Implants will act as anchors which will firmly attach to a counterpart anchor in the denture. The underlying bone should be scanned with a template in place, in order to assess bone quality and quantity. This information is critical to implant palcement and long term success of a denture sitting on implants, as well as for the implants themselves. Sincerely, Anca bazile, DDS, MSD, New York Periodontist
Therefore, yes, the most predictable approach is to find a qualified periodontist or oral surgeon who will extract the tooth and evaluate the quality of the bone left. Chances are the bone has been pretty damaged by the abscess. At the time of extraction, a proper bone graft should be placed. Depending on the nature of the defect, you will have to wait 3-5 months before having the implant placed. Sincerely, Anca Bazile, DDS, MSD, LLC
Two stages would mean that at the time of placement, the gingiva (gum) is allowed to grow over. After the adequate healing period, that small area of gingiva is then exposed, and a "healing" cover is placed, which will at that point stick through your gum, like a small thumb nail. A one stage procedure, would mean that at the time the implant is placed, the "healing" cover would be placed, thus a little metal piece would be noticeable through the gum. Sincerely, Anca Bazile, DDS, MSD, Periodontist, New York City
However, full mouth rehabilitation requires extremely precise teamwork between the surgeon and the restorative dentist. Both should be specialists and experts in occlusion, as the final product can be wonderful or overwhelmingly difficult, time consuming and costly if all is not cleat from the start. Sincerely, Anca Bazile, DDS, MSD Periodontist, New York City
Specifically, a full dental/periodontal exam should be done prior to the placement. During the surgery, the patient, should be premedicated with an antibiotic. If any additional procedures are done at that time, the antibiotics should be continued. If not, premedication for the day of the surgery is the advised regimen. If the above is followed, there is minimal if no risk of infection with dental implants. Sincerely, Anca bazile, DDS, MSD. Periodontist, New York City
