Posts Tagged ‘International Congress of Oral Implantologists’

I waited too long before deciding to get implants

Thursday, January 30th, 2014

I had braces in my late teens. When I was 27 I was involved in a serious accident and lost 2 teeth. I never got the dental implants. Money was not the issue. I just kept putting it off because I didn’t want to deal with the surgery and the long healing period. Now I am regretting it. Within the past 3 years I have watched my teeth that used to be perfectly aligned start to shift because of the missing teeth. Now that I am ready to get implants because I hate the way my smile looks, my other teeth are drifting into the empty spaces. I am dreading the thought that I might need orthodontics again. Am I right? – Jonathan

Jonathan – If your other teeth have shifted into the spaces of the missing teeth, orthodontics will be needed to move them to their correct position and make room for dental implants.

Your teeth will continue to shift, so the sooner you get treatment, the easier it will be. As time goes on without treatment, it will lengthen the time of your orthodontic treatment —and at a greater expense to you. But you’re doing the right thing by getting help now.

Choose a few implant dentists for consultations to discuss your options for dental implants.

This post is sponsored by Los Angeles implant dentist Dr. Robert Thein.

Invisalign or implants for missing canine teeth?

Monday, July 8th, 2013

Hello. When I was 16 years old my dentist extracted my canine teeth. I’m 31 years old now and it has clearly affected my facial appearance. I want dental implants. I saw an orthodontist about the problem and he recommends Invisalign to correct the upper arch and close the spaces between my teeth. The spaces are not large enough for adult-sized canine teeth, so the orthodontist says that dental implants won’t look right. Is this the best approach? – Tim P.

Tim – Find a credentialed implant dentist to examine your teeth. The implant dentist will let you know if he or she is in agreement with the orthodontist. Some implant dentists might recommend orthodontics to open the spaces so they will accommodate dental implants, but each case is unique.

It also has to be determined if you are a candidate for dental implants. You will receive an oral examin, diagnostic studies will be performed, and your medical history will be reviewed to decide if the implants are an option for you.

This post is sponsored by Los Angeles implant dentist Dr. Robert Thein, whom many consider to be the best implant dentist in Los Angeles.

A dental implant horror story

Saturday, December 31st, 2011

Hi; I had two implants put in to replace 2 teeth that had abscessed and the root canals had failed as well. They are the back two molars on the lower left side of my jaw. The implants were put in 5 years ago. There was a small infection on the back one – that was cleared up – this was before the crowns were put on.

Everything was fine, crowns were put on and 6 months later the front crown came loose and there was a slight infection. The dentist gave me antibiotics and replaced the crown. Things were fine for another 4 months, then the gum on the outside of the front implant got very sensitive, pale and mushy. He had me take antibiotics and told me to wait and see.

It got worse and I went back to the oral surgeon. He had my dentist take the crown off, then the oral surgeon cleaned out the area. The implant was able to be saved, but needed a bone graft. It took 7 months to heal. My dentist decided to change to one crown that would go on both implants, hoping to avoid the issue of looseness. He put the crown on and things were fine for about 8 months. Now the same implant is getting infected again. There is pus coming out from under it and there are white “spots” on the outside of the gum that are also pockets of pus. The dentist blames me – says I must be doing something wrong, the oral surgeon blames the dentist. Believe me – I floss; then water pick, sometimes with Peridex; then brush; then antibacterial mouth wash and finish with an proxy brush dipped in Peridex in the area. The surgeries cost me thousands. I’m tired of the blame-game. I’m looking for a solution, an idea, some action to take. The oral surgeon is reluctant to take the implant out – he is the only oral surgeon in the area (I live on the island of Kauai). I don’t know of any good surgeons in Honolulu – they all claim to be expert. I don’t know if you know of anyone out this way or have any suggestions…..

Thanks for your time.
- Nicole from Hawaii

Nicole,
I don’t know what exactly to make of your situation – I can’t tell what is wrong – but I can be helpful.
Implant dentistry is a very unregulated field, and there are dentists doing implant work who quite frankly don’t know what they are doing well enough.

You had a dental implant failure. The implants became loose and were infected. Generally, when that happens, the implant needs to be removed, the area needs to heal, and possibly the bone needs to be bulked up with a bone graft. But only after it heals should a new implant be placed. The idea that your dentist would prescribe antibiotics for a failing, infected dental implant suggests to me that he doesn’t know what he is doing. Maybe I’m missing something, so forgive me, but at least from what you are telling me, something is very wrong here.

After this team has failed twice on this same project, I would definitely say it is time to try someone else.

What I would do to find an excellent implant dentist would be to go to the website of the International Congress of Oral Implantologists, or the website of the American Academy of Implant Dentistry. They award fellowship and diplomate status to dentists with strong expertise in implant dentistry. You can search their websites to find these dentists with these credentials, and they should be able to help you. Dr. Thein has achieved the highest level credential in both organizations as a way to assure his patients that he knows the field of implant dentistry.

This blog sponsored by La Crescenta implant dentist Dr. Robert Thein

Replacing a single lower tooth

Friday, July 15th, 2011

i have missing tooth on the bottom front what dental treatment you recomend me
- Ellen from Georgia

Ellen,
The replacement of a single lower front tooth (mandibular central incisor) is a little tricky, because the teeth are small, so the first thing I would recommend is to be sure you are in the hands of an excellent dentist with first-rate skills, and not just an average dentist.

If the teeth on either side of the missing tooth are in good shape, you could have a dental implant to replace it. It has to be an extra small dental implant, and you’ll want to have a dentist with strong dental implants credentials to do this. And whether or not it will work depends on the positions of the roots of the adjacent teeth. The implant should be placed so that there are a couple of millimeters of space between the root form that is surgically placed and the roots of the adjacent teeth. Since the tooth is usually only 4-5 millimeters wide, allowing the proper amount of space could require an implant that is no wider than about a millimeter, which isn’t a strong implant. And placing a dental implant with such small spaces, the dentist has to be fairly skilled and careful to not to deviate so as to damage the roots of the adjacent teeth.

The other option would be a dental bridge. Remember that a bridge involves putting crowns on the adjacent teeth and suspending a false tooth between them. Here again, the difficulty is in the smallness of the teeth. The porcelain used in the adjacent crowns should be about a millimeter thick. Shaving down a tooth that starts out 4 millimeters wide, which will be even narrower at the neck of the tooth, and taking off a millimeter on each side leaves only a small peg of a tooth left. This peg won’t be very strong and if the bridge isn’t designed right, it could leave the remaining tooth structure vulnerable to being broken off.

Bottom line – make sure you have an excellent dentist who can do good work in these small spaces. If you want the dental implant, check to see if the dentist placing the implant has credentials from either the International Congress of Oral Implantologists or the American Board of Oral Implantology. Getting credentials from those organizations is a rigorous process and will help assure you that your dentist has adequate skills to do this.

This blog is sponsored by California implant dentist Dr. Robert Thein

Oral surgery with Boniva, Actonel, or Fosamax

Thursday, May 26th, 2011

I have no teeth in the back of my upper teeth on both sides. I have teeth in the front up to both on one side to my eye tooth and the other side there is one tooth beyond my eye tooth. I am not allowed to get extractions to get a full denture because of medicine I took for osteoporosis. My oral surgeon worried about osteonecronosis from Boniva and Actonel. How would I get my back upper teeth replaced. They suggested no implants either. Can I get a bridge or what do you suggest?
- Carol from Pennsylvania

Carol,

It sounds like your solution would be a Cu-Sil partial denture. A bridge would not work in your situation – you have too few remaining teeth. Even a conventional partial denture would put too much stress on your remaining teeth.

Bone building drugs such as Boniva, Fosamax, and Actonel, that are given for osteoporosis, carry with them an increased risk of developing osteonecrosis after tooth extractions or other oral surgery involving the jawbone. Osteonecrosis means “death of the bone”, and it is characterized by sections of bone that die and then become infected. It is difficult to treat. When such oral surgery is necessary, it is recommended that the drug be discontinued for two months prior to the surgery and then resumed afterward.

At some point you may require some level of oral surgery for extractions and possibly for the placement of dental implants. At that point, you may want to consult with a highly trained implant dentist. Look for a dentist who has either diplomate or fellowship status with either the International Congress of Oral Implantologists or the American Board of Oral Implantology. They will have enough expertise to be able to work with your physician and work around these drugs that you are taking. Part of the problem may be that your oral surgeon is ultra-cautious. There are ways to work around these drugs.

Meanwhile, the Cu-Sil partial denture would solve your problems. It’s essentially a complete denture with holes cut in it for the existing teeth. There is a silicone gasket around each tooth to prevent excessive stress on those teeth and to protect the suction seal of the denture. You can read more about this type of partial on the Cu-Sil website. Only certain dental laboratories are licensed to make this partial, but any dentist can make one by sending it to one of the licensed laboratories listed on their website.

This blog sponsored by Dr. Robert Thein, Los Angeles implant dentist.