Your Implant Consultation
We realize that a great deal of information is given at the time of your dental implant consultation. Some patients find it difficult to remember the details of our conversation, particularly if more than one dentist is consulted. Please review this consultation overview if you have any questions regarding your upcoming appointment or simply forget what we had discussed.
Dr. Kosinski’s Implant Knowledge
Dental implants are a highly successful restorative treatment that restores an entire mouth’s strength, function, and appearance. They’re placed in the jaw bone to simulate the root of the tooth so they can successfully support a tooth restoration. Implants are made of titanium, a biocompatible material used in orthopedics for joint replacements. This metal integrates very well with human bone and tissue, allowing your jawbone to receive proper stimulation from the new tooth.
Dr. Kosinski has lectured all around the country, heard about new studies from other doctors, and has significantly read a great deal of literature about implants. We want you to know that dental implants have a 95% success rate, depending on where they’re placed and how well they’re maintained.
What does this 95% success rate mean? Well, to be a statistical success in medicine, the results must last at least five years after treatment. Our team at SmileCreator is dedicated to discovering why 5% of dental implants don’t heal properly and result in failure. Dr. Kosinski will work hand-in-hand with each individual to ensure that every part of their implant procedure is safe and successful.
Your Implant Consultation Summary
Generally, placing dental implants isn’t a complex procedure. For some patients whose oral health is extremely poor, a prior procedure to restore their oral health may be required. Once Dr. Kosinski has determined you’re a good candidate for dental implants we will schedule your first appointment.
At your next visit, we begin by numbing the area. A small incision is made in the gum tissue to expose the bone so we can attach your implant. Then we use a small drill, gradually moving to a larger drill until an opening for the necessary implant size is created. Just like your natural tooth root, we always try our best to use the longest and widest implant we can for the available space.
Once your implant is placed, a healing period will be advised. Dr. Kosinski will instruct you to do three things:
- A prescription for an antibiotic will be given to you in advance and you’ll start taking it the night before and carry it through until it’s completely finished.
- We will also give you a prescription pain medication, which you can take as needed. The day after the procedure you may not wish to take a narcotic and can simply switch to Extra Strength Tylenol.
- Finally, the most important thing is that you apply ice to your face. When you get home, take a plastic baggy, put ice cubes in it, wrap a dish towel around it, and hold it up to the surgical site on the outside of the mouth. The ice will minimize swelling. If swelling stays down, your discomfort will be minimal.
Lastly, you’ll return to Smile Creator for Dr. Kosinski to place your permanent tooth restoration. After this second surgery, you’ll be eager to show off your new smile. Just shortly after your entire procedure is complete, you’ll be able to eat and speak again, just as you used to with your natural teeth.
Feeling Anxious about Your Procedure?
We offer intravenous sedation in this office if you prefer to doze off during the procedure. A small butterfly needle is placed in your arm, and small amounts of Valium and Demerol are administered slowly throughout your surgery.
You’ll feel ultimate relaxation, but won’t be completely asleep. If you are asked to open your eyes or turn your head you’ll be capable of doing so. Instead of feeling apprehensive about what’s going on around you, you may just drift off into a light daze with no worries. Most patients lose track of time and are a little surprised to find we are finished.
What Can Influence Implant Failure?
Some implant surgeries are more complicated than others. If yours is one of those, Dr. Kosinski will tell you in advance. For example, if a nerve or muscle requires repositioning or a sinus membrane needs to be raised, we’ll let you know ahead of time in case you experience excessive discomfort, post-surgery.
Lower Jaw Concerns
One concern we advise to our patients is the possibility of damage to the mandibular nerve that can occur in the lower jaw. The nerve runs along the side of the face, surfacing between the first and second bicuspid areas. Although it’s generally not difficult to work around this structure and avoid it altogether, the nerve can be bruised or even damaged.
The result of this is called paresthesia, also known as numbing. Your lip may feel as if you’re numb with an anesthetic temporarily, lasting anywhere from weeks to months, or even permanently.
Diagnostic tests and measurements are made to reduce this risk, including CT scans. This technology allows us to see the bone in three dimensions and then virtually place the implant using our computer software prior to ever touching you.
Other Factors of Failure
The inability or unwillingness of the patient to keep it clean is a major risk of unsuccessful dental implants. Making a big investment in your implants should give you more initiative to properly take care of them. It’s vital to brush and floss daily and visit us periodically for a professional cleaning and exam. Dr. Kosinski will also need to take a radiograph once a year to detect any possible bone changes.
Another factor that can damage your implants is the use of tobacco. Cigarette smoking reduces our dental implant success by 40 to 50% and may disqualify you as a candidate for implants. If you’re going to continue to smoke, you have to accept the risk that our implants will not heal properly or may fail in the future.
If you have any questions concerning the procedure please contact Dr. Kosinski or one of the staff. The staff is very well educated and can answer most questions. If they cannot Dr. Kosinski will come to the phone or set up a time for you to discuss your concerns. The office phone is 248.646.8651, the e mail address is firstname.lastname@example.org.