Implant Placement

There are actually two phases to implant dentistry.

Phase 1: Using very accurate surgical techniques, an incision is made in the gum tissues and implants are placed into dimensionally controlled sites (depth and width) in the jawbone.

First, the gum tissue is opened and the jaw bone is tapped with a small drill and then drilled with a wider drill. The implant is inserted into place. The gum tissues are then closed and the healing phase begins. This may take anywhere from 3-6 months to ensure a strong base.

Phase 2: An abutment is secured to the top of the implant placing a new tooth crown onto the implant abutment. Implants can replace a single tooth, several teeth or your dentures.

Implant Benefits

  1. Eliminates the need to "cut down" the neighboring teeth to make a bridge.
  2. Maintains the jawbone structure.
  3. Feels and functions like natural teeth.
  4. Does not rely on other teeth for support.
  5. Replaces partial plates and may be used to secure loose dentures.
  6. Cleaned and flossed like a natural tooth.

Day Of Treatment

On the day of your appointment please arrive 15-20 minutes prior to your scheduled time. This has proven to help patients settle in and release the pre-surgery nervousness. We will make you as comfortable as possible during your visit.

We recommend bringing along a friend or relative on the day of your treatment. Depending on the procedure itself, you may be receiving anesthesia and possibly other medication during the surgery. It is important that an adult accompany you to the office, stay during the procedure and drive you home after your recovery.

We will provide you with detailed information regarding medication, food, drink, and other preparations that you may need. Please follow their instructions on the day of your treatment. We will also provide you with complete post-surgery instructions including cleaning and maintenance instructions, and if necessary we'll provide you with prescriptions for any medications necessary to reduce the post-surgery discomfort and to help you toward a speedy recovery.

We'll arrange follow-up appointments to assure you maintain a beautiful, natural smile for years to come.

Single Tooth Implants

Do you have missing teeth? It is critically important to replace missing teeth. Eating and chewing with missing teeth can sabotage your bite and lead to incessant discomfort. Missing teeth can give rise to a mouth rearrangement that often results in facial changes that look decrepit.

A single tooth implant procedure may be done if a tooth has been extracted or is missing. A titanium implant base is placed into the jawbone to resemble the tooth root. We allow a period of time for the jawbone to heal over the implant base before fitting for a crown.

Next, an abutment is screwed into the base of the implant to allow for a crown to be fitted on top. Finally, a custom fabricated crown is placed over the abutment to function like a real tooth.

Multiple Tooth Implants

Multiple tooth implants may be placed if you need or desire to permanently replace an extracted or lost tooth. Titanium implant bases are placed into the jawbone to replace the job of the tooth roots. We allow a period of time to allow for the jawbone to heal over the bases before fitting for a crown. Next, abutments are screwed into the bases of the implants to allow crowns to be attached. Finally, custom fabricated crowns are placed over the abutments and will function like a real tooth.

Immediate Placement

In many situations it is possible to remove the diseased and/or loose teeth and replace them with dental implants at the same time. In almost all situations simultaneous bone grafting is completed. This method of treatment reduces the number of surgical visits. It also speeds up the entire process enabling the implants to be ready to receive (caps/crowns) more quickly.

Full Arch Implants

If you have slipping dentures and are tired of being self-conscious about the thought of losing them at an inopportune moment, a full arch implant might be the solution for you. Dental implants that can be placed to accept a full arch of teeth. This is done by strategically placing implants along the upper or lower jaw and attaching a denture-like attachment over abutments on the implant posts. Once placed, a full arch using implants will feel and perform like natural teeth. You will be able to chew with confidence and never have to worry again about losing your dentures.

Implant Supported Dentures

This implant technique, is the optimal solution for those who have lost or are about to lose all of their upper and/or lower teeth. It's a procedure that comes closest to having a new set of permanent teeth.

Zimmer Implants

If something happens to your natural teeth, you can continue to live confidently with implants from Zimmer Dental. Unlike dentures and bridgework, implants are a solution proven by experience to last for many years. They look and feel like your natural teeth and eliminate the worry of slipping or coming loose.

For more than two decades, dental implants have been used successfully and are a medically proven alternative that delivers confident living. By working with Zimmer Dental, your doctor can offer you the most advanced implants and prosthetics available today.

3i Implants

BIOMET 3i OSSEOTITE® and NanoTite Dental Implants are intended for immediate function on single tooth and/or multiple tooth applications when good primary stability is achieved, with appropriate occlusal loading, in order to restore chewing function.

Contraindications: Placement of dental implants may be precluded by patient conditions that are contraindications for surgery. BIOMET 3i Dental Implants should not be placed in patients where the remaining jaw bone is too diminished to provide adequate implant stability.

Straumann Dental Implants

The decision to replace missing teeth with dental implants is an excellent investment in your oral health and appearance. Dental implants are now the standard of care for missing teeth. Better than crown and bridge, they look, feel and function like natural teeth. They help prevent bone loss caused by a missing tooth root and do not require the adjacent teeth to be ground down.

Long-term research has shown that Straumann implants have a high success rate. Straumann values quality and reliability, and Straumann implants are backed by over 30 years of scientific evidence.

BioHorizons Dental Implants

BioHorizons offers ten comprehensive dental implant lines, covering virtually every surgical and prosthetic indication or clinician preference. Our dental implants carry a lifetime warranty and are clinically-proven by some of the most thorough and in-depth research in the industry.

Astra Tech Implants

To put it simply, with the ASTRA TECH Implant System esthetics are integrated into the implant system design. We work together with nature in supporting the natural healing process instead of interfering with it.

NobelGuide - Teeth-in-an-hour

NobelGuide Dental Implant Surgery Planning software allows us to take the information from i-CAT scan of a patient's mouth and perform virtual surgery on the computer before taking a patient into the actual surgery. The NobelGuide system means you can now replace missing teeth with permanent dental implants easily, quickly and comfortably. Only NobelGuide gives you beautiful teeth-in-an-hour.

With conventional treatment you have to wait for your implants to heal before teeth are placed, which can take months. NobelGuide gives you your new teeth right away. You may be able to eat immediately after the treatment. Not only does it reduce the number of visits to your dentist, you also spend less time there. Best of all, no recovery period is needed after treatment, so you can return to your active life immediately.

Nobel Biocare - Dental Implants

For more than thirty years, Nobel Biocare dental implants have been produced from chemically unchanged variants of commercially pure titanium. They are cold-worked for exceptional strength and durability, and all feature TiUnite, our proprietary surface that produces benefits in implant stability and bone formation.

After Placement of Dental Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

BLEEDING. Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a gauze pad placed directly on the bleeding area for 30 minutes. If bleeding continues please call the office for further instructions.

SWELLING. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon as it is the body's normal process in repairing itself. Swelling does not always appear immediately. It may take 12 to 24 hours before swelling becomes apparent. Swelling may not reach its maximum until 2-3 days post-surgery. Swelling may be minimized by the immediate use of ice packs post-surgery. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days call the office.

DIET. Drink plenty of fluids. Avoid hot liquids or hot food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

PAIN MEDICATION. You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Be sure to take the prescribed antibiotics as directed to help prevent infection. Do not take any of the above medication if you are allergic, or have been instructed by Claire M. Giordano, DDS not to take it.

HOME HYGIENE CARE. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem, but be gentle initially with brushing the surgical areas. Good oral hygiene is essential to good healing.

PHYSICAL ACTIVITY. Keep physical activities to a minimum immediately following surgery. Physical activity could cause throbbing or bleeding of the surgical implant area.

WEARING DENTURES. You will always have teeth during your recovery period. Temporary partial dentures or full denture arches should not be used immediately after surgery and for at least 10 days.

Implant Alternatives

Before making the decision in going the implant route, ask yourself if there is another option. We offer many different implant alternatives.

The different alternative options to implants that we provide are:

  • Tooth Supported Bridge
  • Removable Partial Denture
  • No Treatment

Request An Appointment

Do you need dental work done? Has it been a while since you've been to the dentist? Do you just need a regular cleaning or are you looking for a brand new smile? Requesting an appointment is available online 24/7 and is as simple as submitting a form.

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