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333 W. First St.

Elmhurst, IL 60126

 Phone: 630-833-5110

Fax : 630-833-0458

Elmhurstdental.com

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At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.


During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.


You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.


If you do feel pain at any time during the extraction please let us know right away.


Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.


Preparing for surgery

If you smoke you are urged not to smoke the day of surgery. Dr. Bosack should be aware of any medication you are taking prior to your surgery.


If you are having your surgery under I.V. sedation or general anesthetic you should be fasting 6 hours prior to surgery. Wear loose, comfortable clothing (short sleeves with button up front) for the surgical intervention. You must not be wearing any nail polish. For a period of 24 hours after surgery you are not recommended to drive a vehicle or machinery since your coordination of hand and eye could be affected. Signing any legal documents should also be restrained.


A responsible adult must be available to drive you and take care of you once you leave the office. We will give this individual post-operative instructions, prescriptions in order to help you with post-operative discomfort. An adult should be available to stay with you for a period of 2 to 3 hours post-surgery, a time required for the medication given to you to wear off.


Dr. La Spisa usually recommends removing all 4 wisdom teeth at the same time (if required), because pain a swelling is generally the same whether 2 or 4 are removed. Patient will only be subject to antibiotics and

pain killers once, if all four are removed at the same time. The surgery takes approximately one hour to complete. You are recommended to take 2 to 4 days off work or school to give yourself time to recover.


The implants themselves are tiny titanium posts, which are inserted into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The implants are surgically placed into the jawbone.


The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts are then attached to the implant, which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.


Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.


For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone.


You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your dentist is forming new replacement teeth. After the implant has bonded to the jawbone, the second phase begins. The doctors will uncover the implants and attach small posts, which will act as anchors for the artificial teeth. These posts protrude through the gums. When the artificial teeth are placed, these posts will not be seen. The entire procedure usually takes six to eight months. Most patients experience minimal disruption in their daily life.


Using the most recent advances in dental implant technology, doctors are able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of six weeks of healing time before artificial teeth are placed.


Once you learn about dental implants, you finally realize there is a way to improve you life. When you lose several teeth – whether it’s a new situation or something you have lived with for years – chances are you have never become fully accustomed to losing such a vital part of yourself.


A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than thirty-five years ago.

With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.


Implants are a team effort between an Oral and Maxillofacial Surgeon and a Restorative Dentist. While our doctors perform the actual implant surgery, and initial tooth extractions and bone grafting if necessary, the restorative dentist (your dentist) fits and makes the permanent prosthesis.


A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.


The doctor performs in-office implant surgery in a hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.


There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a “partial” at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.


If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.


The majority of dental implants and bone graft can be performed in the office under local anesthesia, with or without general anesthesia.


Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists.


Learn more about the oral & maxillofacial surgical procedures that we provide, please select a procedure of interest from the menu below:


After teeth are lost, the jawbone associated with these teeth tends to shrink. This often leaves a condition in which there is poor quality and/or quantity of bone. If implants are desired in these locations, bone grafting will be necessary in order to properly anchor the implant. Today, we have the ability and technology to graft and “grow” bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore function and esthetic appearance. This type of grafting is done as an outpatient in our office locations. In these cases, bone is typically harvested from the chin or other regions of the lower jaw. In some cases, bone products from tissue banks can be used.


In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.


On a larger scale, bone in the jaws or facial regions can also be lost due to trauma or tumor surgery. These surgeries are major operations which are performed by Dr. La Spisa in a hospital setting. In these cases, bone is typically harvested from the hip or skull.


Sinus bone grafts are also performed to replace bone in the posterior upper jaw. The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend into the maxillary sinus. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone. There is a solution and it’s called a sinus graft or sinus lift graft. Dr. Bosack enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus.


Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.


The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.


If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months. Once the graft has matured, the implants can be placed.


Although dental implants have been widely available for over three decades, many patients are still unaware of the many benefits they offer. Implants are titanium alloy posts that are inserted into the jaw where teeth are missing and act as a tooth root substitute.


Dental implants can give you an attractive and healthy smile, rebuild confidence and self-esteem and help you enjoy your favorite foods again. With innovative regeneration procedures such as bone and sinus grafting, you may even be a viable candidate for dental implants if you have lost significant facial bone or are a longtime denture wearer. At Elmhurst Dental Care, we offer state-of-the-art dental implant expertise.. Dr. LaSpisa has performed thousands of implant procedures and have achieved excellent results for more than two decades, both clinically and cosmetically.


Our doctors use state-of-the-art diagnostic tools when planning dental implant surgery, including cone-beam computerized tomography (CBCT). This data, along with state-of-the-art software, is used to develop your customized treatment plan. Prior to implant surgery, your CBCT scan is used to simulate implant surgery at the precise location, angle and depth required for long-term implant success. Dr LaSpisa performs dental implant surgery using piezo ultrasonic and radio frequency technologies, both of which offer exceptional results and a pleasant recovery.


Elmhurst Dental Care uses FDA-approved titanium implants from some of the leading manufacturers in the world. Dental implants can be used to replace one tooth or several teeth; they also stabilize dentures and increase chewing strength. Implantology is based on “osseointegration,” which is an incredibly strong bonding of titanium and other materials to the surrounding bone. Dental implants are strong, stable, long-lasting, comfortable and allow for improved quality of life.


One of the reasons you can trust Dr. La Spisa to provide the best results for your bone grafting procedure at our office because he stays up to date on the latest treatments for improving results. He uses PRGF (Platelets Rich in Growth Factors), a revolutionary technique that stimulates healing of the human body. A small amount of a patient’s own blood is used to help encourage healing of the gum and bone tissues. PRGF helps make healing painless, reduces swelling, and leads to more successful results. This is just one of the ways that Dr. La Spisa harnesses holistic treatments to help you heal and feel your best.


Your bone grafting procedure will take about 60 minutes, and a sinus grafting procedures might take up to an hour and a half. You will revisit the office to have your stitches removed about 7 to 10 days later, and we’ll schedule a couple of short follow-up visits to make sure you’re healing well and to evaluate your bone growth.


For more information about dental implants or to schedule your personal appointment, call our dental office.

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