What Is the General Procedure of Dental Implant Surgery?

 

 

 

What Is the General Procedure of

Dental Implant Surgery?

 

 

 

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Dental implant surgery is usually an

outpatient surgery performed in stages:

 

-Your damaged tooth is removed.

 

-Your jawbone is prepared for surgery,

a process that may involve bone grafting.

 

-After your jawbone heals, your oral surgeon

places the dental implant metal post in

your jawbone.

 

-You go through a healing period that may

last several months.

 

-Your oral surgeon places the abutment,

which is an extension of the implant metal post.

(In some cases, when the implant is very stable,

this can be done at the same time that the

implant is placed.)

 

-After the soft tissue heals, your dentist

will make molds of your teeth and jawbone

and later place the final tooth or teeth.

 

 

The entire process can take many months from

start to finish. Much of that time is devoted to

healing and waiting for the growth of

new bone in your jaw.

 

 

 

 

Placing the dental implant

 

 

During surgery to place the dental implant,

we make a cut to open your gum and

expose the bone. But in some cases,

incision of the gum isn’t necessary.

Holes are drilled into the bone where

the dental implant metal post will be placed.

Since the post will serve as the tooth root,

it's implanted deep into the bone.

At this point, you'll still have a gap where your

tooth is missing. A type of partial,

temporary denture can be placed for

appearance, if needed. You can remove this

denture for cleaning and while you sleep.

 

 

 

 

Waiting for bone growth

 

Once the metal implant post is placed in your

jawbone, osseointegration begins.

During this process, the jawbone grows into

and unites with the surface of the dental

implant. This process, which can take several

months, helps provide a solid base for your

new artificial tooth — just as roots do for

your natural teeth.

 

Placing the abutment

 

When osseointegration is complete,

you may need additional surgery to place

the abutment — the piece where the crown

will eventually attach. This minor surgery is

typically done with local anesthesia in

an outpatient setting.

 

To place the abutment:

 

-We reopens your gum to expose

the dental implant

 

-The abutment is attached to the dental implant

 

-The gum tissue is then closed around, but

not over, the abutment

 

 

 

 

In some cases, the abutment is attached

to the dental implant metal post

when the post is implanted. That means you

won't need an extra surgical step.

Because the abutment juts past the gumline,

however, it's visible when you open your mouth

— and it will be that way until your dentist

completes the tooth prosthesis. Some people

don't like that appearance and prefer to have

the abutment placed in a separate procedure.

 

 

 

 

Choosing your new artificial teeth

 

After the abutment is placed, your gums

must heal for one or two weeks before

the artificial tooth can be attached.

Once your gums heal, you'll have more

impressions made of your mouth and remaining

teeth. These impressions are used to make

the crown — your realistic-looking artificial tooth.

The crown can't be placed until your jawbone is

strong enough to support use of the new tooth.

 

 

After the procedure

 

Whether you have dental implant surgery

in one stage or multiple stages,

you may experience some of the typical

discomforts associated with any type of

dental surgery, such as:

-Swelling of your gums and face

-Bruising of your skin and gums

-Pain at the implant site

-Minor bleeding

If swelling, discomfort or any other problem

gets worse in the days after surgery,

you need to contact the hospital as soon as

possible, you may need pain medications or

antibiotics.

 

 

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