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Implants require a team composed of a surgeon (e.g., oral and maxillofacial surgeon, periodontist) and a restorative dentist (e.g., general dentist, prosthodontist). The surgeon is responsible for placing the implants while the restorative dentist is responsible for the crown, bridge or denture that the implant supports.
Before implants can be placed, the patient will undergo a comprehensive oral examination to determine if he or she is a good candidate for the procedure. The dentist will evaluate the patient’s medical and dental history. X-rays and sometimes a computerized axial tomography scan (CAT scan) will be ordered to evaluate the condition of the jawbone and the location of nerves and sinuses. There are also a number of surgeries that may be performed prior to placing implants, depending on the individual needs of the patient. For example, patients must have the proper bone structure in the jaw to support the implants. Bone grafting may be used to increase the bone available in the jaw in patients with insufficient bone mass. Inferior alveolar nerve transposition may be used to move a nerve that may be in the way. Maxillary sinus lifts may allow the surgeon to avoid drilling into low-set sinus cavities. |