KEVIN V. LEHMAN DDS
and Associates

154 W 14TH St NYC 10011
212.777.7727

accounts@dentalartsmanhattan.com

Dental Implant

What is a dental implant?

A dental implant is a small titanium screw that serves as the replacement for the root portion of a missing natural tooth. Dental implants can be placed in either the upper or lower jaws. Due to the biocompatible properties of titanium, a dental implant fuses with the bone and becomes a good anchor for the replacement tooth. Dental implants can be used in solutions for replacing single or multiple missing teeth.

Why dental implants?

There are a number of reasons why our Chelsea area patients should consider a dental implant:
Without the root structure of a natural tooth present, the jawbone can shrink. This shrinkage will make your face look older than it is. There are no loose parts to worry about losing. The dental implant is stable and comfortable. No adjustment is needed after placement. Normally, it will serve its owner for life.

How much do dental implants cost?

The fee for tooth replacement with dental implants depends on several factors, including the number of teeth being replaced and the number of dental implants required to support your replacement teeth. Some additional procedures may be required prior to the placement of your dental implants to ensure the long-term health of your dental implants. To obtain a specific fee estimate, it is necessary to have a doctor examine your mouth. After a thorough diagnostic examination, your Chelsea Implant Dentist at Dental Arts Manhattan will recommend the treatment that is best for you.

Who is a Candidate?

Anyone who is missing one or more teeth due to injury, disease or tooth decay may be a candidate for dental implants. The determining factor is the amount of available bone. Your dentist is the best person to evaluate whether dental implants are a viable solution for you.

Is old age a problem?

Occasionally, older patients express concern that their age may prevent them from enjoying the benefits of dental implants. However, health is more of a determining factor than age. If you’re healthy enough to have a tooth extracted, you’re probably healthy enough to receive dental implants. Certain chronic diseases may contraindicate dental implant treatment. Your dentist will determine if you are a candidate for dental implants after a careful evaluation of your dental and health history.

What are the advantages of dental implants over dentures or a dental bridge?

Improved appearance: When you lose the entire tooth - crown and root - shrinkage of the jawbone may cause your face to look older. Dental implants can stop this process. A traditional denture or dental bridge doesn’t.

Preserve natural teeth: With traditional dental bridges, teeth adjacent to missing teeth are normally ground down to be used as anchors for a dental bridge. Dental implants often eliminate the need to modify healthy teeth.

Permanent solution: There are no loose parts to worry about losing. The dental implant is stable and comfortable. No adjustment is need after placement. Normally, it will serve its owner for life.

Expected Results: How will dental implants affect my life?

Dental implant-supported replacement teeth look, feel and function like natural teeth. This means that you can eat and drink whatever you choose. But most importantly, dental implants often improve quality of life in a very concrete way. People who have felt embarrassed and worried because of their tooth problems are often overwhelmed by what new permanent teeth can do for their self-esteem.

Will my new teeth look natural?

When dental implants are used in combination with modern restorative dentistry, their appearance, comfort and function are very likely to exceed your expectations. Often they are hard to tell apart from your natural teeth.

Will I be able to chew with the same force and pressure I use with my natural teeth?

Yes. Following a brief adaptation period, chewing capacity is comparable to that of natural teeth.

How much time is required for a dental implant placement?

Today, state-of-the-art guided surgical techniques are convenient alternatives to place dental implants and allow you to have the dental implant placed in a single session using keyhole surgery. This new method has significantly simplified the procedure, for both patients and dentists. The major advantage of the guided surgical technique is the minimal amount of manipulation of the soft tissue due to keyhole surgery. This significantly reduces the healing time and the discomfort normally associated with traditional dental implant surgical techniques. The conventional process can take from three to six months. First, your Chelsea Implant Dentist places the dental implant, which is left for three to six months to heal and integrate with the jawbone. During the healing period, your are given a temporary prosthesis until the permanent crown is put in place. The procedure chosen depends on several factors, such as your dental health, the number of teeth involved and which teeth are replaced. These factors will also determine the total number of visits to the dentist throughout the treatment period.

Is the treatment painful?

With any surgery, there can be some discomfort. Placing one implant normally causes less discomfort then placing several. Anesthesia and patient sedation are commonly administered to help reduce any discomfort during the dental implant process. Most patients report that they were much more comfortable following the procedure than they had anticipated. Your doctor will prescribe medications to ease any discomfort that may occur. Ask your dentist to recommend another patient who has already had tooth replacement therapy to assess their personal experience.

How will I feel after the treatment?

It is normal to have some bruising and swelling in the gum and soft tissues. But usually the discomfort, if any, is treated with an ordinary painkiller. You should expect to be able to work the next day.

How will I care for my dental implants?

Your new teeth must be cared for and checked regularly, just like your natural teeth. Brush and floss as recommended by your dentist or dental hygienist. See your dentist in six months, or more frequently if so advised. Dr. Kevin Lehman is proud to be your Chelsea area Implant Dentist. If you are considering dental implants and would like to schedule a consultation you can do so with our online appointment request form. Also please feel free to contact us via phone or email with any questions.


Single Tooth Missing

Benefits of an all-ceramic crown on implant:
When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a ceramic crown. This solution both looks and functions just like a natural tooth. In this case, a so-called one-piece implant is used. This means that all components are installed as a single unit, resulting in immediately full functioning teeth, shorter treatment time and minimized pain.

  • Immediately functioning teeth
  • Excellent esthetic result
  • Life long, stable solution

Treatment:

This procedure normally includes four visits to the dentist. You should expect to be able to work the day after having the implant installed.


Course of Treatment

INSTALLING THE NEW TOOTH – STEP-BY-STEP

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

1: Before the procedure
The dentist makes a first examination and takes one or more x-rays of the area to prepare for the procedure.
2: Installing the implant
The implant is installed. At this time, a temporary tooth is provided that allows you eat and function like normal almost immediately. The implant will need a few months to integrate with the jawbone before the next step is taken.
3: Attaching the new crown
The final step is the placement of the permanent ceramic tooth. The new tooth is installed for life. No additional treatment is needed.
4: End result
You should expect the new tooth to fit and function just like a natural tooth. Do your usual dental hygiene to keep the tooth and gum around it clean and

ALTERNATIVES TO AN ALL-CERAMIC CROWN ON IMPLANT

Tooth-supported fixed bridge
A traditional bridge involves grinding down adjacent teeth to support the bridge. It is a stable solution with good esthetics and function that is fairly easy to install. However, this alternative has two main disadvantages: continuous bone resorbtion in the edentulous area, and sacrificing healthy teeth on behalf of the bridge.
Removable partial denture
This is not a permanent alternative to a lost tooth. It is unstable and loosely attached, which affects both function and comfort. A removable partial denture is made of plastic – a material that can't create the same esthetic result as a ceramic crown. The benefits are few but do exist: adjacent teeth aren't affected. It is easily and quickly installed and relatively cheap.
Resin-bonded bridge
This alternative has some clear advantages: it is quickly installed, functions well and, since it is made of ceramic, it gives a high esthetic result. Moreover, natural healthy teeth aren't affected. But it is not very permanent. The resin-bonded bridge will eventually come off – probably after just a couple of years – and will then have to be reinstalled.

Several Teeth Missing

Benefits with fixed bridge on implants:
In this case, when replacing three teeth in the far back of the mouth, a fixed bridge anchored to dental implants is the only fixed alternative. Traditional dentures can't offer the same stability or function. Having dental implants replacing your lost back teeth will give you new, unparalleled strength and stability that allows you to eat what you want. It will also preserve your jawbone and facial appearance.

  • The only fixed alternative in this situation.
  • A stable, secure solution that lets you eat what you want
  • Preserves your facial appearance and prevents bone loss
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Treatment:

After the initial examination, you can expect 4-5 additional visits until the final fixed bridge is permanently attached. It is normal to experience some minor bruising and swelling in the gum and soft tissue afterwards. Any discomfort is usually treated with an ordinary painkiller. You should expect to be able to work the next day.



Course of Treatment

INSTALLING THE FIXED BRIDGE– STEP-BY-STEP

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

1: Before the procedure
Three teeth at back end of the mouth are missing. The only real replacement alternative is installing a fixed bridge. The bridge contains all teeth in one piece and is anchored on dental implants.
2: Installing the implant
First, the implants are installed. This is normally done in a single session. A temporary bridge may be placed at the same time, making it possible for you to function like normal almost immediately after leaving the dentist.
3: Attaching the bridge
The implants need to integrate with the jawbone before the permanent bridge is attached. This is normally done 1-2 months after the implant installation. The time will vary, depending on the teeth affected and the esthetical demands.
4: End result
The new bridge will handle all the pressure that your strong, natural back teeth did. You will have a stable and secure solution that allows you to eat what you want.

ALTERNATIVES TO FIXED BRIDGE

Removable partial denture
This alternative is often perceived as uncomfortable and a bit complicated to use. Function can’t be compared to that of a bridge. This denture is made of plastic and metal, which affects its look. It is quite expensive to fabricate due to its many parts. However, the installation process is simple, and natural teeth are spared.

All Teeth Missing

Benefits of a fixed bridge on implants
When all teeth are missing or in such condition that they need to be replaced, a fixed bridge anchored to dental implants is the best permanent solution. Before dental implants, there were no fixed solution available for people who lost all their teeth. Today, it is possible to replace a full jaw with dental implants and a fixed bridge that results in a permanent, stable and high esthetic solution.

  • Lets you eat and function like having natural teeth
  • A solid, stable solution that will serve you for life
  • Preserves your facial appearance and prevents bone loss
arch1.jpg

Treatment:

The treatment procedure and number of visits is largely dependent on the specific conditions. But all in all, 8-10 visits should be enough to have a fixed bridge installed. Most patients report that they were much more comfortable following the procedure than they had anticipated.


Course of Treatment

INSTALLING THE FIXED BRIDGE– STEP-BY-STEP

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

1: Before the procedure
The dentist determines what needs to be done and prepares both himself and the patient for the coming treatment procedure.
2: Installing the implants
The first step is installing dental implants to replace the lost tooth roots. In this case, five implants are used. Temporary teeth are attached that enable you to eat and function like normal while waiting for the permanent bridge to be installed.
3: Attaching the bridge
The final bridge is securely installed on top of the implants. With a full jaw replacement like this, it normally takes 2-3 visits to have the bridge completely attached.
4: End result
Your new teeth should be hard to tell from natural – both for you and others. People who have had traditional dentures before getting a fixed bridge often describe this as an overwhelming and very positive experience.

ALTERNATIVES TO A FIXED BRIDGE

An alternative to a fixed bridge is a removable overdenture, which is anchored on implants. The old fashioned denture has many disadvantages and should be avoided if possible.
Removable, implant anchored overdenture
A removable full denture that is connected to either a ball or bar attachment, which in turn is anchored on two or more implants in the front part of the jaw.
The implants help keep the denture in place and provide better function and comfort. Cost is usually the reason why this solution is chosen over a fixed bridge – although the end result can’t be compared.
Removable full denture
A denture that is loosely placed on top of the gum to cover the lost teeth. This alternative has no real advantages – except for its low price and easy installation.
The disadvantages are many: discomfort in eating, poor esthetics, affected speech, and sore gums from denture movement. Moreover, a full denture placed in the upper jaw severely reduces the sense of taste.

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