1 WHAT ARE DENTAL IMPLA dental implant is an artificial tooth root placed into the jaw to hold a replacement tooth, bridge, or denture in place. The implant acts as a post that fuses to your own bone and then attaches to an artificial tooth or teeth. Dental implants have been used successfully for many years. o Dental implants involve two phases:o Surgical placement of the implanto Placement of the post and crown on the implant.

2 WHO SHOULD I SEE FORChoosing the right Dr. to perform your dental implant surgery is essential. Improperly placed implants can cause the final restorations to look unnatural, possibly necessitating the surgery be done a 2nd time at added cost and expense.

WHAT ARE DENTAL IMPLANTS? A dental implant is an artificial tooth root placed into the jaw to hold a replacement tooth, bridge, or denture in place. The implant acts as a post that fuses to your own bone and then attaches to an artificial tooth or teeth. Dental implants have been sed successfully for many years. Dental implants involve two phases: Surgical placement of the implant lacement of the post and crown on the implant.

WHO SHOULD I SEE FOR IMPLANT TREATMENT? Choosing the right Dr. to perform your dental implant surgery is essential.

placed implants can cause the final restorations to look unnatural, possibly necessitating the surgery be done a 2nd time at added cost and

A dental implant is an artificial tooth root placed into the jaw to hold a replacement tooth, bridge, or denture in place. The implant acts as a post that

Choosing the right Dr. to perform your dental implant surgery is essential.

placed implants can cause the final restorations to look unnatural, possibly necessitating the surgery be done a 2nd time at added cost and

Many general dentists attend a weekend course and then offer dental implant placement to their patients. After dental school, oral surgeons attend another four years of training, often at a hospital, called a residency. During this residency they gain important hands-on experience placing dental implants. Dr. Pastorino works closely with a specially chosen Oral and Maxillofacial Surgeon and Periodontist who specialize in creating the firm support required of an implant. Together with the specialist, Dr. Pastorino will carefully develop a treatment plan for each case. Since Periodontists and Oral Surgeons are the dental experts who specialize in both gum and bone surgery in the mouth, they have the special knowledge, training, and facilities needed to produce a customized esthetic implant tailored to your individual needs. Periodontists also have the experience to rebuild lost tissue which can allow successful implant placement even in patients who have been told that they are not implant candidates – Just as a house or building is built from the foundation up – the success of dental implants depends on a strong foundation in bone.

Periodontists are dentists who deal with the foundation (roots or implants). The foundation must be strong in order for the crown of the tooth to be placed on firm support. Dr carefully chosen the best Oral Surgeon and Periodontist in Perth to work together to achieve the most optimal results possible for each and every patient. When the implant has been placed in its optimal position and the soft tissues have healed Drcommence the reconstruction of the new tooth/teeth or implant supported bridge.

3 WHAT ARE DENTAL IMPLThere are three basic uses for Dental Implants: 1. As an artificial root for a 2. As anchors for a fixed or removable prosthesis to 3. As anchors for a full bridge or full denture to

instead of a regular removable denture Alternatives to dental implants have historically included dental bridges and dentures. Typically, conventional and cantilever bridges require shaping/grinding of the healthythen placed on the shaped teeth andpontic).

Periodontists are dentists who deal with the foundation (roots or implants). The foundation must be strong in order

tooth to be placed Pastorino has

carefully chosen the best Oral Surgeon and Periodontist in Perth to work together to achieve the most optimal results possible for each and every patient. When the implant has been

position and the soft tissues have healed Drcommence the reconstruction of the new tooth/teeth or implant supported

WHAT ARE DENTAL IMPLANTS USED FOR? There are three basic uses for Dental Implants:

As an artificial root for a single tooth replacement. As anchors for a fixed or removable prosthesis to replace multiple teethAs anchors for a full bridge or full denture to replace all of your teeth

lar removable denture

Alternatives to dental implants have historically included dental bridges and Typically, conventional and cantilever bridges require

shaping/grinding of the healthy teeth surrounding a missing tooth. Crowns are on the shaped teeth and attached to an artificial tooth (called a

Periodontists are dentists who deal with the foundation (roots or implants).

position and the soft tissues have healed Dr Pastorino will commence the reconstruction of the new tooth/teeth or implant supported

replace multiple teeth. replace all of your teeth

Alternatives to dental implants have historically included dental bridges and

teeth surrounding a missing tooth. Crowns are attached to an artificial tooth (called a

Because dental bridges do not place any load on the underlying bone, the bone has a tendency to melt away, a natural process called resorption. This can negatively affect the healthy teeth that remain in the mouth. The more traditional way to solve the problem of missing teeth is to use dentures. In the distant past, dentures have been made from ivory, bone, and porcelain. Although modern plastics allow dentists to provide dentures that are a little more comfortable, many patients still complain from denture pain, especially those patients with a full set of lower dentures. Denture wearers can suffer from pain, discomfort and slippage. Dental implants have been developed to address the less than ideal characteristics of dental bridges and dentures.

4 WHAT ARE THE BENEFITS OF DENTAL IMPLANTS? With the exception of your natural teeth, nothing looks more natural than an implant. Dental implants are so natural looking and feeling, you may forget you ever lost a tooth. Dental Implants are: ESTHETIC • Dental implants look and feel like your own teeth • Dental implants prevent bone and gum tissue loss that can happen with regular bridges

• Dental implants are the most advanced tooth replacement system available today

• Dental implants preserve the jawbone, which can prevent premature aging and that “sunken-in” look

• Dental implants don’t require cutting down good teeth so a bridge, crown or cap can be placed on them

• Dental implants never develop decay • Dental implants never require root canals • Successful dental implants provide as strong a bite as a natural healthy tooth • More than nine out of ten implants last longer than 15 years • Implants will allow you to eat the food you desire without having to worry about wobbles or clicks and using glues or adhesives

• There is no age limit to those who can receive dental implants. In fact we have successfully placed dental implants in patients ranging in age from 18 yrs – 90 yrs!

• Research has shown similar success rates regardless of age

Most people with a missing tooth or teeth can have dental implants. There is no age limit to those who can receive dental implants. Research has shown similar success regardless of age. Dr. Pastorino and her OPeriodontist specialize in rebuilding lost tissue and with patients with a variety of medical conditions so even if you think you cannot receive a dental implant, please contact the surgery for a free screening and implant evaluation. Dr. Pastorino uses the most up to date implants which result in a decreased healing time. In many cases you can receive your replacement crowns in just a few weeks, or in some cases on the same day the implants are placed. For a free consultation please contact our Dr. Pastorino at the Colonnade Dental Centre on (08) 9380 for information regarding dental implants

5 WHO IS A CANDIDATE FNo matter your age, young or mature adult; no matter whether you need to replace one tooth, several that we can develop for your specific needs. While growing children are the obvious exception, dental implantschoice for people of all ages, even those with the

Most people with a missing tooth or teeth can have dental implants. There is no age limit to those who can receive dental implants. Research has shown similar success regardless of age. Dr. Pastorino and her Oral Surgeon and Periodontist specialize in rebuilding lost tissue and have had with patients with a variety of medical conditions so even if you think you cannot receive a dental implant, please contact the surgery for a free screening

implant evaluation. Dr. Pastorino uses the most up to date implants which result in a decreased healing time. In many cases you can receive your replacement crowns in just a few weeks, or in some cases on the same day the

consultation please our Dr. Pastorino at the

Colonnade Dental Centre on (08) 9380 for information regarding

WHO IS A CANDIDATE FOR DENTAL IMPLANTS? No matter your age, young or mature adult; no matter whether you need to

tooth, several teeth or all your teeth, there is a dental implant plan your specific needs. While growing children are the

obvious exception, dental implants are the tooth replacement solution of choice for people of all ages, even those with the following health concerns:

Most people with a missing tooth or teeth can have dental implants. There is no age limit to those who can receive dental implants. Research has shown

ral Surgeon and training to deal

with patients with a variety of medical conditions so even if you think you cannot receive a dental implant, please contact the surgery for a free screening

implant evaluation. Dr. Pastorino uses the most up to date implants which result in a decreased healing time. In many cases you can receive your replacement crowns in just a few weeks, or in some cases on the same day the

No matter your age, young or mature adult; no matter whether you need to teeth or all your teeth, there is a dental implant plan

your specific needs. While growing children are the are the tooth replacement solution of

following health concerns:

Existing Medical Conditions. Most people who have routine dental treatments performed can generally have dental implants placed. We will take the necessary precautions for certain conditions, however, patients with chronic diseases such as hypertension and diabetes and even osteoporosis may be successful candidates for dental implant treatment.

Gum Disease or Problem Teeth. Almost all implants placed in patients who have lost their teeth to periodontal disease or decay have been successful. Currently Wearing Partials or Dentures. Implants can replace removable bridges or dentures, or they can be used to attach and stabilize the denture, making it much more comfortable and secure. Bone Loss. Bone loss is common for people who have lost teeth or had periodontal (gum) disease. With no tooth to “stress” the bone it will eventually resorb or melt away. Bone grafting procedures can be undertaken to ensure an implant can be secured safely and permanently. Implant tooth replacement in children is usually deferred until their jaw growth is complete. There are, however, some instances when a dental implant may be appropriate, such as when it is part of the child’s orthodontic treatment plan. We will partner with your family dentist or orthodontist to guide you in this instance.

6 ARE DENTAL IMPLANTS SAFE? Dental implants are amongst the safest and most successful implantable medical device. Implant placement is an invasive technique but is usually minimally invasive and can be administered with a local anaesthetic, twilight anaesthetic or general anaesthetic. The success of dental implants is typically in the upper 90 percentile.

7 DO DENTAL IMPLANTS WORK? The high success rate of dental implants is well documented in the world's scientific literature. Over the last 20 years Dr Pastorino’s Oral Surgeons and Periodontist colleagues, apart from her own patients have played an integral role in surgically placing and tracking a large number of implants. These implants then had crowns and dentures placed on them by a wide variety of excellent restorative dentists in our dental community. The overall survival rate over the years has been around 97%. These results are reflected in many publications worldwide and are further evidence of the predictability of dental implants.

8 WHAT IF I AM A SMOKER? Smoking does lower the success rate of implants, and generally makes healing from any oral surgery procedure more difficult. It doesn’t, however, eliminate the possibility of getting dental implants.

9 WHAT ARE COMMON COMPLICATIONS OF DENTAL IMPLANT SURGERY? As with any surgery, there are inherent risks to dental implant surgery. However, at the hands of a skilled Oral and Maxillofacial Surgeon a very low incidence of complications can be expected. The most common complication due to dental implant placement is swelling. There is also a small risk of infection at the surgical site and the possibility that the dental implant will not osseointegrate. These risks can be mitigated with proper oral hygiene and following your surgeon’s instructions.

10 WHAT DOES THE CONSULTATION CONSIST OF? The consultation is a meeting where we will decide together if dental implants are the right treatment option for you. Typically you will come in to our dental practice and fill out the patient history paperwork.

Then you will meet with Dr Pastorino to go over your history and any other medical questions they may have. To further determine your suitability for implant treatment you will need to have either a CAT scan or Cone Beam, and also an OPG. This will allow both Dr Pastorino and the Oral Surgeon to view your situation in 3 D. Together they can then determine which treatment plan is the best option for you. If there is insufficient bone or soft tissue in your edentulous areas you will be told of bone grafting and soft tissue grafting options that may be suitable for your case.

11 WHAT ELSE IS IN THIS PROCESS? After meeting Dr Pastorino and getting the proper images you will then have a consultation with the Oral Surgeon or Periodontist who will talk you through the procedure, answer any questions you may have and actually start to create your custom treatment plan. Finally, you will have your appointments set up and will discuss financial and reimbursement arrangements.

12 HOW ARE DENTAL IMPLAFor most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first two to four following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during thisnew replacement teeth. After the implant has bonded to the jawbone, the second phase begins. Oral Surgeon will uncover the implants and attach small posts that protrude through the gums and will actanchors for the artificial teeth. When the artificial teeth are plawill not be seen.

13 HOW LONG WILL THE PRThe entire procedure usually takesminimal disruption in their daily life.

HOW ARE DENTAL IMPLANTS PLACED? For most patients, the placement of dental implants involves two surgical

First, implants are placed within your jawbone. For the first two to four surgery, the implants are beneath the surface of the gums gradually

jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your dentist is forming

After the implant has bonded to the jawbone, the second phase begins. The

uncover the implants and attach small posts that protrude through the gums and will act as anchors for the artificial teeth. When the artificial teeth are placed, these posts

HOW LONG WILL THE PROCESS TAKE? The entire procedure usually takes six to nine months. Most patients experience minimal disruption in their daily life.

For most patients, the placement of dental implants involves two surgical

First, implants are placed within your jawbone. For the first two to four months surgery, the implants are beneath the surface of the gums gradually

jawbone. You should be able to wear temporary dentures time. At the same time, your dentist is forming

ced, these posts

months. Most patients experience

14 WILL DENTAL IMPLANT PLACEMENT HURT? During the actual surgery you will either be sedated or we will administer local Anaesthesia, or you can choose to have a general anaesthetic. Our patients typically report little to no discomfort during the dental implant placement. Most patients can manage any post-surgical pain they may experience with over the counter pain medications.. You will leave our office with detailed instruction on post care of your new dental implants, including pain management should you need it.

15 WHAT IS A BONE GRAFT AND WHY WOULD I NEED ONE? A dental bone graft is sometimes required when there is not enough bone to support the implant. Often, over time and when a tooth is missing, the underlying bone has a tendency to resorb, or melt away. When there is not enough bone to support the implant our Oral Surgeon or Periodontist will perform a bone graft procedure along with the dental implant placement. With modern technology, we have the ability to regenerate that lost bone to provide enough bone to support an implant. There are many materials available with unique advantages for different applications.

16 WHAT IS THE RECOVERY PERIOD? With any surgery, the recovery period varies depending on the procedure and individual patient tolerances. When multiple implants are placed, the question can be answered as follows: � Prescription pain medication is usually necessary for 2-3 days � Swelling associated with the procedure varies but usually peaks within 24-

36 hours then steadily returns to normal in 3-5 days � Patients are often able to return to work 2-3 days following the surgery if

facial swelling is not a concern � Normal physical activity and exercise can also resume at about the same

time � based on personal tolerance � For single implant cases, there is generally no swelling, a minimum of pain

requiring pain medication the day of the procedure only, and patients are able to return to their normal routine the following day. In both cases, slight tenderness in the oral tissues may persist for 1-2 weeks as the tissues fully heal.

17 DO DENTAL IMPLANTS REQUIRE SPECIAL OR COMPLEX CARE? Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Savacol mouth rinse before bed. The day after surgery, the Savacol should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out.

Warm salt-water rinses (one teaspoon of salt in a cup of warm water) should be used at least four to five times a day, as well, especially after meals. After your implants have been restored and a crown has been placed it is important to practice excellent oral hygiene. Care of a restored dental implant is much like care for your natural teeth. Colgate Toothpaste has created an online guide to caring for dental implants. You can find that HERE. Additionally, Dr Pastorino has a long term implant care system in place. Annual visits help ensure a problem free future with implants! Click here for a Colgate publication on Dental Implant Care (WELLSITES ADD LINK)

18 HOW LONG WILL DENTAL IMPLANTS LAST? With proper care and maintenance you can expect to keep your dental implants for a lifetime.

19 HOW MUCH DO DENTAL IThe average cost of a single tooth dental implant placement implant abutment and crown

20 DOES DENTAL INSURANCIMPLANTS? Insurance companies are starting to recognize dental implants as the standard of care and, as such, cover some of the costs.it is our policy to collect the fees for implant patients. However, we are happy to submit any and all forms to your insurance company on your behalf. They will then reimburse your directly as per yindividual level of coverage.

The Colonnade Dental Centre t: 08 9380 4700 e:

HOW MUCH DO DENTAL IMPLANTS COST? single tooth dental implant placement and dental

implant abutment and crown starts at $6,000 (2012 fees).

DOES DENTAL INSURANCE COVER PAY FOR DENT

Insurance companies are starting to recognize dental implants as the standard as such, cover some of the costs. At the Colonnade Dental Centre

it is our policy to collect the fees for implant restoration directly from ourpatients. However, we are happy to submit any and all forms to your insurance

on your behalf. They will then reimburse your directly as per ycoverage.

The Colonnade Dental Centre t: 08 9380 4700 e: info@colonnadedental.com.au

and dental

E COVER PAY FOR DENTAL

Insurance companies are starting to recognize dental implants as the standard the Colonnade Dental Centre

directly from our patients. However, we are happy to submit any and all forms to your insurance

on your behalf. They will then reimburse your directly as per your

info@colonnadedental.com.au