Replace Missing Teeth

Implant Denstistry in Henderson

AACD Accredited04

Dr. Featherstone is an Associate Fellow of the American Academy of Implant Dentistry. Dental implants have been placed and restored by Dr. Featherstone since 1982. Only about 1% of dentists offered the service at the time. Now, implant dentistry is mainstream and the standard of care to replace missing teeth. In fact, if you are down to a few bad teeth, you can have those teeth removed, implants installed, and new teeth screwed into the implants all in one day. Other options exist, such as bridges, and partial dentures. This informational video may help.

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Our patient Barbara

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Definition

“All on Four” is a system for getting implants in the bone and affixing teeth in one appointment with no grafting. It is made of hard resin teeth and pink plastic surrounding a metal support with holes and seats for screws. Four implants are installed after extractions or on the toothless ridge so that the denture can be screwed down solid. We believe that treatment with four implants is as successful as using five or six implants, more economical and less risk. Our patients, including Barbara Guin from Pahrump, NV, shown here, are extremely pleased with the appearance, comfort, and ease of cleaning their new teeth.

 

Benefits

  • Throw away your adhesives, because this denture is as solid as teeth.
  • Bite apples, corn on the cob, eat ribs, and live life.
  • No impinging on delicate gum areas.
  • There is no complex bone grafting or sinus surgery.
  • Teeth can be removed and implants installed immediately afterwards.
  • If you are wearing new dentures now, they can be converted to implant teeth.
  • There is very little discomfort after the numbing wears off.
  • You may have heard negative stories from the early days of implants, but today’s implants are rarely rejected by the body, and are 95% successful long term. With proper care and correctly engineered bite, they will last indefinitely.
  • Dental implant placement is safe and complications are rare. (Click here for more information from Nobel Biocare)

Procedure

  1. After a complete examination with radiographs, we plan a day for treatment.
  2. Your CT scan is taken by a radiologist at a nearby facility. They send us a CD.
  3. We study your bone revealed in 3D on our Nobel Biocare software and plan your surgery carefully to avoid risks.
  4. On the treatment appointment, we recommend that you come in an hour early and take a couple of blue pills, feel wonderfully sleepy and dreamy, and not even remember what happened the next day! We numb your mouth using our distracting lip-shaking technique. Many find it comfortable without the pills.
  5. We make spaces for and install the implants using a special implant guide to get the proper angulations.
  6. Impressions are made, and the technician completes your denture while you wait a while.
  7. We screw down your denture, and ask you to eat soft food for a period of time to allow the implants to adjust.
  8. In six to eight months, several appointments are made to fabricate a new set of teeth with a very strong metal substructure. This final set is more comfortable, and improvements, if any can be made in appearance.

Barbara’s story:

Barbara loves flashing her new smile! Smiling used to be very embarrassing. She knew she had to do something. One choice, which was advertised by a national company, seemed attractive, but after visiting the clinic, she was disappointed by its lack of personal touch. She researched the internet and found drfeatherstone.com. She knew she had found her new dental home when she sat down with Dr. Featherstone, who personally answered all of her questions, and eased her concerns.

Barbara traded unhealthy teeth for a new smile supported by 4 implants, top and bottom. She left our office with the upper teeth done, and returned the next morning for the lower teeth (one arch can always be completed in a day). “I can smile anytime, and eat anything,” she says. “I recommend Dr. Featherstone for extractions and new teeth because you can expect a caring and comfortable experience from him and his great staff.”

 

Time

Upper or lower teeth are completed in one day.

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We believe that implant treatment time has been reduced sufficiently to allow moderation of costs. Many heavily advertised clinics charge $50,000 – $60,000 for upper and lower “all-on-four” implant dentures. Dr. Featherstone, who has been surgically placing and restoring implants since 1982, can give you a new implant smile starting at $42,500 for both arches, and $22,000 for a single arch.

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Definition

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For a single tooth, a dental implant is screwed in the jaw bone like a carpenter places a screw in wood. There are three parts (see illustration at right), the

first two made of titanium: 1. implant root 2. abutment (part that extends the implant into the mouth) and 3. crown which is cemented onto the abutment.

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  1. 1. Implant: $2029 2. Abutment: $849 3. Crown: $1262. Materials upgrades of your choice apply. Insurance may pay 30%-60%, depending on contractual agreements.

Fees may vary according to types of implants, abutments, crowns and insurance.

 

Benefits

  • For most situations, the surgical placement is comfortable. It’s like having a filling done.
  • Bridges made on natural teeth often decay. Half are replaced in 10 years. Implants can’t decay.
  • Brushing and flossing an implant tooth is the same as for natural teeth. Bridges require a floss threader.
  • You may have heard negative stories from the early days of implants, but today’s implants are rarely rejected by the body, and are 95% successful longterm. With proper care and correctly engineered bite, they will last indefinitely.
  • Dental implants are safe. The risks are low, especially when we use computer guided surgery.

Procedure

    1. From an impression, we make a plastic tray to fit over your teeth.
    2. On the next visit, we fit the tray and instructyou how to use it during a CT scan.
    3. Your CT scan is taken by a radiologist at a nearby facility. They send us a CD. We study your bone revealed in 3D on our Nobel Biocaresoftware, and install your “cyber” implants in your “cyber”bone in the best and safest positions possible.
    4. On the third appointment, we numb your mouth using our distracting lip-shaking technique. If you are panicked about numbing, we offer nitrous oxide forrelaxation. You’ll find out why it used to be called laughing gas! Or you can come in an hour early and take a couple of blue pills, feel wonderfullysleepy and dreamy, and not even remember what happened the next day!

Implant Guide (Click to enlarge)

  1. During this appointment, the surgical guide is placed in the mouth (see illustration at right). We make spaces for and install the implants using ourimplant guide to guarantee the exact, safe positions. Most often there is no cutting of the gum and no sutures, so there is little discomfort afterward. It’soften possible, and preferable to have a temporary tooth put on the implant in the same day!
  2. Two or three months later, the permanent crown is made, just like a normal tooth.

M.L.’s Story

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M.L. is a busy executive who had worn a pesky “flipper” replacing a front tooth for a number of months. Sometimes the flipper would flip down when

eating or speaking, so it was time the stop the embarrassment. We followed the procedure outlined above, except a graft of gum tissue was added at the time of the

implant placement. He will tell you that “It really wasn’t uncomfortable.” The temporary crown had been made in advance, and fitted on the implant.

Four months later, M.L. returned to replace the temporary crown with a porcelain one. In addition, we readied his other three front teeth for veneers, and in 4 weeks,

he returned for completing the job. He’s very happy with a new smile and an implant tooth that feels just like a real one. Another patient, Joanie, with multiple

implant teeth is waiting to tell you her story. Just click Videos.

 

Time

It takes 3-4 months from placement of the implant and temporary crown to making the final crown. If bone grafting is needed, then 11-12 months is required for both

bone and implant healing.

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Description

smile-before-and-after3

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occlusal-view1

A bridge replaces a missing tooth with the same materials as a porcelain crown. You can’t take it out, because it is cemented into place. The false tooth is attached to a pier, or abutment made on adjacent teeth.

 

Benefits

  • The bridge looks like teeth because of careful matching, and the false teeth appear to grow from the gum, like normal. The gum is developed to receivean “ovate pontic,” which is the part that sinks into the gum a little. For more information on this, click mynewsmile.com.
  • Works well when an implant is not chosen.
  • A bridge is non-removable. Brush just like teeth, and floss by threading it under the false tooth with a plastic loop.

Procedure

  1. We numb your mouth using our distracting lip-shaking technique. If you are panicked about numbing, we offer nitrous oxide for relaxation. You’ll find outwhy it used to be called laughing gas! Or you can come in an hour early and take a couple of blue pills, feel wonderfully sleepy and dreamy, and not even rememberwhat happened the next day!
  2. Decay is removed.
  3. Undercuts are repaired with a bonded base or buildup.
  4. An impression is made with a rubber like material.
  5. A temporary bridge is made until the laboratory returns the restoration.
  6. The impression is sent to a dental laboratory for fabrication of the restoration.
  7. You will return for your seating appointment in 3-4 weeks. The bridge is checked for fit, then bonded to your adjacent teeth.

Lexi’s Story

Lexi was a vibrant high school student at the time she finished braces. She was cheated out of lateral incisors by her genetics. The orthodontist made just the right spaces for implants, but she was too young for it. So, we chose a conservative alternative, a special kind of bridge for both sides. Our goal was to make the teeth look like they were growing out of the gums: natural looking. However the gum was deficient, so she was referred to a periodontist for plumping up the area. Immediately after that visit, we gave her a clear plastic tray to wear with false teeth attached which pressed into the gum area to look like it was growing out of the gum. When we seated her bridges, the false teeth fit right into the gums for a natural look. Lexi is waiting to tell you her story in our Videos section.

 

Time

Most bridges require 2 or 3 appointments for a total time of about 4 weeks. With advance notice, this can be shortened. (More on bridges from mynewsmile.com)

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