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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.

Scaling and Root Planing - Deep Cleaning


Diagram of a decaying tooth in need of scaling and root planing at Periodontal Associates.Scaling and root planing are forms of deep cleaning used to treat gum disease underneath the gum line. These procedures are used when gum disease has reached an advanced stage.

When are Scaling and Root Planing Necessary?


When bacteria are allowed to adhere to teeth and grow, it creates a thin, sticky film known as plaque. Plaque is constantly growing on your teeth, but it's so thin that seeing it is difficult. If you neglect to clean your teeth properly, the bacteria found in plaque can make your gums inflamed, causing the gums to recede from your teeth.

Once your gums recede, pockets are formed. These pockets are soon filled with a plaque that you cannot remove via regular brushing. Unless we treat it, gum disease can cause tooth and bone loss.

We seek to nip this disease in the bud by employing a professional cleaning before it damages the structures underlying your teeth. However, if the damage to the tissue and bone is severe, we will need to use scaling and root planing to repair it.

What is the Procedure for Scaling and Root Planing?


The scaling and root planing procedure may require multiple visits and a local anesthetic. The deep cleaning has two parts.

Scaling


During scaling, Dr. Eshraghi will take off all the plaque and tartar that have accumulated above and below the gum lime. He will make sure to clean the affected area thoroughly, even down to the bottom of the pocket.

Root Planing


During the root planing procedure, Dr. Eshraghi will smooth out the roots of your teeth. This will allow them to reattach to your gums more easily.

Recovery Period


You might have some minor side effects for a couple of days after the procedure is complete. These side effects include swelling, tenderness or bleeding in the gums. If these side effects persist for a few weeks after the procedure, contact us. Contact us right away if you get a fever, your pain gets worse, or the affected area doesn't heal properly.

Dr. Eshraghi may prescribe a mouthwash or medication to prevent infection, expedite the healing process, or keep the pain under control after the procedure. He may also insert medication into the cleansed pocket directly.

We will also schedule another appointment to ensure that your gums are healing properly and measure how deep your pockets are. If they have deepened, we may need to give you further treatment.

To prevent gum disease (or prevent it from returning), we strongly encourage you to observe proper dental care at home. Brush your teeth twice a day, floss once a day, eat a balanced diet low in sugar, avoid tobacco usage, and get plenty of exercise. When you brush your teeth, use a brush with soft bristles and remember to get in between your teeth every day. Lastly, make sure you schedule dental exams and cleanings once every six months.

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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