Dental implants are durable, long-lasting solutions for replacing one or more missing teeth. In addition to functioning like a natural tooth, dental implants provide a beautiful, natural-looking appearance. If you are ready to replace lost teeth, strengthen your bite and improve your confidence in social and professional interactions, dental implants may be an ideal solution.
Dr. Binon is a recognized international authority on implant dentistry. In addition to contributing to two textbooks on the topic, he has taught and lectured around the country and published numerous studies on implant dentistry.
If you are missing teeth and would like to discuss your options with our experienced prosthodontist, please call Paul P. Binon DDS MSD today at 916-786-6676 to schedule an appointment. We welcome patients from Sacramento, Roseville and neighboring communities.
On this page, we will discuss a number of implant-related topics, such as:
- What are dental implants?
- Advantages of dental implants
- Consequences of tooth loss
- Understanding the osseointegration process
- Rebuilding bone for dental implant surgery
- How long does the dental implant process take?
- Mini dental implants
- Full dental arch replacement with implants
- Tissue bars
- No-bone option
- How much do dental implants cost?
- Are dental implants right for me?
- Schedule your dental implant consultation now
Dental implants are artificial tooth roots that provide a secure base for replacement teeth. Because they feel and function just like natural teeth, dental implants are an ideal option for patients seeking a beautiful, strong and long-term tooth-replacement solution.
Dental implants feel completely comfortable and secure. They involve medical-grade titanium posts that fuse naturally with your jawbone over time. This creates a strong and reliable anchor for your custom-crafted artificial tooth or teeth, and eliminates the risk of slippage or other movement that can occur with other tooth-replacement options.
Dental implants are also convenient because you can care for them as you would your natural teeth and you don’t have to give up any of the foods you love.
Traditional dental implants typically consist of three elements:
- Implant: A durable titanium post that is attached to your jaw, serving as a root for your new artificial tooth.
- Abutment: A connecting device that attaches the crown or other prosthesis to the implant post.
- Crown or denture: The final prosthesis is finally attached to the abutment, completing your sturdy and natural-looking tooth replacement.
Dental implants have a wide variety of applications and can be used to replace single teeth, multiple teeth or an entire missing dentition, such as for patients that have worn dentures. They can also be used to provide additional support and retention for complex reconstructive treatment. Implants cannot be placed when there is a risk of compromising nerves or sinuses in the jaw bone. There are many ways to overcome those limitations, however, such as growing bone (grafting) where insufficient volume is present.
The application of implants to solve complex problems is limited only by the skill and experience of the prosthodontist and the treatment level desired by the patient. When properly placed, dental implants offer a number of advantages over other tooth replacement alternatives, such as:
- Do not require the cutting down (preparation) of healthy sound teeth on either side of the missing tooth area
- The most natural, conservative and predictable replacement for missing teeth
- Can be used to replace single and multiple teeth with crowns and /or bridges
- Preserves the jawbone architecture and prevent bone attrition due to denture or partial denture wear
- Functions as well or better than natural teeth
- Very esthetic results can be obtained
- Implants do not decay
- Implants are not sensitive to temperature changes
- Implants have high success rates and long term documentation
- Teeth on implants can be modified in the event changes occur to neighboring natural teeth, minimizing extensive re-treatment
When a tooth is lost, particularly a back tooth, you may not feel the need to immediately replace it, since no one can see the gap and you may still have plenty of existing teeth. However, once a tooth is lost, more bone loss is occurring under the surface of your gums.
Each of your teeth is surrounded and supported by an alveolar bone. When teeth are missing, the bone basically melts away in a process called resorption. Within the first year of tooth loss, you may lose up to 25% of your bone density around that particular area. It only worsens from there. For this reason, many people who have lost teeth have an apparent “caved-in” appearance to their mouths.
In addition to harming the immediate area, a missing tooth also affects your remaining teeth. Teeth contribute greatly to your facial structure, and their absence can cause other teeth to shift and create bite problems and aesthetic issues. Tooth loss can also affect jaw joints, muscles and other structures of the face.
Osseointegration is the process by which your dental implants become a steadfast addition to your smile. During the osseointegration process, connective tissues and osteoblasts (cells that secrete the matrix for bone formation) attach to the surface of the implant, firmly securing it into your jawbone. This eliminates the risk of your implant post falling out or coming loose.
Osseointegration is complete once your dental implant is secured into your jawbone firmly enough to prevent it from moving. It is at this point where the implant process can continue with the placement of an abutment and crown or other prosthesis to return strength and beauty to your smile.
The osseointegration process can take up to six months, although this can vary from patient to patient. Many patients are able to get temporary restorations placed after a few weeks, once the initial healing process allows it. However, it’s important to remember that every patient heals differently. When developing your customized dental implant treatment plan, Dr. Binon will thoroughly explain what to expect during recovery and provide a timeline to help you plan accordingly.
When replacing one or more teeth with dental implants, Dr. Binon will surgically place a small titanium post under your gums and anchor it into your jawbone. If you lack adequate bone density, your jawbone may no longer be thick enough to support an implant. There are a number of reasons for a loss of bone density, including:
- Gum disease
- Tooth decay
- Developmental defect
A bone graft is a surgical procedure that can increase the strength and density of your jawbone so that it can securely hold a titanium post in place. These procedures can be performed using your own bone or processed bone.
During your consultation with Dr. Binon, a complete evaluation of your oral structure will be performed and he will determine if a bone graft is necessary before continuing with the dental implant process.
The amount of time it will take to complete your dental implant process varies based on a number of factors, such as whether you are getting traditional implants or mini implants or whether you need gum or bone treatment prior to surgery. Although every situation is different, the dental implant process often follows this general timeline:
- Initial implant consultation: Before your dental implant surgery, you will complete an initial evaluation with Dr. Binon. During this consultation, he will assess your oral condition, determine if you are a good candidate for dental implants, answer your questions and discuss any alternative options that may be appropriate. Once the two of you agree on moving forward with dental implant surgery, Dr. Binon will design a customized treatment plan for you.
- Preparatory treatments, if needed: In some cases, preparatory procedures are required before you can receive implants. If you suffer from gum disease, periodontal treatment will be necessary prior to your implant procedure. If your tooth loss has caused jawbone recession, you will require a bone graft. These preparatory treatments can delay your implant surgery anywhere from six months to a year, although individual results may vary.
- Implant placement: If no preparatory work is needed, Dr. Binon may schedule your implant surgery soon after your consultation. The amount of time your surgery will last depends on the type and number of implants you are receiving. Generally speaking, surgery for a single implant lasts about an hour, but results vary from patient to patient.
- Implant placement recovery: While recovery times certainly vary from person to person, it usually takes about four to six months for your gums and bone to seal around the titanium post in the osseointegration process. Dr. Binon may schedule follow-up visits during this time to ensure the process is going smoothly.
- Abutment placement: Once your implant fuses to your jawbone through osseointegration, you may need surgery to place the abutment, the device onto which your new crown will eventually attach. The abutment is sometimes attached to the titanium post when the implant is initially placed. This eliminates an extra surgical step. However, since the abutment juts past the gumline, it is visible when you open your mouth, and it will remain visible until your new prosthesis is complete. Many patients do not like this appearance, and choose to have the abutment placed in a separate procedure.
- Crafting your final prosthesis: Your gums will need a few weeks to heal after the abutment is placed. More impressions of your mouth will be made once your gums heal, and your custom, realistic-looking artificial tooth will be crafted.
- Placing your prosthesis: Once your crown or other prosthesis has been completed, Dr. Binon will secure it in place. Two follow-up appointments are recommended the first year, and continuing visits will be discussed with Dr. Binon.
Mini dental implants are long-lasting restoration solutions that secure your dentures securely in place. The benefits of mini dental implants include:
- Can be completed in a single office visit
- Safe minimally invasive technique
- Long-lasting results
- Little pain or discomfort
- Restores natural chewing
- Affordable option for replacing missing teeth
Once your mini dental implants are placed, your dentures will be modified to snap onto the implants.
Not only will your replacement teeth look and feel great, you should be able to enjoy eating your favorite foods almost immediately.
If you need to replace a full arch of missing teeth, Dr. Binon may be able to do so using only 4-6 dental implants. The procedure is a good option for patients who are seeking a permanent solution to missing teeth, but do not have sufficient bone volume for other procedures.
In some cases using only four dental implants, a bone-anchored bridge or denture can support an entire set of replacement teeth. What existing bone structure you do have is maximized by placing the rearmost implants at an angle. This helps to achieve successful results even in the absence of sufficient bone structure, often without the need for bone grafts.
Tissue bars are elements of implant-supported dentures. They may be appropriate if you are missing teeth in your jaw, but lack adequate bone in your jaw for proper implant placement. An implant-supported denture is a type of overdenture that can clip onto attachments on your implants.
During the tissue bar procedure, Dr. Binon will attach a thin, curved titanium bar to two to more implants that have been placed in your jawbone. The denture can then be securely snapped into place.
If there isn’t enough bone tissue to support your dental implants, Dr. Binon may recommend a zygomatic implant. While traditional implants involve drilling directly into the jawbone, zygomatic implants are much longer and anchored in the upper jawbone, into the dense zygoma bone, or cheekbone.
The cost of dental implants varies depending on a number of factors, including the implant type as well as the number of implants needed. We proudly offer a number of payment and financing options to help you get the appropriate dental care you seek. During your consultation, Dr. Binon will provide you with an approximate estimate for your procedure, and our staff will explain all of your financing options.
There are a number of reasons why you should replace your missing teeth with dental implants. Both your oral health and general health will benefit from a strong, healthy bite. Dental implants can improve your self-confidence and keep your gums, teeth and jaw happy for years to come.
Dental implants are one of the best treatment alternatives for patients missing one, some or all their teeth. When properly placed, implant-supported crowns, bridges and dentures can be esthetic, highly functional, very comfortable, predictable and long lasting.
The best way to find out if implants are right for you is to schedule a consultation with Dr. Binon. During your consultation, Dr. Binon will assess your oral condition and make recommendations that are best suited for your unique needs.
For all of the benefits and advantages of dental implants, there are some other factors that Dr. Binon will explain to you so that you are truly empowered to make an informed decision about your dental options. For example, dental implants:
- Require surgery
- Are initially more expensive
- Require more time to complete treatment. Timeline is dependent on complexity of the treatment. It takes time for bone to grow to the implants.
- Require a high level of specialized skills, both surgically and prosthetically, to attain predictable results. May require orchestration of several specialists in very complicated treatment scenarios.
- Are not always successful – the majority of implants have success rates that now exceed 95% (dependent on skill of the clinician). However, there are many discount sources that sell knock-off copies that are far less expensive but typically do not equal the machining accuracy and integration levels (remember this is a titanium screw) necessary to attain those documented levels of success.
In addition to determining if dental implants are right for you, it’s crucial to understand if your dentist is the right person to perform this complex procedure. Today, everyone is an “implant expert,” and it is difficult to determine who and where the real expertise is located. If a dentist does one or ten implants a year, there is a serious lack of experience. When talking to your dentist about implants, ask:
- How many implants have you done?
- How long have you been doing implants?
- Do you perform both the surgery and the prosthetics? If not, who does the surgery and who has ultimate responsibility for overseeing treatment?
If dentists are well-versed in this newly expanding area of dentistry, they should be able to provide a list of patients who have had similar treatment that you can call and ask questions as to their experience. “Let the buyer beware” applies to all areas, including implants.
Dr. Binon has been at the forefront of implant dentistry for more than four decades. His expertise in dental implants is recognized around the world. When you choose to work with Dr. Binon, you can rest assured that you are working with a dentist whose knowledge, skill and experience is second to none
If you live in Sacramento or Roseville and are considering dental implants to replace your missing tooth or multiple teeth, please contact Paul P. Binon DDS MSD today by completing the form on this page or calling 916-786-6676 to schedule an appointment.