The Surgical Procedure

Who Actually Performs the Dental Implant Placement?

Implants are a team effort between a Periodontist and a Restorative Dentist.  While Dr. Robins will perform the actual surgery, and initial tooth extractions and bone grafting if necessary, the restorative dentist (your dentist) makes and fits the permanent teeth that go on top of the implants.  Your dentist will also make any temporary teeth needed during the implant process.

The Surgical Procedure

For some patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first two to six months following the surgery, the dental implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet at this time. At the same time, your restorative dentist designs the new replacement teeth that will ultimately improve both function and aesthetics.

After the implant has bonded to the jawbone, the second phase begins. Dr. Robins will uncover the implants and attach small posts, which will act as anchors for the artificial teeth.  These posts protrude through the gums.  When the permanent teeth are placed, these posts will not be seen. The entire procedure usually takes six to eight months. Most patients experience minimal disruption in their daily life.

Surgical Advances

Using the most recent advances in dental technology, Dr. Robins is able to place single stage implants.  These dental implants do not require a second procedure to uncover them, but do require a minimum of six weeks 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.  Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit.  This procedure, called “immediate loading”, greatly simplifies the surgical process.

What Type of Anesthesia is Used?

The majority of dental implants and bone grafting can be perfomed in the office under local anesthesia.