Dr Kammeyer is an expert at minimizing the numbers of surgeries and types of treatments needed to place dental implants. Since he has one himself, and has placed 6 on his wife, and with 30 years of experience, he has learned how to make the procedures safe, comfortable, predictable and easy to have performed. Training, experience and skill levels vary significantly with dentists placing dental implants. There are multiple types of specialists that place dental implants as well as an ever increasing number of general dentists. It is wise to ask a lot of questions when considering dental implant therapy.
Initially the implant is fixed to the bone much like a screw. Over time the bone bonds to the dental implant on a microscopic level (osseointegration), making the dental implant reliable to build on and this is when the second phase of tooth building begins. Much like when a foundation for a house is poured in concrete, some time needs to pass before the final results can be delivered. Dr. Kammeyer will determine the stability of the implant by taking an x-ray, confirming that you have been comfortable since the implant(s) were placed and performs a resonance frequency analysis (ISQ or Implant Stability Quotient), which will confirm the dental implant stability. You will be directed back to your general dentist, who will then take the impressions, shade, bite and fabricate your new teeth. In this “Team Approach” you get the best skills of both the surgeon and the restorative dentist. The entire procedure usually takes four to five months for simple treatments and most of the time is spent waiting for the bone to grow tightly to the dental implant. Most patients experience minimal disruption in their daily life during this time.
Using the most recent advances in dental implant research, Dr. Kammeyer is most often able to place dental implants immediately at the time of an extraction of a hopeless tooth and get better results than extracting the tooth as a separate procedure.. These implants do not require a second or third procedure to place the implant or to uncover it, but it does require a minimum of 8-12 weeks of time for the bone to connect to the implants before the final prosthetic teeth can be placed on them. The more time lapses after the implant is placed, the more the bone has connected with the implant and the more stable it is. He routinely extracts failing teeth and places dental implants at the time, even with infected teeth, thus eliminating extra surgeries, reducing costs and total treatment time. He does this routinely even with molars with very high success rates – further minimizing the number of surgical procedures. Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit. This procedure is called “immediate loading“. See the section on that treatment method.
Implants are a team effort between Dr. Kammeyer’s office and your trusted restorative dentist. While Dr.Kammeyer performs the actual implant surgery, initial tooth extractions, and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis. Your dentist will typically make any temporary prosthesis needed during the implant process. We feel blessed to work with some of the finest general dentists in the valley that are devoted to providing care that patients, your dentist and I are proud of. These are the dentists that will “fuss” over their work so you get what you came for!
What Types of Prosthetic Final Teeth are Available?
A single implant prosthesis (crown) is used to replace one missing tooth so each prosthetic tooth attaches to its own implant. When multiple teeth are missing, most often, we can place a number of teeth on a few dental implants, again decreasing the cost of treatment. This can be as minimal as “All on Four” or a full set of fixed teeth mounted to four dental implants. A complete fixed bridge may be used, or smaller segments of bridgework to replace all the teeth in your upper or lower jaw or a removable set of teeth, can be attached to a few implants to improve the wearing of a denture, while minimizing the investment made. In this situation, a removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended to satisfy your wants, desires and concerns. This Is Why It Is So Important To Know What You Want the Final Result to Be Like! We have found that patients receiving non-removable teeth or removable teeth supported by multiple implants, are the most satisfied and maintain the most jawbone long term. Dental research shows this as well. The satisfaction rate with dental implant therapy is very high.