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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.

Osseous Surgery


Periodontal disease (also known as gum disease) is one of the leading causes of tooth loss in adults. It is a bacterial infection that attacks the bone underlying your teeth. We can treat and reverse it with nonsurgical treatments in its early stages, but if it is in an advanced stage and has caused the loss of a significant amount of bone, we may need to employ osseous surgery.

How Periodontal Disease Spreads


Bacteria forms plaque when it is allowed to grow, and plaque that remains on the teeth forms acidic toxins. These toxins inflame the gum tissue, making it bleed easily. A good brushing and flossing regimen can fix this, as can professional dental cleanings and exams.

However, if we don't take care of this, the plaque will harden and become tartar. At this stage, we'll need to employ a professional deep cleaning known as scaling and root planing. This will eliminate the tartar from under the gums and smooth out the root surfaces. That should fix the problem in many cases, but if the tartar has formed deep pockets or destroyed too much bone, you may need osseous surgery.

What is Osseous Surgery?


In an osseous surgical procedure, Dr. Eshraghi removes and reshapes the damaged bone near the affected tooth. The results are that bacteria is removed, pockets are reduced, and the bone can reattach to gum tissue. Local anesthesia is used for this procedure.

Dr. Eshraghi will make a small cut in the gum tissue to expose the nearby bone and tooth root. He will suture back the gum tissue to minimize pocket size. Then he will scrape residue off the tooth's surface and reshape any jagged bone. If the bone loss is considerable, you may need a bone graft. Treatment times vary, but we'll give you an estimate before we begin.

Post-Op Healing Period


After the surgery is complete, Dr. Eshraghi will use gauze to cover the affected area and stop any bleeding. You will receive post-op instructions, which includes the following:
[[[Change the gauze if you experience further bleeding.
~Use over-the-counter pain medications to manage discomfort.
~If you experience any swelling, use ice packs and rinse your mouth with warm salt water.
~Return within a week or so for a follow-up appointment so we can check the healing process.]]]

Each patient heals differently, but within a day or two they can usually return to eating normally. We would also like you to come in for cleanings and exams more frequently in the future. But even if you have no need for osseous surgery, a zealous dental hygiene plan will go a long way in preventing this disease. Dr. Eshraghi may also recommend a mouthwash that kills 99% of bacteria on contact.

Dealing with periodontal disease in earlier phases is a better outcome than osseous surgery. Preventing it with good dental care and professional cleanings are even better. But if the condition gets to a severe stage, we may need to use this form of surgery to save your tooth.

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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