Why your office?
-Clinically proven results with multiple photos of all types on our website (Dr. Brower trains and lectures to other general dentists in placement of implants) He is a recognized expert in the field. As a dental implant dentist he enjoys placing mini dental implants and new technology implants.
-Decreased cost due to our high volume of implants placed and doing the work as general dentists which doesn't make us count on patients being referred to us. We offer the most affordable dental implants in Siouxland. Our mini dental implant price for dentures is $775!
-Most cutting edge technology available with incisionless techniques for placing implants that allow us to use our implants the day they are placed
If you are missing one or more teeth, you'll want replacements that are
as natural as possible. If dentures or fixed bridgework doesn't seem
like a good idea, you may consider dental implants. Unlike dentures,
which can be removed, implants are permanently anchored into the jaw
Losing a tooth by accident or by extraction is not the end of the
matter. When a tooth is missing, the resulting gap will allow nearby
teeth to tilt or drift from their normal position, and the teeth above
the gap will move downward. Aside from the obvious cosmetic problem,
the changed positions of these teeth can lead to severe bite problems
causing jaw pain and headaches.
You are a good candidate for implants if you have jawbone ridges
that are in good shape and healthy oral tissues. When the implant
device is inserted into the jaw, a chemical and mechanical bond is
formed. The jawbone actually grows into the implant.
Missing teeth should be replaced to keep other teeth in their normal
position. This can be done by means of a fixed bridge or a dental
implant. Both of these treatments offer a good functional and cosmetic
A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone.
As the body heals for approximately two to six months after the
surgery, the bone around the implant fuses to the implant through a
process called osseointegration with some older forms of implants. In our office over 90% of the implants we place can be used immediately without expensive bone grafting for under $1000.
After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures.
The process should begin with a thorough evaluation of the patient's
medical and dental history, and a full clinical examination of the
entire mouth and missing tooth area. The clinical exam should also
include specific X-rays.
After assessing the patient, a comprehensive treatment plan can be
devised. From that point, implants are surgically placed in the jawbone
under local anesthesia.
Many people wonder how many implants are necessary to replace their missing teeth. This is a question that should be determined during the treatment
plan. A good rule-of-thumb is to place one implant for each tooth
replaced. One posterior teeth with mini dental implants 1 implant is
placed for each main root missing on a molar. Molar teeth require 2
implants, and all other teeth require 1 implant. Other decisive factors
for the number of implants needed for success is the quality and
quantity of the patient's bone. Equally as important are the existing
anatomy of the bone and the financial resources of the patient.
When considering Implants for Dentures we typically place 4 implants in the lower jaw to lock the denture to it, and 6 in the upper jaw. These implants are always used immediately and cost $775 each. You can arrive in the morning and eat corn on the cob and apples for lunch after having implants lock your denture in!
When getting dental implants, you should select a dentist or dental
team with in-depth knowledge and prior experience with all aspects of
the treatment. We have placed and restored implants for both dentures and crowns successfully for years and are proud to display our cases to show you the results! Most likely we can show you a photo of an exact case like you would present to us so that you can see what would happen. Please ask during your free consultation for this if you are interested.
It is important to know that implant treatment consists of two
components: a surgical phase and a restorative phase. Mini Dental
implants used to restore crowns and dentures from IMTEC are FDA approved for immediate loading in long term
use situations. All of the implant brands, sytems, and types we use are FDA approved. We do not limit ourselves to one brand or type of implant. Every system has advantages and disadvantages and we choose the correct one for each case for the best result without changing our price.
Traditionally, a dental surgeon, like an oral surgeon or a
periodontist, performs the surgical component. A general dentist, or
prosthodontist and laboratory technician performs the restorative
component. However, as implant dentistry has become more sophisticated,
sometimes a dentist who specializes in restorative dentistry conducts
the entire procedure. By both placing and restoring the implant at one
location with one doctor better results can be achieved.
Are there different types of dental implants?
Yes, several types are available. The American Dental
Association considers both the endosteal and the subperiosteal implants
to be acceptable.
An important factor for selection is to determine whether your
jawbone can adequately support the implant. Most dental implants placed
today are endosteal root form fixtures (similar to a man-made tooth
root). We place all forms of implants including mini dental implants that are approved for immediate loading by the FDA. This mini implant was put in in 1969 and was still functioning 20 years later! You can see the natural teeth didn't last as long.
The Dental Implant Procedure
Today's dental implants are virtually
indistinguishable from other teeth. This appearance is aided in part by
the structural and functional connection between the dental implant and
the living bone. Implants are typically placed in a single sitting but
require a period of osseointegration.
Osseointegration is the process by which direct
anchorage of a dental implant root and the bone of the jaw occurs.
Osseointegrated implants are the most commonly used and successful type
of dental implant. An osseointegrated implant takes anywhere from three
to six months to anchor and heal, at which point your dentist can
complete the procedure with the placement of a crown. Once the implant
has anchored with the jawbone, artificial prosthesis may be attached and
the process is done. If osseointegration does not occur, the implant
Detailed procedural steps are as follows:
Preparing the Jaw for Implantation: A
dental implant is commonly composed of a titanium material screw and a
crown. A small-diameter hole (pilot hole) is drilled at edentulous
(where there is no tooth) jaw sites in order to guide the titanium screw
that holds a dental implant in place. To avoid damaging vital jaw and
face structures like the inferior alveolar nerve in the mandible (lower
jaw), a dentist must use great skill and expertise when boring the pilot
hole and sizing the jaw bone.
Placement of the Implant: After the
initial pilot hole has been drilled into the appropriate jaw site, it is
slowly widened to allow for placement of the implant screw. Following
this placement, a protective cover screw is placed on top to allow the
implant site to heal and the dental implant to anchor
(osseointegration). After several months, the protective cover is
removed and a temporary crown is placed on top of the dental implant.
The temporary crown serves as a template around which the gum grows and
shapes itself in a natural way. The process is completed when the
temporary crown is replaced with a permanent crown.
Success Rates of Dental Implants
Dental implants are among the most successful
procedures in dentistry.
There is no guarantee that an implant procedure will be successful, but
studies have shown a five-year success rate of 95% for lower jaw
implants and 90% for upper jaw implants. The success rate for upper jaw
implants is slightly lower because the upper jaw (especially the
posterior section) is less dense than the lower jaw, making successful
implantation and osseointegration potentially more difficult to achieve.
Lower posterior implantation has the highest success rate for all
Dental implants may fail for a number of reasons. The
cause is often related to a failure in the osseointegration process.
For example, if the implant is placed in a poor position,
osseointegration may not take place. Dental implants may break or become
infected (like natural teeth) and crowns may become loose.
If you are a smoker who is considering a dental
implant, your dentist will likely advise you to give up smoking before
undergoing the process because smokers face a higher risk of implant
failure. Since the procedure can be extremely expensive, you risk
wasting your money on dental implants if you do not give up the habit.
On the plus side, dental implants are not susceptible
to the formation of cavities; still, poor oral hygiene can lead to the
development of peri-implantitis around dental implants. This disease is
tantamount to the development of periodontitis (severe gum disease)
around a natural tooth.
Why are yours so affordable? What is the cost of dental implants? Why choose you when many people offer implants?
Every surgeon may set their own individual fees for a particular procedure. The cost of the implants from the manufacturers to the practitioner is the same for a single implant, but when buying large quantities of implants they significantly reduce the cost of the implants to the practitioner. We have a significantly reduced fee for our implants of under $1000 to a maximum of $1400 for implants for crowns per implant compared to a traditional fee which is much higher because we are purchasing implants in larger volumes to keep up with the number we place. As general dentists we also create the crown or cap that will go on top of the implant and the fee associated with that helps offset the reduced cost we charge for the implants. Simply put, we are passing on the savings to you by doing a larger volume and keeping the work in house. When a patient is referred out to a "specialist", the specialist traditionally will have to order in the particular brand and size of implant that will be adequate for the site of the patient that is presented to them. It is impossible for them to know what will be presented to them in advance, so it would be very cost prohibitive to stock every brand and size of implant "in case" that patient arrived. Most have a set brand and certain sizes on hand, but as a specialist they traditionally will get the unusual cases or very difficult cases that do not lend themselves to normal situations. Fortunately what we have found in our clinic is that over 95% of implant placement is in normal locations in normal situations that do not require extreme bone grafting, specialized implants, or specialized placements. Placement and restoration is as routine as getting a filling in 95% of the cases for us!
What can be done for a single missing tooth?
In the case of a single missing tooth, a dental implant can be placed
in the jawbone area of the missing tooth. The implant will serve as a
replacement for a tooth root and an individual crown. Unlike
traditional implants these implants are placed and frequently restored
in one visit.
Once in place, the implant crown will look, feel, and function like
a natural tooth. They are cleaned and flossed just like natural teeth,
and best of all, they do not require any special tools to clean around
them like bridges. Although dental implants will not decay, they
require impeccable oral hygiene.
The following video shows how Dr. Brower is trained to immediately load the implants without incisions from someone with a denture. Not all Doctors are trained to do implants without incisions with is far better for patient comfort and decreased chance of infection for the patient.