Implants and Restorative Procedures

General dentists are in the first line of defense against oral health problems. Although general dentistry provides preventative care and minor restorative procedures, it can also include a wide range of dental procedures, among which are some cosmetic treatments.

When severe dental problems require complete mouth reconstruction, our dentist Dr. Vanessa Arzola can create a restorative dentistry treatment plan that will simultaneously treat the health, function, and appearance of the teeth and gums.

Restorative dentistry refers to any restorative dentistry procedure that involves the replacement or repair of fractured or missing teeth, bones, or tissue. The procedures and types of dentistry that are classified as reconstructive dentistry include complete buccal reconstruction, restorations of dental implants, treatment of temporomandibular joint (TMJ), placement of dental prostheses, placement of dental crown, “inlay” and “onlay” and the replacement of metallic gold restorations.

We can perform many of these procedures, but you should have an evaluation before treatment to see the current conditions.

Types of dental restorations

  • Fillings: made with different materials and procedures, in which the materials are placed in the tooth in soft state and harden and form in the mouth; may be of amalgam, resin or some type of cement, mainly glass ionomer.
  • Inlays/Onlays: consisting of small rigid parts (metal, porcelain or composite resin) replacing the parts lost, prefabricated to measure and cemented or adhered to the remaining dental tissues; Are classified in inlays, onlays and overlays, depending on their situation and extent.
  • Aesthetic laminated fronts: thin sheets of porcelain or resin, either prefabricated or custom-made, that adheres to the labial or anterior surface of the teeth to restore their anatomical or aesthetic defects.
  • Crowns: they are complete or partial coverage of the surface of the teeth. They are made to measure, after the dentist fits or wears the teeth and obtains a mold of the stump or dental axis of subjection, to which they finally cement or adhere them. They can be made of metal, porcelain, metal-porcelain, resin or metal-resin.

Dental implants

The dental implant is an artificial tooth root, in other words, it is a titanium screw that is inserted into the jawbone or maxilla to replace the missing tooth as if it were a natural tooth.

Dental implants have a cylindrical or conical shape, with a length and a diameter selected according to the amount of bone. As has been shown, the dental implant does not cause any adverse changes in the body.

The dental implant is composed of two main parts: the screw and the pillar. The screw is inserted surgically into the patient’s mandibular or maxillary bone, while the abutment serves to create a connection between the screw and the prosthetic structure (dental crown). The crown is not part of the dental implant and is paid separately, but together with the screw and the abutment replaces the missing tooth.

Types of Dental Implants

Immediate Load Dental Implant

This dental implant is used to avoid going to the second phase of the implant: that is, not to open the gingiva and insert the abutment. In the same phase the implant is placed and the dental crown is fixed. This type of dental implant requires a good quality and quantity of bone. Immediate loading of the dental implant is immediately inserted into the socket. For this, it should not be any infection, but this does not happen very often.

Dental Implant in 2 phases

The intervention with more complicated types of dental implants involves 2 phases. In the first stage the implant is inserted and integrated with the bone. Therefore, to continue with the second phase of treatment should pass 3-4 months after surgery for the lower jaw and 5-6 months for the upper jaw. In the second phase of the treatment, the stump (the abutment) is screwed onto the top of the implant and then the perm crown.