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Tooth Replacement

Dental Implants

If you’ve lost a tooth, or a few teeth, due to injury or disease, dental implants can rejuvenate both your smile and your oral health.

Black and white portrait of a smiling man in a hooded sweatshirt

People are living longer than ever, and while regular brushing, flossing, and checkups allow many of us to maintain our natural smiles for a lifetime, sometimes our teeth just can’t keep up.

An implant is a synthetic tooth root in the shape of a post that is surgically placed into the jawbone. The “root” is usually made of titanium: the same material used in many replacement hips and knees, and a metal that is well-suited to pairing with human bone. A replacement tooth is then fixed to the post. The tooth can be either permanently attached or removable. Permanent teeth are more stable and feel more like natural teeth.

The ideal candidate for implants is a non-smoker who has good oral health, including a sufficient amount of bone in the jaw, and healthy gums with no sign of gum disease.

Implant restoration

An implant is a new tooth made of metal and porcelain that looks just like your natural tooth. It is composed of two main parts: the titanium implant body that takes the place of the missing root, and the tooth-colored crown that is cemented on top of the implant. With implant treatment, you can smile confidently knowing no one will suspect you have a replacement tooth. If properly maintained, implants can last a lifetime.

In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth for a more natural-looking smile.

Single or multiple implants

Implants are versatile. If you are only missing one tooth, one implant plus one replacement tooth will do the trick. If you are missing several teeth in a row, a few strategically placed implants can support a permanent bridge (a set of replacement teeth). Similarly, if you have lost all of your teeth, a full bridge or full denture can be permanently fixed in your mouth with a strategic number of implants.

Advantages over dentures or bridges

Conventional bridges and dentures are not fixed to the bone, and can therefore be unstable. This can make it difficult to eat or smile with confidence. Implants not only look more natural, but feel and act more like normal teeth, with a stronger biting force. And because they don’t directly rely on neighboring teeth for support, implants don’t compromise the health of your natural teeth. In fact, bridges are only expected to last seven to ten years, even less with root canals, whereas implants will typically last a lifetime.

Post-treatment care

Consider your replacement teeth to be the same as natural teeth. They require the same daily brushing and flossing, and the same amount of regular checkups. Just like your natural teeth, the better you take care of your replacements, the longer they will last.

Implant services

Our implant services include:

  • Sinus lift augmentation: Often the sinuses will enlarge following loss of the upper back teeth. This can preclude placement of dental implants in the upper back areas of the mouth, since the sinus is an air-filled space and dental implants need to be surrounded by solid bone. A sinus lift augmentation, or graft, is a surgical procedure that restores the sinus cavity to its original size, and replaces the bone that has been lost as a result of the enlarged sinus. This new bone graft typically takes nine to 12 months to heal before the dental implants can be placed into the grafted bone.
  • Autogenous bone grafting: Occasionally, the ideal areas for dental implants do not have sufficient bone quantity to support the implants. In these cases, it is often necessary to “borrow” bone from another area of your mouth and graft it into the deficient area. Often, the area of choice is from the chin or in the back of the jaw where your wisdom teeth used to be.
  • Implant site development: When a tooth needs to be removed due to infection, it is not uncommon to have lost bone around the infected tooth. In these cases, various types of bone grafting can be done at the same time the tooth is removed to facilitate the placement of a dental implant at a later date.
  • Computer-enhanced treatment planning: Software lets us evaluate your dental CT scan in three dimensions for bone quality, bone quantity, and bone location, enabling the best possible placement of your dental implants. It also helps us coordinate smoothly with any specialist involved in your care.
  • Implant maintenance: Once your dental implant restoration is completed, it is important to keep the area clean and infection-free. Dental implants can accumulate plaque and tartar just as teeth can. Whether you have just one tooth replaced by an implant or several, a professional cleaning schedule will be necessary to keep your implants healthy. The time interval for these professional cleanings will be determined by your individual needs.

Timeline and cost

Implant treatment takes place in stages. After the implant is placed, the bone needs time to fuse with it, usually a few months, before the final crown is attached. If a bone graft is needed first, the process takes longer. From consultation to final tooth, many patients complete treatment in six to 12 months.

Because implants are often considered elective, dental insurance may cover only part of the cost. Our financial information page explains the payment options we offer, including CareCredit. Compare implants with bridges and dentures on our tooth replacement page, or request an appointment to find out whether implants are right for you.

Patient reviews

What our patients say

Kind words from families who have trusted Janzen Dental with their smiles.

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Best dentistry practice I have ever been to. Kind, professional, genuinely good people. Amazing work ethic and quality of work.

Patient, Fresno, CA

I've been going to Doctor Janzen for nearly a decade and I have to say he, his daughter (Laine) who recently joined the practice and the whole staff are phenomenal!

Patient, Fresno, CA

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