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Posts for tag: Dental Implants

By Sitnik Dental
December 12, 2019
Category: Dental Procedures
Tags: Dental Implants  

Dental implants are one of modern dentistry's most incredible advancements. So natural in form, stability and function, they're practically  implantindistinguishable from real teeth. At Sitnik Dental in Salem, OR, your dentist, Dr. Igor Sitnik, uses dental implants to help patients who have suffered tooth loss. Their many advantages could help your smile, too.

A missing tooth or two...

What's the difference, right? Well, the difference is this. Your remaining teeth will shift position, you'll have unattractive gaps, and your digestion will suffer. Additionally, maybe you don't know that dental extractions lead to almost immediate gum and bone deterioration. Bone mass in the jaw begins to degrade after you lose a tooth.

Unfortunately, the more teeth your smile loses, the more damage results. And, the problems are not just health-related. Your interpersonal relationships, job and self-confidence may be harmed as well.

Dental implants and how they work

A single dental implant has three parts: a titanium screw, a metal post and a ceramic crown. Placed by your Salem, OR, dentist right into the jaw, the implant serves as a tooth root. Amazingly, the bone bonds right to the titanium metal through osseointegration.

After you receive your implant and the implant has bonded, which can take several weeks or months, the dentist places the post and crown. This waiting period ensures proper osseointegration and long-term retention of the implant device.

Dr. Sitnik often inserts multiple implants in patients who need more than one tooth replaced. They support fixed bridgework or full dentures without the need for denture adhesives or dental crowns attached to neighboring teeth.

Advantages of dental implants

Besides excellent oral function, longevity and convenience (implants stay in place permanently), these prosthetic teeth:

  • Are customized for your particular needs
  • Work well for most healthy teens and adults who have sufficient bone in their jaws to accept the devices
  • Give you a perfectly balanced bite so you can enjoy all the foods you love
  • Rarely need replacement
  • Stay healthy at their margins with routine flossing and brushing and semi-annual examinations and hygienic cleanings at Sitnik Dental
  • Feel very comfortable

Find out how dental implants could help you and your oral health. Call Dr. Igor Sitnik for a one-on-one consultation. He'd love to help you have your best smile. Phone (503) 363-5962.

Dental Crown DiagramWhat conditions damage teeth the most? Decay and gum disease top the list, but oral injury and excessive wear through age, acid erosion or teeth grinding contribute to loss of tooth structure, too. At Sitnik Dental in Salem, OR your dentist, Dr. Igor Sitnik, uses beautiful porcelain crowns to shore up weak teeth, recreating their original strength and natural beauty. Do you need a crown?

What is a dental crown?

Often referred to as a cap, a crown is a tooth-shaped and tooth-colored jacket of superior quality ceramic. Custom-made to cover healthy tooth structure above the gum line, a crown preserves and extends a tooth's usefulness, lifespan and appearance. In fact, when you crown a tooth, it simply blends in with the rest of your smile.

Crowning a tooth

Expect two visits to Sitnik Dental in Salem where your dentist will inspect your tooth and surrounding gum tissue. He'll X-ray it, too, to evaluate the underlying bone. Some teeth need root canal therapy (removal of inflamed interior pulp) before a crown can be placed.

Here's how the treatment goes. First, Dr. Sitnik will remove the decayed and damaged enamel. (You may need some local anesthetic for this.) Then, he will shape the tooth so it can accept the crown, and place a temporary cap over it for support. Oral impressions give the dental lab a negative imprint of the tooth so the technician can replicate it for size and shape.

When you come back to Sitnik Dental (in about a week), the dentist will take off the temporary restoration. Using a strong cement, he'll bond the permanent crown in place. A quick assessment for bite, fit and color match completes the procedure.

Caring for your crown

Whatever kind of crown you have--a single tooth crown, a crown which restores a dental implant, or multiple crowns to anchor fixed bridgework--you must brush and floss diligently. The American Dental Association advises you brush twice a day with a soft toothbrush and non-abrasive toothpaste. Also, floss with your favorite product once a day to remove plaque from the gum line and in between teeth.

Finally, avoid teeth clenching with a bite guard, and see Dr. Sitnik every six months. He'll want to keep an eye on that crown and do a complete oral examination and cleaning.

You can expect your crown to last many years--ten or more, at least. You'll enjoy how your smile looks and how well you can bite and chew again.

Contact us

Porcelain crowns are just one of the many restorative treatments Sitnik Dental in Salem provides. If you want state-of-the-art care that's just right for you and your smile, contact the office today for an appointment: (503) 363-5962.


Although dental implants are best known as single tooth replacements, they can actually play a role in multiple or complete tooth loss (edentulism) restorations. While replacing multiple teeth with individual implants is quite expensive, there’s another way to incorporate them in a restoration at much less cost — as supports for bridges.

In this case, only a few strategically placed implants are needed to support restorations of multiple crowns fused together into a single unit. Implant-based bridges consist of two main types: the first type is a fixed bridge, which is permanently attached to the implants and can’t be removed by the patient. It’s often the preferred treatment for patients who’ve lost most or all of their teeth but have not yet experienced significant bone loss in the jaw.

This choice, however, may not be the best option for patients with significant bone loss. In these cases, there’s a second type of fixed bridge: an implant-supported fixed denture. This type of fixed denture provides support for the lost bone support of the lips and cheeks. If a fixed bridge is not possible due to finances or inadequate bone support to place 4 to 6 implants, a removable denture (also known as an overdenture) that’s supported and held in place by implants is the next best alternative. Unlike a fixed bridge, an overdenture can be removed by the patient for cleaning purposes, and will require less investment than a fixed bridge.

For people with bone loss, the overdenture does more than restore chewing and speech function. Because bone loss can diminish support of the facial structures — actually shorten the distance between the chin and the tip of the nose — an overdenture provides additional bulk to support these structures to improve appearance. Depending on what the patient needs for facial support, overdentures for the upper jaw can be designed as “full palates,” meaning the denture plastic completely covers the upper jaw palate, or open in which the plastic doesn’t completely cover the palate.

Besides the condition of your teeth, gums and bone, your own personal preferences and financial ability will also play a role in which option is best for you. After considering all these factors, we can recommend which of these types of implant-based restorations will fit your needs. With either bridge, fixed or removable, you’ll certainly benefit from the improvement to both your mouth function and your smile.

If you would like more information on implant-supported bridges, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Fixed vs. Removable.”

By Sitnik Dental
January 15, 2019
Category: Dental Procedures
Tags: Dental Implants  

Find out how dental implants can restore your missing teeth for life.

Dealing with tooth loss is an upsetting situation but one that our Salem, OR, dentist, Dr. Igor Sitnik, sees all too often. If you are one of the millions of American adults who are missing at least one tooth, then you’ve come to the right place. Here at Sitnik Dental, we offer a long-term solution that could give you the next best thing to a natural smile: dental implants


About Dental Implants

If you were to check out a dental implant you may be surprised to discover that it’s actually just a small titanium post. However, what it’s capable of doing will impress you—it legitimately replaces your missing tooth’s roots!

In order to do this, the implant will need to be surgically placed within the jawbone where the missing tooth used to be. From there, the implant will act as a permanent foundation from which to support a new false tooth.


What to Expect From the Implant Process

There are several steps involved in getting dental implants from our Salem, OR, restorative dentists. Here is what’s involved in getting dental implants,

  1. A consultation: The first step is to come into our office so that we can perform a thorough oral examination. During this consultation, we will also take x-rays to make sure that the jawbone is healthy enough to support one or more implants. From there, we will discuss what you can expect from your upcoming surgery.
  2. Implant placement: During your next visit, our dentist will place the implant into the jawbone. Don't worry—the procedure is quick, relatively minor, and all done under IV sedation and local anesthesia.
  3. Healing and osseointegration: The healing process is one of the major components of getting a dental implant. After all, it’s the implant’s ability to bond with the jawbone and tissue that makes it a long-lasting tooth replacement. Osseointegration, the process by which the implant bonds with the jawbone, can take anywhere from 3-6 months.
  4. Placing the abutment: Depending on the type of implant our dentist places, your implant may have a built-in abutment or may require one to be placed. An abutment is a structure that connects the implant with the false tooth (the portion of the implant that is visible). This will require another minor surgery in order to open up the gums and attach the abutment to the top of the implant.
  5. Attaching your false tooth: The last step is to now place your permanent false tooth on top of the abutment. If you are just replacing a single missing tooth then the implant will be covered with a dental crown. If several implants have been placed, then a bridge or full dentures can also be attached to the top of the implants.


Do you have questions about getting dental implants in Salem, OR? Do you want to find out if you are an ideal candidate for this tooth loss treatment? If so, then schedule a consultation with Sitnik Dental today by dialing (503) 363-5962.


Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.

To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.

While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.

But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.

But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.

Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.

If you would like more information on antibiotics before implant surgery, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implants & Antibiotics: Lowering Risk of Implant Failure.”