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Lincoln Park Periodontal and Dental Implant Group
Dr. Boltchi, Dr. Fallah and Dr. Goldberg
Caring for the Foundation of a Healthy Smile

Single Tooth Replacement

Single Tooth Implant Placement

Losing a tooth can be difficult for patients, but thankfully, dental implants are an option to replace the look, feel and function of the lost tooth.  There are many reasons for the loss of a tooth:

  • Fractured tooth
  • Extensive decay
  • Extensive bone loss
  • Trauma

The periodontist will evaluate the tooth or missing tooth site before an appropriate treatment plan is discussed.  After all, a dental implant is only one way to replace a missing tooth.  Other treatments for missing teeth are listed at the bottom of the page.   

Immediate Implant Placement 

When the tooth is still present, but unable to be restored (extensive decay, failed root canal therapy, root resorption, fractured root ect.) an immediate implant may be a good option.  This is a procedure which involves removing the affected tooth and placing the implant at the same time.  It is only possible in the most ideal circumstances, but the periodontist will consider this treatment option during the initial visit. 

The advantages include:

  • decreased treatment time
  • preservation of the surrounding bone and gums
  • one surgical procedure

Delayed Implant Placement

Teeth that are deemed nonrestorable for other reasons (extensive bone loss and active infection) are not good candidates for immediate implant placement because the healing and results are not as predictable.  Even though the implant is not placed at the time of extraction, a predictable restoration with a dental implant can still be achieved. 

In order to achieve a predictable long-term result, the periodontist will extract the tooth and usually perform a bone graft at the time of extraction.  See socket preservation for more information on bone grafting at the time of extraction.  Once the site has healed (4-6 months) the implant can then be placed.  Following several months of healing and osseointegration, the final crown can be attached to the implant. Although this process takes longer than an immediate implant, it is very predictable and leads to great long term results.

Benefits of an all-ceramic crown on implant:
When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a ceramic crown. This solution both looks and functions just like a natural tooth.

In this case, a so-called one-piece implant is used. This means that all components are installed as a single unit, resulting in immediately full functioning teeth, shorter treatment time and minimized pain.

  • Immediately functioning teeth
  • Excellent esthetic result
  • Life long, stable solution

Treatment:
This procedure normally includes four visits to the dentist. You should expect to be able to work the day after having the implant installed.

 


COURSE OF TREATMENT

INSTALLING THE NEW TOOTH – STEP-BY-STEP

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

                               
1: Before the procedure
The dentist makes a first examination and takes one or more x-rays of the area to prepare for the procedure.  An imaging stent is made prior to 3D evaulation of the site. 3D imaging is conducted with the imaging stent. The 3D software is used to analyze the site and to fabricate a sugical guide to be used during implant placement.
  2: Installing the implant
The implant is installed using a surgical guide to allow for proper alignment and angulation. At this time, a temporary tooth may be provided to fill the space.  The implant will need a few months to integrate with the jawbone before the next step is taken.

                             
3: Attaching the new crown
The final step is the placement of the permanent ceramic tooth. The new tooth is installed for life. No additional treatment is needed.  
 

4: End result
You should expect the new tooth to fit and function just like a natural tooth. Do your usual dental hygiene to keep the tooth and gum around it clean. 

**It is very important that regular maintenance appointments (cleanings and exams) are kept to ensure the longevity of the implant.


 
ALTERNATIVES TO AN ALL-CERAMIC CROWN ON IMPLANT

  Tooth-supported fixed bridge
A traditional bridge involves grinding down adjacent teeth to support the bridge. It is a stable solution with good esthetics and function that is fairly easy to install. However, this alternative has two main disadvantages: continuous bone resorbtion in the edentulous area, and sacrificing healthy teeth on behalf of the bridge.
  Removable partial denture
This is not a permanent alternative to a lost tooth. It is unstable and loosely attached, which affects both function and comfort. A removable partial denture is made of plastic – a material that can't create the same esthetic result as a ceramic crown. The benefits are few but do exist: adjacent teeth aren't affected. It is easily and quickly installed and relatively cheap. 
  Resin-bonded bridge
This alternative has some clear advantages: it is quickly installed, functions well and, since it is made of ceramic, it gives a high esthetic result. Moreover, natural healthy teeth aren't affected. But it is not very permanent. The resin-bonded bridge will eventually come off – probably after just a couple of years – and will then have to be reinstalled.

If you would like more information on Dental Implants in Dallas by Dr. Marshal Goldberg  please email Scheduling@LincolnParkPerio.com, or call 214-890-7777

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