Dental Implant Dentist
in Rochester, NY
Visit Dental Prosthodontics of Rochester for Dental Implant Services
Tooth loss can happen for many reasons. Often it is due to gum disease or tooth decay. It can also be a result of an injury or trauma to the tooth. If you are considering replacing missing teeth in Rochester, NY, dental implants dentist, Dr. Isaac Kuyunov and his team will restore function and give you a natural looking smile.
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What is a dental implant?
A dental implant is a type of metal post made of titanium or ceramic materials that acts as an anchor to support a dental prosthesis. The implant then forms a bond to the bone. After the area heals, a dental prosthesis is attached to the implant, which can be a tooth, bridge, or denture. The connection of an implant-supported dental crown or other prosthesis often mediated through an intermediary structure called an abutment. Dental implants provide a more permanent solution to replace missing teeth than other forms of conventional restorative dentistry.
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What are the components of a dental implant?​
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Implant (Post): This is the titanium post that serves as the artificial tooth root that fuses with the jawbone, providing a stable foundation for the crown.
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Abutment: This is the small piece that fits on top of the implant post and acts as a connector between the implant and the crown.
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Crown: This is the prosthetic part that looks and functions like a natural tooth.
What is the typical process for getting dental implants?​
​The steps for getting dental implants aren’t one-size-fits-all. Things like the type of implant, how strong your jawbone is, and whether you need extra procedures (like a bone graft) can all change the process. This guide outlines the general steps for receiving dental implants. You will be given a customized plan that’s tailored to your needs to make sure your implant works the way it should.​
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Initial Assessment: On your first visit, your goals, medical history, will be discussed. You will receive an examination of your oral health and an assessment to learn if your are a good candidate for a dental implant. At this time, X-rays may be taken to discover if there is enough bone to accept the implant or if a bone graft is necessary.*​
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Surgical Implant Placement: You will receive instructions to get ready for your implant surgery, which is usually done with local anesthesia. Our team will keep you comfortable and pain-free, and you may get medication or antibiotics beforehand. Think of the process as the opposite of a tooth extraction—the implant goes into the bone where the tooth root was, and then the gums heal over it.​​​​
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Healing Time: After the implant is placed, the gums usually heal in 2–4 weeks, with sensitivity decreasing during that time. Over the next couple of months, the bone grows around the implant and secures it—a process called osseointegration, usually complete by about three months.
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​Impressions of the Implant: Once the implant is healed, we take an impression to capture its exact position. In the lab, your custom abutment (the connector) and crown (the tooth) are made to fit only your implant. They may come as one piece or two, but together they complete your new tooth.
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​Installation and Adjustments: Your implant and its abutment will be tried-in and to make sure it fits properly and is esthetically pleasing. Adjustments will be made, if necessary. Then, the prosthesis (also called the crown) will be attached to abutment. A final x-ray will be taken to ensure a proper fit.​​​​
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*Bone Grafts: If there is not enough bone to hold the implant, a bone augmentation will be offered to you. This is a separate procedure that is performed prior to implant placement. The goal of bone graft is to create the minimum dimension of bone needed to house the dental implant. The implant can then be placed 4-6 months later.
Dental Implants and Bone Grafts
What is a bone graft?​
If your jawbone isn’t strong or thick enough to hold an implant securely, a bone graft is sometimes needed. The graft replaces lost bone and creates a stable base, greatly increasing the success and longevity of the dental implant.​ If there isn’t sufficient bone, the implant may fail or never properly integrate with the jaw. Bone grafts are important, they increase implant success and longevity, restores jawbone structure, and prevents future bone loss.
What is involved in getting a bone graft?
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The area gets numbed with local anesthesia (or sedation for comfort)
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A small incision is made in your gum to expose the jawbone.
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Bone graft material (your own bone, donor, animal, or synthetic) is put into the empty space.
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A membrane might cover the graft, and the gum is stitched closed.
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Your body grows new bone onto the graft over several months.
Can a bone graft and dental implant surgery be done at the same time?
Sometimes. If the teeth to be extracted are still present, it may be possible to combine the extractions of teeth and placement of implants into one single visit resulting in undergoing only one surgical session. This is called simultaneous placement and can shorten overall treatment time. But whether this can be done at the same time depends on how much bone is present. If the bone loss is small, sometimes the graft and implant can be placed at the same appointment, depending on bone stability.
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If you have moderate to severe bone loss you will need the bone graft first, then receive the dental implant after healing. This is why it is important to know about the condition of your teeth as early as possible. If during the tooth extraction, it is decided that it is better to postpone placement of implants for a better outcome, a bone replacement graft will be placed into the extraction sockets. This will keep the proper dimension of the bone for future implant placement. ​In this situation, we will provide you with temporary teeth to use until treatment is completed.
What are the benefits of getting dental implants?
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Restores Your Smile: People that have missing teeth or loose-fitting dentures may be more hesitant to smile. Dental implants provide the foundation on which we can create natural looking and are securely anchored crowns, bridges, and dentures. This allows you to smile more freely—thus boosting your self-confidence.
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Looks, Feels, and Functions Like Natural Teeth: The protheses that are being anchored on dental implant closely resemble and function like natural teeth. Since implants are securely anchored in the jawbone, they provide the stability needed for natural chewing and speaking, making them a superior option compared to conventional crowns, bridges, and dentures.
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Customizable to Your Needs: Dental implants are a versatile solution that can be used to replace a single tooth, multiple teeth, or all of your teeth.
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Ease of Care and Maintenance: Caring for dental implants takes no less effort than caring for your natural teeth. Brush and floss them daily to keep them in great condition.​ Be sure to keep your regular dental hygiene visits with your dentist.
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Long-Lasting and Durable: The dental implant itself is considered a permanent fixture and should last for many years. The prostheses (crown, bridge, denture, etc.) is a long-lasting solution to tooth loss, although may need to be replaced if damaged.​
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Protects Against Bone Loss: When teeth are missing, bone loss occurs. Dental implants may preserve bone loss, thus keeping its proper shape and volume.
When should you consider getting dental implants?
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​You should consider dental implants if you have one or more missing or irreparably damaged teeth, and you want a permanent solution that is comfortable and functional.
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To Replace One or More Missing Teeth – Missing teeth can lead to bone loss or can cause the neighboring teeth to shift. When teeth shift, they can cause structural issues, aesthetic problems, and more. ​
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A Previous Dental Implant or Restoration has Failed​ – When a previous dental implant or other restoration is no longer able to serve its purpose, it can cause pain and compromise the health of your remaining teeth. After an evaluation of the situation, your prosthodontist will determine if a dental implant is the best option for you.​
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Dental Trauma or Injury has Occurred – If your tooth is severely fractured or broken due to trauma or injury, it may need to be extracted. The gap left from the extracted tooth can cause the surrounding teeth to shift. A restored dental implant will help prevent bone loss or negative effects caused by the missing tooth.​
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Your Removable Dentures Have Become Loose – Over time, dentures can become loose and move or shift when you talk or eat. This can cause you to feel uncomfortable socially and physically since this movement over time can cause gum and mouth pain. Implant-supported dentures, which can be removable or fixed, may be a good alternative.​​
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You Lack Confidence Due to Missing Teeth – If you are feeling insecure about smiling spontaneously because of gaps caused by missing teeth, or dentures that do not look natural, dental implants can restore your beautiful smile and give you the confidence to smile without feeling self-conscious.​
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Certain Foods are Difficult to Chew – When you are missing teeth, it may be harder to eat foods you may have once enjoyed and can result in not eating a well-balanced diet. This can have a negative effect on your overall health. Restored dental implants can help you enjoy eating naturally again since they will close the gaps left by missing teeth. ​
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You Have a Tooth Extraction Due to an Infection – When you have a tooth infection, it is common for the infection to spread to its root. If your natural tooth is unable to be saved, a tooth extraction may be necessary. After extraction, there will be an empty space in the bone where the tooth was. This is a good opportunity to have a dental implant placed where the tooth once was.​
Who is a good candidate for dental implants?
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Although most people are good candidates for dental implants, several key factors will determine if dental implants are a good option for you. These include your overall health, sufficient jawbone density, freedom from periodontal disease, and inability or disinterest in wearing dentures.
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Good Medical Health – Implants work best when you are in good health. Certain medical conditions, like uncontrolled diabetes, could keep a patient from healing properly, while others, such as a recent cardiac event will postpone surgery until a later date. People who take certain medications, such as steroids or drugs that suppress the immune system, may not be suitable candidates for implants, as well.
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Healthy Gums – Patients who have untreated gum infections like gingivitis or periodontal disease would not be good candidates for dental implants. Periodontal treatment would be necessary before dental implants can be in placed.
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Sufficient Bone Density – For an implant to be supported, enough bone volume and density is necessary for anchoring the implant successfully. People who suffer from bone loss can still get dental implants, but an additional dental procedure called a bone graft may be necessary to rebuild your bone prior to receiving an implant.
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Not Using Tobacco Products – Smoking and using other tobacco products can prevent healing in the mouth and can decrease the chances of a successful implant healing. We encourage patients to quit smoking to reduce the risk of a failed implant procedure, but also to improve their overall health, premature aging, and to reduce the risk of cancer.
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A Commitment to Good Oral Hygiene – A good candidate for dental implants should have no infections or other dental problems. After receiving an implant, good oral hygiene like daily brushing and flossing, as well as routine follow-up dental visits are an important part of keeping your implants intact.
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Minimal Teeth Grinding / Bruxism – Teeth-grinding and jaw clenching can place too much pressure on dental implants which can lead to their fracture or failure. This can be address with a customized night guard which help reduce unnecessary pressure on your teeth and jaw. There are also other treatments available such as physical therapy, medications, changes in lifestyle, etc.
Frequently Asked Questions
About Dental Implants in Rochester, NY
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Whether you’re thinking about getting a dental implant or you already have a consultation scheduled with your prosthodontist, you likely have plenty of questions. We've compiled a list of frequently asked questions from patients, along with the answers you need to make informed choices about replacing missing teeth with dental implants.
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Considerations for Implant Success
Q: Are there any medical conditions that can affect dental implant success?
A: If you have conditions like uncontrolled diabetes, osteoporosis, or autoimmune diseases, they can make it harder for dental implants to heal properly and may raise the risk of infection or other problems with the implant. But these issues don’t automatically mean you aren’t eligible for dental implants. Work with your physician to get conditions like diabetes, hypertension, or autoimmune issues under control and stay in touch with your prosthodontist/oral surgeon.
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Q: Do smoking or vaping reduce dental implant success?
A: Smoking and vaping can greatly decrease the success rates of dental implants because they slow down healing, raise the risk of infection, and interfere with the process of osteointegration (when the implant fuses with the surrounding jaw bone). Nicotine narrows blood vessels, and both smoking and vaping dry out the mouth which increases bacteria. While smoking and vaping doesn’t always prevent you from getting dental implants, most dentists will recommend you stop for several months before and after implant surgery.​​
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Implant Surgery
Q: Is the dental implant procedure painful?
A: That’s a very common question. During the implant surgery, the area is thoroughly numbed with local anesthesia. Although you shouldn’t feel any pain, you may feel some pressure or vibration in the area, but it’s less uncomfortable than you may think. If you do feel any pain during the surgery, let your surgeon know so you can receive more anesthesia. Many surgeons also offer oral sedation or IV sedation, which can make it a relaxing experience
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Q: How long does the implant surgery take?
A: The actual time you’ll spend in surgery (for a single implant) is about 30–60 minutes. But the entire process will take between one-to-two hours in total. Here are several instances that will increase your time in surgery:
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You need a bone graft during the same visit
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The tooth extraction and implant are done on the same day
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A sinus lift is necessary (for the upper back teeth), or you’ve had an IV sedation, which will take extra time to recover from the anesthesia
Q: What is osteointegration?
A: Osteointegration is the process where your jawbone grows and bonds directly to the dental implant. During this time, the bone treats the implant like a natural tooth and locks onto it. This bond is what makes implants stable.​
Post-Implant Surgery
Here is a brief description for how to care for yourself after implant surgery. For more in-depth and detailed instructions, please read our Blog article “What to Expect After Dental Implant Surgery”.
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Q: What should I eat and drink after dental implant surgery?
A: For the first few days after dental implant surgery, you should eat soft foods like yogurt, smoothies, mashed potatoes, and scrambled eggs, if you eat them cool or room temperature (no hot foods). Three to seven days after implant surgery, you can slowly add more soft foods into your diet, if they are tender enough to cut with a fork (like pancakes, soft-cooked vegetables, soft fruits, tender pasta, and soft fish). Several weeks after implant surgery, you should be able to add more solid foods if they are not hard or crunchy. After the bone has fully bonded to the implant and the crown has been placed (about 3-6 months after surgery), you can eat normally without restrictions, unless otherwise instructed by your prosthodontist/oral surgeon.
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Q: What should I avoid after dental implant surgery?
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Avoid hard or crunchy foods
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Do not chew food on the implant side of your mouth.
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For the first few weeks, avoid eating or drinking anything at hot temperatures.
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Do not drink carbonated beverages, which can prevent clotting.
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Avoid alcoholic beverages, which can slow the natural healing process.
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Do not drink any liquids through a straw, because it can dislodge clotting.
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Q: Will I have a temporary tooth after implant surgery while I'm healing?
A: Yes. In most cases, you’ll have a temporary tooth after implant surgery, so you’re not left with a visible gap while the implant heals. The temporary tooth may be a custom temporary crown or a removable option, depending on the location and stability of the implant. It’s designed for appearance, not heavy or hard chewing. The healing process usually takes 3–6 months.
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Q: Will my final crown look natural?
A: Yes. The visible part of the implant (the crown) is custom-made to match the color, shape, size, and translucency of your natural teeth. Prosthodontists work closely with dental labs to ensure that your final crown blends seamlessly with your other teeth.
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Q: Will the dental implant feel and function like a natural tooth?
A: Yes. The implant is anchored in the jawbone, which allows it to function like a real tooth when biting or chewing. When a dental implant is done correctly, most people will not be able to tell which tooth is the implants. ​
Implant Maintenance and Longevity
Q: How should I care for my dental implants?
A: Even though dental implants do not get cavities, the gums and bone around them can still get infected without good oral hygiene habits. You should brush your teeth twice a day and floss daily, carefully cleaning along the gumline around the implant. And make sure you are keeping up with your regular dental visits.
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Q: What can I do to ensure that my dental implants last for many years?
A: There are several lifestyle habits you can follow to increase your dental implant longevity.
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Avoid smoking or vaping which can increase the risk of implant failure and gum disease. These habits also slow the healing process and reduce blood flow.
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Protect against teeth grinding and clenching, especially at night. These can place excessive force on the implant. A custom-fit night guard can protect your implants and natural teeth from damage.
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Avoid chewing ice, eating hard candy, using excessive force with hard objects, or use your teeth as a tool, such as in opening packages. These practices can chip or crack the crown.
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Maintain a healthy lifestyle by managing your overall health. Conditions like uncontrolled diabetes can affect implant healing and bone health.
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General Questions
Q: What are some alternatives to replace missing teeth other than dental implants?
A: There are several non-implant supported options for replacing missing teeth. These include a dental bridge, partial dentures, or complete dentures.
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Q: What is the total cost of getting dental implants from start to finish?
A: The total price for dental implants can vary greatly and is based on how complicated the process is. Factors include whether you will need teeth extracted, bone graft surgery to support the implant, and more. Price will also depend on the type of dental implants you will have—a single implant crown, an implant bridge, full-arch implants, overdentures—and the kind of materials used such as titanium, acrylic, or zirconia.
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Q: How long will the entire process take—from the first consultation to placement of the final crown?
A: The total dental implant process from your first consultation to the time your implant is totally healed, can take anywhere from 3 to 9 months. The exact duration depends heavily on your jawbone health and if extra procedures like tooth extractions or bone grafts are necessary, which will add significant time to the entire process.
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If You are Considering Dental Implants in Rochester, NY,
Visit Dr. Isaac Kuyunov
Let Dr. Kuyunov of Dental Prosthodontics of Rochester, NY help you regain the confidence and function of a full smile. Whether you need implant crowns, implant bridges, full-arch dental implants, or implant dentures, schedule a personalized, one-on-one consultation with Dr. Kuyunov. Call us today at 585-471-5689 or email us by using the link below.