Surgery & Implant Dentistry
Why select our office for dental implants?
Over the past decade, Dr. Perry J. Bushong has had extensive training and experience in performing both dental implant surgery and restoring dental implants. Every patient is unique and different and the best treatment outcomes require a thorough understanding of each patient's unique factors. Dr. Bushong is also comfortable seeing patients that already have dental implants in their mouth including Astra, BioHorizons, Dentsply Sirona, Straumann, Nobel Biocare, Zimmer Biomet, and many other high quality implants.
With a caring and empathetic approach, combined with a background in science and technology, when confidence and experience matter, don't hesitate to schedule a dental implant consultation if you are considering replacing teeth with Dr. Perry Bushong.
Call our San Antonio implant dentist today at Dominion Dental Spa 210-687-1150 so he may answer any of your implant questions. He has been serving the greater San Antonio, Boerne, Helotes community. We are here for you!
What types of dental implants are there?
A dental implant replaces the tooth root which is placed under the gums. A dental implant crown sits on an abutment, resting on the dental implant. The dental implant crown and abutment is secured by screwing in or cementing onto the dental abutment and implant. Single tooth implants have the advantage of easy flossing on either side and do not involve adjacent teeth.
If there are several teeth missing in an area, you may have the option of replacing them with individual implant crowns or dental implant bridges that are several crowns connected in a row. This can reduce the cost of replacing multiple missing teeth since several teeth can be "bridged" over 2 or more implants.
Removable Implant Denture / Overdenture
(Removable by the Patient)
If you are missing multiple teeth or have extensive decayed/fractured teeth or advanced periodontal disease (severe gum disease) or have loose fitting dentures, you may be a candidate for an implant-supported removable denture, (also known as an overdenture or snap-on denture). If you have ever thought "I want to secure my dentures" then consider dental implants for dentures. These types of implant-supported dentures are removable and sit on 2 or more implants per arch.
Fixed Implant Denture / Teeth-in-a-Day/
All on 4 Dental Implants/ All on 6 Dental Implants
(Not Removable by the Patient)
Other individuals are looking for a solution that is as close as possible to having all of their original teeth back. This option is a complete denture made of either titanium with high-quality acrylic teeth or a full porcelain denture completely supported by implants that only your dentist can remove. These dental implant options will typically have 4-6 implants per arch (upper arch/lower arch) and can result in a beautiful smile makeover. Although much planning and preparation goes into this type of denture, in most cases, the patient can have all of the remaining teeth extracted, implants placed and teeth attached in one procedure with sedation.
What are the Advantages of Dental Implants?
High Long-Term Success Rate – Dental implants are one of the most predictable and successful procedures performed in all of dentistry. Their long-term success rate is extremely high: over 90%!
Most Cosmetic Tooth Replacement – Because the crowns on dental implants extend out of the gums, they have the most natural appearance possible with a dental restoration. Other replacement options require unsightly connections to adjacent teeth.
No Damage to Neighboring Teeth – A dental implant is the only tooth replacement option that does not require an adjacent tooth for support. Bridges and partial dentures rely on, and often damage, existing teeth to hold the fake tooth.
Total Tooth Replacement – A dental implant is the only missing tooth restoration that replaces the root of the missing tooth. This means the new tooth will function similar to a natural tooth.
Easy to Clean – As we have described already, a dental implant is as close as you can get to a natural tooth. For this reason, cleaning it is as easy as cleaning the rest of your teeth. No special tools for flossing are necessary. You simply brush, floss and rinse as if it were a natural tooth.
Versatility – Dental implants can be used to replace one missing tooth, multiple missing teeth, support a removable denture replacing all the teeth in the mouth or be part of a fixed denture or fixed crown-hybrid solution. They can be used to lock in a full-arch restoration (replacement of all of the missing teeth in a jaw).
How Do Dental Implants Work?
Dental implants have been around for decades. Dental implants completely replace each part of a missing tooth. The implant body replaces the tooth root with its position in the jaw and its secure connection to the bone itself. The implant body is not visible because it is underneath the gums.
Dental implants are made of titanium, a fully biocompatible metal that the body accepts. (Joint replacements are made of titanium, too!) Once the implant has been put into its position in the jaw, the bone undergoes a process called osseointegration. This means the bone is attaching to the implant, creating a stable connection between the false root and the bone. This connection enables the implant to withstand normal chewing forces.
Built on top of the implant body are an abutment and crown, which reconstruct the outer portion of the tooth and bring it into normal function. These two pieces can be made of various materials so that they create the perfect cosmetic result. Abutments can also be designed to fit with dentures or multi-unit fixed crowns.
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How Long Do Dental Implants Take?
Dental implants require an investment of both money and time. Because implants involve surgical procedures, there are periods of healing that must take place for a successful result. Each person heals at a different rate. Your specific healing times will be discussed with you as Dr. Bushong works through your pre-operative planning implant consultation and offers dental treatment designed just for your needs.
A. Immediate Implant Placement or "Same Day" Implant– When an extraction site has good, healthy bone with no infection, a dental implant may be placed immediately on the same day the tooth is extracted. This minimizes the additional need for dental surgery. In some cases a person may already have a missing tooth or missing teeth, and have good bone for immediate implant surgery and replacement.
B. Extraction & Bone Preservation Graft or "Delayed" Implant Placement– When a tooth has a poor or hopeless prognosis, it is extracted. The extraction socket has a tendency to naturally shrink or collapse after an extraction. A tooth socket preservation graft fills in the “hole” left by the root to maintain healthy bone for surrounding teeth or for a future implant. The extractions site typically heals within a few weeks and an implant is placed typically 2-4 months later. Healing times vary per person. On average a dental implant for a lower tooth needs 2-3 months to heal, whereas a dental implant for an upper back tooth (near the sinus) may need additional 2-3 months to osseointegrate.
C. Restoration of the Dental Implant – Once the bone has healed around the dental implant, it is ready to work. Dr. Bushong will discuss the various options available for the most cosmetic and most functional options.
Impression or Digital Scan – An exact replica of the implant and your teeth are made in our high quality dental laboratory, where the abutment and dental crowns and/or abutments and dentures are made. We make this process fast in our office typically taking 1-5 days (usually less than a week) compared with most dental offices in San Antonio, TX that take at least 3-4 weeks.
Final Placement of Dental Implant Crown – The abutment secures into the implant body, and the crown is cemented or screwed in place after the fit is confirmed with an x-ray.
Final Placement of Implant supported dentures or fixed solutions. Abutment connections are fabricated on the dental implants to secure dentures. This is a multiple step process that takes several weeks.
What are some main reasons why a person may benefit from a dental implant?
Lost natural tooth (or teeth) due to broken tooth, fractured tooth, extensive decayed tooth or trauma/injured tooth
Poor oral hygiene resulting from tooth loss
Frustrated with Loose-fitting dentures
Wanting to be able to chew and enjoy food
Wanting to preserve the health of the jaw bone and prevent further bone loss in the jaw
Increasing confidence and appearance in public speaking and eating in public
High cavities risk, or dry-mouth factors that affect natural teeth but not dental implants in the same way
Did not have the option or choice of dental implants years ago
How much do dental implants cost?
The cost of dental implants depend on a number of factors such as:
* Number of teeth missing
* Number of implants placed
* Fixed implant option (when replacing many teeth)
* Removable implant options (when replacing many teeth)
Does dental insurance cover implants?
Sometimes! Dental insurance depends on the type of dental coverage your employer (or group administrator) has selected for you as part of their benefits package. Each plan is different and we can help you find out!
No insurance, no problem!
Whether you have insurance or not, we offer a free dental consultation for dental implants. We want you to feel comfortable with your decision. looking for the best dentist in San Antonio, Texas or dentist near me.
During this complimentary dental implant consultation, we explain different treatment options, explain sequencing of dentistry and provide you with cost estimates.