The information below will help you make an informed decision about receiving your dental implants procedure in Denver, CO by Randolph C. Robinson, MD, DDS, FAACS, at Robinson Cosmetic Surgery.
Implants (a cosmetic dentistry procedure) to replace teeth have existed for decades, but only in the last 40 years have reliable metals and systems been used. It is now possible to rebuild completely the structures that support the teeth, so that dentures no longer slip or click. Bridges can be placed where only partial dentures were once a possibility. Single teeth can be replaced, avoiding bridges and the cutting away of healthy teeth.
Implants are made of titanium, the same metal used in jet aircraft, because of its strength and light weight. Titanium allows bone to grow right into the pores of the metal. This characteristic means that titanium implants are locked solidly in the bone to support the desired dental reconstruction. This process is called osseointegration.
For the most part, the operation can be done in an outpatient setting under local anesthesia. Most patients prefer having an intravenous (IV) sedation or general anesthesia for the procedure. After the implants are placed, the dentures can be worn immediately or a partial fitted denture can be used to cover the toothless area.
Many times the implants can be inserted at the time of tooth extraction. This is called an immediate implant. A temporary tooth is placed the same day or the next day by the dentist. This is called an immediate temporary or provisional tooth.
The advantage of the immediate implant and immediate temporary is that the patient does not have to go without a tooth, the gums maintain a more natural contour, and the time to a final tooth is reduced by half.
Most surgeons make the patient wait six months after the extraction before placing the implant. They then make the patient wait four months before allowing the dentist to insert the final tooth. The immediate implant and temporary saves the patient six months!
Most dental implants procedures are not covered by insurance. Contact your provider for coverage details.
Schedule an appointment at Robinson Cosmetic Surgery to discuss your options for dental implants in Denver, CO. Dr. Randy Robinson is one of Denver’s top oral surgeons. He takes the time to discuss your dental and cosmetic goals and arrive at an optimal treatment plan.
The Dental Implants Procedure
The incision is made in the gum tissue and the bone is exposed. A hole is prepared in the bone in the location determined best for each implant by the restoring dentist and the surgeon. The number of implants placed depends on the number of missing teeth. In the case of the immediate implant, the implant is inserted into the socket after it is reshaped to fit the new implant.
Bone may be grafted if there is not enough at the surgical site, using either freeze-dried donated bone, synthetic bone or the patient’s own bone. Once the implants are placed, the incisions are closed with sutures that will dissolve on their own in about one week.
The recovery period for dental implants usually involves swelling in the cheek or the jaw area. You may experience bleeding for up to 24 hours. The sutures that are placed dissolve on their own in the first five to seven days.
Occasionally, implants may become exposed. This occurrence is usually of no consequence, and they should be kept clean with gentle brushing and rinsing as directed.
With more extensive implant surgery, bruising may appear on the cheek. The swelling usually resolves beginning the third day. But your jaw may be sore for up to one week.
Tooth brushing may be resumed the day following surgery. Meanwhile care should be taken with brushing the actual surgical site.
A normal diet can be continued if the implants are placed only on one side, allowing you to chew on the opposite side. If surgery was performed on both sides of the mouth, then a soft diet is best so as not to cause trauma to the surgical sites.
If dentures are to be worn over the implants, adjustments may be necessary for the first week or two, as well as replacement of the soft liner. Some patients notice a slight change in the occlusion of the dentures following the surgery.
Immediate implant placement does not change the recovery except if an immediate temporary is to be placed. This means that the patient will need to have a prearranged appointment with the dentist to insert the temporary tooth on the new immediate implant.
Possible complications of implant surgery include: loss of the implants, chronic infections, or loss of the healing abutments (posts) that may become unscrewed from the top of the implant. If this loss occurs, make sure to save the abutment and bring it back to the doctor to be replaced.
Bleeding is rare, but in the case of surgery into the sinus and midface to place the implants, bleeding from the nose rarely occurs for more than 24 hours. Permanent numbness to the lip or tongue, damage to adjacent teeth, or temporomandibular joint problems are also possible.
- You may need to schedule two days off from work or school to give yourself enough time to recover depending on the number of implants.
- If the surgery is going to include anesthesia or intravenous (IV) sedation, do not eat or drink after midnight, or as your surgeon directs.
- Arrange to have someone drive you home after surgery.
- Wear comfortable clothes. Button-closure shirts with sleeves that roll up easily (for IV access) are preferred.
- Bite on gauze as needed to control bleeding.
- Apply ice to face for the first 24 hours.
- Keep head elevated on two pillows for one week while sleeping.
- Eat a soft diet to protect the surgical sites.
- Rinse with warm salt water, beginning the day following surgery, four times per day. (Dilution: 1/2 teaspoon salt in 1 cup of lukewarm water.)
- If bone is taken from another part of the body, it is important to protect this area also. If a hip graft is taken, showering is permitted, but do not soak the incision. If bone is taken from the cranium (skull), showering and shampooing are permitted, but do not color your hair for one month.
- If a sinus bone graft was placed then, it is very important that you do not blow your nose for two weeks.
Schedule a Free Cosmetic Dentistry Consultation
To learn if dental implants is the right choice for you, schedule an appointment to see Dr. Randolph Robinson. Procedures may or may not be covered by insurance. Please contact your insurance provider for coverage details.