When & Why Does Someone Need Dental Implants?Basically, dental implants are used to replace missing teeth. It’s considered as one of the procedures of cosmetic dentistry. You can say a dental implant is like a surgical fixture placed into the jawbone and left to adjust with it over the next few months. A person might need dental implants to support a bridge or a replacement tooth. These days, only a dental implant can closely mimic the authenticity of a real tooth because it stands like a real tooth without any support and doesn’t affect other teeth.

The process of fusing a dental implant into the jawbone is known as osseointegration. The most common kind of dental implants is made of titanium. Titanium allows the implant to integrate with the jawbone without singling it out as a foreign object. With rapid advancements in dental science, the outcome of placing a dental implant has improved over the years. Today, the success rate for placing dental implants is almost 98%.

Why Does One Need Dental Implants?

These days, dental implants are recommended to replace one tooth, several teeth, or even all of your teeth. The purpose of replacing teeth in dentistry is twofold – restoring the basic function of your teeth and aesthetics.

Why Is Dental Implant the Best Option?

When it comes to replacing a tooth, there are three common options for you to consider. The first option is the removable dental appliance, like a partial or complete denture. The second option is a fixed dental bridge. And the third option is a dental implant. Although dentures are the most affordable options, they’re the least desirable one, owing to the inconvenience involved with removing and inserting an appliance in the mouth. Another reason why dentures are not very popular is that they compromise a person’s taste and sensory experience when eating food.

A few years back, dental bridgework used to be the most popular option to replace a tooth. But the problem with dental bridgework is that it needs the support of the existing and natural teeth. That’s why dental implants have become a more preferred choice for people seeking tooth replacements today. The only support a dental implant needs is of the bone only and it doesn’t affect the surrounding teeth as well.

Factors on Which the Choice Depends

When you have to replace a tooth, you have to choose between the three common options available. Deciding on which option to go with depends on the following factors.

  • The location of a single missing tooth or multiple missing teeth
  • The quality and quantity of your jawbone where the implant has to be placed
  • The overall health of the patient
  • The cost and affordability
  • The preference of the patient

Although dental implants are the best option for tooth replacement because they are stable and look like natural teeth, a dentist still needs to examine the area where the dental implant is to be placed and assess whether or not a person is fit for an implant. If you want to know which tooth replacement method will be the best for you, contact The Gentle Dentist and seek a professional advice without further delay.  Please visit our website at www.TheGentleDentist.com or call us at 586-247-3500

Should I Get Dental Implants - Yes or No?Healthy teeth are extremely important for a healthy individual. The teeth are not only crucial for biting and chewing food but also deeply influence a person’s personality and confidence. Furthermore, they also provide structure to the face.

A person can have severe damage to their teeth or even lose their teeth for several reasons. Decay or diseased gums or an accident can be some of the causes for tooth loss. People used to wear dentures or fixed bridges to compensate the missing teeth. But dental implants have become a better option, since they provide better adjusting and close to a natural feel. This permanent solution can help in overcoming the problem of the missing tooth.

When a missing tooth is not replaced and is left unattended, it can cause damage to the jaw. And if several teeth are missing the damage can be greater and the remaining teeth are also negatively influenced.

Like any other medical procedure, the doctors and the patient need to consider whether the dental implants are the best choice, and should the patient get the dental implants at all. Following are the advantages and disadvantages of dental implants that can help you decide if the procedure is for you or should you consider another alternate.

The Procedure for Dental Implants

The procedure for dental implants is comprised of several steps. Several specialist dentists will perform this procedure over a course of time. First, the dentist will insert the dental implant, a titanium screw. The dentists wait for the dental implant to fuse with the jawbone. Once the dental implant is completely fused, the dentists will put together the replacement tooth with the screw.

The Advantages of Dental Implants

The obvious advantages of dental implants are:

  • Dental Implants look more aesthetically pleasing.
  • They Look More Natural
  • Teeth replaced with dental implants don’t damage neighboring teeth unlike other procedures.
  • The jaw bone is protected from degenerating because dental implants have properly replaced the missing tooth, even the roots.
  • There are no chewing and speaking difficulties with this procedure.

The Disadvantage of Dental Implants

The dental implants are a great solution for tooth loss but there are some downsides to the procedure as well that need to be considered.

  • There can be surgical complications like damage to the sinus cavity or some nerves. The likelihood of complication is very slim when the surgery is performed by experienced professionals.
  • Since the procedure is performed in steps it takes a long time of up to 6 months.
  • If proper dental care is not taken, infection can happen.
  • Healing is delayed due to certain conditions, such as diabetes.
  • Dental implants are an expensive procedure.

The Bottom Line

Dental Implants are often the best treatment for tooth loss. Highly qualified and experienced dentists can help with making the decision regarding whether you should get dental implants or not.

Hello, this is Dr. Robert Antolak from The Gentle Dentist in Shelby Township, Michigan.  Our phone number is 586-247-3500. One of the most popular ways of replacing missing teeth is using dental implants. We’ve all heard what dental implants are.  I would just like to give a little explanation of what it is.

I’ve been placing dental implants for quite some time and they are very effective at replacing teeth because we don’t have to cut down neighboring teeth if there’s a missing tooth. So this is a model right here of what a dental implant is.

A dental implant is made of basically three components.  One component is the implant itself. Then there is a crown and the abutment. The abutment is the gold colored part right here.

The dental implant itself is the part that goes into the jawbone. Obviously, this is quite larger than it would normally be.  Implants are usually quite small. Depending on the size and availability of the bone that exists for the patient, we will select the appropriate size for the implant to go in.

Occasionally we can put the implant in at the same time a tooth is extracted. But sometimes we need to take the tooth out and put a grafting material in there to allow that bone to heal. In those cases, we create a little hole where the implant goes in. The implant gets screwed into place and then it takes about 4 months for the healing to take place.

After that four month period of time, we can add the abutment.  This is the second component to an implant.  The abutment gets screwed down and acts like a tooth. So, if you can envision, the implant, would be like a tooth root and the abutment part would be the crown on the tooth.

After the abutment is placed, we can take an impression and make a crown over the top of it. So that would replace your missing tooth.

I’m going to use the analogy of what a tooth root would look like with this model here.

Obviously this is more like the size of a dental implant.  We have the root portion of the tooth right here, which is the yellow colored material. Then there’s the crown part, which you can see right here.  You can see how this model is a natural tooth.

So remember the implant goes into the jaw, similar to a natural tooth root.  The dental implant basically grows into the bone and then we can add teeth and there are all different types of things that we can do.

If your teeth are bad, if you have a missing tooth, if you have a tooth that cracks or breaks and sometimes we can’t restore those teeth, then we’ll have to remove it, and then place a dental implant.

Contact Shelby Township Dentist, Dr. Antolak About Dental Implants

If you do have any questions, I’d be more than happy to answer them for you.  You can even come in for a free consultation on dental implants. If you want to give us a call, our phone number is: 586 247 3500. Thank you and have a blessed day.

Dental Implant Procedure to Replace Missing Teeth

Dr. Antolak: Hi this is Dr. Antolak from thegentledentist.com. We’re in Shelby Township, Michigan. Our phone number’s 586-247-3500. And today we have a very special person, Dell. She’s agreed to record this and then I’m going to put this online.

The reason why we want to do this is Dell’s had some really nice results so far. And what we did for Dell, is Dell was experiencing some problems. She had had some missing teeth. And where these missing teeth were she had an issue with where her sinuses actually dropped down.

What I like to do is just to show you on an x-ray here her situation she had before. Right here this is the sinus cavity right in here on Dell. What we needed to do was we had to actually take this tooth here out because this was a bridge she had that was fixed and now the space we had between here and here was only a couple of millimeters, very, very thin. We actually had to do surgery and go in to the sinus cavity here and actually raise the sinus membrane.

I have a little skull here that kind of shows what we did. We went in to the side of the bone here and we lift up that sinus cavity. Then we let that area heal and since we did that surgery you were saying that you’ve been feeling better tell us a little about that.

Dental Patient: Yes, I feel much better. My sinuses seem to be much clearer than before. Very relaxing visit that I had. They sedated me so that I could not feel anything. I mean, I knew I could see the people. But I was very comfortable. And when you walk into this dentist’s office, if you’re an uptight person, you can walk in the door and be so comfortable that when you get to that dental chair, it’s just like a, it’s just something that you have to experience. It, it’s just wonderful. It’s wonderful. Everybody here, he’s got a great team. He’s got a great team. I highly recommend him.

Dr. Antolak:  What we did for Dell was we did that process and it’s taken some time for the healing to take place. And now today we’re going to actually take those implants that we placed in there and we are going to be restoring them.

Basically it’s a situation like this. I just have a demo here and this is going to show where we would put what’s called an abutment in the one area implant and the abutment in the other one and we’re going to connect them together with one piece. A fixed bridge like that. So we can do that with implants where sometimes you don’t have any teeth at that point in time.

What I like to do is to come over here again, and what I’ll do is I’ll show what we had done and kind of where things stand right now.

During the surgery, this is what we’re looking at here. These are different parts of the process of doing the surgery. This is where she had a tooth here and she also had a missing tooth so see she had a big long span bridge here. So what we do is we save this tooth here and so she’s got an actual tooth here and now this x-ray here’s going to show the placement of one of the implants.

If we look real closely right in here this is where the grafting was done. You can see it. It basically filled this area. And originally that sinus came down way down in here. We were able to put that implant in. and this is where all that grafting material is. And by lifting that sinus up, what that does, is it allows for drainage of your sinus cavity to not hang down in those really deep recesses of the sinus. But allows it to drain into an area that allows it to naturally do it before you’ve lost any teeth.

Dental Patient: It’s, very true. What he is saying is very true because I, I would not have believed it until I have gone through it. And I’m excited to get my implants.

Dr. Antolak: Get some teeth in your mouth so you can chew. Okay, we’ll show you part of that process.

OK so right now this is the head of the implant here and over here behind us here is the head of the implant. In other words it’s the very top surface of the implant and we’re going to be putting the abutments in there. So it’s just poking through the tissue. The implant’s there and you can see this one better right here. I’m going to go ahead and just clean this up a little bit, and then we’ll show you how the implant goes on the abutment.

OK so right now we went ahead and replaced these are the both the abutments these are the implants they were on. They actually just they go from here up the top of the implant sits about this level here and right now we’re going to put a temporary bridge over the top of it. But this is going to be her thing. These are the implants so they represent my teeth. We’re going to be a tooth here a tooth here a replacement tooth and tooth in the on here and it’ll suffice to hold her teeth. It’s nice and solid. Not going’ anywhere. And she’ll be able to use them like her own.

Okay. So now this is uh, we made a temporary bridge on it. We took what’s called an impression. And I’ll show it to you in a second. What we did is, this is going to be her temporary right now. So there’s the implant sits underneath here. And underneath here. And it sits here, too. This is all 1 piece. And go ahead and bite down for me.

And so she’ll be able to chew on this now for, since she hasn’t been able to chew on it for quite some time. As this heals and as the bone heals she’s going to find that it’s been something that has been. She’s going to get used to having something there to chew with and it’s going to be nice and strong for you, too.

Okay. This is the impression we take. And this is uh, uh, rubber. And then the laboratory’s going to make one made out of all porcelain for this and it will be good and healthy for you. So you can go out and go with your friends now with your girlfriends and eat right?

Dental Patient: Yeah let’s hope so.

Dr. Antolak: Yeah so this is Dr. Antolak. Thank you for following us through this. We’ll see you in about three more weeks and we’ll put the final fix bridge in. It does not come out of the mouth, Dell wanted to make sure of that and you’re going to be able to function fine with this.

So if you’re looking for a dental office where we are compassionate to your needs and also do quality dental care. Please give us a call. 586-247-3500 is our phone number in Shelby Township, Michigan and our website is thegentledentist.com. Thank you and have a blessed day.

Dental Implant Procedure to Replace Missing Teeth

Youtube: Shelby Twp Dentist Explains How A Dental Implant Works

Shelby Twp Dentist Explains How A Dental Implant Works

Hi this is Dr. Antolak from thegentledentist.com in Shelby Township, Michigan. I respond as  “The Gentle Dentist” because of the fact that people may claim to be gentle but this is something we have proven in and out and our patients have really said a lot about that. That means even replacing dental implants to do the best we can to be as gentle as possible.

What I want to do is to describe what a dental implant is, and show you how that works on a model.

This is a model of what a patient’s mouth would look like and they have missing teeth. What I wanted to do is to show you that there’s been a dental implant that’s been placed in the artificial bone. But I do want to show you what an dental implant looks like and what this is about.

So this is a dental implant, when we put it in the mouth we use it like this. So what happens is once a dental implant is placed in the mouth we can take a look. It’s made out of three different sections. One is the dental implant itself. And one contains what is called the abutment. This is the implant itself. This smaller part right here is called the abutment. That goes inside the dental implant which snaps inside, and there is a little screw for example in this one right here is a little screw that combines the two of them together.Once that’s placed in there that becomes what the dental implant would look like right there.

For example when the dental implant is placed in the mouth in the jaw like this, we place the abutment like I’d just described into here. We actually screw that into the bone itself and what we do then is we actually torque it with a torque wrench. This is actually some of the instrumentation we might use. Obviously we sterilize the instruments before we do anything and they remain sterilized through treatment.

What happens is these go on right over the top of it, in plain view we have the ability to put it on this and then when we torque it. We can see the bar move, and it will show us how much pressure to apply to put into that bone to make sure that it goes in with enough resistance so that it remains stable and we can have the bone grow into it.

Once this is in place we basically cut this section right here in the green section. And that becomes what it would like after a dental crown would be done or a cap would be made. Then we can have a dental crown placed, an artificial dental crown placed over the top of that. And that ends up being your tooth that has been missing.

So, that’s kind of an overview of how it works. Some of the instrumentation that we use are a really awesome way to replace missing teeth. Dental implants are really great for holding dentures down in place that have been loose. So we can place a dental implant, sometimes just a couple of them in the lower jaw here, and we use something that will actually snap over the top of that implant, and that will hold, hold those dentures nice and tight.

Shelby Twp Dentist Explains How A Dental Implant Works

So if this is a kind of way that you’re thinking about possibly replacing your missing teeth, this is what we can do is a dental implant.

Thank you. If there’s any questions, you can call us at (546)247-3500. Thank you.

Youtube:  Dental Implants Procedure Explained by Shelby Twp Dentist

Hi. This is Dr. Antolak from TheGentleDentist.com in Shelby Township, Michigan. One thing that we do at our dental office is we place dental implants, and now I do cosmetic dentistry.  We want to do some procedures to replace teeth. Dental implants are for example, if a tooth is missing and in this example it will show a tooth that’s missing. What we want to do is to put something in there. The old alternatives there, were to do what’s called a fixed dental bridge, is where you would grind around one tooth and grind around the other tooth. You would connect them all with one piece that would go in and get cemented in place.

Well, actually that was something in the past. But over time it has become much more really clinically acceptable, and almost the treatment of choice is to replace a single tooth, like this tooth missing with a single tooth or something like that.

We have dental implants which go on, for example in this patient’s case, the tooth that is missing. This is the implant right here, made out of titanium, that would go into the jawbone. When it gets put in the jawbone, the bone actually heals around that. It takes between three to four months for that bone to heal around it, and then it’s strong enough to support a tooth.

So if a tooth is missing, for example like this, even during the same visit, if a tooth has to be removed, we can place an implant into the jaw and it would go in to a certain level. Obviously, this one’s shorter, but that would get screwed into the bone. And actually, it does not hurt when this is done because bone does not have any nerves that can sense pain. So the only part that bone senses, for example, is when the surgery is done, the soft tissue and the gums that surround it those are nerves that can sense that pain. During the dental implant insertion there is no discomfort at all, even with local anesthesia it works just fine.

Then on the top of that dental implant which is really right here between my fingers, that part is called the abutment. That abutment actually unscrews from here, from this dental implant and that abutment looks like a tooth itself so that would be the part that sticks out and then we can create what is called a crown that would be cemented over the top of that abutment. There are really three parts to it, there is the dental implant itself there is what is called the abutment, there is a crown that goes over the top of that abutment, which would then fill in the space of the natural tooth is.

It’s really critical to then be able to floss your teeth. So by doing that, you can floss between each tooth as if it were the actual tooth. It is a one to one replacement, and so we’re not affecting any other teeth when we do adental implant. Dental implants are really no discomfort at all to speak of, and they are something that has been really tested for a long period of time.

One thing that does happen with dental implant is that they will help to maintain the bone. Just like with a natural tooth, like I just pulled out on this model here, there’s roots that are on there. Those roots, just like an dental implant, if those are in the jawbone, it helps to stimulate the bone from with inside because bone is living tissue. That bone will remain its health and integrity and not shrink down. If a tooth is removed, then over time, this bone that normally exists in this area will start to shrink and get smaller and smaller.

Teeth will also shift back into as the space collapses and the space get smaller. And that takes place when food develops between the teeth and then there’s the collapse of the mouth and function of all things used to function.

So, if you need a tooth to be removed, seriously consider replacement tooth with the dental implant, because the dental implant will be your best alternative in my opinion. And ask the opinion of most dentists, and it also, like I say, it helps to hold the integrity, of your tooth.

Dental Implants Procedure Explained by Shelby Twp Dentist

So, if you have any questions about dental implant procedure, you can give us a call at (586) 247-3500. Our dental office is located in Shelby Township, Michigan.

Thank you.

Macomb County Dentist Discusses Mini Dental Implant and Dentures

This is Dr. Antolak from TheGentleDentist.com. We’re in Shelby Township in Macomb County. Our dental practice has been in its current location for around the last 7 years, and I’ve been also the writer of Ask the Gentle Dentist in the Advisor Source paper called The Senior Living News. One thing that I do write about a lot is about what implants are and this is a question people have a lot of times. What is the difference between a mini implant and a traditional size implant?

What I wanted to do was to kind of show you what the difference is. I’m holding it in my hand right now. So, this is a mini implant here. I’m just going to show this to you here. It’s very small. It’s about less than 3 millimeters in width and as you can see right there and what it has is this part here goes into the jawbone and this part here is used to snap on a denture. And so this is the metal part inside the denture. It’s got a little snap on it, and that snap is what we can see here if you look at this picture here where we can see how this fits inside the jaw bone and then on the denture. There’s like a rubber O-ring and it allows the denture to be stamped over the top of that and to hold in place securely. The difference is, is that once we get into using the mini implant is basically used for holding in dentures. Okay? Because it has just one top on it we get into what’s called a traditional implant.

They’re usually over 3 millimeters of width. And this is a traditional implant right here. This purple top right here, is the part that we used to place it in. Typically we’ll cut it off right here. And let me show you, right here. This is very small but this is a little screw that goes in. And then take it out and all of a sudden we can remove that. And this is what the implant looks like. The implant is usually. This one here is placed into the jawbone.  It’s allowed to heal, and then we can then come in and we have many different parts that we can actually place over the top of this implant. For example in this example, this would be a single crown.  Once this purple part is removed, and then this is called an abutment.  This abutment gets screwed down on top over that, and then, if you can envision, this is similar to what a crown will be like on a tooth, mini implants, once again, are used for dentures basically. And, the traditional implant can be used for a single crown. To make what’s called a bridge where it’s a number of implants that are placed to replace a series of teeth.

These are cemented in place so they do not come out. Also, it’s used for single crowns. And, so, when we get to a traditional implant because we can unscrew that top, it gives us a lot of accessibility to different types of procedures.  If implants are something that you’re interested, we do a lot of implants here at this practice. We place them, and we also restore them.

Macomb County Dentist Discusses Mini Dental Implant and Dentures

So being located in Macomb County, I’m sure we can satisfy your needs. We’re just minutes away, right on the border of Macomb County and in Shelby Township. Our phone numbers (586) 247-3500, and our website is TheGentleDentist.com. Thank you.

Shelby Twp dentist replaces replaces root canal with dental implant

Hi, this is Dr. Antolak from thegentledentist.com in Shelby Township, Michigan.  If you are interested in dental implants our phone number is 586-247-3500.

Today we have Kristin and she’s agreed that we can record this and put it on YouTube. This is about dental implants that we’re using to replace a root canal that she had done. Kristin had surgery on this root canal and it never worked out.

If we look over here, this is where she currently is. We took this tooth out about 3 weeks ago.  She went to a specialist and they tried to fix it, but it was not able to be repaired, so we extracted it around 3 weeks ago.

Tell us what it was like before, and then tell us what it’s doing right now, at this point.

Kristin: It’s a sense of relief after the tooth was pulled out. Before, I had felt numb, like heaviness in that area. And I could feel my finger running over that spot right above in the gums. I ended up with an abscess, so that’s when I came in. Otherwise I wouldn’t have known anything had gone wrong. It’s like a weight off your shoulders now that the tooth is gone, because there has been years of issues with it.

Dr. Antolak: Yes, so it’s been a long period of time, and this has been a chronic infection so, we needed to take the tooth out, giving it a chance to heal. But with dental  implants, if we wait too long then actually the width of the bone starts shrinking down. Even at 6 months you get 50% shrinkage of that bone, so we’re going to be taking care of this today.

So we went ahead and provided adequate anesthesia for Kristen at this point, and we’re just going to go ahead and create, what’s called the osteotomy. The osteotomy is basically the hole that is going to be used for placing the implant. This is done in sequential sizes as we get larger and larger. It’s almost like a wood screw that goes into the bone.

This is done so that we can make sure that when we tighten it up it has enough torque and ability to hold. This is also the dental  implant that we placed in her mouth. It comes with an abutment which we can use to tighten up on it. This gives us the ability to hold it in place without affecting the titanium surface, which has been completely sterilized and placed under the bone.

So now we’re putting into a driver. This is going to go almost like a screwdriver, and it is going to go right in here. Then we’re going to go ahead and place it in with some pressure. A lot of accuracy is going to be involved in putting that in. So we’re just working it in place now little by little, and she’s not feeling any pain right now either. She’s just feeling me pushing a little bit, because bone does not feel pain.

And right now, at this point in time, we’ve actually placed the dental implant in her mouth. We’re going to just go ahead and unscrew the abutment part, which is used as a crown eventually. This is the part that you’re used to seeing. For example, if a tooth had a dental crown for a natural tooth there. So we can see this is the abutment, as I’m removing it. We’re going to go ahead and just take it out. So this is how it works.

She’s going to be spending about a couple days with maybe a little discomfort or a little pressure, but that should be about it, believe it or not.  Like I said before, most of the pain comes from the fibers around the bone.

This is the dental implant abutment that I was talking to you about.  This was actually modified so that we can give the most aesthetic result possible. So at this point in time, we’ve completed this process, and I’d like to show you what it looks like to have the implant placed, including the abutment. The abutment is a metal piece, as we can see right there, that is actually torqued into the implant, which is the screw that will act to support an aesthetic crown. We’re going to actually make a temporary right now, and we’ll finish up in about 4 weeks or so. We will let you know what it looks like then.

A few months later:

Dr. Antolak: Okay, so here we are a few months later with Kristin and the implant is healing really well.  We’ve had a temporary on that we’re trying to nurse along until her insurance renews in January.

So we’ve just remade the temporary.  Maybe let us know how you’ve been doing with it, and how the implant has been feeling.

Kristin: No pain. No pain at all. I was worried about having to take any type of heavy medications as far as pain relievers. I just took Motrin. There’s no pressure no pain during the entire procedure It’s been going great.

Dr. Antolak: So all that pressure you felt when you had the infection in the tooth is gone?

Kristin:  Yeah, gone.

Dr. Antolak:  That was a long time too. It lasted for a long time.

Kristin: Yeah it was. It was definitely a weight lifted off my shoulders. It’s nice to finally not have to worry about that tooth anymore.

Dr. Antolak:  So we’re looking forward to putting the other one in and treating it like a natural tooth.

So if you have a tooth that’s missing or one that’s been chronically giving you problems and would like to discuss dental implants just give us a call at 586-247-8500. Thanks.

Shelby Twp dentist replaces replaces root canal with dental implant

Doctor Antolak here from thegentledentist.com in Shelby Township, Michigan. Our phone number is 586-247-3500 and today we have our patient Maria and she’s agreed and allowed us to video tape this and put it on YouTube. And what we’re going to do is we’re going to be actually placing a couple of implants in today. She’s got something in her mouth right now; basically we’ve had issues before. We had to take a tooth out before and we had a fixed bridge that was done and you just felt like you had a sucky motion. You just couldn’t get used to having a bridge. Come on over here, I’m just going to point out a couple of things.

First of all, this is a molar tooth that we had to remove previously. We did a bridge. There was a tooth here. But we did a bridge on this before, and she just couldn’t tolerate it, so now there’s no tooth here, so we’re going to put an implant here. And also on her left hand side of her mouth we’re going to put it in place an implant here. So, this is the right in the lower jaw, this is the nerve right here that transverses come down into here and into where the nerve that gives sensation to the teeth and to the lip.  But we’re going to have adequate space here to place an implant in both areas. So we’re going to be showing that today. Dental implants are one of two of the most requested ways of replacing missing teeth in Dentistry. And so we’re going to do that today. I know you’re excited right?

Dental Patient: Oh yeah.  It’s a first bridge that I could use, right.

Doctor Antolak:  Yeah well, sometimes it is, sometimes it isn’t. For you, that was what we tried to do first. And then obviously that didn’t work for you, so we’re going to do the next procedure.

Dental Patient: Now you know the top one work great.

Doctor Antolak: Yeah. So sometimes people have different noise and the lower, you have the tongue that’s there. And your tongue sometimes creates that vacuum. And then that’s where you get that feeling. So you get this in there.  So we’re going to go ahead and do is we’re going to create a little incision here. And she’s numb. She says she can’t tell if she has a chin or a tongue. That’s a good sign. And so we just create a bit of an incision here and come down, then we are going to expose this area just like we would, I like to use the analogy of a banana, it’s like doing a banana peel.

So what we do is we just take this tissue back, and she’s numb so she just feels pressure. And she’s breathing in her gas, she’s a happy camper.  So we’re going to go ahead and I cleaned everything out there so now we’re ready to just start putting little holes in there for the implant. And so you can see right here is the bone, you can see right here.  And then this is the implant we’re going to place in there. I actually placed some holes, called osteotomies in there, and the implant’s going to be about this long, right here, okay? We did remove, in the past we removed a tooth there, so we have kind of a large space that’s there. The larger diameter of an implant we can place, the better we are. The larger it is, like I say, the more that it emulates the natural tooth when we place it in, so we’re just going to put that in, and we’re going to actually torque it in place with pressure.

So we went ahead and made what’s called the osteotomies in her mouth, and now we’re going to place an implant in. This one we’re doing on her left-hand side, and I wanted just to record this portion to see as we concluded. So, now we got basically a hole in there and within in that context of where that’s going to go. Actually this is a little different style.

It’s called a Bicon and it’s actually press fit and we actually will tap it into place. And if you can see right there see over it is going to fit right inside that little hole there and then bone is going to end up growing inside of those little fins that are there, okay. So we’re just going to place it in here a little bit and then, put on pressure, good. Now I’m just going to go ahead and remove this little black element.  And then, we’re going to seat that in a little bit better. Can you go ahead and suction again please?

So I’m just going to remove this right now. Okay, so the implant is in there and we’re just going to seep that down a little bit and actually with a little mount that we use. And as Maria’s biting down, use this. So what we’re going to do is we’re just press that in and then over time those fins that are on there, if these represent the fins, the bone is going to grow over each one of these fins and it’s going to create a nice stable foundation for her. This is going to fit like that. You’re going to feel a little tapping sensation and takes just about three months or so for this to heal.

It kind of gives you an idea, to show you what we’re talking about here.  So, there you go now we got the implant in place. You can see that. See it right there. And then inside that little well there we’re going to create the crown. And so we’re going to fix it up and we’ll see how it goes. There’s actually some bone that we got when we created the little hole, or osteotomy as we call it. And I’m going to place a little bone around the opening of this. As we allow this to heal, that will create a much better healing environment for the other situation. And actually I am going to use part of this bone for the other implant site that we had done. So we just spread it over the top, and so we are just going to just pack this bone into where the hole was. Now the dental implant is sitting in there, now we are just going to stitch this up.

Doctor Antolak:  You sweet thing. Okay. You okay?

Dental Patient: Mm-hm.

Doctor Antolak: Okay, so we’re going to go ahead and we’re just putting a stitch in here. We’re going to close this up, so it’s going to have a good seal. Sometimes we will try to create a tooth in function at the time that we do the surgery, the time that we place the implant. The fact that this is a molar tooth back here, we need to get a lot of strength for that. If this was a front tooth and molar teeth actually take a lot more stress than a front tooth would.

And also this system where we do the pressed fit system like he just showed you. It actually creates a very, very nice result. We don’t actually do it right away. And the benefit also is that these implants can be very short. That is the reason why I used those in this scenario for Maria.  Like I showed you at the beginning of this video, we always contend with the fact that the nerve is there. And when we do the top teeth, there’s always the sinus membrane that’s right there too. So we have to be very, very cognizant and aware of all of our anatomy that’s obviously there. So sometimes you use short implants like that, like this Bicon implant that were using, the short ones. Also another issue that we have with the lower jaw is near the tongue, there’s like a concavity there. And whenever we place an implant in there, we have to make sure that that implant is completely surrounded and encased by bone. Sometimes, like in this situation we are currently doing is this one in the area that didn’t have any teeth there at all. So bone filled in here very nicely since her right side, which is the first implant we started. What that one was when that implant was placed, because the bridge, she just had a hard time talking.

There were still some areas where the bone hadn’t completely healed in there, so we had a little different scenario. The nice part is where all the bone was in this case, on her left side we had a lot of good healthy bone that we could actually save. And we’re going to actually, when I get done putting these stitches in on the other side, I’m going to go ahead and just crack that bone all around where that dental implant was placed to create a good environment for bone to heal well in there.  So, that’s over here on this side here. I’ll stitch it up a little bit more on that side, but I want to get to this other side first.

It’s going great Maria. Okay? I’m sure you still feel like you don’t even have a lip anymore, right? Okay, I’m going to go ahead and put this bite block in your mouth. Okay, bite down. That will help stabilize your jaw. And so if we come over on this side here, we’re going to have a little bit of a space. So let’s see that foam again. And I’m just going to pack that bone that we got from her other side. And I’m just going to pack it right over the threads of, or over the top of that one implant there. So just go ahead and suction that there for me, please?

Okay so, we’re going to just place this in here, right over the top.  I’m just going to pack it right in there and then, it’s going to help that to heal up. And then we’re going to stitch that one up the same way that we did.  And we create this little stitch over here, what is nice about that is, sometimes you can get discomfort from the way that the soft tissue is handled. This is actually a gentle way of handling the gum tissue because we’re not getting in there and pushing our instruments all under the flap. But just, actually, if I pull her cheek, it comes back naturally for her.  Alright, so we’ll do that and we have a little bit more left here.  Were just going to put that in there and stitch you up. There you go. See now as we take this stitch out of here which we started on. This whole thing is going to come right out and literally will heal within week or so and it will all heal. So it’s all going to grow back nicely right over the top, just like that. We’re just going to shut it together. Okay.

We went ahead and finished up. We finished stitching up both left and right sides. We’re going to end up on that right side when she had a fixed bridge. In the fore, we will go ahead and cement that in for her. So then get that. We’ll show what that is. Its right here and this part right here is a place where the tooth was replaced where the implant was placed. If we come up here to the x-ray this is the x-ray of where she is now. This is the implant that has been placed. This is the tooth that has the two. So normally, this bridge is going to fit over the top of it like that. She couldn’t tolerate getting stuff through here, so we’re going to end up taking this eventually and cutting it off here, and cutting it off there, using these two crowns over this and then placing a new dental crown on the implant. And so that’s what we’re going to end up doing. But this is the implant here and that’s going to heal. That’s the one that you saw, the last one we did.

It’s going to take around four months or so for that bone to really heal in there well. Until then, we’ll cement this bridge back on for your right side and that way you can use that. Your left side, it’s the same way it’s been for a number of years, you’re just not going to have anything there for a little while, okay?

What we’ll do, in about that period of time, is we’ll uncover everything and we’ll place what’s called the button on top of that which will simulate, like a tooth that’s been prepared for a crown and we put a cap on the top of that and do both sides for you, okay?  It went really well for you. The reason why we had to switch, you asked about that right side when we first did it and she had a pretty bad infection on that tooth when we first did it. Because it was such a large hole we had to kind of switch gears in the middle of using a different implant system. That’s one thing that’s beneficial I think because we use a number of different systems.  If there’s a situation that arises we can switch what we do and yet get a favorable result and not have to stop what we’re doing and continue solving it.

No chin. She feels no chin and no tongue. If you have one, in just about one hour or so from now you’ll know if you got one.

Dental Patient: I’ll know if I have anything.

Doctor Antolak: What you’re going to end up doing, you’re going to ice on one side for about half an hour, and then switch it over to the other side for about half an hour, and keep switching back and forth today. Okay? I’ll give you some pain medications and then you should be fine with that. Then we’ll see how you do. How was the experience for you?

Dental Patient: Different, you know?   I’ve never had something done like that before, so I think overall, it was all right, and it was not terrible.

Doctor Antolak: Not terrible.

Dental Patient: Not terrible. It was not something I would pick to go through, but it was okay.

Doctor Antolak: Okay. Well, the truth is, is that you’re going to have to go through that one time and then you’ll be done with it. And then you’ll be able to function better, and to chew on both sides, equally. And not have that issue with that sucking thing.  Okay. So anyway, if there are any questions our phone number is 586-247-3500. If this is some type of information you are interested, then you can either go under our website thegentledentist.com or call us. Thank you. Have a blessed day.

Dental Implant Placement in Shelby Township, Michigan

Question:  I have some concern about implants.  I have a loose lower denture that has been getting worse.  I use the powder and even the cream adhesives but they are messy and really stick making it difficult to remove.  I visited my dentist and told me about implants.  He told me about some small implant to stabilize my denture.  Could you explain?

The Gentle Dentist Explains Implants

Implants are small “man-made” roots that are inserted into the jawbone.  The bone grows into the implant and on top of the implant different structures can be made to replace teeth, hold dentures in place, or act as anchors for bridges.  They are very successful (greater than 93%) long term as long as they are used and designed properly by the dentist.  Typical implants are slightly smaller than the diameter of a drinking straw.  There is more research being done in the implant field than any other field in dentistry and because of it many options are being made available.

The small type of implant that your dentist told you about is called a mini-implant.  With just numbing these very small (1.8 mm) diameter implants are simply placed directly into the bone and can be used immediately.  The lower denture is relined with special inserts that snap onto the mini-implants.  The result is a much more stable lower denture that eliminates the denture adhesives.  The mini-implant has some advantages over the traditional implant:

  • There is no waiting period for bone to grow into the implant therefore the results are instant.
  • The cost is substantially less that the larger implant.
  • It can be used on those patients who can’t have surgery because of health problems.
  • There is little or no pain associated with the treatment.
  • If the existing denture is in good condition it can be reused.

Implants are a very exciting treatment option that can make a huge difference for those who have loose dentures or missing teeth and want to eat better.

The Gentle Dentist Explains Implants

If you have any further questions regarding implants, please give our Shelby Township office a call at 586-247-3500.

The Gentle Dentist Explains Implants

The Gentle Dentist Logo

Hi, I’m Dr. Antolak at thegentledentist.com. We’re in Shebly Township, Michigan, (586) 247-3500 is our phone number. What I’d like to do is talk to you a little bit about dental implants. Dental implants are an unbelievable way of preserving teeth, securing dentures, and a great way to help to give you something that you lost, namely your teeth.

I’ve been personally placing dental implants for about the last nine or ten years. Dental implants are something I knew at that point in time something that was really valuable. Patients needed to have exposure to using them, and implementing them.

So, what we did was place dental implants and restored them with crowns. We replace teeth that have been missing, lost, and if root canal teeth have failed. We take the tooth out, and put in a dental implant.

Within the last few years, mini implants have really been taken on strong. As you can see, the picture I have here, you can see the difference in the size of a traditional implant, which is on the right hand side. And then, on the left hand side, a couple of smaller size implants; those are called mini-implants.

Basically the definition of a mini-implant is three millimeters in diameter or smaller, and a standard implant is greater than three millimeters. So, you see on your left hand side, it is about five millimeters in diameter. The other two that you see, are three millimeters in diameter. You’ll notice that the tops of the ones that are three millimeters in diameter have a different attachment. So those can go into the jawbone.

Depending on the case and the situation, dentures are made to have little snaps that go inside the dentures, and they snap over the top of either one of those two mini-implants.

The benefit of the mini implant is that it’s more conservative. In other words, for patients who can’t afford the full size dental implant, or if they have more medical issues where they can’t actually go through more advanced surgeries, the mini implant is a great alternative.

By having the mini-implant, it keeps lower dentures down secure into the jaw bone. It keeps it secure over the ridge so that the teeth don’t move around. One of the biggest problems with lower dentures especially is that they move around a lot.

You can never bite down predictably with a full denture. So these mini implants being there allow you to bite down with confidence. You’re going be able to bite down a lot harder and therefore chew the foods you want to chew, not the foods you actually have to eat like the soft foods or the mushy foods. We can also do the same thing and put them on the upper dentures too, so either way they work great.

If you’re interested in having some kind of an implant to either help support your denture or missing tooth, please give us a call. Our phone # is (586) 247-3500 and our website is thegentledentist.com. Thank you, and have a blessed day.

Dental Implant Surgery: Dr. Antolak is truly the gentle dentist. I had an implant to replace my front tooth which had a porcelain crown that broke to the bone. Dr. Antolak pulled what was left of the tooth so gently, I did not feel any pain through the entire process. He proceeded to insert the dental implant and use my old crown by bonding it to my other teeth until I heal. You would never know I had anything done, my teeth look perfect and it is only temporary until they replace the old crown with a new one. I highly recommend Dr. Antolak to anyone contemplating dental implants as he is truly the gentle and most knowledgeable, caring dentist.”

Marlene D.
Dental Patient from Macomb, Michigan (Macomb County)

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