What materials do you use for a single tooth implant?
There are two basic types of materials that we use for implants. The most common and most readily used is titanium. The other one is zirconia, which is relatively new and not as commonly used among surgeons and dentists. We would use zirconia to address an implant on someone who might have a titanium allergy, which is exceedingly rare. But if you have it, it's crucial that we know.
Most implants are placed in the bone. On very rare occasions, we'll use a technique where we put a custom plate over the bone if it's extremely thin. However, most of the time, a single tooth implant is placed in the bone, similar to a fence post in the ground. Just like a fence post held by cement needs time to set, with implants, we wait about three to six months. Your surgeon or dentist will advise you on the expected duration. It varies for everyone, depending on age, bone quantity, and quality, among other factors, including general health.
Can you explain the process for a single tooth implant?
In terms of a single tooth implant, it can be placed anywhere in the mouth. Sometimes it's done when a tooth is removed, and sometimes after. Bone grafting may be necessary to fill in any missing bone required for the implant's success. After the implant surgery, you may receive sutures. The surgeon might decide to cover the implant with your gums to allow healing. Other times, this isn't necessary. Each case is specific. I might perform an implant on one tooth without needing to cover it, but another might require it.
Once the implant is placed and heals for the specified period, we conduct tests and take X-rays to ensure it's ready and has fused with your body. That's how titanium implants work. We then place a crown on top, and you're all set.
What are the benefits of implants for a single tooth?
The benefits of replacing teeth include distributing forces. Physics plays a role, as with any movement. When chewing, you're creating force. If you have fewer teeth, the same amount of force is applied to a smaller surface area, increasing the pressure per unit area. This can stress the teeth, risking breakage or making them loose if overused. An implant helps by distributing the force, aiding in chewing. It also prevents teeth on either side of the gap from drifting, maintaining your bite's functionality.
How can I find out if I am a good candidate for a single tooth implant?
I recommend visiting your dentist or surgeon for a workup to determine if you're a candidate. Generally, uncontrolled diabetes can disqualify you from being a candidate. For controlled diabetics, the surgeon may still hesitate. If you're diabetic, you should know your A1C level. Typically, we prefer it at six and a half or lower, with lower being better. I've done implants on those with an A1C of seven successfully. In my practice, I check A1C on the day of surgery to ensure safety. I've had a case where a patient's implant failed due to an A1C of 13, which is extremely high.
Smoking is another factor that can affect implant success. Whether you're a heavy smoker or use cigarettes, cigars, or vapes, it can impact implant survivability. If interested in implants, decide if you're willing to quit and seek help if needed. I provide support and medication options to assist. This step is crucial.
Want to learn more? Call Smiles of Mathews at (804) 294-4362 or email [email protected]. Our team is happy to answer your questions and help schedule your visit.