Who actually performs the implant placement?

Implants are a team effort between an Oral and Maxillofacial Surgeon and a Restorative Dentist. While Dr. Urban performs the actual implant surgery, and initial tooth extractions and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.

What type of anesthesia is used?

The majority of dental implants and bone grafts can be performed in the office under local anesthesia, with or without general anesthesia.

Do Implants need special care?

Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists.

Can I have a dental implant, if I take a bisphosphonate medication?

Bone-building drugs like bisphosphonates and anti-RANKL medications require special attention when considering dental implants due to their association with Bisphosphonate-Associated Osteonecrosis of the Jaw (BRONJ). These drugs alter bone turnover, increasing the risk of bone death, especially after minor oral surgeries. For routine doses used in osteoporosis treatment, the risk of BRONJ is very low but persists for months or years. The American Association of Oral and Maxillofacial Surgeons (2009) estimates the risk from low-dose oral or slow-release injectable bisphosphonates to be between 0.01% and 0.06% for jaw procedures. Risks increase with intravenous therapy, procedures on the lower jaw, and in patients with other medical conditions. The position paper recommends avoiding implants in patients undergoing high-dose or frequent intravenous bisphosphonate therapy for cancer. For other patients, implants are generally safe and do not significantly affect implant survival

Salt Lake City, Utah

Dental Implants

Introduction

West Jordan Dental Implants

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence.

Using the most recent advances in dental implant technology, Dr. Urban is able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of six weeks of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction further minimizing the number of surgical procedures. Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit. This procedure, called immediate loading, greatly simplifies the surgical process.

Why dental implants?

Once you learn about dental implants, you finally realize there is a way to improve you life. When you lose several teeth whether its a new situation or something you have lived with for years chances are you have never become fully accustomed to losing such a vital part of yourself. Dental implants can be your doorway to renewed self-confidence and peace of mind. A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than thirty-five years ago. With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.

What types of prostheses are available?

A single prosthesis (crown) is used to replace one missing tooth each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.

Dr. Urban performs in-office implant surgery in a hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.

Are you a candidate for implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.

Why would you select dental implants over more traditional types of restorations?

There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a partial at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.

What determines the success of a dental implant?

The success of dental implants relies on several factors, including the recipient’s overall health, medications affecting osseointegration, and the condition of the oral tissues. Additionally, the amount of stress the implant will endure during regular use plays a crucial role. Proper planning regarding the position and number of implants is essential for long-term success, as biomechanical forces from chewing can place significant stress on the implant.

Implant placement is determined by evaluating the position and angle of adjacent teeth, using lab simulations, or employing advanced imaging techniques such as Cone Beam Computed Tomography (CBCT) and CAD/CAM simulations with surgical guides called stents. For long-term success, it’s vital to have healthy bone and gums. Since bone and gum tissue can deteriorate after tooth extraction, pre-prosthetic procedures, such as sinus lifts or gingival grafts, may be necessary to restore optimal bone volume and provide adequate support for the implant and surrounding tissues.

What are the restorative options for dental implants?

The final prosthetic can be either fixed, where a person cannot remove the denture or teeth from their mouth or removable, where they can remove the prosthetic. In each case an abutment is attached to the implant fixture. Where the prosthetic is fixed, the crown, bridge or denture is fixed to the abutment with either lag-screws or cement. Cement is used in areas of high esthetic concern but cement can create bone loss and gingival recession if the excess sement is not properly removed. Where the prosthetic is removable, a corresponding adapter is placed in the prosthetic so that the two pieces can be secured together.

What are the complications of dental implants and the success rate of dental implants?

The risks and complications related to implant therapy are divided into those that occur during surgery (such as excessive bleeding or nerve injury), those that occur in the first six months (such as infection and failure to osseointegrate) and those that occur long-term (such as peri-implantitis and mechanical failures). In the presence of healthy tissues, a well integrated implant with appropriate biomechanical loads can have long term success rates of 93 to 98 percent for the fixtureand 10 to 15 year lifespans for the prosthetic teeth.

Woman with long wavy dark hair smiling at her reflection in a mirror, wearing a white robe in a bright bathroom setting. - Wisdom Teeth in West Jordan, UT

Dental Implants FAQ’S

Implants are a team effort between an Oral and Maxillofacial Surgeon and a Restorative Dentist. While Dr. Urban performs the actual implant surgery, and initial tooth extractions and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.
Bone-building drugs like bisphosphonates and anti-RANKL medications require special attention when considering dental implants due to their association with Bisphosphonate-Associated Osteonecrosis of the Jaw (BRONJ). These drugs alter bone turnover, increasing the risk of bone death, especially after minor oral surgeries.

For routine doses used in osteoporosis treatment, the risk of BRONJ is very low but persists for months or years. The American Association of Oral and Maxillofacial Surgeons (2009) estimates the risk from low-dose oral or slow-release injectable bisphosphonates to be between 0.01% and 0.06% for jaw procedures. Risks increase with intravenous therapy, procedures on the lower jaw, and in patients with other medical conditions.

The position paper recommends avoiding implants in patients undergoing high-dose or frequent intravenous bisphosphonate therapy for cancer. For other patients, implants are generally safe and do not significantly affect implant survival

Patient Reviews

I went home today and literally was blown away by how good my procedure looks! This is why you come to Dr. Urban and his team. I pulled out my license photo when I was 39 and I look just like that again. It’s amazing. Feel free to ask for before and after photos at the the office.

You will not be disappointed!

View Results – S.V.
Best experience! If you’re looking for a great result and great treatment, this is the place for you!

View Results R.C.
Mini facelift and I am loving it! The Drs follow up was beyond expectations. I feel so much more confident when meeting new people. I would do it again but only with Dr Urban.

View Results C.C.

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