[VIDEO] Ellerslie Dental | Common Dental Implant Problems
- On August 14, 2019
Ellerslie Dental | Common Dental Implant Problems
Welcome to the Ellerslie dental tooth doctor location YouTube channel. Today we’re actually going to be talking about common dental implant problems. I’m here with Dr. Peter Yoo from the tooth doctor and my name’s Karen and we’re going to break this down today for you guys.
The meaning of life is to find your gift. The purpose of life is to give it away. Just an anonymous quote there. According to numbers from ADA Research Inc around 9,000 dental implant procedures were performed in 2005 with a promising growth rate of 14.2%. It was estimated that the numbers could reach 200,000 within a decade, depending on the market and the needs of Ellerslie dental patients.
I think that’s because there’s more awareness of them maybe now than there was previously.
What is a dental implant?
Well, dental plan is basically a titanium screw. There are other types out there, but I’m going to just focus on the titanium implants. And so it’s a screw that replaces where the root would be. And then from there you can attach a crown on top of that, then basically replace the tooth.
What are some of the reasons that a person would get a dental implant issue?
Let’s start off with the most common one. When you must pull the tooth out, right? Whether it be due to big cavity and tooth is not fixable or restorable. Sometimes you fractured tooth. Anything that leads to basically not being able to restore a tooth.
Then you get some people where no years in the past they just couldn’t afford it or something and just had a tooth pulled out. And so now they have the space there.
Other reasons are sometimes when you don’t have it to fair, so we call it congenitally missing at the Ellerslie dental tooth doctor. There are certain teeth that are more commonly missing. You know, some people have four wisdom teeth, some people have no wisdom teeth. Right. Those are the lucky ones. But yeah. But in regard to sometimes in the teeth that you kind of eat, you chew it, there are people that have those types of things.
One last thing is sometimes again, in relation to that, you have some Ellerslie dental patients where they’re missing a tooth and the baby tooth is still there. And so later on that baby tooth can get loose, you know, come out and now you have to put something there
Are there areas of the jaw that are better for implants than others?
I would say yes and no. I’ll use the example of Ellerslie dental patients that have all their teeth. They might need implants in their top jaw. We understand in the dental field and as dentists that there are certain degrees of density. The denser or the thicker, I guess the bone is, the more it’s able to hold right today.
Technically the jawbone on the bottom is actually a lot denser, or stronger than the jawbone going up the top. An Ellerlsie dental patient that has a lower denture, they want to get implants. Usually we can put in two implants. Whereas for the top you need a minimum of four to possibly six.
So you do need more implants for the top jaw than in the bottom. Yeah.
Are there some issues that you’ve seen that hinder the healing process after dental implant process? Number one is smoking. Smoking is the number one reason because of the chemicals that don’t allow for the healing of the tissue in the bone. When you place the implant, you have to wait a certain period of time because you need that bone to kind of grow into the threads of the implant screw that is called Osteo integration. The bone is binding to the titanium.
What recommendations do you have for Ellerslie dental patients for the best way to care for their new dental implant?
Implants don’t get cavities. Okay. But you can lose bone around implants like you lose bone around your teeth. So if your teeth aren’t healthy, you’re implant may not be healthy. So take care of your teeth. Doing the proper things will lead to long-term success of an implant. Getting back to my previous question about, you know, what hinders healing.
A lot of people are very harsh on their teeth. It’s very important to go see a dentist at least every year to make sure that the implant has held. There are differences between your teeth and your implant. And I’ll get to that in a little bit, but yeah, making sure you’re brushing, keeping them in clean like you normally would.
There are bite issues after a dental implant placement.
So yeah, the implants in comparison to teeth. Dental implants can’t get cavities. They, we talked about that already, but you can still lose bone like you would with a natural tooth. Okay. Now the other thing I usually relate, and I kind of use my hands that makes sense is that when you bite on your tooth, they can actually go down a little bit.
Because when you eat, I use fish or an egg. You know, if you have a little shell in the egg and you’re biting into that. You can feel your teeth can actually feel that shell. When you have fish, you can sometimes feel the bone when you eat that. Your teeth actually have a tactile sensitivity to the way they feel different textures.
That’s what, you know, it’s a, it’s a reaction. Like, you know, you’re eating. Uh, I’ll use beans. For example, you’re eating beans and there’s a rock in the beans. When you bite into that, your teeth, uh, have a sensation and that caused your jaw to open back up quickly so that you don’t hopefully chip your teeth. And unfortunately, some people do. Yeah.
Implants don’t move. Whereas teeth do move. Implants are stuck in the bone. So you have to be aware of how your bite is. And so getting back to that when Ellerslie dental patients have implants is very important to get your teeth checked once a year to make sure there is very light contact or even a space between your implants or you know, if you have to an implant, there is actually a slight, slight bit of space.
They’re not actually touching because again, when you bite down on your teeth and if you clench a little bit more, your tooth actually will move a little bit. Right. Okay. So with an implant we want that, um, I guess she’s it in the clenching mode, right? You want that implant to be contacting in the clenching mode so that when you are in just a regular biting mode. There is a very slight, slight space.
How do you avoid or fix bite issues for dental implant patients?
One thing that we do on a routine basis at our Ellerslie dental office, is use bite paper. Everybody knows the white paper that blue, you know, you bite on it and it causes blue marks or red marks on your teeth. There is also something called shim stock. And so basically it looks like a little, uh, foil ribbon.
And so it’s thinner than that bite. We get our Ellerslie dental patients to bite on it and when they bite down, if we can slide the paper out, then we know that there’s space. Normally when patients bite, if they bite down on their next teeth and I put the ribbon, I can’t pull it out, it’ll tear it.
So now I know, oh, there’s contact on there. We actually want very little contact. Coming in and check getting that checked every year at the Ellerslie dental Tooth Doctor. Because once you start, you know, um, little bit of understanding is that your teeth are designed to move upwards and forwards.
When you have a little space, your tooth is thinking, oh, there’s a tooth up there somewhere. I’m just going to grow a little bit more and try and come into contact with that. Okay. So year after year, you need to get checks at the Ellerslie dental tooth doctor, to see if your teeth have moved slightly and it’s not a big, big movement.
One way of preventing that also is wearing like a night guard. So patients that have multiple implants, we use your recommended a night guard to our Ellerslie dental patients because that will keep the teeth and the implants in there in their position.
And so that will prevent the teeth from coming into contact over time and not have to adjust. Adjust the crown.
What can be done if a dental implant becomes loose?
Come see us at the Tooth Doctor Ellerslie dental. I’ve done a ton of the implants. One of the most common things with implants is that the screw that holds a crown does get loose and it’s not a big deal, but you do have to come see the dentists at our Ellerslie dental tooth doctor. We basically can go in and unscrew the crown. We make sure everything’s clean, make sure there’s no damage. We re-screw the crown back on, take an x-ray and make sure it’s all seated properly sealed.
There are two types of implant crowns. Okay. There’s ones where you screw on. Usually the crown has a little tiny hole where the screw will go in and then basically afterwards we put a little white filling to cover that hole.
I like using those because we call it retrievability. If the implant gets loose, I can just drill out that filling, get to the screw, unscrew it, take off the crown, make sure it looks clean, put it back on, screw back on cover the hole again. And then there’s Smith retained crown.
A lot of dentists in the past, feel that that’s better cause it looks better to a degree. And sometimes it’s, you have a, like a front tooth, uh, depending on the angulation of the implant screw. Sometimes you can’t have a screw-in crown. And so sometimes they actually, once the police saying that they actually spent on the crown and now you’re a little bit stuck.
Are bone grafts common for dental implant patients?
Bone grafts are meant to help support the implant. We will obviously, if you have a big tooth, you want a bigger implant, have a small tooth, you want a smaller claim, you don’t ever want a small implant for a big tooth because of just the, the shape of what it would look like.
Imagine a mushroom. You have a tiny little stem when you have a big headbutt. So you don’t want your implants to like that because then food could get underneath and it traps. And so it’s hard to clean, maintain. And so food gets underneath that damage to the bone. And what’s holding the bone or what’s holding the implant is the bone.
Ideally you want to as big as an implant and, and have the crown conjured nicely so it’s easier to clean.
Bone grafting is meant when there’s, you know, people have a lost tooth for many years. Let’s say a patient has to get a tooth pulled out, we will pull the tooth at our Ellerslie dental office. We tell the patients in the next three to six months, the bone will fill into that hole and the bone will stay. But after six months, that bone will start to shrink and shrink and shrink and shrink.
So if you have bone like this and you have an implant like this, okay, the bone is only like two, three millimeters and you need an implant that’s five millimeters. Well, you’re not going to have bone covering that implant, right? So you need to have a certain thickness and a width and depth of bone in order to place an implant. So bone grafting is very important when we need to create space and just you, we want that ideal implant size.
So we don’t compromise and get the best long term success in partners. What’s the average healing time for a dental implant?
The average is anywhere from 12 to 16 weeks. Everybody plus or minus just depending on the person. So, you know, my simple rule is, you know, once I placed an implant, I’m going to wait about three months and hopefully by that time everything has healed.
We can place a tooth on there and put some, we call it load so we can put pressure on the implant and the implant will be stable around the bone. Big Procedure is, it is, you know, and, and you know, it, everything just depends on, you know, how the patient is care. Uh, just like everything else, there are implants called immediate implants, so they actually place an implant in and then they place a tooth on right away.
Um, the small issue is the success rate for that is not as much. So theoretically from my understanding is that an implant, you placed an implant, you put the crown on, the success rate for that implant is about 96 to 98%. That’s pretty good. I think that’s really good. Okay. I’ve heard it said that if you have an implant, if you don’t let the bone heal around right away and then you put a tooth on and now the person can kind of bite on that implant. The success rate for that bone to heal is about 80%. Okay. So, yeah, when it’s a front tooth and you know, we try and make sure you’re not touching it, you’re biting on it. But again, any slight bit of contact, the food you’re causing called micro movement. Okay. And so that doesn’t allow for the bone to heal as quickly. Okay.
Well thank you so much for bringing that all down. I learned, I actually learned a lot on that one. Um, thanks for joining us today here on YouTube for the tooth doctor. And don’t forget to subscribe to the channel like the video if you’ve got some good information out of it.