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Dental Implants

Feb 27

My dentist recommends a flipper but the prosthodontist prefers a temporary crown

By Dental Implants, Porcelain Crown, Prosthodontist

My dentist sent me to a prosthodontist to get an implant in place of a rotten tooth that had to be pulled. My dentist wants me to get a dental flipper from him, but the prosthodontist said that I can get a temporary crown. Is it normal to get a temporary crown? What is a dental flipper like anyway?

Ken – It is common for a temporary crown to be used while waiting for a permanent crown to be placed.

A dental flipper is a removable partial denture that has a gum-colored acrylic base with an acrylic tooth attached to it. Metal clasps can be attached to wrap around your teeth and keep the flipper in place. Depending on the location of the missing tooth, the metal clasps can be seen. Care must be taken to ensure the flipper does not disturb the dental implant.

You will find a temporary crown to be more comfortable than a dental flipper. Speak with your prosthodontist about your concerns. He or she will be able to fully explain your options and the pros and cons of both.

This blog post is sponsored by board-certified Naperville prosthodontist Dr. Anthony LaVacca.

Jan 23

Why do my implants keep failing?

By Dental Implants

Over the past five years I have tried to get implants for three missing teeth, but they have all failed. The surgeon has taken extreme care and rebuilt my jawbone in those places, but my body seems to keep rejecting them. My implant dentist is clueless. I want to replace these teeth. What do you suggest? – Margo

Margo – In rare instances, because of body chemistry, there are patients for whom dental implants don’t work. The situation is similar to a patient’s body that rejects a tissue transplant.

It is surprising that if you have an implant dentist, he or she is clueless. If you want reassurance, get a second opinion from a credentialed implant dentist. Take a look at our Meet Dr. LaVacca web page to get an idea of the kind of credentials you should look for in a dentist from whom you will receive a second opinion.

If your body is rejecting the implants, the implant dentist will be able to recommend alternate treatments. Although implants are the most effective and natural-looking tooth replacement, there are alternatives will look like your natural teeth.

This blog post is sponsored by Naperville implant dentist and American Board-certified prosthodontist Dr. Anthony LaVacca

Dec 27

Replacing a failed dental implant

By Dental Implant Mistakes, Dental Implants

I had 3 dental implants placed and 1 of them failed. It needs to be removed. Replacing it will require bone grafting. I am not prepared to spend the kind of money that an implant and bone grafting would take. Any suggestions for an alternative? – William T.

William – A fixed dental bridge can replace the tooth (a fixed bridge cannot be taken out of your mouth). It would not require an implant or bone grafting. If you still have a concern with jawbone shrinkage in the location of the missing tooth, you can consider a soft tissue graft or bone grafting.

If you’re interested, review Dr. LaVacca’s has a web page specific to reasons that dental implants fail.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

Nov 13

Human cadaver bone grafting for dental implants

By Bone Grafting, Dental Implants

I am seriously considering getting dental implants in early 2013. I know that I will need bone grafting. What can you tell me about human cadaver bone for grafting? – Kyle

Kyle – Human cadaver bone for dental implant bone grafting, known as allografts, works very well. U.S. donor applicants are pre-screened for infectious diseases before they are accepted as donors. Donated bone is process and sterilized to make grafting safe.

Autogenous bone comes from the patient’s own body. Bone may be available elsewhere in the mouth or from another place in the body—usually the hip.

Xenograft bone comes from a different species, usually bovine bone, which comes from a cow.

Synethetic bone grafting is referred to as alloplast. Although this method is most convenient and the least expensive, some dentists say the success rate is not as good as the other methods.

Your implant dentist will discuss the options with you and address any concerns you have.

This post is courtesy of Naperville implant dentist Dr. Anthony LaVacca.

Oct 24

Thinking about dentures instead of replacing implant teeth

By Dental Implants, Dentures

Between my upper and lower teeth I have 12 implant teeth that need to be replaced. I think the crowns are about 14 years old now and they are worn. I remember how much it cost when I first got the implants and I don’t have that kind of money now. I have retired and my income is limited. I think dentures are the way to go this time. Do you have any tips for me on what to look for with dentures? Thanks – Tommy

Tommy – There are some things you should consider before deciding to receive removable dentures:

  • The original cost of your dental implants included the cost of the implant surgery and placement, which will not be repeated for new implant crowns.
  • There is not much difference in price tween the implant crowns and complete removable dentures, but there is difference in the function.
  • Your chewing efficiency will be cut in half with removable dentures. Also, your palate will be covered, and you will enjoy food less.
  • Your dental implants will need to be removed to receive complete removable dentures. When all of your teeth are missing, your jawbone shrinks, and in about 15 years, facial collapse will occur. Then, if you are able to keep the denture in your mouth, your gums will be sore and irritated.

Many patients are satisfied with removable dentures, but you already have implants in place. Speak with your dentist about the cost of implant crowns versus complete removable dentures. If you decide that you want dentures, find a dentist who will customize the dentures to give you a comfortable fit, and who uses quality teeth for the dentures to give you a natural-looking smile.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

Oct 10

Replacing a front bottom tooth

By Dental Implants

I have a front bottom tooth that is missing the one that is immediately to the right of the center. What do you recommend for it? Thank y ou! Esther from Iowa.

Esther,

Replacing lower front teeth (mandibular incisors) requires excellent skills, because the teeth are small. If the teeth on either side of the missing one are in good condition, a dental implant can be used for the replacement. A very small implant will need to be used, and care must be taken to allow enough space between it and the adjacent teeth so that no damage is done to the roots of those teeth.

A dental bridge is another option. The bridge requires the adjacent teeth to be shaved down and to have crowns placed on them. The replacement tooth will be suspended between the two crowns. The bridge must be designed correctly to avoid damaging the remaining tooth structure.

Be sure to find an implant dentist with experience in working with smaller teeth. Check the dentist’s implant credentials to ensure he or she has the skills required for replacing tooth.

This blog post is sponsored by Naperville Implant dentist Dr. Anthony LaVacca.

Sep 28

Why do my implants keep getting infected?

By Bone Grafting, Dental Implant Mistakes, Dental Implants

10 years ago I received three dental implants. I have had problems with the implants since they were placed. I’ve had several infections. The oral surgeon has done follow-up surgeries but I still get infections. He says that it’s genetics and my body is predisposed to rejecting the implants, and there is nothing wrong with the implants or the surgeries he performed. He is referring me to a periodontist now. I am not comfortable with this situation. How do I know whether he is hiding something or if my body really is rejecting the implants? – Cynthia from New Jersey

Cynthia,

It is possible for a person to reject dental implants. And it is possible that surgical errors had a role in causing the infections. In order to get an accurate diagnosis, you need an examination by an experienced implant dentist.

If the implant fixtures are loose, they need to be removed. Bone grafting may be needed and after it heals, new implants need to be placed.

Get a second opinion from a credentialed implant dentist.

This blog post is sponsored by Naperville implant dentist Dr. Anthony LaVaca.

Sep 13

Can a child get dental implants?

By Dental Implants

My son is 11 years old and he has no lateral incisors. Is he old enough for dental implants? I don’t want him go into his teen years with the teeth missing. Those years are hard enough without him being teased. Terri R. – Allentown, PA

Terri – When your son is in his late teens and his jawbone has fully developed, you can find a good implant dentist to give him a thorough examination and determine if he is a candidate for dental implants.

Until then, an orthodontist can provide him with an appliance to keep the spaces open for future implants. Acrylic teeth can be embedded in the appliance in place of the missing incisors. This will help your son not to be self-conscious and to avoid embarrassment or being teased.

This blog post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

Aug 31

Why do my dental implants keep failing?

By Dental Implants

Over the past five years I have tried to get implants for three missing teeth, but they have all failed. The surgeon has taken extreme care and rebuilt my jawbone in those places, but my body seems to keep rejecting them. My implant dentist is clueless. I want to replace these teeth. What do you suggest? – Margo

Margo – In rare instances, because of body chemistry, there are patients for whom dental implants don’t work. The situation is similar to a patient’s body that rejects a tissue transplant.

It is surprising that, if you have an implant dentist, he or she is clueless. If you want reassurance, get a second opinion from a credentialed implant dentist. Take a look at our Meet Dr. LaVacca web page to get an idea of the kind of credentials you should look for in a dentist from whom you will receive a second opinion.

If your body is rejecting the implants, the implant dentist will be able to recommend alternate treatments. Although implants are the most effective and natural-looking tooth replacement, there are alternatives that will also look natural.

This blog post is sponsored by Naperville implant dentist and American Board-certified prosthodontist Dr. Anthony LaVacca

Aug 31

Too many implant failures

By Dental Implants

I’ve had so any implant failures on my two lower front teeth that my surgeon is stumped. He said he’s never seen this many failures before.   Do you know why? Is there ANY chance I can get implants?

Candice from Georgia

Candice,

In many cases, dental implants fail because of some mistake on the part of the surgeon/dentist. However, that is not always the case. Dental implants can fail due to no error whatsoever. For some patients, there is a rare condition with their body chemistry that causes their body to reject the implants, sort of the way some patients can reject a heart or kidney transplant. It just isn’t compatible with their body. If you’ve had many implant failures with a skilled implant dentist/surgeon, you may be one of those rare cases.

That being said, I wouldn’t despair yet. When you said your dentist was “stumped”, it made me wonder about just how skilled he or she truly is. He shouldn’t be stumped. My suggestion is that you get a second opinion. However, I want you to be careful about to whom you go for the second opinion.

Go to the website of either the International Congress of Oral Implantologists, or the American Board of Oral Implantology. Check their membership rolls for a surgeon with fellowship or diplomate status. These surgeons will have impeccable credentials.  You can be an exemplary implant dentist without that status, but this will be a sort of guarantee for you that you’ll be getting the best possible information.

This blog is brought to you by Naperville Dentist Dr. Anthony LaVacca.

 

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