Dental Implants New Hyde Park, NY

Video: Dental Implant Surgery Explained

For as long as tooth loss has been a problem, dentists have tried to provide replacement teeth for both functional and esthetic purposes. For small areas of tooth loss, “fixed bridges” provided an easy and predictable result (Fig. 1, fixed bridge in the upper jaw in the back, connecting replacement false teeth which span the gap). When the toothless areas became larger or the area was not bounded on both sides by natural teeth, fixed bridges were not feasible and teeth could only be replaced with removable partial dentures (Fig. 2) . When all teeth were lost, top and bottom,  full dentures, formerly, were the only answer (Fig. 3).

Figure 1 - Dental Implants
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Figure 2 - Dental Implants
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Figure 3 - Dental Implants
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Although these various types of prostheses generally functioned well, patient complaints included the need to cut down adjacent teeth for fixed bridges, unsightly clasps with partial dentures, and slippage and poor retention with both partial and full dentures.

Extensive basic science, animal, and human clinical research has developed a system of dental implants which, when placed in the jaw, can serve as “anchors” for tooth replacement. This two stage surgical procedure known as “osseointegration” may eliminate the need for conventional fixed bridges and removable partial and full dentures. Although most patients are candidates for these highly successful procedures, individual variations in potential implant sites as well as certain systemic medical conditions may preclude implant placement or change the overall success rate. These factors are all evaluated and discussed in an in-depth consultation with our surgeons and your dentist.

The cases which follow are representative of the most common dental implant procedures which can be performed as an alternative to fixed bridges and removable full and partial dentures.

Figure 4 - Dental Implants
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Figure 5 - Dental Implants
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Single implants can be used to replace individual teeth without the need to use adjacent teeth for support as in fixed bridges (Figs. 4, 5, arrow points to implant crown).

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Take the Next Step to Restore Your Smile Today!

Fill out our Appointment Form or call us at New Hyde Park Office Phone Number (516) 437-2666 if you have any questions or to schedule an appointment with Dr. Schabes or Dr. Sacks today!

Surgical Advances

Using the most recent advances in dental implant technology, Drs. Schabes and Sacks are often able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a similar healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction further minimizing the number of surgical procedures.

Dental Implant placement is a team effort between an oral and maxillofacial surgeon and a restorative dentist. While Drs. Schabes and Sacks perform the actual implant surgery, initial tooth extractions, and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will also make any temporary prosthesis needed during the implant process.

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What Types Of Prostheses Are Available?

A single prosthesis (crown) is used to replace one missing tooth. Most commonly, each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed or removable bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis is planned or recommended. A removable prosthesis (overdenture) attaches to a bar or snap attachments, whereas a fixed prosthesis is screwed down or cemented and removable only by the dentist.

Drs. Schabes and Sacks perform in-office implant surgery in a hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.

Figure 6a - Dental Implants
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Figure 6b - Dental Implants
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Figure 7 - Dental Implants
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Freestanding dental implant supported bridges allow “fixed” restorations to be placed in areas not bounded by natural teeth, where only removable partial dentures were available prior to the era of “osseointegration”. In areas of cosmetic concern, no unsightly clasps are needed (Figs. 6, 7, arrows show back implant bridges in the lower jaw).

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Figure 8a - Dental Implants

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Figure 8b - Dental Implants

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Figure 9a - Dental Implants

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Figure 9b - Dental Implants

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Figure 9c - Dental Implants

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Overdentures are prostheses which utilize clips and bars attached to implants to assist in holding in the dentures. They improve the ability to chew by reducing undesirable movement while still allowing easy cleansability as a result of their removable nature. Overdentures may be indicated in those patients who have insufficient bone height and width to support a fixed implant borne prosthesis, are limited by the number of dental implants that can be placed, or who lack the manual dexterity to adequately maintain a fixed prosthesis (Fig. 8, lower overdenture snapping onto a bar; Fig. 9, an upper overdenture snapping onto freestanding attachments in the implants).

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Figure 10 - Dental Implants
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Figure 11 - Dental Implants
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Fixed-detachable or “hybrid” prostheses are denture-like replacements which allow for easier hygiene underneath them. However, they cannot be removed by the patient. Teeth are held in place by screws placed into the implants and can only be removed by the dentist. This may be done periodically for cleanings (Figs. 10, 11, lower hybrid and upper left implant bridge).

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Fixed bridges are similar to bridgework on natural teeth where individual “caps” are made on each of the dental implants. The caps are usually made of porcelain and are extremely esthetic. A larger number of implants are required for a restoration of this type and meticulous hygiene is needed to maintain the health of the dental implants and of the gum tissues (Figs. 12, 13, fixed upper implant bridge). Dental Implants scan

Fig. 12
Dental Implants case study

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Dental Implant Overview

For a brief narrated overview of the dental implant process, please click the image below. It will launch our flash educational MiniModule in a separate window that may answer some of your questions about dental implants.

Dental Implant Overview

Having trouble? Please make sure you have the Adobe Flash Player plugin installed in order to correctly view this presentation. This software is available as a free download.

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Why Dental Implants?

Once you learn about dental implants, you finally realize there is a proven way to improve your life. When you lose several teeth, whether it’s a new situation or something you have lived with for years, the chances are you have never become fully accustomed to losing such a vital part of yourself.

Dental implants can be your doorway to renewed self-confidence and peace of mind.

A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than 35 years ago. With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss. Drs. Schabes and Sacks have been involved in the placement of implants based on this research and of instructing a myriad of other dentists in their use since the 1980’s.

Why Select Dental Implants Over More Traditional-type Restorations?

There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a partial denture at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.

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Are You A Candidate For Implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.

What Type Of Anesthesia Is Used?

The majority of dental implants and bone grafts can be performed in the office under local anesthesia. General  anesthesia is available, for most patients, who  prefer having treatment in this manner.

Do Implants Need Special Care?

Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists.

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Take the Next Step to Restore Your Smile Today!

Fill out our Appointment Form or call us at New Hyde Park Office Phone Number (516) 437-2666 if you have any questions or to schedule an appointment with Drs. Schabes or Sacks today!

Oral and Maxillofacial Surgery of Nassau & Queens, LLP

5 out of 5 stars based on 8 Dental Implant reviews.

Our Latest Patient Testimonials

Excellent

- Honey B

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Dr. Sacks and his staff are very professional and caring. They help patients to be comfortable and at ease with their expertise and humour. I highly recommend this office for all procedures!!!

- Joanne S

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This was my second visit on two different treatment. One for my daughter and one for myself. I have telling my family members of Dr. Schabez professionalism as well as staffs friendliness. Thank you for such a wonderful experience instead what it could have been a scary one.

- Luke K

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Love you guys. The best!!!

- Jack T

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This is a top notch office!

- Susan K

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Great

- Norman B

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Extremely friendly, this helps to put one at ease. This is truly a professional group since they all work together. Of course this has something to do with the Doctors as I believe they are the best around.

- George L

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Thank you so much Dr. Schabes. The implant process was very straight forward. You made it easy for me. I can smile and eat all those foods I haven't been able to eat in awhile. Thank you again!!

- Ron P

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