Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence. The high success rate of dental implants is well documented in the world's scientific literature. Over the last 25 years, Dr. Emery has played an integral role in surgically placing and tracking a large number of implants. These implants then had crowns and dentures placed on them by a wide variety of excellent restorative dentists in the Washington DC and national dental community. At the beginning of 2016, more than 22,000 implants with an overall survival rate of 97% had been placed in our patients. This database tracked the following:
Dental Implant PresentationTo provide you with a better understanding of dental implants, we have provided the following multimedia presentation. Many common questions pertaining to dental implants are discussed.
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These result are reflected in many other publications worldwide and are further evidence of the predictability of dental implants.
Presently, Dr. Emery is involved with the development of new techniques and instruments to make placing dental implants more accurate, cosmetic and with less discomfort. These techniques involve the use of image guided surgery. The Capital Center for Oral and Maxillofacial Surgery is the only center in Washington, DC that provides both passive and dynamic image guided implant surgery in the Washington, DC region.
The implants themselves are tiny titanium posts that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts that protrude through the gums are then attached to the implant. These posts provide stable anchors for artificial replacement teeth.
Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.
Once you learn about dental implants, you finally realize there is a way to improve you life. When you lose several teeth – whether it’s a new situation or something you have lived with for years – chances are you have never become fully accustomed to losing such a vital part of yourself.
Dental implants can be your doorway to renewed self-confidence and peace of mind.
A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than 60 years ago. With his pioneering research which began in 1952, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.
For many patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first two to four months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your dentist is forming new replacement teeth.
After the implant has bonded to the jawbone, the second phase begins. Dr. Emery will uncover the implants and attach small posts that protrude through the gums and will act as anchors for the artificial teeth. When the artificial teeth are placed, these posts will not be seen. The entire procedure usually takes two to six months. Most patients experience minimal disruption in their daily life.
Using the most recent advances in dental implant technology, Dr Emery is able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of six weeks of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction – further minimizing the number of surgical procedures. Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit. This procedure has a number of different names depending upon the implant system used. They include Immedie Load, Immediate Provisionals, Teeth-in-a-day™, Teeth-in-an-hour™, All-On-Four™, Hybridge™, Diem™, Diem2™.
Implants are a team effort between an oral and maxillofacial surgeon and a restorative dentist. While Dr Emery performs the actual implant surgery, initial tooth extractions, and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.
A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.
Dr. Emery performs in-office implant surgeries in a hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip, or tibia.
There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a “partial” at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.
If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.
The majority of dental implants and bone graft can be performed in the office under local anesthesia, with or without general anesthesia.
Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dentists. Dr. Emery has implemented a unique Long Term Implant Care System to help ensure a lifetime of comfort and optimal function of your dental implant.
The Navigator™ System – For CT Guided Surgery. This system offers the instrumentation need to transform computer-based planning into real-world function and optimal aesthetics. The instrumentation and additional planning can allow us to perform cases, more predictably and in less time. In selected cases, your restorations can be placed the day your implants are placed.