Posted by: PermaDontics | August 24, 2011

Your Dental Implant Treatment Options

Dental Implant dentistry is not a one-size-fits-all kind of a practice.  In fact, we customize for each person who comes into our PermaDontics center. Each patient has different dental issues and we have several treatment options to them.

If a patient has several missing teeth or may soon be losing many teeth the best option is to replace the missing teeth with a permanent bridge attached to several dental implants.

A fixed set of teeth is attached to 5 or 6 dental implants. This feels and functions like your own teeth. These teeth are permanently attached, there is no movement of the teeth as they are rigidly attached to your dental implants. This treatment option is a treatment of choice for most of our patients. These patients feel whole again after losing their teeth.

This option comes with a Lifetime Guarantee and is highly recommended by us at the PermaDontics Center. These teeth need very little maintenance as they do not move.  In terms of maintenance, we recommend you have these teeth cleaned at least twice a year as you would your own teeth.

A second option we offer involves inserting 3 dental implants to support an over-denture.

An over-denture is essentially a denture that snaps onto the dental implants. We at the PermaDontics Center here in San Diego use attachments called “Locators” that connect the denture to the dental implants. These attachments eliminate the need for adhesives in most cases.

The dentures need to be removed for cleaning twice a day. These over-dentures are more stable than regular dentures but some minor movement does occur during function.

Therefore, it’s possible for food particles to get lodged under the dentures causing gum irritation and pain. Because these dentures move slightly and because they need to be removed twice a day, the attachments do get loose in time and need to be replaced every 12 to 18 months. The dentures also need to be re-lined and refitted every 2 to 4 years.  This option requires new dentures to be made every 6-7 years.

The 3rd option involves inserting enough dental implants to support fixed crowns and bridges which are fabricated in 3 or 4 different sections to replace all the missing teeth in one jaw.  In order to accomplish this, the patients will usually require sinus lifting and bone grafts to allow us to insert at least 8 dental implants in the upper jaw and 8 in the lower jaw.

In the lower jaw it may be necessary to reposition the nerve to allow us to insert enough dental implants in the back part of the lower mouth. This particular treatment is substantially more expensive than the fixed 4 on 5 procedure as noted earlier.  It also involves a more complex surgical dental implant procedure for the sinus lifting and bone grafting as well as the nerve repositioning.

We recommend this treatment for younger patients between the ages of 25 and 45 who come to us with more bone available for the insertion of at least 8 ental implants.

Missing teeth can also be replaced with dentures only without the use of dental implants.

We do not recommend this option as patients find it difficult to eat and function with dentures. Dentures can float around in the mouth and this movement can cause gum irritation and pain. Dentures do not have the same biting force as regular teeth. Patients with lower dentures, in particular, find it very difficult to function. Thirty percent (30%) of these patients do not wear the lower denture at all. An additional thirty percent (30%) have been shown to wear the denture only for chewing.

Whichever option you choose, make sure you are fully informed and choose what works best for you and your lifestyle.

If you’re missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You’ll be glad you did. Give us a call at 866-Resolve.

Posted by: PermaDontics | August 16, 2011

PermaDontics Same Day Teeth | Dental Implants

If a patient is missing many teeth or will be losing many teeth, our dental implant team is able to insert 5 or 6 dental implants to support a full arch of replacement teeth. They are able to prevent any movement of the dental implants by joining them together immediately with a set of teeth designed in the shape of an arch.

The mechanical strength of the arch stabilizes the implants during the healing stages. Drs. Berger and Aires are able to extract any remaining teeth, insert the dental implants immediately and on the same day, attach a set of teeth that are permanently anchored to the dental implants.

Dr Berger, during the pre-treatment planning stage, does the insertion of the dental implants on the 3D model of the patient’s mouth. Our in house Master Dental Laboratory technician then fabricates a surgical guide on the 3D model. The new teeth are also constructed during the pre-treatment planning phase.

On the day of the actual surgery any teeth that need to be removed are extracted, the dental implants are then inserted using the surgical guide and immediately on the same day the teeth are permanently attached to the dental implants.

We do recommend that our patients eat a relatively soft diet for the first 6 weeks to allow the initial bone healing to take place.

Drs. Berger and Aires, a certified Prosthodontist, have published studies on immediate loading showing a very high success rate of 98.4%. After wearing this provisional set of teeth, a definitive final set of teeth is fabricated to fit the new dental implants and the gum tissue. This final set of teeth comes with a Lifetime Guarantee from the PermaDontics Center.

At no time is it necessary for the patients to go without teeth or even to wear a denture. The patient leaves our PermaDontics Center in San Diego that very same day with new teeth and a smiling face.

If you’re missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation or simply ask about the cost of dental implants.  You’ll be glad you did. Give us a call at 866-Resolve.

Posted by: PermaDontics | August 3, 2011

Dental Implants: Are You a Candidate?

In our experience most people we see in our practice are good candidates for dental implants.

Age is not a factor.   We’ve seen patients as young as 17 and as old as 94 that have successfully received dental implant surgery at PermaDontics.

There are a few patients that do have certain health considerations when planning for dental implant surgery.

If you have a severe debilitating disease or have uncontrolled diabetes, you will require medical treatment first before an implant can be inserted. Also those patients, who are on high doses of cortisone, will need to taper off the cortisone before the dental implants can be placed.  Those patients who are on blood thinners will be required to stop the medication for one or two days before the dental implants are inserted.

Oftentimes, dentists have told their patients that they lack sufficient bone to have the dental implants placed.

At the PermaDontics Center we have a CAT Scan machine.

The images from the scan will determine the bone quality and quantity. Our doctors utilize the 3D CAT Scan and can usually find sufficient bone to insert the dental implants.

For patients who have just a few teeth left or no teeth at all, we construct a pre-treatment plan utilizing a 3D stereolithic model fabricated from their jaws. We are then better able to position the dental implants in the available bone.

Implants are placed at an angle that maximizes the amount of bone that will surround the dental implant. We, therefore, are able to eliminate bone grafts in most cases. We have also vastly reduced the numbers of patients who need sinus lifting.

In some cases, if necessary, bone material can be placed at the same time that the dental implants are inserted. In a very small percentage of patients, bone grafting is needed prior to the dental implant insertion.

Dr Joel Berger, the Oral Surgeon here at the PermaDontics is known for his vast experience, expertise and innovative techniques to grow bone when necessary.  The 3D scanner allows us to determine the bone quantity and quality and in most cases, sufficient bone is found to insert an implant.

We oftentimes meet new potential patients that have been told they are not good candidates for dental implant dentistry who actually can have this procedure performed.

So if you have any questions whether or not you’re a good candidate you should come in for a free consultation to find out what your options are.  You may be pleasantly surprised.

If you’re missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You’ll be glad you did.  Give us a call at 866-Resolve.

Posted by: PermaDontics | July 27, 2011

How Dental Implant Dentistry Works

Oftentimes when we first meet a patient who comes into our offices at The PermaDontics Center, they don’t know what a dental implant is.

This post is to help answer the basic questions we’re asked about the development of dental implants and how they have now become a permanent solution in the replacement of missing or broken teeth.

A dental implant is a precision-made metal screw that is inserted into the jaw bone. The screw does not replace teeth, it replaces the root of the tooth. The screw is usually made from titanium. Titanium is a noble metal that has been shown to react very well in the human body.

The original research on titanium was carried out by Professor Branemark in Sweden in the late 1970’s and early 1980’s. He demonstrated that bone will attach itself to titanium if the titanium screw is left undisturbed for a period of 3 to 6 months. At the time, a new word was coined for this process: Osseointegration”. Simply stated, it is the fusing of bone to thedental implant. From there the modern, present-day dental implant followed his research.

The first of these dental implants were introduced to North America in Canada in 1984.   Dr Joel Berger,  co-founder of the PermaDontics Center and Dr. Aires, co-founder of PermaDontics were the first Prosthodontist in San Diego to travel to Canada to learn about this new implant. By 1985 they were inserting and restoring these dental implants here in San Diego.

At the PermaDontics Center we work as a team. Dr Berger, the Oral Surgeon inserts the implants and Dr. Aires, the Prosthodontist, restore the dental implants with permanent teeth. The success rate of our dental implants has been extremely high. Implant retained crowns have proved to be more successful than crowns cemented on natural teeth.

The dental implant or screw, once embedded in the bone, becomes the anchor or the support for a tooth. The tooth is either cemented or screwed onto the dental implant to act as a permanent tooth. This tooth will feel and function like your own tooth and should last many years.  When a dental implant restoration is constructed properly, neither the patient nor anyone else should be able to tell that the tooth is supported by an implant. All you will see will be the tooth and a great smile.

We have found that in our many years of practice that our patients who come in with missing teeth, problem teeth or issues with their dentures have, after dental implant surgery, left here the same day with a smile on their faces surprised by how easy and remarkable the whole process is.

If you’re missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You’ll be glad you did.  Give us a call at 866-Resolve.

Posted by: PermaDontics | July 19, 2011

When it Comes to Dental Implants, Experience Counts

As leading dental professionals, Dr. Aires and Dr. Berger want to provide the public with an in-depth understanding of dental implants.   Learning this information will assist you in making a more informed decision as to what treatment plan would be most suitable for your specific dental problem.  This post will also address which dentist should perform the restoration process utilizing dental implants.

At PermaDontics, both Dr. Aires, a certified Prosthodontist, and Dr. Berger are very experienced, well-known and respected in their field.

Dr Aires graduated from The Boston School of Graduate Dentistry in 1981 as a Prosthodontist.

A Prosthodontist is a dentist who has at least 2 years of additional formal training in the restoration of missing or broken teeth.

Dr Aires began restoring dental implants in 1982. He been teaching and educating other fellow dentists in how to restore dental implants since 1985.

Dr Aires and Berger have worked together for over 27 years in San Diego. They have lectured nationally and internationally on dental implants with an emphasis on same day dental implants. They have also published their studies on “Same Day Teeth” in dental journals such as the “California Dental Journal” and in the “International Journal of Implant Dentistry.”

If you’re missing teeth or have problems with your dentures please call PermaDontics for more information and to arrange for your complimentary consultation.  You’ll be glad you did.  Give us a call at 866-Resolve.

Posted by: PermaDontics | April 27, 2011

Why do you need a Prosthodontist to restore your missing teeth?

A Prosthodontist provides an exceptionally high level of care for patients who are missing teeth many teeth or have considerable damage to their existing teeth. Prosthodontists treat problems relating to trauma and neglect such as patients with advanced gum (periodontal) disease and badly broken down teeth. The Prosthodontist can aid in the rehabilitation of a complete dentition. With the advent of dental implants as a viable means of replacing teeth, the prosthodontist’s role has now expanded substantially. The prosthodontist can provide the control and expertise that is necessary to make an implant supported restoration look and function properly.

A prosthodontist will usually treat the more difficult dental problems such as people who are missing many teeth or have significant functional or aesthetic problems. The general practitioner is capable of handling most simple crown and bridge procedures to replace and repair missing teeth. When it comes to restoring an entire arch or the whole mouth, the prosthodontist is indicated for this difficult and complex type of dental treatment.

Patients contemplating dental implants or major changes in their appearance should consult with a prosthodontist to assure that they are gaining the best possible care for their dentition. These difficult treatments require the expertise that is only available by a trained prosthodontist.

Training requirements for prosthodontists are standardized throughout the country. Dentists from all over the world compete to get into the training programs that are here in the United States. Prosthodontic programs are usually small and extremely difficult to get into. Dr Aires graduated from the Boston School of Graduate Dentistry in 1981.

Rigorous training and experience provide Prosthodontists with the special understanding of the dynamics of the smile, and the bite (occlusion) the preservation of a healthy mouth, and the creation of tooth replacements. Serving as the “architect” or quarterback of a dental treatment plan, Prosthodontists collaborate with general dentists, specialists and other health professionals to develop solutions to your dental concerns.

If you have questions about whether or not you would be a candidate for Same day Teeth we’d be happy to see you for a complimentary consultation to discuss it.  Give us a call at 866-Resolve.

Posted by: PermaDontics | March 29, 2011

What Are Dental Implants?

Osseointegrated dental  implants are permanent replacements for missing teeth.  They are successful  in over ninety-six percent of all patients treated.  The dental implants are generally made from commercially pure titanium.

The PermaDontics  Center is one of the leading centers for osseointegrated dental implants in the United States.

A natural tooth consists of a crown (the part of the tooth that can be seen), and the root (the part hidden under the gum).

It is the root in the jawbone that actually holds the natural tooth in place.  A dental implant is a small man-made titanium screw that serves as a replacement for the root portion of a missing natural tooth.  Titanium is used because it is the most compatible with our human body.

Dental implants are placed in the bone of the upper or lower jaw and functions as an anchor for the replacement tooth.  After the bone has grown around the dental implant, dental implants can hold a crown, bridge or overdenture just like roots hold natural teeth in place.

Dental implants provide additional support where teeth are missing without putting forces onto remaining natural teeth.  They may be used to support the replacement of a single missing tooth or a complete functional set for individuals who have lost many or all of their teeth.

If you have questions about whether or not you would be a candidate for Same day Teeth dental implants we’d be happy to see you for a complimentary consultation to discuss it.  Give us a call at 866-Resolve.  (866-737-5683).

Posted by: PermaDontics | March 9, 2011

How Same Day Teeth Dental Implants Can Be Same Day Teeth

Many patients ask us, “How can Same Day Teeth dental implants be used immediately?” and “What is the cost of dental implants?”

The secret lies in the mechanical strength of an ARCH.  The design of an ARCH has long been known to be a very strong and stable mechanical principle.  The Coronado Bridge is designed as an arch.

When dental implants are first inserted it’s important that they do not move during their healing phase, which is about 6 weeks.  During this time the bone is fusing itself to the titanium dental implants.

We position the implants in the mouth in such a way as to allow us to tie in the five (or six) dental implants into a rigid bridge in the shape of an ARCH.  This prevents the implants from moving during the healing phase.  The teeth are set on top of the arch in the most natural and functional position for each patient.

Dr. Berger and Dr. Aires, a Board Certified San Diego Prosthodontist, have published their results of this technique in several journals, among them the prestigious International Journal of Dental Implants.  For a copy of their results, please go to:

If you have questions about whether or not you would be a candidate for Same day Teeth we’d be happy to see you for a complimentary consultation to discuss it.  Give us a call at 866-Resolve.  (866-737-5683).

All on Four dental implants are promoted as a way to anchor a complete tooth replacement appliance with a stable result usually done in one day. It’s also promoted as a way to avoid costly bone grafting.  But a word of caution is in order.

The Problem with All on Four

While this may work for some people, sometimes quite honestly it seems like a risky shortcut.

Historically dentists have used at least five or six dental implants to restore a full arch of missing teeth.

Some dentists and implant centers are now recommending only using 4 dental implants to replace twelve or more teeth.  Should one of the four fail the whole prosthesis becomes useless and cannot be used.

The All on Four is a controversial technique among oral surgeons, Prosthodontist and dentists due to the potential for possible failure from overloading. (A dental term used to describe when too much force is carried by the dental implants).  Those dentists who do the procedure maintain that there isn’t any extra risk, but common sense and some studies verify it.

At PermaDontics, we recommend at least five and sometimes six implants for this procedure.

For the same or very similar cost the fifth dental implant will ensure a higher success rate should one of the dental implants fail.

If you have questions about whether or not you would be a candidate for Same day Teeth we’d be happy to see you for a complimentary consultation to discuss it.  Give us a call at 866-Resolve. (866-737-5683)

Posted by: PermaDontics | February 25, 2011

Welcome to PermaDontics Dental Implants!

PermaDontics – Where our Only focus is Dental Implants

We understand that each patient’s teeth, smile and needs are unique. At PermaDontics our only focus is dental implants. We are the premier Dental Implant Center in Southern California, featuring the most advanced dental technologies all under one roof. With our patient centered approach we ensure that our clients receive the highest standard of care, by clinical specialists, assuring a renewed quality of life.

PermaDontics Features:

  • On-Site Board Certified Oral Surgeon
  • On-Site Prosthodontist
  • All of our procedures are attended by a board certified anesthesiologist
  • On-Site 3D CAT Scan
  • Dental Implant Lab
  • Personal Implant Coordinators
  • All Dental Implant Services in One Convenient Location
  • 3D Model Planning

Unique multi-disciplinary approach to implant treatment. Our team includes experienced, highly qualified leaders where their only focus is dental implant treatment. With a proven team approach, coupled with our all in one centers and advanced technology, we’re able to provide a comprehensive treatment planning approach to ensure the best possible esthetic and functional results for each patient. We are so confident that you will be totally satisfied with your renewed quality of life, we guarantee our work for a lifetime.

If you have questions about whether or not you would be a candidate for Same day Teeth we’d be happy to see you for a complimentary consultation to discuss it. Give us a call at 866-RESOLVE.  (866-737-5683).