Dental Implants

Dental Implant Presentation

To better assist you, and to help you understand dental implants and how they work, we have provided the following multimedia presentation.  There are several common questions pertaining to dental implants that are discussed.

Dental implants are changing the way that people live their lives today, leaving patients with dental implants to smile with confidence. Dental implants are specifically engineered to provide a good foundation for replacement teeth which will look, feel and function like your natural teeth. The person who has previously lost their teeth will regain the ability to eat virtually anything they choose, knowing that their teeth will look natural and that their facial contours will be well preserved.

What are Dental Implants?

Dental implants are tiny titanium posts that are surgically placed into the jawbone where the teeth are missing. The metal anchors act as substitutes for the root of the tooth. In order to create a strong foundation for the artificial teeth, the bone then bonds with the titanium. Small posts that protrude through the gums are then attached to the implant, which will then provide stable anchors for the artificial replacement teeth.

Dental implants can also help to successfully preserve the facial structure, preventing bone deterioration that can typically occur when teeth are missing.

The Surgical Procedure

The placement of dental implants involves two surgical procedures for most of our patients. First, implants are inserted within your jawbone. For the first two to six months following the implant surgery, the implants are underneath the surface of the gums, which will then slowly bond with the jawbone. During this time, you will be able to wear temporary dentures and also eat a soft diet. Meanwhile, your dentist is forming new replacement teeth for you.

After the implant has bonded to the jawbone, the second phase will begin in the process. Dr. Reisman will then reveal the implants and attach small posts that protrude through the gums that will act as anchors for the artificial teeth. When the artificial teeth are inserted, these posts will not be able to be seen. It typically takes about four to six months for the entire implant procedure to be completed, and most patients experience minimal disruption in their everyday lives.

Surgical Advances

The unique European philosophies of implant therapy are advocated by Dr. Reisman and his practice.  With the use of cutting edge implant systems and modifications of standard surgical techniques, Dr. Reisman is able to speed up the placement and utilization of your implants by 6 to 12 months sooner than the standard implant protocols that other doctors perform.

In his practice, Dr. Reisman is able to place single stage implants, which do not require a second procedure to uncover them, but do require a minimum of six weeks of healing time before the artificial teeth are inserted. Occasionally, there are situations where the dental implants can be placed at the same time as a tooth extraction, which will further reduce the amount of surgical procedures that are needed. In certain situations, advances in dental implant technology have made it possible to extract teeth and place implants with crowns all in one visit. This specific procedure called “immediate loading”, will perform the implant placement entirely.  Dr. Reisman and his staff have protocols in place to “immediate load” implants in emergency situations when your regular dentist is unavailable to assist in the procedure (e.g., trauma when a tooth is knocked out).  Final crowns are then finished by your dentist.

Typically, implants are completed as a team effort between an oral and maxillofacial surgeon and your regular dentist. While Dr. Reisman performs the actual implant surgery, initial tooth extractions, and bone grafting if it’s necessary; your regular dentist will correctly fit and manufacture the permanent prosthesis. If there’s any temporary prosthesis needed during the implant process, your dentist will also be in charge of making that, as well.

What Types Of Prosthesis Are Available?

A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth will attach itself to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your lower or upper jaw. The number of implants will vary depending upon which type of complete prosthesis (removable or fixed) is recommended in your particular situation. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and can only be removed by a dentist.

In order to optimize the level of sterility, Dr. Reisman performs all in-office implant surgery in a hospital-style operating suite. Inpatient hospital implant surgery is for patients who have any special medical or anesthetic needs or for those individuals who need extensive bone grafting from the jaw, hip or tibia.

Why Dental Implants?

When you educate yourself on dental implants, it will become clear how you can improve your life with them. When you lose several of your teeth – whether it’s a new situation or something you have lived with for years – chances are you have never become fully accustomed to losing such an important part of yourself. Choosing to get dental implants can be the answer for a renewed sense of self, and a total confidence booster.

This concept for oral rehabilitation was developed more than 35 years ago by a Swedish scientist and orthopedic surgeon named, Dr. Per-Ingvar Branemark.  With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the embarrassment and frustration of losing their teeth.

Why Select Dental Implants Over More Traditional Types Of Restorations?

There are many reasons why you should choose dental implants over a more traditional type of restoration. You shouldn’t sacrifice the structure of surrounding good teeth to bridge a space. Additionally, removing a denture or a “partial” at night when you go to sleep may be inconvenient; not to mention that when dentures slip, it can be uncomfortable and rather embarrassing.

Are You A Candidate For Implants?

If you are considering getting implants to improve your life, there are steps you need to make sure you take initially. First, you must get a full examination of your mouth and your medical and dental history should be reviewed thoroughly. If you mouth is not ideal for implants, we may recommend another way to improve the outcome, such as bone grafting.

Utilizing novel implant systems and modifications of standard surgical techniques, Dr. Reisman is able to successfully accelerate the placement and utilization of your implants, often 6 to 12 months sooner than the standard implant protocols.

What Type Of Anesthesia Is Used?

The majority of dental implants and bone graft procedures can be performed in our comfortable office setting under a local anesthesia, with or without the use of general anesthesia.

Do Implants Need Special Care?

After the implants are inserted, they will serve you well for many years if you take the proper steps to maintain them, and to keep your mouth healthy. This means taking the time to keep up with good oral hygiene, such as regular brushing and flossing, and keeping regular appointments with your dental professionals.

Teeth-In-An-Hour™

TEETH-IN-AN-HOUR™ is a revolutionary concept providing patients with fully functioning teeth or dental implants in one single procedure that lasts about an hour. This new technology was recently developed by Nobel Biocare and allows for the collaboration of both the restorative doctor and the surgeon. This consolidation of knowledge and experience achieves not only increased safety, but also a more accurate implant placement. Additionally, the assembly of a final prosthesis is completed prior to the surgery. The computer-guided implant surgery is done in an arthroscopic fashion without requiring any flap reflection. This benefits the patient in that there is less postoperative discomfort, less bruising and less swelling allowing patients to often times resume their normal everyday activities the following day.

The process starts when a CAT scan is taken of the patient’s jawbone. Following the CAT scan, a three-dimensional model of the jawbone is then generated, which can be used in virtual reality software to plan out the implant placement without the patient being present. This results in a more precise implant placement procedure, and far less chair time for the patient during surgery.

Dr. Reisman’s office is the first in Boulder County and the northern Denver area possessing an in-office CAT scan machine.

Emergency Replacement of Lost Teeth With Implants

Tooth replacement with implants is a carefully planned out and technique-sensitive procedure.  Unfortunately, there are times when teeth are lost, fractured and implant placement is an emergency procedure, when your restorative dentist is not available to assist in planning and restoration.  Dr. Reisman and his staff have developed the proper procedures to “immediate load” implants in emergency situations when your regular dentist is unavailable to assist in the dental implant procedure.  The final crowns can then be finished by your own regular dentist.