Dental Implants

What are Dental Implants?

They are basically the replacement of a root that works as the support of a Dental Crown.

What type of materials are Dental Implant made of?

There are two kinds of materials, Titanium and Zirconia

Why Zirconia Implants are better than Titanium implants?

The main advantage of the Zirconia Implants is the aesthetic since the zirconia is white. The brand that we use is Straumann & their zirconia Implant is called Pure, These type of Implants were introduced into dental implantology as an alternative to Titanium Implants. Zirconia seems to be a suitable implant material because of its toothlike color, mechanical properties, biocompatibility, and low plaque affinity. The aim of this study is to review clinical and research articles conducted on Zirconia Dental Implants, compare them with titanium dental implants, and provide information on zirconia dental implant osseointegration and mechanical strength.

Can a Dental Implant fail?

Titanium and Zirconia are biocompatible materials, so the success rate of Dental Implants is of 98%. In a great measure, it depends on the proper care given during the process of Osseointegration which is the bonding of the Implant with the existing bone.

How many visits do I need to make to place a Dental Implant?

The process takes from 3 to 4 visits, depending on the case. 

What brands are the implants used?

We work with 3 brands: STRAUMANN (Switzerland) MIS (Israel) and DITRON (Israel)

Does the Dental Implant Surgery hurt? 

For the placement of Dental Implants we use Local Anesthesia, you won’t feel anything during the process. For patients who are a bit nervous, we give them a tranquilizer that calms the brain and nerves. And in cases where patients can’t control their nerves, we use IV Sedation.

All on 4, 6

Do I have to pay everything up front? 

Once the treatment plan is agreed, 70% is required and the other 30% will be paid on the second visit which is in 4 months.

Can an All on 4 be upgraded to an All on 6? 

If the patient has enough bone it can be upgraded, but the inconvenience with that is that the prosthesis has to be redone due to the fact that the additional implants can't be attached to the old prosthesis.

Can I eat everything with All on 4? 

Due to the resistance, stability, and strongness that the Implants give to your bite, you can eat with confidence.

What is the difference between All on 4 and All on 6? 

The key difference is resistance. Having more implants always improves the strongness of your bite and the support of the dental bridgework, as we explained before 4 implants are the minimum of implants to do a fixed denture, in fact all on 4 procedure was design with that purpose to save money to patients who want a fixed solution using just 4 implants, avoiding bone grafts on the posterior region of the jaws, but if the patient has enough bone and budget to place 5,6,7 or 8 implants the treatment would have a better outcome.

Snap-on Dentures

What is the difference between Snap-on Dentures and All on 4? 

Snap On Dentures are removable prosthesis over implants and it can be done either over 2 or 4 implants, it has advantages like the price (cheaper than allDentures are removable prosthesis over implants and it can be done either over 2 or 4 implants, it has advantages like the price (cheaper than all on 4) the patient can clean under the dentures because they can remove them, while All On 4 requires a minimum of 4 implants, this denture is screw retained to the implants (fixed) it needs more skills to maintain it clean and the patient needs to visit the dental office because just the dentist can remove it for it periodical maintenance which is recommended once a year at least.

Can a Snap-On be upgraded to an All on 4? 

In certain cases the treatment can be upgraded from snap-on to all on 4, but first of all it depends on the position that the implants were placed (as posterior as the sinus cavity or the bone jaw allow) that means that in some snap-on cases the implants have a position more anterior than the fixed dentures requires because the snap-on denture rest above the gum and implants and the All on 4 Dentures rest just over the implants. It can't be that long cantilever through the back, in some cases the implants are tilted on purpose to reach the more posterior areas of the jaw for the all on 4 procedure this is required to avoid sinus lift or extensive bone graft procedures, so if the implants do not have this distribution it can't be upgraded from snap-on to all on 4.

Dental Crowns

What type of materials are there for Dental Crowns? 

Porcelain Fused to Metal, Zirconia, Emax, Empress, and others.

In how long will I have the Crown? 

The first visit is for the impressions and the second we place the Dental Crown. It usually takes 5 days.

Root Canal

What is a Root Canal?

It's a treatment to repair and save a damaged or infected tooth. The purpose of a root canal treatment is to save a tooth and restore its structure.

The procedure involves removing the nerve of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it whit a special material. The common causes affecting the pulp are cracked teeth, a deep cavity, repeated dental treatment to the tooth or trauma. In many situations, this is the treatment that relieves pain, when we talk about tooth-related pain. Root canal treatments need to be efficient, predictable and ideally single-session.

How many appointments are necessary for this treatment?

This is something that depends on the conditions of the affected tooth, normally it’s a single session treatment but in some cases, its required to apply intra-canal medication first and then finish the treatment on a second appointment, in the rarest cases even 3 appointments are required to reduce the infection on the roots.

How long does the treatments session last?

From 35 minutes to 2 hours depending on difficulty level.

Is it painful?

The treatment is performed under local anesthesia which it’s a painless procedure, also its completely normal to have mild post-operatory sensitivity, but it would fade away after 3 days.

Are X-rays required for this treatment?

Yes, one is for diagnosis and the others are during the procedure and follow up.

What if the treatment fails? Do I have any options?

Yes, normally we re-treat the canals of the tooth removing the bacteries & sealing the tooth again, some cases requires a surgical to remove the infected part of the tooth commonly the apex (tip of the root) this is called Apicoectomy or we have the alternative for dental implants.

Is there any other procedure that follows up after a root canal?

Yes, in some cases we reconstruct the affected area with a post and composite (filling) or a crown when the tooth is really affected.

Other Procedures

What is a Sinus Lift?

The sinus lift procedure is basically a surgery that put bone graft material in the maxillary sinus floor to increase the height & the width of bone of the posterior jaw.

What is the Maxillary Sinus?

Also called sinus cavity is an anatomic structure in the upper jaw on both sides of the nasal cavity, it has mainly a breathing function like: secretion of mucosity, the warming of the air, but also it has a very close relationship with the roots of the upper posterior teeth & when we lose them the remaining bone is not enough to collocate implants, then is when we need a sinus lift

How do I know that I need a sinus lift?

Most of the person who lost their upper posterior teeth will need a sinus lift procedure especially if the lost teeth are the molars, the way to determine if the patient needs the sinus lift is a 3DCtscan or at least an Xray to evaluate the position of the sinus floor.

Wisdom Tooth Extraction

How much cost a wisdom tooth extraction?

The wisdom tooth is one of the more frequents issues that bring patients to our office, the cost depends on the complexity of the extraction which is evaluated with an X-ray or 3DCtscan it start at $80 USD up to $350 USD.

Is there risks involved in the wisdom tooth surgical extraction??

Any oral Surgery or dental extraction has risks involved when we talk about the wisdom tooth, if it has a problem like decay, periodontal disease, wrong position (against the neighbor tooth) relationship with a cyst or lesion the tooth itself represent a bigger risk than the surgery.

Which are the risks of the wisdom tooth extraction?

DDS Jacobo Zuniga has a lot of experience in the area, he is very careful, but the risk is still present, the close relationship of the wisdom teeth with the neighbor anatomic structures like the Maxillary Sinus in the upper Jaw & The Mandibular Nerve Canal in the bottom jaw, increase the possibility of damages to this structures, in the top the tooth can get into the sinus cavity by the time that is attempt to be removed, when we talk about the bottom tooth the injure of the nerve canal can cause lost of the sensitive  it can be temporary or permanent, by the way, we haven't have those complications, maybe due to the fact that we minimize the risks & we don't take cases that we can not solve, these are attended by a maxillofacial surgeon at our office if is required.

Appointments

Do I need to schedule an appointment?

We ask our patients to schedule an appointment days before to avoid waiting time. If the patient is foreign, we recommend scheduling 15 days before the visit. 

Where are you located?

Our dental clinic is located in Tijuana's Downtown at half a mile from the border. Close to the clinic, we can find COSTCO, APPLE BEES, T.G.I. FRIDAY'S.

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