What are Dental Implants?

Dental Implants are a great long term option to replace missing teeth.  They are composed of titanium metal and are surgically placed in the jaw bone.  During the healing process the bone is fusing around the implant to provide a nice solid foundation.  Implants can replace one single missing tooth, multiple teeth, or can be used to anchor a denture. We offer a complimentary consultation to determine if you are a candidate for this procedure.

The brand of implants used is Nobel Biocare which is one of the leaders in the implant industry.  Please click on this link to view more about implants.

Clinical Examination
  • Amount bone height-width
  • Amount soft tissue
  • Quality bone
  • Occlusion – bite
  • Age – No upper limit – Best to wait until cessation of facial growth

Single Implants

Single Implants 3

Denture Implants

Radiographic Examination
  • Panoramic Radiograph
  • Tomogram
  • CT Scan
  • Computer guided surgery software
Implant Surgery Overview
  • Stage I: Implant placement/Sealing Screw
  • Stage II: Implant uncovered healing cap
  • Stage III: Prosthetic phase/crown-denture fabrication
Surgical Guide Template
  • Ensure proper function and esthetics

Computer Guided Implant Surgery
  • Prosthetic driven
  • Cost-benefit unique each case
Bone Reconstruction Options
  • Alveolar Ridge Augmentation
  • Bone grafting – autogeneous, alogenic, xenogenic
    • Blockgraft
    • Socket presentation
  • Sinus grafting

Patient Assessment
  • Chief complaint
  • Goal of therapy
  • Clinical Exam
  • Radiographic Exam
  • Predictions Tracings
  • Model Analysis
Frontal Evaluation
  • Faciaal balance/symmetry
    • Thirds and Fifths
    • Midlines
      • Noe, mailla, madible, chin
      • Toth-to-lip (incisor display)
      • Interpupillary (hypertelorism), Intercanthal (telecanthus) distance
Smile Esthetics: Factors
  • Length of clinical crown (nml: 9-12 mm)
  • Length of upper lip
  • Age Lengthens the lip and reduces incisor display
  • Vermillion show
  • Animation during smiling
  • Treat to rest, not smile, to avoid overimpaction
Profile Evaluation
  • Dolicocephalic, brachycephalic, mesocephalic
  • Flat, concave, convex (Gl-Sn-Pg): red
  • Facial convexity angle (Gl-Sn-Pg: 13 degrees, nml = convex)
  • Facial 3rds: trichion-Gl-Sn-neton: blue
  • Angles: fontonasal, nasolabial, labiomental, neck-chin-throat angles
  • Nasal morphology-dorsum
  • Chin position
    • Zero meridian (N perp to FH” Pg +/- 4mm)
    • HOldaway ratio (N:B:I)
Genioplasty: Technique
  • Incision
  • Identify, don’t ‘skeletonize,’ mental nerves
  • Midline, lateral score marks
  • Osteotomy 5 mm below tooth apices & mental nerve
  • Angulation of cut (Depends on planned movement)
  • Downfracture (release ‘wings’)
  • Fixation (plate, screws, wire)
  • Layered closure (mentalis)
Profile Analysis

Max Surgery, Mand Surgery, Genioplasty, Asymetry