‘Bone’ - The foundation for dental implants
How do you know if you have enough bone
for dental implants?
Routine dental x-rays show large amounts
of detail, but in only two dimensions.
From these views it is generally possible to
judge the height of bone available for
implant placement; however,
more advanced imaging techniques are
sometimes needed to determine
the equally important bone width.
Dental CBCT Scans – there are now a
number of advanced x-ray techniques that
allow your jawbone to be looked at in all
three dimensions. The most accurate and
widely available is known as the CBCT
(cone beam computed tomography) scan.
Images obtained by CBCT scanning will
normally be able to show all of
the information required about your bone,
including quantity and quality,
but most importantly the presence of
anatomical structures that must be avoided.
What can cause bone loss?
Whenever a tooth is lost or extracted
a considerable amount of the bone
that once surrounded the remaining root
may disappear. This loss can be particularly
rapid during the first few months and
is described as ‘bone resorption’.
Although the rate and amount of bone
resorption is highly variable between
individuals, it will always occur to some
extent, unless specific care is taken to
reduce its effects.
Many patients report that after a while
their dentures become progressively looser
and do not fit as well as they once did.
Initially the increased rate of bone loss
following extractions is responsible for the
observed deterioration of denture fit.
Over the long-term it is the direct effect
of chewing forces that causes slow
deterioration of the supporting bone.
Therefore the longer dentures are worn,
the less bone is available for
dental implants.
Can dental implants preserve bone?
This is one of the most important features
of dental implants. Once in place and
supporting teeth, everyday functional
forces (eating, smiling, talking) stimulate
the surrounding bone, which responds
by becoming stronger and denser.
Like all things there are limits as to
how much work an implant can do.
Your treatment provider will be able to
discuss this in more detail as it relates
to your individual case.
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