What Are Dental Implants
A dental implant is a titanium "root" which Dr. Rogge places into the jawbone. Once integrated with your bone, your general dentist uses this implant to support a crown, a bridge or secure a denture. Dental implants may be used to eliminate partial places and dentures. Dental implants have been used successfully for over 45 years, have a very high success rate. Dental implants function and feel more like natural teeth. Dental Implants are now the standard of care for replacing missing teeth. Your implant treatment can represent a slightly greater investment than other treatment options; however, the benefits of dental implant therapy for most patients far outweigh the minor additional cost involved.
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.
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.
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.
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 to allow 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 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.
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.
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 Rod M. Rogge, 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.