|
If you're interested in replacing your missing teeth, or a single missing tooth, dental implants may be an option for you. Not everybody, however, is a good candidate for implants. A good candidate should have the following:
- Good health
- Healthy gums
- Enough bone to anchor the implants in the jaw — Some people who have lost bone in their jaw still can get implants, but first the bone must be rebuilt using special procedures.
- Be committed to taking very good care of the implanted teeth and surrounding gums — Daily brushing and flossing are essential. Regular visits to the dentist for follow-up are also important.
Some people may not be good candidates for implants. They include:
- Young patients whose jawbones have not developed completely
- Pregnant women
- Heavy smokers — Smoking impedes healing in the mouth and can reduce the likelihood that implants will be successful.
- Alcohol or substance abusers
- Patients who have received high-dose irradiation of their head or neck
- People with chronic diseases or systemic problems, including high blood pressure, diabetes, connective-tissue diseases, hemophilia and significant immune deficiencies, among others — You still may be a good candidate for implants even if you have one of these conditions. It depends on the extent and severity of the condition.
- Patients who take certain medications such as steroids or drugs that suppress the immune system
- People who severely grind or clench their teeth — These habits can place too much pressure on the implants and increase the risk of failure.
Your dentist can evaluate you to see if you would be a good candidate to receive implants.
Being Evaluated
Implant therapy involves a team that includes the surgeon (usually an oral surgeon or a periodontist) who places the implant or implants, and the restorative dentist (a general dentist or prosthodontist) who specializes in making crowns and bridges. The restorative dentist will make the crowns, bridges or dentures that will be supported by the implant or implants. The first step in your treatment is to make an appointment with one of these professionals for an evaluation. He or she will coordinate your treatment with the other members of the implant team.
Your initial evaluation will include an examination of your mouth and teeth and a thorough review of your medical and dental histories. Your mouth will be X-rayed, and you might have a computed tomography (CT) scan, which will provide information on your bone density (how much bone you have in your jaw) and the shape of your jaw. Finally, you'll discuss the options available to you with your dentist, talk about the procedure, and its cost and possible complications. Your dentist will work with you to develop a treatment plan that is customized to your particular needs and preferences.
©2002-2005 Aetna, Inc. All rights reserved.
Reviewed by the faculty of Columbia University School of Dental & Oral Surgery
|
