Dental Implants in Manhattan, NY

We specialize in pre-planned, guided implant placement, and restoration of missing teeth that are supported by implants.  

 According to the American Academy of Oral and Maxillofacial Surgeons (AAOMS), dental implants have a success rate of 95% when placed by a dental specialist.  Missing teeth can ruin a once-beautiful smile. One's self-esteem is lowered, and other people react and form negative opinions of those with missing teeth. There are also important health reasons to have dental implants. Whether you need replacing one tooth or several teeth, implants are an essential solution to restoring and maintaining dental health.

 Once a tooth is lost, several things begin to happen that are not immediately noticeable to a patient and which can have a significant adverse effect on both health and appearance. Tooth roots help hold teeth in place, but they are also critical in maintaining health in the surrounding gums and supporting bone structures.

 Bone loss in the jawbone is one of the significant problems that naturally occur once a tooth is lost. This bone loss can compromise the integrity of neighboring tooth roots and tooth stability. This type of bone loss causes the "sunken" look that is seen in people who have lost several or all of their teeth. It is the reason patients who wear dentures find that over time, their dentures are harder and harder to fit and keep in place.

 Dental implants help maintain and strengthen bone structure. They do much more than replace the missing tooth – they also protect the existing teeth by helping to preserve bone structure.

Dental implant placement can also help alleviate the sunken look that can occur with bone loss in the jaw by stimulating bone growth in the area around the implant. This process is called osseointegration and can also help prevent future bone loss.

If you are looking into dental implants and how they may be used to replace missing teeth, contact Dr. Simon Rosenberg today for a consultation.

 

Single Tooth Dental Implants

A dental implant is a replacement of a tooth root in the mouth. Like tooth roots, dental implants are secured in the jaw and are not visible once placed. They are used to secure crowns (part of the teeth seen in the mouth), bridgework or dentures. The vast majority of implants are made of titanium, which is biocompatible and not rejected by the body. There are some manufacturers who now offer Zirconia Implants; time will tell if these implants will function as long and successfully as the titanium. Dental implants provide a foundation for replacement teeth that looks, feels, and functions like natural teeth.

Implant-Supported Bridge

An implant-supported bridge is a restorative solution for spaces where three or more adjacent teeth are missing. The bridge replaces multiple adjacent missing teeth without the use of a denture. This restoration typically requires two implants to support a 3- or 4-unit  porcelain bridge and more implants if the edentulous space involves restoring more than four teeth. The bridge provides a functional and aesthetic replacement for the patient’s natural teeth.

Implant-Supported Dentures

Implant supported dentures can be either fixed or removable. This solution requires the placement of two or more implants. If a removable denture is selected, the denture will “snap” on to the implant rather than requiring the use of denture paste or adhesives. Removable dentures can be taken out for cleaning at night.

This technique offers many advantages over traditional dentures.

Easy to care for, this solution can simulate the look and feel of natural teeth and stay fixed in place with the implants acting as anchors. Patients will not experience the typical rocking and movement or gum irritation associated with dentures.

Dental implant placement can also help alleviate the sunken look that can occur with bone loss in the jaw by stimulating bone growth in the area around the implant. This process is called osseointegration and can also help prevent future bone loss.

Who Should Place the Implant

Dental implants almost always failed before Per-Ingvar Brånemark discovered "Osseointegration" where the bone grows in and attaches to the titanium dental implant. He was a Swedish orthopedic surgeon (1929-2014) and research professor in Gothenburg, Sweden who is revered as the "Father of Modern Dental Implantology." He worked with the Nobel group of companies who had strategic plans to discontinue their business in explosives and armaments and enter the medical field. Their first implants were introduced to the US around 1981

Initially, only Oral Surgeons were trained since they routinely treat the dental bone and soft tissues surgically.  Periodontists claimed similar expertise and were offered implant placement education shortly after that.  By the late 1980s, implant education programs were opened to all dentists, willing to obtain proper training.

As a prosthodontist at Memorial Sloan-Kettering Cancer Center, I was privileged that our Oral Surgeon Enrique Lenchewski went to Sweden and received direct training from Dr. Brånemark and he began placing implants in the early 1980s.  Early on we saw great success in osseointegration, but sometimes had problems with restoring the implants due to the angulation of the implants in the bone.

Tremendous research in materials and techniques has occurred.  Dozens of companies have entered the implant market. These companies have spent millions on research and innovations to solve both placement and restoration challenges.

The desired dental restoration must drive implant planning. The available bone quantity and quality, proximity to the maxillary sinus, the nearness to nerves and blood vessels all affect the selection of location and the selection of implant to be used.