Dental implant therapy has become the most ideal and conservative method of "permanently" replacing one or more missing teeth. This remarkable advancement in dental treatment significantly enhances the quality of life by restoring health, function and appearance.

WHAT IS A DENTAL IMPLANT?
A dental implant is a biocompatible screw-like titanium "fixture" that is surgically placed into the jawbone. After healing is complete and the implant is anchored in the bone, an implant post or abutment and permanent tooth can be attached in a variety of designs.

HISTORY
The scientifically-based method of implant therapy was first developed around 1960 in Sweden. A Swedish orthopedic surgeon and researcher, Dr. Per Ingvar Branemark, observed that a titanium implant could naturally and predictably bond with bone. This phenomenon was termed "OSSEOINTEGRATION". Since the original implant was placed several decades ago, millions of patients have enjoyed the benefits of successful "permanent" tooth replacement with dental implants.

PHILOSOPHY OF TREATMENT
Dr. Feuerman, Dr. Castellucci and staff of Periodontal Associates are committed to providing the highest quality periodontal and dental implant care for our patients in a safe and comfortable environment. To help achieve this goal, we utilize a variety of implant fixtures and components which are produced by world leading companies in dental implant manufacturing, education and research.
 
We strongly believe in the "team concept" of providing patient-centered care. As a highly trained surgeon, the periodontist is responsible for all surgical aspects of implant therapy. The surgeon works closely with the general dentist or prosthodontist and laboratory technician, each of whom have received advanced, specialized education in the restoration of dental implants. The end result of this collaborative process is a beautiful and functional "permanent" tooth replacement that leads to an enhanced quality of life for our patients.

EXAMINATION AND TREATMENT PLAN
During the examination process, the overall condition of the mouth will be evaluated. Information is gathered regarding the health of the gums, quality and quantity of underlying bone, position of teeth, occlusion and cosmetic desires. Routine x-rays will be necessary to help visualize the teeth and jawbone. In many cases, more sophisticated imaging such as a CAT SCAN will be required to precisely determine bone contours and the position of vital anatomical structures. Impressions and study casts of the teeth and gums contribute to the careful analysis process.

Once all of the information is recorded, the periodontist, dentist and lab technician will determine which type of dental implant restoration best suits the patients needs. Some examples of "fixed" and "removable" treatment options can be seen below:

REPLACEMENT OF A SINGLE TOOTH	REPLACEMENT OF A SEVERAL TEETH
"FIXED" REPLACEMENT OF A LOWER OR UPPER ARCH	REMOVABLE" REPLACEMENT OF A LOWER OR UPPER ARCH

SEQUENCE OF EVENTS DURING IMPLANT TREATMENT

STEP 1: IMPLANT PLACEMENT
Using regular dental anesthetic, the surgeon lifts the gum tissue away and performs a precise and gentle technique to place the dental implant fixture into the jawbone. The gum is repositioned and sutured. Most patients experience no major discomfort after the procedure.

STEP 2: OSSEOINTEGRATION PERIOD
The dental implant fixture will be left undisturbed in the jawbone for a period of four to six months. During this time, the bone attaches to the implant and OSSEOINTEGRATION takes place. Depending on the case type, a temporary removable denture may be worn to preserve cosmetics, as shown at right.

STEP 3: ABUTMENT CONNECTION
Once osseointegration of the implant is complete, the surgeon exposes the top of the implant and attaches a post or abutment. This abutment passes through the gum and ultimately supports the new tooth.

STEP 4: FINAL PROSTHETIC RESTORATION
Your dentist will take an impression of the implant and will work with the lab technician to make the new implant-supported tooth, as per the original treatment plan. The final prosthetic tooth can be screwed to place or cemented. The new tooth is firmly anchored into the bone and gums, and will look and feel just like a natural tooth.

For more information, contact office@periodontal.com