Common Dental Implant Questions
How can I tell if I am healthy enough to have dental implants?
If you’re healthy enough for fixed bridgework or routine tooth extractions, you’re probably healthy enough for dental implants.
It’s unusual for patients to have general health conditions capable of making dental implants dangerous. This is why we take a thorough health history before we begin work.
Once you’ve had a thorough examination and a talk with your dentist, periodontist, or oral surgeon, we determine the implant strategy that’s right for you. The major determinant is going to be the amount and location of the available bone structure.
Is there a chance my body will reject the implant?
When you hear the word “rejection” you may be thinking about the condition that sometimes happens during vital organ transplants. But dental implants fall into an entirely different category. Tissue matching and blood typing aren’t a factor in this procedure.
Most of the time, the body completely accepts the placement of all dental implant material within the bone.
Obviously, some dental implants aren’t successful some of the time. But success has a lot to do with proper patient selection, the practitioner’s proficiency with the procedure, and your own commitment to proper hygiene and preventative maintenance.
Commit to regular follow-up care, just as you would for any other dental treatment. We need to keep evaluating soft tissue health and the way your replacement teeth are functioning to ensure long-term success.
How long will implants last?
How long do teeth last? They should last a lifetime.
However, we all can cite examples where teeth have not served for a person’s lifetime. We know that dental problems mostly stem from improper home care or lack of treatment when needed.
The same holds true for implants. With proper care and routine dental check-ups they should last a lifetime.
We can’t give guarantees. Much depends on factors outside our control, like whether you eat right, or practice proper oral hygiene. Your genetics will play a role, as will the overall health of your body.
Thus, nobody really knows how long each individual implant will last. All we can say is we take every step we can take to tip the odds in your favor.
Do implants require special care?
Treat implants as if they’re regular teeth. Return for regular check-ups. Brush and floss. And remember, caring for the gums is the best way to care for one’s teeth. More teeth are lost as a result of gum disease than any other single cause.
Is the placement of implants painful? How long does it take?
Implant placement usually does not result in much post-operative discomfort – usually the patient takes Tylenol or Advil for about 2-5 days.
If you’re getting truly extensive treatment, like, for example, if you need bone grafts or a higher-than-average number of implants, then you may take longer to recover.
Anesthesia during the surgery should make the placement procedure pain-free. We are conservative with anesthetic agents and our philosophy is to use the least amount of medication for the patient to comfortably tolerate the procedures.
How long does the whole dental implant process take? Will I be without teeth or unable to eat for a long time?
Depending on the complexity and number of implants being placed, the implant portion of the procedure can take between 30 minutes to 3-4 hours. The entire treatment process takes 5 to 8 months.
But treatment happens in several phases.
- A detailed evaluation and treatment plan.
- Implant placement, generally done in the doctor’s office in one visit.
- A 3-6 month waiting period, during which the jawbone bonds to the implant through a process known as osseointegration. You’ll wear a modified or temporary denture or bridge during this time.
- We attach a small metal post or extension to the implant. We’ll make modifications to your temporary teeth at this time so you can keep wearing them after this procedure.
- 2-6 weeks later, we create and fit your new replacement teeth. This may take several appointments, as we have to make impressions of your mouth and “try in” your replacement teeth throughout their fabrications so they match your existing teeth.
- We add the replacement teeth to the implant.
I’ve heard that dental implants are experimental – is that true?
Absolutely not! Dental implants have a long history of use and success. Implants are the most thoroughly researched procedure in the history of dentistry and, while no procedure is 100% successful, the current technology has resulted in very high success rates in the hands of well-trained and experienced clinicians.
I’ve heard that dental implants are expensive. How much do they cost?
The procedure can involve a significant investment, with surgical fees ranging from $1,800 and up for a single tooth replacement (when the implant crown is added the cost is about the same as a conventional “3-tooth bridge”) to $5,000 and up for replacement of multiple missing teeth.
Choosing to pass on treatment will be more expensive. Continual bone loss occurs from the wearing of full dentures (plates) and partials. This progressive loss of bone can eventually cause nerve exposure, jaw fracture and a complete inability to function with regular dentures. Correction at this point may be very expensive and can involve extensive bone grafts, which may require hospitalization and an extended recovery period.
Placing implants before the bone loss becomes severe not only saves money in the long run but also slows the bone loss process, increasing the likelihood of long-term success.
Does insurance pay for dental implants?
Yes and no – sorry to be so vague, but some carriers pay for them, some don’t, and some pay a portion of the costs.
Most dental plans do not provide for the surgical placement of implants. However, many do provide some restorative benefits. Usually, insurance is most willing to cover dental implants when you’re missing all or most of your teeth. At that point they classify the procedure as “jaw reconstruction with restoration of normal chewing function.”
In many instances, we have been able to help get significant coverage for patients, but unfortunately, insurance companies are not very predictable. Our staff will work hard to see that you get the best possible benefit from your insurance.
I must have some teeth extracted and I intend to have implants placed to restore my ability to chew. Can a dental implant be placed at the same visit as the teeth are extracted?
Whether or not the dental implant can be placed immediately after extraction depends on the amount of available bone in the area and presence or absence of active infection.
Placing the implant at the same visit helps preserve both width and height of bone and may prevent the need for placing bone grafts when bone naturally shrinks back after teeth are extracted. During the first year after teeth have been removed, as much as 40% of jawbone width can be lost.
If it is possible to place the implant at the same visit as the teeth are extracted, this can save at least three months in healing time.
Sometimes, infection from a tooth or periodontal disease has destroyed the bone to such an extent that it becomes necessary to do a bone grafting procedure prior to implant placement.
My husband and I are retired. We enjoy traveling and are on the road quite a bit. I know I need dental implants, but how can I have them done without staying in one place for several months?
Patients are encouraged to continue their normal activities, even if it involves traveling out of town or even out of state during most of the time of their treatment process. Usually, the longest period of time we recommend our patients to stay close to home is the time immediately following the implant surgery.
Most people (age does not matter) are able to go about their normal activities in only 2-3 days after their surgery.
We do recommend staying close to town after this surgery for 14 days to ensure that normal healing occurs. Once the implants are placed it can take as long as 5-6 months for the surrounding bone to integrate (or bond) with the implant, however, you are usually able to wear your existing partial, denture or temporary bridgework from the day of surgery until the day you receive your new replacement teeth. During these several months, you can travel and do as you please.
Why do dentures lose their fit?
In many cases, the pressure of dentures or partials on the tissues causes gums to get “flabby” and bone to shrink over time. When this occurs, the dentures usually become loose and awkward even when adhesives are applied, much like the way clothes become baggy when one loses weight, and this causes more bone loss and gum problems.
With dental implants, bone loss as well as gum erosion are slowed. Unlike dentures, which put pressure and stress on top of the gums and jaw bone, endosseous (“in-the-bone”) implants are actually surrounded by bone and the chewing forces transfer pressures into the bone, much like teeth do. This actually can strengthen the bone and increase bone density, reducing the bone shrinkage seen regularly from dentures.
I have a tooth that is broken and my dentist recommended extraction and a bridge, but I’m not excited about grinding down the perfectly good teeth on each side to make a bridge – could an implant work here?
Most likely an implant could work very well in this situation. Filing down teeth weakens them and makes them more susceptible to decay, gum problems and possible root canals. Sometimes a bridge is still the best alternative, but an implant can often be a better option. An implant will be easier to clean and floss, won’t require attachment to or damage other teeth and is as close as we can come to naturally giving you back your missing tooth.
Can any dentist give me an implant?
Legally yes, but like any medical or dental procedure, not all practitioners have equal experience, training or comfort with implant treatment. Also, for every procedure, there is a “learning curve” and you want practitioners with significant experience to help you with implant treatment so you are likely to get the best possible long term result.
I need to replace two missing teeth next to each other. Can I just have one implant placed and attach it to one of my natural teeth and make a bridge?
Generally, this is not a good idea-over the years we have learned that it is generally much better not to attach implants to teeth. We frequently attach implants to each other, which can improve strength and works well. So in a case like this, although it may be more expensive in the short term to place two implants instead of one, the long-term success is likely to be much better with the two implants.
I am missing most of my back teeth and do not wish to lose any of my remaining front teeth. I’ve been through several sets of removable partials and could not wear any of them. Could I have teeth that stay in all the time to replace my teeth missing in the back and keep my remaining teeth in front?
Your situation is very common. First of all we will do everything possible to help you keep your remaining natural teeth as long as their supporting structures are within an acceptable range.
Supporting structures means the gum and bone tissues immediately surrounding the tooth. A thorough evaluation must be made to determine if a tooth is healthy enough to keep or not.
We do not want remaining unhealthy teeth to compromise the success of any new treatment performed whether it be dental implants or any other treatment. We must decide what is best for your specific needs in order to restore your missing back teeth. If you have had problems with removable partials, then dental implants used to anchor new replacement teeth may be the best answer for you.
I lost my upper back teeth on one side and have gone for years without doing anything about it. My sinuses always seem to bother me more on that side than on the side that I have back teeth. Could these problems be related to one another?
A phenomena that occurs in a large majority of people who have had their upper back teeth missing for a long period of time is the increasing downward growth of the maxillary sinus. At birth it is the size of a pea, and progressively grows as the skull matures. This growth is at the expense of the surrounding bone.
If you are considering replacing those upper back teeth with fixed teeth that stay in all the time, it may be necessary to perform a sinus elevation procedure to allow room for placement of dental implants into this area to support those teeth. This involves placement of bone and/or bone substitutes into an area which was previously occupied by the lower part of the maxillary sinus.
These bone graft materials act as a matrix or scaffold which is replaced by the patient’s own new bone. This raises the floor of the sinus, reduces sinus volume and may allow the sinus to drain easier. Most importantly, this procedure increases the available bone use to place implants and restore the missing back teeth.
Both of my parents have worn complete dentures for many years, as have my grandparents. Recently, I lost two of my teeth. Does this mean that I will eventually have to have dentures?
Tradition seems to say that someday we will lose our teeth and then succumb to the inevitable dentures. Today the reality is that we can essentially keep all of our teeth throughout our lives.
But what about those, such as yourself, who have either already lost some or all of their teeth or are about to? Dental implants could be the answer.
We can replace single teeth, several teeth in a section of the jaw, or entire arches of teeth.
Some people are more prone to tooth decay or periodontal disease and more apt to lose teeth than others are. If you have a family history of denture use, you should make every effort to save your teeth. If you do lose one or more teeth, implants may be a good option to prevent the need for dentures.
I’ve had dentures for several years and have lost a lot of jawbone. My lower dentures are floaters and I need help. Is there still hope for me?
In most cases, with the new options available today in the field of dental implants, some form of treatment can be done. We encourage people to get help as soon as possible if they are already having some problems with their current situation.
These problems include: excessive use of denture adhesives, chewing only soft food, unable to taste some foods, constant mouth sores, unhappy with the appearance of one’s teeth and bite position (in some cases the nose and chin getting closer together). The sooner the problems are corrected with dental implants the more choices one has available for treatment. If you have any or all of the above symptoms, implants could very well be the answer for you.
I have been a denture wearer for many years now and use denture adhesives to hold my teeth in place and am getting tired of the constant bad taste and mess in my mouth. Could dental implants eliminate using adhesives?
A common complaint is having to constantly add adhesives to secure dentures, especially after drinking a cup of coffee or eating a meal. This can really be a nuisance when eating out at a restaurant and having to excuse yourself from the table to go to the rest room because your dentures won’t stay in.
Laughing, sneezing and coughing can also cause trouble for people who depend on adhesives to hold their teeth in place. It may be funny to see another person having a denture fall out, but it is not funny to the person who has to deal with these embarrassing situations on a daily basis. Denture wearers with problems such as these are not alone. There are 30 million people in the United States with no teeth and 29% in this group chew only soft foods.
I have a full set of dentures. My uppers are fine, but my lowers are constantly a juggling act when I try to eat. Can I have implants on the lower and keep a full denture on top?
Absolutely. Your situation is a common one. The full lower denture is the most unstable prosthesis fabricated in dental practice. During chewing, the average lower denture moves five times more than an upper denture. The person with advanced bone loss has additional problems of poor muscle coordination, speech difficulties, and inability to keep the denture in place, all of which adversely influence a normal lifestyle. Dental implants can be the solution to all of these problems. Even in cases where a lot of bone loss has occurred there still is a good chance something can be done. In most cases, a thorough oral exam and a panoramic x-ray is all that is needed to determine if you are a good candidate for implants.
I am missing all of my teeth and am now wearing a full upper and lower denture. I can no longer tolerate my lowers. Will I need an implant for every tooth I am replacing on the lower jaw?
It is not necessary to have an implant for every tooth that is being replaced. The number of implants necessary to provide support depends on the type of implants used and the type of teeth (removable vs. non- removable) that will be attached to the implants.
For example in this case, if you’re a good candidate for endosseous implants, you may require between 2-8 implants, depending on the technique used to support a full compliment of lower teeth. A thorough oral exam and panoramic x-ray is all that is necessary in most cases, to determine which implant can be used and how many must be used. Sometimes additional x-rays or CT scans are used in more complicated cases.
I can’t keep my upper denture in place for very long without gagging. I also can’t taste or feel the temperature or texture of food very well, so eating is not the pleasure it once was . Can implants help me?
Probably. Upper dentures cover the roof of the mouth and go back to the soft palate to get support and “seal” so they will stay in place. Unfortunately, this results in covering up the palate and many taste buds. By using implants to anchor or support an upper prosthesis (either removable or nor-removable replacement teeth), the roof of the mouth can be left uncovered so one won’t gag, and can feel the texture, temperature, and taste of foods and beverages much better.
I had a root canal on a tooth that fractured and now it has to be removed. Can it be replaced with an implant or do I have to have a bridge or a partial?
Teeth that have root canals can fracture more easily than other teeth because they are weaker and somewhat dehydrated. They can sometimes be as brittle as glass. In the past the best available treatment was to remove the tooth and file down the adjacent teeth and make a bridge – caps on the adjacent teeth with an attached “dummy” tooth in between. Sometimes this still is the only way. However, in many cases an implant can replace the fractured tooth and no teeth need to be ground down at all.