Plaza of Cosmetic Dentistry
Dr. Joseph Goodman, D.D.S D.M.D.
In 1952, in a modestly appointed laboratory in the university town of Lund, Sweden, Professor Per-Ingvar Brånemark had a lucky accident -- what most scientists call serendipity. Much to his irritation, Dr. Brånemark discovered that it was impossible to recover any of the bone-anchored titanium microscopes he was using in his research. The titanium had apparently adhered irreversibly to living bone tissue, an observation which contradicted contemporary scientific theory.
His curiosity aroused, Dr. Brånemark subsequently demonstrated that -- under carefully controlled conditions -- titanium could be structurally integrated into living bone with a very high degree of predictability and, without long-term soft tissue inflammation or ultimate fixture rejection. Brånemark named the phenomenon osseointegration.
All implants placed today are root-form endosseous implants, i.e., they appear similar to an actual tooth root (and thus possess a "root-form") and are placed within the bone (endo- being the Greek prefix for "in" andosseous referring to "bone"). The jawbone accepts and osseointegrates with the titanium post. Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone.
Dental implants can be used to support a number of dental prostheses, including crowns, implant-supported bridges or dentures.
Dental implants are basically superior screws created, of a medically pure and biocompatible metallic Titanium. These screws are then placed (screwed in) in the jaw bone and rest underneath the gum for five to six months. Throughout this time they truly fuse to the jawbone.
Would you like to read more details about implants?
Implant placements are done in two stages: During the first dental visit the implant is screwed into the jawbone. At this point it is not sticking out of the gum surface, it is “sleeping” under the gum and requires 5 months of healing time. At a second visit, the implant is uncovered and an attachment is placed onto the implant. The attachment looks like a post, which is necessary to anchor the actual crown onto the implant. Dr. Goodman has performed many complicated implants of the upper and lower jaw. Only local anesthetic is necessary and often times it takes less time to do an implant than it takes to do a root canal.
Once the implants have healed, you have several options of Implant Restorations:
I have placed a substantial amount of implants and have figured out during my career the limitations. The implant placement is the easy part. The restorative dentistry aspects, such as crowns and overdentures, require knowledge in physics, biomechanics, occlusion, centric relation, TMJ and more. Several restorative options can be accomplished:
Option 1) Fixed implant crown. One implant placed, 1 crown cemented on top of the implant.
Option 2) Overdenture. Implants are attached to a denture.
Implant Dentures have no palatal coverage. This makes articulation, eating, chewing, taste sensation and comfort much easier.
Such cases require experience in aesthetics, phonetics, and surgical dentistry.
Frontal view of implant-retained denture
Option 2 Overdenture with Locators
World Class Reconstructive Dentistry
Several implants placed by Dr. Goodman
X-ray showing an implant
Please look at some of the cases that we have done for our patients in our office.
Bob with no teeth and no implants
Bob with 10 implants and 10 implant crowns
Such case requires experience in esthetic, phonetics, and surgical dentistry.