Posts for tag: Dental Implants

ScreworCementWhichisBestforAttachingYourImplantCrown

If you’re in the initial planning stages for a dental implant, you may already be encountering a number of options to consider. One that may come up is how the visible crown will attach to the metal implant imbedded in the bone.

Generally speaking, implants are composed of two parts: a metal post most often made of titanium placed into the bone that serves as the “root” for the new tooth; and a visible, life-like crown made of dental porcelain that attaches to an abutment on the titanium post. The crown can be attached in one of two ways: either with a small screw through the biting surface of the crown into a receiving hole in the abutment or cemented to it.

The major advantage of a screwed crown is that it allows for easy removal of the crown if needed. While the titanium post can often last a lifetime, porcelain crowns more often need repair or replacement since they receive the brunt of the biting forces in the mouth. A screw-attached crown is much easier to remove than a cemented one.

On the other hand, screwed crowns have a small access hole that must be restored with a tooth-colored filling to help the crown appear natural. This isn’t too great an issue with back teeth but does make achieving a natural appearance in the front more difficult. Cemented crowns look more like a natural tooth and are thus more flexible in achieving the desired appearance.

Besides the possibility the cement may cause gum inflammation or bone loss, the chief detraction from cemented crowns is the difficulty in removing them. Crowns are often damaged in this process so it’s highly likely it will have to be replaced rather than repaired. It’s possible to use weaker cement, but this raises the risk of the crown coming loose at some point from the abutment.

As we plan for your implant, we’ll discuss which type of attachment will work best for you, depending on the tooth to be replaced and other conditions with your oral health. The end result, though, should be the same — a new, natural-looking tooth that serves you well for many years to come.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How Crowns Attach to Implants.”

By James Pechloff, DDS
March 06, 2019
Category: Dental Implants
Tags: Dental Implants  

How's your smile doing? Are you concerned about missing teeth? If so, why not consult Dr. James Pechloff, your dentist in Wauwatosa, dental implantabout dental implants? Firmly anchored in your jaw bone, dental implants supply unparalleled oral function and smile aesthetics. Read more about them here!

 

Fixing that smile gap

During a consultation at our Wauwatosa office, we can determine if dental implants are right for your particular oral health needs. A critical piece of your treatment plan is careful visual evaluation (a CT scan and examination) of your jaw bone and overall oral health. For an implant device to take hold and bond successfully to your jaw, you need an alveolar ridge dense enough and wide enough to withstand biting and chewing. If the bone is weak, Dr. Pechloff may recommend augmentation with donor bone or other materials.

Why is fixing a smile gap with a dental implant important? Dental implants are the only tooth replacement options which avoid the gum and bone recession which occurs after tooth loss. The titanium in the implant device attracts the bone cells in the jaw, allowing them to adhere to the implant and transforming it into an actual tooth root. The more the implant is used, the stronger that bond becomes.

 

The treatment timeline

The American Academy of Cosmetic Dentistry wisely explains that treatment looks different for each implant candidate and that treatment takes time. So, expect a few months between initial implant surgery and the final bonding of the single implant's metal post and porcelain crown. Proper osseointegration is a long process, but the wait is so worthwhile. After all, the life expectancy of a single-tooth implant, or multiple implants used to support dentures or bridges, is decades-long!

 

Caring for dental implants

Each dental implant patient must take oral hygiene seriously. While dental implants cannot develop cavities as natural teeth do, a deadly infection called peri-implantitis threatens implant retention. Peri-implantitis resembles periodontal disease and causes implant mobility and degradation of underlying bone and gum tissue. So, it is essential to maintain a schedule of twice-daily brushing and flossing as well as to regularly follow any special hygiene instructions that Dr. Pechloff and his team give you.

Additionally, if you smoke or use chewing tobacco, seriously consider quitting these harmful habits. They reduce the chances of implant success, too.

 

Rebuild your smile

Find out more about dental implants with a personalized consultation with Dr. James Pechloff. He will give you an honest appraisal of your tooth replacement options, and if dental implants are right for you, expect a comfortable and successful care plan which fully meets your smile goals. Call the office today for an appointment: (414) 475-5505.

By James Pechloff, DDS
September 22, 2018
Category: Dental Procedures
Tags: Dental Implants   Dentures  
AnImplant-SupportedDentureOffersaNumberofAdvantages

If you’ve had the misfortune of losing all or most of your teeth (a condition called edentulism), you still have effective options for restoring lost form and function to your mouth. There is, of course, the traditional removable denture that’s been the mainstay for edentulism treatment for decades. If you haven’t experienced significant bone loss in the jaw, though, a fixed bridge supported by titanium implants could be a better choice.

But what if bone loss has ruled out an implant-supported fixed bridge? There’s still another option besides traditional dentures — a removable “overdenture” that fits “over” smaller diameter implants strategically placed in the jaw to support it.

A removable, implant-supported bridge offers a number of advantages for edentulism patients with significant bone loss.

Speech Enhancement. Any denture or bridge supported by implants will have a positive impact on speech ability, especially involving the upper jaw. But patients who’ve previously worn removable dentures may not see a dramatic difference but will still be able to benefit from the greater stability of the denture, particularly if the dentures were previously unstable.

Hygiene. A removable denture allows better access to implant sites for cleaning. Better hygiene reduces the risk of gum disease and further bone loss.

Long-Term Maintenance. Regardless of which type of implant supported restoration is used, it will eventually require some maintenance. A well-designed removable overdenture can make any future maintenance easier to perform.

Aesthetics. For personal satisfaction, this is often the ultimate test — how will I look? As a product of the evolving art of facial aesthetics, removable dentures supported by implants can replace lost tissues and restore balance to the face, and often produce a remarkable smile “makeover.”

To find out which restoration option is best for you, you should first undergo a thorough examination to determine the status of your facial and jaw structures, particularly the amount of bone mass still present. Ultimately, though, the decision should be the one that best fits your functional needs, while fulfilling your desires for your future smile.

If you would like more information on tooth restoration options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Fixed vs. Removable: Choosing Between a Removable Bridge and a Fixed Bridge.”

By James Pechloff, DDS
July 10, 2018
Category: Dental Implants
Tags: Dental Implants  

Dental ImplantsThough dentures have been used to replace missing teeth for many years, more patients are learning that dental implants are a better solution. That’s because they help preserve bone tissue and give you a permanent replacement that is as stable as a natural tooth. If you may be a candidate for dental implants, learn more about their benefits and schedule a consultation with Dr. James Pechloff at his Wauwatosa, WI, dentist office.

Tooth Replacement with Dental Implants
When faced with tooth loss, many patients assume that their only recourse is to wear a partial denture or to get a bridge. But the more secure and permanent solution is a dental implant. A small titanium device is inserted into healthy bone tissue, where it will heal over a period of months. The device replaces the root of a natural tooth and can be fitted with an attractive porcelain dental crown.

Benefits of Implants
If you have any reservations about wearing a removable denture device, then you should talk to your Wauwatosa dentist about dental implants. An implanted tooth does not need to be taken out of your mouth each night—you can simply brush and floss around the base of the crown. If you take good care of your oral health after the procedure, the implant could stay in your mouth for decades. Because modern crowns look so natural, it’s virtually impossible for anyone except your dentist to know that you have a dental implant.

Keep Your Implant Healthy
You may wonder what you can do to ensure the long-term health of your dental implant. Poor dental hygiene is one of the top reasons for tooth loss, so immaculate dental care is crucial. Brush thoroughly twice a day for at least two minutes per instance. Plaque and calculus can form around a crown just like any other tooth, so floss every night. Having a healthier diet can also help keep your newly implanted tooth healthy.

Tooth Loss Is Not Final
Losing a tooth to an infection or injury doesn’t have to be the end of your beautiful smile. You can have it restored with dental implants. Call (414) 475-5505 today to schedule an appointment with Dr. Pechloff at his office in Wauwatosa, WI.

By James Pechloff, DDS
January 30, 2018
Category: Oral Health
KeepingupGoodHygieneStillaNecessitywithDentalImplants

Dental implants are widely considered the most durable tooth replacement option, thanks in part to how they attach to the jaw. But durable doesn't mean indestructible — you must take care of them.

Implants have a unique relationship to the jawbone compared to other restorations. We imbed a slender titanium post into the bone as a substitute for a natural tooth root. Because bone has a special affinity with the metal, it grows to and adheres to the implant to create a secure anchor. This unique attachment gives implants quite an advantage over other restorations.

It isn't superior, however, to the natural attachment of real teeth, especially in one respect: it can't match a natural attachment's infection-fighting ability. A connective tissue attachment made up of collagen fibers are attached to the tooth root protecting the underlying bone. An elastic gum tissue called the periodontal ligament lies between the tooth root and the bone and attaches to both with tiny collagen fibers. These attachments create a network of blood vessels that supply nutrients and infection-fighting agents to the bone and surrounding gum tissue.

Implants don't have this connective tissue or ligament attachment or its benefits. Of course, the implants are made of inorganic material that can't be damaged by bacterial infection. However, the gums and bone that surround them are: and because these natural tissues don't have these same biologic barriers to infection and perhaps access to the same degree of antibodies as those around natural teeth, an infection known as peri-implantitis specific to implants can develop and progress.

It's therefore just as important for you to continue brushing and flossing to remove bacterial plaque that causes infection to protect the gums and bone around your implants. You should also keep up regular office cleanings and checkups. In fact, we take special care with implants when cleaning them by using instruments that won't scratch their highly polished surfaces. Such a scratch, even a microscopic one, could attract and harbor bacteria.

There's no doubt dental implants are an excellent long-term solution for restoring your smile and mouth function. You can help extend that longevity by caring for them just as if they're your natural teeth.

If you would like more information on caring for dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Maintenance.”