Implants are inserted into the jawbone. Most dental implants are made of titanium, which fuses well with bone (a process called osseointegration). There are three types of dental implants:
Root Form Dental Implant
This is the most common type of implant. It is a screw type of implant – shaped like the root of a tooth – which is set directly into the jawbone, under the gums. Implanting a root form implant is a surgical process which requires anesthesia. It takes about three to six months for your gums to heal from this process. After healing, the implant is uncovered and an abutment is attached.
A root form implant – also called an endosteal implant – is used when there is plenty of width and depth of the jawbone. If there is jawbone deterioration (i.e., if your jawbone is too narrow or short) a root form implant is usually not the best choice.
Plate Form Dental Implant
A plate form implant is used when the jawbone is too narrow or short for a root form implant. The plate form implant is a flat, long implant which is set directly on top of the jawbone and under the gums. Bone and tissue will eventually grow around this type of implant, making it more secure. This type of implant is also called an endosteal implant.
The surgical process involving the implantation of a plate form implant is similar to that of the root form implant. Under anesthesia, an incision is made into the gums and the plate form implant is set on the jawbone. It takes about three to six months for your gums to heal; they’ll heal over most of the plate form implant. After healing, an abutment is attached to the implant. The replacement tooth, teeth, or crowns (depending on the type of procedure) is then attached to the abutment.
Some plate form implants, however, do not require the long healing process and are immediately ready for restoration. Each individual is different; only a qualified cosmetic dentist can tell you which type of implant is right for you.
Subperiosteal Dental Implants
A subperiosteal implant is used when there is not enough bone width or height for either root or plate form implants. If there is not enough jawbone, a custom-made implant must be created. This custom-made implant acts, in a sense, as an artificial jawbone, attaching to your natural jawbone and enhancing its surface area. Like the plate form implant, the subperiosteal implant rests on top of your jawbone and under your gums.
Unlike the plate form implant, the subperiosteal implant first requires that an impression be made of the area of your jawbone where the implant is going to be placed.
There are two methods to obtain this impression.
The first method is a surgical procedure and requires anesthesia. Your cosmetic dentist will make an incision into your gums and take an impression of your exposed jawbone. The impression is sent to a dental laboratory, and a custom-made implant is created.
About two weeks later, this custom-made dental implant is placed on your jawbone in a second surgical procedure, a procedure similar to the one used to place both root and a plate form implants. After your gums have healed, replacement teeth are then installed into this custom-made implant.
The second method of subperiosteal implant placement does not require surgery to create the impression of your jawbone. Rather, a CAT scan is used and, through computer modeling techniques, a model of your jawbone is made from the CAT information. The model is sent to a dental laboratory, and custom-made implant is created. This implant is placed on your jawbone in a surgical procedure (the same procedure is used to place all three different types of implants). Your gums are then closed with stitches and, after healing, replacement teeth are custom-fitted to your implant.
All-on-4 Dental Implants
Advances in implant dentistry have resulted in a new and improved solution for replacing full arches of missing teeth. Traditional dentures are a common solution but they can be unstable, uncomfortable, and inconvenient. With the unique All-on-4 treatment, Dr. Beebe can replace your missing teeth with a full dental bridge supported by only four dental implants. The state-of-the-art All-on-4 implant solution reduces the need for bone graft surgery and positions the implants for maximum stability so the replacement teeth are permanent and trouble-free. With fewer implants, the overall treatment time is reduced and our patients do not have to suffer with uncomfortable dentures during an extended treatment period.
Dr. Beebe usually places the temporary teeth on the same day as the implants are performed. These temporary teeth look and feel like natural teeth and are non-removable. The dental bridge is attached to the implants at the time of the surgery and as a result, you can lead a normal life immediately. After healing, Dr. Beebe will replace the temporary teeth with your permanent replacement teeth. The All-on-4 procedure is fast and easy and should improve your overall quality of life so you can start eating the foods you have been craving.
Dr. Robert Beebe of the Gray, Maine area has years of experience placing all types of dental implants. He is a graduate of the Las Vegas Institute of Advanced Dental Studies, where he received special training in cosmetic dentistry and is a clinical instructor at the Las Vegas Institute.