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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 (Conscious) Sedation


Woman relaxed in dental chairGoing to the dentist is a source of fear for many people. They are afraid that they might suffer pain or discomfort during the procedure. Fortunately, we offer sedation dentistry to help you relax during more invasive dental procedures.

What Is Sedation Dentistry?


During the sedation process, Dr. Eshraghi will give you a drug before or during the dental procedure. Only general anesthesia will make you completely unconscious. Other forms of sedation, known as local anesthesia, will make you more relaxed but won't make you lose consciousness.

What are Oral Sedatives and How do they Work?


Oral sedatives are among the most common choices for dental sedation. The pills we use are usually Halcion (which comes from the same family of drugs as Valium) or diazepam, and we administer them about an hour before the procedure.

Oral sedation ranges from minimal to moderate depending on how much the total dosage is. If we want minimal sedation, we'll give you a pill. Dr. Eshraghi will write a prescription for a drug and give you specific instructions for how to take it. Follow his instructions carefully so that the medication will have its desired effect in relaxing you and reducing your anxiety. Once said pill has taken effect you will remain awake, but your anxiety level will drop and you may feel slightly drowsy until the effects wear off.

If we're aiming for a moderate level of sedation, then we will provide a larger dose. This type of anesthesia is the one people most often associate with sedation dentistry. Moderate oral sedation is enough to cause some patients to fall asleep during the procedure, but a brief shake is often enough to awaken them.

When is Oral Sedation Necessary?


There are variety of reasons why one may need oral sedatives, such as:
[[[Anxiety or panic disorders
~Dental phobia
~Bad past experiences with dentistry
~Overly sensitive oral nerves
~A small mouth that experiences soreness during dental procedures
~Resistances to local anesthetic]]]

If any of these conditions apply to you, let Dr. Eshraghi know and we'll discuss solutions, Sedatives can greatly soothe patients undergoing procedures such as dental implants, tooth removals, and root canals, among others, but we don't usually offer it for dental cleanings, x-rays, or other routine care procedures. We may administer it in those latter cases for patients with strong anxiety, however.

Is Sedation Dentistry the Best Choice for Me?


If you're putting off getting dental work done out of fear, then sedation dentistry is a great solution to this problem. Ignoring pressing dental issues can worsen your oral health as well as your overall health. Also, dental problems can get more severe if left unchecked, making treatment more expensive and difficult.

Sedation works incredibly well, but it's not meant for every patient or every procedure. Ask Dr. Eshraghi about oral sedation if you're having dental work done. We'll go over your medical history to decide what the best choice is for you. We may opt for another form of sedation or even none at all.

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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