DENTAL IMPLANTS

 

If you are missing one or more teeth and would like to smile, speak and eat again with comfort and with confidence, there is great news! Dental implants are teeth replacements that look and feel just like your own natural teeth.  They will give you that beautiful smile that you have been wishing for!  You will not have to be conscious of that missing tooth or teeth anymore.   If you have a loose fitting, uncomfortable bridge, then Dental implants are for you.  They will make you feel comfortable again with your smile.  You’ll be able to smile again!

  • Enhanced Function - Eat the foods you love again
  • Biologically Safe -  Dental Implants are made from a material that bonds with your jaw bone
  • Stability - Enjoy laughter and talking in social and business settings
  • Confidence - Your self-esteem will increase without the fear of embarrassment
  • Convenience - No more unpleasant-tasting adhesives

Happiness! - Feel younger and more attractive

 

What are Dental Implants?

A dental implant is an artificial tooth root that is placed into your jaw to hold a crown or bridge. An Implant is made of titanium and it is a rod that is placed in the bone.  While high-tech in design, dental implants are actually more conservative than traditional bridges, since implants do not rely on other teeth for support.  Your other teeth do not need to be shaved or cut down to hold a bridge in place. Each implant is a free standing unit. After, the final tooth is similar to a crown on a natural tooth.   It feels and functions as a normal tooth would. 

Dr. Gorman has replaced as few as one tooth up to a complete arch (8 teeth) with time for the jawbone to bond around the implant.  A post is attached to the implant about three months after your surgery. This post exits the gum and a crown or other restoration is placed on the post. Long Island, implant dentistry.

 

What are the Steps that I Will Need to Take to Get My Dental Implants?

1)      You will set up an Implant Consultation with our office, whether you have already spoken to your dentist about implants, or not. Some patients have been to see their general dentist about dental implants and he may have recommended that you see Dr. Gorman.  However, you do not need to see your dentist first in order to inquire about implants. At your consultation, Dr. Gorman will decide whether you are a good candidate for implants.  He will give you his recommendations and a treatment plan for you to follow along with the fees.  If your x-ray is not detailed enough to make a decision about your implants, then you may need to go for a dent scan or you may have to have a model made of your jaw.  However, these steps are usually not necessary.

2)      You will make an appointment with Tina to have the tooth/teeth extracted by Dr. Gorman.  If you already have missing tooth/teeth, then usually the implant(s) can be placed at this appointment, if you do not need a "flipper" or a bone graft.  Dr. Gorman will contact your general dentist, or restorative dentist, to discuss your implant(s).

3)      Make an appointment at your general dentist's office and have a "flipper" or temporary crown made. If the tooth/teeth to be extracted are in a noticeable place and you need a temporary tooth, then your general dentist will have a temporary “flipper" made. Let your dentist make the flipper first, and then bring it to our office on the day of your extraction and surgery so that you will feel comfortable about your smile while waiting for the permanent crown.  If you do not need a flipper then this step and step #4 can be skipped.

4)      When the temporary tooth or "flipper" is ready, then you will return to our office to have the extraction(s) performed.  Dr. Gorman will perform the implant surgery, and then he will put the flipper in place of the extracted tooth's place. If you do not have enough bone to support an implant, then Dr. Gorman will perform a bone graft.  In this case you will need to wait for 2-3 months until the bone graft has regenerated enough bone to support the implant(s).

5)      You will make an appointment for 3 months to "expose" the implant(s).  You will need to wait for approximately 3- 4 months for the jaw bone to bond securely to the titanium implant(s). At this appointment Dr. Gorman will determine whether the implant(s) is ready for  your dentist to make an impression for the crown that goes over the implant(s).  If you are ready, then he will put healing collars over the implant(s) to expose the implant.  

6)      Go to your dentist so that he can make an impression for the crown(s).   Your general dentist takes over at this point and he will place the finished crowns on to the implant.  Dr. Gorman is committed to being a part of your dental team.  He will be in contact with your dentist so that your implant(s) will turn out just right!

 

What are the Benefits of Dental Implants?

Dental implants look, feel, and function like natural teeth!  They offer a tremendous improvement in comfort, speech, eating, and convenience over conventional bridge and full dentures. They do not need to be removed and they are a final and permanent answer to missing teeth.

They also provide support for a bridge or denture.  When teeth are lost, ongoing shrinkage of the jawbone occurs, which can cause the face to look older. This shrinkage can also make adequate fit of a partial or full denture difficult. Placing implants can slow or stop this process and make you appear younger!

Dental implants will provide you with the very best and most advanced technology available today in dentistry for tooth and teeth loss.

 

Will My Dental Implants Function the Same Way as my Natural Teeth?

Yes. Studies have shown that chewing efficiency improves significantly after treatment with implants, and following a brief adaptation period, is comparable to the chewing efficiency of natural teeth.  You may chew as lively as you want to!

 

Will I be Able to have an Implant(s) Placed?

The best candidates for dental implants are free from periodontal diseases and have an adequate amount of bone in the jaw to support the implant. Dr. Gorman will discuss your options.  Many times bone grafts will improve your chances for placing implants, if you do not have adequate bone.  If you have periodontitis, then Dr. Gorman will recommend that you first have the surgery to arrest any infection that you might have.


How much will Implant Treatment cost and will they be covered by my Dental Insurance?

The actual cost of the procedure will depend on the number of implants necessary, the position of implant placement and the type of implant that is used.  Some companies make less expensive implants than others, but of course, you may want better made implants.  Dr. Gorman will advise you as to which brand will give you the best chance of success and that will best meet your needs. Dental implants represent a wise investment in overall health and well-being as well as attaining a beautiful smile!

Some insurance companies will cover the cost of the implant(s).  We will send in a pre-determination of benefits to see if they will cover your implants.  As a rule, approximately one quarter to one half of insurance companies will cover some of the cost of implant(s).  You must also figure in the cost of bone grafts, guided tissue regenerations, and extractions, if they are needed.

 

What role does my General Dentist play in the Implant Process?

In most cases, you and your general dentist have discussed implants and he has recommended that you have the implant surgery done at Dr. Gorman's office, or if he is not a referring dentist, he probably has told you to see a Periodontics.  Most general dentists do not place implants, but rather they are most experienced at placing the crown over the implant, or doing the restorative portion.     Be aware that some Implant companies will give general dentists very brief courses in the surgical placement of dental implants.  Their training cannot be compared to the extensive and rigorous 300 hour implant course that Dr. Gorman received at New York University.  Dr. Gorman has more extensive training and experience in dental surgery than most general dentists, as it is a daily part of his practice.

Dental implants are a team process because Dr. Gorman places the implant(s), and your general dentist makes the crown to place over the implant.  Dr. Gorman performs the surgical part and your general dentist does the restorative phase, or crown(s).  Our office is committed to excellent communication with your generalist’s office.  Dr. Gorman will communicate with your dentist by frequent phone calls and a written report.

The best results always come from close teamwork between you, your dentist, and Dr. Gorman. Our office will work closely with your dentist to determine where, when and how your implants should be placed. This is critical because the quality of the crown or bridge that your dentist will place on the implants is directly related to the planning that occurs well before the implants are placed.

 

What Is Implant Surgery Like?

The surgical procedure to insert the implants is a relatively minor one. It is done in the office under local anesthetic, Novocain.  There is NO need for general anesthesia!  Nitrous Oxide (sweet air) can use at a patient's request.   Implant surgery can last as little as 30 minutes, in the case of a one tooth replacement, or 1 hour or more for 3 or more implants.

For one week after surgery, your mouth may be a little sore but not painful. Medications can always be prescribed to make certain you are comfortable.  Many times Advil or Motrin is the only medication needed.

 

Will there be any swelling after the implant procedure?

This too can vary, but most people experience only minimal swelling, if any at all. Any swelling that does occur usually ends within one or two days after the procedure. We always apply a cold pack immediately after surgery to minimize any problems.  This seems to do the trick!


How long will it take before I receive my replacement tooth or teeth?

The implants are usually be left undisturbed in the jaw for 4 to 6 months for the gums and your jawbone to heal around the titanium implant. Dr. Gorman will advise your general dentist as to when the new tooth or teeth can be attached to the implants.

 

What Post-Operative Care is needed?

You will need to come in one week after surgery to check on healing, etc.  This appointment lasts only a few minutes.  After that, you will need to come in several times to make sure that the implants are progressing satisfactorily.

Dental implants require the same daily homecare and professional cleaning that your teeth do. Once your implants are completed by your general dentist, Dr. Gorman will probably place you on an alternating cleaning and evaluation schedule between our office and your general dentist. We will continually monitor the health of your teeth and implants and your dentist can make certain that your crowns and bridges are functioning as designed.

 

What is the Success Rate of Dental Implants?

As with any medical procedure, there is a small possibility that the implant and bone will not attach correctly or that an implant will fail after some period of time. If this happens, the implant can be removed and is often replaced by another implant at another time.  An infection after these implant surgery is very unusual, as titanium is very compatible with the gums and bone.  Rejection of an implant as a foreign body is unusual.

Depending upon your condition, your new tooth or teeth will ideally look, feel and function like your own. Dental implants currently provide some of the finest restorative results in dentistry.

 

How Long Will My Implant Last?

The first implants were put in place 30 years ago and are still functioning. To date, there is no time limit on the life expectancy of successful implants.

How will the teeth be attached to the implant and what are the steps?

After the implant has bonded with the jaw and gum tissue, a minor procedure is performed called a healing collar. It exposes the top of the implant and a small post is attached to it. Then the new tooth or teeth are custom designed to fit precisely on top of this post.

• You will return to your general dentist, who will make a mold of the crown.  When the crown has been made, he will screw it into the implant.


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