A Look at Different Types of Dental Implants

There are many different things that you can do to correct your teeth and to be happy with your smile again. Visiting the dentist on a regular basis can offer you the preventative care that is necessary to make it work well for you. From time to time, however, we may experience problems. Some of those issues are easily corrected, such as when we have to get a filling but at other times, we may end up damaging a tooth or perhaps even losing it and a dental implant is necessary.

When we go to the dentist and he suggests that we have an implant, he will likely discuss different options that may be available for the type of dental implants that can be inserted.

Different Types of Dental Implants

Dental implants may be called by a single name but there are actually a number of different types of implants that you have to choose from. The one that is best for your needs will be determined by the dentist and typically, it is not a matter of aesthetics but it is a matter of which is going to work best in your case.

One type of dental implant is inserted into the jawbone directly. It works similarly to a natural tooth root and it is a permanent fixture in the area. These types of dental implants are known as an Endosteal implant.

These types of implants may require a special type of dentist for the procedure. You will want to find a dentist who specializes in periodontal implants. Here is the (ADA profile of one that we would recommend. You could also read some reviews of the dentist here.

There may be times when you don’t have enough jaw bone in the area to support the first type of dental implant or perhaps you have a problem with your bones and they are soft. If that is the case, there is a secondary type of dental implant that is custom-made to the existing bone. It is a type of a metal framework and it fits down in place, making it more of a permanent solution than a denture. These secondary types of implants are known as Subperiosteal implants.

A surgery is likely to be performed so that the (artificial dental root https://www.perio.org/consumer/dental-implants) can be inserted into the jaw bone. You will likely be under local anesthesia at the dentist office when this procedure is completed. After the implant has been inserted, the gum will be secured over the area and eventually, the implant will fuse directly with bone. At that point, an extension is added, known as a post, and the artificial tooth or crown is inserted over the post.

This is not a procedure that takes place quickly and it may take up to nine months or longer before it is completely finished. When you want a tooth in the area where one is now missing, however, it is the best option to ensure that you have something that works well for you permanently.

More about the Procedure

Let’s take a closer look at the implant itself and see what it is, how it works and who is able to receive one.

In essence, when you receive a dental implant, you are having a tooth root inserted surgically and anchored to the jaw so that a replacement tooth can be put into place. Some dental implants are also able to hold a bridge so that it stays in place as well. There is a reason why many dentists will recommend implants instead of recommending other types of dental procedures that may accomplish something similar.

When you have a dental implant inserted into the jaw, it provides a stable and permanent solution so that the tooth or bridge can be fixed into the location. An implant does not rely on any of the other teeth that are surrounding the area to be used as a support system. They offer their own support because they are attached directly to the jaw. In addition, an implant is often preferred because it looks like a natural tooth.

In most cases, a dental implant is going to be made of a type of ceramic that is similar to bone and perhaps even some tissue from another area of your body that is bio-compatible. The Nobel implant is one of the most well-known ceramic implants. There are also metallic implants and many of them may be a combination of the different types of materials. When they are put into place, they offer a permanent solution and it is not necessary to have a denture in the area.

Unfortunately, not everybody is going to be a candidate for getting a dental implant. In order for you to have it completed, your jaw needs to be healthy and you need to be in fairly good health as well. In many cases, an individual that does not do well with dentures is going to be a prime candidate for a dental implant. On the other hand, if you suffer from different diseases, such as diabetes or bruxism, the implant may not work well for you.

What Is the Cause of Dental Bone Loss?

There are many issues that we may experience with our oral health but one of the more severe problems that can occur is a problem with bone loss. Understanding what causes bone loss can help you to avoid problems in many cases. If you are already experiencing dental bone loss, there may be some things that can be done in order to correct it or to keep it from getting any worse.

One of the more common reasons why people experience dental bone loss is because they are missing teeth. It could be that they were missing them from a young age or, as we get older, we may end up having teeth pulled and we never have an implant inserted in the area. If the tooth is not replaced or if there are multiple teeth that are not replaced, the bone is eventually going to dissipate and be reabsorbed into your body.

The bone is supported and preserved because your teeth are in place and they are used for chewing. As you continue to chew, it is that stimulation and the pressure that it exerts on the bone that keeps it in place and thriving. After your teeth are missing, there is nothing to keep the bone in place so you may lose up to 25% of your bone from that area in the first year after the tooth is extracted.

Another common reason why you may experience dental bone loss is because of a type of bacteria that leads to a problem known as periodontitis. The teeth may still be in place but there are ligaments that connect the bone that supports the teeth to the tooth itself. When you have periodontitis, bacteria that is in the area will eventually eat away the bone that supports the tooth and it will also affect those ligaments that hold the tooth in place as well.

Unfortunately, when you experience dental bone loss, it is a problem that is typically going to be permanent. You might wonder if replacing the teeth with implants or getting dentures is going to correct the problem because it would cause the chewing to take place again. In reality, the stimulation provided by dentures is only approximately 10% of what is experienced by your natural teeth. That isn’t enough to cause the bone to grow back.

When the teeth are removed from the upper jaw, it can even cause further problems because the bone is reabsorbed into the body as it is expanded further into the area of the sinus cavity. Since the teeth are no longer in place, the pressure that is inside of the cavity can cause the bone that is surrounding the sinuses in that area to be re-absorbed.

There are also additional reasons why you may experience a problem with bone loss. These include misaligned teeth, bone infections and facial tumors that would cause some of the bone to be removed along with the tumor itself.

Individuals with dentures may also experience a type of bone loss that is easily seen. This bone loss is so severe that it ends up collapsing the lower part of the face.

Although building back up the bone after it is gone is next to impossible, it may be possible to prevent bone loss by having a replacement tooth inserted immediately when one is lost. This type of a dental implant will act like a normal tooth and provide the stimulus that is necessary to keep the bone healthy. In addition, you may consider some other forms of treatment, such as bone grafting or a sinus lift. It isn’t as effective as an implant, but it may help.

What Is Dental Root Resorption

A person once visited his dentist and while a routine examination was being done, a hole was discovered at the gum line in his upper front tooth. The dentist informed him that he was dealing with a “root resorption” and that it was not clear whether the could be saved. If you ever receive such a prognosis, it is important to know exactly what you are dealing with.

What is Root Resorption?

Root resorption in adults is a troublesome but uncommon dental condition where the body’s own cells dissolve and eat away the structure of the tooth. It is not a problem for growing children, but it is a natural process by which the roots of a baby’s teeth are removed thus facilitating their replacement with the permanent teeth.

Root resorption in permanent teeth can start on the inside of the tooth also known as internal resorption or it can start outward then work its way inward also known as external resorption. External resorption is the most common of the two.

The effects of cervical or external resorption the patient in the example was describing occurs near the gum line at the cervical region of the tooth. In the early stages, the condition produces pink spots where the enamel has been compromised and filled with pink colored cells that cause the damage. The spots eventually progress to cavity-like areas.

Deposition (adding to) and resorption (breakdown) are normal processes used by the body to maintain balance. It is especially true of bone where it is a response to the usual stressors of tension and pressure. The processes are actually responsible for allowing the orthodontic movement of the teeth to happen. However, once adult teeth form they don’t typically resorb.

The exact nature of external cervical resorption (ECR) is still not completely understood, but several factors can increase the chances of a person developing it. Root resorption can happen in later years if excessive orthodontic force is applied to teeth. Traumatized teeth can equally suffer damage to the periodontal ligament. The ligament attaches teeth to bone and if disturbed can cause resorption.

Habits such as bruxism or grinding of teeth as well as some dental procedures such as the intra-coronal bleaching of teeth can make a person more predisposed to external cervical resorption. However, the majority of people with the risk factors still never develop the problem.

ECR is typically observed in the upper front teeth and on the lower first molars. The condition is painless and can go unnoticed for a while, first appearing as a distinct dark spot on a routine x-ray examination. However, this is rather unfortunate since the longer it stays untreated, the more the damage it is likely to do.

The progression of the damage further results in an erosion of the structure of the tooth’s root with both the inner and outer layers being eroded away. Eventually, the affected tooth appears like it has a cavity. Unlike cavities that are much more common problems, the damaged area (lesion) caused by the ECR does not feel sticky to a dental probe.

Upon the discovery of root resorption, it should be treated without delay to prevent further damage since the destruction can be rapid. However, as the dentist in the example above stated, it is not always possible to save the affected tooth. The treatment method will depend on the progression of the problem when it was detected.

For small lesions, it is sometimes possible to expose the affected portion of the root of the tooth with minor gum surgery. The tissue cells responsible for the damage are removed and a filling material in the color of the tooth usually a glass ionomer cement or composite resin is used for repairing the tooth.

A single-tooth orthodontic procedure is sometimes recommended prior to surgery. With the treatment, the tooth is moved outward from the jawbone gradually. As the tooth moves, the gum tissue also moves along with it, and new bone is built behind. The final contours of the gum line eventually line up and gum recession at the affected tooth can be prevented.

If ECR reaches the area close to the dental pulp, root canal treatment may be needed. The more invasive and extensive the resorption, the less the chances of saving the tooth. Often, in cases of advanced ECR, the better option would be to extract the tooth and have it replaced with a dental implant.

It is not possible to see the extent of the damage sometimes or even determine whether or not extraction is necessary until the root is exposed by surgery. However, Cone Beam Computed Tomography (CBCT) scans are able to identify small anatomical structures inside the tissues in 3 dimensions with much more accuracy than a standard x-ray. CBCT is a high-tech imaging technology that can help increase the accuracy of advanced treatment planning.

Hopefully, this brief explanation has helped you understand more about root resorption. Root resorption might be uncommon, but it can be treated successfully!