Next to Nature: Dental Implants

By James Homrighausen, D.M.D.

Oral health seems simple, but surprisingly, it is more difficult and neglected than most think. Therefore, many people lose teeth prematurely due to tooth decay, periodontal disease or trauma. There are many restorations that may be used to replace lost teeth; they can be as simple as dentures, cemented crowns and bridges, up to the Cadillac treatment and dental implants.

Dental implants, although expensive, are the best treatment and unparalleled. Why? Dental implants act as a natural root embedded in the bone, which helps preserve it. Without implants, the bone would dissolve away. It is beneficial to have implants placed as soon as possible after tooth extractions to save bone and prevent future unnecessary surgery. Also, implants allow for much easier oral hygiene. Dental flossing between implants is as easy as flossing between teeth. The problem of food debris under cemented bridges and dentures is virtually eliminated.

After placement of implants, three months are needed for the titanium implant to heal to the jawbone. Patients don't have to go without teeth during this process. More and more often temporary teeth are being placed on the implant within a week of their placement. This provides great confidence for the patient during the healing phase. Again, a final restoration is placed approximately three months after implant surgery.

Studies indicate that implants usually last more than 20 years. When a patient invests in implants, their dental hygiene improves not only by protecting the implant investment, but also protecting the remaining natural teeth.

A strong team effort is needed for good implant dentistry! It is important that the implant surgeon and the patient's dentist communicate and work hand in hand. This allows proper placement of the implants, aesthetic integrity and most importantly what the patient desires. Patients must know the implant surgeon charges for placement of the root-shaped structure. At an additional fee, the patient's dentist will place the tooth portion of the implant apparatus.

In the dental profession today, many dentists may place implants. The oral and maxillofacial surgeon completes dental school and also completes a four or six year hospital-based residency program. Oral and maxillofacial surgeons are trained to treat aesthetic aspects of the teeth, upper and lower jaws and the face. Considering training, the maxillofacial surgeon is the most qualified to place dental implants.

Dental implants are well worth their investment. They provide a much healthier mouth in the dentally compromised patient. This allows beauty, function and most importantly a happy patient.

r. James Homrighausen is an oral surgeon and a U of L Dental School graduate. He is a Diplomat on the American Board of Oral and Maxillofacial Surgeons, a member of American Association of Oral and Maxillofacial Surgeons as well as the International Congress of Oral Implantologists. His office is located at 5120 Charlestown Road in New Albany, IN 47150. For more information call 812-944-4000.