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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant

Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail

If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement

In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (971) 317-8414.
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What is Gingival Enlargement and How is it Treated?

Posted on 2/22/2021 by Periodontal Associates
What is Gingival Enlargement and How is it Treated?Gingival enlargement refers to an abnormal increase in the size of gum tissue. Healthy gums should be firm and fit tightly against your teeth, while enlarged gums appear soft, bulbous, and can even protrude over the teeth. Read on to learn more about the causes and treatments for gingival enlargement.

Gingival Enlargement Causes

Gingival enlargement can be caused by inflammation or disease, or it can be a side effect of certain medications. Inflammation is the most common cause of enlarged gum tissue, and it results from bacteria accumulating in your mouth. In addition to causing gum disease and tooth decay, plaque and bacteria that build up on your teeth and along the gum line can also lead to gingival enlargement. This is usually the result of poor oral hygiene, but people who breathe through their mouths may be especially at risk of inflammatory gingival enlargement.

There are also diseases and medications that can cause gingival enlargement. Hormone fluctuations that occur with puberty or pregnancy, vitamin C deficiency, leukemia, and other cancers can sometimes lead to abnormal overgrowth of gum tissue. Additionally, people who take medications such as nifedipine for heart disease, immunosuppressants such as cyclosporine, or anticonvulsants such as phenytoin and phenobarbital may experience gingival enlargement as a side effect.

Gingival Enlargement Treatment

The treatment for gingival enlargement depends on its cause. Inflammation-induced gingival enlargement can often be reversed through proper oral hygiene, deep professional cleaning, and other gum disease treatment such as scaling and root planing, if necessary. For disease- or drug-induced gingival enlargement, treatment would involve treating the underlying disease and prescribing a different type of medication. In some cases, surgery known as gingivectomy may be necessary to remove the enlarged gum tissue. If you have enlarged gums, call our office today to set up an appointment and discuss your treatment options.
Periodontal Associates in Beaverton, OR

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