialty training can enhance the treatment of the general dental practitioner. Throughout his career, Dr. Van Scoyoc has served organized dentistry in many leadership positions, as well as provided lectures at national venues. He is an active member of the following professional organizations: American Dental Association American Academy of Periodontology Southern Academy of Periodontology, Executive Council Member Founder & Director of the Sandhills Symposium Dental Educational Forum North Carolina Dental Society Seattle Study Club Dr. Van Scoyoc has performed hundreds of periodontal surgeries and placed numerous dental implants. The University of North Carolina has awarded him the Grover C. Hunter Award for clinical excellence. In addition, he was involved in research on the development of a drug delivery system for the treatment of HIV patients with debilitating oral conditions. This has enabled him to present his work at the American Academy of Dental Research and the Southern Academy of Periodontology. Dr. Van Scoyoc s love for academia lead him to found and now direct the Sandhills Symposium. This organization is part of the world renowned Seattle Study Club where local doctors come together to enhance their skills through collaboration and education. The Sandhills Symposium hosts world leaders in dentistry here in the Sandhills and allows local doctors unparalleled access to leaders at the forefront of dental research and clinical practice. During his free time, Dr. Van Scoyoc enjoys running, music and spending time with his wife, Keri and their children.

6 Complete Denture (No implants) Removable Denture with implant locators Edentulous Treatment Options Denture with milled bar supported by implants Fixed Hybrid (4-6+ implants) NOT Removable (Fixed) Implant Supported Crown and Bridge $2,500 $5-12,500 $18,000 $25,000 $40,000+ Note: Prices are PER ARCH. Prices are approximate and may vary by case complexity. Extraction, bone grafting or sinus lifts may increase the price.

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8 COMPLETE DENTURE A CompleTe denture is An AppliAnCe ThAT replaces All The TeeTh in one jaw. it is not CemenTed in The mouth And CAn be TAken out. 1. What materials are in a Complete Denture? The base of a complete denture is made of pink acrylic. The teeth are made of Tooth Colored acrylic or porcelain which attach into the base. 2. What are the benefits of a Complete Denture? A complete denture restores function and appearance to a jaw with no teeth. It is the most cost effective way of replacing all the teeth in one jaw. A complete denture can also provide important support to facial structures such as the lips, helping to in maintain a more youthful appearance. 3. What are the risks of a Complete Denture? Complete dentures, even under the best of circumstances, DO NOT have the same chewing efficiency as natural teeth. The ability to chew food depends on the stability, support and retention of the dentures. Stability, support and retention are affected by many factors, including the amount and type of bone, gums and saliva present in the patient s mouth as well as the shape of the patient s jaw and how it fits with the opposing teeth. 4. What are the alternatives to a Complete Denture? The alternatives to having a complete denture are: 1. Implants which attach to: a. Crowns or bridges b. A complete denture 2. Leave your mouth as it is Frequently Asked Questions 5. How can an existing bite affect a Complete Denture? Uneven or excessive bite forces may cause wear or fracture of the denture teeth or denture base. Chewing will make a complete denture rock slightly in the mouth; the more uneven the biting force, the more the complete denture will rock. 6. Are there any post treatment limitations once I have a Complete Denture? To keep the tissue under the appliance healthy your denture should be left out of your mouth during sleep. The teeth in the denture are not as strong as your natural teeth and you will not be able to chew as heavily on them. The appliance will tend to get food trapped underneath it and you may have to remove and clean it after eating. The fit between a complete denture and the gums is very important for retention and therefore must be re-established every 2-5 years as gums are constantly undergoing small changes. Restore appearance and function

9 C O M P L E T E D E N T U R E S W I T H 2 OR 4 LOCATOR ATTACHMENTS A CompleTe denture with locator ATTAChmenTs is An AppliAnCe ThAT replaces All of The TeeTh in one jaw. it is not CemenTed in The mouth And CAn be TAken out. locator ATTAChmenTs Are ConneCTed To dental implants ThAT Are placed in The jawbone. The locator ATTAChmenTs ConneCT The CompleTe denture To The implants. generally, 2 implants And ATTAChmenTs Are used For A lower jaw CompleTe denture, And 4 implants And ATTAChmenTs Are used For An upper jaw CompleTe denture. Frequently Asked Questions 1. What material is in a Complete Denture with Locator Attachments? The base of a Complete Denture with Locator Attachments is made of pink acrylic. The teeth are made of Tooth Colored acrylic or porcelain which attach into the base. Locator Attachments are plastic and the implants they attach to are titanium. 2. What are the benefits of a Complete Denture with Locator Attachments? Locator attachments greatly improve the retention and chewing ability of a Complete Denture. Patients who have a dry mouth and/ or fragile tissue may have difficulty with retention and comfort of a traditional Complete Denture and benefit from locator attachments. Lip support is better compared to an Implant Retained Fixed Restoration. A removable appliance is more easily repaired. Oral Hygiene is also easier. 3. What are the risks of a Complete Denture with Locator Attachments? Locator attachments wear out over time and need to be replaced. Denture acrylic covering the locator attachment may chip if it is thin due to a limited space in the mouth. 4. What are the alternatives to a Complete Denture with Locator Attachments? A traditional Complete Denture A Complete Denture with Milled Bar Attachment A Complete Denture with Locator Attachments on a Bar Crowns or bridges supported by dental implants Leave your mouth as it is 5. How can an existing bite affect a Complete Denture with Locator Attachments? Uneven or excessive bite forces may cause wear or fracture of the denture teeth, denture base or locator attachments. Unmanaged bite issues can also cause implants to loosen within the bone and break. Broken or loose implants must be surgically removed. 6. Are there any post treatment limitations once I have a Complete Denture with Locator Attachments? To keep the tissue under the appliance healthy and to prolong the life of the locator attachments, your denture should be left out of your mouth during sleep. The teeth in the denture are not as strong as your natural teeth and you will not be able to chew as heavily on them. The appliance will tend to get food trapped underneath it and you may have to remove and clean it after eating. Restore smile and function

10 The C O M P L E T E D E N T U R E S W I T H A MILLED BAR ATTACHMENT A CompleTe denture with A milled bar ATTAChmenT is An AppliAnCe ThAT replaces All The TeeTh in one jaw. it is not CemenTed in The mouth And CAn be TAken out. A milled bar ATTAChmenT is A metal bar ThAT stays in The mouth And ConneCTs The CompleTe denture To dental implants. The milled bar is usually ATTAChed To 4 dental implants ThAT Are placed in The jawbone. The CompleTe denture has A metal substructure placed into it ThAT ConneCTs it To The milled bar. Frequently Asked Questions 1. What material is in a Complete Denture with a Milled Bar Attachment? The base of a complete denture is made of pink acrylic. The metal substructure within the denture is made of a very strong metal alloy. The teeth are made of Tooth Colored acrylic or porcelain. Both the Milled Bar and the implants it is attached to are made of titanium. 2. What are the benefits of a Complete Denture with a Milled Bar Attachment? A Complete Denture with a Milled Bar Attachment is the most stable of implant retained dentures. It greatly improves retention, stability and chewing ability over a traditional Complete Denture with or without Locator Attachments. Patients who have a dry mouth and/ or fragile tissue may have difficulty with retention and comfort of a traditional Complete Denture and benefit from a Milled Bar Attachment. Lip support is better compared to an Implant Retained Fixed Restoration. A removable appliance is more easily repaired. Oral Hygiene is also easier. A Milled Bar Attachment allows an Upper Complete Denture to be made without covering the roof of the mouth. The angulation of the implants is not an issue. 3. What are the risks of a Complete Denture with a Milled Bar Attachment? An implant may fail and need to be removed. If one implant fails the entire Milled Bar may fail, depending on the number and location of implants in the mouth. More space is needed to accommodate the Milled Bar and Attachments than with other types of dentures. Dexterity of the patient may make insertion and removal of the denture difficult. The acrylic base of the denture may fracture. 4. What are the alternatives to a Complete Denture with a Milled Bar Attachment? A traditional Complete Denture A Complete Denture with Locator Attachments A Complete Denture with Locator Attachments on a Bar Crowns or bridges supported by dental implants Leave your mouth as it is 5. How can an existing bite affect a Complete Denture with a Milled Bar Attachment? Uneven or excessive bite forces may cause wear or fracture of the denture teeth or denture base. Unmanaged bite issues can also cause implants to loosen within the bone and break. Broken or loose implants must be surgically removed. 6. Are there any post treatment limitations once I have a Complete Denture with a Milled Bar Attachment? To keep the tissue under the appliance healthy your denture should be left out of your mouth during sleep. The teeth in the denture are not as strong as your natural teeth and you will not be able to chew as heavily on them. The appliance will tend to get food trapped underneath it and you may have to remove and clean it after eating. Restores smile and function

11 F I X E D / D E T A C H A B L E ( H Y B R I D ) IMPLANT SUPPORTED BRIDGE Fixed/deTAChAble hybrids Are Fixed restorations supported by 4-6 implants with CAnTilevered metal ATTAChed To The implants And pink ACryliC with denture TeeTh Cured To it on Top of ThAT. This restoration is removable by your dentist. Frequently Asked Questions 1. What material is in a Fixed/Detachable (Hybrid) Implant Supported Bridge? Bridges are usually made of four types of materials: 1. Porcelain 2. Gold Alloy (commonly gold, platinum, palladium) 3. Porcelain fused to an inner core of gold alloy 4. Zirconia metal oxide * Implants are made of titanium. The tooth and gum portion of the appliance has a base material that is made of acrylic. The teeth can be plastic or porcelain. 2. What are the benefits of a Fixed/Detachable (Hybrid) Implant Supported Bridge? Bridges build back your smile and help you to speak and chew properly by restoring the natural size, shape and color of your teeth. They help maintain tooth, bite and jaw alignment by preventing remaining teeth from shifting out of position. There is no need to drill down existing teeth in order to replace the missing teeth as occurs with conventional tooth supported bridges. Long gaps where multiple teeth are missing can be treated effectively with implant supported bridges whereas long span natural tooth supported bridges have many negative consequences. As the appliance is partially constructed from a removable acrylic base with denture teeth attached, making and repairing it is easier and more cost effective than other implant supported options. 3. What are the risks of a Fixed/Detachable (Hybrid) Implant Supported Bridge? Due to the materials used for the restoration, treatment cost is relatively inexpensive compared to many other implant supported options. Possible complications may be such things as food entrapment and challenges in matching adjacent tooth aesthetics. There is a minimal risk of an implant not adhering to the jawbone and thus requiring removal and replacement. Worn acrylic and plastic teeth or loose implant screws may require maintenance procedures, repair or replacement. 4. What are the alternatives to a Fixed/Detachable (Hybrid) Implant Supported Bridge? Replace the missing teeth with another type of implant supported restoration. Replace the missing teeth with an conventional tooth supported bridge. Replace the missing teeth with a removable partial denture. Leave the space as is. 5. How can an existing bite affect a Fixed/Detachable (Hybrid) Implant Supported Bridge? Excessive or uneven bite forces may cause porcelain chipping, metal wear, implant screw loosening, or even gum and bone loss around the implant. Severe bite issues such as habitual tooth grinding may cause premature failure of the dental prosthesis. 6. Are there any post treatment limitations once I have a Fixed/Detachable (Hybrid) Implant Supported Bridge? Food may become lodged around the implant supported bridge; gum recession or minor bone loss around the top of the implant over time may make food impaction unavoidable, even with the most ideal bridge contour. Gum recession may also lead to unsightly metallic implant margins becoming visible. A bridge may chip or break if used for abnormal activities (e.g. biting fishing line, sewing thread or finger nails, opening bottles). Restores smile and function

12 S C R E W R E T A I N E D I M P L A N T SUPPORTED BRIDGE A screw retained implant supported bridge is A dental restoration ThAT replaces missing TeeTh by inserting Two or more ArTiFiCiAl TiTAnium roots into The jawbone And ATTAChing ArTiFiCiAl TeeTh To Them. it is held place by screws which ATTACh To The implants And CAn relatively easily be TAken out. 1. What material is in a Screw Retained Implant Supported Bridge? Bridges are usually made of four types of materials: 1. Porcelain 2. Gold Alloy (commonly gold, platinum, palladium) 3. Porcelain fused to an inner core of gold alloy 4. Zirconia metal oxide * Implants are made of titanium. Frequently Asked Questions 2. What are the benefits of a Screw Retained Implant Supported Bridge? Bridges build back your smile and help you to speak and chew properly by restoring the natural size, shape and color of your teeth. They help maintain tooth, bite and jaw alignment by preventing remaining teeth from shifting out of position. There is no need to drill down existing teeth in order to replace the missing teeth as occurs with conventional tooth supported bridges. Long gaps where multiple teeth are missing can be treated effectively with implant supported bridges whereas long span natural tooth supported bridges have many negative consequences. Screw retention allows for easy removal of the bridge when necessary. This may be desired for reasons such as restoration repair or replacement, when the patient has less than ideal oral hygiene or even when there is bone and tissue loss due to disease. If there is a limited amount of clearance with the teeth of the opposing jaw, screws offer much more predictable retention than cement. 3. What are the risks of a Screw Retained Implant Supported Bridge? Screw retained implant supported bridges require complex lab techniques to ensure precise fitting, thus the cost may be significantly more expensive than cement retained options. It is not always possible for screws to be placed in areas that will not adversely affect aesthetics. Other possible complications may be such things as food entrapment and challenges in matching adjacent tooth aesthetics. There is a minimal risk of an implant not adhering to the jawbone and thus requiring removal and replacement. Chipped porcelain, worn metal or loose implant screws may require maintenance procedures, repair or replacement. 4. What are the alternatives to a Screw Retained Implant Supported Bridge? The alternative to having a screw retained implant supported bridge is: Replace the missing teeth with another type of implant supported restoration. Replace the missing teeth with an conventional tooth supported bridge. Replace the missing teeth with a removable partial denture. Leave the space as is. 5. How can an existing bite affect a Screw Retained Implant Supported Bridge? Excessive or uneven bite forces may cause porcelain chipping, metal wear, implant screw loosening, or even gum and bone loss around the implant. Severe bite issues such as habitual tooth grinding may cause premature failure of the dental prosthesis. 6. Are there any post treatment limitations once I have a Screw Retained Implant Supported Bridge? Porcelain on the bridge may have a good color match with adjacent natural teeth when the bridge is placed but less of a match as your natural teeth age. Food may become lodged around the implant supported bridge; gum recession or minor bone loss around the top of the implant over time may make food impaction unavoidable, even with the most ideal bridge contour. Gum recession may also lead to unsightly metallic implant margins becoming visible. A bridge may chip or break if used for abnormal activities (e.g. biting fishing line, sewing thread or finger nails, opening bottles). Restores smile and function

13 I M P L A N T S U P P O R T E D B R I D G E S U P E R S T R U C T U R E W I T H I N D I V I D U A L L Y CEMENTED CROWNS An implant supported bridge superstructure with individually CemenTed Crowns is A dental restoration ThAT replaces missing TeeTh by inserting Two or more ArTiFiCiAl TiTAnium roots into The jawbone And ATTAChing ArTiFiCiAl TeeTh To Them. it is Comprised of A substructure held in place by screws which ATTACh To The implants. The substructure supports Crowns which Are CemenTed onto it. Frequently Asked Questions 1. What material is in an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Bridges are usually made of four types of materials: 1. Porcelain 2. Gold Alloy (commonly gold, platinum, palladium) 3. Porcelain fused to an inner core of gold alloy 4. Zirconia metal oxide * Implants are made of titanium. Superstructures are made of a gold alloy. 2. What are the benefits of an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Bridges build back your smile and help you to speak and chew properly by restoring the natural size, shape and color of your teeth. They help maintain tooth, bite and jaw alignment by preventing remaining teeth from shifting out of position. There is no need to drill down existing teeth in order to replace the missing teeth as occurs with conventional tooth supported bridges. Long gaps where multiple teeth are missing can be treated effectively with implant supported bridges whereas long span natural tooth supported bridges have many negative consequences. If chipping of porcelain occurs, individual crowns may be repaired or replaced rather than replacing the entire superstructure restoration. This dramatically reduces treatment time and cost. The superstructure fills in areas of deficient bone and tissue in addition to missing teeth, this allows for better aesthetic options than tooth replacement alone. 3. What are the risks of an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Due to the complexity of the restoration, treatment cost is relatively expensive compared to many other options. Possible complications may be such things as food entrapment and challenges in matching adjacent tooth aesthetics. There is a minimal risk of an implant not adhering to the jawbone and thus requiring removal and replacement. Chipped porcelain, worn metal or loose implant screws may require maintenance procedures, repair or replacement. 4. What are the alternatives to an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Replace the missing teeth with another type of implant supported restoration. Replace the missing teeth with an conventional tooth supported bridge. Replace the missing teeth with a removable partial denture. Leave the space as is. 5. How can an existing bite affect an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Excessive or uneven bite forces may cause porcelain chipping, metal wear, implant screw loosening, or even gum and bone loss around the implant. Severe bite issues such as habitual tooth grinding may cause premature failure of the dental prosthesis. 6. Are there any post treatment limitations once I have an Implant Supported Bridge Superstructure with Individually Cemented Crowns? Porcelain on the bridge may have a good color match with adjacent natural teeth when the bridge is placed but less of a match as your natural teeth age. Food may become lodged around the implant supported bridge; gum recession or minor bone loss around the top of the implant over time may make food impaction unavoidable, even with ideal bridge contour. Gum recession may also lead to unsightly metallic implant margins becoming visible. A bridge may chip or break if used for abnormal activities (e.g. biting fishing line, sewing thread or finger nails, opening bottles). Restores smile and function

14 IMPLANT SUPPORTED CROWN An implant supported Crown is A dental restoration ThAT replaces A missing TooTh by inserting An ArTiFiCiAl TiTAnium root into The jawbone And ATTAChing An ArTiFiCiAl TooTh To it. it is CemenTed in place And CAnnoT easily be TAken out. Frequently Asked Questions 1. What material is in an Implant Supported Crown? Crowns are usually made of four types of materials: 1. Porcelain 2. Gold Alloy (commonly gold, platinum, palladium) 3. Porcelain fused to an inner core of gold alloy 4. Zirconia metal oxide * Implants are made of titanium 2. What are the benefits of an Implant Supported Crown? It builds back your smile and helps you to speak and chew properly by restoring the natural size, shape and color of your teeth. It helps maintain tooth, bite and jaw alignment by preventing remaining teeth from shifting out of position. There is no need to drill down existing teeth in order to replace the missing tooth as occurs with conventional tooth supported bridges. 3. What are the risks of an Implant Supported Crown? If an implant screw loosens or any repair of the restoration becomes necessary, the restoration may be destroyed during the removal procedure if the cement seal cannot be easily broken. Cementing restorations onto implants leads to challenges in removal of cement below gumline, possibly leading to tissue inflammation in the area. There is a minimal risk of the implant not adhering to the jawbone and thus requiring removal and replacement. Other possible complications may be such things as food entrapment, tissue irritation and challenges in matching adjacent tooth aesthetics. Chipped porcelain, worn metal or loose implant screws may require maintenance procedures, repair or replacement. 4. What are the alternatives to an Implant Supported Crown? The alternative to having an implant supported crown is: Replace the missing tooth with an conventional tooth supported bridge. Replace the missing tooth with a removable partial denture. Leave the space as is. 5. How can an existing bite affect an Implant Supported Crown? Excessive or uneven bite forces may cause porcelain chipping, metal wear, implant screw loosening, or even gum and bone loss around the implant. Severe bite issues such as habitual tooth grinding may cause premature failure of the dental prosthesis. 6. Are there any post treatment limitations once I have an Implant Supported Crown? Porcelain on the crown may have a good color match with adjacent natural teeth when the crown is placed but less of a match as your natural teeth age. Food may become lodged around the implant supported crown; gum recession or minor bone loss around the top of the implant over time may make food impaction unavoidable, even with the most ideal crown contour. Gum recession may also lead to unsightly metallic implant margins becoming visible. A crown may chip or break if used for abnormal activities (e.g. biting fishing line, sewing thread or finger nails, opening bottles). Build back your bite Build back your smile

15 IMPLANT SUPPORTED BRIDGE An implant supported bridge is A dental restoration ThAT replaces missing TeeTh by inserting Two or more ArTiFiCiAl TiTAnium roots into The jaw bone And ATTAChing ArTiFiCiAl TeeTh To Them. it is CemenTed in place And CAnnoT easily be TAken out. Frequently Asked Questions 1. What material is in a Implant Supported Bridge? Bridges are usually made of four types of materials: 1. Porcelain 2. Gold Alloy (commonly gold, platinum, palladium) 3. Porcelain fused to an inner core of gold alloy 4. Zirconia metal oxide * Implants are made of titanium. *Implant Abutments which attach the implants to the bridge are made of titanium or zirconia metal oxide. 2. What are the benefits of a Implant Supported Bridge? Bridges build back your smile and help you to speak and chew properly by restoring the natural size, shape and color of your teeth. They help maintain tooth, bite and jaw alignment by preventing remaining teeth from shifting out of position. There is no need to drill down existing teeth in order to replace the missing teeth as occurs with conventional tooth supported bridges. Long gaps where multiple teeth are missing can be treated effectively with implant supported bridges whereas long span natural tooth supported bridges have many negative consequences. As it is a cemented restoration similar to tooth supported bridges, the restoration of the implants is more straightforward which simplifies the laboratory procedures and is less expensive compared to more complex screw retained implant supported bridges. 3. What are the risks of a Implant Supported Bridge? If an implant screw loosens or any repair of the restoration becomes necessary, the restoration may be destroyed during the removal procedure if the cement seal cannot be easily broken. Cementing restorations onto implants leads to challenges in removal of cement below gum line, possibly leading to tissue inflammation in the area. Other possible complications may be such things as food entrapment and challenges in matching adjacent tooth aesthetics. There is a minimal risk of an implant not adhering to the jawbone and thus requiring removal and replacement Chipped porcelain, worn metal or loose implant screws may require maintenance procedures, repair or replacement. 4. What are the alternatives to a Implant Supported Bridge? Replace the missing teeth with another type of implant supported restoration. Replace the missing tooth with an conventional tooth supported bridge. Replace the missing tooth with a removable partial denture. Leave the space as is. 5. How can an existing bite affect a Implant Supported Bridge? Excessive or uneven bite forces may cause porcelain chipping, metal wear, implant screw loosening, or even gum and bone loss around the implant. Severe bite issues such as habitual tooth grinding may cause premature failure of the dental restoration. 6. Are there any post treatment limitations once I have a Implant Supported Bridge? Porcelain on the bridge may have a good color match with adjacent natural teeth when the bridge is placed but less of a match as your natural teeth age. Food may become lodged around the implant supported bridge; gum recession or minor bone loss around the top of the implant over time may make food impaction unavoidable, even with the most ideal bridge contour. Gum recession may also lead to unsightly metallic implant margins becoming visible. A bridge may chip or break if used for abnormal activities (e.g. biting fishing line, sewing thread or finger nails, opening bottles). Restores bite Builds back smile

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