Blog - PermaDontics

Smile Again With Dental Implants From PermaDontics



Every time we consult with  a patient with a missing tooth or teeth, I want to jump up and down with excitement. Not because I think it's great to be missing teeth but because there is such a tremendous solution – dental implants. 

If you have lost a single tooth because of a traumatic injury or advanced decay, a dental implant is the most comfortable and convenient solution available. Though a removable partial denture is one option for the replacement of a single tooth, most patients find this alternative bulky and unsightly. Once implants are complete they look absolutely natural. In fact they do more than make your smile look whole again, they help preserve and restore the natural contours of your face and prevent the bone deterioration that often  occurs when teeth are missing.

How Do Implants Work?

Implants completely simulate a natural tooth.  Placing implants is a  surgical procedure:  A zirconia post placed into the bone to function as, and replace your natural tooth root. The bone bonds with the zirconia, creating a strong foundation for artificial teeth.

To replace the actual tooth, an impression is made and processed into our dental laboratory.  The lab will create a tooth designed specifically to fit in the space, and match the size and shape of the remaining healthy teeth.


Am I a Candidate for Dental Implants?

Are you missing teeth?  Then you are probably a great candidate!


With a dental implant, you will experience better health, a more comfortable bite, reduced chances of gum disease, improve your speech and a great looking smile.



Planning Implant Placement on 3D Stereolithographic Models

Planning Implant Placement on 3D Stereolithographic Models Applied with Immediate Loading of Implant-Supported Hybrid Prostheses After Multiple Extractions: A Case Series

Ian Aires, DDS/Joel Berger, DDS, MD

Purpose: The aim of this noninterventional, retrospective case series was to evaluate the outcome of immediately loaded implants in patients with failing dentitions that require bone tabling using a bone reduction guide and a surgical guide manufactured directly on three-dimensional (3D) stereolithographic models. Materials and Methods: Consecutive patients with failing dentition and at least two remaining teeth who were treated in a single center between December 14, 2009 and September 23, 2013 were eligible. All patients receiving implants loaded with a hybrid prosthesis on the same day as extraction with their surgery planned on 3D models and performed using a surgical guide manufactured in a laboratory on the planning model were included. Patients who had undergone bone grafting procedures were excluded. Descriptive statistical analyses of available data were performed, including life-table calculations to derive a cumulative survival rate (CSR). Results: Two hundred twenty-eight patients (105 females and 123 males) received 1,657 implants (NobelActive) in 321 arches, in most cases 5 implants (range, 5 to 7) per arch. Ten preexisting implants were used. The mean insertion torque was 60.02 ± 13.1 Ncm (range, 15 to 75 Ncm). The definitive abutment was placed on the same day as surgery in all cases, and the definitive prosthesis (n = 304) was delivered after a mean of 7.9 ± 2.6 months. All implants were followed for 20.01 ± 11.3 months (range, 0 to 52 months) from implant insertion. Four implants (3 patients) had delayed loading, and one implant was left as a sleeping implant. Eight implants among six patients failed, two of the implants after prosthesis delivery. The CSR of the placed implants was 99.4% at implant level and 96.2% at patient level. Conclusion: Planning on 3D models to remove bone and place implants using custom-made bone reduction and surgical guides with immediate loading on the same day as extraction of remaining teeth was safe and effective for implant survival and rehabilitation of patients with periodontitis and failing dentition. 

Find Out Why You Might Need a Dental Implant and What to Expect if You Get One


Most people think of dentures when they think of missing teeth. Dentures have been used for more than 2,000 years, with the first being wooden. So it is no surprise that those are the first thing a person thinks of when they have a missing tooth. However, there are still issues with dentures, including the ability to move around when the person is talking or eating, so many people might want to look for a more permanent solution for their teeth. They may also only have one tooth that's missing, so a Dental Implant might be a better choice.

Why Are Implants Necessary?

When a person has missing teeth, they have a gap in their smile. Many people don't like this for aesthetic reasons, but it goes beyond that. When a person is missing their teeth, the remaining teeth can move to take up the space. When this happens, their teeth no longer fill the jaw and they might have issues with their jaw as a result. Along with these issues, a person will often find it's difficult to eat certain foods without all of their teeth.

A tooth implant is often preferred over dentures because it's permanent and can replace a single tooth. The tooth will be installed in the person's jaw and will completely replace the missing tooth. Then, the person won't have to worry about their smile or about what they want to eat for dinner. It acts just like the person's original teeth.

What is the Process for Implants?

In the past, implants took a while to be put in. The person would need to have the rods inside the implants placed first, allow time for the jaw to heal (generally six weeks), and then return to the dentist to have the implants placed on the rods. However, now it's possible for the person to get the replacement teeth on the same day, and they can even have up to six teeth implanted during one appointment.

The person may first need to see a periodontics specialist. These dentists specialize in the treatment of diseases in the teeth and can help ensure the person's teeth are able to be removed and replaced without issues. Any diseases will need to be cured before the implants can be placed. Next, the person will need to see a prosthodontist. This dentist specializes in the restoration of teeth, including implants. They will take the following steps to remove damaged teeth and replace them with implants.

  • The first step is the pre-planning step, where there will be a 3-D model designed of the person's teeth and then a surgical guide created from that. This helps them ensure the teeth they are creating will fit perfectly where the missing teeth are. The last step for the pre-planning is to actually create the new teeth.
  • At the appointment for the implants, any damaged teeth will need to be extracted first. This is done carefully and with numbing to eliminate the pain a person might feel.
  • After the teeth are removed, if any need to be, the rods will be inserted into the person's jaw to anchor them. This is done using the surgical guide.
  • On the same day, and immediately after the rods are inserted, the new teeth will be permanently attached to them. The person now has their smile back, but they will want to wait a little longer before eating their favorite foods. It's recommended they stick with a soft diet at first to let the jaw heal from the surgery.

If you have at least one missing tooth or you have tooth pain that is severe and means you'll need to have one or more teeth removed, you're going to want to look into implants to see if this could be a solution for you. While they aren't perfect for everyone, it's a good idea to speak with your dental professional at PermaDontics to learn more about your implant options.

PermaDontics Dental Implant Team Attends KCBQ Radio Day with an Expert

The dental implant team at PermaDontics exhibits at the KCBQ “Day with an Expert” event at the San Diego Hall of Champions.  Dr. Ian Aires, Prosthodontist, presented PermaDontics Same Day Teeth Procedure at a seminar.  Attendees learned about PermaDontics’ innovative Same Day Teeth dental implant procedure.- -  The dental implant team at PermaDontics exhibited at the KCBQ “Day with an Expert” event at the San Diego Hall of Champions on April 18th.  Dr. Ian Aires, Prosthodontist, presented PermaDontics Same Day Teeth Procedure at a seminar during the day.  Attendees learned about PermaDontics’ innovative Same Day Teeth dental implant procedure.

DoctorsThe PermaDontics team was on hand throughout the day to meet with attendees and answer any dental implant questions they had.

“We were looking forward to being at the Hall of Champions for this event,” said Dr. Ian Aires, Prosthodontist and co-founder of PermaDontics.  “Any opportunity we have to meet with San Diegans and tell them about our Same Day Teeth dental implant procedure is welcome.”

Attendees of the PermaDontics Same Day Teeth presentation were given the opportunity to book private consultations with the PermaDontics dental implant team.  In addition, they are eligible for valuable discounts good towards their Same Day Teeth dental implant procedures.

“If you are suffering from missing or decaying teeth, or if you are enduring an uncomfortable denture, but are unable to attend this event,” said Dr. Joel Berger, oral surgeon and co-founder of PermaDontics, “we will be having another seminar at PermaDontics at 12:30PM on May 6th.  We will also be extending our special “A Day with KCBQ and the Experts”  discounts to prospective dental implant patients at that seminar.”

PermaDontics is located at:

8008 Frost Street, Ste. 300

San Diego, CA 92123

What are Snap-on Dentures?

Whenever possible, it is best to save as many of your natural teeth as possible. Your natural teeth are not only a cosmetic asset, but a functional necessity as well. When it has become impossible to save your natural teeth, the best solution is typically the one that most closely mimics them. To closely mimic the natural teeth, your tooth replacement option must be:


Prosthodontist Dr. Ian Aires to Present PermaDontics’ Same Day Teeth Procedure at International Congress of Oral Implantologists

  This February, Dr. Ian Aires, Prosthodontist and co-founder of PermaDontics, Southern California’s Premier Dental Implant Center will be presenting the innovative Same Day Teeth procedure at the International Congress of Oral Implantologists, or ICOI.  Joining him will be his fellow PermaDontics co-founder, Dr. Joel Berger, Oral Surgeon.


La Jolla Dental Implants are Freeway Close


La Jolla Dental Implants

  Swollen and bleeding gums are early signs of periodontal gum disease. 
Access to PermaDontics is an easy trip from La Jolla down the 52 to the 805 and off at Mesa College.

Ask for your own personalized free consult!

Why Should I Replace a Missing Tooth?

A missing tooth is more than just a cosmetic concern. Even a single missing tooth affects more than just your smile. Lacking one or more teeth impacts your self-esteem and confidence, the shape of your facial profile, and even the foods that you eat.


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