eat the foods you love with dental implants · 2015-01-05 · eat the foods you love with dental...

Eat the foods you love with dental implants Allan M. Acton DDSApurva Maj DDSKeith Gaught DDS Steven Van Scoyoc DDS MA

www.CaryDental.com919-415-1379

Dr. Allan Acton opened Cary Family Dental in 2003 and since that time, has become one of the Triangle’s most accomplished and trusted dentists. He is a graduate of the Virginia Commonwealth Dental School and completed his advanced dental education residency at the University of the Pacific School of Dentistry.Dr. Acton completed 216 hours of continued education in a nine-month implant continuum at the Triangle Dental Institute in Durham, NC. His training included lectures, workshops, and one-on-one mentoring on implant surgical placement and restoration, associated bone preservation and ridge augmentation grafting, and connective tissue grafting. He is a graduate of the Engel Institute's guided surgery, hands on training.Dr. Acton graduated with honors from The Hornbrook Group’s distinguished esthetic training program which included extensive hands

on training in smile design and full mouth reconstruction. Dr. Acton is currently only one of several dentists in the state certified to provide DuraTHIN veneers. Dr. Acton was voted either #1 or #2 by the readers of Cary Magazine in their annual Maggy Awards for the last 7 years.Most recently, Dr. Acton received a Fellowship Award from the International Congress of Oral Implantologists (ICOI). The ICOI was founded in 1972 and has 12,000 members worldwide in 89 countries. It is the world’s largest dental implant organization, as well as the world’s largest provider of continuing dental implant education and currently has 2,582 active Fellows in the United States. The awarding of Fellowship status is one of the highest honors a professional society, such as the ICOI, can bestow on a dental professional involved in oral implantology. Nominees achieve Fellowship status through their efforts in education, research and actual clinical experiences.Dr. Acton and Cary Family Dental are also committed to their community. Together, they have raised over $80,000 for the Smiles for Life campaign, an annual four-month long campaign sponsored by the Crown Council that raises money to help children facing serious health and educational problems. The practice also provides free dental health presentations to local preschools and elementary schools in order to teach children on the basics of proper dental care. Their proudest accomplishment is their annual Dentistry From the Heart event. On this free day of dentistry they see over 150 patients and perform over $50,000 of free dentistry each year. Dr. Acton is proud of the fact that he graduated 1st in his dental school class....alphabetically. :)Dr. Acton is happily married and has an adorable daughter and son.

Dr. Allan Acton DDS

Dr. Apurva Maj is proud to say he is a native of Cary and has been studying and practicing in the area since 1984. Cary dentist Dr. Apurva MajDr. Maj graduated with honors as he earned his Bachelor of Science in Public Health at UNC-Chapel Hill and continued with his studies there as he completed his Doctor of Dental Surgery in 2004.Cary dentist Dr. Maj has dedicated the last five years in providing the highest quality of care in all aspects of his profession. His patients are the most important and he continually educates himself to stay at the forefront of the latest advances in dental technology. He enjoys all aspects of general dentistry and is one of a few dentists in the area who is certified to perform conscious sedation dentistry.Dr. Maj and his wife currently live in Raleigh and are active in the local community. His wife teaches math for Wake County Public Schools. He is extremely excited to be a part of the outstanding team at Cary Family Dental. He grew up knowing he wanted to make a difference and be a positive influence in people’s lives. Dentistry was the perfect vehicle to accomplish this goal.AccreditationsDoctors of Oral Conscious Sedation (DOCS) CertifiedInvisalign Level I and Level II CertifiedAdvanced Cerec TrainingAdvanced Denture TechniquesGeneral Practice and Advanced Restorative TechniquesUNC Dental School Alumni AssociationNorth Carolina Dental Society

Dr. Gaught was born and raised in Valparaiso, Indiana. He attended Indiana University and later Indiana University School of Dentistry where he graduated with a DDS in 2009. He is currently a member of the American Dental Association and the North Carolina Dental Society. Dr. Gaught said that it was Cary Family Dental’s approach to patient care that initially attracted him to the practice.“I liked that Cary Family Dental offered a caring, patient-centered approach to high-quality dental care,” said Dr. Gaught. “I also enjoyed their friendly staff and beautiful office that offers patients the latest in treatment technology.”“I hope to impress upon patients and staff that I am a hard worker that genuinely cares about our patients and practice,” added Dr. Gaught. “My goal is to educate and inform patients so that

together, we can formulate a treatment plan that addresses their chief concerns while sustaining long-term oral health.”AccreditationsDental School: Indiana University School of DentistryInvisalign CertifiedAmerican Dental AssociationNorth Carolina Dental Society

Dr. Steven Van Scoyoc is a specialist in Periodontics and Implantology. He is board certified as a Diplomate of the American Board of Periodontology. His practice specializes in conservative treatment of gum disease, including specialized interests in soft tissue reconstructive plastic surgery to aesthetically enhance the smile and dental implants that can replace single or multiple missing teeth. He uses the latest technology and science to regenerate bone in the jaws, where bone loss was caused by infection from gum disease, loss of teeth, or injury. This includes sinus bone grafting, where many patients lack sufficient bone thickness in the upper posterior jaw in order to place implants. He also diagnoses and treats oral pathology. Dr. Van Scoyoc’s main interests include soft-tissue and esthetic surgery, as well as implant and advanced bone reconstruction.Dr. Van Scoyoc earned his Doctor of Dental Surgery degree (D.D.S.) from the University of North Carolina at Chapel Hill. He continued his education at UNC to complete a 3-year surgical residency in Periodontics, where he obtained his Masters in Periodontics. This advanced training certified him to practice as a specialist in Periodontics and Implantology. In addition, during his residency at the University of North Carolina, he practiced general dentistry to gain perspective on how his specialty training can enhance the treatment of the general dental practitioner.Throughout his career, Dr. Van Scoyoc has served organized dentistry in many leadership positions, as well as provided lectures at national venues. He is an active member of the following professional organizations:

American Dental AssociationAmerican Academy of PeriodontologySouthern Academy of Periodontology, Executive Council MemberFounder & Director of the Sandhills Symposium Dental Educational ForumNorth Carolina Dental SocietySeattle Study Club

Dr. Van Scoyoc has performed hundreds of periodontal surgeries and placed numerous dental implants. The University of North Carolina has awarded him the Grover C. Hunter Award for clinical excellence. In addition, he was involved in research on the development of a drug delivery system for the treatment of HIV patients with debilitating oral conditions. This has enabled him to present his work at the American Academy of Dental Research and the Southern Academy of Periodontology. Dr. Van Scoyoc’s love for academia lead him to found and now direct the Sandhills Symposium. This organization is part of the world renowned Seattle Study Club where local doctors come together to enhance their skills through collaboration and education. The Sandhills Symposium hosts world leaders in dentistry here in the Sandhills and allows local doctors unparalleled access to leaders at the forefront of dental research and clinical practice.During his free time, Dr. Van Scoyoc enjoys running, music and spending time with his wife, Keri and their children.

Dr. Steven Van Scoyoc DDS MA

Edentulous Treatment Options

Removable

Complete Denture (No implants)

Denture with implant locators

Denture with milled bar

supported by implants

NOT Removable (Fixed)

Fixed Hybrid (4-6+ implants)

Implant Supported Crown and Bridge

$2,500 $5-10,000 $18,000 $25,000 $40,000+ Note: Prices are PER ARCH. Prices are approximate and may vary by case complexity. Bone grafting or sinus lifts may increase the price.

C O M P L E T E D E N T U R EA CompleTe denTure is An AppliAnCe ThAT replACes All The TeeTh in one jAw. iT is noT CemenTed in The mouTh And CAn be TAken ouT.

1. What materials are in a Complete Denture?• Thebaseofacompletedenture ismadeofpinkacrylic. The

teeth aremade of ToothColored acrylic or porcelainwhichattachintothebase.

2. What are the benefits of a Complete Denture?• A complete denture restores function and appearance to a

jawwithnoteeth.Itisthemostcosteffectivewayofreplacingalltheteethinonejaw.Acompletedenturecanalsoprovideimportantsupporttofacialstructuressuchasthelips,helpingtoinmaintainamoreyouthfulappearance.

3. What are the risks of a Complete Denture?• Complete dentures, even under the best of circumstances,

DONOThave the samechewingefficiencyas natural teeth.Theabilitytochewfooddependsonthestability,supportandretentionof thedentures. Stability, supportand retentionareaffectedbymany factors, including theamountand typeofbone,gumsandsalivapresentinthepatient’smouthaswellastheshapeofthepatient’sjawandhowitfitswiththeopposingteeth.

4. What are the alternatives to a Complete Denture?Thealternativestohavingacompletedentureare:

1. Implantswhichattachto: a.Crownsorbridges b.Acompletedenture2. Leaveyourmouthasitis

5. How can an existing bite affect a Complete Denture?• Unevenorexcessivebiteforcesmaycausewearorfractureof

thedentureteethordenturebase.Chewingwillmakeacom-pletedenturerockslightly inthemouth;themoreuneventhebitingforce,themorethecompletedenturewillrock.

6. Are there any post treatment limitations once I have a Complete Den-ture?

• To keep the tissueunder theappliancehealthy yourdentureshouldbeleftoutofyourmouthduringsleep.Theteethinthedenturearenotasstrongasyournaturalteethandyouwillnotbeabletochewasheavilyonthem.Theappliancewilltendtogetfoodtrappedunderneathitandyoumayhavetoremoveandcleanitaftereating.Thefitbetweenacompletedentureand the gums is very important for retention and thereforemustbere-establishedevery2-5yearsasgumsareconstantlyundergoingsmallchanges.

Restore appearance and function

Frequently Asked Questions

C O M P L E T E D E N T U R E S W I T H 2 O R 4 L O C A T O R A T T A C H M E N T S

A CompleTe denTure wiTh loCATor ATTAChmenTs is An AppliAnCe ThAT replACes All oF The TeeTh in one jAw. iT is noT CemenTed in The mouTh And CAn be TAken ouT. loCATor ATTAChmenTs Are ConneCTed To denTAl implAnTs ThAT Are plACed in The jAwbone. The loCATor ATTAChmenTs ConneCT The CompleTe denTure To The implAnTs. generAlly, 2 implAnTs And ATTAChmenTs Are used For A lower jAw CompleTe denTure, And 4 implAnTs And ATTAChmenTs Are used For An upper jAw CompleTe denTure.

1. What material is in a Complete Denture with Locator Attachments?• The base of a Complete Denture with Locator Attachments is

madeofpinkacrylic.TheteetharemadeofToothColoredacrylicorporcelainwhichattachintothebase.LocatorAttachmentsareplasticandtheimplantstheyattachtoaretitanium.

2. What are the benefits of a Complete Denture with Locator Attachments?• Locatorattachmentsgreatly improvetheretentionandchewing

ability ofaCompleteDenture. Patientswhohaveadrymouthand/orfragiletissuemayhavedifficultywithretentionandcom-fortofatraditionalCompleteDentureandbenefitfromlocatorat-tachments.LipsupportisbettercomparedtoanImplantRetainedFixedRestoration.Aremovableapplianceismoreeasilyrepaired.OralHygieneisalsoeasier.

3. What are the risks of a Complete Denture with Locator Attachments?• Locatorattachmentswearoutovertimeandneedtobereplaced.

Dentureacryliccoveringthe locatorattachmentmaychip if it isthinduetoalimitedspaceinthemouth.

4. What are the alternatives to a Complete Denture with Locator Attach-ments?• AtraditionalCompleteDenture• ACompleteDenturewithMilledBarAttachment• ACompleteDenturewithLocatorAttachmentsonaBar• Crownsorbridgessupportedbydentalimplants• Leaveyourmouthasitis

5. How can an existing bite affect a Complete Denture with Locator Attach-ments?

• Unevenorexcessivebiteforcesmaycausewearorfractureofthedentureteeth,denturebaseorlocatorattachments.Unmanagedbiteissuescanalsocauseimplantstoloosenwithintheboneandbreak.Brokenorlooseimplantsmustbesurgicallyremoved.

6. Are there any post treatment limitations once I have a Complete Denture with Locator Attachments?

• Tokeepthetissueundertheappliancehealthyandtoprolongthelifeofthelocatorattachments,yourdentureshouldbeleftoutofyourmouthduringsleep.Theteethinthedenturearenotasstrongasyournaturalteethandyouwillnotbeabletochewasheavilyonthem.Theappliancewilltendtogetfoodtrappedunderneathitandyoumayhavetoremoveandcleanitaftereating.

Restore smile and function


C O M P L E T E D E N T U R E S W I T H A M I L L E D B A R A T T A C H M E N T

A CompleTe denTure wiTh A milled bAr ATTAChmenT is An AppliAnCe ThAT replACes All The TeeTh in one jAw. iT is noT CemenTed in The mouTh And CAn be TAken ouT. A milled bAr ATTAChmenT is A meTAl bAr ThAT sTAys in The mouTh And ConneCTs The CompleTe denTure To denTAl implAnTs. The milled bAr is usuAlly ATTAChed To 4 denTAl implAnTs ThAT Are plACed in The jAwbone. The CompleTe denTure hAs A meTAl subsTruCTure plACed inTo iT ThAT ConneCTs iT To The milled bAr.

1. What material is in a Complete Denture with a Milled Bar Attachment?• The base of a complete denture ismade of pink acrylic. Themetal

substructurewithinthedentureismadeofaverystrongmetalalloy.TheteetharemadeofToothColoredacrylicorporcelain.BoththeMilledBarandtheimplantsitisattachedtoaremadeoftitanium.

2. What are the benefits of a Complete Denture with a Milled Bar Attachment?• ACompleteDenturewithaMilledBarAttachmentisthemoststableof

implant retaineddentures. Itgreatly improves retention, stabilityandchewingabilityoveratraditionalCompleteDenturewithorwithoutLo-catorAttachments.Patientswhohaveadrymouthand/orfragiletis-suemayhavedifficultywithretentionandcomfortofatraditionalCom-pleteDentureandbenefitfromaMilledBarAttachment.LipsupportisbettercomparedtoanImplantRetainedFixedRestoration.Aremov-ableapplianceismoreeasilyrepaired.OralHygieneisalsoeasier.AMilledBarAttachmentallowsanUpperCompleteDenturetobemadewithoutcoveringtheroofofthemouth.Theangulationoftheimplantsisnotanissue.

3. What are the risks of a Complete Denture with a Milled Bar Attachment?• Animplantmayfailandneedtoberemoved.Ifoneimplantfailsthe

entireMilledBarmay fail,dependingon thenumberand locationofimplants in themouth. Morespace isneededtoaccommodatetheMilledBarandAttachmentsthanwithothertypesofdentures.Dexterityofthepatientmaymakeinsertionandremovalofthedenturedifficult.Theacrylicbaseofthedenturemayfracture.

4. What are the alternatives to a Complete Denture with a Milled Bar Attach-ment?

• AtraditionalCompleteDenture• ACompleteDenturewithLocatorAttachments• ACompleteDenturewithLocatorAttachmentsonaBar• Crownsorbridgessupportedbydentalimplants• Leaveyourmouthasitis

5. How can an existing bite affect a Complete Denture with a Milled Bar Attach-ment?

• Uneven or excessive bite forces may cause wear or fracture of thedentureteethordenturebase.Unmanagedbiteissuescanalsocauseimplantstoloosenwithintheboneandbreak.Brokenorlooseimplantsmustbesurgicallyremoved.

6. Are there any post treatment limitations once I have a Complete Denture with a Milled Bar Attachment?

• Tokeepthetissueundertheappliancehealthyyourdentureshouldbeleftoutofyourmouthduringsleep.Theteethinthedenturearenotasstrongasyournaturalteethandyouwillnotbeabletochewasheavilyonthem. Theappliancewill tendtoget foodtrappedunderneath itandyoumayhavetoremoveandcleanitaftereating.

Restores smile and function


The

Fixed/deTAChAble hybrids Are Fixed resTorATions supporTed by 4-6 implAnTs wiTh CAnTilevered meTAl ATTAChed To The implAnTs And pink ACryliC wiTh denTure TeeTh Cured To iT on Top oF ThAT. This resTorATion is removAble by your denTisT.

1. What material is in a Fixed/Detachable (Hybrid) Implant Supported Bridge?Bridgesareusuallymadeoffourtypesofmaterials:

1. Porcelain2. GoldAlloy(commonlygold,platinum,palladium)3. Porcelainfusedtoaninnercoreofgoldalloy4. Zirconiametaloxide* Implants are made of titanium. The tooth and gum portion of the appliance has a base material that is made of acrylic. The teeth can be plastic or porcelain.

2. What are the benefits of a Fixed/Detachable (Hybrid) Implant Supported Bridge?• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlyby

restoringthenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteand jawalignmentbypreventingremainingteeth fromshiftingoutofposition.

• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissingteethasoccurswithconventionaltoothsupportedbridges.

• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplant supported bridges whereas long span natural tooth supportedbridgeshavemanynegativeconsequences.

• Astheapplianceispartiallyconstructedfromaremovableacrylicbasewithdentureteethattached,makingandrepairingitiseasierandmorecostef-fectivethanotherimplantsupportedoptions.

3. What are the risks of a Fixed/Detachable (Hybrid) Implant Supported Bridge?• Duetothematerialsusedfortherestoration,treatmentcostisrelativelyinex-

pensivecomparedtomanyotherimplantsupportedoptions.• Possiblecomplicationsmaybesuchthingsas foodentrapmentandchal-

lengesinmatchingadjacenttoothaesthetics.• Thereisaminimalriskofanimplantnotadheringtothejawboneandthus

requiringremovalandreplacement.• Wornacrylicandplasticteethorlooseimplantscrewsmayrequiremainte-

nanceprocedures,repairorreplacement.

4. What are the alternatives to a Fixed/Detachable (Hybrid) Implant Supported Bridge?

• Replacethemissingteethwithanothertypeof implantsupportedrestora-tion.

• Replacethemissingteethwithanconventionaltoothsupportedbridge.• Replacethemissingteethwitharemovablepartialdenture.• Leavethespaceasis.

5. How can an existing bite affect a Fixed/Detachable (Hybrid) Implant Supported Bridge?

• Excessiveorunevenbiteforcesmaycauseporcelainchipping,metalwear,implantscrewloosening,orevengumandbonelossaroundtheimplant.

• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefail-ureofthedentalprosthesis.

6. Are there any post treatment limitations once I have a Fixed/Detachable (Hybrid) Implant Supported Bridge?

• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumre-cessionorminorbonelossaroundthetopoftheimplantovertimemaymakefoodimpactionunavoidable,evenwiththemostidealbridgecontour.

• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecom-ingvisible.

• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewingthreadorfingernails,openingbottles).

F I X E D / D E T A C H A B L E ( H Y B R I D ) I M P L A N T S U P P O R T E D B R I D G E



A sCrew reTAined implAnT supporTed bridge is A denTAl resTorATion ThAT replACes missing TeeTh by inserTing Two or more ArTiFiCiAl TiTAnium rooTs inTo The jAwbone And ATTAChing ArTiFiCiAl TeeTh To Them. iT is held plACe by sCrews whiCh ATTACh To The implAnTs And CAn relATively eAsily be TAken ouT.

1. What material is in a Screw Retained Implant Supported Bridge?Bridgesareusuallymadeoffourtypesofmaterials:

1. Porcelain2. GoldAlloy(commonlygold,platinum,palladium)3. Porcelainfusedtoaninnercoreofgoldalloy4. Zirconiametaloxide* Implants are made of titanium.

2. What are the benefits of a Screw Retained Implant Supported Bridge?• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlybyrestoring

thenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteandjawalignmentbypreventingremainingteethfromshiftingoutofposition.


• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplantsupportedbridgeswhereaslongspannaturaltoothsupportedbridgeshavemanynegativeconsequences.

• Screwretentionallowsforeasyremovalofthebridgewhennecessary.Thismaybedesiredforreasonssuchasrestorationrepairorreplacement,whenthepatienthaslessthanidealoralhygieneorevenwhenthereisboneandtissuelossduetodisease.

• Ifthereisalimitedamountofclearancewiththeteethoftheopposingjaw,screwsoffermuchmorepredictableretentionthancement.

3. What are the risks of a Screw Retained Implant Supported Bridge?• Screwretainedimplantsupportedbridgesrequirecomplexlabtechniquestoensure

precise fitting, thus the cost may be significantly more expensive than cementretainedoptions.

• Itisnotalwayspossibleforscrewstobeplacedinareasthatwillnotadverselyaffectaesthetics.

• Otherpossiblecomplicationsmaybesuchthingsasfoodentrapmentandchallengesinmatchingadjacenttoothaesthetics.

• Thereisaminimalriskofanimplantnotadheringtothejawboneandthusrequiringremovalandreplacement.

• Chippedporcelain,wornmetalorlooseimplantscrewsmayrequiremaintenanceprocedures,repairorreplacement.

4. What are the alternatives to a Screw Retained Implant Supported Bridge?Thealternativetohavingascrewretainedimplantsupportedbridgeis:

• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.• Replacethemissingteethwithanconventionaltoothsupportedbridge.• Replacethemissingteethwitharemovablepartialdenture.• Leavethespaceasis.

5. How can an existing bite affect a Screw Retained Implant Supported Bridge?• Excessiveorunevenbiteforcesmaycauseporcelainchipping,metalwear,implant

screwloosening,orevengumandbonelossaroundtheimplant.• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefailureofthe

dentalprosthesis.

6. Are there any post treatment limitations once I have a Screw Retained Implant Supported Bridge?

• Porcelainonthebridgemayhaveagoodcolormatchwithadjacentnaturalteethwhenthebridgeisplacedbutlessofamatchasyournaturalteethage.

• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumrecessionorminorbonelossaroundthetopoftheimplantovertimemaymakefoodimpactionunavoidable,evenwiththemostidealbridgecontour.

• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomingvisible.• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sew-

ingthreadorfingernails,openingbottles).

S C R E W R E T A I N E D I M P L A N T S U P P O R T E D B R I D G E



An implAnT supporTed bridge supersTruCTure wiTh individuAlly CemenTed Crowns is A denTAl resTorATion ThAT replACes missing TeeTh by inserTing Two or more ArTiFiCiAl TiTAnium rooTs inTo The jAwbone And ATTAChing ArTiFiCiAl TeeTh To Them. iT is Comprised oF A subsTruCTure held in plACe by sCrews whiCh ATTACh To The implAnTs. The subsTruCTure supporTs Crowns whiCh Are CemenTed onTo iT.

1. What material is in an Implant Supported Bridge Superstructure with Individually Cemented Crowns?

Bridgesareusuallymadeoffourtypesofmaterials:1. Porcelain2. GoldAlloy(commonlygold,platinum,palladium)3. Porcelainfusedtoaninnercoreofgoldalloy4. Zirconiametaloxide* Implants are made of titanium. Superstructures are made of a gold alloy.

2. What are the benefits of an Implant Supported Bridge Superstructure with Individually Cemented Crowns?

• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlybyrestoringthenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteandjawalign-mentbypreventingremainingteethfromshiftingoutofposition.


• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplantsup-portedbridgeswhereaslongspannaturaltoothsupportedbridgeshavemanynegativeconsequences.

• If chippingofporcelainoccurs, individual crownsmaybe repairedor replaced ratherthanreplacingtheentiresuperstructurerestoration.Thisdramaticallyreducestreatmenttimeandcost.

• Thesuperstructurefillsinareasofdeficientboneandtissueinadditiontomissingteeth,thisallowsforbetteraestheticoptionsthantoothreplacementalone.

3. What are the risks of an Implant Supported Bridge Superstructure with Individually Cemented Crowns?

• Duetothecomplexityoftherestoration,treatmentcostisrelativelyexpensivecomparedtomanyotheroptions.

• Possiblecomplicationsmaybesuchthingsasfoodentrapmentandchallengesinmatch-ingadjacenttoothaesthetics.

• Thereisaminimalriskofanimplantnotadheringtothejawboneandthusrequiringre-movalandreplacement.

• Chippedporcelain,wornmetalorlooseimplantscrewsmayrequiremaintenanceproce-dures,repairorreplacement.

4. What are the alternatives to an Implant Supported Bridge Superstructure with Individually Ce-mented Crowns?

• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.• Replacethemissingteethwithanconventionaltoothsupportedbridge.• Replacethemissingteethwitharemovablepartialdenture.• Leavethespaceasis.

5. How can an existing bite affect an Implant Supported Bridge Superstructure with Individually Cemented Crowns?

• Excessiveorunevenbiteforcesmaycauseporcelainchipping,metalwear,implantscrewloosening,orevengumandbonelossaroundtheimplant.

• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefailureoftheden-talprosthesis.

6. Are there any post treatment limitations once I have an Implant Supported Bridge Superstructure with Individually Cemented Crowns?

• Porcelainonthebridgemayhaveagoodcolormatchwithadjacentnaturalteethwhenthebridgeisplacedbutlessofamatchasyournaturalteethage.

• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumrecessionorminorbonelossaroundthetopoftheimplantovertimemaymakefoodimpactionunavoid-able,evenwithidealbridgecontour.

• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomingvisible.• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewing

threadorfingernails,openingbottles).

I M P L A N T S U P P O R T E D B R I D G E S U P E R S T R U C T U R E W I T H I N D I V I D U A L L Y

C E M E N T E D C R O W N S



An implAnT supporTed Crown is A denTAl resTorATion ThAT replACes A missing TooTh by inserTing An ArTiFiCiAl TiTAnium rooT inTo The jAwbone And ATTAChing An ArTiFiCiAl TooTh To iT. iT is CemenTed in plACe And CAnnoT eAsily be TAken ouT.

1. What material is in an Implant Supported Crown? Crownsareusuallymadeoffourtypesofmaterials:

1. Porcelain2. GoldAlloy(commonlygold,platinum,palladium)3. Porcelainfusedtoaninnercoreofgoldalloy4. Zirconiametaloxide* Implants are made of titanium

2. What are the benefits of an Implant Supported Crown? • Itbuildsbackyoursmileandhelpsyoutospeakandchewproperlyby

restoringthenaturalsize,shapeandcolorofyourteeth.Ithelpsmaintaintooth,biteandjawalignmentbypreventingremainingteethfromshiftingoutofposition.

• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissingtoothasoccurswithconventionaltoothsupportedbridges.

3. What are the risks of an Implant Supported Crown? • If an implant screw loosens or any repair of the restoration becomes

necessary, the restoration may be destroyed during the removalprocedureifthecementsealcannotbeeasilybroken.

• Cementingrestorationsontoimplants leadstochallenges inremovalofcement below gumline, possibly leading to tissue inflammation in thearea.

• Thereisaminimalriskoftheimplantnotadheringtothejawboneandthusrequiringremovalandreplacement.

• Otherpossiblecomplicationsmaybe such thingsas foodentrapment,tissueirritationandchallengesinmatchingadjacenttoothaesthetics.

• Chipped porcelain, worn metal or loose implant screws may requiremaintenanceprocedures,repairorreplacement.

4. What are the alternatives to an Implant Supported Crown? Thealternativetohavinganimplantsupportedcrownis:

• Replace the missing tooth with an conventional tooth supportedbridge.

• Replacethemissingtoothwitharemovablepartialdenture.• Leavethespaceasis.

5. How can an existing bite affect an Implant Supported Crown?• Excessive or uneven bite forcesmay cause porcelain chipping,metal

wear, implantscrew loosening,orevengumandbone lossaroundtheimplant.

• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefailureofthedentalprosthesis.

6. Are there any post treatment limitations once I have an Implant Supported Crown?

• Porcelainon thecrownmayhaveagoodcolormatchwithadjacentnaturalteethwhenthecrownisplacedbutlessofamatchasyournatu-ralteethage.

• Foodmaybecome lodgedaroundthe implant supportedcrown;gumrecessionorminorbonelossaroundthetopoftheimplantovertimemaymake food impaction unavoidable, evenwith themost ideal crowncontour.

• Gumrecessionmayalso leadtounsightlymetallic implantmarginsbe-comingvisible.

• Acrownmaychiporbreakifusedforabnormalactivities(e.g.bitingfish-ingline,sewingthreadorfingernails,openingbottles).

I M P L A N T S U P P O R T E D C R O W N

Build back your smile

Build back your bite


An implAnT supporTed bridge is A denTAl resTorATion ThAT replACes missing TeeTh by inserTing Two or more ArTiFiCiAl TiTAnium rooTs inTo The jAw bone And ATTAChing ArTiFiCiAl TeeTh To Them. iT is CemenTed in plACe And CAnnoT eAsily be TAken ouT.

1. What material is in a Implant Supported Bridge?Bridgesareusuallymadeoffourtypesofmaterials:

1. Porcelain2. GoldAlloy(commonlygold,platinum,palladium)3. Porcelainfusedtoaninnercoreofgoldalloy4. Zirconiametaloxide* Implants are made of titanium.*ImplantAbutmentswhichattach the implants to thebridgearemadeoftitaniumorzirconiametaloxide.

2. What are the benefits of a Implant Supported Bridge? • Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlyby

restoringthenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteandjawalignmentbypreventingremainingteethfromshiftingoutofposition.

• There isnoneed todrilldownexisting teeth inorder to replace themissingteethasoccurswithconventionaltoothsupportedbridges.

• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplantsupportedbridgeswhereaslongspannaturaltoothsupportedbridg-eshavemanynegativeconsequences.

• As it isacementedrestorationsimilartotoothsupportedbridges,theresto-rationof the implants ismorestraightforwardwhichsimplifies the laboratoryproceduresandislessexpensivecomparedtomorecomplexscrewretainedimplantsupportedbridges.

3. What are the risks of a Implant Supported Bridge? • Ifanimplantscrewloosensoranyrepairoftherestorationbecomesnecessary,

therestorationmaybedestroyedduringtheremovalprocedureifthecementsealcannotbeeasilybroken.

• Cementing restorations onto implants leads to challenges in removal ofcementbelowgumline,possiblyleadingtotissueinflammationinthearea.

• Otherpossiblecomplicationsmaybe such thingsas foodentrapmentandchallengesinmatchingadjacenttoothaesthetics.

• There isaminimal riskofan implantnotadhering to the jawboneandthusrequiringremovalandreplacement

• Chipped porcelain, worn metal or loose implant screws may requiremaintenanceprocedures,repairorreplacement.

4. What are the alternatives to a Implant Supported Bridge?• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.• Replacethemissingtoothwithanconventionaltoothsupportedbridge.• Replacethemissingtoothwitharemovablepartialdenture.• Leavethespaceasis.

5. How can an existing bite affect a Implant Supported Bridge?• Excessiveorunevenbiteforcesmaycauseporcelainchipping,metalwear,

implantscrewloosening,orevengumandbonelossaroundtheimplant.• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefailure

ofthedentalrestoration.

6. Are there any post treatment limitations once I have a Implant Supported Bridge?• Porcelainonthebridgemayhaveagoodcolormatchwithadjacentnatural

teethwhenthebridgeisplacedbutlessofamatchasyournaturalteethage.• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumreces-

sionorminorbone lossaroundthetopof the implantover timemaymakefoodimpactionunavoidable,evenwiththemostidealbridgecontour.

• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomingvisible.

• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewingthreadorfingernails,openingbottles).

I M P L A N T S U P P O R T E D B R I D G E

Restores bite

Builds back smile


eat the foods you love with dental implants · 2015-01-05 · eat the foods you love with dental...

Documents