PermaDontics - PermaDontics

Dental Implants Lecture #1:  Introduction to PermaDontics and our Doctors

Text for Dental Implants Lecture #1 (below)

As leading dental professionals, Dr. Aires and Dr. Berger want to provide the public with an in-depth understanding of dental implants.   Learning this information will assist you in making a more informed decision as to what treatment plan would be most suitable for your specific dental problem.  This video will also address which dentist should perform the restoration process utilizing dental implants.

At PermaDontics, both Dr. Aires and Dr. Berger are very experienced, well-known and respected in their field.

Dr Aires graduated from The Boston School of Graduate Dentistry in 1981 as a Prosthodontist.

A Prosthodontist is a dentist who has at least 2 years of additional formal training in the restoration of missing or broken teeth.

Dr Aires began restoring implants in 1982. He been teaching and educating other fellow dentists in how to restore dental implants since 1985.

Dr Aires and Berger have worked together for over 27 years in San Diego. They have lectured nationally and internationally on dental implants with an emphasis on same day implants. They have also published their studies on "Same Day Teeth" in dental journals such as the "California Dental Journal" and in the "International Journal of Implant Dentistry."

Dr. Aires:

If you're missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did.


Dental Implants Lecture # 2:  How Implants Work

Text for Dental Implants Lecture #2 (below)

Implant Dentistry:  How it Works

Dr. Aires:

Oftentimes when I first meet a patient who comes into our offices at The Permadontics Center, they don't know what a dental implants is.

This talk is to help answer the basic questions I'm asked about the development of dental implants and how they have now become a permanent solution in the replacement of missing or broken teeth.

A dental implant is a precision-made metal screw that is inserted into the jaw bone. The screw does not replace teeth, it replaces the root of the tooth. The screw is usually made from titanium. Titanium is a noble metal that has been shown to react very well in the human body.

The original research on titanium was carried out by Professor Branemark in Sweden in the late 1970's and early 1980's. He demonstrated that bone will attach itself to titanium if the titanium screw is left undisturbed for a period of 3 to 6 months. At the time, a new word was coined for this process: Osseointegration". Simply stated, it is the fusing of bone to the implant. From there the modern, present-day dental implant followed his research.

The first of these implants were introduced to North America in Canada in 1984.   Dr Joel Berger,  co-founder of the PermaDontics Center and I were the first dentists in San Diego to travel to Canada to learn about this new implant. By 1985 we were inserting and restoring these implants here in San Diego.

At the PermaDontics Center we work as a team. Dr Berger, the Oral Surgeon inserts the implants and I, the Prosthodontist, restore the dental implants with permanent teeth. The success rate of our dental implants has been extremely high. Implant retained crowns have proved to be more successful than crowns cemented on natural teeth.

The dental implant or screw, once embedded in the bone, becomes the anchor or the support for a tooth. The tooth is either cemented or screwed onto the implant to act as a permanent tooth. This tooth will feel and function like your own tooth and should last many years.  When a dental implant restoration is constructed properly, neither the patient nor anyone else should be able to tell that the tooth is supported by an implant. All you will see will be the tooth and a great smile.

We have found that in our many years of practice that our patients who come in with missing teeth, problem teeth or issues with their dentures have, after implant surgery, left here the same day with a smile on their faces surprised by how easy and remarkable the whole process is.

If you're missing teeth or have problem with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did.


Dental Implants Lecture # 3:  Am I a Candidate?

Text for Dental Implants Lecture #3 (below)

Implant Dentistry:  Am I a Candidate?

Dr. Aires:

In my experience most people I see in our practice are good candidates for dental implants.

Age is not a factor.   I've seen patients as young as 17 and as old as 94 that have successfully received implant surgery at our PermaDontics Center.

There are a few patients that do have certain health considerations when planning for implant surgery.

If you have a severe debilitating disease or have uncontrolled diabetes, you will require medical treatment first before an implant can be inserted. Also those patients, who are on high doses of cortisone, will need to taper off the cortisone before the implants can be placed.  Those patients who are on blood thinners will be required to stop the medication for one or two days before the implants are inserted.

Oftentimes, dentists have told their patients that they lack sufficient bone to have the dental implants placed.

At the PermaDontics Center we have a CT scanner.

The images from the scan will determine the bone quality and quantity. Dr. Berger and I utilize the 3D scanner and can usually find sufficient bone to insert the implants.

For patients who have just a few teeth left or no teeth at all, we construct a pre-treatment plan utilizing a 3D stereolithic model fabricated from their jaws. We are then better able to position the implants in the available bone.

Implants are placed at an angle that maximizes the amount of bone that will surround the implant. We, therefore, are able to eliminate bone grafts in most cases. We have also vastly reduced the numbers of patients who need sinus lifting.

In some cases, if necessary, bone material can be placed at the same time that the implants are inserted. In a very small percentage of patients, bone grafting is needed prior to the implant insertion.

Dr Joel Berger, the Oral Surgeon here at the PermaDontics is known for his vast experience, expertise and innovative techniques to grow bone when necessary.  The 3D scanner allows us to determine the bone quantity and quality and in most cases, sufficient bone is found to insert an implant.

I oftentimes will meet new potential patients that have been told they are not good candidates for implant dentistry who actually can have this procedure performed.

So if you have any questions whether or not you're a good candidate you should come in for a free consultation to find out what your options are.  You may be pleasantly surprised.


Dental Implants Lecture # 4:  Same Day Teeth

Text for Dental Implants Lecture #4 (below)

Dental Implant Dentistry:  Same Day Teeth

Dr. Aires:

If a patient is missing many teeth or will be losing many teeth, we are able to insert 5 or 6 dental implants to support a full arch of replacement teeth. We are able to prevent any movement of the dental implants by joining them together immediately with a set of teeth designed in the shape of an arch.

The mechanical strength of the arch stabilizes the dental implants during the healing stages. We are able to extract any remaining teeth, insert the dental implants immediately and on the same day, attach a set of teeth that are permanently anchored to the dental implants.

Dr Berger, during the pre-treatment planning stage, does the insertion of the implants on the 3D model of the patient's mouth. Our in house Master Dental Laboratory technician then fabricates a surgical guide on the 3D model. The new teeth are also constructed during the pre-treatment planning phase.

On the day of the actual surgery any teeth that need to be removed are extracted, the dental implants are then inserted using the surgical guide and immediately on the same day the teeth are permanently attached to the implants.

We do recommend that our patients eat a relatively soft diet for the first 6 weeks to allow the initial bone healing to take place.

Dr Berger and I have published our studies on immediate loading showing a very high success rate of 98.4%. After wearing this provisional set of teeth, a definitive final set of teeth is fabricated to fit the new implants and the gum tissue. This final set of teeth comes with a Lifetime Guarantee from the PermaDontics Center.

At no time is it necessary for the patients to go without teeth or even to wear a denture. The patient leaves our PermaDontics Center in San Diego that very same day with new teeth and a smiling face.

If you're missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did.


Dental Implants Lecture #5:  Treatment Options and Choices

Text for Dental Implants Lecture #5 (below)

Implant Dentistry:  Treatment options and Choices

Dr. Aires:

Dental implant dentistry is not a one-size-fits-all kind of a practice.  In fact, we customize for each person who comes into our PermaDontics center. Each patient has different dental issues and we have several treatment options to them.

If a patient has several missing teeth or may soon be losing many teeth the best option is to replace the missing teeth with a permanent bridge attached to several dental implants.

A fixed set of teeth is attached to 5 or 6 dental implants. This feels and functions like your own teeth. These teeth are permanently attached, there is no movement of the teeth as they are rigidly attached to your dental implants. This treatment option is a treatment of choice for most of our patients. These patients feel whole again after losing their teeth.

This option comes with a Lifetime Guarantee and is highly recommended by us at the PermaDontics Center. These teeth need very little maintenance as they do not move.  In terms of maintenance, we recommend you have these teeth cleaned at least twice a year as you would your own teeth.

A second option we offer involves inserting 3 dental implants to support an over-denture.

An over-denture is essentially a denture that snaps onto the implants. We at the PermaDontics Center here in San Diego use attachments called "Locators" that connect the denture to the implants. These attachments eliminate the need for adhesives in most cases.

The dentures need to be removed for cleaning twice a day. These over-dentures are more stable than regular dentures but some minor movement does occur during function.

Therefore, it's possible for food particles to get lodged under the dentures causing gum irritation and pain. Because these dentures move slightly and because they need to be removed twice a day, the attachments do get loose in time and need to be replaced every 12 to 18 months. The dentures also need to be relined and refitted every 2 to 4 years.  This option requires new dentures to be made every 6-7 years.

The 3rd option involves inserting enough implants to support fixed crowns and bridges which are fabricated in 3 or 4 different sections to replace all the missing teeth in one jaw.  In order to accomplish this, the patients will usually require sinus lifting and bone grafts to allow us to insert at least 8 implants in the upper jaw and 8 in the lower jaw.

In the lower jaw it may be necessary to reposition the nerve to allow us to insert enough dental implants in the back part of the lower mouth. This particular treatment is substantially more expensive than the fixed 4 on 5 procedure as noted earlier.  It also involves more complex surgical procedures for the sinus lifting and bone grafting as well as the nerve repositioning.

We recommend this treatment for younger patients between the ages of 25 and 45 who come to us with more bone available for the insertion of at least 8 dental implants.

Missing teeth can also be replaced with dentures only without the use of dental implants.

We do not recommend this option as patients find it difficult to eat and function with dentures. Dentures can float around in the mouth and this movement can cause gum irritation and pain. Dentures do not have the same biting force as regular teeth. Patients with lower dentures, in particular, find it very difficult to function. Thirty percent (30%) of these patients do not wear the lower denture at all. An additional thirty percent (30%) have been shown to wear the denture only for chewing.

Whichever option you choose, make sure you are fully informed and choose what works best for you and your lifestyle.

If you're missing teeth or have problem with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did.


Dental Implants Lecture #6:  The PermaDontics Difference

Text for Dental Implants Lecture #6 (below)

Denatl Implant Dentistry:  The PermaDontics Difference

Dr. Aires:

I think that it's important to first understand that Dental Implantology is not a recognized Dental specialty. The recognized specialties in Dentistry are the following:

A Orthodontist specializes in the prevention and correction of irregular teeth.

A Endodontist specializes in the diagnosis, prevention, and treatment of the dental pulp, usually by removal of the nerve and other tissues of the pulp cavity and its replacement with suitable filling material called root canal therapy.

A Periodontist is a specialist who deals with the study and treatment of diseases of the periodontium or the gums.

A Oral surgeon is a specialist who deals with the surgical treatment or repair of various conditions of the mouth or the jaws and surgical treatment of any problematic or pathologic conditions of the mouth or the jaw.

A Prosthodontist specializes in the restoration of missing and broken teeth.

A Oral Pathologist is a specialist in the diagnosis of diseases of the mouth.

And a Paedodontist specializes in the care of children's teeth.

It's important to understand that because Implant dentistry is not a recognized specialty, any one of these specialists and or general dentists are legally allowed to insert and to restore dental implants. Therefore, the experience of the attending practitioners or doctors should be paramount in the mind of anyone considering having dental implants placed.

We have, through the development of PermaDontics, built an Implant Center exclusively designed to insert and to restore dental implants. Inserting a dental implant requires a surgical procedure. Therefore, we believe an Oral surgeon has the most surgical training, experience and expertise to enable him to safely insert a dental implant. We also believe an Oral Surgeon has the best understanding of the anatomical structures of the face and the mouth.

Restoring dental implants requires an in depth understanding of the bite (occlusion) especially when many teeth are being replaced. A Prosthodontist has the most training that relates to the understanding and reconstruction of the bite (occlusion). A Prosthodontist also has additional training in the aesthetics of the face and the mouth.  Therefore we feel that a Prothodontist is the best specialist to be restoring your teeth.

At PermaDontics we are proud of the experience we can bring to each and every patient that comes to our center.  We offer a unique combination of experience and success in the field of implant dentistry that you won't find anywhere else in San Diego.

If you're missing teeth or have problem with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did.


Public Dental Implants Lecture #7:  Why PermaDontics?

Text for Dental Implants Lecture #7 (below)

Denatl Implant Dentistry:  Why PermaDontics Center?

Dr. Aires:

At the PermaDontics Center in San Diego we have in house a very experienced Oral Surgeon and Prosthodontist who have been working together for over 28 years inserting and restoring implants.

Both the Oral Surgeon and the Prosthodontist have lectured and trained dentists nationally and internationally since 1985. We believe we have the most experience of any dental implant team in San Diego.

All of our full arch cases are pre-planned on a 3 D medical model of the patient's mouth. This very precise and detailed planning in advance insures a more efficient and quicker surgery time. Less surgery time equates to less swelling and less pain post-operatively.

Our full arch restorations are planned with at least 5 and sometimes 6 dental implants. Our success rate using at least 5 implants are extremely high. It helps to assure greater stability of our patient’s new teeth.

We are aware that some dental practitioners use only 4 dental implants to restore a full arch of teeth. We believe this is a short cut that can lead to potential overloading of the dental implants that can result in the failure of the restoration.

For our full arch restorations we use a board certified anesthesiologist who sedates our patients who are asleep for the duration of the surgical procedure.

We also have a hospital grade operating room with full back-up capabilities for your safety.

We offer our full arch patients a Lifetime Guarantee for labor and materials on each of the full arches that we fabricate and place.

Our fees are very comparable and sometimes less than other specialists and general dentists despite offering our patients each of the PermaDontics Differences as noted.

Experience the difference in Dental Implant Dentistry...  at the PermaDontics Center in San Diego.

If you're missing teeth or have problem with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You'll be glad you did..

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