Missing teeth are more than a cosmetic embarrassment; they can slowly deteriorate the overall health of your mouth. Your teeth play a vital role in keeping your jawbone strong and healthy. The bone atrophies over time in areas with missing teeth, resulting in a weak jaw and a sunken appearance. While dentures and bridges can fix the cosmetic issues associated with missing teeth, they do not prevent eventual jawbone degeneration. Dental implants are the permanent solution to missing teeth, restoring both your smile aesthetics and preserving the integrity of your jaw.
Patients considering dental implants may have one missing tooth, multiple teeth missing, or no teeth at all. Dr. Fiss is able to tailor each dental implant procedure to fit your unique dental problems. Patients with missing teeth may have one or more of these possible side effects:
- Embarrassment over missing teeth
- Chewing or speaking impairment
- Diet restrictions due to lack of teeth functionality
- Collapsed facial appearance (more wrinkles)
- Shifting teeth around your missing teeth
Dental Implant Procedure for Single, Individual Implants
Dental implants are placed through a multi-step process to ensure implant longevity and natural-looking results. Local or general anesthesia may be used during your procedure to reduce pain and provide patient comfort. While the exact timeline of your treatment can vary depending on the extent of correction you require, most patients will follow these steps.
- Step One: The titanium implants (that look similar to screws) are placed into the jawbone. A temporary covering is fabricated to ensure the aesthetics of your smile while the jawbone attaches itself to the implant. This process takes three to six months and is called osseointegration.
- Step Two: Once the implants are fused to the bone, custom abutments are fabricated and attached to the implants and project through the gums. A temporary implant crown tooth is placed over the abutment to maintain your smile while the implant crown is fabricated in the lab. The gums will require several weeks to heal before your final implant crown can be placed.
Single tooth implant replacement…from start showing the hopelessly decayed ( gray) tooth to its removal and placement of a custom temporary . Once the implant was placed and healed a custom zirconia ( tooth colored) abutment was screwed down to the implant and a very translucent and natural all porcelain crown was cemented creating a lifelike result.
Porcelain Implant Crown
Photo #1 Tooth #9 fractured…was removed and an implant was placed
Photo #2 A porcelain implant crown and abutment was fabricated for #9 using an angled screw channel
Photo #3 Implant crown #9 was screwed into place…. creating an ideal emergence profile
Photo #4 Tooth #8 previously had root canal treatment…a porcelain crown and post core was cemented in place.
Photo #5 The final result shows ideal gum height,contour and esthetics
Dental Implant & Porcelain Crowns
Picture #1: Patient presented post trauma regarding his top front 7 teeth #6-12. Teeth #7, 8, 9 were missing. Teeth # 8, 11, and 12 needed root canal treatment.
I created a treatment plan for the surgical placement of 3 implants, 3 root canal procedures , 3 post cores and 7 porcelain crowns.
Pictures #2-6: The day the case was finished. 3 Cast posts were cemented in the completed root canal treated teeth. 3 screw down porcelain implant crowns were seated. The final 4 porcelain crowns were cemented. The pictures demonstrate an incredibly natural result. All 7 teeth are now individual….the patient will be able to floss, eat and function as if they were his natural teeth .
Patients who are missing the majority of their teeth may find that dentures don’t provide them with the comfort and functionality of their original teeth. The All-on-4 treatment is an effective solution for patients missing the majority of their teeth. All-on-4 treatments replace your missing teeth with a full dental bridge supported by only four dental implants. The unique All-on-4 treatments ensure bone stability while maintaining the functional ability of your teeth.
Benefits of All-on-4 Treatments
- Immediate, life-changing results
- Faster treatment and healing time
- Flexible options
Patient presented with severe periodontal disease causing bone loss, tooth mobility, greatly reduced function and most of all decreased self-confidence due to poor cosmetics. As all of the patient’s teeth were hopeless, they were removed. A total of 11 implants were placed. Six implants in the upper arch and five implants in the lower arch. Upper and lower hybrid screw down prosthetic appliances were fabricated using the most natural looking materials available. No acrylic or denture teeth were used. Each hybrid appliance consists of a titanium bar with individual Emax all porcelain crowns cemented on to them. The Emax porcelain crowns possess all of the depth of color and translucency of natural tooth structure and enamel. The final result is beautiful and natural. The patient feels that she was born with these teeth.
Photo #1 Patient presented with 18 hopeless teeth that required attention.
Photo #2 Patient suffered from poor spacing, tooth damage, as well as severe bone loss.
Photo #3 18 teeth were extracted and 8 implants were placed the same day.
Photo #4 Tooth restoration was achieved through a hybrid, All-on-4 implant prosthesis placed the same day as the extraction.
Photo #5 Patient, the same day as his procedure, presents with some minor swelling, but a fully restored appearance
Photo #6 Patient 5 days post-surgery; almost all major swelling alleviated and a whiter, brighter smile achieved
All the teeth were removed in the upper jaw due to decay and bone loss. 4 implants were placed as seen in the picture of the upper working model. An acrylic full upper appliance was fabricated with a titanium bar inside – this was screwed on to the 4 implants – creating a beautiful and lifelike result.
All on 4 -Teeth in a Day hybrid implant prosthesis
Following cancer therapy, this patient presented with hopelessly decayed teeth. Once the unrestorable teeth were removed, 8 implants were placed; 4 implants were placed in the upper arch, and 4 implants were placed in the the lower arch. Upper and lower hybrid prosthetic appliances were then fabricated, creating a beautiful result and restoring the patient’s ability to smile with confidence.
These 2 photos give an overview of the life changing effects implant and reconstructive dentistry play in a persons life . The before and after pictures are of a young woman born without teeth on top and missing some permanent teeth in the lower. The first picture demonstrates this -as she presents with a full upper denture and lower malposed and poorly shaped dentition. 4 implants were placed in the upper arch after which a hybrid “all on 4” appliance was screwed into place. To restore the lower arch 3 implants and 12 porcelain crowns were placed. This restored the patient’s function and cosmetics creating a lifelike result.
Photo #1 demonstrates the lack of visible tooth structure during speech and smiling
Photo #2 this photo demonstrates the loss of vertical dimension.The lower jaw is out in front of the upper jaw allowing the patient to overclose
Photo #3 This photo demonstrates the very old ,mobile ,and hopeless existing dentition – with decay around all remaining teeth
Photo #4 this is the post-op X-ray taken the day of the surgery after the hopeless teeth were removed and 8 implants were placed
Photo #5,6,7 Demonstrates the final fixed upper and lower appliances supported by the new implants the same day of the surgery- restoring the patients vertical dimension ,correcting his bite,providing lip support,and most important function with a youthful beautiful smile
Dr. Benjamin S. Fiss – Dental Implant Specialist
4 Implant Cases
Interested in learning more about Chicago dental implants? We have all of the information that you need in order to make an informed decision about the future of your smile. With everything from implant history to videos and FAQ’s, you will learn the A to Z’s of prosthetic dentistry in Chicago and how it may benefit you.
Photo 1: Patient presented with fractured and infected central incisors teeth numbers 8 & 9.
Photo 2 & 3: Demonstrate X ray where hopeless patient’s 8 & 9 teeth were extracted, implants were placed with immediate temporary abutments.
Photo 4: Temporary implant crowns were placed the same day. The patient was instructed to be careful eating. The temporaries were worn for 3 months until the implants integrated in the bone.
Photo 5: Once integrated the final porcelain crowns were cemented, note how healthy the tissue is and how real everything looks.
Patient presents with congenitally missing lateral incisors and the cuspids were moved forward orthodontically and implants were placed completing her smile.
Patient suffered a severe fall, teeth # 7 and # 9 were severely cracked and # 8 was completely lost. 2 porcelain crowns were placed on teeth # 7 and # 9. An Implant and porcelain crown were placed on # 8 creating an amazing, natural result.
One implant and four all porcelain restorations changed this persons life from being afraid to smile to smiling constantly.
Before and after implant dentures were placed improving the vertical dimension and lip contour creating a youthful natural result. Patient went from smiling without teeth being present to a beautiful smile.
Pre Op Xray of Hopeless Dentition
Before photo of Patient
Future Hybrid Implant Retained Dentures
Hybrid Dentures with Attachments Inserted
Post Op showing natural smile line Dentition
News and Articles
Maintaining Dental Implants
Maintaining the quality of your dental implants plays an important role in achieving long-lasting results. You should visit your dentist for cleanings four times per year. Proper at-home hygiene, including brushing and flossing, is important to maintain your oral health. Wearing a night guard to prevent bruxing, or grinding, will protect both implants and natural teeth from breaking down. Vigilant care will ensure the longest-lasting results possible.
ZOOM!® Teeth Whitening
Many patients will choose to undergo the ZOOM!® Teeth Whitening process to achieve whiter, brighter teeth during the implant process—once fabricated, the implant crowns will not change color. Teeth whitening prior will ensure that all your teeth are the same color, which provides more natural, flawless results.
If you are looking to permanently replace your missing teeth, schedule your consultation with Dr. Fiss today. Call us at (312) 951-5230 or contact us online.