Implant dentistry is a very complicated area of dentistry. The first step is the “stage one” process of surgically placing the dental implant into the bone. This will serve as the anchor just as the root portion would on a natural tooth. Two days prior to surgery the patient will begin a regimen of antibiotics and a prescription antibacterial mouth rinse, this will be continued for one week post surgery. This precautionary measure is to try to prevent any possible infection during the surgical and initial healing process.

The actual surgery consists of an incision into the gum tissue where the implant will be placed, provided that we are not removing a tooth and placing the implant into the exposed extraction site at the same time. In either case, the dental implant which is made of titanium will then be screwed into the bone. Usually the gum tissue will be sutured over the implant completely covering it during its initial healing stage. This is to prevent any food or debris from interfering with the integration between the implant and the bone. In most cases, the implant will stay covered by the gum tissue for approximately three months.

“Stage two” of the implant process is when the implant (which serves as the root portion) will be uncovered by making a small incision directly above the implant. An extension part called an implant abutment (which will serve as the tooth portion) will now be screwed into the actual implant. Usually the Prosthodontist will now take a final impression of the arch of the mouth, and send it to the dental lab to begin the process of fabricating the final prosthesis. The prosthesis will be anchored onto the implant abutments for stabilization.

Bone grafting may be required in some cases, prior to implant placement. If a patient presents lack of bone due to a defect or excessive resorption, the area will be filled in and built up with bone material to accommodate the implant.