Caution and Research should be done prior to any surgery, dental implant surgery is no different. IJR NEWS columnist, Ciara Greenman, interviewed the Newport Beach Doctor that seems to be an increasingly popular consumer advocate for the dental industry Visit Dr. Michaelis at http://www.doctornewportbeach.com.
The first questioned posed to Dr. Michaelis was to indicate factors that contribute to long-term success of Dental Implants. Michaelis said, "Long-term success depends on multiple factors. The single most important factor is the training and experience level of your implant team. Don’t discount this fact. Your team should include a restorative dentist, an experienced surgeon, a knowledgeable dental lab, a quality implant brand and you, the patient. A big contributor to the overall success within this team is an experienced and skilled surgeon. A general dentist that places a couple implants a year will NEVER have the training and experience of a specialist who performs the surgery everyday. Believe it or not, a weekend course in Palm Springson how to do the surgery is not as thorough and intensive as a 6 year surgical residency. The “weekend warrior” does NOT have adequate training, knowledge or skills required to achieve the highest success rates.
Another thing to consider is that even though, in this example, there are clearly two different levels of training, there is still only ONE standard of care. Just because the general dentist doesn’t have the same training as the surgeon does NOT mean there are two standards of care. Be aware of this (major) difference when selecting your implant surgeon. The next most important factor is the quality and quantity of bone. The better the bone (in quality and quantity), the greater the chance of long-term success. In cases where there is not enough bone the skilled surgeon can use any one of a variety of grafting techniques to augment the area. That may be bone grafting or in some cases, soft-tissue grafting. As for quality of bone, not much can be done to change that. It really only affects how long the overall treatment takes and not necessarily the success rate. And finally, the quality of the restoration placed on top of the implant will play a big role in long-term success. If the designs of the implant crowns are poorly constructed and biting forces are not balanced, even the best-placed dental implant will have a compromised survival rate." Learn more facts at http://www.doctornewportbeach.com
The following popular dental implant question asked, who can place a dental implant in a patients mouth? The Newport Beach doctor explained very candidly, "An oral and maxillofacial surgeon, a periodontist, or a general dentist can place dental implants. While in dental school, dental students do not receive any training in the surgical management of dental implants. Therefore, extra training beyond dental school is necessary to become competent in implant placement. The oral surgeon receives 4-6 years of hospital based training after dental school and is extremely well trained. The Periodontist receives 2-3 years of training after dental school and is also well trained to place dental implants. The general dentist has to find the training elsewhere. They go to continuing education courses for this. These courses are not necessarily accredited. That means that anyone can put on these courses. A surgical residency is accredited and regulated in terms of what is taught and how many hours are spent learning these skills. I could teach you to get up in front of a group of dentists and lecture to them about surgery. Most of these courses are over a weekend, usually in a sunny location centered around golf. The general dentist will go to this non-accredited course, sit in lecture for a few hours, play a round of golf, and then go back to the office Monday morning and start placing implants. Isn’t that great. Yes, with a team approach you have to go to two different doctor’s offices but what you get is the highest possible implant success rates as well as the lowest possible complication rates. Or you can stay with your general dentist and get what you pay for."
Obviously the stereotype that has lingered in the dental industry has been pain, so Dr. Michaelis was then asked, Is dental implant surgery painful? "No. An effective local anesthetic is used during the surgery so that you do not have any discomfort during the placement of the implants. The mild discomfort you might experience after surgery can be easily controlled with pain medications. In some cases conscious sedation or even deep sedation can be administered. The oral and maxillofacial surgeon is well trained in the safe delivery of many sedation techniques. Just ask your surgeon what is best for you. Oral and maxillofacial surgeons have anesthesia permits (given to them by the Department of Consumer Affairs) that allow them to deliver anesthesia in their offices. General dentists do not."
"Consumers often wonder when they can return to work after implant surgery?
We recommend that you take the day off after your surgery. There may be mild discomfort and some swelling so it is best if you just relax for the remainder of the day. The following day you can resume normal activities and go back to work/school. Every surgery is different and every patient responds to surgery differently so just be prepared to relax for a day or two."
"People often email me about the costs, or what is a fair amount to pay, and are dental implants expensive? The finished product is comparable in price to a fixed bridge. The difference is that the fixed bridge is only expected to last 7-10 years before decay begins to occur underneath. The dental implant, on the other hand, is expected to last a lifetime. More and more dental insurance companies today are helping to cover the cost of a dental implant. This wasn’t true a couple years ago. It now makes more sense to opt for the permanent treatment alternative (dental implant) instead of the temporary one (fixed bridge). There are many different implant brands on the market today. There are 3-4 brands that have been around longer than the other brands. Many brands offer lifetime warranties on their products. It does make a difference in terms of long-term success rates depending on what brand is used. Ask you surgeon what is being placed in your mouth. You have the right to know this information."
IJR NEWS Staff thanks Dr. Michaelis for his continued consumer advocacy for the dental practice and especially for him volunteering his time to educate the masses in area where it doesn’t even effect his bottom line but rather for the spirit and ethical righteousness of his oath. IJR NEWS advises all readers to obtain professionals in any field of surgery they plan on receiving that have been board certified, well reviewed by numerous sources rather than just one, and using a doctor that has vast experience and procedural experience in their field.
Co author - Ciara Grace Greenman
along with IJR NEWS Staff
Visit http://www.IJRNEWS.com for other consumer friendly pivotal articles