Implant FAQ
Q. I need to replace two missing
teeth next to each other. Can I just have one implant placed and attach it to
one of my natural teeth and make a bridge?
A. Generally, this is not a good idea. We find that
it is generally much better not to attach implants to teeth. We frequently
attach implants to each other, which can improve strength and works well. So in
a case like this, although it may be more expensive in the short term to place
two implants instead of one, the long-term success is likely to be much better
with the two implants.
Q. I lost my upper back teeth on one
side and have gone for years without doing anything about it. My sinuses always
seem to bother me more on that side than on the side that I have back teeth.
Could these problems be related to one another?
A. In a large majority of people who are missing
their upper back teeth for a long period of time, is the increasing downward
growth of the maxillary sinus. At birth, it is the size of a pea and
progressively grows as the skull matures. This growth is at the expense of the
surrounding bone. If you are considering replacing those upper back teeth with
fixed teeth that stay in all the time, it may be necessary to perform a sinus
elevation procedure to allow room for placement of dental implants into this
area to support those teeth. This involves placement of bone and/or bone
substitutes into an area which was previously occupied by the lower part of the
maxillary sinus. Most importantly, this procedure increases the available bone
use to place implants and restore the missing back teeth.
Q. I've had dentures for several
years and have lost a lot of jawbone. My lower dentures are floaters and I need
help. Is there still hope for me?
A. In most cases, with the new options available
today in the field of dental implants, some form of treatment is possible. We
encourage people to get help as soon as possible if they are already having some
problems with their current situation. These problems include excessive use of
denture adhesives, chewing only soft food, unable to taste some foods, constant
mouth sores, unhappy with the appearance of one's teeth and bite position (in
some cases the nose and chin getting closer together). The sooner we correct the
problems with dental implants, the more choices one has available for treatment.
If you have any or all of the above symptoms, implants can very well be the
answer for you.
Q. I am missing all of my teeth and
am now wearing a full upper and lower denture. I can no longer tolerate my
lowers. Will I need an implant for every tooth I am replacing on the lower jaw?
A. It is not necessary to have an implant for every
tooth that is being replaced. The number of implants necessary to provide
support depends on the type of implants used and the type of teeth (removable
vs. non- removable) that will be attached to the implants. A thorough oral exam
and panoramic x-ray is all that is necessary in most cases, to determine which
implant can be used and how many must be used. Sometimes additional X-rays or CT
scans are used in more complicated cases.
Q. I consulted a dentist several
years ago about using implants to replace my lower denture and he told me that I
did not have adequate bone available to place enough in-the-bone implants
without danger of fracturing my now fragile jawbone. Are there any alternatives?
A. Because of the advances in the field of
implantology, there are now more choices and techniques. It is rare for a person
to not be able to receive an implant or a combination of implants. Today we have
available many types of implants designed to accommodate multiple problems.
Q. I had a root canal on a tooth
that fractured and now it has to be removed. Can it be replaced with an implant
or do I have to have a bridge or a partial?
A. Teeth that have root canals can fracture more
easily than other teeth because they are weaker and somewhat dehydrated. They
can sometimes be as brittle as glass. In the past, the best available treatment
was to remove the tooth and file down the adjacent teeth to make a bridge - caps
on the adjacent teeth with an attached "dummy" tooth between. Sometimes this
still is the only way. However, in many cases an implant can replace the
fractured tooth and we will not need to grind down a tooth to at all.