For over 25 years dental implants have provided a natural looking solution for replacing missing teeth and for stabilizing or anchoring dentures. Before placing the dental implant into the jawbone, an analysis is taken to determine how the upper and lower jaw functions together. In addition, photographs, x-rays, and molds are taken of the teeth, smile, mouth, and jawbones.

Based on the analysis, we develop a plan that is in harmony with the patient’s goals and desired outcome. Most commonly, the patient’s goal is to replace their missing teeth, to use implants in place of their partial dentures, or for use with their dentures to create stability when chewing.

Some implants need time (four to six months) to fuse to the jawbone so that they will be strong enough to hold the crowns, bridges, or dentures. Implants usually require a surgical and restorative phase, but in some cases they can be used almost immediately after placement in the jawbone.

Typically, dental implants replace the roots of the missing teeth in the bone so that whatever attaches to it will be more stable. Individuals who have lost many of their teeth, if they have enough bone, have many options for stabilizing and making their dentures more functional with implants. Implants can also be used to build fixed bridges attached in part of the mouth, which is more like replacing teeth that the patient can really bite with. The advantages of putting in implants underneath the denture is, in addition to support, it stimulates the health of the bone and keeps it from resorbing as it does when it has a denture placed on top of it. One of the problems we have is that when the teeth are taken out, the bone begins to shrink down as it responds to the pressure of the dentures.

Over years of wearing dentures, the bone continues to shrink and eventually the dentures do not fit the mouth. Implants slow down this process dramatically by stimulating the bone to stay healthy and keep it from resorbing. The dentures will last longer because the underlying areas of the bone are healthier.

If you would like to learn more about implant dentistry to see if it is the best option for your goals for oral heath and beauty, please contact our office to schedule an evaluation.

If you have an abscess tooth, and its not hurting too bad, it could be draining in to the sinus, causing chronic sinus irritation. When you look at an x-ray of the upper tooth,  the roots are visible up there and the sinus comes down – usually following a pattern of that root. In other words, the roots are holding that up and when you take the tooth out, there is constant gentle pressure there inside the sinus. The bone reacts to pressure and the bone in the maxilla is softer bone. So it does what we call numatizes that area.: the sinus starts enlarging, getting bigger because it is gently pushing that bone and the bone is resorbing (losing substance).

We see a many individuals who, when their teeth are out, have paper thin bone between the ridge and the sinus. If it’s a denture, then that can be tender all the time when they have sinus problems, and the bone goes away so we don’t have a place to put the implants. If the teeth have been removed and left our for a long time, you can still get implants, but you have to go through a grafting procedure to raise the sinus floor and grow new bone to put implants in. The other thing that is particularly prominent when you have a tooth on the side but the middle teeth are missing, is the sinus comes down and now you have a low spot where the fluids are always sitting. This makes the individual more prone to get infections. 

What are some symptoms that may indicate that the sinus problems you are having may be related to your teeth? If you had a tooth taken out and you want to have it replaced you should do it sooner rather than later so that the sinus doesn’t numatize and you don’t require an extra surgery.