Dental implants have become a popular choice for replacing lost teeth, moving away from traditional dentures that many used to rely on. This innovative solution involves surgically placing a titanium or zirconia screw into the jawbone, which serves as a replacement root for the missing tooth. Following this, a crown is fitted on top of the implant, creating a permanent and natural-looking tooth replacement. In the United States, approximately 2.5 million dental implants are placed each year.

However, potential patients should be aware that dental implants come with certain risks. One significant concern is periodontitis, a condition caused by plaque accumulation that leads to inflammation and destruction of gum tissue and bone around the teeth. This condition affects around 743 million individuals globally and can jeopardize the stability of dental implants, potentially leading to looseness or loss of the implant.

Experts in the field explain the essential things to know about preparing for and caring for dental implants.

Understanding Dental Implants

Dental implants are designed to substitute lost teeth effectively. The procedure involves minor surgery where a titanium or zirconia screw is inserted into the jawbone, functioning as a new root. An abutment is attached to the top of the implant, and finally, a crown is crafted to complete the restoration.

Who is Eligible for Dental Implants?

Generally, individuals missing one or more teeth are suitable candidates for dental implants. However, specific health conditions may complicate the procedure. For instance, those with active periodontal disease, uncontrolled diabetes, or who are undergoing radiation or chemotherapy treatments may face higher risks. Heavy smokers are also discouraged from proceeding due to potential healing complications.

The Importance of Peri-Implant Health

Just as natural teeth can develop gum disease, dental implants are susceptible to conditions such as peri-implant mucositis and peri-implantitis. The former is characterized by inflammation around the soft tissue of the implant, while the latter can lead to more severe inflammation and bone loss, potentially resulting in implant mobility or loss if not addressed promptly.

Signs of Complications

Symptoms of peri-implant diseases can be subtle but may include redness and tenderness of the gums surrounding the implant, bleeding during brushing, and, in more severe cases, swelling and pus. These conditions can escalate quickly, highlighting the importance of early detection and intervention.

Maintenance of Dental Implants

Maintaining dental implants is similar to caring for natural teeth. Regular oral hygiene practices, including brushing and flossing, are crucial. Some patients may need specialized cleaning tools, which their dental providers can demonstrate. For those with a single implant and crown, standard brushing and flossing suffices.

The Implant Procedure Explained

The dental implant process typically spans multiple stages over several months. Initially, a dentist will evaluate oral health, bone quality, and medical history during a consultation. Additional imaging, such as a CT scan, may be required to assess bone density. If necessary, a bone graft could be performed before implant placement.

The actual surgery, which is usually completed within an hour, involves making a small incision in the gum to insert the titanium post into the jawbone, followed by suturing the gum. The implant then requires a healing period of approximately three months to integrate with the bone before the crown is placed.

Insurance Coverage for Implants

Many private insurance plans now offer coverage for dental implants, although specifics may vary. Most insurers will consider dental implant procedures under their dental coverage policies.

Pain Management During Recovery

Although the incision for implant surgery is small, patients may experience discomfort post-procedure. Most individuals find that over-the-counter pain relief is sufficient, while those undergoing extensive surgeries may require stronger medication. Key to a smooth recovery is diligent oral hygiene and ensuring any underlying health issues are managed before proceeding with the implantation.