Dental Implants

Dental implants or Tooth Implant are the solution to missing teeth or possibly an tendentious 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”.

Dental Implants Before and After

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Dental Implants Los Angeles

When It Comes To Dental 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 of Dental Implant? 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.

Before and After Front Tooth Implant

Before Front Tooth ImplantAfter Front Tooth Implant
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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 zirconia 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.

What is Bone Graft for tooth Dental Implant?

Bone grafting 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. This bone grafting causes bone regeneration either to the height of the bone or to the width of the bone so a longer or wider implant be placed in the jaw bone for better survival. The longer and the wider the implant inserted in the jaw bone, the better survival rate and outcome of the tooth that is placed on the tooth implant, which is acting as the root of a tooth. Also since the implant is not of the same biochemistry as our own natural teeth, the implant does not move! however our own natural tooth moves due to forces of our bite (very minutely), this scenario 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, Dental implant is stable, our own teeth moves microscopically, therefore by time, space or food impaction can occur in which many patient complain about it.

Pros and Cons of Dental ImplantPros and Cons of Dental Implant
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Dental implant bridge was used in combination of single front crown, with pink customized artificial gum, to give patient his dream smile. Combination of natural front tooth crown with front tooth implants bridge is one of the most challenging dental treatment for any cosmetic dentist, due to different gum heights and different porcelain material needed. He could not be happier!

 

How long After Dental Implant Can One get the Crown?

The safest time after the initial placement of surgical implant is at least 3 months. At that time the surgeon will test if the implant has taken (osseointegrated with the bone, and there is no mobility). After, a healing cap will be placed to form the surrounding gum for the placement of final crown. The implant dentist will need to determine what kind of porcelain crown is best crown to function and be cosmetically pleasing for the patient smile. Usually there is 2 types of crowns, in which each has pros and cons.

What are the 2 types of Implant Crowns?

1- Screw On Implant Crown: No cement is used, and the crown will be seated on the implant abutment with a screw, this kind of crown is very safe and kind to the gum and bone structure. The top of the crown is usually covered with a composite restoration.

2- Cemented Implant Porcelain Crowns: They will be needing a post or an implant abutment to go on top of the implant fixture, after a crown will be cemented on top of the abutment. These crowns are more Aesthetic, however have some cons also. If any excess cement is left, unfortunately it is documented that the Implant will fail.

 

 

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 and After Front Teeth Implant

Before Dr. Mobasser Front Teeth ImplantAfter Dr. Mobasser Front Teeth Implant
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Before and After Back Teeth Implant

Before Back Teeth ImplantAfter Back Teeth Implant
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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!

Which should I choose Tooth Implant vs Bridge?

If you have a missing tooth due to decay, fracture, bad root canal, you can restore your missing tooth with either implant or bridge. Generally if the adjacent teeth next to missing teeth are virgin, meaning they are healthy and no failing restoration, then the best is placing dental implant, this way you can floss between your teeth also. If the adjacent teeth are also compromised, then it is best to have a dental bridge, to restore the compromised teeth adjacent and placing the fake tooth supported by those 2 adjacent teeth. Note that when you place a bridge the missing tooth can not be flossed, since joined, and you will need to use a floss threader. Note also implant is surgical intervention, will take time vs a bridge which is much faster and it is not surgical.

LA implant dentist

dental impants LA

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 Front Tooth Implants

Before Dental Implants

During Dental Implants

During Dental Implants Procedure

during Dental-Implants Los Angeles

During Dental Implants Procedure

After Dental-Implants Los Angeles

After Dental Implants

Tooth implant in front, before, during and after restoration, showing dental implant procedures and laboratory procedures. The smile line was transformed to a million dollar priceless smile. Note the life like color of dental implant achieved with Emax implant crown,Emax was also used to fabricate the neighboring teeth so the result will be uniformity in color, a younger looking smile, well aligned.

Before & After Dental implant 6 in 1 from Dr. Mobasser:

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Before and After Dr. Mobasser’s Dental Implants

Can teeth be straightened after implants?

Implant tooth can not be straightened, once it is osseo-integrated with the bone. That is the whole purpose of the dental implant, so the implant do not move, our natural teeth however move slightly. If for some reason the adjacent teeth are mis-aligned or they have moved, causing food impaction, the adjacent teeth can be treated with orthodontics, or invisalign but not the tooth implant since it is ankylosed to the bone.
If the crown on top of the implant fixture is mis-aligned, then a knowledgeable dentist can change the post and the crown to be aligned with natural teeth. Know that one of major problems with tooth implant adjacent to natural teeth is food lodgement and impaction after 5 years or so. This is due to the fact that implant fixture does not move, however our own natural teeth do move, for that reason the open contact must be restored again to avoid periodontal problems!