Dental Implants

All-on-4 Dental Implants

I would usually prefer to deliver a normal sized tooth to close the contacts between the adjacent teeth and provide ideal occlusal function. I usually prefer a wider diameter titanium implant for a zirconia molar crown.

I had a traumatic fall &amp; cracked a tooth &amp; now have to get a dental implant in top left moler. I am getting zirconia implant &amp; the doctor is an implant only specialist &amp; said they are hard to get so I will have to do a smaller sized tooth there because that's the only option. Can this cause bite problems or chewing problems? And what does that mean? That the implant &amp; tooth is smaller? And why is there limited zirconia implant availability in US? I see many companies online.

Will smaller sized dental implant in upper molar cause issues?

While it is sometimes possible to clean out an infection around a dental implant and bone graft, it is not always advisable. There are many factors that must be considered to determine how predictable the procedure will be. These factors include the patient's medical history, the size of the defect, location and more.

I have an infection that has eaten away the bone around an implant, I am currently on antibiotics and have an appointment to have the implant extracted. The problem is it's a front tooth, I really don't want to have it extracted at all, I am wondering because it is firmly seated in the upper bone. Is it possible to clean out the infection while leaving the implant and doing a bone graft around the implant? and leaving the entire "tooth" intact? what would that entail?

Infected implant - is it possible to clean out the infection and do a bone graft around the implant?

If there is adequate bone above the nerve, then the answer is yes. However, I wouldn’t think that placement of implant supported teeth in the lower 3rd molar (wisdom tooth) area would provide any aesthetic benefit. I have placed implants in those areas in the past when there was an opposing erupted 3rd molar and the patient wanted more occlusal function. Glenn J. Wolfinger, DMD, FACP

Hello! I had gotten my lower two wisdom teeth extracted about 4 months ago. My lower two partially erupted. They were impacted but didn’t really cause any problems as I was taking care of them. It’s affecting me mentally since I had noticed my jaw look smaller, cheekbones flatter ,less defined face, and feel very uncomfortable since my jaw feels looser. My question is can I get tooth implants to replace my wisdom teeth? Mostly for aesthetic purposes

Can I have tooth implant to replace wisdom tooth extracted (mostly for aesthetic purposes)?

Zirconia implant bridges are being used more and more for All-on-4 implant restorations, especially in the upper arch. They are heavy in comparison to titanium frameworks with acrylic teeth, but are strong and durable.

Hello, I’m getting mixed messages regarding zirconia bridge. Is zirconia bridge too heavy for 4 upper implants?

Is zirconia bridge too heavy for 4 upper implants?

Obviously, each patient situation is unique. However, there are different lengths and diameters of implants that may be used depending on the existing bone volume. In some cases, short implants might be a solution; in other cases, bone grafting followed by dental implant placement may be indicated. A full-arch implant restoration may also be an option if adequate bone volume is present in the adjacent areas of the jaw.
Glenn J. Wolfinger, DMD, FACP Board Certified Prosthodontist Pi Dental Center

I have severe bone loss in my front upper jaw, Is it possible to get implants just in that area or I it best if I just get a full denture implant?

Is it possible to get implants in an area of my jaw with severe bone loss?

It sounds as if you have two “splinted” crowns #5 and #6 on two implants. Splinting crowns on implants has the advantage of distributing forces better between the two implants. Some doctors prefer to make two individual crowns, with the idea that you can floss between them. Both work well, and a lot of what goes into the decision to splint or not to splint implants is based on the individual situation.
Glenn J. Wolfinger, DMD, FACP Board Certified Prosthodontist Pi Dental Center

Hello. I got 2 implants, and a bone marrow. Everything went well. I got my crowns too. I got them together. Tooth 5 and 6. Dr said it's better that way.. but he also seemed confused when I asked why both crowns came together? The question is when would be a good decision to put 2 crowns together as 1 tooth for 2 implants? We didn't close the crown yet. Thank you

Is it recommended to have one crown cover two implants?

It all depends on your particular situation. If there is enough bone available, extraction of the tooth could be completed then immediately followed by placement of a dental implant and even delivery of a temporary crown. In some cases, if there is bone loss, three months of healing may be indicated after removal of the tooth.
Glenn J. Wolfinger, DMD, FACP Board Certified Prosthodontist Pi Dental Center

What is the timeframe from tooth removal to receiving the implants?

In general, what is the timeframe from tooth removal to receiving the implants?

I would suggest that you schedule a consult with a board-certified prosthodontist for your continuing care. A clinical examination and radiographs would be necessary. Regularly scheduled professional maintenance of your implant restorations is essential for long-term success.

51, F, 5', 100 lbs. 11/2017 had all teeth removed, all-on-4 implants procedure. Surgery, IV sedation, under for 12 hours. Implants were placed 'free hand' is what I was told. Original surgeon abandoned the practice after 2 years so they brought in a replacement. It has taken a total of 5 years and 3 different labs to get a prosthetic to fit properly. They have now sent me a certified letter stating that they will not see me anymore. What could be my future concerns?

Possible future concerns with 'free hand' All-on-4 dental implants?

There are a number of available options for anesthesia at Pi Dental Center. General anesthesia is available, administered by an anesthesiologist. Moderate forms of sedation can be provided. They include nitrous oxide or oral anesthesia.
Flying is not a contraindication for dental implants.

I will be needing a 2 tooth implant bridge on L upper side and single tooth implant on #8 after a recent bad root canal. I also need a sinus lift and bone graft for the areas. I am considering traveling out of the area for the dental work and would like to know if work can be done under local only or should consider moderate sedation (laughing gas or pill) and if it would be safe to fly back 3 days after. Would flying put the implants at risk to fail?

Can my oral/dental surgery be done under local only or should consider moderate sedation (laughing gas or pill)?

It depends. At times implants are placed at the same time as osseous surgery, if there is enough native bone present. If you are waiting for bone maturation to take place prior to implant placement, anywhere from three&nbsp;to eight months may be indicated, based on several variables such as location.

If you get osseous surgery I know your bones have to heal how long after that will you be able to get implants in first four front teeth?

How long will you have to wait to get dental implants after osseous surgery?

Glenn Wolfinger, DMD, FACP

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