Archive for the ‘Uncategorized’ Category

Recent Implants placed in our Office

Wednesday, July 6th, 2011
Bone Level implant

This was done with a zirconia abutment, which is white so there will be no “metal showing” even if the gum receeds. Which will probably not happen because this was such a thick gingival biotype.

Bridge Replacement


Bridge was sectioned, the patient healed for 6 months and after about a year has come back desiring teeth in that area. I explained that we could do implants. Below are the placed implants and the CT scan workup for this site.

Patient had a front tooth that jetted out and didn’t want to re-trude it with an appliance.

We placed an immediate implant. This is where we can take out the tooth atraumatically and place the implant in the extraction site. We then place a bone graft and a collagen membrane and suture the flap closed.

immediate Implant front tooth.

Lower Left Implant Placed where patient was missing a tooth.

A CT Scan should always be taken prior to implants to give the surgeon forsight in to the vital structures such as nerves and blood vessels.

Tissue Level Straumann SLA implant 4.8mm diameter was placed in the area of #18.

Cone Beam Computerized Tomography

Friday, June 4th, 2010

What is Cone Beam Computerized Tomography (CT)

Similar to a hospital CT scan, a cone beam CT takes a 3 Dimensional image of bones and hard skeletal structures such as teeth.  Essentially its a 3D X-ray.

This is a relevant and important topic for implant dentistry today. When a patient desires a dental implant, there are important considerations in the planning of where the surgeon will place that implant in solid bone.

A 3D X-ray such as a Cone Beam CT will allow for the surgeon to visualize in 3 Dimensional space where they can exactly place the implant. This is extremely important because it allows them to avoid vital structures such as nerves and blood vessels. Also, it helps them to plan for possible grafting necessary when the bone is insufficient to place an implant.

The Cone Beam CT is an excellent diagnostic tool which will enable your surgeon to avoid any complications or pitfalls in your surgery, before he goes into surgery.

The American Dental Associate and California Dental Associate both recommend a Cone Beam CT be taken before any dental implant is placed.

Below you can view the capability of this machine, and some of the 3D models it can produce.

Better Fitting Dentures

Monday, April 26th, 2010

Many patients with dentures and partials have trouble with the retention of their dentures. It is often a complaint that friends or family have dentures and can “eat apples and corn on the cob, however, my denture will not allow me to do that.”

We must understand that not everyone’s jaws and gums are the same. Certain characteristics make it easier to wear dentures and have them stay in better, other characteristics make it difficult for dentures and partials (especially lowers) to get good suction and stay in place while eating or speaking.

If you are a patient who is facing this challenge, you may want to consider an investment in implants. We have the capability in dentistry to modify your existing denture to clip on to the implants.

An advantage of  the “locator” abutments is there are severe types of inserts that can be easily interchanged to fit into the denture, once it is modified. These inserts have different capabilities of tightness. They can be set to clip on to the implants very tight or just tight enough to stay in place.  This enables older patients or patients with disabilities to easily remove the dentures.

Once the implants are placed and the abutments are attached. They will require 6 month maintenance. They should be cleaned regularly at home. About every 6 months to 1 year the replaceable inserts may need changing to maintain strong attachment.