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Tampilkan postingan dengan label oral surgery. Tampilkan semua postingan
Tampilkan postingan dengan label oral surgery. Tampilkan semua postingan

Teeth Extractions- What Patients Should Know...


Extraction of a tooth is is an emotionally traumatic experience, but the actual procedure does not have to be. If performed by an experienced oral surgeon, the procedure can be done easily and quickly with minimal complications and optimal comfort. IV sedation is a marvelous anesthesia option making the experience great.

Teeth require extractions for several reasons. These include:

  • Severe caries (decay)
  • Significant periodontal disease
  • Significant pain due to infection / inflammation of the pulp (nerve of the tooth)
  • Non-restorable due to position or significant caries
  • Non-responsive to endodontic therapy (root canal procedure)

With modern day techniques and skills, teeth extractions can be done with minimal invasiveness and time. In fact, surgical removal of teeth takes only 5-10 minutes in most situations. The initial healing takes place in 48-72 hours and typically stable in 5-7 days. Complete healing of any extraction site takes about 6 weeks. Dental implant replacement can be done in 6-8 weeks after an extraction. It is crucial that at the time of extraction the supporting bone is inspected for any defects. The bone undergoes significant resorption and loss following a tooth extraction resulting in defects that are unsightly and difficult to maintain proper hygiene. Also, they create a poor site for implant placement later.

Therefore a site preservation grafting is recommended in the following situations:

  • Augmentation of bone loss due to periodontal disease or abscess
  • Enhancement of the tissue architecture in the upper front area (Aesthetic zone) to optimize aesthetics and smile line
  • Preservation / Augmentation of bone necessary to allow placement of dental implants or other prosthesis at a later time

A transitional prosthesis may be fabricated and placed in the extracted site on the same day.

So here are the key information to remember about a tooth extraction:

1) Best performed by experienced oral surgeons

2) IV sedation is the preferred anesthesia option

3) Always replace the missing tooth with an implant to maintain oral health and condition of other teeth

4) Consider grafting procedures to preserve your jaw bone and maximize on function and aesthetics once restored

For more information, contact Dr. H. Ryan Kazemi at hkazemi@facialart.com

Visit our website: www.facialart.com

Office Telephone: (301) 654-7070

Office location: Bethesda, MD

Visit our video podcasts on:
1) iTunes: search word- 'dr. kazemi'
2) Vimeo.com: search 'dr. kazemi's oral surgery channel'
3) YouTube: search 'implantguru'

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Common Misconceptions and the Truth About Dental Implants

I am often asked by people if dental implants really work as they tell me their difficult stories or others' poor experiences. There seems to be a lot of misconception and misinformation out there. So What is the truth?

Tooth loss is a big problem in America. Approximately 100 million Americans are missing one or more teeth, with close to a third of these individuals missing all of their teeth in one or both jaws. Over 69% of adults ages 35-44 have lost at least one permanent tooth to decay, failed root canal, gum disease or accidents. A third over 65 have no teeth at all.

Individuals with teeth loss age prematurely and have compromised nutritional state due to inability to eat a proper and balanced diet. Many also suffer from altered self image and self confidence and cannot talk and smile comfortably. If not replaced in a timely fashion, tooth loss also results in shrinkage of surrounding jawbone.

Modern-day dentistry has devised an excellent way for people to replace their missing teeth and improve their smile and chewing, while avoiding loss of jaw bone and damaging effect of dentures or bridges. Rather than removable dentures resting on the gum line, or fixed bridges using adjacent teeth as anchors, dental implants are long-term replacements that your oral surgeon surgically places in the jawbone. Implants are visually indistinguishable from natural teeth, and if properly cared for, can last a lifetime.

Dental implants are growing in popularity -- there were 5.5 million procedures performed in 2006. Unfortunately, many Americans avoid getting implants because they have been misinformed about its success, overall experience, and risks. Here are the five most prominent misconceptions about dental implants -- and an explanation for why each is dead-wrong.


Misconception #1: Implants are too invasive and painful!

Implant dentistry is a subtle and conservative office procedure performed with precision and finesse. An experienced surgeon can place the implant in 10-15 minutes. It is significantly less invasive and less traumatic than conventional bridges that require ‘cutting down’ of natural teeth. Patients often report significantly less discomfort with their implant surgery than even with a simple tooth extraction. Recovery is quick and most people return to work or school the following day.


Misconception #2: Implants are expensive!

Dental implants save you money in the long run by preserving jawbone and keeping adjacent teeth healthy. With proper cleaning and care, an implant will likely last a lifetime.

Compared to the alternatives, there is a much lower chance that a dental implant patient will need additional, costly dental procedures after the initial placement. Bridges require unnecessary cutting down of the surrounding teeth, exposing them to possible decay, root canals, or fractures resulting in further extractions and replacement with a costly new longer bridge.

Dentures cause gradual loss of jawbone due to traumatic shrinkage, therefore needing numerous relines to maintain their fit. With increasing loss of bone and support dentures become loose. To avoid slippage, denture adhesives are used which add significant cost over the years. By using as little as two implants, these adverse effects are prevented.


Misconception #3: Implants are frequently rejected by patient’s body!


The overall success rate for dental implants is 96 percent with almost 50 years of clinical research to back them up. Because implants are made of completely biologically compatible ‘bone-friendly’ titanium material, they naturally heal and integrate with the surrounding tissues. Rejection does not occur with dental implants. Other complications such as infections or ‘soft’ healing are extremely rare.


Misconception #4: I don’t have enough bone or I am too old for dental implants!

Jawbone may become thin or missing due to tooth loss, gum disease, or trauma. Using current grafting techniques and available materials oral surgeons can easily and predictability build up the necessary jawbone for healthy support of dental implants. Grafting procedures are highly successful when performed by a skilled oral surgeon providing every person with the benefits of dental implants.

Some older patients fear their jawbone is too weak for implants due to their age or osteoporosis. The fact is dental implants are equally successful in these patients, improving their quality of life by being able to enjoy their favorite food and maintain social interactions.


Misconception #5: Any dentist can perform dental implant surgery!



According to Dr. Harold Slavkin, dean of the University of Southern California dental school, ''a well-educated and well-trained clinician is imperative'' for a successful dental implant procedure. Malcom Gladwell, in his recent book, Outliers, talks about the 10000-hours rule which says: Achieving Excellence at Performing a Complex Task, True Mastery & Greatness Status as a World-Class Expert in Anything Requires 10,000 Hours of Practice. Hence choosing a skillful and experienced surgeon placing the implant and a dentist restoring it is crucial in achieving aesthetic and functional success.

In this regard dental implants success is twofold. First, it requires skillful surgical techniques, best performed by surgeons or dentists with formal surgical training. Second, it requires precision fitting and highly cosmetic overlying crowns, bridges, or dentures made by an experienced restorative dentist. The best success is achieved when a team of dentists work together along with a quality laboratory.

Reality: Dental implants are the most ideal and predictable way to improve your smile and chewing while saving you significant cost over the years. They are safe and highly successful in virtually every patient, regardless of their age or jawbone health, especially when performed by skillful and trained dentists. Implants are the future of dentistry here today with cutting edge technology and techniques that will benefit many for a better and healthier life.

Check out my podcast on itunes on this topic: Search 'dr. kazemi'; or on www.youtube.com: search word 'implant guru'

If any questions, please call me at (301) 654-7070

Dr. H. Ryan Kazemi
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