Our standard of care for tooth replacement using dental implants is firstly to discuss your other options which include removable denture and bridgework (involves removal of natural tooth structure which is irreversible). A typical single tooth treatment plan involves placement of immediate implant and temporary crown: patient leaves the dental office with a full smile. Treatment time is one and a half hours.
Approximately four to five months later, the implant has should hve fused with the bone. We are then ready to connect the laboratory constructed crown to the implant and load the tooth (bring this implant into normal oral function). For most patients, the implant integration into oral neurophysiology occurs immediately. For some, including myself (I, Dr Nalbandian have implants in my mouth as well) it took about one to three months to accept that this is a normal part of my mouth. So patients do differ and quite frankly, after placement of implants and crowns, bridges etc. and treatment of thousands of patients, no one has asked me to remove a single implant. On the contrary, they come back for more dental implant placements. This is the real test, since patients have had time to evaluate their past experience with dental implants. The patients do come back, because they can eat, speak and smile with their new fixed teeth!
Then you as the patient have the responsibility to carry out home care and maintain the health and the stability of the tissues around the implant crown. Although we cannot control biology, with your help, if you do not smoke and regularly attends our clinic and the referring dentist for regular dental maintenance and implant reviews, we can maintain the implant over the long term. You will be educated about the limitations of complex aesthetics as part of your diagnostic process.
There is no such thing as a perfect smile or perfect aesthetics. In other words there is no golden standard for dentofacial aesthetics. It is all relative as we do not make judgements. I maintain my intense efforts for the best possible outcome for you, the patient.
Original natural aesthetics is not always possible to create on a single tooth. Please remember that we are trying to always reconstruct/augment or preserve soft (gum) and hard (bone) tissue first and finally the missing tooth.
We must view the complex aesthetic cases with extreme caution and plan treatment according to each and every patient’s aesthetics desires, which can be solved with a simple practical approach.
It is important to us that patients always walk out of our surgery with teeth in their mouth. Taking care of you is very important to us and we want you to feel comfortable during any ongoing treatment.
Thank you for taking the time to understand the methodologies, technologies and techniques I use. I hope this gives you an idea of what I can do for you if you are having difficulty and need help, because there is always hope.
Dr. Sarkis Nalbandian
Visiting Professor YSMU
Specialist Prosthodontist & Implant Surgeon
B.D.S. (Hons), Dip. Clin. Dent. (Oral Implants) Uni Syd, M. Clin. Dent (Prosth) King’s College, Uni London
D. Clin. Dent (Prosth) Uni Syd, FRACDS, MRACD (Prosth) FIADE, FPFA