Doctor Referrals

https://keystonedental.com/
Troy Dersom (p: 614-282-5154), (email: tdersom@keystonedental.com)
The GENESIS implant system designed by Keystone Dental provides immediate function capability through its dual-thread design for primary stability, while its patented BioSpark™ surface enhances secondary stability. The aesthetic breakthrough provided by the AnaTite™ process results in the first-ever pink implant collar and complete line of pink prosthetics, projecting a natural hue for a more natural-looking smile.

https://www.iheximplant.com
Troy Dersom (p: 614-282-5154), (email: tdersom@keystonedental.com)
iHex Implant Systems by iH Biomedical offers a suite of implant systems that creates an ideal platform switch – For ideal hard and soft tissue outcomes, an Osseo-condensing thread for superior performance in all bone types, a self-tapping apex which allows for slight redirection during procedures and immediate, early, or delayed loading which supports increased initial primary stability and flexibility to support loading protocols.

https://imegagen.com/
Scott McNally (412-877-8363), (email: scott.mcnally@megagenamerica.com)
Unique designs which feature 3 core diameters with 10 thread diameters, the AnyRidge implants deliver progressive bone condensing, ridge expansion, maximized compressive force resistance and minimal shear force production. Each implant features a surface treatment for faster and stronger integration. The surface treatment is based on S-L-A technique with a nano layer of Ca2+ incorporated. Ion creates a CaTiO3 nanostructure on the surface, and activates osteoblasts in the live bone. The name of this unique specialized surface treatment is XPEED®

https://paltopdental.com/
Troy Dersom (p: 614-282-5154), (email: tdersom@keystonedental.com)
Paltop Advanced Dental Solutions develops an implant and surgical system for dental restoration. The concave design enables the soft tissue to form a dense layer surrounding the transgingival component, resulting in reduced tissue transparency and visibility. In January 2019, Paltop Advanced Dental Solutions merged with US dental implant company Keystone Dental Inc.

https://www.zimmerbiometdental.com
Matt Marks (p:740-506-1330), (email: matt.marks@zimmerbiomet.com)
Zimmer Biomet Dental offers a widespread range of dental implant options. The Advent implant and Tapered Screw Vent systems have an internal hex which comprises friction-fit connection along with patented Fixture Transfer/Mount making the restoration esthetic and reliable. In addition, the single-stage SwissPlus dental implant system accelerates and simplifies the implant process saving time. Another type is the Spline Implant which has a special interface that provides improved rotational tolerance and torsional strength.

The natural healing of our body is accelerated by the blood. The blood contains various components, such as platelets, which play an important role in healing. Dr. Heller and Dr. DiDonato use two types of platelet-rich therapies for speedy recoveries after all surgical procedures, Platelet Rich Plasma (PRP) and Platelet Rich Fibrin (PRF). Platelet Rich Plasma (PRP).

PRP aims at tissue regeneration and wound healing in dental and oral surgery procedures such as tooth removal, dental implants, bone grafts, and more. PRP is plasma loaded with high concentrations of growth factors directed towards the site of bone defect or other regions requiring amplification. PRP allows our body to take benefit from normal healing pathways at an increased speed. During the process of healing, the body transfers a number of cells and cell-types to the affected area (wound) in order to kick off the healing process. Thus, this therapy is all about injecting the concentration
of platelets into a particular damaged area of the human body to promote tissue repair and accelerate healing.

PRF is the newer of the two and possesses amazing natural healing properties. PRF includes platelets, leukocytes, and
fibrin matrix and it can be used alone or in addition to other biomaterials, without any inflammatory reactions. Centrifugation results in the formation of three layers of a cellular plasma, fibrin clot, and red blood cells at the bottom.
The success rate of this process depends on the time span between the collection of blood and its centrifugation.

The fibrin membrane formed helps in reviving the release of many growth factors which are involved during wound healing
by facilitating tissue regeneration, reducing swelling and inflammation, preventing bacterial, fungal or another kind of infections, etc. This process is best suited in aging patients with low risks and affirmative results. PRF not only speeds the healing process but also helps to heal the wounds to a much greater extent than has the wound been left to heal on its
own.

• PRF helps to restore peri-implant bone by attracting osteoblasts (bone-forming cells) to the area of concern
• PRF generates new bone and aids in healing defects and reducing inflammation of the bone
• PRF helps in gum regeneration by enhancing the gum volume.
• PRF heals soft tissue margins by joining them which even sutures can’t heal
• PRF has antibacterial properties, which helps to prevent and treat infections
• PRF speeds up wound healing

At the time of surgery, your blood is drawn and placed in a centrifuge to be spun and separated. We then concentrate the white blood cells or fibrin obtained from the blood plasma and apply the PRP or PRF on the surgical site. Your stem cells strengthen and develop new tissue for speedy healing.

Our implants have a success rate of over 98%, but Dr. Heller and Dr. DiDonato will occasionally see issues with implants we have placed or new patients who had implants placed by another office in the past and who are
now having problems. Our doctors are highly skilled and experienced in diagnosing and treating complications that can occur with dental implants.

Using diagnostic tools, they can determine the treatment that will be most effective to restore the implant to full stability and health. If the implant has failed and cannot be saved, a new implant can be placed that will be
stable and long-lasting.

1. Peri-implantitis is an inflammatory disease that affects the gum/tissue and bone surrounding the implant and causes the loss of supporting bone, which may result in the implant becoming loose. The symptoms of peri-implantitis include swelling of the tissue, a change in color of the tissue, bleeding while brushing, and sensitivity. More severe symptoms include loose implants, pain, bleeding, pus and visibility of the implant threads.
2. Smoking – there are chemicals toxic to living tissue in tobacco smoke that kills bone and gum tissue and restricts blood flow. The immune response is also impaired in tissues where the smoke makes direct contact.
3. Diabetes – people with diabetes have a weakened immune system which allows bacteria around the implant to cause infection much faster.
4. Poor-fitting crowns – crowns that do not touch the adjacent teeth leave open spaces that act as food traps where bacteria can develop and cause infection.
5. Residual dental cement – too much dental cement used to attach the crown to the implant can cause excess cement to leak out and irritate the tissues. This attracts bacteria and leads to infection.

Dr. Heller and Dr. DiDonato perform comprehensive diagnostics in order to determine the best course of treatment. Starting with thorough diagnostics to troubleshoot the problem and determine the best course of treatment, they will first review your medical and dental history, take digital x-rays, and when needed, a 3D CT scan.

Your treatment will depend on the problem and its cause. The most common concern is a loose implant crown. The screw can loosen and in most cases, no, this is NOT your implant. There is a small screw that connects the
crown to the actual implant. If the screw is loose there is a simple fix. The crown will need to have a hole drilled in it for access to the screw. The majority of the time the screw can be tightened and it is a simple 10
minute fix.

In cases where the implant crown becomes detached, it is easy for us to recement the crown or make any other repairs if necessary. However, if the crown cracks and the damage to the crown is severe, it will need to
be remade.

Sometimes a part of the implant, the abutment or a part of the crown has broken. Even though dental implants are made of metal they can break under the large biting forces. It is extremely rare but it can happen. If either the crown or the abutment (part that attaches the crown to the actual root implant) is broken then you are in luck. This can be fixed, however, a bit costly. Your dental implant is still good and the abutment and crown can simply be remade and a new one installed within a few weeks.

If your dental implant has fractured, unfortunately, it cannot be fixed. A new implant can be installed after removing the broken one.

If infection is present around your implant, our doctors will use our laser to decontaminate and sterilize around the implant and to clean out the plaque and bacteria that have accumulated around your implant. This procedure is extremely effective and typically requires 3-4 short visits spaced a week apart.

Significant bone loss may require bone grafting to improve the site. Once the bone graft is complete, your mouth may need several months to heal.

Our doctors will always try to save your implant. If the implant can not be saved, they will remove the implant and carefully clean the area. If there is enough healthy bone in the same area, a bone graft may not be
needed. If too much infection is present or too much bone is lost, bone grafting may be necessary to rebuild and begin the process of healing and inserting a new implant, making careful note of what went wrong the
first time.

Dental implants are durable and long-lasting but even if you do your best to take care of your implant, there are reasons beyond your control why it might fail. If you have an implant that you think may be in need of repair please contact our office right away. We can take care of your problem and fix your dental implant. We look forward to helping you.