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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.

What Is Periodontal Disease?


Side by side comparison diagram of a tooth effected with plague and a healthy tooth at Periodontal Associates.Periodontal disease, also known as gum disease, is an inflammatory infection that affects the gum and bones supporting and surrounding your teeth. It usually appears in the form of gingivitis and periodontitis. Gingivitis is the inflammation of the gum near the tooth's neck, while periodontitis is a more advanced stage that affects bone and tissue.

Gingivitis


Children can have some symptoms of inflammation in the gingival tissue, but the first symptoms of gingivitis in adults are swelling, redness in the gums, and bleeding while brushing. Gingivitis is further subdivided into acute and chronic cases:
•  Acute gingivitis is identified by specific bacterial infections or by facial trauma.
•  Chronic gingivitis is characterized by the bacterial plaque that covers gums and teeth.

In recent years, dental scientists have discovered that gingivitis is reversible by way of proper dental practices. Even though gingivitis is still prevalent today, daily flossing and brushing reduces the risk of inflammation, especially among young people.

Periodontitis


Once gingivitis reaches an advanced stage, it develops into periodontitis. In this phase, it starts to undermine the bone and supporting tissue and forms pockets in the gum tissue. People with this condition may experience periods where the disease is highly active for a short period, followed by episodes of remission. This condition can eventually lead to loosening and loss of teeth.

The majority of adults are affected by gingivitis, but it doesn't turn into periodontitis in every single case. Whether and how gum disease progresses is affected by multiple factors, including personal dental hygiene and genetics. Even though the damage is irreversible in most cases, treatment can prevent the disease from progressing.

However, this disease often progresses secretly and painlessly, making it difficult to diagnose early. In the preliminary phases we can usually only detect it if your gums bleed when you brush. In later stages, the bleeding may stop, and we won't see any further signs until the tooth begins to loosen.

Risk Factors For Periodontal Disease


There are a few risk factors to consider that increase the chances of getting this disease:
•  Stress has proven ties to gum disease, but experts haven't confirmed whether this is physiological or because people under stress may neglect their oral hygiene.
•  Diet affects periodontal health because food choices can lead to an increase in plaque.
•  Smoking and diabetes are proven factors that increase one's risk for gum disease. Some forms of gingivitis appear almost exclusively in people who smoke.

Preventing Gum Disease


Most forms of gum disease are preventable via daily brushing and flossing. However, plaque can form more easily near poorly molded fillings, fillings with elongated edges, and other types of partial dentures. Irregularities like these hinder brushing and make it easier for bacteria to form. If plaque has hardened into tartar, then it is conducive to the formation of even more plaque, and we will need to employ scaling and root planing to remove it.

Most people, however, can ward off these diseases by abstaining from tobacco, eating healthily and brushing diligently.

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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