Most of Dr. Nguyen‘s patients prefer to have one doctor to place implant and restore the tooth or teeth at one place. Since Dr. Nguyen has learned extensively about implantology and has been placing & restoring all of the implants for the last eight years; the patients benefit immensely by reducing time, number of surgeries, costs, energy, and complications.

After the initial visit to have examination, photos, digital x-rays, Cone Beam Computer Tomography (CBCT scan), necessary models of your teeth, you can schedule for your surgery.

This procedure applies to single crowns and implant supported bridge of 2 to 4 teeth.

Dr. Nguyen places implants immediately at time of tooth extraction 90% of the time in the office. It is now recommended that a permanent crown be placed or immediately loaded at the same time of surgery when Dr. Nguyen has a torque strength of more than 45 Newton cm² or 4.5 kg Force.

It is most efficient for time, energy, and cost to have implant placed immediately when your bone allows Dr. Nguyen. This means you have good bone width and height and there is no infection. In this case, after removing a tooth, Dr. Nguyen places the implant with primary stability and a healing cap, places bone allograft (cadaver bone) to close the socket and a collagen membrane is placed on top to protect the bone, then suture the extraction site. The sutures are dissolved in 7 to 10 days.

Dr. Nguyen will see you for follow up check with an x-ray film in 1 week, 4 weeks and 2 months. Then a custom abutment can be placed and impression for the crown in 2.5 – 3 months after the implant and extraction have healed.

This whole process takes 3 to 4 months from extraction to having a tooth that can give you the smile and comfort you desire.

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Single Tooth Dental Implants

If you are missing a single tooth, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root.

What are the advantages of a single-tooth implant over a bridge?

A dental implant provides several advantages over other tooth replacement options. In addition to looking and functioning like a natural tooth, a dental implant replaces a single tooth without sacrificing the health of neighboring teeth. The other common treatment for the loss of a single tooth, a tooth-supported fixed bridge, requires that adjacent teeth to be grounded down to support the cemented bridge.

Because a dental implant will replace your tooth root, the bone is better preserved. With a bridge, some of the bone that previously surrounded the tooth begins to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact.

In the long term, a single implant can be more aesthetic and easier to keep clean than a bridge. Gums can recede around a bridge, leaving a visible defect when the metal base or collar of the bridge becomes exposed. Resorbed bone beneath the bridge can lead to an unattractive smile. The cement holding the bridge in place can also wash out, allowing bacteria to decay the teeth that anchor the bridge.

How will the implant be placed?

First, the implant, which looks like a screw or cylinder, is placed into your jaw. Over the next two to six months, the implant and the bone are allowed to bond together to form an anchor for your artificial tooth. During this time, a temporary tooth replacement option can be worn over the implant site.

Often, a second step of the procedure is necessary to uncover the implant and attach an extension. This temporary healing cap completes the foundation on which your new tooth will be placed. Your gums will be allowed to heal for a couple of weeks following this procedure.

There are some implant systems (one-stage) that do not require this second step. These systems use an implant which already has the extension piece attached. Your periodontist will advise you on which system is best for you.

Finally, a replacement tooth (crown) will be created for you by your dentist and attached to small metal post (abutment). After a short time, you will experience restored confidence in your smile and your ability to chew and speak. Dental implants are so natural-looking and feeling, you may forget you ever lost a tooth.

Every case is different, and some of these steps can be combined when conditions permit. Your dental professional will work with you to determine the best treatment plan.

Practice Example

The patient previously had root fracture and infection which was treated with a root canal therapy. The CBCT scans showed a infection and bone loss in the root area. The implant planning was prepared (in blue) prior to surgery.

The CBCT scans allowed the accurate planning and placement of implant with the permanent crown mounted on the implant. The implant was placed immediately after removing the infected tooth and bone graft. A membrane were placed to gain bone to support the implant and gum.

Single Canine Tooth Missing

Diagnosis: left canine tooth missing

History: Patient had five temporary dentures made in the past years to replace her one single missing tooth before implant surgery.

  1. Implant and Titanium abutment were placed.
  2. Patient received a temporary Veneer on the same day right after her implant was placed.
  3. Patient received the permanent Crown which replaced the temporary Veneer.  Patient requested the Crown to be whiter than her current teeth to allow teeth whitening.