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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant


Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail


If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement


In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your implants, contact us right away.

If you have any other questions or concerns, please give us a call at (971) 317-8414.

All-on-4® Treatment Concept


Turning the Clock Back On Your Teeth


When a permanent tooth is lost, it cannot grow again. The result of such a loss can be devastating, especially when you lose several (or all of your) teeth. However, lucky for you, losing your teeth is not the end of the road. At Periodontal Associates, we offer several dental restorative solutions that are aimed at replacing your missing teeth. Among these solutions, the All-on-4 treatment concept is proving to be very popular and effective in restoring your oral functionality and appearance.

What is the All-on-4 Treatment Concept?


The All-on-4 treatment concept is a type of dental implant treatment, which uses prosthetics to replace your missing teeth. It involves the placement of four dental implants in the jawbone, which are then used to support a denture ridge. The ridge is screwed onto these implants, making it a permanent placement. Therefore, the treatment (while being a dental implant procedure) is an alternative to traditional denture treatment.

The Treatment Process


The All-on-4 treatment process is offered after all or several adjacents missing teeth on the upper, lower, or both jawbones have been lost or extracted. The treatment starts with the planning, where the jawbone and gum tissue structure are examined to ensure they can support the implants. If the bone and gum tissue are not healthy, restorative dental treatments are offered to restore them to their full functionality.

The actual procedure (placing of the implants) is carried out in a single visit. It starts with sedation (options vary depending on your preferences) to relax you and numb you from the pain. The dental implants are then surgically implanted by creating incisions on the implant sites, drilling holes, and placing a metal post. A total of four implants are placed in the jawbone (or eight if you are having bone upper and lower teeth replaced). The implants are placed on the arch of the jawbone: 2 at the front, and two at the corner (one at each corner). The gum tissue around the surgical sites is then stitched to close up the wound.

After the procedure, you are given a temporary set of dentures (screwed onto the implants). The dentures allow you to enjoy some oral functionality while restoring your facial appearance, as your jawbone is healing. Once it has properly healed (which takes a few weeks) you are given permanent, custom-created dentures, which restore your full oral functionality and appearance.

Is the All-on-4 Treatment Right for You?


The All-on-4 treatment is ideal if you have lost multiple teeth either due to extensive tooth decay, gum disease, bone loss, dental trauma, or other reasons. However, the procedure is only ideal if you have lost all of your teeth on each or both of the jaws, or several adjacent teeth at the front part (for example, losing all of your anterior teeth).

For the treatment to be effective, your bone and gums must also be healthy and sufficient to support the placed implants. However, restorative treatments such as bone and gum tissue grafting or ridge augmentation are available if you have damaged bone and gums.

Why Should You Choose the All-on-4® Treatment Concept?


The All-on-4 treatment is ideal for many reasons:
•  It restores your full oral functionality.
•  It gives you a perfect facial appearance.
•  It reduces the need for placing too many implants.
•  It helps to prevent bone and gum tissue damage.
•  Unlike traditional dentures, the bridge used in the treatment is permanent, Which means no more adhesives, problems when chewing, discomfort and pain, or falling off the dentures.

Are you looking to replace your missing teeth? Periodontal Associates has all the solutions you need. Call us today at (971) 317-8414 to schedule an appointment or to find out more about the All-on-4® Treatment Concept.
Periodontal Associates in Beaverton, OR

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