Researching Your Dental Implant Decision

Researching Your Dental Implant Decision

Researching Your Dental Implant Decision | Sammy Noumbissi DDSWe live in an age when people have the luxury of being able to research virtually any potential purchase before make it.  In many ways, “buyer beware” has been replaced by “buyer be well read.”  If you want to, you can spend 5 hours gathering information to aid in your next shoe purchase.  You can see the view from your seat before buying a ticket to a basketball game. If you’re shopping for a new body part, that research tends to take on a whole new level of significance.  This is more or less the situation when one considers getting a dental implant.  Though many people don’t think of it this way, each of our teeth is an individual body part with specific purpose and functionality.  Like many other systems in our bodies, the mouth functions most optimally when each of the individual components are in healthy, working condition. Dental implants are different from many other body prosthetics, however.  For one thing, they are nearly identical from a functional standpoint to the original body part (whether they are visibly identical to the original tooth depends largely on your choice of implant).  Unlike many other body prosthetics, implants are not designed to be removed, refit, or replaced.  They also differ from procedures like joint replacements in that much of the hardware being installed can be visible to the patient as well as others. Because so many different factors go into making a good dental implant decision, and due to the somewhat permanent nature of the procedure, researching the various available options is an essential part of the process for any prospective dental implant patient.  When exploring one’s tooth replacement options, there are three primary areas of focus to be concerned with. Are Dental Implants the Right Option for Your Particular Situation? Obviously the first step is to determine whether you are a good candidate for an implant to begin with.  As we’ve just discussed, there are many things to consider about dental implants.  Generally speaking, an implant is the best, longest lasting option for replacing a missing tooth.  They can also be an excellent alternative to extensive root canal treatment, which is prone to almost inevitable failure.  Implants tend to be stronger, more functional, and more hygienic than bridges and partials. It’s important to ensure that you as the patient have sufficiently healthy gum and bone tissue to support and espouse the implant.  Ultimately this is something that your doctor will need to advise you on; more on that in a moment.  Thankfully, modern advancements in bone reconstruction and guided bone regeneration have significantly improved the standard of implant care and widened the field of potential implant candidates.  With regard to gum tissue, some materials are more conducive to the maintenance of healthy gingiva. What are the Best Implant Materials to Use? While there are myriad options available when it comes to dental implant material, they basically all fall into one of two categories:  metal implants and ceramic implants.  Metal and alloys were the only option for the first decade or so following the advent of the modern dental implant before ceramic implants began to slowly make their way on to the scene.  While titanium is still the most commonly used implant material, titanium implants do carry a higher risk of a plethora of complications.  Metal free implants made from zirconia have been used with increasing frequency over the last two decades, and are now widely considered to be the highest standard in dental implant care.  This is due primarily to zirconia’s higher rate of biocompatibility in addition to its being an aesthetically superior material. Choosing the Right Doctor for You Carefully choosing your doctor is the most crucial aspect of making this decision.  This is of course because the right doctor will be paramount in helping you to make informed decisions on all of the other pertinent factors.  Many general practice family dentists offer dental implants as part of their wide range of offered services.  As we have discussed here, however, dental implant surgery and treatment entails an exceptionally high number of critical variables; the management of which requires extensive expertise. Finding a doctor whose primary area of focus is implantology will give you the best chance of receiving the best advice and treatment with regard to issues of material choice, implant planningbone augmentation, and more. Dr. Sammy Noumbissi is one of the country’s foremost experts on pre and post op dental implant care.  His office, located in Silver Spring, Maryland, employs the latest techniques and most advanced technology in order to ensure that all of his patients receive the highest standard of care possible.  Contact the office today to schedule a free consultation.

Your Body’s Struggle With Titanium

Your Body’s Struggle With Titanium

Your Grandpa’s Implant Material

Your Body’s Struggle With Titanium | Sammy Noumbissi DDS

It seems more and more people are becoming aware of and concerned with the myriad chemicals, compounds, and materials that are going into their bodies.  It’s a legitimate concern indeed, as new substances seem to be finding their way into our food, medicine and overall environment at an increasingly rapid rate.  With all of these new molecules popping up for us to check out, it can be easy to take for granted that the materials we’ve already been using for generations are inherently safe.  As we’ve seen in the cases of mercury, lead and asbestos, that is certainly not always the case; toxic materials can sleep through the cracks of public awareness and remain in use for very long periods of time.

Thankfully, there are no doctors to my knowledge that are placing asbestos dental implants.  There are different materials being used in the dental implant industry today, however, and it is extremely prudent to be aware of the potential risks involved with any material that is being permanently inserted into your body.

As with many biological prosthetics, titanium has been the primary material of choice for dental implants placed around the world for many years.  It was seen as an ideal choice due to its light weight and durability.  It is relatively less difficult to integrate with the body than a lot of other metals, and under normal environmental circumstances it was believed to be practically impervious to corrosion.

What We Know Now

It turns out, however, that titanium is susceptible to corrosion as a result of contact with saliva and other bodily fluids.  Corrosion can also occur in dental implants as a result of stress caused by bite forces.  There is a possibility that the same bacteria-borne acids that cause tooth decay may also have the potential to corrode titanium implants over time, though further research of this issue is still needed.

As titanium corrodes it creates an electromechanical disturbance in the body, causing pain and discomfort.  Ultimately it can lead to the body rejecting the implant all together.  The broken down titanium can cause metal toxication as it seeps into the soft tissue, blood stream, and even the bone.  Symptoms include irritation and burning sensation in the soft tissue, pharyngeal swelling, labored breathing, narrowed larynx and abdominal pain.  In addition, titanium oxide nano particles have been shown to induce emphysema and lung redness in adult mice.

The surface of the remaining metal structure becomes more abrasive as it breaks down, which can contribute to bone loss and can also be a factor in soft tissue irritation.  Compared with a superior implant material like zirconia, titanium has an especially difficult time bonding with your gum tissue.

Allergic sensitivity to titanium is also a concern.  Studies have shown that 20% – 25% of the population has some kind of metal allergy, and titanium allergies specifically are believed to occur in 4% – 10% of all people.  Symptoms include oral ulcers, hyperplastic gingivits, oral dryness and loss of taste.

The Newer, Better Implant Material

Ceramic dental implants made of zirconia have many positive attributes that stand on their own merits.  It is definitely worth noting, however, that none of the risks listed here regarding titanium are a significant factor with zirconia implants.  It is a bio-compatible, nontoxic material that is not a known allergen.  In fact, patients who had their titanium implants replaced with ceramic ones due to their titanium allergy have experienced full-mouth rehabilitation from their allergy symptoms.  It’s no wonder why Dr. Noumbissi has been placing ceramic dental implants in his patients for so many years.  The real question is, why isn’t everyone else?

Drs. Noumbissi & Luettmann Zirconia Implantology Workshop At The 36th Annual Asia Pacific Dental Congress: APDC 2014 Dubai, UAE

Dear Colleagues, Friends and Patients,

On Monday June 16, 2014, Drs. Sammy Noumbissi and Ralf Luettmann of Hamburg Germany conducted a full day Workshop in Advanced Implantology at the 36th Annual APDC meeting. There was a combination of lectures and hands on where all 12 attendees were able to perform placement of Zirconia dental implants in artificial jaw models. This program was the first of its kind at the APDC and in the Middle-East.

Zirconia Implantology In The United Arab Emirates

Functional, safe and aesthetic replacement of dentition has long been a challenge for dentistry. The lectures objectives were to provide the delegates  and specialty residents with a high-level and comprehensive overview of the fastest growing addition to dental implantology; Metal free zirconia dental implants.  Zirconia has been, and continues to be, widely used in restorative dentistry.
Today, manufacturing processes have been developed making high performing, quality all-zirconia implants for use in single unit, multi-unit and edentulous treatment plans.  Zirconia is an inert bioceramic which has excellent biomechanical properties, does not conduct heat, retains no plaque and unlike titanium it is not susceptible to galvanic activity or corrosion in the oral environment.

Dr. Noumbissi was invited to be a keynote speaker at the 2nd International Conference and Exhibition on Dental and Oral health. This conference was held at the Crown Plaza Hotel Dubai in the United Arab Emirates from April 21 to 23, 2014. The theme of Dr. Noumbissi presentation was “All Ceramic Implantology with Zirconia Dental Implants: Rationale and Clinical outcomes”.  On April 22, 2014 Dr. Noumbissi introduced ceramic implants to the Dubai School of Dental Medicine. In attendance were thirty residents and faculty from the oral surgery, periodontics, prosthodontics and endodontics specialty departments. The topic presented was “Zirconia Dental Implants: A Viable Alternative to Titanium Implants”

Dr. Noumbissi Organizes And Speaks At The World’s First Metal-Free Implantology Congress- Miami 2014

Dr. Noumbissi Organizes And Speaks At The World’s First Metal-Free Implantology Congress- Miami 2014

Dr. Noumbissi Organizes And Speaks At The World’s First Metal-Free Implantology Congress- Miami 2014

Under the leadership of its founding president Dr. Sammy Noumbissi, the International Academy of Ceramic Implantology (IAOCI) held its winter congress in Miami, on January 24 and 25, 2014 . In attendance were delegates from 11 states in the USA, the UK, France, Japan, Germany, Spain, Jamaica, Canada, and Switzerland!

Our world-renowned and expert speakers included Drs. Elizabeth Valentine-Thon, Dan Hagi, Josep Oliva, Sammy Noumbissi, Andrea Mombelli, Stephen Evans, Ralf Luettmann, Judson Wall, Noriaki Honma, Mr. Taylor Hunter from Aurum Dental Laboratories and Mr. Jared Young from Big Diastema Marketing.

We want to thank Z-Systems USA, Ceraroot Implants, Aurum Dental Laboratories, Albensi Dental Laboratories, Zeramex Ceramic Implants, Lasers for Dentistry, Healthier Smiles Dental and TAV ceramic Implants for their gracious support.

This year featured one of the best curricula ever for a dental implant event and the information shared was bar-none. If you weren’t able to make it this year, you won’t want to miss next year’s event, we are now beginning to go through the 48 hours of video footage we recorded and will soon be making those DVDs available to anyone interested in learning more about Zirconia Dental implants.

Next Year’s congress will be held again in Florida during the last week of February 2015, more details to come soon!!

Thank you to Ms. Ronetta Jones who worked tirelessly to make this happen and everyone who helped make it possible!

Sammy Noumbissi DDS MS

Zirconia Implants A Viable Alternative Seminar Lead By Drs. Bobbie Beckman And Sammy Noumbissi November 7 & 8, 2013

Zirconia Implants A Viable Alternative Seminar Lead By Drs. Bobbie Beckman And Sammy Noumbissi November 7 & 8, 2013

On Thursday and Friday November 7 and 8, 2013 we successfully completed our two-day fall session zirconia implantology training and certification course. In attendance were six doctors from Maryland, Washington DC and Europe (Italy). Was also in attendance Mr. Don Albensi, CEO of Albensi Dental Laboratories in Pittsburg Pennsylvania.  This course on the zirconia ceramic dental implants was focused on zirconia as an implant material, its properties and uses in metal free implantology. Emphasis was also placed on case selection, advanced clinical and radiographic diagnostics, treatment planning and guided surgery. On Thursday Dr. Bobbie Beckman gave  an amazing presentation  on 15 years experience with ceramic implants across four different zirconia implant systems.

Congratulations to Drs. Rupert Clark, William Lanza, William Milton, Gary Lucombe, Marlene Saint-Phard, Marylin Legasperi and  Terri Victor who attended this course.  Very Much thanks to  Z-Systems USA and Albensi Dental Laboratories  for their support.

Sammy Noumbissi DDS MS

Zirconia Implants A Viable Alternative Seminar Lead By Drs. Bobbie Beckman And Sammy Noumbissi November 7 & 8, 2013

Zirconia Implants A Viable Alternative Seminar Lead By Drs. Bobbie Beckman And Sammy Noumbissi November 7 & 8, 2013