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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 Socket Grafting


Tooth Socket Grafting For Future Implant Placement


Dental implants are used to replace missing teeth, usually after tooth extraction due to tooth decay or other forms of tooth damage. However, most people do not go for implant placement immediately after extraction. On top of that, the extracted tooth leaves an open socket that might not heal properly. As a result, by the time you are ready for implant placement, you might find that your bone has deteriorated extensively, such that it cannot support implants. Luckily, it is possible to prevent this from happening by preserving the tooth socket. At Periodontal Associates, we help to do this using the tooth socket grafting procedure.

What is Tooth Socket Grafting?


Tooth socket grafting is an oral surgical procedure that helps to protect a tooth socket following extraction. It does this by preventing bone loss and helping to stimulate the growth of additional bone structure to fill the socket. As a result, when you are ready for implant placement, there will be sufficient jawbone structure to support the implants.

Why is Tooth Socket Grafting Important?


During a tooth extraction procedure, the jawbone structure surrounding the tooth structure is easily damaged. This, combined with other factors such as poor oral hygiene, infected gums, and infected jawbone can cause the socket not to heal properly. As a result, the jawbone starts to deteriorate, starting with the area surrounding the socket and then spreading to other areas.

In just one year following the extraction, the amount of bone loss can amount to 25% of the original bone. The bone loss can reach 60% in three years following extraction. Therefore, the longer the socket remains unattended, the more bone is lost. As a result, your jawbone is unable to support implant placement, and additional, and more extensive procedures such as bone grafting are needed to restore the lost bone.

Tooth socket grafting helps to prevent all these problems by preserving the socket. The procedure also helps to protect the adjacent teeth by preventing the spread of bone loss, something that can result in multiple tooth loss. Lastly, and most importantly, it ensures that there is enough strong jawbone to support implants, which increases the chances of successful implant placement.

The Tooth Socket Grafting Procedure


Tooth socket grafting is performed immediately following a tooth extraction procedure. After the tooth removal, any damaged bone structure and other substances such as the root and nerves are removed. The socket is then cleaned, leaving a clean and uninfected space. A bone graft or an alternative bone graft source is placed inside. It is then covered using a bio-compatible material to hold the graft material in place. The gum tissue surrounding the socket is then stitched up, fully sealing the area.

As the area starts to heal, the bone graft material also starts to grow, creating new bone structure. This bone structure also meshes with the existing jawbone, until they become one bone. Once this happens, a dental implant can then be inserted to replace your lost tooth.

Bone loss is a common dental problem following tooth extraction. However, we, at Periodontal Associates, can prevent this from happening and preserve your jawbone in readiness for implants using tooth socket grafting. Call us today at (971) 317-8414 to find out more about this procedure.
Periodontal Associates in Beaverton, OR

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