Dental Implant Therapy

(refer to Dental implant section for more details)

Implant therapyis dentistrys best solution to replace a single missing tooth to a full complement of teeth. This treatment is routine and predictable. It gives a person what they once had in a manner that is permanent and like ones original teeth. This is accomplished in a way that restores an individuals confidence with the esthetics and the functional demands a person expects from permanent teeth (See section on dental implants).

ISQ : Implant Stability Quotient

Implant treatment is one of the most predictable dental therapies, with near-perfect success rates. However, the nature of the treatment is evolving. Today, more patients ask for immediate loading of their implants. And patients who in the past might not have been candidates for implants ask to be treated, too.
This naturally puts greater requirements on the dentists and the technology. Allowing early loading, and successfully treating risk patients despite the less favorable odds create a need for more capable diagnostic tools.

Osstell ISQ meter is such a tool. Its a complete diagnostics system for determining dental implant stability. It provides the treating dentist with the accurate, consistent and reliable stability measures needed for making informed load decisions, avoid failure and give patients added quality assurance.

ISQ (Implant Stability Quotient) is a measurement scale for use with the RFA (Resonance Frequency Analysis) method of determining implant stability. Its a mapping of resonance frequencies (kHz), presented as a clinically useful scale of 1-100 ISQ.

The ISQ meter stimulates a SmartPeg which is connected to an implant, by emitting magnetic pulses. These magnetic pulses cause the SmartPeg to resonate with certain frequencies depending of the stability of the implant. The resonance is picked up by the ISQ meter.

The SmartPegs have been calibrated in such a way that they all show comparable values for the same degree of stability, even when measuring implants from different systems.

The ISQ scale makes it possible to establish a standard clinical range within which stability values should fall to make a successful treatment outcome likely. Several studies have been conducted based on RFA measurements and the ISQ scale. ISQ values have proven useful for determining if an implant is sufficiently stable at any stage of the treatment process. They provide valid indications that the acceptable stability range lies above 55 ISQ.

Cone beam CT scanning & 3-D imaging software (SimPlant) for optimal implant planning and treatment (Guided Implant Surgery)

We are trained in the latest dental implant technology, guided implant therapy. This revolutionary technique utilizes virtual planning along with a three-dimensional CT scan system and allows dental implant placement with minimal surgical intervention. This innovative time-efficient procedure makes the placement and restoration of dental implants faster and easier. By working closely with our restorative dentists, sometimes patients are able to leave the office with their replacement teeth intact.
Traditional X-rays are not as accurate as CT scans, for the process of dental implants, they do not allow for the transfer of prosthetic information to the radiograph. It also fails to determine prosthetic outcomes and doesn’t allow for the transfer of prosthetically relevant information at the time of implant placement. A special scan is performed while the patient is seated in a Cone beam CT Scan machine, which looks much like a regular dental panoramic machine.

cone beamAbout Cone Beam CT (CBCT) Scan:

  • 20 Second Scan
  • Non Claustrophobic
  • Less radiation than a conventional CT medical scanner

The CBCT scan will provide us with the necessary information needed to virtually place your implant, with the use of SimPlant Planner, a virtual implant placement program.

The SimPlant Planner Software, which Dr. Vest and Wang has incorporated into their implant practice, provides axial, cross sectional and panoramic views of your reformatted CT image. Distances, angles and bone density measurements can be made in all of the views.

SimPlant Planner also provides a fully interactive 3D image of the bony anatomy with the ability to highlight anatomical structures, to virtually place real implants.

Dr. Vest and Dr. Wang, will review the ideal prosthetic plan as shown on a 3-D computed tomography scan, which also contains the anatomic information in an interactive setting.

Implants can be virtually placed on a trial basis. This allows the review of many options and develops an ideal surgical plan that fully supports the prosthetic plan developed. Eliminating most of the unknowns, which facilitates both patient consultation and the surgical process, since the treatment decisions are made preoperatively.

Once the CT scan is developed and the plan formulated, a surgical implant guide is constructed that allows precise placement of the implants. The surgery is completed with better safety and predictability.