IMPLANTS DENTAIRES

La dentisterie implantaire ( implantologie ) est la thérapie la plus avancée disponible pour remplacer les dents manquantes. Les restaurations d'implants dentaires ressemblent, se sentent et agissent généralement comme des dents naturelles. Les patients qui ont été traités avec des implants sont capables de mâcher tous les aliments qu'ils désirent et n'ont plus à souffrir de la gêne d'avoir des lacunes dans leur sourire ou de manipuler des appareils tels que des prothèses dentaires ou des ponts.

Que sont les implants dentaires?


Les implants dentaires sont la meilleure alternative aux dents naturelles, car ils remplacent à la fois la racine et le corps de la dent. Un implant se compose de deux parties: une cheville en acier au titane qui est implantée chirurgicalement dans la mâchoire et une couronne en porcelaine qui repose sur le dessus de la cheville et remplace efficacement la dent. S'il vous manque plusieurs dents, vous n'avez pas nécessairement besoin d'implanter une cheville pour chaque dent. Au lieu de cela, vous pouvez remplacer plusieurs dents par quelques chevilles à l'aide de prothèses partielles ou complètes sur implants.

Les implants dentaires sont utilisés avec succès depuis plus de 30 ans. La phase de développement de l'implantologie dentaire s'est terminée il y a plus de deux décennies, et des études de recherche ont clairement établi la sécurité et l'efficacité des implants dentaires.

Raisons des implants dentaires:

  • remplacer les dents manquantes

  • éliminer le besoin de prothèses dentaires

  • prévenir la perte osseuse qui survient après la perte d'une dent

  • éviter le rasage des dents saines pour un bridge

  • donner aux patients la confiance de vraies dents

  • permettre aux patients de manger tous les aliments qu'ils apprécient

Dental-Implants-Hamilton-Teeth Implant S

Êtes-vous candidat pour les implants dentaires?


Vous pourriez être candidat pour des implants dentaires si toutes les conditions suivantes s'appliquent à vous:

  • Vous êtes en bonne santé générale

  • Vous avez des gencives saines

  • Vous ne souffrez pas de perte osseuse excessive

  • Vous avez plus de 15 ans

  • Vous avez une ou plusieurs dents manquantes et vous voulez manger, parler et mâcher normalement!

Pourquoi choisir les implants dentaires?


Les implants dentaires offrent de nombreux avantages par rapport aux autres traitements pour remplacer les dents manquantes.

Tout d'abord, les implants dentaires sont le seul traitement qui freine réellement la perte osseuse de la mâchoire. Lorsque la racine d'une dent est perdue, un processus de résorption osseuse commence à se produire immédiatement car l'os de la région n'a plus de stimulation. Lorsque nous plaçons un implant dentaire, l'os se lie réellement avec le titane par le biais du processus d'ostéointégration. Une fois que cela se produit, il n'y a plus de risque de perte ou de déformation osseuse.

Les implants dentaires sont également plus confortables que la plupart des autres traitements pour les dents manquantes. Ils sont certainement plus confortables que les prothèses dentaires, qui peuvent glisser, cliquer, causer des plaies ou même tomber si les patients ne font pas attention. Les prothèses dentaires deviennent plus inconfortables à mesure que les patients vieillissent, car des changements dans l'os sous-jacent empêchent la prothèse de s'adapter correctement et les patients doivent soit obtenir un nouvel ensemble, soit vivre avec l'inconfort. Les implants dentaires, par contre, sont vraiment une solution permanente qui offrira toujours un confort et des performances supérieurs.

Les implants dentaires sont supérieurs aux ponts pour plusieurs raisons. Outre le fait qu'un bridge ne peut pas traiter la perte osseuse, un bridge peut également entraîner des problèmes avec les dents environnantes. Dans une situation où une dent est perdue et les dents adjacentes sont rasées pour un bridge conventionnel, les dents qui ont été rasées doivent maintenant prendre plus de force car la fausse dent n'a pas de racine de support. Au fil du temps, ce stress supplémentaire peut causer des problèmes au niveau des dents piliers. Dans une étude réalisée sur la longévité moyenne des ponts à trois dents, il a été constaté qu'un pont sur quatre était perdu après 15 ans. Le taux d'échec augmente avec les ponts à quatre dents. En règle générale, lorsqu'un bridge échoue, une ou les deux dents piliers sont également perdues. Bien entendu, si les dents manquantes avaient été remplacées par un implant, les dents voisines n'auraient pas été affectées.

Un autre avantage important des implants dentaires est qu'ils donnent aux patients une meilleure confiance en eux par rapport aux autres méthodes de remplacement dentaire. Dans une étude réalisée sur des patients ayant reçu des implants dentaires, 80% ont déclaré que leur santé psychologique globale s'était améliorée après avoir reçu des implants dentaires. C'est probablement parce que les implants dentaires permettent aux patients de profiter pleinement de la vie. Avec les implants dentaires, les patients peuvent profiter de tous les aliments qu'ils aiment et ne se soucient jamais de leurs fausses dents dans des situations sociales. Les implants dentaires offrent aux patients une vie de meilleure mastication et plus de confiance car ils fonctionnent comme de vraies dents.

Certaines personnes pensent que les implants dentaires sont hors de leur gamme de prix, ce n'est pas forcément le cas. Réservez une consultation chez SPINEL DENTAL dès aujourd'hui pour discuter des différentes options disponibles et déterminer si les implants dentaires vous conviennent.

Combien coûte un implant dentaire?


Il peut y avoir une énorme variation des coûts des implants dentaires au Canada du bureau au bureau. D'une manière générale, les implants dentaires et les restaurations d'implants dentaires sont parmi les procédures dentaires les plus coûteuses. Les frais de base pour la pose d'un seul implant là où il existe un os approprié peuvent varier d'un minimum de 1875,00 $ à un maximum de 3200,00 $. Les frais peuvent être beaucoup plus élevés selon que l'augmentation osseuse ou la greffe osseuse est nécessaire avant que l'implant puisse être placé.
La marque des implants dentaires peut également modifier la gamme de prix.

Après l'intégration de l'implant, il y aura des procédures et des coûts supplémentaires pour le tenon en titane ou en zirconium qui s'insère dans l'implant, plus le coût de la couronne qui va sur le tenon. La combinaison post-couronne inclusive peut coûter entre un minimum de 380,00 $ et un maximum de 3000,00 $.
À mesure que le nombre d'implants augmente et que la complexité de la chirurgie augmente, les coûts augmenteront généralement.

En dentisterie, les frais peuvent varier considérablement, tout comme la qualité, en particulier en ce qui concerne les services d'implants. Étant donné que le traitement de chaque patient peut différer des autres, il est fortement recommandé d'avoir un rendez-vous pour discuter de votre traitement et des coûts exacts des implants dentaires pour votre traitement avec nos dentistes à Spinel Dental.

Implants & Surgery FAQ

What Exactly Is a Dental Implant?


A dental implant is a threaded titanium screw that is strong enough for a post to be placed inside it. Once the screw and post are placed, the dentist finishes the tooth with a cap or crown. Many people incorrectly believe that a dental implant makes up the entire replacement tooth; in fact, the implant replaces the root only. The dentist places the crown or cap on top of the replacement root.




Why Do People Get Dental Implants?


If a patient is missing a tooth or a series of teeth, a dental implant may be suggested. Missing teeth can cause a number of problems, including difficulties chewing or eating.

Once these patients get dental implants, they no longer have to struggle with gaps caused by missing teeth. These people feel more confident in their smile and can attend social functions without fear of uncomfortable situations. Dental implants give patients a beautiful smile, more confidence, and the ability to resume eating solid foods without worry.




Does the Body Ever Reject an Implant?


Very rarely does a person’s body reject a dental implant. The jawbone readily accepts the implant, and the few rejections that do occur are caused by rare allergies to the titanium alloy that makes up the implant. Another reason for implant failure comes from the patient’s care after surgery. Without great oral hygiene, regular teeth fail and eventually fall out. A dental implant is no different. Taking care of your teeth, even the implants, prevents gum decay and structure failure in the long run.




Are Dental Implants Noticeable?


No one, not even you, will be able to tell you have a dental implant. Implants are made to feel completely natural in the mouth. The dentist matches the color and shape of your other teeth to the implant. The only way to discover a dental implant involves a radiograph to show the metal that replaced the root of the tooth.




How Long Will Dental Implants Last?


Dental implants last upwards of forty years if taken care of properly. They often last a lifetime for patients that regularly brush, floss, and follow the dental recommendations made at their check-ups. While a dentist cannot guarantee the long-term success of a dental implant, the dentist can provide guidelines and suggestions to better care for your teeth. These suggestions are based on proper hygiene procedures, your own genetic history (including diseases that run in your family), and your nutritional habits. Following the recommendations put in place by your dentist ensures the implant has the best chance to last the rest of your lifetime.




What Are the Chances of Implant Failure?


Nationally, the success rate of dental implants averages about 95%. Ask your dentist to see what the practice’s personal success rate is and how regularly it performs the procedure.




When Should You Get an Implant?


Make an appointment with your dentist as soon as you lose the tooth. The implant’s success depends on the strength of the jawbone. Over time, the bone wears down and decays, leaving a weaker structure on which to affix the implant. Eventually, patients may require bone grafts before they can undergo placement of a dental implant. Avoid this lengthy process by consulting your dentist as soon as possible after the tooth falls out.




Does an Implant Require Special Care?


Implants require the same care that your natural teeth need. Scheduling regular checkups, proper oral hygiene, and a nutritious diet are the best ways to ensure your dental implant lasts a lifetime. Flossing every day is also critical to keep your dental implant healthy. Most tooth decay and loss occur because patients do not properly or regularly floss, resulting in gum decay and disease.




Is Dental Implant Surgery Painful?


Most patients manage pain by taking over-the-counter medicines like Tylenol and Advil for 2–5 days after the surgery. If a patient requires bone grafts or multiple dental implants, more significant post-operative discomfort may occur. Your dentist will evaluate and prescribe any pain medications deemed essential based on the extent of your surgery. Depending on how long the procedure will take, your doctor will choose what, if any, anesthesia to use.




How Long Does It Take to Put in a Dental Implant?


Placing a single implant may take as little as thirty minutes, while a complex surgery requiring multiple replacements can take more than 3–4 hours. After the implant is placed, the patient schedules a follow-up appointment several months later to allow the implant to properly heal and fuse with the jawbone. Then, the doctor will fit the cap or crown over the implant.




Does Smoking Affect Dental Implants?


Dental implants in smokers are four times as likely to fail when compared to implants in non-smokers. Smoking leads to gum recession and disease, making the implant structure weaken over time. Dentists recommend that patients with dental implants avoid smoking or chewing tobacco.




How Old Is too Old for an Implant?


Dental implants help patients at every age over adolescence. If a patient is too young, the jawbone may still be growing, causing issues over time with the fit and placement of the implant. But otherwise, a dental implant works for any patient that is healthy and willing to undergo a simple surgery.




How Long Does the Entire Process Take?


After the initial scheduling, the entire process takes around 6–8 months, unless more complex surgery is required. During the first appointment, your surgeon fuses the actual implant with the jawbone. Then, the surgeon covers the implant with gum tissue to allow the implant to heal properly. The surgeon sends you home after the surgery with a temporary bridge or denture (unless performing a bone graft or other complex surgery) so that your teeth appear cosmetically intact and you are able to chew food. Around 3–5 months later, you return to the dentist to have the post placed into the implant. Once the post is placed, the dentist fits you to get the right size cap or crown. Two to six weeks later, you come in for the final fittings. This may take just one appointment, or you may need to come in multiple times to ensure the correct size, color, and proportions of the new tooth.




Does the Surgery Require Time Off?


Most people go back to work the day after the surgery, although it depends on your individual experience and the difficulty of the surgery. Some people prefer to take a day off to completely recover and allow their mouth to rest after the procedure.




Are Dental Implants Safe?


Dental implants have been proven safe for patients whose health allows for the surgery. They provide a longer-lasting alternative to a bridge or dentures and restore comparatively more functionality to teeth. Patients that smoke or suffer from bone loss issues may not be good candidates for dental implants. Speak to your dentist to see if you qualify for surgery.




How Expensive Are Dental Implants?


Dental implants require a significant investment but hold up over time to make the process worth the price. Surgical fees often cost $2,000–3,000 for a single tooth, on top of the price of required crown(s) the procedure. However, ignoring the need for an implant costs much more over time. A missing tooth or prolonged use of dentures leads to bone and gum decay, while also exposing more surface area of the surrounding teeth to continuous wear and tear. Eventually, issues such as nerve exposure and bone loss cause increased discomfort for the patient. The corrective procedures done at this point are exponentially more painful and expensive for a patient. Dental implants prevent bone loss and allow patients to live a much more comfortable life.




Does Insurance Pay for Implants and Surgery?


Some carriers may at least partially cover implants, some do not provide for the surgical placement of implants. Check with your insurance provider to get a detailed look at what portions, if any, are covered in the surgical placement of dental implants. If your teeth were damaged during an accident, the implants often are covered by your medical insurance and counted as jaw reconstruction surgery. You can always use our trusted finance company long term payments option. (For more information click HERE )




What are The post-op cares of Oral Surgery?


The Day of Surgery 1. Some degree of discomfort and pain arises as numbness subsides. At the first sign of pain or discomfort, take 2-4 Advil. If you cannot take aspirin products, then take two Tylenol. Repeat every 6-8 hours as necessary. If the Advil isn’t strong enough for the pain you are having, you may take the prescribed severe pain medicine, but only in small doses and only after eating some food. Any pain medications can cause nausea and vomiting. It is very important that you have some food in your stomach before you take them.

TO REPEAT, take 2-4 Advil as the numbness wears off. Do not take the prescribed severe pain medicine unless absolutely necessary.

2. DO NOT DISTURB THE AREA OF SURGERY. The first stages of healing are aided by placing tissues at rest. Avoid vigorous chewing, excessive spitting, or rinsing as initial healing may be delayed, active bleeding restarted, or infection introduced.

3. Expect minor bleeding or OOZING from the operative site. This bleeding may continue throughout the first day. For the first hour, keep firm pressure on the area of surgery by biting on the wet gauze sponge placed in your mouth at the office. If bleeding persists, continue pressure on a fresh wet sponge for an additional 30 minutes to an hour. Biting on a moist tea bag wrapped in gauze may help control persistent oozing from the surgical site. Tea has an ingredient that promotes blood clotting.

If active bleeding should recur at any time, carefully rinse your mouth with cold water and apply a fresh wet gauze sponge to the bleeding site. Firm pressure for 15-30 minutes usually controls the problem. Should active bleeding persist, please call the office.

4. LIMIT PHYSICAL ACTIVITY during the first 24-48 hours after surgery. Over exertion may lead to postoperative bleeding and discomfort. When you lie down, keep your head elevated on a pillow.

5. PAIN FOLLOWING ORAL SURGERY will be most severe within the first 6-8 hours after the operation. To limit the amount of pain, you should take Advil before the numbness wears off. If you have to take the prescribed severe pain medication, remember to have some food intake prior to that and to start slowly. Please do not drink alcoholic beverages while taking prescription pain medication. Do not wait for the pain to become unbearable before using some form of pain medication, as then it will be more difficult to control. Moderate to severe pain usually does not last longer than 24-48 hours, and there should be no more than the slight pain or discomfort after the third day. Persistent or increasing pain 3-4 days following oral surgery may be caused by early loss of the blood clot (dry socket) or infection. If you feel that this may be happening to you, please contact us so that we can help make you more comfortable.

6. SWELLING RELATED TO THE SURGICAL PROCEDURE usually develops during the first 12-24 hours following surgery, often increasing on the second day. It should begin to subside by the third day. Swelling can be minimized a great deal by wearing an ice pack on the side of your face for 30-45 minutes every hour while you are awake during the first 24 hours following the surgery, unless you receive special instructions. Anti-inflammatory medications, such as Motrin or Advil, also help decrease swelling.

7. FLUID INTAKE IS IMPORTANT. I suggest you start with clear carbonated beverages, such as ginger ale, Seven-Up, or Sprite. Once your stomach has settled, you can advance to other fluids such as water, teas, soda, broth, soups, or juices. I suggest avoiding dairy products initially, such as milk, milk shakes, and egg nogs. Also avoid hot liquids until the numbness has worn off, and the bleeding has stopped. It is important to drink all the fluids you desire and to drink plenty of fluids.

8. AVOID USING A STRAW FOR SEVERAL DAYS as it may cause the blood clot to dislodge and delay healing.

9. FOOD SELECTION is largely a matter of your choice. Soft, cool foods that require little or no chewing are most easily tolerated at this time. A nutritious diet throughout your healing process is most important to your comfort and temperament. Hungry people become irritable and less able to deal with discomfort which can follow surgery. Since you will be taking medication, it is important to remember that eating can prevent nausea sometimes associated with certain medications. Once your stomach is settled, soups, broiled fish, stewed chicken, mashed potatoes, macaroni and cheese, and cooked vegetables can be added to your diet as your comfort indicates. Ensure, Carnation Instant Breakfast and/or yogurt supply excellent added nutrition.

10. Take any special medication such as ANTIBIOTICS we have prescribed on the specified dosing schedule. Yogurt with active cultures or acidophilus should be taken while on antibiotics to prevent diarrhea. It is important to take the antibiotics to completion. If you are given antibiotics and take birth control pills, you should be aware that the birth control pill may become ineffective, therefore take appropriate precautions.
11. Take any regularly scheduled medication (for diabetes, high blood pressure, etc.) on your regular schedule unless advised to do otherwise.

12. TRY TO AVOID SMOKING COMPLETELY, as it tends to slow the healing process and may also contribute to development of a dry socket.

13. DO NOT DRIVE AN AUTOMOBILE for 24 hours following surgery if you have had intravenous sedation, or if you are taking prescription pain medication.

14. IF YOU WERE INFORMED THAT A SINUS COMMUNICATION OCCURRED DURING SURGERY, as a result of the close relationship between the roots of your upper teeth and your sinuses, or if you have had some surgery that involved work near your sinuses or in your sinuses, please follow these instructions:

  • DO NOT blow your nose.
  • DO NOT sneeze through your nose. If the urge to sneeze arises, sneeze with your mouth open.
  • DO NOT smoke or use a straw.
  • AVOID swimming and strenuous exercise for at least one week.
  • It is not uncommon to have a slight amount of bleeding from the nose for several days.
  • Please remember that occasionally a second procedure may be required if there is a persistent sinus communication.
The Day following Surgery and thereafter 1. On the morning of the day following surgery, rinse your mouth carefully with the solution made by adding 1/2 teaspoon of salt to a large glass of warm water. Repeat three times a day until remaining soreness subsides. Resume brushing any remaining teeth and your regular oral hygiene as soon as possible. Do not avoid brushing the area as this will cause more inflammation in the area. Please do not use a syringe or Water Pik® to aggressively rinse during the first week. This can dislodge the blood clot.

2. DO NOT WORRY ABOUT STITCHES. Stitches (also known as sutures) are usually placed to control bleeding, aid healing and help prevent food from collecting in the surgical site - - especially for lower teeth. The sutures we use dissolve in 3 to 5 days and DO NOT HAVE TO BE REMOVED.

3. ANY SWELLING, SORENESS, OR STIFFNESS IN THE JAW MUSCLES can be relieved by applying a warm moist towel to the affected side of the face several times a day. Moist heat should be used after the first 24 hours. If swelling, tenderness, or pain should increase after the first few days, call the office.

4. Sometimes a soft diet may be necessary for the first few days following surgery. Most patients are able to resume regular food intake within a short time.

5. Bruising marks may appear on the skin of the face during the first few days after surgery. Moist heat application will help relieve this condition once again.




Post-op instruction for Endosteal implants?


If you had endosteal implants placed, general postoperative instructions apply, but I’d like to emphasize a few things:

1. Placement of endosteal implants usually do not create a great deal of pain. Once again, start with Advil first.

2. You need to brush the area after the first 24 hours with a very soft toothbrush. Do not avoid brushing the area. Most times the sutures that are placed are dissolvable sutures which will dissolve on their own in 8-12 days.

3. If a one-stage implant was placed so that you can actually see the metal part protruding from the gum tissue, it is very important for you to keep this area clean. You may start with a Q-tip dipped in Listerine or even warm salt water. Just clean the metal part protruding from the tissue. Then you can proceed to a soft toothbrush.

4. Avoid chewing hard foods on the implant sites. Chewing forces during the healing phase can decrease the body’s ability to heal around the implant.




What are Dry Sockets


Dry sockets continue to be the most common problem people experience following dental surgery. They arise due to premature loss of a blood clot in the empty tooth socket and affect approximately one out of five patients. This seems to occur with greater frequency in people who smoke or are taking birth control pills. While both jaws can be affected, they usually occur in the lower jaw on the third to fifth day. They cause a deep, dull, continuous aching on the affected side(s). Patients may first notice the pain starting in the ear radiating down towards the chin. It frequently begins in the middle of the night, and the Motrin medication usually doesn’t help. Treatment involves placing a medicated dressing in the "empty" tooth socket. This will help decrease the pain and protect the socket from food particles. The effectiveness in alleviating the pain lasts for 24-48 hours and usually will require dressing changes every day or two for five to seven days. Dressings usually are removed when you have been pain free for 2-3 days. The dressing doesn’t aid in healing. The only reason to place a dressing is for pain control. If Motrin is controlling the pain, the socket will heal without a dressing. An irrigation device will be given to you to help keep food particles from lodging in the extraction site following removal of the dressing.




Post-Op Instructions for sucket bone grafting


In addition to the general postoperative instructions, I would like to emphasize a few points.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. It’s normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:

  • Do not vigorously rinse or spit for 3-5 days.
  • Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
  • Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.

For the first day, I would suggest letting the blood clot stabilize and not even rinse your mouth. Following the first day, gentle rinsing would be advised but not too vigorously as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you will probably have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.




Post-Op Instructions following Sinus Grafting


If you had a sinus grafting procedure performed, the general postoperative instructions still apply, but I would like to emphasize a few important points about your particular procedure and remind you of some instructions:

1. Do not blow your nose.

2. If you must sneeze, do so with your mouth open to avoid any unnecessary pressure on the sinus area.

3. Do not smoke or use smokeless tobacco. Smoking greatly inhibits the healing, especially in the sinus graft.

4. Do not take liquids in through a straw.

5. Do not lift or pull up on your lip to look at the stitches, as this may actually create damage and tear the stitches.

6. Take your antibiotics as directed and until finished.

7. You may have some bleeding from the nose. This is not uncommon and should pass quickly.

8. You may be aware of small granules in your mouth for the next few days. This is not unusual, as your graft is mainly made of particles and not all of them are accepted by the body.

9. If you feel congested, you may need to use antihistamines or decongestants. If you do, use over-the-counter products such as Tavist-D or Dimetapp. I would also suggest that you avoid nasal sprays unless they are saline. Most of the time, patients do fine without any nasal sprays, antihistamines, or decongestants.