Dental Implants Dentist in the Bronx - David Pinkhasov, DDS

Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants are tiny titanium posts which are placed into the jaw bone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, dental implants can help preserve facial structure, preventing the bone deterioration which occurs when teeth are missing.

Dental implants as a dental procedure were first tried by many aspiring dental surgeons throughout the world but the most documented and successful case were from 1965 when Dr. P. Brånemark succesfully implanted a two-stage threaded titanium root-form implant into a patient with severe jaw deformities. From here dental implant technology has developed leaps and bounds and many patients can now enjoy a  95% success rate for dental implant to be successful.  

Dental implants are changing the way people live! With them, people are rediscovering the comfort and confidence to eat, speak, laugh and enjoy life.

Evaluation for Dental Implants

If, like many others, you feel implant dentistry is the choice for you, we ask that you undergo a dental/radiographic examination and health history. During these consultation visits, your specific needs and considerations will be addressed by either Dr. Pinkhasov or Dr. Skevas or by an Oral and Maxillofacial Surgeon referred by our practice. Your questions and concerns are important to us and our team will work with you very closely to help make your procedure a success.

Dental Implant Procedure

Dental implants are metal anchors, which act as tooth root substitutes. They are surgically placed into the jaw bone. Small posts are then attached to the implant, which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.

For most patients, the placement of dental implants involves two surgical procedures.

Dental Implants - The Procedure - Fitting Abutment from david pinkhasov on Vimeo.

First, implants are placed within your jaw bone. For the first three to six months following surgery, the implants are beneath the surface of the gums, gradually bonding with the jaw bone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your restorative dentist designs the final bridgework or denture, which will ultimately improve both function and aesthetics.

After the implant has bonded to the jaw bone, the second phase begins. The surgeon will uncover the implants and attach a small healing collar. Dr. Pinkhasov or Dr. Skevas can then start making your new teeth. An impression must be taken. Then posts or attachments can be connected to the implants. The replacement teeth are then made over the posts or attachments.

The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.

What exactly are dental implants?

Dental implants are composed of titanium screws that fuse to the bone in the jaw in a process known as osseo- integration.  Dr. David Pinkhasov, an experienced implant surgeon will use a medical grade titanium implant that over time once it is inserted into the jaw will eventually fuse  to the living bone cells in the jaw. The titanium screws becomes rigid allowing an abutment to be placed on top. Then a prosthetic or crown is placed on top of this. Once the titanium becomes fused to the bone it provides the perfect anchor in which to place your new teeth . This will serve as a fully functioning natural looking tooth that will look a feel like a real one giving the patient the ability to smile and chew just like they did before they lost their teeth.

What is a dental implants composed of?

A dental implant is composed of three main parts.  The first part of the implant is the titanium  screw that will serve as the anchor for your new teeth.  This titanium screw will be permanently attached to your jaw using a process known as osseo- integration . This process was first discovered by Swedish orthopedic surgeon Per-Ingvar Brånemark  and has since changed the lives of millions of people across the world.  Since having dental implants they can now chew and smile as if they had perfectly normal teeth. The second part of the dental implant is the abutment that will be fixed to the implant. On top of this abutment is where the prosthetic crown is placed that will be made to look like your natural  teeth.  This is the part that is entirely visible and normally made of ceramic or porcelain material due to  it’s  durability and for its aesthetic looks.

How many dental implants can I have?

Dental implants can be used to replace a single tooth or multiple teeth or even  a full upper or lower arch.  In the case where we replace a number of missing teeth by placing a few dental implants, the dental surgeon will  place four implants and then attach a full arch of prosthetic teeth.  This is where the name ‘ all on four dental implants’ comes from.  All across the US dental implants have emerged as the unique choice for replacing lost and damaged teeth, among adults over 30  or 40 all the way up to their 70’s. Dr. David Pinkhasov has undergone extensive training that allows him to diagnose and treat patients who are missing one or more teeth and advise on the best possible  progression for being able to smile and chew properly with the use of dental implants.  Over the years Dr David Pinkhasov has successfully performed many  dental implants to hundreds  of patients in our  Bronx office having worked together to diagnose and advise  dental implants to patients that have  lost one or more teeth. Many patients talk about their trouble in struggling to smile and to chew food properly. After receiving dental implants many have reported that dental implants completely changed the way they smile, the way they chew their food and the way they live their lives. If you are missing a tooth or multiple teeth and would like to see if dental implants are the right choice for you, then call our office today to make an appointment . Our office administrator  will assist you in getting a free consultation appointment to discuss dental implants with either Dr David Pinkhasov.

What are my options for dental implants?

It is important to understand the many different types of dental implants and the fact that every patient is unique. Some patients will require one or two dental implants and others will require multiple tooth replacement with multiple implants being replaced.

Single tooth replacement dental implants.

The first and most common type of dental implant is the single tooth dental implant replacement . This requires little to no downtime  and doctors are also able to join together two or more implants to support a dental bridge can hold a removable partial denture.There are several types of implants and implants systems that provide a unique stable environment whereby the denture can ‘snap-in’ to place. These types of dentures can stay in place yet can still be removed for cleaning and care. They are more affordable than the non-removable options and are ideal for many denture patients.

Alternatives to a full bridge The Implant Retained Overdenture with Attachments

This is a unique solution in that it is an alternative to a fixed bridge that is attached to implants. The implants have attachments screwed into them.  This method while economical can retain the denture properly and increase stability. The denture actually rests on top of the soft tissues and the bone and therefore does not prevent bone loss under the denture.The patient has a greater abilty to chew with a full denture but it is slightly less significant than a fixed bridge or a bar retained overdenture. This method is often more successful  in the lower jaw than the upper jaw. If you are interested in this type of implants retained overdenture with attachments then please consult with Dr. Pinkhasov or Dr. Skevas. They will be happy to explain the process and decide if you are a suitable candidate._________________________________          

The Removable, Implant Bar Retained Overdenture

This is composed of a removable full denture which is connected to a bar attachment. The bar attachment is on 2-6 implants.  Additional implants allow a larger bar that extends underneath the back teeth on the denture. The larger bar increases support and increases the chewing strength while decreasing the pressure on the gum and bones. This can decrease the bone loss under the denture.This is a common procedure that can be used in both the upper and lower jaws. The patient may need additional implants in the upper jaw due to the poorer quality of the jawbone.if you would like a more thorough explanation regarding an implant bar retained overdenture then please consult with Dr. Pinkhasov or Dr. Skevas who will be happy to assist you.          

Removable Full Denture Implant System

This denture is loosely placed on top of the gum covering the lost teeth. This is a method which is short on advantages is easy to install and has a low price.It does have a lower ability to chew, can cause discomfort in eating, has poor aesthetics and may cause sore gums from denture movement.

What type of implant surgery is best for me?

The type of dental implant surgery that is best for you me depends entirely on the patient as each case is unique. Often this will depend on the number and location of missing teeth and also whether we are required to remove any teeth.  Another important factor is the condition of your jaw bone and your overall health.  Either Dr. Pinkhasov or Dr. Skevas will assess the  individual situation and recommend whether a dental implant is the best treatment choice for you.  Sometimes it is necessary to have a tooth extracted tooth and then implement bone grafting.

How many visits will my dental implants require?

Receiving a dental implant will often require a number of visits.  Normally it requires two surgical procedures and the time between these two procedures can be several months.  Initially the titanium implant will be placed into the jawbone by an oral surgeon. Then  the patient will  wait 3 to 6 months in order to see if the the titanium screws have become fused to the bone in a process known as osseo-integration. During the second procedure part of the implant ,the doctor will uncover  the gum tissue layer above where the implant was placed. At this point the doctor will decide if the implant has taken.  If the implant has taken and everything is successful the doctor will then attach the abutment. This is where the new prosthetic or crown will be placed.  Eventually the new crown will be placed on top of this abutment and this will be the finished dental implant. The crown will be cleaned and polished by the dentist. Now the patient has a natural looking tooth.

How many dental implants do I need ?

The number of dental implants will depend entirely on the number of missing teeth and where those  missing teeth are located. Either Dr. Pinkhasov or Dr. Skevas will discuss your individual case with you and explain the process fully.

Am I a good candidate for dental implants?

A  good candidate for dental implants is often patients that do not  smoke and that lead a regular healthy lifestyle.  A perfect patient for a dental implant is one that is reasonably healthy and has a sufficient amount of healthy jawbone to which the titanium screw can be inserted into jawbone allowing the bonding process known as osseo-integration to take place. How successful it will be will depend entirely on the health of the patient with every case being entirely different.

What are bone grafts and will I need one?

If the case may be that you may require a bone graft due to bone loss, Dr. Pinkhasov or Dr. Skevas may recommend that you  visit an oral surgeon for BONE  grafting or a sinus lift in order to leave space for  the dental implant to be placed.  A sinus lift is a specialized process that is performed by an oral surgeon whereby bone is grafted to the jawbone that will prepare the jaw for the process  for having a dental implant procedure. This is often performed when the sinuses are too close together and it is necessary to lift the sinusues away from the jaw in order to create adequate space for the bone to grow in order to support the titanium screw.

What can I expect on the day of my dental procedure?

On the day of your dental procedure the oral surgeon will  administer nitrous oxide or IV sedation . This will help you relax and reduce any anxiety you may feel. The surgeon will also you administer  a local anesthetic at the site where he will perform the dental implant. He will cut small  incisions in the gums , cutting away flaps in order to have access to the jawbone.The surgeon will then make three small holes for each of the implants posts that he will place. This is where the titanium screw will be fixed securely in place. Once this has been performed the surgeon will close over those flaps and suture them. The recovery process normally takes about 3 months. Healing and restoration off the jaw will begin once the  titanium screw  fuses with the jawbone in a process known as osseo-integration.  This process strengthens over time due to the biocompatibility of the titanium and the bone which eventually become fused.In some instances It can take longer than 3 months and the doctors will determine when your jaw is ready to receive your dental implant.  

Once the doctors have decided that you're ready to receive your implant you will be asked to come to the office in the Bronx where either Dr. Pinkhasov or Dr. Skevas will place the abutment. Once the abutment is placed a temporary crown is placed while your new prosthetic tooth is made. Once that is ready the temporary crown will be removed and the new prosthetic crown will be placed. This is your new dental implant and you can now smile and chew like you did when you were in your 20’s.

Learn more during the free consultation at Right Family Dental P.C. where both doctors can discuss with you your hopes and fears for receiving dental implants. Dental implants give a new lease of life to patients who  have been  missing teeth. If you think you are missing out then come to a free consulation with Dr. Pinkhasov or Dr. Skevas. Here we will discuss how dental implants can prevent the loss of bone structure and facial composition. We want our patients to understand the process and we take the time to explain every detail. Make an appointment today for a free consultation. We can also discuss financing from a group of companies that will help you discuss this live changing elective procedure.

Why are dental implants recommended by dentists as a solution to missing teeth more than any other type of dental procedure that restores missing or damaged teeth?

The answer to this is very simple:

Dental implants provide the closest resemblance to a natural tooth with the titanium implant acting as the root and the prosthetic crown on top acting and functioning in the same way as a natural tooth. Here are the main benefits of dental implants:

Dental implants are the next best thing to healthy natural teeth. The titanium implant allows bone to grow around the implant thus preventing bone loss and loss of structure in the face. The prosthetic tooth on top of the dental implant allows for a ‘tooth’ made of porcelain that allows patients to eat, drink, talk, laugh and smile confidently without any interruption to their lifestyle.

Dental implants provide a long term solution for patients with missing teeth.Years ago many dentists recommended a bridge to replace missing teeth but these often need to be replaced. Dental implants can last a lifetime if they are care for properly and implanted correctly in the first place.

Patients can enjoy life without  the embarrassment of missing teeth. There is no need to stay home or be worried that missing teeth will become loose or fall out when you eat, smile, talk or run or play sports. With dental implants you can lead your life the way you want to lead it.

Implants prevent loss of bone loss in the face and loss of deterioration. Patients faces will not sag once they receive dental implant surgery and the implants because they encourage bone growth around the implant will prevent this.

Out of all the dental restorations dental implants are the only restoration that actually promote bone growth. Bridges and dentures can damage neighboring teeth and can cause other dental issues. Dental implants mean that neighboring teeth are protected from the possibility of decay or root canals and the patients mouth is being restored to optimal health by preventing the onset of bone deterioration.

Be able to speak clearly without being worried that your teeth might fall out. You can brush, floss and take care of your teeth just like natural teeth.

There is no need to remove your teeth. Your new dental implants are a permanent fixture in your mouth and will continue to be as long you take care of them.

Some important sources regarding dental implants:

- http://www.colgate.com/en/us/oc/oral-health/cosmetic-dentistry/implants/article/what-are-dental-implants
- http://www.mouthhealthy.org/en/az-topics/i/implants
- http://www.aaid-implant.org/about-dental-implants/what-are-the-benefits-of-dental-implants-over-other-treatments
- https://www.perio.org/consumer/dental-implants

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