Gregory Tarantola, DDS

559 West Twincourt Trail Suite 606St. Augustine, Fl. 32095

904-778-6239

www.TarantolaDentistry.com

DrT@TarantolaDentistry.com

Dental Implants 101

3 | P a g e

Disclaimer

The information in this book is not a replacement for the services

of a dentist or health care professional.

Please do not use this e-book to diagnose or treat a medical or

health condition.

Please consult a dentist in all matters relating to your dental care,

and use discretion when using any of the strategies mentioned here.

Table of Contents

What are Dental Implants ................................................................ 11

What Dental Implants Can Do ........................................................ 12

Can They Improve Your Life? ........................................................ 12

Types of Implants in Use Today ..................................................... 14

Single Tooth Implant Procedure...................................................... 15

Anterior (Front Teeth) Implant Procedure ...................................... 16

Posterior (Lower Back Teeth) Replacement Implant Procedure..... 17

Full Lower Replacement Implant Procedure................................... 17

Full Upper Replacement Implant Procedure ................................... 18

Who Should Place Implants? .......................................................... 18

How Long Will Implants Last? ....................................................... 19

Advantages of Dental Implants Over Dentures or a Bridge ............ 19

What Is Treatment Like? ................................................................. 20

What Can I Expect After Treatment? .............................................. 22

Who Should Not Have Dental Implants? ....................................... 23

Crippling or Uncontrolled Disease .................................................. 23

Pregnancy ........................................................................................ 24

Psychiatric or Emotional Treatment ................................................ 24

Poor Motivation to Accept and Follow Needed Treatment ............ 24

Lack of Muscular Coordination to Manage Oral Hygiene Procedures

......................................................................................................... 25

Are There Any Risks to My Health with Implant Treatment? ........ 25

Surgery or Anesthetic ...................................................................... 25

Psychological .................................................................................. 26

Medical ............................................................................................ 26

Cost .................................................................................................. 26

Dental Implant Placement Options ................................................. 29

Replacing a Single Tooth ................................................................ 29

What are the advantages of a single-tooth implant over a bridge? . 29

How will the implant be placed? ..................................................... 30

Replacing Several Teeth .................................................................. 31

Advantages of implant-supported bridges

over fixed bridges or removable partial dentures ............................ 32

Dental Implants: Consultation,

Procedure, Recovery and Aftercare ................................................ 33

Tooth Loss ....................................................................................... 33

Dental Implants: Consultation, Placement, and Recovery .............. 34

The Dental Implant Placement Procedure ....................................... 35

Dental Implants Recovery ............................................................... 35

Implant Surgery Follow-up and Aftercare ...................................... 36

How to Find a Local Specialty Dentist and

Choose the Right One for You ......................................................... 39

Family Dentistry: Dental Care for the Whole Family .................. 41

Family Dentistry Services ............................................................... 41

Training and Practice ...................................................................... 42

Senior Dental Care .......................................................................... 43

Tooth Loss, Periodontal Disease, and

Other Dental Concerns for Senior Patients ..................................... 44

Dental Hygiene for Seniors ............................................................. 45

Full Mouth Reconstruction .............................................................. 46

Tooth Restoration ............................................................................ 47

Bridging the Gap with a Dental Bridge ........................................... 50

Dental Bridges Consultation and Treatment Planning .................... 50

Dental Crowns: Preserve Damaged Teeth with a Crown ................ 51

Dental Crowns Consultation and Treatment Planning .................... 52

The Dental Crown Clinical Procedure ............................................ 52

Dental Fillings ................................................................................. 53

Dental Fillings Consultation and Treatment Planning .................... 53

Ensuring Fit and Comfort ................................................................ 54

Preventive Dentistry: Care Today, Savings Tomorrow ................ 57

Early Prevention .............................................................................. 57

Preventive Dentistry Strategies ....................................................... 58

What Mouth Conditions Might Require a Dental Implant? ....... 63

Timetable of a Typical Course of Implant Treatment ................. 65

Summary of Dental Implants ........................................................... 69

Dental Implants 101

8 | P a g e

Dental Implants 101

9 | P a g e

Dear Patient,

Thank you for downloading this e-book. I have compiled this as a

quick resource to enable you to learn more about dental implants, how

they work, and how to care for them. These are often an excellent

solution to replacing teeth in a manner that looks and feels more like

your actual teeth.

In addition to finding useful information on dental implants in this

e-book, you will be pleased to learn that you are now on our exclusive

newsletter subscriber list.

This entitles you to some cutting edge information on dental health

and wellness, all delivered to you in your email at regular intervals

each month.

Each edition will feature valuable tips, dental health maintenance

ideas, expert advice, and informative articles to keep your mouth

healthy and pain-free. You can share this excellent resource of healthy

living with your acquaintances, by forwarding it to their email address

or asking them to sign up for FREE from the link you accessed. This

newsletter is our commitment to improving your dental health as your

preferred dental professional.

Thank you!

Dental Implants 101

10 | P a g e

Dental Implants 101

11 | P a g e

What are Dental Implants

A dental implant is an artificial tooth root that a periodontist places

into your jaw to hold a replacement tooth or bridge. Dental implants

are an ideal option for people in good general oral health who have

lost a tooth or teeth due to periodontal disease, an injury, or some other

reason.

While high-tech in nature, dental implants are actually more tooth-

saving than traditional bridgework, since implants do not rely on

neighboring teeth for support.

Dental implants are so natural-looking and feeling that you may

forget you ever even lost a tooth. You know that your teeth can affect

your confidence level and how you feel about yourself, both

personally and professionally. Perhaps you hide your smile because of

open spaces from missing teeth. Maybe your dentures don't feel secure

in your mouth. Perhaps you have difficulty chewing with dentures or

partial dentures. If you are missing one or more teeth and would like to

Dental Implants 101

12 | P a g e

smile, speak, and eat again with comfort and confidence then there is

good news in this book for you!

Dental implants are teeth that can look and feel just like your very

own natural teeth! Under proper conditions, such as placement by a

periodontist and diligent patient maintenance, implants can last a

lifetime. Long-term studies also continue to show improving success

rates for implants.

What Dental Implants Can Do

Replace one or more teeth without affecting bordering teeth.

Support a bridge and eliminate the need for a removable partial

denture.

Provide support for a denture, making it more secure and

comfortable.

Can They Improve Your Life?

There have been very few advances in Cosmetic Dentistry that

have had as great an impact as dental implants. So, what exactly are

dental implants? Quite simply, an implant is a titanium screw used to

replace the missing or damaged root. Dental implants can be used to

replace a single missing tooth or to anchor multiple teeth together, as

with a bridge or a denture. Dentures will be necessary whenever all of

the teeth are missing in either the upper or lower jaw. Following a

general period of healing, where the implant fuses with the bone

tissue, a single crown, a bridge or denture is placed over the

implant(s).

The benefits of dental implants can be quite dramatic in patients of

all ages with loose, missing, or decayed teeth that have occurred either

naturally or through an accident. Whether the choice for this type of

treatment is made for oral health or simply cosmetic reasons, there is

Dental Implants 101

13 | P a g e

absolutely no substitute for the gift of a healthy, attractive smile.

Without question, your healthy smile affects your self-esteem, job

performance, energy levels, and social interaction.

Simply stated, dental implants will surely improve the quality of

life through the following important benefits:

Prevent bone loss, by halting and even reversing the bone loss

that typically results from losing teeth.

Eliminate gum irritation and the pain of exposed nerves

associated with conventional full or partial dentures.

Allow you to speak with confidence in a relaxed and natural

tone; without worry of moving or slipping dentures or partial

dentures.

Eliminate the inconvenience of messy denture adhesives that

often must be re-applied throughout the day.

Eliminate the need to cover your mouth when you laugh or

smile, worried that your denture will pop out or fall down.

Restore chewing efficiency comparable to that of natural teeth,

as well as the natural ability to taste and enjoy your food. This

also promotes better nutrition.

Dental Implants 101

14 | P a g e

Improve your appearance, since dental implants look, feel, and

function like natural teeth.

Improve your self-esteem and confidence with a healthy smile.

The complete procedure generally takes about 4-6 months for the

upper jaw and 3 months for the lower jaw. Success rates will range

between 85 - 100%, depending first of all upon where the implants are

placed and secondly, whether they're placed into natural bone or

grafted bone tissue. A significant consideration affecting failure rates

is whether or not the patient is a smoker. When a patient smokes, it's

been shown that they are statistically two and a half times more likely

to have an implant fail than a non-smoker.

Daily brushing and flossing are absolutely necessary for long-term

success. The good news here is that there are lots of supplemental

products that will allow you to clean and maintain the implants

properly. With that being said, undoubtedly, the best steps to take in

avoiding ailing or failing dental implants are to implement a program

of recommended oral hygiene and regularly scheduled diagnostic visits

with your dentist.

As to how to answer the questions relating to exactly how long

dental implants will last, it's important to note that the first implant

recipient, dating back to 1965 still has his original implants, which are

healthy and function to this day. So, with proper care there's every

reason to believe that your implants can be in good health and with

you for the rest of your life.

Types of Implants in Use Today

ENDOSSEOUS (en-doss-ee-us)-“within the bone” This is the

most commonly used type of implant. The various types

include screws, cylinders or blades surgically placed into the

jawbone. Each implant holds one or more prosthetic teeth. This

Dental Implants 101

15 | P a g e

type of implant is generally used as an alternative for patients

with bridges or removable dentures.

SUBPERIOSTEAL (sub-pear-ee-oss-tee-al)-“on top of the

bone” These are placed on top of the jaw with the metal

framework's posts protruding through the gum to hold the

prosthesis. These types of implants are used for patients who

are unable to wear conventional dentures and who have

minimal bone height.

TRANSOSTEAL (trans-oss-tee-al)-“through the bone”

These implants are either a metal pin or a U-shaped frame that

passes through the jawbone and the gum tissue and into the

mouth.

Single Tooth Implant Procedure

This is done by surgical placement of the implant(s) into the bone.

This can usually be done right in the dentist’s office, with a local

anesthetic. After surgery, there is a healing period of approximately

four months. During this time, the implants fuse to the bone by a

process known as ‘osseointegration.’

Dental Implants 101

16 | P a g e

Next, there is a minor surgical exposure of the top of the implant,

whereby the dentist will attach the post to the implant. The function of

the post is to become the support for either one tooth or a set of teeth.

This is a short procedure that usually requires only local anesthesia.

The last phase is the restorative phase. The dentist will take

impressions and then make a prosthesis that will attach to the implants.

This will require several visits. Once completed, your mouth will be

restored to looking normal, with natural looking and strong teeth.

Anterior (Front Teeth) Implant Procedure

Missing front teeth have unique demands. The challenge is to

replace your now missing teeth for both appearance and function

without harming your remaining teeth or gum tissue.

The first step is to replace missing tooth roots by placing titanium

implants. The implants will remain covered underneath the gum for

approximately three to six months. During that time, osseointegration

(fusion of bone to titanium) takes place.

The second step of the procedure involves uncovering the implants

and attaching extensions. This completes the foundation on which your

new teeth will be placed.

Dental Implants 101

17 | P a g e

The final step is the placement of your new teeth. With techniques

that ensure optimal size, shape, color and fit, these replacement teeth

will blend with your facial characteristics and remaining natural teeth.

Posterior (Lower Back Teeth) Replacement Implant Procedure

Missing back teeth have unique demands. The challenge is to

replace your now missing teeth for both appearance and function,

without harming your remaining teeth or gum tissue.

The first step is the placement of the titanium implants. The

implants will remain covered underneath the gum for approximately

three to six months. During that time, osseointegration takes place.

The second step of the procedure involves uncovering the implants and

attaching extensions. This completes the foundation on which your

new teeth will be placed, followed by the placement of the new teeth.

Full Lower Replacement Implant Procedure

The first step is to replace missing roots by placing the titanium

implants. The implants will remain covered underneath the gum for

approximately three to six months. During that time, osseointegration

takes place. The second step of the procedure involves uncovering the

implants and attaching extensions. This completes the foundation on

which your new teeth will be placed.

Dental Implants 101

18 | P a g e

The final step is the placement of your restoration. With techniques

that ensure optimal size, shape, color and fit, this removable

restoration will blend with your facial characteristics, while providing

support needed for a natural appearance.

Full Upper Replacement Implant Procedure

As with all of the other types of replacements; the first step is to

replace missing tooth roots by placing titanium implants. The implants

will remain covered underneath the gum for approximately six months.

During that time, osseointegration should take place.

The second step of the procedure involves uncovering the implants

and attaching extensions. This completes the foundation on which your

new teeth will be placed.

The final step is the placement of your restoration. With techniques

that ensure optimal size, shape, color, and fit this removable

restoration will blend with your facial characteristics, while providing

support needed for a natural appearance.

Who Should Place Implants?

Implant treatment is a highly technical, complex form of dentistry.

It is not a type of treatment that all dentists can or want to provide. Dr.

Tarantola has had training and experience with dental implants.

Sometimes, due to the complexity of your situation, Dr. Tarantola may

work in conjunction with a surgical specialist. Treatment may be

provided in several ways:

Implants can be placed in your jaw by a team of dental

specialists. This might include an oral surgeon or a periodontist

who performs the surgical procedures and then Dr. Tarantola

designs and makes the teeth.

Dental Implants 101

19 | P a g e

Many situations are such that Dr. Tarantola may both perform

the surgery and make the teeth. We use Bicon implants which

offer the advantage of not needing extensive bone grafting.

Dr. Tarantola’s knowledge, skills, and training include implant

procedures in his practice and he can perform all of the

procedures.

In very complex cases, a team approach (several doctors) to

treatment is generally preferred, because all members of the team see

the patient for consultation, examination, and planning before any

treatment is started. Dr. Tarantola leads the team with the restorative

treatment plan.

How Long Will Implants Last?

With advances in the science of implant dentistry, you can now

expect that most dental implants will function indefinitely. However,

like any dental restoration, the teeth may wear or break and need to be

repaired or replaced.

Advantages of Dental Implants Over Dentures or a Bridge

Dental Implants 101

20 | P a g e

Every way you look at it, dental implants are usually a better

solution to the problem of missing teeth than most other solutions.

Esthetic Dental implants look and feel like your own teeth!

Since dental implants integrate into the structure of your bone,

they prevent the bone loss and gum recession that often

accompany bridgework and dentures. No one will ever know

that you have a replacement tooth.

Tooth-saving Dental implants don't sacrifice the quality of

your adjacent teeth like a bridge does because neighboring

teeth are not altered to support the implant. More of your own

teeth are left untouched, a significant long-term benefit to your

oral health!

Confidence Dental implants will allow you to once again

speak and eat with comfort and confidence! They are secure

and offer freedom from the irksome clicks and wobbles of

dentures. They'll allow you to say goodbye to worries about

misplaced dentures and messy pastes and glues.

Reliable The success rate of dental implants is highly

predictable. They are considered an excellent option for tooth

replacement.

What Is Treatment Like?

In complex cases, this procedure is a team effort between you,

your dentist, and your surgeon. Your surgeon and Dr. Tarantola will

consult with you to determine where and how your implant should be

placed. Depending on your specific condition and the type of implant

chosen, Dr. Tarantola will create a treatment plan tailored to meet your

needs. More information about different treatment options is described

below.

Dental Implants 101

21 | P a g e

Replacing a Single Tooth If you are missing a single tooth,

one implant and a crown can replace it. A dental implant

replaces both the lost natural tooth and its root.

Replacing Several Teeth If you are missing several teeth,

implant-supported bridges can replace them. Dental implants

will replace both your lost natural teeth and some of the roots.

Replacing All of Your Teeth If you are missing all of your

teeth, an implant-supported full bridge or full denture can

replace them. Dental implants will replace both your lost

natural teeth and some of the roots.

Sinus Augmentation A key to implant success is the quantity

and quality of the bone where the implant is to be placed. The

upper back jaw has traditionally been one of the most difficult

areas to successfully place dental implants due to insufficient

bone quantity and quality and due to the close proximity to the

sinus. Sinus augmentation can help correct this problem by

raising the sinus floor and developing bone for the placement

of dental implants. The Bicon system oftens eliminates this

need.

Dental Implants 101

22 | P a g e

Ridge Modification Deformities in the upper or lower jaw can

leave you with inadequate bone in which to place dental

implants. To correct the problem, the gum is lifted away from

the ridge to expose the bony defect. The defect is then filled

with bone or bone substitute to build up the ridge. Ridge

modification has been shown to greatly improve appearance

and increase your chances for successful implants that can last

for years to come.

What Can I Expect After Treatment?

As you know, your own teeth require conscientious at-home oral

care and regular dental visits. Dental implants are like your own teeth

and will require the same amount of care. In order to keep your

implant clean and plaque-free, brushing and flossing still apply!

After treatment, Dr. Tarantola will develop the best care plan for

you. Periodic follow-up visits will be scheduled to monitor your

implant, teeth. and gums to make sure they are all healthy.

Dental Implants 101

23 | P a g e

Who Should Not Have Dental Implants?

If you have any of the following conditions, dental implant therapy

may not be for you.

Crippling or Uncontrolled Disease

Conditions that affect the body's ability to heal and repair itself

may have a negative effect on the placement and health of an implant.

Persons with diseases (such as diabetes) that are not under control are

not good candidates for dental implants because the uncontrolled

disease keeps the body from healing itself normally. However, a

diabetic person who has their diabetes under proper control by a doctor

could be treated successfully with implants.

Other diseases such as leukemia or hyperparathyroidism (abnormal

activity of the parathyroid glands) also may affect the outcome of

implant treatment. Persons who are undergoing chemotherapy or

radiation therapy for cancer should not have treatment procedures that

Dental Implants 101

24 | P a g e

are advantageous but not urgent (such as dental implants) until cancer

treatment is completed and the doctor says it is safe to proceed. If you

have any questions about how your general health might affect dental

implants in your mouth, you and your dentist should discuss this with

your doctor.

Pregnancy

Women who are pregnant should not undergo any treatment such

as dental implants until after the first three months of their pregnancy.

It is best to wait until after delivery to start dental implant treatment.

Psychiatric or Emotional Treatment

People with psychiatric disorders such as chronic depression or

personality changes requiring treatment, or people undergoing severe

emotional stress, should avoid situations that may complicate or

disturb their lives. Dental implant therapy may place additional stress

on persons who are unable to tolerate it. As with other diseases, open

discussion of the problem should involve the patient, dentist, and

doctor before implant treatment is considered.

Poor Motivation to Accept and Follow Needed Treatment

Dental Implants 101

25 | P a g e

For dental implants to be successful, you must be committed to

following all of the necessary steps before, during, and long after

treatment. People who are not able or willing to undergo the necessary

treatment, or to take care of their new teeth on a regular basis, should

not consider implant therapy.

Lack of Muscular Coordination to Manage Oral Hygiene

Procedures

To keep the bone and gums around dental implants healthy, you

must carefully clean the implants. This means that you must be able to

handle a toothbrush, dental floss, or other cleaning tools to remove

food and plaque. Persons with severe arthritis or other handicaps that

affect the hands and arms may not be good candidates for implant

treatment.

Are There Any Risks to My Health with Implant Treatment?

Some health factors are important when considering dental

implants:

Surgery or Anesthetic

Usual precautions associated with a local or general anaesthetic

must be taken. Sometimes an opening into the sinus cavity above the

upper teeth or a nerve injury can occur. These incidents seldom result

in permanent damage.

Dental Implants 101

26 | P a g e

Psychological

People who experience abnormal psychological stresses or are not

motivated may have problems with surgery and may not be able or

willing to follow oral hygiene instructions. However, persons who

avoid contact with other people because they are concerned about their

missing or unattractive teeth may be helped.

Medical

There are some temporary conditions that can result from implant

placement: pain and swelling of gums, lip, or tongue; speech

problems; and inflammation (heat, redness, swelling, and pain) of the

gums. Possible long-term difficulties may include nerve injury, bone

loss if the implants fail, overgrowth of gums, and mouth or general

bacterial infection. For those people who have other body part

replacements or heart valve problems, endocarditis (inflammation of

the inside lining of the heart) or infection may be a risk.

Cost

After you have been examined by Dr. Tarantola and before you

make any decision on implant treatment, you must consider cost. Just

like any complicated and time-consuming medical or dental procedure,

Dental Implants 101

27 | P a g e

implant treatment is moderately expensive. You should be aware of all

of the costs involved. If you will be treated by a team of dentists, make

sure that you receive cost estimates from each one involved.

For example, if an oral surgeon will be placing the implants into

your jaw Dr. Tarantola is going to make the restoration (prosthesis) to

replace the teeth, you will get cost estimates from both.

If you have dental insurance, you should contact the insurance

company before you start treatment to find out whether or how much

of the treatment might be covered. Insurance policies vary in their

coverage of elective procedures such as implants. It is important that

you fully understand how much your insurance company will pay and

how much you yourself will be responsible for paying before you

agree to proceed.

Dental Implants 101

28 | P a g e

Dental Implants 101

29 | P a g e

Dental Implant Placement Options

Under proper conditions and diligent patient maintenance, implants

can last a lifetime. Dental implants are intimately connected with the

gum tissues and underlying bone in the mouth. Dr. Tarantola does a

thorough, complete exam, studies all the data and consults with

specialists if needed, all on your behalf. In this way, the best plan can

be developed.

Then Dr. Tarantola will consult with you to determine where and

how your implant should be placed. Depending on your specific

condition and the type of implant chosen, Dr. Tarantola will create a

treatment plan tailored to meet your needs.

Replacing a Single Tooth

If you are missing a single tooth, one implant and a crown can

replace it. A dental implant replaces both the lost natural tooth and its

root.

What are the advantages of a single-tooth implant over a bridge?

A dental implant provides several advantages over other tooth

replacement options. In addition to looking and functioning like a

natural tooth, a dental implant replaces a single tooth without

sacrificing the health of neighboring teeth. The other common

treatment for the loss of a single tooth, a tooth-supported fixed bridge,

requires that adjacent teeth be ground down to support the cemented

bridge.

Dental Implants 101

30 | P a g e

Because a dental implant will replace your tooth root, the bone is

better preserved. With a bridge, some of the bone that previously

surrounded the tooth begins to resorb (deteriorate). Dental implants

integrate with your jawbone, helping to keep the bone healthy and

intact.

In the long term, a single implant can be more esthetic and easier

to keep clean than a bridge. Gums can recede around a bridge, leaving

a visible defect when the metal base or collar of the bridge becomes

exposed. Resorbed bone beneath the bridge can lead to an unattractive

smile. The cement holding the bridge in place can wash out, allowing

bacteria to decay the teeth that anchor the bridge also.

How will the implant be placed?

First, the implant, which looks like a screw or cylinder, is placed

into your jaw. Over the next two to six months, the implant and the

bone are allowed to bond together to form an anchor for your artificial

tooth. During this time, a temporary tooth replacement option can be

worn over the implant site.

Dental Implants 101

31 | P a g e

Often, a second step of the procedure is necessary to uncover the

implant and attach an extension. This small metal post, called an

abutment, completes the foundation on which your new tooth will be

placed. Your gums will be allowed to heal for a couple of weeks

following this procedure.

There are some implant systems (one-stage) that do not require this

second step. These systems use an implant which already has the

extension piece attached. Dr. Tarantola will advise you as to which

system is best for you.

Finally, a replacement tooth called a crown will be created for you

by Dr. Tarantola and attached to the abutment. After a short time, you

will experience restored confidence in your smile and your ability to

chew and speak. Dental implants are so natural-looking and feeling

that you often forget you ever lost a tooth. This is one of the biggest

benefits of implants is their realistic look and feel; along with a more

realistic usage of the tooth when chewing and speaking. For many, the

higher cost is well worth a more realistic replacement.

Replacing Several Teeth

If you are missing several teeth, implant-supported bridges can

replace them. Dental implants will replace both your lost natural teeth

and some of the roots.

Dental Implants 101

32 | P a g e

Advantages of implant-supported bridges over fixed bridges or

removable partial dentures

Dental implants provide several advantages over other teeth

replacement options. In addition to looking and functioning like

natural teeth, implant-supported bridges replace teeth without support

from adjacent natural teeth. Other common treatments for the loss of

several teeth, such as fixed bridges or removable partial dentures, are

dependent on support from adjacent teeth.

Dental Implants 101

33 | P a g e

Dental Implants: Consultation, Procedure,

Recovery and Aftercare

Dental implants are artificial tooth roots used to support a

restoration for a missing tooth or teeth, helping to stop or prevent jaw

bone loss. The dental implant procedure is categorized as a form of

prosthetic (artificial replacement) dentistry, but is also considered a

form of cosmetic dentistry; for this reason many dental insurance plans

will not always pay for implants or will only pay partial amounts.

People who have lost teeth might feel too self-conscious to smile

or talk. Additionally, biting irregularities caused by tooth loss can have

a negative effect on eating habits, leading to secondary health

problems like malnutrition, jaw alignment issues and more.

By replacing missing tooth roots, dental implants provide people

with the strength and stability required to eat all the foods they love,

without struggling to chew. Additionally, dental implants stimulate

and maintain jaw bone, preventing bone loss and helping to maintain

facial features.

Tooth Loss

Teeth are lost because of:

Dental Implants 101

34 | P a g e

Tooth decay

Root canal failure

Gum disease (Periodontitis)

Trauma to the mouth (tooth injury)

Excessive wear and tear

Congenital defects

Dental Implants: Consultation, Placement, and Recovery

To determine if implants are right for you, a consultation with Dr.

Tarantola is needed. During this appointment, he will thoroughly

examine your teeth and gums and evaluate bone density and quantity.

This may involve X-rays and computer tomography scans (CT scans)

to ensure there is sufficient bone structure for placing the implant(s),

and to determine exactly where the implant should be placed.

Based on the condition of your oral tissues, oral hygiene and

personal habits, and commitment to follow aftercare instructions, your

dentist will advise you of the most appropriate dental implant

treatment plan. Some patients with insufficient bone or gum tissue

Dental Implants 101

35 | P a g e

require bone or soft tissue grafts and/or the use of small diameter

implants (also called mini implants).

The Dental Implant Placement Procedure

Today's dental implant restorations are virtually indistinguishable

from other teeth. This appearance is aided in part by the structural and

functional connection between the dental implant and the living bone.

Implants are typically placed in a single sitting but require a period of

osseointegration.

Osseointegration is the process by which the dental implant

anchors to the jaw bone. Osseointegrated implants are the most

commonly used and successful type of dental implant. An

osseointegrated implant takes anywhere from three to six months to

anchor and heal, at which point your dentist can complete the

procedure by placing a crown restoration. If osseointegration does not

occur, the implant will fail.

Dental Implants Recovery

Dental implant recovery depends on a number of factors, one of

which includes the various procedures required to complete your

treatment. However, it is generally recognized that once an implant has

been placed, maintaining diligent oral hygiene habits is required to

ensure proper fusing of the implant and bone structure. If cared for

Dental Implants 101

36 | P a g e

properly, an implant restoration can remain in place for more than 40

years.

After the initial surgical procedure, discomfort should be minimal.

Swelling of your gums and face may occur, as well as minor bleeding

and bruising of the implant site. Prescription pain medications may be

prescribed by your dentist to relieve any pain or discomfort you feel

after the procedure.

Complete osseo-integration from the surgical procedure to place

the dental implant(s) takes up to six months, while the fitting and

seating of the crown(s) can take up to two months. Again, this

timeframe depends on individual cases and treatments; as everyone

heals differently. Follow-up appointments with your treatment

coordinators are essential for monitoring your progress.

Implant Surgery Follow-up and Aftercare

For five to seven days after surgery, your diet should be restricted

to soft foods. If stitches are present, they may need to be removed by

your dentist; however, self-dissolving stitches that do not require

removal are typically used.

Dental Implants 101

37 | P a g e

If provisional restorations were placed along with the dental

implant, it will be important to clean them as you would your natural

teeth to ensure the best possible healing and fusing of the implant.

Failure to floss and brush is a leading cause of implant failure, and

infection can occur if the implant and surrounding areas are not

cleaned properly. Smoking also is attributed to high failure rates with

dental implants and should be avoided following implant procedures.

Dental Implants 101

38 | P a g e

Dental Implants 101

39 | P a g e

Dr. Tarantola has the training and experience for

your implant reconstruction.

Dr. Tarantola has worked closely with specialists in complex cases

and has placed implants in the more routine cases for over 25 years.

He lectures to dentists worldwide and has published a dental textbook

entitled “Clinical Cases In Restorative and Reconstructive Dentistry.”

It is not only a didactic book but has over 50 fully documented cases

he has completed which are used to teach the principles in the didactic

section.

If you are considering dental implants and already have a dentist,

be sure to ask lots of questions; what kind of experience does he/she

have placing dental implants as well as restoring them. Ask to see

photographs of actual treatment he/she has performed. The practice of

Dr. Tarantola offers a totally free, no-obligation “MEET AND

GREET” consultation.

Dr. Tarantola provides treatment with help from dental hygienists

and dental assistants. A dental hygienist performs professional dental

cleanings. The hygienist's designation may be RDH (Registered Dental

Dental Implants 101

40 | P a g e

Hygienist), or RDHEF (Registered Dental Hygienist with Extended

Functions).

Dental Implants 101

41 | P a g e

Family Dentistry: Dental Care

for the Whole Family

Family dentistry, like general dentistry, provides services related to

the general maintenance of oral hygiene and tooth health. The terms

family dentistry and general dentistry are often used interchangeably,

though there is a slight difference between the two.

Some dentists restrict their practice to certain age groups. For

example, pedodontists restrict their practice to providing dental care

and treatment specifically to children or pediatrics. Family dentists

typically care for a wide variety of patients, from young children to

older adults. Family dentists are responsible for ensuring that plaque

build up around the teeth is kept to a minimum, that tooth decay is

eliminated, cavities are filled, and that gums remain healthy.

Family Dentistry Services

Because they are considered to be the first level of defense against

dental abnormalities, family dentistry and general dentistry are viewed

primarily as preventative fields. The American Dental Association

(ADA) recommends that you visit your family dentist for a check-up a

minimum of two times each year. Such checkups provide routine or

Dental Implants 101

42 | P a g e

deep cleanings to eliminate plaque build up and prevent tooth decay. If

necessary, we also provide natural treatments to help strengthen the

teeth; a procedure also important in the prevention of tooth decay.

Preventative dental check-ups can help with the detection of oral

health problems long before the onset of symptoms. Your family

dentist will work closely with a specialist; especially when you are

getting dental implants or other procedures that require a lot of work

and knowledge. You should have a close relationship with your

dentist; so much so that even during your time working with a

specialist you should be able to contact your family dental office and

ask questions if you feel uncomfortable about anything. It’s very

important that your dentist and specialist work closely together.

Training and Practice

After earning an undergraduate degree and passing the Dental

Admission Test (DAT), prospective family dentists must complete a

three- to five-year dental school program that equips them with a

general dentistry education. Dental school is intensive, incorporating

much of the same curriculum as a typical medical school. Before

graduating, students must pass the National Board Dental

Examinations (NBDE) in order to become licensed dentists. After

passing the NBDE, the dentist is awarded the degree of Doctor of

Dental Surgery (DDS) or Doctor of Dental Medicine (DMD). DDS

and DMD are different titles for the same education and degree.

Dental Implants 101

43 | P a g e

Following dental school, the majority of dentists choose to move

immediately into practice as a general or family dentist. Others,

however, opt to pursue postgraduate training to become a specialty

dentist. Nine specialty fields of dentistry are recognized by the

American Dental Association:

Dental Public Health

Endodontics

Oral & Maxillofacial Pathology

Oral & Maxillofacial Radiology

Oral & Maxillofacial Surgery

Orthodontics

Pedodontics (Pediatric Dentistry)

Periodontics

Prosthodontics

Many of these specialists will be imperative to your having a

successful and positive experience with dental implants.

Senior Dental Care

Dental Implants 101

44 | P a g e

Dental care for seniors involves unique considerations. Seniors are

more likely to suffer from a host of oral health issues resulting from

the natural aging process, their inability to receive proper oral health

care due to financial constraints (no dental insurance) or their inability

to provide adequate dental hygiene care for themselves.

These factors, combined with the limited dental benefits provided

by state aid programs for the aged, blind or disabled, leave many

seniors at risk of ignoring tooth decay and tooth infection until there is

no alternative but tooth extraction – which is the only dental procedure

covered by many state aid programs such as Medicaid or Medicare.

Tooth Loss, Periodontal Disease, and Other Dental Concerns for

Senior Patients

Prior to tooth loss, seniors may experience tooth sensitivity or

discoloration due to the loss of enamel and dentin (hard, calcareous

tissue beneath the enamel), or root deterioration caused by gum

recession.

Seniors are more prone to periodontal disease (gum disease)

resulting from improper dental hygiene practices, poor diet, ill-fitting

Dental Implants 101

45 | P a g e

dental appliances and/or diseases such as cancer or diabetes. In fact,

the supporting bone structure for the teeth, including the jaw, may

shift, which can play havoc on a senior's bite and may contribute to

tooth decay.

Seniors are also more likely to suffer from inflammation of gum

tissue, dry mouth syndrome (often caused by medications), root

surface decay or oral thrush (a fungal disease causing ulcers and

whitish spots on membranes of the mouth due to its effect on the

immune system).

Dental Hygiene for Seniors

Brush, floss and rinse with mouthwash properly to maintain

dental hygiene, as instructed by your dentist.

Look into special toothbrushes to clean hard-to-reach areas of

the mouth.

Know the warning signs that indicate your mouth, teeth or

gums may be in jeopardy, including tooth sensitivity, teeth

grinding, pain, mouth sores, bumps (see oral cancer), swelling,

loose teeth, jaw popping or clicking, difficulty quenching

thirst, swallowing or chewing (dry mouth syndrome).

Visit your dentist as often as he or she recommends for regular

dental hygiene checkups.

Maintain dental appliances such as dentures and dental bridges

properly.

Dr. Tarantola recommends natural products such as xylitol and

licorice root to prevent decay and MI paste (calcium and

phosphate) to strengthen the root surface.

Dental Implants 101

46 | P a g e

Consider seeing your dentist before and after surgery.

Tell your dentist about any medications that you are taking or

changes to medication.

If brushing and flossing are difficult for you, try to elongate the

toothbrush with tongue depressors or something similar, or ask

for assistance. You may also try using a soft washcloth or

gauze to remove debris from the teeth, rinsing frequently. Use

this method until you are able to brush your teeth again. People

suffering from arthritis or a similar medical condition that

limits manual dexterity can try inserting the back end of a

toothbrush into a standard tennis ball for better

maneuverability. Dr. Tarantola may recommend other such

innovations designed to make the practice of oral hygiene

simple and effective

Full Mouth Reconstruction

Full mouth reconstruction, full mouth rehabilitation, and full

mouth restoration are terms often used interchangeably to describe the

process of rebuilding or simultaneously restoring all of the teeth in

both the upper and lower jaws.

Dental Implants 101

47 | P a g e

Full mouth reconstruction typically involves Dr. Tarantola’s

restorative expertise (performing procedures like crowns, bridges and

veneers), and can incorporate dental specialists like periodontists

(specializing in the gums), oral surgeons, orthodontists (specializing in

tooth movements and positions) and endodontists (specializing in the

tooth pulp).

The need for full mouth reconstruction may result from:

Teeth that have been lost due to decay or trauma.

Teeth that have been injured or fractured.

Teeth that have become severely worn as a result of long-term

acid erosion (foods, beverages, acid reflux) or tooth grinding.

Ongoing complaints of jaw, muscle, and headache pain

requiring adjustments to the bite (occlusion).

Tooth Restoration

Bonding: The bonding process is applicable in almost every dental

procedure performed today. It is accomplished in one visit to the

dentist. No mold-taking, no "temporary," no lab-fabrication. It may

take care of chips, gaps between the teeth, staining, splotches from

wearing braces, crookedness or even teeth whose shapes are

Dental Implants 101

48 | P a g e

displeasing. Plus, it's less expensive than procedures needing the lab

technician.

Dental Bridges: Dental bridges, dental implants, and partial

dentures are used to replace missing teeth that would otherwise

adversely affect your mouth. The negative effects of one or more

missing teeth can include the shifting of other teeth to accommodate

for the open space, a change in the bite that may affect your ability to

eat, a speech impediment, and an increased risk for periodontal disease

and tooth decay.

Dental Crowns: Whether a crown is needed for tooth cracks,

excessive tooth decay, damaged tooth protection, teeth grinding,

missing teeth, need for beautification or an improper bite resulting

from the natural wear and tear produced by aging, dental crowns of

today can satisfy your functional and esthetic needs. The purpose of a

dental crown is to encompass and protect a needy tooth with a custom-

designed tooth material, much like a fitted cap.

Dental Crown Dentists: Both the dentist and the laboratory

technologist play a role in the design and treatment outcome of a

crown. Art and science are important factors in designing the proper

anatomical features of the crown to provide the best possible fit in the

mouth. Dr. Tarantola performs these treatment options; be aware the

level of expertise varies among dentists.

Dental Fillings: Dental fillings are used to repair minimal tooth

fractures, tooth decay, or otherwise damaged surfaces of the teeth.

Dental filling materials may be used to even out tooth surfaces for

better biting or chewing. In many cases, individuals with enamel loss

resulting in tooth sensitivity will notice a significant improvement or

complete elimination of sensitivity once the appropriate dental filling

material is placed.

Dental Implants 101

49 | P a g e

Dental Filling Materials: You have many choices when it comes

to restoring damaged or decayed teeth, even down to the type of dental

filling material to use. Dr. Tarantola uses no metals, only

biocompatible composites and porcelains.

Dental Implants: In many cases, dental implants may be the only

choice to restore all necessary functions of the teeth and supporting

structures. An implant can replace a single missing tooth and multiple

implants can be used to support a dental bridge for the replacement of

multiple missing teeth. Implants can also be used to increase the

retention of dentures, helping to minimize gum irritation. Another

implant advantage is that they do not require the preparation of

adjacent teeth that would be necessary for bridgework. How much do

dental implants cost?

Dental Implant Cost and Candidacy: The cost of dental implants

depends on many factors, including the type of implantation, the

dentist performing the procedure, the location where it is performed,

the material used and the amount of dental insurance you have or don’t

Dental Implants 101

50 | P a g e

have. Determining your candidacy is a process that starts with a

comprehensive oral health evaluation and sitting down with each and

every person involved throughout the entire process to determine the

final cost factor. When you are being given estimates make sure you

are told the total cost of every procedure you will need to make your

dental implant(s) complete.

Bridging the Gap with a Dental Bridge

One or more missing teeth can adversely affect the appearance and

functionality of your smile. Missing teeth can cause a change in

occlusion (bite), shifting of the teeth, temporomandibular joint

disorder (TMJ), speech impediments, an increased risk for periodontal

disease and a greater chance of tooth decay.

Dental bridges, like implants and partial dentures, are used to

replace missing teeth. There are several types of fixed dental bridges

(cannot be removed), including conventional fixed bridges, cantilever

bridges and resin-bonded bridges.

Typically, conventional and cantilever bridges require shaping of

the teeth surrounding a missing tooth. Crowns are then placed on the

shaped teeth and attached to an artificial tooth (called a pontic).

A resin-bonded bridge requires less preparation of adjacent teeth. It

is often used to replace front teeth, provided that the gums are healthy

and the surrounding teeth do not have extensive dental fillings.

Dental Bridges Consultation and Treatment Planning

Once Dr. Tarantola has determined that a dental bridge is the best

replacement for your missing tooth or teeth, you will be advised of

different materials that the dental laboratory can use to make your

restoration. Material availability will depend upon where in the mouth

the bridge will be placed, whether or not you grind or clench your

Dental Implants 101

51 | P a g e

teeth (bruxism), your dental insurance coverage, and other factors

outlined by your dentist. Dental bridges today can be fabricated from

high-strength metal-free materials such as zirconia.

Dr. Tarantola will take X-rays and impressions of the area

requiring a bridge, as well as preoperative photographs, for use in

planning the ideal bridge restoration for you. Depending upon the

number of consecutive teeth you are missing, your bridge could be

three or more units; two crowns that are cemented to the teeth on

either side of the space (called abutments), plus one or more false teeth

(called pontics) to fill the space. Additional impressions will be taken

after your dentist prepares the abutment teeth for the bridge.

Dental Crowns: Preserve Damaged Teeth with a Crown

Dental crowns, also known as "caps," preserve the functionality of

damaged teeth. A dental crown may be used to protect a cracked tooth,

restore functionality of a tooth with excessive decay or replace a pre-

existing crown. The purpose of a dental crown is to encase a needy

tooth with a custom-designed material. Dr. Tarantola today has a

variety of conservative treatment options through which to restore

teeth. If possible, these options should be explored and discussed

before selecting the full coverage crown.

Dental Implants 101

52 | P a g e

Dental Crowns Consultation and Treatment Planning

If tooth decay or damage is so extensive that veneers, direct

composite bonding or other conservative treatments aren't viable

treatment options — or if you have undergone root canal therapy —

Dr. Tarantola will consult with you about dental crowns. Whether used

to restore a damaged tooth or to create a lifelike tooth replacement for

an implant, crowns can be fabricated in dental laboratories or in your

dentist's office, depending upon the crown material.

Part of your dental crown consultation may involve taking

impressions of your existing tooth (or teeth) as a basis for creating the

shape and size of your crown restoration(s). If dental crowns will be

used as part of a smile makeover, these impressions are used to make

models for designing the new length, shape and alignment of your

teeth, so that you can preview your new smile before committing to

treatment.

Dr. Tarantola also will describe the tooth preparation process, as

well as your options with regard to local anaesthesia (to numb your

teeth and surrounding areas) and sedation dentistry, if necessary. If

your dental crown treatment involves placement of a temporary crown,

your dentist will advise you of how long you will need to have the

temporary in place and what hygiene steps to take to ensure

functionality.

The Dental Crown Clinical Procedure

During the dental crown procedure, Dr. Tarantola prepares the

tooth and makes a molded impression of the teeth to send to a dental

laboratory. A fitted, temporary crown is created during this visit to

temporarily protect the tooth while the final restoration is being made

in the dental laboratory. Once completed, the tooth crown is cemented

or adhesively bonded at a later visit.

Dental Implants 101

53 | P a g e

A recent technology, CAD/CAM technology (computer-aided

design/manufacturing technology) has evolved to display a 3-D picture

of the teeth. A restoration is then created through milling of a ceramic

block. If this technology is located in the dental office (chair-side

CAD/CAM), there will be no need for a temporary crown or return

visit for the final cementation.

Dental Fillings

A dental filling is a type of restorative dentistry treatment used to

repair minimal tooth fractures, tooth decay or otherwise damaged

surfaces of the teeth. Dental filling materials, which include

composite, porcelain, but never silver/mercury in Dr. Tarantola’s

practice , may be used to even out tooth surfaces for better biting or

chewing.

Enamel loss is a common component of tooth decay and may

result in tooth sensitivity. In many cases, tooth sensitivity caused by

enamel loss will be significantly improved or completely eliminated

once an appropriate dental filling material is placed. However in some

cases, depending on the extent of tooth decay or damage, the affected

tooth may require additional or alternative procedures, including:

Dental Fillings Consultation and Treatment Planning

Dental Implants 101

54 | P a g e

One of the more common oral health issues discovered during

scheduled cleanings is decay. Dr. Tarantola will examine suspect teeth

using a dental probe and sometimes the Diagnodent, as well as take an

X-ray and digital photos to determine the extent and exact location of

the cavity and decay.

Once it is determined that a filling is needed, Dr. Tarantola will

advise you of your options for filling and sealing the cavity to prevent

further decay and damage to the tooth. Based on your medical history,

location of the cavity, esthetic needs, biting force, durability, cost,

number of visits necessary and your preference, your dentist will

decide which filling option is best for you. These options include

direct composite bonding, or porcelain inlays/onlays created in a

dental laboratory, or using in-office CAD/CAM equipment.

Depending on what your best option is, your dentist may be able to

complete your filling immediately. In preparation for treatment, the

area surrounding the affected tooth will be anesthetized (numbed)

using a local anaesthetic.

Ensuring Fit and Comfort

Tooth restorations must feel comfortable. An ill-fitting tooth

restoration may affect the outcome and longevity of the procedure. Ill-

fitting restorations can house bacteria that may cause tooth decay.

Dental technicians use sophisticated equipment like articulators and

high-powered microscopes to ensure the dimensional accuracy of each

restoration and corresponding occlusion. Such assurances help

determine the look, feel and fit of your restoration(s), yielding optimal

fabrication.

Dental Implants 101

55 | P a g e

The lab technician's familiarity with and comfort in using the

materials impact the fit and comfort of the restoration. Because of this,

you may wish to discuss certain dental lab issues with Dr. Tarantola,

such as:

Are the materials used in each dental procedure of the highest

quality?

What are the experiences and education of the dental

technician?

Does the dentist work and communicate with a specific dental

lab technician, or does the dentist use a large commercial

dental laboratory?

Does the laboratory outsource the work overseas? In such

cases, dentists have no control over the quality of the materials

used in fabrications.

Dental Implants 101

56 | P a g e

Dental Implants 101

57 | P a g e

Preventive Dentistry:

Care Today, Savings Tomorrow

If you don't take care of your teeth and properly manage your oral

health, you may find yourself forking over thousands of dollars in

restorative dental care. Did you know that a full mouth reconstruction

can cost between $45,000 and $80,000? By practicing preventive

dentistry, you can safeguard yourself from these dental costs.

Preventive dentistry emphasizes the importance of ongoing

hygiene procedures and daily practices to prevent tooth decay and

other dental diseases and conditions. Effective preventive dentistry

combines at-home oral care by patients with chair-side treatments and

counselling by dental professionals.

For example, the American Dental Association (ADA)

recommends a minimum of two dental checkups each year for

professional cleaning and management of any developing conditions.

Adhering to this recommendation can help your dentist stop dental

disease in its earliest stages, protecting your smile and limiting your

expenses.

Early Prevention

Dental Implants 101

58 | P a g e

Begin daily tooth cleaning as soon as your child's first tooth erupts.

Visit a pediatric dentist when the first tooth erupts, or no later than 12

months of age, to establish a comprehensive oral health prevention

program for your child.

Preventive Dentistry Strategies

Preventive oral care strategies for children and adults include a

number of in-office and home care activities, including:

At-home oral hygiene. The most important prevention technique

is brushing and flossing at least twice a day (or after every meal) to

remove dental plaque, a film-like coating that forms on your teeth. If

not removed, plaque can build up and produce dental tartar, a

hardened, sticky substance with acid-producing bacteria that cause

tooth decay and lead to gum disease.

Cavity Prevention Product use. Xylitol products, licorice root,

MI paste (calcium and phosphate) are excellent natural products. Dr.

Tarantola avoids the use of fluorides.

Dental Implants 101

59 | P a g e

Diet. A balanced diet is a dental health essential. Foods with

sugars and carbohydrates feed the bacteria that produce dental plaque;

while calcium-poor diets increase your chances of developing gum

(periodontal) disease and jaw deterioration.

Regular dental visits. Since most dental conditions are painless at

first, if you don't visit your dentist regularly you may not be aware of

dental problems until they cause significant damage. For best results,

schedule regular dental check-ups every six months; more often if

you're at higher risk for oral diseases. Your dentist should also perform

oral cancer screenings to check for signs of abnormal tissues.

Especially for children, checking oral growth and development

(including an assessment for caries development) should be part of

dental evaluations.

Dental cleanings and screenings. A dental cleaning (prophylaxis)

is recommended every six months to remove dental plaque and stains

you're unable to remove by yourself, as well as to check for signs of

tooth decay.

X-rays. X-rays enable dentists to look for signs of dental problems

that are not visible to the naked eye, such as cavities between teeth and

problems below the gum line.

Dental Implants 101

60 | P a g e

Mouth guards. Mouth guards – particularly a custom-made mouth

guard prescribed by your dentist to provide a better fit – can be worn

during sports activities to protect against broken teeth. Mouth guards

are also used to treat teeth grinding (bruxism), which can wear down

teeth and contribute to temporomandibular joint (TMJ) disorder.

Orthodontics. A bad bite (malocclusion) can impair eating and

speaking; while crooked teeth are also very hard to keep clean.

Correcting an improper bite with orthodontics that may include the use

of dental braces or clear teeth aligners (invisible braces), such as

Invisalign™ or Invisalign Teen™, limits the possibility of future

dental problems.

Sealants. Sealants are thin composite coatings placed on the

chewing surfaces of back permanent teeth to protect your child from

tooth decay.

Avoid smoking and drinking. Smoking, chewing tobacco and

alcohol consumption can negatively affect your oral health. Apart from

dry mouth, tooth discoloration and plaque build-up, smoking causes

gum disease, tooth loss and even oral cancer.

Dental Implants 101

61 | P a g e

Oral health management. Consistent dental care for chronic

dental diseases/conditions is essential for arresting or reversing their

harmful effects.

Patient education. Patients who understand the outcome of poor

dental health are likelier to see their dentist for preventive dentistry

treatments. Instilling excellent oral hygiene habits significantly helps

ensure a lifetime of good dental health.

Dental Implants 101

62 | P a g e

Dental Implants 101

63 | P a g e

What Mouth Conditions

Might Require a Dental Implant?

If you are missing a tooth or teeth, or even parts of your jaw, these

could be replaced with dental implants. First, there are a few very

important factors that must be considered.

Research and practical experience have shown that implants work

best when there is enough dense, healthy jaw bone in a mouth that will

support an implant.

Healthy, disease-free gum tissues are also necessary. The long-

term success of a dental implant depends upon keeping the gums and

bone around the implant healthy. People who have implants must keep

them clean and should return regularly to their dentist for check-ups;

because any problems that might threaten the health of the implant

must be corrected.

Dental Implants 101

64 | P a g e

Dental Implants 101

65 | P a g e

Timetable of a Typical Course of

Implant Treatment

Examination and Diagnosis

Within 6 months

before surgery..... X-rays

Other tests

Impressions

Stage 1 Surgery

Date of surgery..... Implants placed in jaw

4 to 5 days after surgery..... Swelling disappears

7 days after surgery.....

Old denture is lined with soft

material for continued

wearing

10 to 14 days after surgery..... Sutures dissolve or are

removed

4 to 6 weeks after surgery..... You must eat a soft diet

during this time period

3 to 6 months after surgery..... Healing is completed

Dental Implants 101

66 | P a g e

Stage 2 Surgery (Not Required for Some Implant Types)

Day of surgery..... Implants uncovered

Osseointegration checked

Abutments placed

Healing caps or revised denture

placed

X-rays to check implant-abutment

connection

4 to 5 days after surgery..... Impressions of mouth made

10 to 14 days after

surgery..... Sutures dissolve or are removed

Restorative Treatment

1 month after Stage 2

Surgery..... New prosthesis is completed

Temporary seating of new

teeth on implant abutments

Final attachment of prosthesis

Dental Implants 101

67 | P a g e

Follow-up Care

1 month, 3 months, and 6 months

after restorative treatment (and

yearly thereafter).....

Follow-up examinations

Dental Implants 101

68 | P a g e

Dental Implants 101

69 | P a g e

Summary of Dental Implants

Dental implants are not something that everyone can afford. They

are also not something that everyone can have done, even if they can

afford the cost. There are a lot of “ifs” involved in whether your mouth

can accept dental implants and if your body is healthy enough to go

through the trauma involved. Bone structure, gum condition, and much

more go into the decision as to whether or not dental implants can be a

part of your oral health.

Dental implants are a form of surgery and it is not something you

go into without being fully aware of everything involved. You should

know not only the costs involved, but the risks involved, the ability for

your body to accept the implants, and if you are a good candidate for

the procedure.

You will work closely with Dr. Tarantola to assure that you have

an excellent and quality team behind your dental implants if you

should choose to have them put in. Most of all you want to be sure you

fully understand what your job is once the implants have been put in. It

is important that you care for your dental implants properly and you

feel comfortable with each and every aspect of having dental implants

put in your mouth.

It’s probably very true to say that dental implants are the most

realistic way to replace teeth; however it is also probably the most

expensive way also. In the end you should be happy with how they

look and feel; while most of all feeling as if you have a mouth full of

natural teeth at some point in time (especially after you have fully

healed). Dental implants are the closest thing to having real teeth as

you can probably have. They are a part of your body and feel very real.

Unlike dentures, partials, or other semi-permanent or non-permanent

Dental Implants 101

70 | P a g e

fixes they don’t come out for care and don’t slip when talking or

eating. This alone makes them well worth their price to many.

Dental implants are an excellent choice for people who find it hard

to keep dentures in their mouth without suffering from an intense

gagging reflex. They are also a wonderful way to have your

confidence back in your smile; without worry of slippage or

movement.

When your dental implants are complete you should walk away

with a confident and healthy smile that makes you feel like a million

dollars!