How do you work together with the restorative dentist on implant cases?

Implants have been used successfully for over thirty years with a high success rate. Dental implants are now the standard of care for replacing missing teeth.

It takes a dental team to assess and plan dental implant placement and restoration. The dental team consists of a dental surgical specialist such as an oral surgeon and a restorative dentist, who plans and places the tooth restorations. Visit our website to learn more.

Andrew M. Alpert, DMD
(305) 935-0122 |
2999 N.E. 191st Street, Suite 708 Aventura, Florida 33180


The Myth of Having Permanent (Final) Caps Placed Onto Your Implants All On the Same Day


Without Adequate Bone it is Impossible

There has been much promotion recently in the South Florida area about having implants placed into your jaw bone and on the same day the placement of teeth onto the implants. If you have an adequate amount of bone present to initially stabilize the implants then it is always possible to place TEMPORARY CROWNS onto your implants on the same day that your teeth are extracted and implants placed. It there is inadequate bone to stabilize the implants initially then it is impossible to have the temporary caps placed onto the implants all on the same day as the implant stabilization would be too minimal.

It should be known that if there is adequate bone to stabilize the implants and hence crowns can be placed onto the implants on the same day that the crowns that are placed are TEMPORARY CROWNS.  These are not permanent crowns. It is true that after the implants have fused to the bone (usually about three to four months) then the temporary crowns, if placed on an immediate basis, are then ready to be changed to permanent crowns.

The Concept of Routine Same Day Treatment

There has been much discussion by different companies promoting the concept of having your teeth placed onto your implants all on the same day on a routine basis.  As I have mentioned to many of our patients we do the same type of treatment; that is, we remove your teeth, place dental implants, build your bone and place temporary crowns over the implants all together all on the same day; BUT only if you have adequate bone for initial stabilization of  the implants.  This is the most important key and crucial factor.

If you have any questions or would like to be scheduled for an evaluation

If you are interested in finding out if you are a candidate for temporary teeth placed onto implants on the same day that your own teeth are removed then certainly feel free to make an appointment to be evaluated thoroughly with the proper x-rays and scans.  We look forward to answering any questions you may have regarding the above and/or to see you in our office for an evaluation.

All of the above hopefully addresses the myth of having PERMANENT TEETH placed onto implants on the same day.  Buyers beware of false promises!

Andrew M. Alpert, DMD
(305) 935-0122 |
2999 N.E. 191st Street, Suite 708 Aventura, Florida 33180

The Bone…is it the Unknown??

 How bones and implants need each other

Without bone there can be no implants.  Without implants there can be no replacement teeth.  And so…bone is “what it is all about”.

What 3-D imaging  benefits for bone regeneration

A major part of our practice evolves around bone regeneration.  Not only is it essential to develop bone in order to have stable implants; but also to have implants placed in ideal positions for the restorative treatment (the crowns).  So how do I determine the amount of bone that needs to be grafted and which technique would be most appropriate for the specific type of bone loss?  The determination is made after a thorough review and analysis of a 3-D Cone Beam Scan.  We have been using the 3-D scanner for six years.  Prior to the 3-D scans, we utilized   2-D imaging which enabled us to get a very good “approximation” of the bone quantity.  With 3-D imaging we can get an exact measurement of not only the bone quantity but also the bone quality.  This in turn enables me to plan out the exact type of bone grafting procedure that will be necessary.

An example of the 3-D view is noted here.  As you can see from the image, the implant is placed in the direct middle of the bone.  It is extremely easy to evaluate both the thickness and the quality of the bone.

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The above approach also answers the two following questions; how long will this treatment take and how much will the bone grafting part of treatment cost.  The 3-D scanner has changed our approach to treatment radically; there is no more estimating , only precision planning. If you require dental implants then I can assure you that you are extremely likely to be in need of bone grafting (regeneration).

If you have any questions or would like to be scheduled

Call our office, and we will schedule you for a 3-D cone beam scan and advise you precisely about your specific bone grafting needs in order to have the very best foundation for your dental implants.  We look forward to answering any questions you may have and remember – the bone is no longer an unknown!

Andrew M. Alpert, DMD
(305) 935-0122 |
2999 N.E. 191st Street, Suite 708 Aventura, Florida 33180