Tag Archives: Boston Dental Implants

Blade Implant Not Healing?

I don’t know what’s going on. I had a blade implant placed over 12 months ago and it still isn’t healed. Is something wrong or is this normal? Do I just wait it out?

Catherine

Dear Catherine,

Illustration of a dental implant

I’m curious as to why your dentist decided on a blade implant. While they have been in use for many years, there are better options in current practice. It’s generally used for people who don’t have a thick enough jawbone to retain a traditional screw implant but don’t want to do bone grafting.

Unfortunately, while traditional dental implants (pictured above) have a 98% success rate, blade implants only have around a 50% success rate. This should have healed within twelve months. At this point, something is wrong. You need to return to your implant surgeon and have them look and advice you.

Dental Implant Options

A woman's profile twice, one with facial collapse, one after
Wearing Dentures Leads to Facial Collapse

Bone loss in your jaw is usually the result of having missing teeth with no replaced root. For instance, if you removed your teeth but didn’t replace them or replaced them with removable dentures, the minerals in your bone start to resorb into your body. The result not only ages your appearance years, but it will also make you a denture cripple, forced onto a liquid diet the remainder of your days. This is known as facial collapse.

If you want to replace those teeth with an option which provides a prosthetic root, thereby preventing facial collapse, you need to have enough jaw bone. If you don’t, you have two great alternatives to blade implants.

Bone Grafting

This is a simple outpatient procedure which adds bone structure back into your jaw. The biggest benefit to this is it allows you to get screw implants which have a significantly higher success rate to the blade option.

All-on-4 Dental Implants

This doesn’t require grafting. Instead, the all-on-4 implant procedure places the implants at an angle helping them retain with less bone structure.

Cosmetic Considerations with Dental Implants

While it is wonderful to have a full mouth of teeth. If they’re not attractive teeth, you might not smile nearly as much as you would if you were provided with a stunning smile. Whether you are getting all new “teeth” or just a couple of implants, you’ll want a dentist who can make them match your teeth. You don’t want natural teeth next to obviously fake teeth.

One or Two Implants

I recommend before your implant crowns are made, you whiten the rest of your teeth. It’s an inexpensive way to drastically improve the aesthetics of your smile. But, the real reason for doing it before getting your crowns is the permanence of your crown color. Even professional teeth whitening only works on natural tooth structure. That means if you get the crowns first and then decide to whiten your teeth, your natural teeth will whiten. Your tooth replacements will not. Doing the whitening first means your implant crowns can be made to match the beautiful new color of your teeth.

A New Smile with Implant Overdentures

If you are getting a new smile with your implants, you want an expert cosmetic dentist to do the work. You are talking about a complete smile makeover made from dental crowns. Finding an expert cosmetic dentist is a lot easier than it used to be. The American Academy of Cosmetic Dentistry has an accreditation program which helps patients to know who can give them a stunning smile.

Just go to aacd.com and click on find a dentist. Just make sure you put a check by “accredited dentist”. This way you get a list of those who are experts in their field.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Can a Diabetic Get All-on-4 Dental Implants

After my husband died I really struggled. I stopped taking care of myself. I gained 100 pounds, developed diabetes, and even developed gum disease which led to losing several teeth. I didn’t care. Then, one day I was at a park and smiled at a little girl and she asked if I was homeless. I realized then, things had to change. I have a full life ahead of me. I started eating right. I joined a gym. I’ve almost completely lost all the weight I gained and I no longer have gum disease. I asked my dentist about what he recommended for my missing teeth and he suggested all-on-4 dental implants. I was super thrilled about the idea of having a full mouth of teeth again. But, I went home to do some research and learned that diabetics shouldn’t get them. I don’t want to pay all that money if it’s not going to work. What should I do? I really want teeth again.

Carra

Dear Carra,

illustration of a dental implant

First, let me add my condolences. Don’t be too hard on yourself regarding how you dealt with your grief in the beginning. It’s almost suffocating to lose a loved one and we all seem to lose ourselves at first too. You should be really thrilled with the incredible progress you’ve made since then. I think the healthy changes you’ve made are remarkable.

For the most part, dental implants have a 98% success rate when done by an experienced implant dentist. There are some factors which make patients more at risk for implant failure. The biggest of these are:

  • Gum Disease
  • Smoking
  • Uncontrolled Diabetes

You’ve already taken care of your gum disease, which is huge. A responsible dentist will NEVER give a patient who has gum disease dental implants. There’s no way for your body to retain them well, just like when you suffered from gum disease, they couldn’t retain your natural teeth. They will fail. Because you’ve already turned that around it’s not a worry for you.

You didn’t mention anything about smoking, which I hope means you’re not a smoker. Smoking lowers your blood flow in your gums which increases your risk of infection, a leading cause of dental implant failure. You also increase your risk of redeveloping gum disease.

Your diabetes is under control, so again, Yay! not a problem for you. I think you’re likely a good candidate for dental implants.

Are All-on-4 Dental Implants the Right Choice for You?

The only real reason to do the All-on-4 procedure rather than traditional implants is bone loss. Sometimes, with gum disease and tooth loss, you lose so much jawbone structure you don’t have enough to retain dental implants. All-on-4 is one way to get around that. However, there is a better, more reliable option.

If you don’t have enough bone to support traditional dental implants, I’d consider getting bone grafting done. It will build back up your bone structure. Then you’re free to get whatever procedure you want. I hope this helps you make your decision.

Best of luck and congratulations on all your hard work!
This blog is brought to you by AACD Accredited dentist Dr. Randall Burba.