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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.

CAD/CAM Guided Surgery


CAD CAM scanner at Periodontal Associates.As a rapidly developing field that benefits highly from the assistance of enhanced video devices for use in their offices, dentists everywhere are finding new ways to take these revolutionary discoveries and adapt it to work with the level of care they can provide their patients. It should be no surprise, in this modern-day and age, to learn that many specialists advocate the use of computer-aided design and manufacturing, or CAD/CAM, for guided dental implantation. Periodontal Associates is excited to be able to tell you all about it!

How Image Technology Works for You


With digital upgrades emerging quickly and existing as an irreplaceable asset in nearly every profession, it can be much easier to provide detailed dental reports in a matter of moments through the use of the internet. IGS, or image-guided surgery, is when the surgeon combines the use of tools and images to enhance the ability to perform the procedure. Generally, the process is designed to be live to aid in the application.

The benefits are nothing short of incredible, as not only is the doctor able to have ample control and greater accuracy over the operation, but also reduce the amount of unnecessary trauma to the facial tissues. Implants are placed with greater precision, which allows for fewer complications later on. Guided surgery ensures the probability of a safer, more predictable treatment process and can remove much stress by presenting the patient with a reassuring possible outcome.

Computer-Aided Design and Manufacturing


In general, the hardest decision for a specialist to make when it comes to dental implants is whether to do it with the guides or without. While it is fully capable of being done well, either way, the perks of using a guide lead to less structural damage when drilling and inserting the posts. It also ensures a more skillful precision through an already exemplary professional. Although it can be assured that either process is likely to yield excellent results, the surgeon will need to be competent in their skill as the steps necessary for guided imaging are significantly more than alternative methods and could require extra effort or time to complete the treatment.

In the initial step for creating a guide, the information must first be submitted so the data can be evaluated and then designed based off where dental rods should likely be placed. There are three areas within the mouth that may be considered for support as it comes to inserting the guide. If it is tooth-supported, then it is almost guaranteed that any remaining teeth could be implemented for use as an anchor. For mucosa-supported guides, then the foundation will be incorporated into the soft tissues, such as the gums for greater security. If it is decided it will be bone-supported, then, of course, it will be connected to something calcified, such as the jaw.

One of the most appealing things about receiving guided surgery is that when combined with other modern scientific advancements, it reduces the need for unnecessary cutting. Before, it was likely the gum would need to be opened and thoroughly inspected before an adequate route could be determined. Through 3D imaging and instant video enhancements, we can see the best path towards optimal care for you without having to make a single incision. With the added quality of guided implants, it can ultimately serve as a strong preventative measure against unwanted irritation of the site and reducing the risk of infection.

If the idea of minimal operations and less recovery time seems like an excellent option for you, please call the office at Periodontal Associates at (971) 317-8414 for more information on the subject or to schedule an appointment for a consultation.
Periodontal Associates in Beaverton, OR

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