Dental implants have become the preferred method to replace natural teeth. Dental implant teeth look, feel and function just like natural teeth. Patients with dental implants can smile with confidence. They don’t have to worry about loose dentures or the need for adhesive to secure the teeth. Replacing missing teeth with dental implants helps preserve the jaw bone and restore youthful facial contours. Dental implants also have some advantages over natural teeth. They do not decay or need root canal treatment. As such, dental implant replacements can last longer than conventional options like tooth supported bridges.
One unique advantage that Misch Implant Dentistry has to offer patients is the ability to treat your entire case in one location. We provide both surgical and prosthetic services so your treatment is more efficient and streamlined. Drs. Craig and Katherine Misch are both specialists in prosthodontics. Prosthodontics is the dental specialty involving the restoration of teeth and replacement of missing teeth using crowns, bridges, dentures and implants. A prosthodontist must complete an additional two years of full time training after the completion of dental school. Dr. Katherine Misch has over twenty years of experience in restoring dental implants and limits her practice to this area of dentistry. We also have a dental lab on site so we can perform many services in house without the need for delays. When we need to use an outside lab our office only works with the highest quality dental laboratories to fabricate your teeth.
We make every effort to fabricate your implant teeth in a timely manner but quality takes time.
Many of our patients are referred by their general dentist for extractions and implant placement but return to have their own dentist fabricate the implant teeth. If you already have a dentist, we respect this relationship and encourage you to return to their office. Dr. Misch will communicate with your dentist to plan your case and inform them when you are ready for your new teeth. This team approach to making your teeth has the advantage that you will continue to see your own dentist in the future for routine check ups and cleanings. In addition, the fees for making the teeth may be lower than those charged by a specialist.
A dental implant is simply an artificial tooth root. If you are going to lose or are missing only one tooth, then we replace it with an implant crown. The crown is fastened onto the implant using an abutment or post. An abutment is a component that is fastened to the implant and extends through the gum tissue to serve as an attachment for the crown. The crown it is retained onto the abutment by dental cement or a screw. We often will recommend fabrication of a temporary implant crown for use during or after implant healing. This is especially important in the front part of the mouth as the temporary crown can help shape the gum tissue giving the implant crown a more natural appearance. Our office only works with high quality dental laboratories to fabricate your crown. In cosmetic cases we go to great lengths to match the shade of your teeth to create a beautiful smile.
When you are missing several or all of your teeth we may recommend an implant bridge. A bridge is a form of fixed or non-removable teeth replacement. You do not usually need a dental implant to replace every missing tooth. We can use a select number of implants in strategic positions to support a bridge that replaces several teeth. For example, two implants can be separated by a space to support a three tooth implant bridge. The bridge is usually fastened onto the implants using an abutment or post. It is retained onto the abutments by dental cement or a screw. Our office only works with high quality dental laboratories to fabricate your bridge. Implant bridges can be made of porcelain fused to an underlying metal framework.
Conventional dentures rest on the gum and can become loose over time. Although a reline of the denture or a new denture can obtain a better fit, the bone loss that occurs from wearing dentures eventually compromises their stability. Dental implants can be used to help secure loose dentures and improve your ability to chew. They also provide greater security so you can eat, speak and smile with confidence. We call it an overdenture as the denture fits over the implants. Abutments with an attachment mechanism can be fastened onto the implants so the denture has something to secure it in place. This type of prosthesis is still removable by the patient. A lower denture can be dramatically helped by the placement of as few as two implants. In some cases the implants are connected by a custom made bar (bar-overdenture). The bar helps take pressure off the gums and can better secure the overdenture in place. The overdenture attachments need to be periodically changed as they wear out from chewing.
Fixed Implant Teeth
Fixed implant teeth or a fixed prosthesis is not removable by the patient. They are fastened onto the implants and feel more like natural teeth. As discussed previously an implant bridge is one type of fixed prosthetic replacement. There are several types of materials that can be used to fabricate the replacement teeth. Implant bridges can be made of porcelain fused to an underlying metal framework. We can also make the prosthesis entirely from zirconia as it is a hard ceramic material that resists chipping. Zirconia has been used in dentistry for the fabrication of artificial teeth for many years so we have confidence in its use for this application. In some cases we offer a “hybrid” prosthesis that is made using denture teeth and an acrylic processed onto a metal framework. Your fixed implant teeth may be designed so that we can retrieve or remove them if needed in the future. Dr. Misch will discuss the different options for fixed replacement teeth and help you decide what is best for you.
Custom Upper Denture
Some patients find they are satisfied wearing an upper denture. An upper denture is typically easier to wear than a lower denture as the prosthesis can obtain a suction or seal over the ridge. Dr. Katherine Misch is a specialist in denture fabrication and receives many referrals for difficult denture cases. Her approach is unique as she performs most of the lab work in creating your denture right in the office and often while you wait. She selects denture teeth that will fit best with your facial features creating a beautiful smile. Dr. Misch sets the denture teeth at your appointment chairside, allowing a customization of your smile. She takes pride in seeing the final result and hearing all the positive comments from friends and family.