Advanced Dental Care

Posts for tag: Dental Implants

By Advanced Dental Care
September 23, 2021
Category: Dental Procedures
Tags: Dental Implants  

Losing teeth can make it more difficult to eat, not to mention the effect it can have on your smile. But that could be just the beginning of your problems. Missing teeth can contribute to extensive bone loss within your jaws and face. Here's why.

Bone is like any other living tissue—cells develop, function and eventually die, and new cells take their place. Forces generated during chewing stimulate this new growth, helping the jawbone maintain its normal volume and density.

But you lose this stimulus when you lose teeth. This can cause a slowdown in bone cell regrowth that can eventually diminish bone volume. And it can happen relatively quickly: you could lose a quarter or more of jawbone width around a missing tooth within a year.

As this loss continues, especially in cases of multiple missing teeth, the bone can eventually erode to its base level. This loss of dental function can make chewing more difficult, place more pressure on the remaining teeth and adversely affect facial appearance. It could also prevent an implant restoration to replace missing teeth.

Dentures and other forms of dental restoration can replace missing teeth, but not the chewing stimulus. Dentures in particular will accelerate bone loss, because they can irritate the bony gum ridges they rest upon.

Dental implants, on the other hand, can slow or even stop bone loss. Implants consist of a metal post, typically made of titanium, imbedded into the jawbone at the site of the missing tooth with a life-like crown attached. Titanium also has a strong affinity with bone so that bone cells naturally grow and adhere to the implant's surface. This can produce enough growth to slow, stop or even reverse bone loss.

This effect may also work when implants are combined with other restorations, including dentures. These enhanced dentures no longer rest on the gums, but connect to implants. This adds support and takes the pressure off of the bony ridge, as well as contributes to better bone health.

If you've lost a tooth, it's important to either replace it promptly or have a bone graft installed to help forestall any bone loss in the interim. And when it's time to replace those missing teeth, dental implants could provide you not only a life-like solution, but a way to protect your bone health.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Hidden Consequences of Losing Teeth.”

By Advanced Dental Care
September 03, 2021
Category: Dental Procedures
Tags: Dental Implants  

Getting dental implants is going to require surgery. But don't let that concern you—it's a relatively minor procedure.

Currently the “gold standard” for tooth replacement, an implant consists of a titanium post surgically imbedded in the jawbone. We can affix a life-like crown to a single implant or support a fixed bridge or removable denture using a series of them.

Because placement will determine the restoration's final appearance, we must carefully plan implant surgery beforehand. Our first priority is to verify that you have adequate jawbone available to support an implant.

Additionally, we want to identify any underlying structures like nerves or blood vessels that might obstruct placement. We may also develop a surgical guide, a retainer-like device placed in the mouth during surgery that identifies precisely where to create the holes or channels for the implants.

After numbing the area with local anesthesia, we begin the surgery by opening the gum tissue with a series of incisions to expose the underlying bone. If we've prepared a surgical guide, we'll place it in the mouth at this time.

We then create the channel for the insert through a series of drillings. We start with a small opening, then increase its size through subsequent drills until we've created a channel that fits the size of the intended implant.

After removing the implant from its sterile packaging, we'll directly insert it into the channel. Once in place, we may take an x-ray to verify that it's been properly placed, and adjust as needed. Unless we're attaching a temporary crown at the time of surgery (an alternate procedure called immediate loading), we suture the gums over the implant to protect it.

Similar to other dental procedures, discomfort after surgery is usually mild to moderate and manageable with pain relievers like acetaminophen or ibuprofen (if necessary, we can prescribe something stronger). We may also have you take antibiotics or use antibacterial mouthrinses for a while to prevent infection.

A few weeks later, after the bone has grown and adhered to the implant surface, you'll return to receive your new permanent crown or restoration. While the process can take a few months and a number of treatment visits, in the end you'll have new life-like teeth that could serve you well for decades.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Surgery.”


Around one in ten U.S. adults have diabetes, a metabolic disease that can disrupt other aspects of a person's health like wound healing and vision. It could also cause complications with dental implants, the premier replacement choice for missing teeth.

There are two basic types of diabetes. In type 1 diabetes, the pancreas stops producing insulin, a hormone needed to regulate the amount of sugar glucose in the bloodstream. With the more prevalent type 2 diabetes, the body either doesn't produce enough insulin or doesn't respond efficiently to the insulin produced.

Uncontrolled diabetes can contribute to several dangerous health conditions. In addition to vision impairment and poor wound healing, diabetics are at higher risk for other problems like kidney disease or nerve damage. Drastic swings in blood glucose levels can also cause coma or death.

Many diabetics, though, are able to manage their condition through diet, exercise, medications and regular medical care. Even so, they may still encounter problems with wound healing, which could complicate getting a dental implant.

An implant is composed of a titanium metal post imbedded into the jawbone. Because of its affinity with titanium, bone cells naturally grow and adhere to the implant's metal surface. Several weeks after implant surgery, enough bone growth occurs to fully secure the implant within the jaw.

But this integration process may be slower for diabetics because of sluggish wound healing. It's possible for integration to not fully occur in diabetic patients after implant surgery, increasing the risk of eventually losing the implant.

Fortunately, though, evidence indicates this not to be as great a concern as once thought. A number of recent group studies comparing diabetic and non-diabetic implant patients found little difference in outcomes—both groups had similar success rates (more than 95 percent).

The only exception, though, were diabetic patients with poor glucose control, who had much slower bone integration that posed a threat to a successful implant outcome. If you're in this situation, it's better if you're first able to better control your blood glucose levels before you undergo surgery.

So, while diabetes is something to factor into your implant decision, your chances remain good for a successful outcome. Just be sure you're doing everything you can to effectively manage your diabetes.

If you would like more information on diabetes and dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants & Diabetes.”

By Advanced Dental Care
September 04, 2019
Category: Cosmetic Dentistry
Tags: Dental Implants  

If you are missing teeth, it’s only natural to wonder if you can rebuild your smile. It’s time to stop wondering and start discovering the magic of dental implants. The truth is, dental implants are the closest to having your natural teeth.

Dr. Arkady Naiman at Advanced Dental Care in Plainville, MA, offers dental implant treatment to rebuild your smile. He proudly serves residents of Plainville, North Attleborough, and Foxborough, MA, and he can help your smile too.

What’s so special about dental implants? They function and look just like natural teeth. In fact, they are virtually indistinguishable from your natural teeth. That can’t be said of dental bridgework or dental appliances, which often look unnatural and may move around.

These are just a few of the ways you will benefit when you choose dental implants:

  • You will enjoy a naturally beautiful smile, because dental implant crowns are made of porcelain which reflects light and looks just like tooth enamel.
  • You will bite and chew better, because dental implants are surrounded by bone, fixed firmly in place, so they will never move around.
  • You will maintain bone better, because you actually grow more bone to fuse with the dental implant. More bone means a firm jawline and more youthful facial contours.
  • You will enjoy convenience, because you never take dental implants out; they become a permanent part of your smile.
  • You will maintain excellent oral health, because you can brush and floss dental implants just like natural teeth.

Rebuilding your smile with dental implants begins with the insertion of the dental implant screw in your jaw, a simple procedure, done right in the office. Over time, bone grows around and fuses with the implant screw, locking it firmly in place. After the area has healed completely, a beautiful new dental implant crown is placed over the dental implant screw, and you have a new tooth!

Whether you need to replace a single missing tooth or multiple missing teeth, dental implants are the right choice to make. To find out more about revolutionary tooth replacement with dental implants, call Dr. Arkady Naiman at Advanced Dental Care in Plainville, MA, and serving Foxborough and North Attleborough, MA, today!

March 26, 2019
Category: Dental Care

Need oral surgery? Oral surgery is the branch of dentistry concerned with the surgical treatment of injuries, diseases, and deformities of the oral and maxillofacial region. A number of conditions may require oral surgery. Dr. Arkady Naiman at Advanced Dental Care in Oral Surgery PreparationPlainville, MA, offers oral surgery services to their patients.

Types of Oral Surgery include:

1. Dental Implant Surgery

Dental implant surgery is a procedure that replaces tooth roots with small anchors and replaces missing teeth with false teeth that feel and function much like real ones. Implants can improve your smile, prevent jawbone loss, improve your ability to chew food, and prevent your existing teeth from shifting out of place. Dental implant surgery is usually an outpatient surgery, and you will be given anesthesia for the surgery.

2. Dental Extractions

A dental extraction is the removal of a tooth from its socket in the jawbone. There are a number of reasons why dental extractions may be needed. A dental extraction may be necessary if your tooth is so damaged that it cannot be repaired. In addition, if your wisdom teeth don't have room to grow, you'll likely need to have them extracted. Impacted wisdom teeth can result in pain, swelling, and a gum infection.

3. Root Canal Therapy

In the past, diseased or injured teeth often had to be pulled. Today, they can be saved through root canal therapy. A root canal is a procedure that is used to fix teeth that are infected or badly decayed. Extraction is not a good alternative to root canal treatment. Saving your natural tooth is the best option. Root canal treatment has a high success rate. With proper care, root-canal-treated teeth can last a lifetime.

Oral surgery has the potential to improve the quality of your life. You will experience exemplary service and world-class care at Advanced Dental Care! If you need oral surgery, don't wait. Dr. Naiman can help you today. Call Advanced Dental Care in Plainville, MA, at 508-869-4070 to schedule an appointment!