Dental implants or Tooth Implant are the solution to missing teeth or possibly an edentulous jaw. A dental implant is a substitute for the root of a natural tooth, in which the implant will enable restorations including dental implant crown, implant bridge or implant-supported dentures. The expertise and vision of the dentist is of vital importance.
Not everyone is a candidate for Implant Dentistry, which is why a comprehensive evaluation is critical. This would include but is not limited to: a thorough examination including past medical conditions; complete dental x-rays; impression of existing teeth; bite analysis; occlusion analysis, wax up of teeth; CT scan; and surgical stents or templates. A number of patients have come to us with dental implant failures, usually a result of having a less experienced dentist “cut corners”.
When it comes to implants, this is no place to take shortcuts
Many Dental Implant Failures can be avoided if proper diagnosis is made with gathering the above records as a bare minimum. Sufficient bone mass is required to support the implant; the quality of the bone ( porous vs. dense ); the dexterity if the dentist; the bite and degree of occlusion; and the overall oral hygiene of the patient.
What is a Dental Implant ? Dental Implants, or tooth Implants are basically screws or abutments that are surgically placed into the bone. There are various types of implants for dentistry, made by a wide variety of dental companies. Today, most are made of titanium and are bio compatible. One of the newer additions is Zirconium implants which are metal-free, tooth-colored and very strong. This newer zirconium implant has been widely used in Europe and is gaining popularity in the US.
What are the pros and cons? They are not for everyone, and since it is a surgical procedure, everyone should pay close attention to the risks and benefits of the procedure. It is true that the dental implant is the next best thing compared to the natural tooth, but since it is man-made there are pros and cons.
Dr Mobasser is an expert in implant crowns. In his los Angeles implant dental practice, attention is placed to shape, color, and alignment when it comes to front teeth. He works with restoration of zerconia implants which is widely popular in Europe as opposed to titanium implants which is mostly used in USA.
The pros: Implants generally work best in circumstances where one or two teeth are missing, and when the adjacent teeth are virgin (there is no restoration or filling). In such cases a dental bridge will not be necessary to prepare and cut the adjacent teeth, however if the adjacent teeth have failed or unsatisfactory restoration, then possibly a bridge can be a good choice for the patient since the adjacent tooth also needs replacement. Other pros include but are not limited to the following: improving the bite and mastication (chewing) functions; cosmetically enhancing the appearance of missing teeth in one’s smile; the possibility of cheek support and/or lip support; the priceless esthetic enhancement of improved self-confidence!
The Cons: Those with a compromised medical condition can reject the implant; it is a 2-stage surgical procedure and can take 3 to 6 months to evaluate whether the implant has osseointegrated with the bone, and if not, surgical removal is necessary. Therefore time is an issue. Also if the bone level is not sufficient, meaning the height and width of the bone is not ideal to receive a tooth implant, then additional surgeries may be required such as dental implant bone graft or for upper back teeth sinus lift procedure, in which additional time and expense are incurred. Bone graft is the procedure in which the surgeon can add addition bone, either artificial, or the individual’s own bone (which is much better), or the surgeon can cause stimulation of bone to encourage regeneration. Also since the implant is not of the same biochemistry as our own natural teeth, it can cause food impaction (if placed next to natural tooth). This is due to the fact that natural teeth can move slightly with force of the bite or occlusion; however the implant is enclosed and unable to shift, therefore space or food impaction can occur.
Before Front Teeth Implant
After Front Teeth Implant
What is the Cost of Dental Implants? The costs depend on so many variables as mentioned above, but generally there are two components: a surgical portion, and a restorative portion (which can include a implant post) and possibly a crown. The surgical portion can be anywhere from $1000 to $5000 per tooth depending on the procedure required. The restorative portion, which is after the osseo-integration of the implant, can cost from $1500 to $5000 per tooth, depending on the cosmetic needs of the patient, and the dexterity of the dentist. Nothing is better than your original teeth. However if you are considering a dental implant, it is best to have a comprehensive evaluation done by an expert dentist, so you would know all options, and can make the most in formed decision. Your implants can be done via IV Sedation, aka Twilight Sleep, as your comfort is always Dr. Mobasser’s priority.
Before & After Dental Implants for baby teeth:
In scenario below, a porcelain implant and porcelain crown are placed on a congenitally missing lateral incisor, (upper front baby teeth) the result is priceless:
Before Front Tooth Implant
After Front Tooth Implant
Before Back Teeth Implant
After Back Teeth Implant
Tooth implant was placed for missing baby teeth, fortunately the roots of the adjacent teeth, did not interfere with placing the implant, and the width and the length of the bone was adequate!
Could dental implants be done if there are not much bone left for denture wearers?
Wearing dentures for a long time cause bone resorption due to pressure of dentures exerted on the gums and bones! It is best you see an expert dentist, for a complete evaluation, with cat scan and MRI specially the bone level! If bone level is not sufficient, there is possibilities to add bone so you can get implant supported denture! in which your dentures will not be loose anymore. A minimum of 4 implants is needed to have an implanted supported dentures.
Removable Dentures, supported by Dental Implants
Loss of teeth can cause older appearance, eating disorders, bite (occlusion) issues, and speaking issues. Removable dentures are more affordable way of restoring the teeth, however they can cause further bone loss due to pressure they exert on the bone ridge, and cause displacement of the denture, making the experience unpleasant. Now days with the help of dental implants, we can fabricate removable dentures which is supported by implants! We can have full dentures fabricated with minimum of 2 implants in lower (Mandibular) jaw, and minimum of 4 dental implants in the upper ( Maxillary) jaw to support the dentures, to avoid looseness, and further loss of jaw bone, and confidence. Dr Mobasser needs to evaluate the existing bone structure, your bite, and cosmetic needs prior to suggesting if the removable implant supported dentures may be the right treatment for you.
Why implant crown can get loose?
The major reason for loose implant crowns is the screw that joints the abutment to your implant fixture! Implant crown can be screw retained or cemented on top of the implant abutment.
The screw can get loose due to many reasons, but the major reason is due to heavy load of the bite or occlusion, and if the screw is not an authentic screw and was not tightened to the exact protocol required, the implant screw can get loose, so the implant crown will be loose. Unfortunately the screw is the major problem and the weakest point in implant dentistry, and in some occasions the screw can even break or fracture!
Process of Restoring Abutment & Implant Crown
It is possible to have the screw re-tightened again if it is not broken. This is much easier if your implant crown is screw retained, and was not cemented on the abutment (Post) of the implant fixture ( the root). If your crown was cemented then in order to access the screw, the implant dentist must try to make a hole on the crown to access the screw, or completely cut out the crown and make a new implant crown.
Process of Restoring Titanium Abutment Post & Crowns
Dr. Anthony Mobasser aka “Celebrity Dentist”, has performed Cosmetic and Reconstructive Dentistry since 1980, and has utilized Dental implants in many of his full mouth dentistry treatments. He is recognized nationally and internationally, and patients seek his services from all over the world. He is also recognized as America’s Top Dentist.
Tooth Implant in front, in combination with veneers and crowns:
Before Dental Implants
During Dental Implants Procedure
During Dental Implants Procedure
After Dental Implants
Before & After Dental implant 6 in 1 from Dr. Mobasser: