Endosteal Dental Implants
Endosteal dental implants are devices that are placed into jaw bone. At our Stockton dental practice, our skilled implant dentist uses this type of dental implant when there is enough bony structure to support the intended reconstruction.
Basic Designs
There are several basic designs of endosteal dental implants. A screw implant is commonly used where there is adequate bone strong enough to support the tooth. Sometimes a screw implant requires bone grafting to create enough bone. A plate implant is used when the bone is too thin to support a screw implant without grafting. A ramus frame implant is a special device which uses plate forms connected by a prefabricated bar to supply a support for a full lower denture.
Systems
Endosteal dental implants are pre-manufactured in one, two, or three piece systems. One-piece systems are the strongest. Two-piece implant systems can be very strong and should have hermetically sealing parts. Many three-piece systems are fraught with complications, which is why implant dentist Douglas Martin, DDS believes they make a poor choice for dental reconstruction at his Stockton implant dentistry practice.
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Endosteal dental implants may not be an appropriate choice when the structures of the mouth and face are too deteriorated or damaged to allow for drilling into the bone. The one and two-piece endosteal dental implant systems have had FDA approval since the 1960s and before. The American Dental Association approved a three-piece system in 1984.
Custom Endosteal Dental Implants
As the name implies, custom endosteal dental implants are custom devices that are made to fit only one patient. Custom dental implants have no limitations and can be used even with the most damaged or deteriorated bone.
Seventy percent of patients have too little bone to use the screw or plate forms of standard endosteal dental implants. When patients have too little bone for screws or plates, it requires expensive and difficult bone grafting. Bone grafting is sometimes necessary for single tooth dental implants. However, the use of bone grafting for the placement of several dental implants is usually unnecessary. In most cases, our skilled implant dentists can create a custom dental implant to fit the damaged bone.
How Custom Dental Implants Work
Custom dental implants are made from a three-dimensional computed tomography (CT) scan of the patient's jaw. A duplicate of the patient's jawbone is made using the digital data from the CT scan. This model is used to construct custom implants at our Northern California practice. The dental implants are then fabricated to exactly fit the model and coated with synthetic bone, assuring that the implant will adapt perfectly. Synthetic bone is an exact duplicate of the mineral in natural bones. It is compatible with all animals. Synthetic bone coating insures the bonding of bone to the dental implants within six weeks.
Placement of Custom Dental Implants
The custom dental implants are placed by Drs. Doug and Dax Martin using special techniques developed over the last 20 years, pioneered by Dr. Tom Golec. Prior to placement, the dental implants are subjected to 10 million degree heat in conditions similar to outer space. This plasma cleaning process guarantees that our Stockton, Modesto, and Sacramento patients receive the cleanest possible dental implants.
Next, the implants are coated with the patient's blood and serum, which bonds to the super clean surface. A plasma-cleaned dental implant that has been coated with the patient's blood proteins is indistinguishable from the patient's natural tooth roots. The biocompatible implant is placed using special bone grafting procedures, which assure that the implant will be bonded and enclosed in bone.
The Healing Process
The healing regimen also assures that the implant will heal completely encapsulated in bone. Because the bone grafting procedure is part of the placement of dental implants, a badly damaged jawbone can also be rebuilt at the same time. The patient can and does have teeth placed immediately when this system is used. Dr. Martin's Stockton and Sacramento-area patients are never without teeth; the dental implants are used to provide an immediate foundation for a dental crown, dentures, or a bridge.
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Custom endosteal dental implants have been developed by diplomates of the American Board of Implant Dentistry. This advanced technique is used by only a few clinicians with special training far above and beyond that taught by dental schools or specialty programs. The American Board of Oral Implantology / Implant Dentistry is the only organization which tests knowledge of this dental implant system.
It is highly recommend that anyone who is contemplating custom dental implants have the dental work completed by a Board Certified Implantologist; one who is not only trained, but also tested in the use of these custom devices.
Both Dr. Douglas Martin and his son, Dr. Dax Martin, are graduates of the Misch Implant Institute in advanced implantology and of the Tatum Institute in sinus grafting, tatum frames, and D series implants. To find out more about the custom dental implant treatments offered at Martin Dentistry, contact our Stockton implant dentistry practice today.
Augmentation Dental Implants
Augmentation dental implants are used to build up bone, providing bulk or cosmetic improvement. Increasing the size of a weak chin, creating beautiful cheek bones, changing the angle of the jaw, or lifting noses are examples of augmentation dental implant uses. In some cases it is necessary to augment existing bone to add another type of dental implant. Augmentation materials include bone and synthetic bone, as well as other devices manufactured to replace or augment missing facial bone structures.
Mucosal Dental Implants
Mucosal dental implants are devices that can be used to stabilize and increase the retention of an existing upper denture. These dental implants are small snaps that fit into a prepared socket in the palate and gum; they do not involve drilling into bone. This type of dental implant has been successfully applied to the upper dentures of smokers where other implants tend to fail. At our Stockton implant dentistry practice, mucosal implants are not used to stabilize lower dentures.
Transdental Implants
Transdental implants are used to stabilize an individual tooth. Transdental implants have often been used in the past and still find some limited usefulness; however, it is often better to sacrifice the weak tooth and replace it with an endosteal dental implant that is not susceptible to decay.
Transosteal Dental Implants
Transosteal dental implants are very seldom used and only a small number of dentists use this technique. The transosteal dental implant approach involves drilling through the lower jaw, and bolting a plate onto the bottom of the jaw with nuts on top, where a set of dentures can be mounted on the screws that protrude through the gums. The system requires opening the skin below the patient's chin with the possibility of unsightly scarring. Drawing on his numerous years of implant dentistry experience and knowledge, Dr. Douglas Martin believes the technique required for transosteal dental implants is unnecessarily invasive and has a high failure rate. Because of this, he prefers to not use this system at his Stockton implant dentistry practice.