Implant Dentistry Advancing Rapidly—Robotic Assisted Surgery Coming Soon

Implant dentistry is advancing so quickly that soon almost all patients will have same-day teeth and robotics will help make surgery less invasive.

 In general the trends in implant dentistry have been placing implants in more difficult places or more difficult circumstances, using less drastic procedures, having them heal faster and look better.  It was considered a crazy idea 20 years ago to think that patients could walk out of an office with teeth the same day of treatment.  We do that routinely now.

In the future, we will be able to do that even more frequently than we do now.  We probably can do it three quarters of the time today based on the circumstances of the case.  I imagine we will be doing it 90% of the time in a couple of years and replace almost any tooth and load it immediately, which means it will be functional that same day.

There is also a trend toward doing fewer bone grafts because shorter and smaller implants seem to be as successful as longer and wider ones which require more bone.  In a sense, we are developing the ability to do more with less.

Some of the challenges we have had in the past, particularly in terms of complications with dental implants, have been cement getting stuck around implants and causing bone loss and infections.  We are going to see different attachment mechanisms that no longer require screwing a crown or cementing a crown to an implant.  We are just going to snap them into place, which is going to be quicker, simpler, and more trouble free.

On another exciting front, I am involved with a company that is developing robotic guidance in order to place implants extremely precisely using a very minimally invasive approach.  It is computer assisted surgery and it is similar to what is being done in orthopedics.  This new robotic approach will be on the market probably a year from now and although its first generation is rather large, the second and third generations of that unit will be much smaller.  This process is also going to allow us to prepare a temporary restoration in advance so that everything is a little bit faster and more streamlined in the treatment process.

index_dr_ganales-xsDr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
www.flsmile.com

Raton Periodontist Provides Long-Term Commitment to Dental Implants

Boca Raton periodontist Dr. Jeffrey Ganeles provides a long-term commitment to repair or replace dental implants as needed as long patients do their part.

We are certainly committed to maintaining the patient’s health, and we have an office policy that says if you lose an implant within ten years we will take some responsibility for that and make sure that we credit you towards replacing the implant.  For instance if you lose an implant within the first two years we will replace it for you. We essentially own that as long as you meet certain criteria.  Those criteria are that we have to check the final cap and you have to maintain professional cleanings at a dentist’s office.  The cleanings do have to be done in our office, but the patient needs to have those cleanings done professionally in the dental office of their choice.

If the patient has the cleanings done in another office, then we like to see x-rays on these patients periodically.  We often get x-rays on patients whom we have not seen for a while and it gives us a chance to check and to make sure that everything is fine.  If for some reason there is  a problem, then we can always call a patient back and say we got an x-ray from your dentist and the implant does not look as good as it used to.  We can ask the patient to please come in so we can take a look and resolve a small problem before it becomes a big concern.

After two years or between two years and ten years, we will give you a percentage or will credit you a percentage of the value of what you paid for that procedure toward any replacement or toward correcting a problem around that implant.  We feel this is a very fair policy, because we are accepting some long-term financial responsibility for the implant.

 

index_dr_ganales-xsDr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
www.flsmile.com

Replacing Missing Teeth with Dental Implants Provides Numerous Advantages

According to periodontist Dr. Jeffrey Ganeles, replacing teeth with dental implants protects adjacent teeth, preserves bone, and keeps the bite intact.

The advantages of replacing a single tooth with a dental implant are that you can avoid touching or damaging the adjacent teeth.  If you want to replace that tooth then an implant stands by itself and it does not require any preparation of the adjacent teeth, and that is really a huge benefit.

Once you put a cap on a tooth there is a certain lifespan to a cap or crown.  For instance if you needed to make a conventional bridge, which means that you are going to prepare teeth on either side, then the average lifespan of that bridge is about seven years.  So instead of using an implant, if you used a fixed bridge, then you would have to commit to changing or replacing that bridge roughly every seven to ten years.  Every time you replace a crown or a bridge you typically run into other problems such as root canals or fractures. If you use an implant, you can avoid all those complications and all that future treatment.

Another advantage of an implant is that once you lose a tooth the bone tends to atrophy or shrink in that area.  If you place an implant, then it tends to maintain that bone so that it does not shrink.  The dental implant actually stimulates the bone around it so it maintains the volume and the integrity of the jaw bone.

If the missing tooth is the back of the mouth, then the advantage of replacing it is that you basically create more surface area for chewing and it maintains the bite better.  If you lose all your back teeth, then you start overworking the front teeth.  The front teeth can move, they can flare out, and they can develop more bone loss on their own.  For these reasons, keeping a bite intact tends to be very important and that is another significant benefit of dental implants.

index_dr_ganales-xsDr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
www.flsmile.com

Dental Implants Can Last a Lifetime with Professional and Home Care

Dental implants can last a lifetime if patients see their dentist regularly and practice proper home care, according to Dr. Jeffrey Ganeles.

The success rates for implants have been tracked in some studies up to 20 years and almost 90% of the implants of a certain group were fine at 20 years.  These results mean that some of those implants did have problems, but the vast majority of them are fine.

In theory implants should last a lifetime.  There is no inherent reason why they should deteriorate, breakdown, be rejected, or become infected.  In reality implants can have problems after time just like natural teeth do.  They are also subject just like natural teeth to changes in a patient’s health, so if someone gets an implant at age 40 when they are healthy, but then they have chemotherapy when they are 75, or the patient has other health problems as they age, then it is certainly possible that the implant could have a problem, too.

We encourage patients to stay on a professional maintenance program.  If the patient has had periodontal disease in addition to implants, then we like to keep them in our office for cleanings with our hygienist at least once or twice a year.  They generally go back to their dentist for the other cleanings.

If they have not had any periodontal disease and perhaps lost a tooth because of trauma, or because a tooth cracked, and they are really not at risk for periodontal disease, then we will check on the patient every year but have them go back to their dentist to continue professional maintenance.  Regardless of who does the cleaning, patients should continue to get them done professionally because implants like teeth can have problems if they are not cleaned properly, and the best way to do that is to see a hygienist at least twice a year and also do proper daily oral care at home.

When I place implants I expect them to last a lifetime and we educate our patients to help them achieve that goal.

index_dr_ganales-xsDr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
http://www.flsmile.com

Dental Implants Can Last a Lifetime with Professional and Home Care

Dental implants can last a lifetime if patients see their dentist regularly and practice proper home care, according to Dr. Jeffrey Ganeles.

The success rates for implants have been tracked in some studies up to 20 years and almost 90% of the implants of a certain group were fine at 20 years.  These results mean that some of those implants did have problems, but the vast majority of them are fine.

In theory implants should last a lifetime.  There is no inherent reason why they should deteriorate, breakdown, be rejected, or become infected.  In reality implants can have problems after time just like natural teeth do.  They are also subject just like natural teeth to changes in a patient’s health, so if someone gets an implant at age 40 when they are healthy, but then they have chemotherapy when they are 75, or the patient has other health problems as they age, then it is certainly possible that the implant could have a problem, too.

We encourage patients to stay on a professional maintenance program.  If the patient has had periodontal disease in addition to implants, then we like to keep them in our office for cleanings with our hygienist at least once or twice a year.  They generally go back to their dentist for the other cleanings.

If they have not had any periodontal disease and perhaps lost a tooth because of trauma, or because a tooth cracked, and they are really not at risk for periodontal disease, then we will check on the patient every year but have them go back to their dentist to continue professional maintenance.  Regardless of who does the cleaning, patients should continue to get them done professionally because implants like teeth can have problems if they are not cleaned properly, and the best way to do that is to see a hygienist at least twice a year and also do proper daily oral care at home.

When I place implants I expect them to last a lifetime and we educate our patients to help them achieve that goal.

 

Dr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
http://www.flsmile.com

Periodontists Save Teeth and Replace Missing Teeth

Dr. Jeffrey Ganeles, periodontist in Boca Raton, explains how his specialty is focused on saving teeth and replacing missing teeth with dental implants.

Our first priority is to save teeth and we always look at a patient with the idea that we would  like to save as many teeth as possible and ideally we want to save all  their natural teeth.  The focus of the field of periodontists is to save teeth by treating the infection that causes periodontal disease.  If we get to it early we can typically stop the disease process.  Sometimes we can regenerate the bone and gum that have been lost as a result of periodontal disease, and we can prevent people from losing teeth even though they may have had periodontal disease.

However, saving natural teeth is sometimes not possible due to disease or decay.  Sometimes when the process has gone too far, then we get into the next phase which is the replacement of teeth that cannot be saved and this is typically done with dental implants which serve as replacements for the roots of the teeth that have been lost.

Trying to save every tooth is also not always a reasonable approach if though it may be possible, because sometimes even though you can make the effort to save a tooth it does not in some cases make sense to attempt to save it, either because the tooth has a poor long-term prognosis or because keeping that tooth is not consistent with the overall treatment plan.

When teeth have to be replaced, then we talk to the patient about dental implants.  We teach patients how to practice good oral hygiene at home and of course we recommend that patients keep up with professional visits at their dentist’s office or our periodontal office.  When patients follow our recommendations, they can expect their dental implants to last for many years—often a lifetime.

Dr. Jeffrey Ganeles
Periodontist
South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
http://www.flsmile.com

Endodontically Treated Teeth Do Not Feel Pain

While feeling pain is never pleasant, it does serve a purpose. Pain tells us when something is wrong and where the problem is. Also when it goes away, we can be reasonably sure the issue is resolved. However, things can get complicated when those systems suffer a disconnect. This is the case with endodontically treated teeth, which oftentimes do not feel pain.

No pain?

Well, that’s not entirely true. If a tooth splits, or bacteria gains access to the underlying bone, then you will feel pain in your tooth even if it has been endodontically treated. Outside of extreme circumstances, the story is a little different. When teeth undergo root canal therapy, the inner living tissues and nerves are replaced with a filling. Lacking nerves, the tooth loses its power to let us know when bacteria, decay, and other forms of injury occur. Without pain, it’s difficult to signal your brain that your tooth needs medical help. Over long periods of time, ignoring a tooth that requires care can lead to tooth and bone loss, as well as extensive treatment.

Our priority is always to save your natural tooth, however, if due to additional damage we find the tooth is unsalvageable then our next best strategy may be an extraction and tooth replacement.

Long-Term Aftercare for Root Canal

As long as you’re caring for it properly, visiting your dentist regularly, and see no other signs indicating damage – no! Look for swelling, redness of the gums, or anything that looks out of the ordinary. The most important point of consideration is that, outside of physical injury, extreme damage doesn’t occur in an instant. If you do see any of these symptoms, or have been seeing them for long periods of time, we may need to discuss alternative plans for the failed treatment.

Proper care greatly minimizes the opportunity for bacteria to cause additional damage, and it protects the health of your smile. We love making our patients smile, and we are always happy to restore their confidence by way of a dental implant or other replacement option. However, before turning to a replacement option, we want to ensure our patients receive the necessary information to keep their natural smile brightly intact. If you have any concerns about the health of your smile, call us! We are always here to help.

South Florida Center for Periodontics and Implant Dentistry
Boca Raton, FL
New Patients Welcome
www.flsmile.com