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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.

Oral Cancer Screening


Oral cancer screenings contain both a visual and a physical exam of an oral cavity and its adjacent tissue. We often recommend them based on a patient's lifestyle choices, but patients can also request one as a precautionary measure. Oral cancer screenings work to assure patients that they don't have any signs of cancer, or can impel immediate treatment if we find any. These screenings should occur before symptoms become visible.

Oral Cancer Screening Exam Procedure


An oral cancer exam is divided into a visual exam and a physical exam. Sometimes they occur more or less simultaneously, while other times they are more distinct.

Visual Exam


During screening, we will need to look at your neck, face, lips, the inside of your nose and your oral cavity. If you have any removable prosthetic devices, please remove them before we begin so we can examine every possible area.

You can sit up straight or lie down for this procedure. Either way, Dr. Eshraghi will search for abnormalities such as ulcers, inflamed areas, asymmetrical areas, patches of color, and bumps. Like a regular physical exam, he will use a light, mirror, and tongue depressor to see clearly into the nose and mouth. He may use other tools to examine your throat, tonsils, the roof of your mouth, inner cheeks, gums and underneath your tongue. Please cooperate so he can check out all of the important areas, including the ones that are often hard to see.

Physical Exam


After completing the visual exam (though it can also occur during it), Dr. Eshraghi will check for abnormal masses by touching your head, cheeks, chin, jaw and inside the oral cavity. When we examine your throat, we may need you to swallow.

If tissue that is normally mobile has trouble moving, that can indicate a possible problem. If we find such tissue, we may ask you if touching it causes discomfort. While symptoms of oral cancer can cause pain or discomfort, an inflamed spot that doesn't hurt can still indicate problems elsewhere.

Oral Cancer Screening Devices


We use a variety of tools during an oral cancer screening, such as the As, mirror and tongue depressor, but we may need to use a set of specialized examination tools to complete the procedure. One of them is a brush called an Oral CDx, which we use to painlessly remove cells so we can test them. Others include a VELscope, which uses a blue light to identify dubious oral tissues, and an Orascoptic DK, which utilizes a slightly acidic mouth rinse to help us inspect those same tissues. We also use a variety of specialized dyes.

Another tool we often use is called a nasopharyngolaryngoscope. This long-named device is a flexible fiber-optic camera. Once we give you medication and an anesthetic, Dr. Eshraghi will feed this camera into your nose and down the back of your throat to look at your larynx and pharynx.

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

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