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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.

IV Sedation


Many people today are afraid to go to the dentist. If extensive dental work is needed, then the experience can become even more nerve-wracking. However, for patients who have panic attacks or dental anxiety, undergoing dental procedures is unbearable, to the point that they avoid dental work altogether.

Sedation Dentistry


Fortunately, Periodontal Associates offers sedation dentistry to relax and soothe anxious patients. We use sedatives in a wide array of procedures, from routine tooth cleanings to invasive treatments. It's not used in every single case, obviously, and patients will derive more benefit from it, the more anxious they are.

During sedation dentistry (also known somewhat inaccurately as sleep dentistry), medication is used that helps patients calm down for the dental procedure. Unless we use general anesthesia (which makes you completely unconscious), then you'll remain at least partly awake during the dental procedure.

What is IV Sedation and How does it Work?


IV sedation is one of the most common forms of sedation dentistry. If we choose this option, then we will administer the sedative drug through a vein. This will allow the drug to take effect more quickly, and it also lets us monitor and adjust the level of sedation at all times.

If we choose this option for your procedure, Dr. Eshraghi might give you instructions to follow before coming into the office. He may need you to abstain from eating and drinking for several hours before we perform the treatment. You might also need to stop taking certain forms of medication the day before the procedure if they interfere with the sedatives.

During the procedure, we will monitor your vital signs following the guidelines of the American Dental Association. We'll also have drugs on hand that will reverse the effects of the sedation just in case.

Is Sedation Dentistry Safe?


Some patients who receive sedation are in a higher degree of risk than others. People who are obese or have obstructive sleep apnea are more likely to have problems during anesthesia.

During the consultation, Dr. Eshraghi will go through your medical history, ask you about your anxiety levels and look at what medications you're on to determine if you're a viable candidate for IV sedation. If he determines that IV sedation is the best option, he will give you a form that explains all the risks involved in the procedure and go over it carefully with you. Raise any questions or concerns you might have with him at this time.

Is IV Sedation Right for You?


If you are considering IV sedation or any other kind of dental sedation, you need to think about your overall health, the kind of procedure you plan to have, and your usual reaction to dental treatment. For example, if you have a fear of needles, IV sedation will likely cause you even more anxiety than dental treatment. If IV sedation isn't the best choice, we have other options available such as nitrous oxide and oral sedatives. Make known your concerns and then Dr. Eshraghi can help you make the right decision.

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

Click to download our IV Sedation instructions.
Periodontal Associates in Beaverton, OR

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