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 Oral and Maxillofacial Surgery with offices in:
 Huntington and Centereach New York



Implants 
 

Why Dental Implants?

Once you learn about dental implants, you finally realize there is a way to improve your life.  When you lose several teeth - whether it’s a new situation or something you have lived with for years - chances are you have never become fully accustomed to losing such a vital part of yourself.

Now you can start over!  With titanium tooth roots your dentist can offer replacement teeth that look, feel and function just like natural teeth.  Dental implants can be your doorway to renewed self-confidence and peace of mind.

Dental implants fuse with the jawbone to form a secure foundation for tooth replacement.  This concept for oral rehabilitation was developed more than thirty-five years ago by a Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark.  With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.

Bone Grafting
This section will help you better understand what bone grafting and GRB are, what options are available to you and what benefits you may gain from these procedures.
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Implants

Please click on the title to go to that section.
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Single Tooth Replacement implant_solution_single.jpg (11860 bytes)
Anterior Replacement implant_solution_anterior.jpg (13078 bytes)
Posterior Replacement  implant_solution_posterior.jpg (18690 bytes)
Full Upper Replacement  implant_solution_full_upper.jpg (23883 bytes)
Full Lower Replacement  implant_solution_full_lower.jpg (20474 bytes)
The hope of restoring something important that’s been lost, especially in the human body, is an exciting possibility.  With Nobel Biocare implants, it’s not just a hope.  It’s a reality.
Single Tooth Replacement

What One Tooth Can Restore:
A missing single tooth surrounded by healthy teeth has unique demands.  The challenge is to replace your missing tooth for both function and appearance, without harming your remaining teeth or gum tissue.

Appearance
Besides good function, the ideal replacement must look like a natural tooth, both to you and to others.  The solutions possible with a Nobel Biocare implant supported crown take advantage of the best appearance possibilities available in dentistry.

Confidence
The ideal replacement for your missing tooth must also feel like a natural tooth and be easy to keep clean.  Knowing your tooth is stable while eating and talking means a lot.  You’ll also be glad your treatment didn’t require grinding your remaining natural teeth.

Security
The long term safety of single-tooth replacement is well established.  Your doctor will discuss with you a treatment plan for long term results.

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The Treatment Steps:

1. The first step is the placement of the titanium implant. The implant will remain covered underneath the gum for approximately 3 to 6 months. During this time, the implant should fuse to the done.
implant_st_treatment1.jpg (11123 bytes)
2. The second step of the procedure involves uncovering the implant and attaching a post. This completes the foundation on which your new tooth will be placed. In some instances, your surgeon may decide to place the post at the tie of the initial surgery.
implant_st_treatment2.jpg (11583 bytes)
3. The final step is the placement of your new tooth by your dentist. With techniques that ensure optimal size, shape, color and fit, this replacement tooth should blend with your remaining teeth. implant_st_treatment3.jpg (10552 bytes)
Anterior Replacement

What Can be Restored?
Missing front teeth have unique demands.  The challenge is to replace your missing teeth for both appearance and function without harming your remaining teeth or gum tissue.

Appearance
Besides good function, the ideal results must look like your natural teeth both to you and to others.  The solutions possible with Nobel Biocare products offer the best appearance possibilities available in dentistry.

Confidence
The ideal replacement for your missing teeth must also feel like natural teeth and be easy to clean.  Knowing your teeth are stable during eating and talking means a lot.  You’ll also be glad your treatment did not require grinding on your remaining natural teeth.

Security
The long term safety of replacing your lost teeth with dental implants is well established and your doctor will discuss with you a treatment plan for long term results.

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The Treatment Steps:

1. The first step is the placement of titanium implants to replace your lost teeth.  These implants will remain covered underneath the gum for approximately 3 to months.  During this time, the implants should fuse to the bone. implant_anterior_treatment1.jpg (10268 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant.  This completes the foundation on which your new teeth will be placed.  In some instances, your surgeon may decide to place the posts at the time of surgery. implant_anterior_treatment2.jpg (12545 bytes)
3. The final step is the placement of your new teeth by your dentist.  With techniques that ensure optimal size, shape, color and fit, your replacement teeth should blend with your remaining teeth. implant_anterior_treatment3.jpg (10671 bytes)
Posterior Replacement 

What Can be Restored?
Missing front teeth have unique demands.  The challenge is to replace your missing teeth for both appearance and function without harming your remaining teeth or gum tissue.

Appearance
Besides good function, the ideal results must look like your natural teeth both to you and to others.  The solutions possible with Nobel Biocare products offer the best appearance possibilities available in dentistry.

Confidence
The ideal replacement for your missing teeth must also feel like natural teeth and be easy to clean.  Knowing your teeth are stable during eating and talking means a lot.  You’ll also be glad your treatment did not require grinding on your remaining natural teeth.

Security
The long term safety of replacing your lost teeth with dental implants is well established and your doctor will discuss with you a treatment plan for long term results.

Top of Page

The Treatment Steps:

1. The first step is the placement of titanium implants to replace your lost teeth. These implants will remain covered underneath the gum for approximately 3 to months. During this time, the implants should fuse to the bone. implant_pos_treatment1.jpg (14808 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant. This completes the foundation on which your new teeth will be placed. In some instances, your surgeon may decide to place the posts at the time of surgery. implant_pos_treatment2.jpg (17819 bytes)
3. The final step is the placement of your new teeth by your dentist. With techniques that ensure optimal size, shape, color and fit, your replacement teeth should blend with your remaining teeth.
implant_pos_treatment3.jpg (15922 bytes)
Full Upper Replacement 

What Can be Restored:
Life with a full denture means more than just missing your teeth.  Problems associated with a denture extend far beyond tooth loss, affecting comfort, ability to chew foods, even self-image and social considerations.  The challenge is to provide stable function, without using denture adhesives, that will fulfill your expectations for appearance, confidence and security.

Appearance
Besides good function, the ideal results must look like natural teeth both to you and to others.  The solutions possible with Nobel Biocare products offer the best appearance possibilities available in dentistry.

The Treatment Steps:

1. The first step is the placement of titanium implants to replace lost teeth. These implants will remain covered underneath the gum for approximately 6 months. During this time, the implants should fuse to the bone. implant_fu_treatment1.jpg (16543 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant. This completes the foundation on which your teeth will be placed. In some instances, your surgeon may decide to place the posts at the time of surgery. implant_fu_treatment2.jpg (24610 bytes)
3. The final step is the placement of your new teeth by your dentist. With techniques that ensure optimal size, shape, color and fit, your replacement teeth should blend with your facial characteristics while providing support needed for natural appearance. implant_fu_treatment3.jpg (20506 bytes)

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Confidence
The ideal replacement for missing teeth must also feel like natural teeth and be easy to clean.  It is important for you to know your teeth are stable while eating, allow you to speak properly, and eliminate the bulkiness and sore gums sometimes associated with dentures.

Security
The long-term safety of replacing your lost teeth with dental implants is well established and your doctor will discuss with you a treatment plan designed just for you.

Patient Removal Option:

1. The first step is the placement of titanium implants to replace lost teeth. These implants will remain covered underneath the gum for approximately 3 to 6 months. During this time, the implants should fuse to the bone. implant_fu_removal1.jpg (20947 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant.  implant_fu_removal2.jpg (26902 bytes)
3. The final step is the placement of your new teeth by your dentist. First a bar or other attachment will be affixed to the posts, completing the foundation on which your removable restoration will be placed. With techniques that ensure optimal size, shape, color and fit, this removable restoration will blend with your facial characteristics, while providing support needed for natural appearance.
implant_fu_removal3.jpg (21349 bytes)
Full Lower Replacement 

What Can be Restored:
Life with a full denture means more than just missing your teeth.  Problems associated with a denture extend far beyond tooth loss, affecting comfort, ability to chew foods, even self-image and social considerations.  The challenge is to provide stable function, without using denture adhesives, that will fulfill your expectations for appearance, confidence and security.

Appearance
Besides good function, the ideal results must look like natural teeth both to you and to others.  The solutions possible with Nobel Biocare products offer the best appearance possibilities available in dentistry.

The Treatment Steps:

1. The first step is the placement of titanium implants to replace lost teeth. These implants will remain covered underneath the gum for approximately 3-6 months. During this time, the implants should fuse to the bone. implant_fl_treatment1.jpg (12051 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant. This completes the foundation on which your teeth will be placed. In some instances, your surgeon may decide to place the posts at the time of surgery. implant_fl_treatment2.jpg (17838 bytes)
3. The final step is the placement of your new teeth by your dentist. With techniques that ensure optimal size, shape, color and fit, your replacement teeth should blend with your facial characteristics while providing support needed for natural appearance. implant_fl_treatment3.jpg (16384 bytes)

Top of Page

Confidence
The ideal replacement for missing teeth must also feel like natural teeth and be easy to clean.  It is important for you to know your teeth are stable while eating, allow you to speak properly, and eliminate the bulkiness and sore gums sometimes associated with dentures.

Security
The long-term safety of replacing your lost teeth with dental implants is well established and your doctor will discuss with you a treatment plan designed just for you.

Patient Removal Option:

1. The first step is the placement of titanium implants to replace lost teeth. These implants will remain covered underneath the gum for approximately 3 to 6 months. During this time, the implants should fuse to the bone. implant_fl_removal1.jpg (13754 bytes)
2. The second step of the procedure involves uncovering the implants and attaching a post to each implant. implant_fl_removal2.jpg (21053 bytes)
3. The final step is the placement of your new teeth by your dentist. First a bar or other attachment will be affixed to the posts, completing the foundation on which your removable restoration will be placed. With techniques that ensure optimal size, shape, color and fit, this removable restoration will blend with your facial characteristics, while providing support needed for natural appearance. implant_fl_removal3.jpg (17292 bytes)

BONE GRAFTING & GUIDED BONE REGENERATION

Today, more than ever, advances in medicine and dentistry have led to new and expanded areas of treatment.  Two such areas, bone grafting and guided bone regeneration (GRB) in the jaw bones and around teeth, have recently experienced tremendous growth.  Procedures to repair and grow new bone, unheard of just a few years ago, are now part of routine dental surgical car.  This material will help you better understand what bone grafting and GRB are, what options are available to you and what benefits you may gain from these procedures.

What are bone grafting & GBR?
Bone grafting is a surgical procedure that replaces missing bone with a material called a bone graft.  This material not only replaces missing bone, but also helps your body regrow lost bone.  This new bone growth strengthens the grafted area by forming a bridge between your existing bone and the graft.  Over time the newly formed bone will replace much of the grafted material.   GBR is a procedure in which a membrane is placed over the bone graft site.  This membrane further encourages new bone to grow and also prevents the growth of scar tissue into the grafted site.

Why are bone grafts & GBR needed?
Bone grafts & GBR are needed when a part of your body is missing bone.  This missing portion of bone is frequently called a “bony defect”.  Examples of jaw bone defects are:  defects surrounding roots of teeth (periodontal defects); defects which occur following tooth extraction; generalized decrease in quantity of jaw bone from trauma or long-term tooth loss; defects surrounding dental implants; defects resulting from cyst or tumor surgery.

Jaw Bone Defects Requiring Grafting & GBR
bone_graft_periodontal.jpg (18180 bytes)
Periodontal Defects
bone_graft_cyst.jpg (17595 bytes)
Defects Following Cyst or Tumor Surgery
bone_graft_extraction.jpg (17145 bytes)
Defects Following Tooth Extraction
bone_graft_implants.jpg (17318 bytes)
Defects Around Dental Implants
Insufficient Amount of Jawbone to
Support Dentures or Bridges
bone_graft_normal.jpg (17178 bytes)
Normal Jaw Bone
bone_graft_deficient.jpg (12495 bytes)
Deficient Jaw Bone

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How are bone grafting & GBR procedures performed?

1. The tooth is removed and the remaining tooth socket is thoroughly cleaned of all inflamed and infected tissue. bone_graft_step1.jpg (16746 bytes)
2. An appropriate bone grafting material is carefully placed into the extraction socket. bone_graft_step2.jpg (17565 bytes)
3. GBR membrane is often placed over the grafted material. bone_graft_step3.jpg (17290 bytes)
4. Sutures placed into the gum tissue allow proper healing of the surrounding soft tissues. bone_graft_step4.jpg (13636 bytes)

Are bone grafting & GBR painful procedures?
These procedures are usually done in the doctor’s office under local anesthesia or local anesthesia with I.V. sedation or occasionally general anesthesia.  The procedures themselves are without pain.  Post-operatively, there will be some swelling and some mild to moderate discomfort, especially from other procedures performed, such as tooth extraction, cyst removal, etc.  Your doctor will prescribe an oral analgesic to help relieve your discomfort.  If a more invasive second procedure is required to obtain bone (ie. From your hip, chin area, etc.) then your post-operative discomfort will be increased but still manageable.

What special care is required after my grafting procedure?
Generally, the same prudent care required after any dental surgical procedure will be sufficient following jaw bone grafting & GBR.  The area must be kept clean, often with the help of a prescribed mouth rinse.  An antibiotic, if prescribed by your doctor, must be taken.  Antibiotics, however, are not always required.  Undue pressure over the grafted site must be avoided until new bone is well on its way to being formed.  This means that previous dental prostheses, such as a removable full or partial denture, must be altered by your dentist following the grafting procedure.  And finally, brush and floss your teeth as you normally do. However, avoid the gum tissues surrounding the bone graft until they are well healed (usually about six weeks).

How successful are bone grafting & GBR?
Recent advances in technology have dramatically increased the success of these procedures, leading to bone formation and resolution of the defect.  However, depending upon the reason needed for these procedures, success rates will vary.  Also, different graft & GBR materials seem to affect the amount of new bone formed.  And finally, your own overall health will also help determine the degree to which new bone will form within the grafted site.

Are there different types of bone grafts & GBR membranes?
Yes.  Some grafts are taken from different parts of the patient’s own body (ie. From the hip bone or chin).  Other grafts come from deceased human organ donors, from synthetic materials, and from highly purified bone mineral.  Likewise, there are different types of GBR membranes.  Some are made from synthetic polymers and must be removed during a second surgery several weeks or months later.  Others are made from natural materials and are gradually resorbed (melt away) by the body.

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