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

By: Jessica Wendt, RDH – The Gentle Dentist

Commonly “Feared” Dental ProceduresIf you are scared to go to the dentist, you are not alone. It is estimated that about 30-40 million Americans have some type of dental anxiety or phobia. This can stem from negative past experiences, pain, embarrassment, or a feeling of not being in control. Some people are even scared to have a simple healthy mouth teeth cleaning. Yet, most of the time it is the more extensive dental work that causes people to be extremely nervous. Many times patients do not fully understand what is being done so their mind is left to wander. Some commonly feared dental procedures will be addressed below and tips on how to cope.

  • Root Canal – The dreaded root canal. These two words alone cause most people to cringe but why? Most of the time it is because of a past experience where a root canal was painful. A root canal needs to be performed on a damaged or an infected tooth where the nerve is dying off. It is a procedure where the nerve tissue in the root of the tooth is removed and the nerve space is filled with a substance to seal it off. The tooth will then have a permanent filling placed and may also need to be crowned. If the tooth does have an active infection, it may be harder to get the tooth fully numb or it may require more anesthetic than normal. In some cases, a round of antibiotics a few days prior to the root canal appointment can lessen the infection, which in turn will lead to better numbness for the tooth. With proper anesthesia, a root canal should feel no different than a regular filling.
  • Tooth Extractions – No one usually looks forward to having a tooth extracted. Extractions tend to be a dentist’s last resort because having a full set of teeth is important for many reasons. A tooth may need to be extracted if it is beyond repair, painful, and a source of infection. Also, wisdom teeth may need to be electively extracted if they are impacted or very hard to keep clean. If an extraction is a must, the dentist will give adequate anesthesia so no pain is felt. There will be pressure at times, but there should not be any pain. If there is pain, make sure there is a signal that can be given so the dentist can stop and give more numbing medication. There may be some minimal post-operative bleeding, but do not let this alarm you. The dentist will give you warning signs on when to contact him or her for continued bleeding or pain.
  • Dental Implants – Dental implants are becoming more common in modern day dentistry to replace missing teeth. However, most people squirm at the idea of it. A dental implant is a titanium post that is surgically placed in the bone. The bone will heal and integrate into the threads of the post. Once this healing takes place, the post can be restored with a crown making it look just like a natural tooth. The fear usually comes because an implant requires dental surgery, but most patients are unaware that the bone around the teeth does not have nerve endings. The dentist will still give adequate anesthesia to numb the gum tissues where the post will be placed, but the bone itself will not be in any pain so to speak. From patient testimonies, it sounds like dental implants feel just like a normal tooth if not better, and there usually isn’t a noticeable difference between the two.

What to do for moderate to extreme dental fear?

If just numbing the tooth is not enough to calm your nerves, there is more a dentist can do to help ease dental anxiety. Most dentists have nitrous oxide gas in the office to help with relaxation. It was commonly referred to as laughing gas, but most people tend to relax and not laugh when they are on it. The gas is mixed with oxygen and then is inhaled by the patient through a nosepiece. It does produce a mild sedative effect, which wears off within five minutes after it is done being used.

For more extreme fear, some dentists offer either oral conscious sedation or IV sedation. These types of sedation do require a driver to and from the dental appointment. The oral conscious sedation is administered through a series of anxiety-reducing medications taken the night before and day of the dental procedure. In IV sedation, the anxiety medication is given in an IV in your arm. You will be very sleepy and relaxed, but will still be able to respond to verbal commands if necessary. Both types do create an amnesia effect in which patients have little to no memory of the procedure.  For additional information on sleep sedation, please visit our website at www.TheGentleDentist.com or call us at 586-247-3500. We look forward to hearing from you!

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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.

What is a Dental Implant?

A dental implant is an artificial root used to hold down dentures or replace missing teeth. Dental implants are surgically placed into the jaw bone and is surprisingly easy and pain free.

In the following photo it shows the implant in the bone, the abutment which is screwed down to the implant and the crown that is made and cemented over the abutment. These 3 parts are necessary to replace a single tooth.

Ask the Gentle Dentist: Dental Implants

The following image shows implants with a bar that supports a denture. These dentures snap over the bar, providing a more comfortable and secure fit to the denture so that you can eat the foods you want to eat and not the ones you have to eat. It is possible to screw the dentures to the implants for those patients who have good hygiene and are willing to invest in this alternative.

Ask the Gentle Dentist: Dental Implants

What are the costs of dental implants? Dental implants are a higher level of treatment from a clinical and technological aspect and therefore require a greater investment. The benefits are outstanding in regards to the ability to chew food and feel more confident. The range in price is dependent on a number of factors including necessary grafting, sinus augmentation, available bone, the number of implants required for a predictable outcome. Ranges are from $3500 and over. This seems like a lot of money (and it is) but for those who have this level of care there is little regret over the investment.

Question from a patient of mine who has a brother that had some teeth removed:

Is there any specific time after a tooth is removed when an implant should be placed?

Answer: there are a number of factors that affect the successful placement of an implant during the time that a tooth is extracted.

1. Areas of active infection can be a factor. If an infection is localized and not spread to the soft tissues of the face then it can be removed after a tooth is extracted and an implant placed. In the past it was believed that an implant could only be placed in an area that was without any infection. With proper cleaning and disinfecting of the extraction site and implant can be placed. It is necessary for the patient to be given an antibiotic for healthy healing.

2. Remaining bone after a tooth is removed is a huge factor if an implant can be placed. The most critical and thinnest bone is the bone that lays against the lip or cheek. This bone will usually shrink after a tooth is extracted. In fact it is the area we are most cognoscente of when extracting a tooth and protect it at all costs. Gentle, a traumatic extractions must be done for success. After a tooth is removed there is natural shrinkage of the bone can take place and if it shrinks to expose the threads of the implant then this can run into complications.

3. Molar teeth have either 2 roots (lower) or 3 roots (upper). Because an implant is best placed in the center of the site it usually lines up in the middle between where the roots are. It is sometimes better to remove the tooth, let it heal for a few months and place the implant in the ideal location. Many single rooted teeth will accept an implant placement immediately after the root is extracted.

Every attempt is made to reduce the healing time and surgical trauma to the patient and therefore placement of the implant during the extraction.

I have been placing and restoring dental implants for about 12 years now and they are very predictable and the first option of replacing missing teeth sine they are the least invasive procedure.

Candy Buy Back

Halloween has come and passed and what do you do with all of that candy you have left over? Might I suggest that you drop it off at our office so we can put it to a good cause and limit your temptation of eating what you shouldn’t. Stop by our office at 15055 22 Mile. We are just east of Hayes on the north side of 22 Mile. It would be best to call us at (586)247-3500 before you come in to make sure we are open. If we are not open you can leave it in the hallway of the building in front of our door.

If you have any questions about dental implants you would like to have addressed, please call our Shelby Twp. dental office at (586) 247-3500.

 An extended offer to come to our dental office in Shelby Township

Hi, this is Dr. Robert Antolak from TheGentleDentist.com located in Shelby Township, Michigan. 586-247-3500 is our phone number.

I’ve been in dental practice since 1987, so that means I’ve been in dental practice for more than 28 years and the thing about dentistry is that dentistry is a profession that’s constantly improving.

Because of technology, we have to continually strive to do things more efficiently, to reduce our costs. And also to do things more to benefit our dental patients.

We’re a paperless office. We’ve been that for the last 8 years. And what it does for you is you can fill your information out at home, online. As a new dental patient, you’d actually be sent a link that will get you access to the forms that you fill out. And those forms, when you’re done doing it, you just submit it without paper. When you come into our office, you sign off on an iPad. And what it does, it gives us the ability then to do things very conservatively and also that we can make sure that we don’t uh, need, we lose paper and it’s very confidential too at that point.

Now, when you do come into our office we like to greet you with a smiling face because not only is technology important, but what also is important is the environment that you  find yourself in.

Many, many of our dental patients that we see really appreciate the amount of service that they’re given — personalized service. We really want to make this your new dental home. So to do that it’s very important to us that we get to know who you are. So therefore, we like to interview you to find out what’s important as a new patient. And to really customize your care.

So if someone is looking to have for example, a lot of dentistry done and they want to improve their smile, that might be one person. If somebody else comes in, and they just want to have the most minuscule chip on a filling done, and get that taken care of, we’ll easily take care of that too. We try to find and meet people where they at currently in their situation. And then what we find is that as trust is developed, and people start trusting us more, then they feel more comfortable with our our expanded abilities to do things.

We also at our office can do pretty much any type of dentistry. Since dentistry is my passion.  I basically want to do almost every type of dental care. This makes it very streamline. For example, if I have to do an implant on patient, extract a tooth, I can do all that and some fillings in one visit and do that under sedation so everything is kept in our office so that we have a handle on quality care on the receiving end.

What I would like to do is to give you an extended offer to come to our dental office in Shelby Township and even come in and just greet us, meet us. We can even do a free just like a 10 or 15 minute no-charge consultation appointment. You can come in, see our office, see our environment, see how friendly we are and the care that we provide for our dental patients. So if you like to do that we’ll love to see you.

 An extended offer to come to our dental office in Shelby Township

Our phone number is 586-247-3500. We’re a dental office in Shelby Township, Michigan.

Ask the Gentle Dentist                                          December 2014

The relationship between excessive sugar intake and tooth decay.

In our dental practice I am constantly in contact with new patients who have been addicted to soda pop, candy, chips and other snacks which are high in sugar and acid. To be quite honest I get very frustrated with the fact that they have been doing this and have no awareness or correlation that the pop is affecting their teeth. They will often need at least $2000-$4000 of dentistry including root canals, multiple fillings, crowns, extractions, bridges and just about anything we can do. I will ask if they drink Mountain Dew, Pepsi or Coke and “The Dew” seems to be the favorite. There is actually high levels of sugar in a number of energy drinks and even in Ensure.   Unfortunately, these individuals have ignorantly been sipping on these drinks which have up to 40 grams of sugar per 12 oz. This, in combination with the fact that these drinks contain phosphoric acid makes them just right to dissolve the enamel off of the tooth surface.   When sugar comes in contact with teeth, the bacteria that naturally sticks to the teeth metabolize the sugars and form lactic acid as a byproduct. As one sips on the pop there is constant dissolving of the mineral layer and eventually black or white lines start to form on the fronts of the teeth. This is the beginning of a cavity. I tell my patients that if they have the urge to drink the pop, soft drinks, energy drinks, etc. that it is best to be done at one setting rather than throughout the day.   The constant exposure doesn’t allow the body’s saliva to buffer and re-mineralize the tooth structure. Our saliva has the enzymes and ability to repair the damage as long as there is enough time to do so between intake of pop.

This problem with dental decay also exists with our senior patients. The difference is that they don’t have the levels of naturally occurring saliva that younger patients have so they are at an even higher risk of getting cavities. Seniors suffer from a lack of saliva from being on multiple medications, autoimmune diseases such as Sjogens syndrome and as a natural process of aging. This makes them more vulnerable to these sugar attacks. A big problem is that they use candies containing sugar to suck on to stimulate saliva flow to lubricate the mouth. This perpetual attack and decay continues unless there is a break in the cycle.

Obviously, it is best to drink water when thirsty as our body needs this and it is the most natural and needed item to sustain life. Unfortunately, many times those who are addicted to the pop say “I don’t like the taste of water”. What they are really saying is that they have an affinity and addiction to sugar and the caffeine. If this describes you then it is best to make sure you brush your teeth at least twice per day to remove the plaque. Rinsing with plain water immediately after drinking the soft drink and using fluoride are beneficial to help re-mineralize and strengthen the teeth.

Alternative substitutes to sugar have been tried but in my opinion there is no better substitute than xylitol. Why Xylitol? It strengthens teeth, reduces tooth decay, reduces cavity-causing bacteria, inhibits growth of dental plaque, stimulates saliva flow, 40% less calories than sugar, and the best…it is delicious and satisfying. This alternative sweetener has been used in Europe with consistent findings of reduced cavities formed. Even though it has all of the listed benefits available it costs more to use than table sugar. Since this is an altered sugar the bacteria in the mouth can’t identify this as a food source and therefore will not metabolize it and form the dreaded acid. One must be careful when consuming any product excessively. If xylitol is consumed excessively bloating, flatulence and diarrhea can be experienced.   If you are a diabetic or struggle with cavities it may be of interest to know that we have candy and gum in our office that contains Xylitol, just stop in to purchase some!   It is only $5 for a canister.

Implant seminar

Due to poor planning on my part I presented a mini seminar to the public on implant dentistry before November’s article went to press . I will be repeating the informational seminar in February. Stay tuned as I will have the dates solidified soon and will announce in January’s article.   A few issues emerged during the presentation such as a woman who had all of her teeth extracted and how she was doing very poorly with her new denture and wanted to know how dental implants could help her. Another woman had a fixed bridge that was failing and she wanted to know how dental implants could help her to replace the tooth that needed to be extracted. There were a few other issues that people had to deal with and I had given them what I believe was in depth information and answered their questions as best as I could considering we were at a Biggby’s coffee shop. I look forward to presenting this information and answering your questions in February.

Candy Buy Back

I want to report that our candy buy back was quite a success. We had collected about 350 pounds worth of candy during the event and thank those who had done so. If you have some candy still laying around your house you can drop it off at our office and I will put it to good use.

May you all have a Blessed Christmas and realize that Jesus is the reason for the season and not the amount of gifts that you give or receive. God gave His most precious gift to us at Christmas who is Jesus, His only son. Rom_10:9 If you declare with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved. Have a safe Christmas and a Blessed New Year!

Sugar addiction and Dental Implant Seminar

If you have any questions about sugar addiction and dental implant seminar please contact me by visiting our website at www.TheGentleDentist.com  and fill out our contact form or call the office at (586)247-3500. Our address is 15055 22 Mile, Shelby Twp. 48315.

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.

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

Shelby Township Dentist Answers Questions about Smoking and about Implants

Question: My husband has been smoking for many years, but when he plays golf with his buddies he smokes cigars. I am concerned about this. Are cigars safer to smoke than cigarettes?

Answer: Cigars are not a safe alternative to cigarettes. Even if you do not inhale cigar smoke, you are still at risk for oral and pharyngeal (throat) cancers.
Like cigarette smokers, cigar smokers are at increased risk for periodontal (gum) disease, a leading cause of tooth loss.
In addition to the health risks, cigar smoke (and cigarette smoke) can cause staining of the teeth and tongue as well as bad breath.
There are numerous programs out there to help stop this habit. The most important factor for him to quit is his willingness to kick the habit.

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?

Answer: 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.

Shelby Township Dentist Answers Questions about Smoking and about Implants

If you have questions about smoking or implants, please give our Shelby Township office a call at 586-247-3500.

Shelby Township Dentist Answers Questions about Smoking and about ImplantsThe Gentle Dentist Logo

Mini Implants Vs. Full Size Implants Explained by Shelby Township Dentist

Hi, this is Dr. Antolak from thegentledentist.com, located out in Shelby Township, Michigan. Our phone number is (586) 247-3500. Implants are a big part of dentistry now, as most of you have heard about implants. And what I wanted to do is just compare for the situations where we would use to hold a lower denture in place. The difference between a full size implant, which I’m holding right here. A full sized implant here, alright? Compared to what’s called a mini implant, which is right here.

Alright? And we can also use a natural tooth like this in this model. You can see the root of the tooth here, to actually hold these in. The question becomes, how can we differentiate what to use? I had a patient today come in who has issues with all of them. So I came up with a solution. We’re going to use 1 regular root of his natural tooth and place 1 full size implant in to hold the lower denture. But I want to start off with the natural teeth, first of all.

So, the natural teeth are in bone, like this. And we can use an attachment to actually go inside of the root of the tooth. The tooth has a root canal in it. So then, the tooth is dead, itself. But the tooth is contained within the jawbone itself. So we can place an attachment. This very very small little, the brass device here is used as a little clip. And it will hold a denture in place like this. Okay? And inside it, there’s the female of that, where this is the male. And the actual clip over the top and they’ll be nice and stable for a denture to not move around. In cases where there are not natural teeth available and there’s adequate bone, I will usually suggest doing what’s called a full implant. Now this looks large. The larger an implant is, the stronger it is and the more drillable it’s going to be. Also with these types of implants we can place attachments like you see at the end of this root here. Screw them right into the implant and then we have the ability to use a number different attachments like you see inside of here that have different holding strengths.

So this patient today came in and I’m recommending we do a 1 tooth attach, which is working fine. And placing a full implant like this. Not this big but almost, into the jaw bone. Like you could see the teeth there, the implant sits there and then we could screw on where the attachments onto that to make this over denture. Now for people who have denture loss for quite some time and their bone is rather narrow we can use what’s called a mini implant.

A mini implant like this is less than 3 millimeters in diameter, which is pretty small. Compared to a full sized implant like this, which is basically over 3 millimeters. This is 5 millimeters in diameter, and this is 3 millimeters in diameter. So you can see the difference between the 2 of them. If that’s the case, then what we’ll do is we’ll place these implants inside the jawbone. 4 of them, usually in the lower front area here. And then we will use a similar device to snap the lower denture in place.

All these really work. It just depends on the patient’s scenario, and what the patient has to offer. If they have adequate bone, I’m almost always going to recommend that we do a full size implant. Because they’re very versatile. We can change those parts out. Whereas, in the mini, like, a mini implant, this is all 1 solid piece. You can’t change any pieces out. Another benefit of a full sized implant like this is that, in case, let’s say, somebody gets tired of wearing a denture, we can then go through and, change the top of that and put a crown on top of that. Or we can put a number of different teeth and make one that is not removable. So we have a lot more flexibility with a full size implant compared to the mini implant. But these are just some considerations to make for, if you have a, situation where you’re contemplating do you do a full size implant, do you do a mini implant? It could be rather confusing. So it really depends on the case. Once again, if you have enough bone in your mouth and their might be the chance that you’re going to go from something you move like a denture like this, to doing something that’s actually cemented in place and fastened down so you don’t have to take it out. Then I would suggest using a full implant.

If you’re medically compromised, you have some medical issues going on, and you have very thin bone then an implant like this, a mini implant, works out very well in those cases to hold a lower denture in that you’ve never had the ability to snap it in place and hold it in.

And then, for our patients who have let’s say, broken down teeth that are savable as far as doing root canals in them, many times we’ll just remove the nerve on the inside. We fill it with the rubber material. Then, we place these attachments inside of it. And then we can make a denture like this. You have to have lots of tools in your tool belt to be able to know what’s best for you.

Mini Implants Vs. Full Size Implants Explained by Shelby Township Dentist

So if you do want my professional advice. With over 25 years of experience and over the last 10 years replacing my own implants. Please give us a call at 586-247-3500.

Mini Implants Vs. Full Size Implants Explained by Shelby Township Dentist

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