Quelques questions

Maintenant, le Dr André Ménard est fier d'offrir cette nouvelle technologie dentaire au Québec, au bénéfice des patients ayant des dents manquantes ou des dents qui se détachent. 

Le Dr André Ménard fait partie d'un petit nombre de dentistes qui se sont associés pour créer ces nouveaux sourires en utilisant l'ordinateur et une imagerie avancée et un scanner pour offrir une solution aux personnes fatiguées de porter des prothèses dentaires ou qui sont fatigué d'avoir des dents dans la bouche. 

Dans le passé, de nombreuses interventions chirurgicales de 6 à 12 mois étaient nécessaires pour ce qu'il est maintenant possible de faire en une heure ou deux par mâchoire, lorsque l'état de la gomme le permet.

Quelques Questions

Q: Quels sont les implants dentaires?

R: Un implant dentaire est une racine artificielle en titane métallique. Il est inséré dans la mâchoire pour remplacer la racine de la dent naturelle. Une dent de remplacement artificielle est attachée à l'implant. L'implant agit comme une ancre pour maintenir la dent de remplacement en place.

Q: Qui peut obtenir des implants dentaires?

R: Si vous êtes en bonne santé générale, avez des gencives saines et avez assez d'os dans la mâchoire pour tenir un implant, les implants dentaires pourraient vous convenir. Si votre os de la mâchoire a rétréci ou si elle ne s'est pas développée normalement, vous pourriez être en mesure d'avoir une greffe osseuse pour construire l'os. Une greffe osseuse est un moyen d'ajouter de l'os à votre mâchoire. Votre dentiste ou spécialiste dentaire vous dira si la greffe osseuse peut être faite.

"Teeth in a day " TM and why not ... "Teeth in an Hour

Q: What are dental implants?

A: A dental implant is an artificial root made of titanium metal. It is inserted into the jawbone to replace the root of the natural tooth. An artificial replacement tooth is attached to the implant. The implant acts as an anchor to hold the replacement tooth in place.

Q: Who can get dental implants?
A: If you are in good general health, have healthy gums and have enough bone in the jaw to hold an implant, dental implants might be right for you. If your jaw bone has shrunk or if it has not developed normally, you may be able to have a bone graft to build up the bone. A bone graft is a way of adding new bone to your jawbone. Your dentist or dental specialist will tell you if bone grafting can be done.

Q: How long has dental implantation been an option for the treatment of missing teeth?
A: Historically, the replacement of missing teeth can be traced as far back as the pharaohs in Egypt. It was during the 1950s and '60s, however, that modern dental implants and related techniques for their use were greatly improved upon. A long period of clinical tests, combined with successive improvements to implant design and placement expertise, led to a more practical use of implants for the general population during the 1980s. Today, the art and science of dental implantation has become very popular. In dental clinics the world over, it is now a routine operation for restoring teeth.

Q: Are there different types of dental implants?
A: Yes. Dental implants come in a variety of shapes and sizes, with different titanium textures to ease osseointegration. The two main types are standard implants and miniature implants commonly referred to as ?mini implants". A wide selection of implants is needed due to the varying conditions of patients' jawbones (both upper and lower), with regard to their density, shape and size.

Q: How can I tell which system would be best for me?
A: There is a wide variety of implants. Each patient is unique, having their own particular needs. These differences (bone configuration, bone quality, location, and type of restoration needed) will help to define the specific type of implant that is to be used, which is why there are so many types of implants. In certain cases, the implants can be inserted directly into the gum cavity immediately after tooth extraction. Your dentist will first draw up a treatment plan for your case, after which the appropriate implant, adapted to your needs, will be chosen.

Q: What are ?mini implants"?
A: Mini implants are those classified between 1.8mm and 3mm in diameter. As with regular implants, they are also made of titanium alloy and quite literally resemble a one-piece screw. They were developed by Dr. Cherchève in Europe more than 50 years ago. In the early 1990s, Manhattan dentist, Dr. Victor I. Sendax, created the style that we know and use today. In their infancy, implants were only used in the transition stage during the healing process in regular implants. Later on, their use as a long-term solution evolved. This was a revolutionary concept in the field of dentistry.

Q: Have mini implants been approved by Health Canada?
A: Yes. After much research, clinical tests and exhaustive studies, a formal application was sent to the Food and Drug Administration (FDA) in Washington, D.C. requesting permission to commercialize mini implants for the public as a long-term solution for tooth restoration. After complying with established standards and clinical results proved the product safe, the American Dental Association (ADA) approved its commercialization, not only as a temporary placement, but also as a long-term solution. Mini implants made their appearance on the Canadian market around 2007. Presently in Canada, there are two types of mini implants approved by Health Canada.

Q: When can they be used?
A: Mini implants can be used as a long-term stabilization device for complete or partial dentures or when the use of a standard implant is impossible due to insufficient bone density or budgetary constraints. They can also be used to stabilize fixed crowns and, in some cases, for fixed bridges, or as an orthodontic anchor to help to move teeth. They are most often used to stabilize complete lower dentures as it is the lower jawbone that is subject to bone resorption over the years when wearing full dentures. There are more than 30,000,000 people in North America who lack teeth and struggle daily with unstable dentures. As a result, many denture wearers tend to shy away from attending social functions where they would be compelled to wear them - choosing rather to avoid the discomfort altogether by simply withdrawing from these situations. The placement of mini implants is truly advantageous for this type of patient. Their attractive low cost, compared to that of standard dental implants, has made them the number one choice among patients and are, in many cases, quite literally lifesavers

Q: How do mini implants work with complete dentures?
A: Mini implants are simply placed without the need for surgically cutting the gum line or the jawbone. Their small diameter affords many benefits. Trauma around the implantation area is low and there is little or no discomfort. With there being no need for surgery, there is no removal of bone in order to insert the mini implant, thus resulting in immediate stability. Normal use of the jaw is instantaneous whereas there is a 4-6 month delay with regular implants. The head of the implant is a round surface and is joined to the main body of the implant. Only the spherical head protrudes out from the gum. Two to eight mini implants can be ensconced by the dentist, depending upon the subject case. Once in place, the dentist can choose to either use the original denture or make a new one.
A fixation piece is included on the denture and adapts itself to the round shape of the mini implants embedded in the gum and acts as a retention device for the complete or partial denture. This retention device considerably reduces the pain for patients who wear dentures and helps their chewing and speech abilities. Although the denture is always removable, it stays safely in place thanks to the mini implants

Q: Will I have to go without wearing my dentures for a period of time?
A: Not at all! This is one of the benefits of this procedure compared to that of standard dental implants. Because mini implants are so narrow, they can be easily inserted through the gum tissue and into the bone. There may be a delay of two or three weeks to make the new denture or if surgery has been performed. Generally however, this should not be longer than three weeks, and in the meantime you would be able to temporarily wear your old dentures.

Q: What type of surgery is involved?
A: In general, no surgery is necessary and, thanks to the treated screw's unique design, the mini implants are installed through the gum without cutting the gum. This method allows for performing the complete treatment during only one appointment. You can leave the same day with your denture stabilized.
In some cases where the bone crest is too thin or teeth still need to be removed, surgery (with stitches) would be necessary. Usually the implants are placed during the bone surgery or the tooth extraction. After three weeks, the denture can then be placed in the mouth.
Q: Is it possible that the process could fail?
A: It's important to note that all dental implant systems as well as natural teeth can fall victim to rejection for many reasons including osteoporosis, poor dental hygiene, wear and tear, general health problems, traumatic occlusion (repeated and excessive force in the closure of the teeth, thus injuring teeth, gums, etc.), atypical oral habits, diabetes, smoking and irregular checkups. Mini implants, like other implants, are subject to fail for the same reasons. It is important to keep in mind that although in some cases the long-term success is close to 98%, it will never be 100%. Nevertheless, because of their small diameter, they are easily changed should they fail and also less expensive to replace than standard implant

Q: What sort of daily care do mini implants require?
A: As with all things, it takes a while to adjust to and be comfortable with removing and re-inserting the denture with ease, however, this ability is usually acquired quickly. We recommend you take care of your dental implants just as you would your natural teeth: brush and then rinse with an antiseptic after each meal. We also recommend that you not sleep with your dentures in but instead wear the protector that the dentist had made for you, if necessary.

Q: I've heard that standard implants are really expensive. Is this also the case with mini implants?
A: This is probably one of their nicest features. Because they are made of only one component (unlike standard dental implants), and inserting them is done without surgery and in a shorter period of time, the cost is much lower than that of standard implants. Hence, they are more affordable for patients, especially the elderly, who are generally the ones who need them the most.
Mini dental implantation is a revolutionary technique that is becoming more and more popular in Canada, just as it has been in the United States. This dental technique will help more patients to rediscover the pleasures of eating and enjoy an enhanced quality of life.

Q: How dental implants are done
Your dentist or specialist will carefully examine your mouth and take x-rays of your head, jaw and teeth to find out if dental implants are right for you.
During the first stage of surgery, your dentist or specialist will put a dental implant into you jawbone beneath the gum tissue. The gum tissue is then stitched back into place. As the tissue heals, the implant will bond with the bone and attach to the gum. It can take several months to heal.
During the second stage of surgery and once the tissue is healed, your dentist or specialist will attach an abutment to the implant. An abutment is a post that connects the replacement tooth to the implant. In some cases, the first and second stage of implant surgery may be done in one single stage.
An artificial replacement tooth is made and your dentist or specialist attaches it to the abutment. It may take several appointments to properly fit the replacement tooth to the abutment.
When replacing several teeth or all of your teeth, a fixed bridge is anchored to your dental implants. A bridge is a dental restoration that replaces one or more missing teeth by spanning an area that has no teeth. The bridge is held firmly in place by dental implants on each side of the missing tooth or teeth.

Q: Who does this procedure?
A: If you are having an implant, your dentist may refer you to a dental specialist who has further training in this area. Specialists who place implants are periodontists or oral and maxillofacial surgeons, also called oral surgeons. Specialists who place crowns, bridges and dentures on implants are called prosthodontists.

Q: Cares for my dental implant(s)
A: Because dental implants are in the jawbone, artificial replacement teeth attached to implants look and act much like natural teeth. Like natural teeth, implants need to be kept clean using a toothbrush and floss. Your dentist will show you the proper cleaning procedure for implants. Regular dental checkups are important so your dentist can make sure that your bite is right and that your implants are not loose.

Q: What else should I know?Several visits to your dentist or dental specialist may be needed until the process is done.Checkups will be scheduled during the following year so your dentist can be sure your implants are working properly.You will need to take very good care of your implants.Implants can cost more than other kinds of replacement teeth and might not be covered by your dental plan. But in most cases this is a one-time cost, unlike other kinds of tooth replacement procedures.Although rare, possible complications due to dental implants include bleeding, infection, numbness or injury to nearby muscles or the sinus cavity. In some cases, the implant may not be successful because it didn't bond to the bone. This content was inspired from publications produced by The Canadian Dental Association.