The placement of dental implants is the shortest part of the entire dental implant procedure, but it’s possibly the most crucial. Proper dental implant placement sets the conditions for proper implant healing, and a lifetime of dental implant success.
There are many options for dental implant placement, and this page will offer only a basic outline. If you want to talk to an implant dentist in person about the procedure, please call (310) 275-5325 for an appointment with Beverly Hills periodontist Nicolas A. Ravon, DDS, MSD.
With successful and thorough dental implant planning, we have established many of the conditions for success. We have:
With all of these prepared, we are ready to perform the implant placement procedure quickly and with a minimum of unanticipated risks or complications.
There are often advantages to performing the dental implant placement at the time of tooth extraction. Combining procedures can reduce costs, and reduce the need for sedation or anesthesia, which not only reduce costs as well, but can reduce risks.
Sometimes, dental implant placement at the time of tooth extraction can reduce or eliminate the need for drills to prepare the implant site.
Other times, though, tooth extraction can make the procedure more uncertain. There may be difficulties extracting the tooth, which can damage the bone and make it harder to place implants. Infection of the tooth or socket may not have been detected, and can cause risks, potentially even require that the procedure be rescheduled.
Extraction at the time of the implant placement may increase the need for bone grafting, especially the minor type of bone grafting known as a socket graft or alveolar ridge preservation.
When implant placement is performed in the same procedure as an extraction, the tooth is generally extracted first, then the implant is placed in the socket with the bone graft material placed alongside. Zirconia implants are wider than titanium and may not require a socket graft.
If you do not have teeth to be removed, implant placement can be performed without extracting your tooth. Normally, a flap in the gums is cut aside to allow access to the bone. Once the bone is exposed, drills are used to create a socket for the dental implant. A succession of gradually larger drill bits is used to avoid putting too much stress on the bone. Too much stress on the bone can impair healing, potentially cause a broken or cracked bone, and potentially increase risk of a complication known as osteonecrosis, when the bone in the jaw begins to die.
Sometimes, especially in low density bone, we might employ what is known as a self-tapping dental implant, which screws down into the bone without the need for a predrilled socket. These may be used with or without the creation of a gum flap.
Once your dental implant or implants are placed, we can evaluate their stability. The stability of the implants determines whether you can receive dental crowns or bridges on top of the implants right away. We are generally able to predict how well dental implants will anchor in your bones, but we cannot know for sure until the implants are placed.
If primary stability is good, we will place temporary crowns on them. If stability is fair, we may place healing caps to help the bone and gums heal around the implant. If stability is poor, we may cover the implants completely, giving them time to heal into the bone without interference. Even if we don’t connect a dental crown directly to your dental implants, we offer options that preserve the appearance of your smile while your implant heals.
Depending on the complexity of your case and the number of dental implants, the procedure can take from one hour to an entire day or more. Once we have a surgical plan in place, we will let you know how long we estimate the procedure to take. We will also explain potential complications that could lead to a longer procedure.
This is determined by your preferences and the complexity of the procedure. If you are low anxiety, and aren’t expected to have a complicated placement, the procedure can be performed simply with local anesthesia. If you have high levels of anxiety or require a complex procedure, we will recommend deep sedation or general anesthesia.
If you are considering dental implants in Beverly Hills and want to learn more about the procedure, please call (310) 275-5325 for an appointment with Nicolas A. Ravon, DDS, MSD.