to an ebook on implant options

Eat the foods you love with dental implants
Allan M. Acton DDS
Apurva Maj DDS
Keith Gaught DDS
Steven Van Scoyoc DDS MA
www.CaryDental.com
919-415-1379
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. Allan Acton DDS
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. 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 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.
Accreditations
Doctors of Oral Conscious Sedation (DOCS) Certified
Invisalign Level I and Level II Certified
Advanced Cerec Training
Advanced Denture Techniques
General Practice and Advanced Restorative Techniques
UNC Dental School Alumni Association
North 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 longterm oral health.”
Accreditations
Dental School: Indiana University School of Dentistry
Invisalign Certified
American Dental Association
North 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. Steven Van Scoyoc
Dr. Van Scoyoc earned his Doctor of Dental Surgery degree (D.D.S.)
DDS MA
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 Association
American Academy of Periodontology
Southern Academy of Periodontology, Executive Council Member
Founder & Director of the Sandhills Symposium Dental Educational Forum
North Carolina Dental Society
Seattle 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.
Edentulous
Treatment Options
NOT Removable
(Fixed)
Removable
Complete Denture
(No implants)
$2,500
Denture with
implant locators
Denture with
milled bar
supported by
implants
$5-12,500
$18,000
Fixed Hybrid (4-6+
implants)
$25,000
Implant Supported
Crown and Bridge
$40,000+
Note: Prices are PER ARCH. Prices are approximate and may vary by case complexity. Extraction, bone grafting or sinus lifts may
increase the price.
COMP LETE DENTUR E
A 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?
• The base of a complete denture is made of pink acrylic. The
teeth are made of Tooth Colored acrylic or porcelain which
attachintothebase.
2. What are the benefits of a Complete Denture?
• A complete denture restores function and appearance to a
jawwithnoteeth.Itisthemostcosteffectivewayofreplacing
alltheteethinonejaw.Acompletedenturecanalsoprovide
importantsupporttofacialstructuressuchasthelips,helpingto
inmaintainamoreyouthfulappearance.
3. What are the risks of a Complete Denture?
• Complete dentures, even under the best of circumstances,
DO NOT have the same chewing efficiency as natural teeth.
Theabilitytochewfooddependsonthestability,supportand
retention of the dentures. Stability, support and retention are
affected by many factors, including the amount and type of
bone,gumsandsalivapresentinthepatient’smouthaswellas
theshapeofthepatient’sjawandhowitfitswiththeopposing
teeth.
are the alternatives to a Complete Denture?
4. What
Thealternativestohavingacompletedentureare:
1. Implantswhichattachto:
a.Crownsorbridges
b.Acompletedenture
2. Leaveyourmouthasitis
5. How can an existing bite affect a Complete Denture?
• Unevenorexcessivebiteforcesmaycausewearorfractureof
thedentureteethordenturebase.Chewingwillmakeacom
pletedenturerockslightlyinthemouth;themoreuneventhe
bitingforce,themorethecompletedenturewillrock.
6. Are there any post treatment limitations once I have a Complete Den
ture?
• To keep the tissue under the appliance healthy your denture
shouldbeleftoutofyourmouthduringsleep.Theteethinthe
denturearenotasstrongasyournaturalteethandyouwillnot
beabletochewasheavilyonthem.Theappliancewilltendto
getfoodtrappedunderneathitandyoumayhavetoremove
andcleanitaftereating.Thefitbetweenacompletedenture
and the gums is very important for retention and therefore
mustbere-establishedevery2-5yearsasgumsareconstantly
undergoingsmallchanges.
Restore appearance and function
Frequently Asked Questions
C OMPLETE DENTURES WITH
2 O R 4 LO CATOR ATTACHMENT 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.TheteetharemadeofToothColoredacrylic
orporcelainwhichattachintothebase.LocatorAttachmentsare
plasticandtheimplantstheyattachtoaretitanium.
2. What are the benefits of a Complete Denture with Locator Attachments?
• Locatorattachmentsgreatlyimprovetheretentionandchewing
ability of a Complete Denture. Patients who have a dry mouth
and/orfragiletissuemayhavedifficultywithretentionandcomfortofatraditionalCompleteDentureandbenefitfromlocatorat
tachments.LipsupportisbettercomparedtoanImplantRetained
FixedRestoration.Aremovableapplianceismoreeasilyrepaired.
OralHygieneisalsoeasier.
3. What are the risks of a Complete Denture with Locator Attachments?
• Locatorattachmentswearoutovertimeandneedtobereplaced.
Denture acrylic covering the locator attachment may chip if it is
thinduetoalimitedspaceinthemouth.
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 Attachments?
• Unevenorexcessivebiteforcesmaycausewearorfractureofthe
dentureteeth,denturebaseorlocatorattachments.Unmanaged
biteissuescanalsocauseimplantstoloosenwithintheboneand
break.Brokenorlooseimplantsmustbesurgicallyremoved.
6. Are there any post treatment limitations once I have a Complete Denture
with Locator Attachments?
• Tokeepthetissueundertheappliancehealthyandtoprolongthe
lifeofthelocatorattachments,yourdentureshouldbeleftoutof
yourmouthduringsleep.Theteethinthedenturearenotasstrong
asyournaturalteethandyouwillnotbeabletochewasheavily
onthem.Theappliancewilltendtogetfoodtrappedunderneath
itandyoumayhavetoremoveandcleanitaftereating.
Restore smile and function
Frequently Asked Questions
C O MPLETE DENTURES WITH A
M IL L E D B AR ATTAC HMENT
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 is made of pink acrylic. The metal
substructurewithinthedentureismadeofaverystrongmetalalloy.The
teetharemadeofToothColoredacrylicorporcelain.BoththeMilled
Barandtheimplantsitisattachedtoaremadeoftitanium.
2. What are the benefits of a Complete Denture with a Milled Bar Attachment?
• ACompleteDenturewithaMilledBarAttachmentisthemoststableof
implant retained dentures. It greatly improves retention, stability and
chewingabilityoveratraditionalCompleteDenturewithorwithoutLo
catorAttachments.Patientswhohaveadrymouthand/orfragiletissuemayhavedifficultywithretentionandcomfortofatraditionalCom
pleteDentureandbenefitfromaMilledBarAttachment.Lipsupportis
bettercomparedtoanImplantRetainedFixedRestoration.Aremovableapplianceismoreeasilyrepaired.OralHygieneisalsoeasier.A
MilledBarAttachmentallowsanUpperCompleteDenturetobemade
withoutcoveringtheroofofthemouth.Theangulationoftheimplants
isnotanissue.
3. What are the risks of a Complete Denture with a Milled Bar Attachment?
• Animplantmayfailandneedtoberemoved.Ifoneimplantfailsthe
entire Milled Bar may fail, depending on the number and location of
implants in the mouth. More space is needed to accommodate the
MilledBarandAttachmentsthanwithothertypesofdentures.Dexterity
ofthepatientmaymakeinsertionandremovalofthedenturedifficult.
Theacrylicbaseofthedenturemayfracture.
4. What are the alternatives to a Complete Denture with a Milled Bar Attachment?
• 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 the
The
dentureteethordenturebase.Unmanagedbiteissuescanalsocause
implantstoloosenwithintheboneandbreak.Brokenorlooseimplants
mustbesurgicallyremoved.
6. Are there any post treatment limitations once I have a Complete Denture with
a Milled Bar Attachment?
• Tokeepthetissueundertheappliancehealthyyourdentureshouldbe
leftoutofyourmouthduringsleep.Theteethinthedenturearenotas
strongasyournaturalteethandyouwillnotbeabletochewasheavily
on them. The appliance will tend to get food trapped underneath it
Restores smile and function
andyoumayhavetoremoveandcleanitaftereating.
Frequently Asked Questions
F I X ED/DETACHABLE (HYBRID )
I M P LA N T S UPPOR TED BR IDGE
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. Porcelain
2. GoldAlloy(commonlygold,platinum,palladium)
3. Porcelainfusedtoaninnercoreofgoldalloy
4. 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.Theyhelpmaintain
tooth, bite and jaw alignment by preventing remaining teeth from shifting
outofposition.
• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissing
teethasoccurswithconventionaltoothsupportedbridges.
• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywith
implant supported bridges whereas long span natural tooth supported
bridgeshavemanynegativeconsequences.
• Astheapplianceispartiallyconstructedfromaremovableacrylicbasewith
dentureteethattached,makingandrepairingitiseasierandmorecostef
fectivethanotherimplantsupportedoptions.
3. What are the risks of a Fixed/Detachable (Hybrid) Implant Supported Bridge?
• Duetothematerialsusedfortherestoration,treatmentcostisrelativelyinexpensivecomparedtomanyotherimplantsupportedoptions.
• Possible complications may be such things as food entrapment and chal
lengesinmatchingadjacenttoothaesthetics.
• Thereisaminimalriskofanimplantnotadheringtothejawboneandthus
requiringremovalandreplacement.
• Wornacrylicandplasticteethorlooseimplantscrewsmayrequiremaintenanceprocedures,repairorreplacement.
4.
What
are
the alternatives to a Fixed/Detachable (Hybrid) Implant Supported
Bridge?
• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.
• 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
cessionorminorbonelossaroundthetopoftheimplantovertimemaymake
foodimpactionunavoidable,evenwiththemostidealbridgecontour.
• GumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomRestores smile and function
ingvisible.
• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishing
line,sewingthreadorfingernails,openingbottles).
Frequently Asked Questions
S CREW RETAINED IMPLANT
S U P P O R TED BR IDGE
sCrew reTAined implAnT supporTed bridge is A denTAl resTorATion ThAT replACes missing TeeTh by inserTing Two or more
A
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.
material is in a Screw Retained Implant Supported Bridge?
1. WhatBridgesareusuallymadeoffourtypesofmaterials:
1. Porcelain
2. GoldAlloy(commonlygold,platinum,palladium)
3. Porcelainfusedtoaninnercoreofgoldalloy
4. Zirconiametaloxide
* Implants are made of titanium.
2. What are the benefits of a Screw Retained Implant Supported Bridge?
• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlybyrestoring
thenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteand
jawalignmentbypreventingremainingteethfromshiftingoutofposition.
• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissingteethas
occurswithconventionaltoothsupportedbridges.
• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplant
supportedbridgeswhereaslongspannaturaltoothsupportedbridgeshavemany
negativeconsequences.
• Screwretentionallowsforeasyremovalofthebridgewhennecessary.Thismaybe
desiredforreasonssuchasrestorationrepairorreplacement,whenthepatienthas
lessthanidealoralhygieneorevenwhenthereisboneandtissuelossduetodisease.
• Ifthereisalimitedamountofclearancewiththeteethoftheopposingjaw,screws
3. What areoffermuchmorepredictableretentionthancement.
the risks of a Screw Retained Implant Supported Bridge?
• Screwretainedimplantsupportedbridgesrequirecomplexlabtechniquestoensure
precise fitting, thus the cost may be significantly more expensive than cement
retainedoptions.
• Itisnotalwayspossibleforscrewstobeplacedinareasthatwillnotadverselyaffect
aesthetics.
• Otherpossiblecomplicationsmaybesuchthingsasfoodentrapmentandchallenges
inmatchingadjacenttoothaesthetics.
• Thereisaminimalriskofanimplantnotadheringtothejawboneandthusrequiring
removalandreplacement.
• Chippedporcelain,wornmetalorlooseimplantscrewsmayrequiremaintenance
procedures,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?
• Porcelainonthebridgemayhaveagoodcolormatchwithadjacentnaturalteeth
whenthebridgeisplacedbutlessofamatchasyournaturalteethage.
• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumrecessionor
minorbonelossaroundthetopoftheimplantovertimemaymakefoodimpaction
unavoidable,evenwiththemostidealbridgecontour.
• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomingvisible.
Restores smile and function
• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewingthreadorfingernails,openingbottles).
Frequently Asked Questions
I M P L A N T S UPPORTED BRIDGE
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 TED CR O WN S
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. Porcelain
2. GoldAlloy(commonlygold,platinum,palladium)
3. Porcelainfusedtoaninnercoreofgoldalloy
4. Zirconiametaloxide
* Implants are made of titanium. Superstructures are made of a gold alloy.
are the benefits of an Implant Supported Bridge Superstructure with Individually Cemented
2. What
Crowns?
• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlybyrestoringthe
naturalsize,shapeandcolorofyourteeth.Theyhelpmaintaintooth,biteandjawalign
mentbypreventingremainingteethfromshiftingoutofposition.
• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissingteethasoccurs
withconventionaltoothsupportedbridges.
• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywithimplantsupportedbridgeswhereaslongspannaturaltoothsupportedbridgeshavemanynegative
consequences.
• If chipping of porcelain occurs, individual crowns may be repaired or replaced rather
thanreplacingtheentiresuperstructurerestoration.Thisdramaticallyreducestreatment
timeandcost.
•
Thesuperstructurefillsinareasofdeficientboneandtissueinadditiontomissingteeth,this
allowsforbetteraestheticoptionsthantoothreplacementalone.
are the risks of an Implant Supported Bridge Superstructure with Individually Cemented
3. What
Crowns?
• Duetothecomplexityoftherestoration,treatmentcostisrelativelyexpensivecompared
tomanyotheroptions.
• Possiblecomplicationsmaybesuchthingsasfoodentrapmentandchallengesinmatch
ingadjacenttoothaesthetics.
• Thereisaminimalriskofanimplantnotadheringtothejawboneandthusrequiringremovalandreplacement.
• Chippedporcelain,wornmetalorlooseimplantscrewsmayrequiremaintenanceproce
dures,repairorreplacement.
4. What are the alternatives to an Implant Supported Bridge Superstructure with Individually CeCrowns?
mented
• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.
• Replacethemissingteethwithanconventionaltoothsupportedbridge.
• Replacethemissingteethwitharemovablepartialdenture.
5. How•canLeavethespaceasis.
an existing bite affect an Implant Supported Bridge Superstructure with Individually
Crowns?
Cemented
• Excessiveorunevenbiteforcesmaycauseporcelainchipping,metalwear,implantscrew
loosening,orevengumandbonelossaroundtheimplant.
• Severebiteissuessuchashabitualtoothgrindingmaycauseprematurefailureoftheden
6. Are theretalprosthesis.
any post treatment limitations once I have an Implant Supported Bridge Superstructure
Cemented Crowns?
with•Individually
Porcelainonthebridgemayhaveagoodcolormatchwithadjacentnaturalteethwhen
thebridgeisplacedbutlessofamatchasyournaturalteethage.
• Foodmaybecomelodgedaroundtheimplantsupportedbridge;gumrecessionorminor
bonelossaroundthetopoftheimplantovertimemaymakefoodimpactionunavoid
able,evenwithidealbridgecontour.
• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecomingvisible.
• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewing
threadorfingernails,openingbottles).
Restores smile and function
Frequently Asked Questions
I M PL A NT S UPPOR TED CR OWN
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. Porcelain
2. GoldAlloy(commonlygold,platinum,palladium)
3. Porcelainfusedtoaninnercoreofgoldalloy
4. Zirconiametaloxide
* Implants are made of titanium
2. What are the benefits of an Implant Supported Crown?
• Itbuildsbackyoursmileandhelpsyoutospeakandchewproperlyby
restoringthenaturalsize,shapeandcolorofyourteeth.Ithelpsmaintain
tooth,biteandjawalignmentbypreventingremainingteethfromshifting
outofposition.
• Thereisnoneedtodrilldownexistingteethinordertoreplacethemissing
toothasoccurswithconventionaltoothsupportedbridges.
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 removal
procedureifthecementsealcannotbeeasilybroken.
• Cementingrestorationsontoimplantsleadstochallengesinremovalof
cement below gumline, possibly leading to tissue inflammation in the
area.
• Thereisaminimalriskoftheimplantnotadheringtothejawboneandthus
requiringremovalandreplacement.
• Other possible complications may be such things as food entrapment,
tissueirritationandchallengesinmatchingadjacenttoothaesthetics.
• Chipped porcelain, worn metal or loose implant screws may require
maintenanceprocedures,repairorreplacement.
4. What are the alternatives to an Implant Supported Crown?
Build back your bite
Thealternativetohavinganimplantsupportedcrownis:
• Replace the missing tooth with an conventional tooth supported
bridge.
• Replacethemissingtoothwitharemovablepartialdenture.
• Leavethespaceasis.
5. How can an existing bite affect an Implant Supported Crown?
• Excessive or uneven bite forces may cause porcelain chipping, metal
wear, implant screw loosening, or even gum and bone loss around the
implant.
• Severebiteissuessuchashabitualtoothgrindingmaycausepremature
failureofthedentalprosthesis.
6. Are there any post treatment limitations once I have an Implant Supported
Crown?
• Porcelain on the crown may have a good color match with adjacent
naturalteethwhenthecrownisplacedbutlessofamatchasyournatu
ralteethage.
• Food may become lodged around the implant supported crown; gum
recessionorminorbonelossaroundthetopoftheimplantovertimemay
make food impaction unavoidable, even with the most ideal crown
contour.
•
Gum recession may also lead to unsightly metallic implant margins be
comingvisible.
• Acrownmaychiporbreakifusedforabnormalactivities(e.g.bitingfishingline,sewingthreadorfingernails,openingbottles).
Build back your smile
Frequently Asked Questions
I M P L A NT S UPPOR TED BR IDGE
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. Porcelain
2. GoldAlloy(commonlygold,platinum,palladium)
3. Porcelainfusedtoaninnercoreofgoldalloy
4. Zirconiametaloxide
* Implants are made of titanium.
*Implant Abutments which attach the implants to the bridge are made of
titaniumorzirconiametaloxide.
2. What are the benefits of a Implant Supported Bridge?
• Bridgesbuildbackyoursmileandhelpyoutospeakandchewproperlyby
restoringthenaturalsize,shapeandcolorofyourteeth.Theyhelpmaintain
tooth,biteandjawalignmentbypreventingremainingteethfromshiftingout
ofposition.
• There is no need to drill down existing teeth in order to replace the missing
teethasoccurswithconventionaltoothsupportedbridges.
• Longgapswheremultipleteetharemissingcanbetreatedeffectivelywith
implantsupportedbridgeswhereaslongspannaturaltoothsupportedbridg
eshavemanynegativeconsequences.
• Asit isacementedrestorationsimilar totoothsupported bridges, the resto
ration of the implants is more straightforward which simplifies the laboratory
proceduresandislessexpensivecomparedtomorecomplexscrewretained
implantsupportedbridges.
3. What are the risks of a Implant Supported Bridge?
• Ifanimplantscrewloosensoranyrepairoftherestorationbecomesnecessary,
therestorationmaybedestroyedduringtheremovalprocedureifthecement
sealcannotbeeasilybroken.
• Cementing restorations onto implants leads to challenges in removal of
cementbelowgumline,possiblyleadingtotissueinflammationinthearea.
• Other possible complications may be such things as food entrapment and
challengesinmatchingadjacenttoothaesthetics.
• There is a minimal risk of an implant not adhering to the jawbone and thus
requiringremovalandreplacement
• Chipped porcelain, worn metal or loose implant screws may require
maintenanceprocedures,repairorreplacement.
4. What are the alternatives to a Implant Supported Bridge?
• Replacethemissingteethwithanothertypeofimplantsupportedrestoration.
• Replacethemissingtoothwithanconventionaltoothsupportedbridge.
• Replacethemissingtoothwitharemovablepartialdenture.
• Leavethespaceasis.
Restores bite
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
sion or minor bone loss around the top of the implant over time may make
foodimpactionunavoidable,evenwiththemostidealbridgecontour.
• Gumrecessionmayalsoleadtounsightlymetallicimplantmarginsbecoming
visible.
• Abridgemaychiporbreakifusedforabnormalactivities(e.g.bitingfishing
line,sewingthreadorfingernails,openingbottles).
Builds back smile
Frequently Asked Questions