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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.

Tooth Extraction


Fixing Dental Problems Through Tooth Extraction


At Periodontal Associates we are committed to saving your teeth using a wide range of dental solutions. However, in some cases, your teeth may be badly damaged beyond saving. In other situations, allowing the affected tooth to remain in your mouth can lead to additional dental problems. In any of these scenarios, tooth extraction can offer a great solution by removing the problematic tooth/teeth.

When is a Tooth Extraction Needed?


A tooth extraction procedure is performed when other dental solutions are ineffective. Below is a look at some of the situations when extraction is necessary:
•  A badly decayed tooth. Ideally, tooth decay should be treated using restorative procedures such as dental fillings, dental bonding, and root canal treatment. However, when the damage caused by decay is extensive such that the tooth cannot be saved, extraction is a better option. Tooth extraction is also ideal in treating dental decay in baby teeth, as opposed to using restorative solutions.
•  Severely damaged teeth following dental trauma. Following a dental trauma, your teeth can be badly damaged such that they are beyond repair. In such a case, extraction is the only viable option.
•  Impacted teeth. Impacted wisdom teeth can be extremely painful, and can also cause other dental problems such as overcrowding of the teeth, damage to the adjacent teeth, and jaw pain problems. Extracting the impacted wisdom teeth can prevent these problems. Tooth extraction can also be used when treating impacted canines when other solutions are ineffective.
•  Overcrowded teeth. Overcrowded teeth can be treated using various orthodontic solutions such as dental braces or aligners. However, before undergoing these treatments, space is required on the jawbone, which can often result in the extraction of one or more teeth.

What to Expect During a Tooth Extraction Procedure?


A tooth extraction procedure is usually performed in a single visit. The procedure starts with a diagnosis that is reached using a dental examination, dental x-rays, or other dental imaging techniques such as a CT scan. Extraction is then performed after the condition of the affected tooth is evaluated, and it is determined that it is beyond saving.

During the extraction procedure, sedation (nitrous oxide sedation) or anesthesia is used to relax you and numb the pain. Depending on your preference and your dental condition, a combination of both sedation options can also be used.

Usually, extraction is a simple procedure that involves loosening the tooth and then pulling it off the jawbone. However, in some cases, simple extraction might not be possible – for example, if the tooth is broken or when extracting impacted teeth. In such cases, surgical extraction is used to remove the tooth.

During surgical extraction, anesthesia – local or general – is used to guarantee a painless and comfortable experience. An incision is then performed on the gum tissue to expose the teeth and the jawbone. Once it is exposed, the tooth is pulled from the jawbone, and the surgical site sutured to prevent bleeding and allow healing.

At Periodontal Associates we can offer you several dental solutions to repair your teeth. However, when this is not possible, we can help to fix the dental problem using tooth extraction, which can be followed by various teeth replacement treatments to restore your smile. Call us today at (971) 317-8414 to find out how we can help you.
Periodontal Associates in Beaverton, OR

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