|Paul D. Braun, D.D.S. Inc.|
|Oral and Maxillofacial Reconstructive Surgery|
|This portion of your implant treatment consists of a detailed consultation and the development of a treatment plan. If you are under a physician's care, or if your medical history indicates, we may request that you consult with your physician. We require a thorough medical history to determine whether there are any conditions that could affect the outcome of treatment, such as diabetes, allergies, or bleeding problems. |
Radiographs are taken, and serve to help us evaluate the current quality and quantity of existing bone. This information is valuable in that it assists us in determining the number and placement of implants, and the length of time required for healing. Should additional medical information or adjunctive procedures be needed prior to implant placement, our recommendations will be made at this time.
After your consultation, we communicate with your restorative dentist. He or she will make impressions and a diagnostic wax-up that records the natural alignment of your teeth and jaw. If needed, surgical guides are made and CT scans are taken to direct the exact placement of the implants during surgery. Finally, Dr. Braun and your restorative dentist evaluate the information and present the best treatment options. You are then ready to begin your first phase of treatment.
Treatment Phase 1
In the first procedure, implants are placed in the jawbone and a healing abutment is placed. While most implants can be placed with the same kind of local anesthesia used for routine dentistry, some patients prefer the added comfort of intravenous sedation or general anesthesia. After placement, the underlying bone is allowed to fuse to the implant, a process that often requires four to six months. Detailed instructions will be provided for you on how to care for your mouth after surgery.
Treatment Phase 2
After the bone has fused to the implant, we remove the healing abutment and replace with a prosthetic abutment, which projects above the gum tissue. At which time, your restorative dentist will place temporary crowns, or will modify the temporary partial dentures.
Treatment Phase 3
Your restorative dentist will fabricate your final dental restoration, and this could take several trial fittings. A permanent restoration can take longer to make than a temporary one and the time frame for either one varies, depending on the structure of your jaw and mouth, and the number of implants to be restored.
After your restorative dentist places the final prosthesis, we will see you for routine check-ups twice a year for the first year, then once a year thereafter. Of course, we are always available anytime you need us. And your restorative dentist will want to examine you at regular intervals to ensure that all is well.