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Dental Implants
What Are Dental Implants?

An implant is a titanium "root" which can be placed into the jawbone. Once integrated with your bone, the implant can be used to support a crown, a bridge, or secure a complete denture. Dental implants may be used to eliminate partial plates and dentures. Implants have been used successfully for over thirty years, have a high success rate and function and feel like your natural teeth. Dental implants are now the standard of care for replacing missing teeth. Dental implant treatment represents a slightly greater investment than conventional treatment; however, the benefits of implant therapy for most patients outweigh the minor additional cost involved.

NobelGuide - Teeth-in-an-hour

NobelGuide Dental Implant Surgery Planning software allows us to take the information from i-CAT scan of a patient's mouth and perform virtual surgery on the computer before taking a patient into the actual surgery. The NobelGuide system means you can now replace missing teeth with permanent dental implants easily, quickly and comfortably. Only NobelGuide gives you beautiful teeth-in-an-hour.


With conventional treatment you have to wait for your implants to heal before teeth are placed, which can take months. NobelGuide gives you your new teeth right away. You may be able to eat immediately after the treatment. Not only does it reduce the number of visits to your dentist, you also spend less time there. Best of all, no recovery period is needed after treatment, so you can return to your active life immediately.

Single Tooth Implant

Do you have missing teeth? It is critically important to replace missing teeth. Eating and chewing with missing teeth can sabotage your bite and lead to incessant discomfort. Missing teeth can give rise to a mouth rearrangement that often results in facial changes that look decrepit.

A single tooth implant procedure may be done if a tooth has been extracted or is missing. A titanium implant base is placed into the jawbone to resemble the tooth root. We allow a period of time for the jawbone to heal over the implant base before fitting for a crown.


Next, an abutment is screwed into the base of the implant to allow for a crown to be fitted on top. Finally, a custom fabricated crown is placed over the abutment to function like a real tooth.

Multiple Tooth Implants

In cases where multiple teeth are missing or have been extracted, multiple implants can be used to bring back your smile. The implants are placed into the jawbone and are given time to heal. After the bone has healed around the implants, an abutment is attached to the implant which then allows for a crown or bridge to be placed right on the implant. These new teeth will look and act just like natural teeth.

Ask Dr. Smith, a popular implant dentist in Orange, if dental implants are right for you.

After Placement of Dental Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

BLEEDING. Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a gauze pad placed directly on the bleeding area for 30 minutes. If bleeding continues please call the office for further instructions.

SWELLING. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon as it is the body's normal process in repairing itself. Swelling does not always appear immediately. It may take 12 to 24 hours before swelling becomes apparent. Swelling may not reach its maximum until 2-3 days post-surgery. Swelling may be minimized by the immediate use of ice packs post-surgery. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days call the office.

DIET. Drink plenty of fluids. Avoid hot liquids or hot food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

PAIN MEDICATION. You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Be sure to take the prescribed antibiotics as directed to help prevent infection. Do not take any of the above medication if you are allergic, or have been instructed by R. Scott Smith, D.D.S. not to take it.

HOME HYGIENE CARE. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem, but be gentle initially with brushing the surgical areas. Good oral hygiene is essential to good healing.

PHYSICAL ACTIVITY. Keep physical activities to a minimum immediately following surgery. Physical activity could cause throbbing or bleeding of the surgical implant area.

WEARING DENTURES. You will always have teeth during your recovery period. Temporary partial dentures or full denture arches should not be used immediately after surgery and for at least 10 days.

All-On-4™

This prosthesis is used in special situations for patients who have enough bone in the anterior regions of the lower or upper jaws, but limited amount of bone in the posterior regions and are not candidates for extensive bone grafting.

Immediate Placement

In many situations it is possible to remove the diseased and/or loose teeth and replace them with dental implants at the same time. In almost all situations simultaneous bone grafting is completed. This method of treatment reduces the number of surgical visits. It also speeds up the entire process enabling the implants to be ready to receive (caps/crowns) more quickly.

Implant Benefits
Implant Benefits

Restored self-esteem and renewed self-confidence. Our patients who now enjoy the benefits of their new implant supported replacement teeth talk openly about their restored self-esteem and self-confidence as a result of a younger appearance, ability to eat the foods they want, increased comfort, and improved overall health.

Improved appearance. Since implants preserve bone, preventing deterioration of the facial structures and appearance is improved. When all the natural teeth are severely compromised or missing, there is nothing left in the jawbone to stimulate bone growth, the body senses that the jawbone is no longer necessary and begins to dissolve it away. This results in facial collapse.

After about ten years, it often becomes difficult to wear a denture because there is little bone left to support it. This results in the lips folding in, and the lower face shriveling up (witches chin) with wrinkles around the mouth making you look like a much older looking person. With dental implants, the appearance of these wrinkles caused by posterior bite collapse, or complete facial structure collapse are virtually eliminated.

Remove the embarrassment factor. Implant supported replacement teeth never have to come out, not for daily cleaning, not for home care hygiene maintenance (brushing and flossing), nor even during a hospital visit or other medical exam. They are permanent. Just like your new smile.

The mouth is restored as closely as possible to its natural state. By replacing the entire tooth, including the root, it is possible to replicate the function of natural teeth, with a strong, stable foundation that allows comfortable biting and chewing. In addition, nothing in the mouth looks or feels artificial. Dental implants are the closest thing we have to our natural teeth.

Your smile is improved when replacement teeth look more like natural teeth. Even when only one tooth is missing, long term aesthetics are usually much better with an implant supported replacement tooth than with a traditional tooth supported bridge. This is particularly important in the front of your mouth, where preventing a visible bone defect is critical for natural appearance.

Healthy adjacent teeth are not destroyed to replace missing teeth. Tooth replacement with traditional tooth-supported bridges requires grinding down the teeth adjacent to the missing tooth/teeth, so that the bridge can be cemented onto them and into place. This tooth structure can never be replaced and the long-term health of these "prepared" teeth is compromised. Partial dentures have clasps that hook onto adjacent teeth, putting pressure on the adjacent teeth as the partial rocks back and forth. Eventually these teeth can loosen and fail as a result of this unnatural pressure. Replacing missing teeth with implant supported crowns/bridges does not involve the adjacent natural teeth, so they are not compromised, damaged or destroyed.

Overall quality of life is enhanced with replacement teeth that look, feel and function like natural teeth. With implant supported replacement teeth, the appearance of the smile is more natural and the teeth function more like natural teeth. The result is increased comfort and confidence when smiling, speaking, and eating. If dentures and partials are replaced with implant supported teeth, the overall enhancement in quality of life is even more significant, with an ability to eat all types of foods, elimination of messy adhesives, and improved speech, comfort and appearance.

If removable dentures and partials are replaced with implant supported fixed bridges, the overall enhancement in quality of life is even more significant.

  • Your eating habits will improve
  • Messy and potentially toxic adhesives used to hold dentures in place are eliminated
  • Unsightly destructive metal clasps common with partial dentures, which tend to damage adjacent teeth and gums are now non-existent.

Failing teeth can cause other health issues. It is well documented that periodontal disease is a bacteria induced chronic infection and inflammatory disease that does not resolve by itself. Unchecked, inflammation and infection contributes to heart attacks, strokes, Alzheimer's disease, diabetes and other chronic diseases. Dentists and cardiologists have long known that neglecting your teeth can lead to more than just a toothache. Scientific studies indicate there is a link between periodontal disease and cardiovascular disease. It has been shown that improving poor oral health can actually improve your overall health.

Convenient oral hygiene. Caring for an implant supported crown is the same as caring for natural teeth; however, it is one of the most frequently overlooked ingredients in implant success. It is recommended that you request an appointment to have regular dental check-ups and get annual x-rays to make sure the surrounding bone is supporting the implant correctly and to discuss and questions or current concerns you may have. These periodic visits will help keep your replacement teeth healthy for many years to come.

Implant Placement

In order to place an implant, a couple of steps must be taken:

1) An incision is made into the gums using very precise measurements, then using a very small drill, the jawbone is given a "tap" that will allow the implant to be placed. After the implant is screwed into place, the gums are closed up and the healing process begins. This process can take approximately three to six months to ensure the implant has fused with the bone and created a sturdy base for the new teeth.

2) When the implant is ready, an abutment is attached to the implant, which allows for a new crown to be placed or a denture to be attached.

Implant Supported Dentures

This implant technique, is the optimal solution for those who have lost or are about to lose all of their upper and/or lower teeth. It's a procedure that comes closest to having a new set of permanent teeth.

Mini Implants

A mini dental implant (MDI) is an implant used to provide better denture stability in patients that cannot handle standard implant surgery, do not have enough bone to support a standard implant or are going from one prosthetic system to another due to continuing therapy.

The top of an MDI is shaped like a ball that allows a rubber o-ring to snap in over the ball when the denture is placed onto it. These types of implants can usually be placed in one or two office visits because there is no waiting on the jawbone to heal. In most situations the patient can walk out with their dentures the same day they receive their implants.

Straumann Dental Implants

The decision to replace missing teeth with dental implants is an excellent investment in your oral health and appearance. Dental implants are now the standard of care for missing teeth. Better than crown and bridge, they look, feel and function like natural teeth. They help prevent bone loss caused by a missing tooth root and do not require the adjacent teeth to be ground down.

Long-term research has shown that Straumann implants have a high success rate. Straumann values quality and reliability, and Straumann implants are backed by over 30 years of scientific evidence.

Schedule Your Appointment Today

R. Scott Smith, D.D.S. would love to meet you and your family and provide you with the dental care you need to give each of you the smile you deserve!




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(714) 771-3111