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FAQ:  Implants


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Dental Implants Ask The Dentist Richard Winter Question:
Dental Implants - OK to get Titanium Screw Only? All my wisdom teeth (the four 3rd molars) and both lower 2nd molars have been extracted, with the last set of extractions done about a year ago.

I'm thinking about getting dental implants to replace the lower 2nd molars to stop bone loss in my jawbone. I recently became really concerned about jawbone loss after reading that it's causing the premature wrinkles around my mouth!

My question is: Can I get just the titanium screw to stop bone loss, or do I have to get the crowns too? What happens if I were to never get the crowns? ...Visitor from DC

Answer:
These are good questions. First of all, it is highly unlikely that wrinkles would be caused from loss of lower second molars.

Secondly, my training is that replacement of lower second molars is contraindicated due to potential nerve damage during implant placement.

That does not mean that you can't have them placed, it just lets you know that by some conventional training, replacement of missing second molars has risks that are unique.

These teeth are closest to your TMJoint so the forces are higher on these implants. Secondly the lingual nerve and inferior alveolar nerve can be damaged due to proximity to the nerves in this location.

You should be educated before you make a decision. Lastly, if you place the implants and don't crown them - the upper second molars will drop down and need to be pulled! So, you would not place the screws without crowns - it would not be an intelligent choice in my opinion. Best of luck

Wisconsin Reconstructive Implant Dentistry
Wisconsin Prosthodontics
Richard Winter, DDS MAGD
Winter Dental Associates
Hampton Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021

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