Dental implants can best be compared to a molly that you place in the wall to hold a picture. First you put the molly in the wall, then place a screw which sticks out and hang the picture on the screw. We place an implant in the jaw, after the bone grows around it, we put on a second stage which comes into the mouth and supports the tooth replacements.

There are many options for implant supported devices. Above is a single tooth replacement, below you will see several of the other options. Implants can be used to support a single tooth, a bridge, an entire arch of teeth, or to add support to a denture. The process begins with an appropriate diagnosis. The first question isn't 'can I get an implant' but rather 'can I get an implant in the right location to support a tooth replacement'.

Since the primary purpose of a dental implant is to support the tooth replacement, the diagnosis begins with the prosthodontist, the one who is responsible for placing the teeth. Utilizing traditional radiographs, models of your teeth, the hands on examination of your mouth, and, when appropriate, CAT Scan analysis, Dr. Fischman will develop an appropriate plan for your specific needs. It is important to note that completing a restoration includes not only implant and tooth replacements, but also temporary restorations. Planning must be complete or a satisfactory result may not be reached.

There are a number of implant systems available today, all offering excellent results in the appropriate situations. When there is not adequate bone in the proper location, then there are ways to augment the bone. When the case is planned properly, the results can be wonderful.

A single implant at the patient's left lateral incisor (note the short temporary replacement in the pictures on your left ) with some bonding of the darkened Central and a BriteSmile bleaching.

Traditional Crowns and Bridges supported by dental implants in the upper jaw.

A Fixed Detachable (Hybrid) device, denture teeth attached rigidly to the implants via a cast framework (only the dentist can remove it). This allows for replacement of teeth and missing bone.

Bar Over Dentures gaining support from the soft tissues, but rigidly held in place by the pins that slide into the bars attached to the implants (note that the palate is not covered)

Mini Implants are used to help retain a Full or Partial Denture.

The choice of what is appropriate for you, is based on your needs both physically and psychologically. Give Dr. Fischman a call to help you find the right answers for your problem (516.482.5924).

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