Dental Implants

Implant Surgery: Who says that Dental Implants are Painful?

The person who is shaking hands with President Clinton had six implants placed, by a PIAGW doctor, the morning of the day that she attended this State-Dinner. In this picture you see her speaking with The President, telling him that she had just had her implants placed earlier that day -- and that she was feeling great.

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Today's Method of Choice for Replacing Missing Teeth

To provide you with a better understanding of dental implants, we have provided the following multimedia presentation. PIAGW provides dental implant services in Chevy Chase MD, serving Bethesda Maryland, Montgomery County, Washington D.C.

What are Dental Implants?

Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration which occurs when teeth are missing.

Dental implants are changing the way people live! With them, people are rediscovering the comfort and confidence to eat, speak, laugh and enjoy life.

Dr. Rose has received extensive training in Implant Dentistry. They have been successfully placing implants since 1986. Through continuing education the doctors keep abreast of the most current information on implant dentistry.

Deformed Gum and Need Of Implant Supported Replacement Tooth

The Problem

This 28-year-old female had suffered a blow to the face as a teenager. She lost her upper left central incisor and the gum and bone ridge of that tooth's region was damaged.

She had the tooth replaced by a bridge. A bridge is a dental appliance that replaces one or more teeth. On each side of the false tooth, one or more crowns (caps) are attached. The crowns sleeve over adjacent teeth that have been shaved into stumps. The bridge is cemented over the shaved down teeth.

The lost tooth's replacement is misshaped due to the gum/bone ridge deformity caused by the accident. This is a bit unsightly and the patient objects to it. Also, one can see the connection of the false tooth to the adjacent crowns -- which further detracts from the desired natural appearance of the bridge. This is a problem inherent to bridges.

The Solution

The bridge was removed and the false tooth was replaced via an implant-supported-crown. Also, the teeth to each side of the implant tooth received new crowns.

In order to place the dental implant, and to have the area not look deformed, it was necessary to construct new bone and gum in the area that had been damaged. This was performed prior to the placement of the implant.

The doctors of PIAGW performed the bone and gum reconstruction process, as well as the placement of dental implants, and did so for this patient.

Compare the individual tooth look of the final result and the original pictures.

Dental Implants Evaluation

In order to have dental implants to replace one or more missing teeth you may have to undergo a dental and x-ray examination as well as a health history review. Once this is accomplished, and during a consultation with implant dentist, he/she will address your specific needs and situation. Your questions and concerns are important to us and our team will work with you very closely to help make your decisions and treatments success.

We will also discuss fees and insurance at this time. There are many types of insurance plans, and coverage for implants is varied. We will be happy to assist you in obtaining any benefits to which you may be entitled.


Dental Implants Procedures

Dental implants are metal anchors that act as tooth root substitutes. They are surgically placed into the jawbone. Small posts are then attached to the implant which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.

For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your restorative dentist designs the final bridgework or denture, which will ultimately improve both function and aesthetics.

After the implant has bonded to the jawbone, the second phase begins. Dr. Rose will uncover the implants and attach a small healing collar. After two weeks your general dentist will be able to start making your new teeth. An impression must be taken. Then posts or attachments can be connected to the implants. The teeth replacements are then made over the posts or attachments. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.

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Failed Root Canal Treatment and Severe Gum Disease

The Problem

This patient was a 37-year-old female who had continued problems with her front tooth after having fractured it. The tooth received Root Canal Therapy, however, it was not successful. Numerous re-treatments of the root canal proved unsuccessful. Some of the re-treatments were surgical in nature. The surgical procedures, and frequent abscesses, destroy the bone that originally surrounded the tooth's root.

A treatment plan consisting of an implant-supported-crown was chosen.

The Solution

The bad tooth was removed and the damaged jawbone and gum of the area was reconstructed. Eventually, a dental implant and crown were made to replace the lost tooth.

The doctors of PIAGW routinely perform extractions, bone and gum reconstruction processes in preparation for placing dental implants. In fact, the doctors of PIAGW were the initial developers of what is now a world-wide, utilized bone reconstruction procedure. PIAGW also place dental implants.