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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.

Platelet Rich Plasma Therapy


A diagram showing blood sample with platelet rich plasma, platelet poor plasma and red blood cells separated at Periodontal Associates

To Improve Dental Implants Placement Success


Dental implants are inserted through an invasive oral surgery procedure. As a result, following the surgery, you are left with a wound that can - even though rare - take long to heal, or even heal improperly, thus resulting in implant failure. However, what if it was possible to accelerate the healing, thus increasing the chances of implant placement success? At Periodontal Associates, we offer platelets rich plasma therapy, a treatment that helps to accelerate healing following oral surgical procedures such as dental implant placement.

What Does the Platelets Rich Plasma Therapy Involve?


Platelets rich plasma therapy involves the use of blood plasma that contains a concentrated level of platelets to accelerate the healing process following an oral surgery procedure. The platelet-rich plasma is created by drawing a small amount of blood from your body. The blood is then placed into a centrifuge to separate the red blood cells from plasma and platelets. The red blood cells are then discarded, leaving behind blood plasma containing a high level of platelets - the platelet-rich plasma (PRP).

The PRP is then injected into the oral surgery site, where it accelerates healing in two ways:
•  Creating blood clots. Bleeding is a common side effect following oral surgery, and it can go on for several hours, and sometimes longer when there are complications. Injecting PRP into a surgical wound helps to form blood clots faster. The clots stop the bleeding and allow the tissue regeneration process to start.
•  Enhancing the tissue regeneration process. The body heals itself through tissue regeneration process. The platelets contained in PRP help to accelerate this process by providing growth hormones that boost the tissue regeneration rate.

Dental Implants Application of Platelets Rich Plasma


PRP is a popular treatment for dental implant placement. Following the surgical insertion of dental implants, the platelet-rich plasma is injected around the implant wounds, thus enabling them to heal faster. The accelerated healing process also reduces the risk of complications following the surgery, which can cause implant failure - for example, excessive bleeding or infection.

Aside from dental implant placement, PRP therapy can also be used in other dental procedures that are performed in preparation for dental implants. Examples include:
•  After bone grafting and ridge augmentation procedures, PRP can be used to promote faster healing. This can help to reduce the waiting period that is needed before implants are placed.
•  Gum tissue grafting is used to restore damaged gums in preparation for implants. Using PRP can help to accelerate healing and at the same time, promote proper regeneration of the gums.
•  After sinus lift surgery. PRP following sinus lift surgery helps to accelerate the healing process, thus allowing for faster placement of implants.

Other Oral Surgery Applications


Aside from dental implant or dental implant-related procedures, PRP therapy has several other applications in dentistry. It can be used to accelerate healing following tooth extraction, removal of lesions or cysts, full mouth reconstruction, and other invasive dental surgical procedures. It can also help to promote faster regeneration of damaged oral tissues when used in combination with various restorative treatments.

Looking for more information about platelet-rich plasma therapy? Call Periodontal Associates at (971) 317-8414 with any questions you might have.
Periodontal Associates in Beaverton, OR

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