Dental Implants

Dental Implant consist of a titanium screw that goes in the bone in order to replace a missing tooth or missing teeth. The first surgery is when the screw is placed. The patient is usually previously treated with antibiotic to prevent any type of infection due to complications. There is a healing screw placed in the implant and it is left dormant some times covered by tissue and bone will most likely grow around it. It will stay dormant for 3-4 months until a second surgery will take place to uncover the healing screw and a healing abutment will be placed to shape the tissue which will receive the final abutment which acts as the post for the future crown.


How our dental implant process works

The purpose of leaving the implant dormant for 3-4 months is to allow the patients body to perform a process called oseo- integration. Oseo- integration takes place by the bone cells ( osteoblast) growing bone around the implant without any interfering soft tissue. If the implant is oseo- integrated then the uncovering and activation take place. X-rays are taken first 1 month and then 3 months after the surgery to monitor the implant success. Once the final abutment is placed it is torqued and a final impression to fabricated the crown will be done. The temporary crown is left out of occlusion to avoid unnecessary force of mastication in the implant. When the crown comes back from the lab the fit of the crown is verified with an xray and if margins which are the junction between the abutment and the crown are fine we cement ( glue) the crown permanently. In occasions the healing screw is not placed and a healing cap is placed instead which is left supra -gingivally eliminating the need for a second surgery. This is usually more common if there is not perio concern in the area of the implant since it is more guarded if left dormant under the gingiva.

Life after dental implants

The rest of the process is the same the abutment is placed and torqued and a crown is made. There are different sizes ( in length and width ) for implants. Before a surgery is performed a lot of planning goes into play. There should be a panoramic xray and a periapical xray before the implant is placed where the doctor measures the height of the bone and what length the implant should be. IF there is not enough height for a decent size implant a bone graft needs to be done ( this only works for the maxilla and it is called a sinus lift) . In the mandible unfortunately height cannot be re-gained. In this case a bridge will be the most appropriate treatment. The width of the bone is also very important which can be estimated clinically. However, the CT scan is the best resource for implant placement, especially to determine the density of the bone. We may think we have good quality bone and the density may be poor leading to a complication during the time of the surgery. Therefore when the doctor is not sure of the quality of the bone the best is to do a ct scan. In some cases a surgical stent will be required if the precision of the implant placement area is critical. Post operative instructions will be provided to the patient with anti-inflammatory after the surgery. There are implants for single crown replacement , and for complete dentures.

Get a free dental implants consultation

For a free dental implants consult at Mint Dental Miami, click here and fill out the form. Once the inquiry is sent to us, we will get back to you as soon as we can.