Implant Restoration

Dental implants are the answer to the question, when are scientists going to come up with a way to grow missing teeth? Although not developed from cells, titanium dental implants share the same bone replacing foundations as hips and other joints. Implants are specially made titanium posts that are placed in the bone and serve as a new tooth root. An implant provides the anchor on which a crown or a bridge is placed. They can provide a permanent, beautiful alternative to dentures. They are so natural looking that they are impossible to distinguish from the surrounding teeth. You’ve probably even met someone with a dental implant and didn’t even know it!

The biocompatible titanium implants are safe and durable. Over the past 30 years, thousands of implants remain sound and function like natural teeth. Implants require the same diligence in homecare and professional maintenance as all teeth. This means they can easily last a lifetime without complications.

Age is not factor in implant candidacy. Most people in good overall health can opt to have an implant placed with little risk of failure. To have an implant placed you should have healthy teeth and gums and adequate bone to support the implant. If you are ready to replace one or more missing teeth, let’s set up a consultation to talk about it.

Implants – All-on-4

implants-all-on-4

All-on-4 Dental Implants give you the look and feel of natural teeth with the stability of fixed implants.

Ordinary dentures sit on top of your gums, without stimulating bone growth. They can slip and cause sores and discomfort. All-on-4 dental implants are not only securely fixed, but there’s no plate covering the roof of the mouth, so speaking and eating is more comfortable and food tastes better.

The All-on-4 Dental Implant procedure uses four implants, with the back implants angulated to take maximum advantage of existing bone. Special implants also were developed that could support the immediate fitting of replacement teeth. This treatment is attractive to those with dentures or in need of full upper and/or lower restorations. With the All-on-4 procedure, qualified patients receive just four implants and a full set of new replacement teeth in just one appointment – without bone grafts! The real appeal is how quickly permanent implants can be placed so that patients can leave the same day with fixed, non-removable replacement teeth.

With the All-on-4 Dental Implant procedure, the patient has one or two visits to the office to allow Dr. Stanley Goloskov to gather information for a treatment plan (e.g., CAT Scan, X-rays, impressions, photos). Following this consultation, the patient is scheduled for surgery implantation and the new teeth are fitted and adjusted, all in one appointment (even when extractions are necessary). The patient comes to the office in the morning with unhealthy (or no) teeth, and a few days later they receive a beautiful set of fixed, functional teeth.

The patient will return for occasional check-ups over the next several weeks and months. After almost six months, when the gums have fully healed and the implants are fused to the natural bone, Dr. Goloskov will take new impressions of the patient’s mouth and prepare a final, stronger, permanent set of teeth adjusted to a perfect fit – at no additional cost. This helps ensure that the teeth will last for many years, and provide maximum support, beauty, and function to the patient.

Implants – Immedidate Load

Immediate load implants or same day implants are the most modern and faster approach in implant placement. They were developed to satisfy the patients’ demand for shorter times of implant treatments.

At Stanley H. Goloskov D.D.S., utilizing immediate load implants the tooth restoration (temporary or permanent), can be attached (loaded) on the implant in the same day immediately after the implant is placed in the jawbone.

Traditional implant procedures require a two-stage process. The implant is placed during the first surgical procedure followed by several months of healing period, waiting for the implant to integrate with the jawbone. Then the implant is uncovered during a second surgical procedure, the abutment is placed on the implant and finally the restoration is cemented on the abutment.

With immediate load implants, a single-stage process now eliminates the waiting time for healing and need for a secondary surgery. Dr. Goloskov is proud to offer this far less invasive and patient-friendly treatment.

To find out if you’re a candidate for Same-Day/Immediate Load Dental Implants, schedule your consultation today at 302.475.0600.

Implants – Mini

mini-dental-implants-diagramMini Dental Implants (MDIs) have changed the face of implant placement. Unlike full implant placement where multiple dental visits are required, MDIs eliminate the need for surgery. The development of long term MDIs now allows the dentist to place anchors in the jaw during one noninvasive treatment. The most common use for MDIs is the stabilization of dentures and overdentures. MDIs firmly anchor the dental prosthesis, which means there is no longer any need to suffer with ill-fitting, loose dentures.

MDIs are designed to eliminate bone grafting and expedite treatment. Full implants require significant bone grafting and a recovery period. The latent period allowed the anchor of the implant to properly embed itself into the jawbone. The smaller size of MDIs means that no recovery period is necessary, and the denture can be fitted the same day.

An MDI is a tiny dental implant (similar to a screw) that is designed to act in place of a natural tooth root. MDIs are generally constructed from titanium and are either sprayed with calcium phosphate, or contain it along the length of the screw portion. The design and structure of MDIs promotes quick healing and long lasting results. The head portion of the implant looks very much like a ball. This ball fits firmly into the retaining mechanism and together these structures hold the dentures at a designated level. The dentures sit comfortably on the gum tissue and are able to withstand significant amounts of pressure and natural force.

MDIs are a true innovation for people who are reluctant to have invasive dental surgery and for denture wearers. One significant advantage MDIs have over full implants is that they offer a viable treatment choice for patients who have experienced extensive bone loss. Depending on the quality and density of jawbone available at the implant site, four of these mini implants may be implanted at one time. Unlike full implants, MDIs don’t require invasive surgery, which makes MDIs a gentler option. MDIs also minimize cost. Full-sized implants can be expensive to place, especially if many visits are required. The most common use for MDIs is to stabilize a lower denture, however they can be placed anywhere in the mouth.

Here are some of the other advantages associated with MDIs:

  • Better smelling breath.
  • Clearer speech.
  • Easier chewing and biting.
  • Easier cleaning.
  • Firmer denture fit.
  • High success rate. Less discomfort.
  • No cutting or sutures.
  • No need for adhesives or messy bonding agents.
  • No rotting food beneath the denture.
  • No slipping, wobbling or discomfort.
  • Permanent results.
  • Quick treatment time.
  • Reduced costs.
Implants – Traditional

Are you missing teeth and/or dislike the inconvenience of a removable bridge or denture? If so, dental implants offer a functional and cosmetic solution that might be ideal for you. Implants deliver a sense of comfort and stability that conventional substitutes lack, so everything from speaking to eating becomes more natural.

Over a series of visits, a specially trained dentist will place titanium posts into your jaw bone. We will then create custom natural looking porcelain crowns that will match the rest of your teeth. Dental implants are impossible to detect. They function as your natural teeth and allow you to live your life in comfort and confidence.

Dental implants aren’t the correct choice for everyone, however. Successful candidates require healthy gums and enough bone to support the implant. If you’re interested in discovering if you’re a good candidate for dental implants, contact our office to set up a consultation. After completing our evaluation, we will explain what options are available to you.

Bridges
A missing molar

A missing molar

The adjacent teeth prepared for a bridge

The adjacent teeth prepared for a bridge

When a tooth has been lost and healthy teeth are located on both sides of the newly missing tooth or teeth, then a fixed bridge is a treatment option. The other options are implants or a partial denture.

The procedure for having a fixed bridge made is essentially the same as having a crown made except that a fixed bridge involves at least two supporting teeth. What can cause confusion is the number of teeth needed for a fixed bridge. To replace one missing tooth requires a three tooth bridge. This is because the teeth on both sides of the missing tooth must be part of the bridge to provide support.

Fixed bridges are typically made from porcelain with a metal sub-structure and require at least two appointments to complete. The first appointment is used to prepare and temporize the teeth. The second appointment is the delivery appointment to adjust and cement the fixed bridge in place. Occasionally a third appointment is needed if the span of the bridge is long and the supporting framework for the bridge needs to be tried in before the porcelain is applied to the framework.

Even though all of the teeth of the bridge are physically connected, the final result makes it look like the teeth are individual and natural.

The bridge ready to be tried in

The bridge ready to be tried in

The final bridge cemented

The final bridge cemented

Implant Option

Implants are an option in some cases. There needs to be sufficient bone for this procedure. If there is not enough bone present, we may be able to add more through grafting. Please read our Implants page and visit our Implants Gallery for more information.

bridge-implantAn implant may be an alternative to a fixed bridge is some cases. In the case above, one implant is placed.   This means the adjacent teeth do not need to be part of the treatment plan.

bridge-implant-placed

After the implant is placed and the bone around them is allowed to heal, a porcelain tooth is attached to the implant. This stays in the mouth and is only removable by a dental professional if maintenance is necessary.

Crowns
crowns-chipped-tooth

A severely chipped front tooth

The tooth prepared for a porcelain crown

The tooth prepared for a porcelain crown

When the structure of an entire tooth is compromised, a crown, which covers all of the surfaces of the tooth, will need to be placed. The example to the left illustrates a fractured front tooth.

The first step is to prepare the tooth for a crown, which requires reduction of the tooth so that the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary, at which time the first appointment is completed.

Your case is then sent to the lab to make the crown, which is then tried in and adjusted. Our job is to communicate what your wishes and desires are to the lab technicians so your new crown will be in harmony with the surrounding teeth.

Before your new crown is cemented, we check the fit, the contacts, the bite and the color to make sure it has the same characteristics of your natural teeth.

Please see our Crowns Gallery to view the types of results we can achieve with porcelain crowns.

crowns-tried-in

The porcelain crown being tried in

The tooth restored to its natural appearance

The tooth restored to its natural appearance

Dentures

adult-dentures

Complete or partial dentures can replace your missing teeth and give you the confidence to smile. Dentures can be used to replace teeth that have been lost due to trauma, decay, or gum disease. It is important to replace missing teeth, not only because teeth help with eating food, but because they help support the facial muscles and are critical for speech.

Full Dentures

There are two different types of removable full dentures; immediate and conventional. Immediate dentures are typically made when the patient’s existing natural teeth are being removed and the new dentures are delivered the day of the extractions.

Conventional dentures are typically made when existing dentures are being replaced.

An edentulous jaw

An edentulous jaw

The denture being tried in

Partial Denture

A partial denture is a removable dental appliance that replaces multiple missing teeth. It can be attached to the teeth with clasps, which are like small metal “c” clamps that hug nearby teeth, or may be attached to teeth with crowns with precision attachments (hidden clasps). Both types typically have a metal framework and plastic teeth and gum areas. A temporary partial dental may have a plastic base with no metal.

A partially edentulous jaw

A partially edentulous jaw

The partial about to be tried in

The partial about to be tried in

Full Mouth Rehabilitation

full-mouth-rehabilitation

A full-mouth restoration, also referred to as a full-mouth reconstruction, involves several cosmetic dentistry procedures designed to improve the health and appearance of your smile. Restorations are usually recommended for clients who have teeth that are damaged, worn down, or missing completely. Not only do damaged teeth negatively impact your smile appearance, they can also weaken your chewing ability and create bite imbalance. Depending on your degree of tooth damage, any of these dental treatments may be used to correct tooth condition: porcelain veneers, dental crowns, dental implants, tooth bonding, tooth-colored fillings, and dental bridges.

There have been many wonderful advances in restorative dentistry in the past several years, and today there is truly no good reason for you to feel uncomfortable.

Most of us require some type of dental restorative work, such as fillings, crowns or bridges, during our lifetimes. Due to our extensive experience and commitment to continuing education, Dentistry on the Hill offers patients the latest technology, materials and procedures.

Overdenture

overdenture

Unlike traditional dentures, root-supported or implant-supported overdentures or implant dentures are held in place by dental attachments which provide the retentive strength that you desire. An attachment retained implant overdenture will provide maximum retention, increase in function, and added health benefits. Implant overdenture attachments are composed of two working components; the root post which is cemented into your root or an implant abutment that is threaded into your implant, and the denture cap which is retained in the underside of your denture.