Do You Have a Failing Dental Implant?

Do You Have a Failing Dental Implant?

Dental implants have a stellar track record. In fact, they’re successful for up to 98 percent of patients. But what happens the other two percent of the time? It’s extremely frustrating, to say the least. After all, dental implants come with a significant cost and you expect them to last for decades. When they do fail, however, the good news is that you can Visit an Indianapolis Specialist Dr. Falender to have them repaired.

At our practice, 30 percent of our patients come to us to repair other dentists’ failed implant work. With years of dental implant experience, we’re the region’s experts in repairing dental implant failure and specialize in placing new dental implants.

Implants Before After 2

Reasons for Dental Implant Failure

With proper care, dental implants can last a lifetime. When they don’t, there is usually a reason for it.

Here are Some Common Reasons for Dental Implant Failure:

  • Inexperienced Clinicians – If a dentist doesn’t specialize in dental implants, doesn’t have a length history of placing them or simply doesn’t take all the proper precautions when placing them, it can lead to failure.
  • Long-Term Health Issues – Diabetes, osteoporosis and other chronic health conditions can lead to a higher risk of dental implant failure.
  • Certain Medications – It’s possible that the medication you take can play a role in dental implant failure as well.
  • Infection – Whether because of improperly performed surgery or a failure to take care of the dental implants, an infection can develop and put unnecessary pressure on the implant, leading to failure.

Regardless of the reason for dental implant failure, the good news is that they are often salvageable if you see a specialist early enough.

Why A Dental Implant Specialist?

Just as you would seek out a cardiologist instead of a general doctor to address a heart issue, it’s wise to see a Specialist for Dental Implants instead of a general practitioner. Less-experienced clinicians and general practitioners simply haven’t devoted the same amount of time to dental implants and don’t have the same experience with them.

A dental implant specialist, on the other hand, knows best practices for implant success, from ensuring everything is sterile and using the correct instruments to ensuring bone and tissue aren’t overheated and that there is adequate bone volume. It’s the little things that ultimately lead to success.

If you have a dental implant failure or are concerned about future failure, don’t hesitate to contact our office today for a consultation.

Find Out If You’re A Good Candidate For Dental Implants

To find out if you’re a good candidate for dental implants and our AO4+ Smile Solution treatment, Call Indianapolis Oral Surgery today to schedule an appointment. We’re more than happy to walk you through the treatment options we have available to find one that is just right for you. We’ll also make sure to answer any questions and address any concerns you may have. We aren’t pleased unless you’re completely satisfied!

Call our Indianapolis, IN dental office at (317) 790-2555 for your Complete Dental Implants Consultation with Dr. Falender. You can also contact us online to request an appointment. We look forward to seeing you!

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Is the All-on-4 Implants Process and Am I A Candidate for All On 4 Dental Implants?

What Is the All-on-4 Implants Process and Am I A Candidate for All On 4 Dental Implants?

If you have suffered total tooth loss, have been told it is imminent, or currently wear ill-fitting removable dentures, the All-on-4 dental implant process is an option that you should look into. In Indianapolis, All-on-4 Implants Procedures offer a faster solution to tooth loss than traditional implant procedures, restoring the look, feel and function of natural teeth in one day. That means that you could walk into our dental office toothless one morning and leave with a full, brilliant new smile that same afternoon. By now you are probably wondering just what the All-on-4 process is and whether you are a candidate for this procedure.

The All-On-4 Dental Implant Process at Indianapolis Oral Surgery & Dental Implant Center

The All-on-4 Implants technique is a revolutionary approach to implant-based dental restoration in patients who have lost all teeth in one jaw or both. Before this technique was developed, providing a patient with a full arch of replacement teeth meant placing at least six dental implants – and often as many as eight or ten – in the jaw, then waiting months for the implants to bond with the jawbone before replacement teeth could be attached. Additionally, patients often had to undergo preparatory procedures, such as bone grafts or sinus lifts, before implants could be placed, making the process – and the amount of time spent wearing an uncomfortable temporary denture – even longer.

With the All-on-4 dental implants in Indianapolis process, patients have one or two visits with Dr. Falender for the purpose of treatment planning. During those visits, Dr. Falender will gather the information needed for precise surgical planning and prosthetic fabrication. That information gathering process generally includes a physical examination, 3D CT scans, X-rays, photos and impressions, as well as the collection of a complete dental and health history. After these consultation appointments have been completed, patients are scheduled for surgery, during which four specialized immediate-load dental implants will be placed in the jaw and new teeth fitted and adjusted – all in one appointment.

Are You a Candidate for The All-On-4 Ventura Dental Implants Procedure?

Most people who are in fairly good general and oral health are candidates for this procedure. That doesn’t mean you have to be in perfect health, so don’t assume you aren’t a candidate if you have a few health problems. Most patients with underlying medical or dental health issues can have the procedure, with just a few exceptions, such as uncontrolled diabetes or hypertension, certain blood disorders or active periodontal disease, among others. Additionally, due to the specialized design of the dental implants used in All-on-Four procedure, patients with some bone loss in the jaw – even those who have been wearing removable dentures for years – can often be helped to a new, secure and natural-looking smile, often without the need for preparatory bone augmentation procedures.

Of course, the only way to know for sure if you’re a candidate for dental restoration through the All-on-4 process is to see your Implant Dentist for a consultation. If you are one of the few patients who cannot be helped with this advanced form of dental implant restoration, chances are that your dentist has other implant-based options available to restore optimal oral health and function and an attractive new smile.

Find Out If You’re A Good Candidate For Dental Implants

To find out if you’re a good candidate for dental implants and our AO4+ Smile Solution treatment, Call Indianapolis Oral Surgery today to schedule an appointment. We’re more than happy to walk you through the treatment options we have available to find one that is just right for you. We’ll also make sure to answer any questions and address any concerns you may have. We aren’t pleased unless you’re completely satisfied!

Call our Indianapolis, IN dental office at (317) 790-2555 for your Complete Dental Implants Consultation with Dr. Falender. You can also contact us online to request an appointment. We look forward to seeing you!

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Taking Care of Your Dental Implants, The Right Way in Indianapolis

Taking Care of Your Dental Implants, The Right Way in Indianapolis

Dental implants are the number one solution for restoring missing teeth for many reasons. They have a high success rate, they improve the abilities of chewing and eating, and they look and feel just like natural teeth. Plus they are affordable! However, even though they are esthetically indistinguishable from natural teeth, dental implants do require special care.  The goal is simple, you want your dental implants to last a lifetime! In this article, we want to cover some basic dental implant health tips that will help you find success with dental implants.

There’s lots of pain that comes with dental implant failure. It feels embarrassing, moreover than when you first had your missing tooth. No one wants to feel that way, so let’s make sure of that. So instead of risking further tooth loss and dental implant failure, we want to show you just how simple it is to take care of your teeth. Surprisingly, these 7 simple tips are so easy to work into your everyday routine, and will help make sure your dental implants stay healthy and well. Let’s take a look at them.

Why You Should Be Taking Care of Your Dental Implants

Dental implants themselves cannot develop cavities or decay, but that doesn’t guarantee lifetime success alone. Here is why.

Inflammation and implantitis, a periodontal infection, can affect the soft and hard gum tissues that are supporting the dental implant. If left untreated, your dental implants become victims to the same bacteria that gnaws away at natural teeth. In turn, these bacteria develop into a hard deposit called calculus. Calculus destroys the gum and bone support surrounding the dental implant that keep it securely in place. The one hurting effect of calculus, once it’s there no amount of brushing or flossing can get rid of it, the only way being at the hands of a dental hygienist. The constant envoy of bacteria attacking dental implants may not leave a mark on the implant itself, but will eat away at what keeps the implant in place and risks implant failure.

7 Tips to Take Care of Your Dental Implants

In a study conducted by the American College of Prosthodontist, they have identified and laid out the must-do’s every person should be aware of to keep their teeth healthy.

Here we have the top 7 ways you can achieve dental health success.

#1 Get a Dental Examination Once Every 6 Months

It’s important to communicate with your dentist on average every 6 months. Cleanings are one of the most important things you can do for your teeth, as we cannot clean the back of our teeth as thoroughly as we think we do with just a toothbrush and floss. Dentist are there to educate you and give you goals to improve or keep up your oral health.

#2 Floss Your Teeth Daily

A question you may always dread is when your dentist asks, “Have you been flossing”? The answer is probably no, and that can be a huge detriment for you and your dental health. When it comes to flossing dental implants, use a water pik. Water piks are easier on the gums and don’t come with the same soreness as traditional floss. If you’re experiencing bleeding while flossing, you’re pushing the floss too deep into your gums. It’s a tall order to floss every day for many, but flossing is one of the best things you can do for your teeth and dental implant health.

#3 Brush Your Teeth Twice a Day

This should not come as a shocker to any of you. Brushing your teeth is what keeps bacteria from multiplying exponentially while you’re sleeping or out and about during the day. Every day, before and after you get out of bed, you need to brush your teeth for at least 2 minutes. Brush each tooth gently in a circular motion 15 times before rinsing out your mouth. Don’t overextend and brush your teeth longer than this. Excessive brushing can wear down the thin layer of enamel protecting your teeth and do more harm than good.

#4 Replace that Icky Toothbrush of Yours

Your toothbrush goes a long way for you. It cleans your teeth when you need it, brushing away the thousands of bacteria specimens breeding in your mouth on a daily basis. It’s there for you when you need it day in and day out, even when you’re sick. But relationships with your toothbrush don’t last forever. We recommend replace your toothbrush every 6 weeks, which goes for electric toothbrushes as well (the head of it). If you are sick, replace your toothbrush immediately, as you don’t want to get sick again due to the icky bacteria lingering on the bristles.

#5 Wear a Mouth Guard to Protect Your Dental Implants

There’s a high chance of your dental implants experiencing damage if you grind your teeth in your sleep. If believe that you do, talk with your dentist, as they will set you up with a night mouth guard to protect your teeth as you sleep. Nighttime is not the only time you may want to wear a mouth guard. Mouth guards are extremely important if you play sports or participate in any physical exercise. They make sure your teeth aren’t harmed if you get knocked into or you fall down while being active. Furthermore, make sure the mouth guard you receive fits your teeth perfectly, else it will feel awkward and uncomfortable.

#6 Avoid Smoking and Chewing Tobacco

Tobacco use is amongst the most harmful things you put in your body. In recent years, there has been innumerable studies about the danger of tobacco, especially on your teeth. It causes tooth decay, it eats at your gums, it causes bad breath, and eventually you’ll have nothing but black plaque left in your mouth. If you are a smoker, it’s almost certain your dentist will make you quit before you even qualify to get a dental implant. It’s a good time to quit now as well, taxes on tobacco products have never been higher in the U.S. and will most likely continue to go up.

#7 Eat a Low Sugar Diet

Your tongue knows all about the best pastries out there, but it doesn’t know how much harm such sugary foods can do to your teeth. Sugary foods gnaw down your enamel protecting your teeth, and can cause tooth discoloration and more. Now your dental implant is colored to match the remainder of your teeth, discoloration can make your dental implant stand out like a sore thumb. If you want to keep up an appearance and a nice smile, make sure that the foods you eat aren’t being fueled by sugar. There are many natural foods that are just as good, if not better than sugary processed foods.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Can I Get Implants If I Have Dentures Already?

Can I Get Implants If I Have Dentures Already?

It’s a question many people ask themselves on a regular basis:

“If I already have dentures, can I get dental implants?” The short answer? Yes!

Thanks to today’s technology and advancements in dental techniques, the vast majority of people are candidates for dental implants, even if they already have dentures.

If you live in or near Indianapolis, IN, and are considering making the transition from dentures to dental implantsContact Dr. Falender for an Implant Consultation.

Watch How Denture Implants Can Change Your Life

How to Know if You’re a Candidate for Dental Implants?

Dental implants have a 99% success rate, but how do you know if you’re even a candidate for them? It all depends on the amount of healthy bone in your mouth. If you’ve had dentures for several years, you might have had some deterioration. Dental implants need a certain amount of healthy bone so they can permanently fuse to your mouth — this is also known as osseointegration.

So, basically, if you still have enough healthy bone in your mouth, you’re a candidate for dental implants. But even if you don’t, there are other options like bone grafting that can still make dental implants a realistic possibility.

At Indianapolis Oral Surgery & Dental Implant Center, we’re proud to offer the All-on-4 treatment concept to our patients. Thanks to the tilted design of the implants in All-on-4, it covers more bone and allows more patients to be candidates for dental implants. Once it’s determined that you’re a candidate for dental implants, you can start enjoying their several advantages over dentures. Even if you have been told you are NOT a candidate, come see us for a second opinion.

Advantages of Dental Implants Over Dentures

Traditional dentures come with several disadvantages. They’re inconvenient, cause bone deterioration and need to be replaced every few years, just to name a few. Dental implants, on the other hand, are the next best thing to your natural teeth.

Here are some of their advantages over dentures:

– Natural appearance: Unlike dentures, dental implants look just like your natural teeth. People often won’t even be able to tell you have them!
– Full function: You can eat whatever you want with dental implants, unlike the diet restrictions you’ll experience with dentures.
– Superior stability: While dentures sit on the gum line, dental implants fuse to the bone in your mouth, meaning you’ll be able to enjoy them for a lifetime.
– Bone stimulation: You don’t have to worry about facial collapse or excess wrinkles with dental implants, as they stimulate the bone in your mouth to ensure it stays healthy.
– Social confidence: Dentures come with the risk of slippage or falling out, which can cause embarrassment during photos or social situations. Dental implants stay securely in place at all times.
– Convenient care: Say goodbye the pastes and cleaning solutions, as you can care for dental implants just like your natural teeth.

If you have dentures and are considering dental implants, schedule a consultation with us today!

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Save Time While Saving Your Smile Too : Same Day Teeth

Save Time While Saving Your Smile Too : Same Day Teeth

When it comes to cosmetic dentistry, there is no procedure as impactful as the Same Day Teeth procedure. The results are beautiful and life changing, to say the least. Any missing teeth or other imperfections you have in the beginning of the day will not be there by the end. You get a functioning, ideal smile in just one day.

What Is Same Day Teeth?

‘Same Day Teeth’ is a technique for people with missing or failing teeth and usually refers to a new fixed complete set of teeth on dental implants. This is a great option for people who are already wearing dentures or are losing their teeth due to disease and breakdown. The idea being to provide the patient with a new ‘fixed’ set of teeth (either bridgework or a fixed denture) are screwed onto dental implants which have been placed on the very same day. Initially these are a provisional set of teeth that look and feel great and are then replaced with a more permanent set some months later.

The ‘same day’ concept can also be used for a single tooth or a few teeth in some cases, but more commonly relates to a complete jaw or set. It can be done using the ‘All on 4 implants’ technique or with 6-8 or more implants in each jaw depending on the needs of the case and on whether a fixed denture or fixed dental crowns and bridges are desired. All on 4 implants are a quick, safe and cost-effective dental treatment for anyone whose self-confidence and quality of life are affected by missing teeth. All on 4 implants even work in people who have a lack of bone although some bone rebuilding is sometimes necessary.

Criteria For Getting New Teeth In A Day

Patients treated with the technique and therefore included in the retrospective analysis met the following criteria:

  • Jaw Bone profile for the placement of atleast 4 implants of 10mm in length in either healed or immediate extraction sites.
  • Good general health with acceptable oral hygiene.
  • Implants achieved stability at insertion.

So What’s Involved?

Initial Consultation

Your first step in the procedure will be a consultation with your Indianapolis Oral Surgeon Dr. Falender. During this consultation they will examine your mouth and do a CT scan. This scan lets them assess your suitability for implants. They can check your existing jaw bone density to determine precisely where the implants should be inserted. Your oral surgeon should also discuss alternative treatment options with you before you commit to anything.

If you are a suitable candidate and decide to go ahead, the next step will be dental impressions. These are sent to a lab where your new dental bridge is designed to fit and look just like natural teeth. Your Oral Surgeon may also take some x-rays to help with planning your treatment.


If you need to have teeth extracted before your implants are inserted, this can usually be done on the same day.

The overdenture is permanently fixed to the implants. Your dentist or oral surgeon will probably offer you a sedative to help you relax during the procedure. Then they will anaesthetise you so you don’t feel any pain. If you would prefer to have a general anaesthetic for your All-on-4 treatment, ask your dentist about this at your initial consultation.

After any remaining teeth are extracted your mouth will be thoroughly cleaned to remove any damaged tissue and bacteria.  The dentist drills two or more holes at the front of your jaw to hold the front implants. Two holes at the rear – one on each side – are angled to offer greater support to the rear of the dental bridge.

Once the implants are placed, your mouth is cleaned again and any incisions are stitched up. It’s common for dentists to use dissolvable stitches which disappear after a week or two. Either the same day or the following day you’ll be fitted with your new teeth. Some dentists create a temporary overdenture at this stage which is then replaced a few months later. This is often made from resin – a lighter but less durable material – which puts less pressure on your implants while they heal.


Patients usually experience some bruising, swelling and general discomfort in the days after their surgery. You’ll probably want to take a couple of days off work to recover fully and get used to your new teeth. It will be a while before you can eat apples again.

Your Oral Surgeon will advise you on the type of foods you can and cannot eat in the months after your treatment. For the first few months you’ll probably have to stick to very soft foods so you don’t disturb the process of the implants fusing with your bone. You might also be advised to avoid things like smoking and heavy exercise for a while.

These implants are cleaned just like your normal teeth – by brushing once a day. Your oral surgeon will also show you how to floss with special tools. You might want to invest in a water flosser with special attachments designed to clean around implants.

Benefits of Getting All-on-4 Implants Indianapolis

  • Get Immediate Results : With as few as four dental implants, you can replace your dentures and have a permanent implant-supported bridge in as little as one day. Experience a dramatic improvement in chewing ability, teeth stability and overall comfort right away.
  • Improve Your Appearance : The All-on-4 procedure takes 20 years off of your smile! The procedure helps preserve the jawbone and prevent further deterioration of the facial structure associated with missing teeth and a lack of the root system that supports them. Dental implants decrease wrinkles caused by missing bone and tooth structure, which helps you look younger!
  • Eat What you Want, When You Want, Where You Want : Your overall eating habits will improve with the All-on-4 procedure. You’ll be able to enjoy your favorite foods again, instead of avoiding them in public or at home.
  • Get a Long-Lasting Smile : The All-on-4 dental implant procedure creates a permanent set of teeth with a non-removable implant-supported retained dental bridge. Your dental implants never have to be removed, and your teeth can last a lifetime.
  • Enhance Your Overall Quality of Life : With All-on-4 dental implants, your new teeth will feel and function just like real teeth. You’ll have greater comfort and confidence when smiling, speaking, and eating. Overall you’ll look better, feel better, and have a renewed outlook on life.
  • Eliminate Health Issues Associated with Failing and Missing Teeth : The All-on-4 dental implant procedure helps create a healthier mouth and a healthier body by helping reduce the chance for periodontal disease, a bacterially-induced chronic infection and inflammatory disease. Periodontal disease has been linked to heart attacks, strokes, Alzheimer’s disease, diabetes and other chronic diseases. Because dental implants restore your mouth to a more natural state, they may help fend off periodontal disease. With routine brushing and flossing, dental implants help enhance your overall health.
  • Easily Care for Your Teeth : Another All-on-4 implants benefit is ease of care. With daily brushing and flossing, as well as regular visits to your Dental Associates hygienist and dentist, your new teeth will stay clean and healthy.

Get Same Day Teeth at Indianapolis Oral Surgery & Dental Implant Center, Indianapolis, IN

We value your trust in us as part of your family’s total healthcare team and look forward to getting to know each of you as the wonderfully unique individual that you are. Each one of us loves what we do and we believe at Indianapolis Oral Surgery & Dental Implant Center that it shows in the quality of our work and our patient interactions and it is one of the reasons why Indianapolis Oral Surgery & Dental Implant Center is the clear choice for the dental patients in the surrounding neighborhood.

We hope that each of our patient has a happy and healthy smile makeover and that means protecting your teeth and your oral health. We care for your smile and to have a detailed understanding regarding your oral care, you can always schedule a consultation with our staff at 1320 N. Post Rd, Indianapolis, IN 46219 or by calling us at (317) 790-2555.

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Teeth In A Day – Reality Or Myth

Teeth In A Day – Reality Or Myth

Dental implants have many benefits. One of the most important is replacing a broken or damaged tooth in the front area that can no longer be restored. In this case, teeth in a day offers a highly aesthetic and efficient solution as it avoids the need to prepare the adjacent teeth in just one sitting. However, the traditional procedure can take up to one year as it implies three different steps:

1. Removal of the existing tooth or root. The extraction socket is left to heal for four to six months before a dental implant is placed. During this period, the body will grow new bone inside the socket.

2. The implant is surgically inserted into the jaw bone. A variable amount of healing time is required for osseointegration (3 to 6 months). Osseointegration is a biologic process where the implant forms an intimate bond to the bone.

3. After the healing time, a dental crown is attached to the implant.

Teeth In A Day: Immediate Placement And Loading

The loss of tooth in the esthetic area is often a traumatic experience for the patient. Patients may suffer real or perceived detrimental effects following the loss of one or more teeth. Dental implant offers the most cost-effective and long-term solution for replacement of missing teeth with high average life expectancy, providing the patient with the best sense of security and well-being. Recently, immediate implant placement after extraction of tooth with early loading has become more common. The advantages of this procedure include

  • Fewer surgical interventions,
  • Reduction in overall treatment time,
  • Reduced soft and hard tissue loss, and
  • Psychological satisfaction to the patient.

Who Is A Candidate For Immediate Tooth Replacement With Implants ?

Immediate placement is not appropriate for all patients and cases and the screening process should be extremely thorough. The ideal candidate is someone who is in good dental and general health. Some factors can also negatively affect tooth implants:

  • Smoking
  • Any conditions that affect the immune system or reduce the body’s ability to heal
  • Some drugs such as bisphosphonates as these drugs increase the risk of bone death after surgery
  • Bruxism or teeth grinding and clenching

Patients who choose this approach must also be committed to good oral hygiene. Furthermore, not overloading the implant crown is another factor that needs to be reinforced with patients when loading an implant immediately after placement.

Patients with enough bone quantity and quality are great candidates for immediate placement and loading because of anticipated implant initial stability assuming that they would be compliant with postoperative instructions.

Steps For Getting Teeth In A Day

There are a number of issues and steps to consider:

1. Consultation And Planning

Dental implant surgery has to be meticulously planned; when you opt for immediate implant placement, careful planning and experience are prerequisites for success.

Your Indianapolis Oral Surgeon Dr. Falender will need to know your complete dental and medical history before carrying out various diagnostic tests, such as dental x-rays and a CT scan.

The data from these tests must be analyzed to assess the quality of the bone that will be surrounding the tooth implant. When an implant is placed into a recent extraction site, many doctors prefer to graft bone in the alveolar socket to create a bony base for the implant.

There should also be enough gum tissue to surround the implant and crown as this will affect aesthetics; the implant crown should look as if it is emerging naturally from the gums. Gum tissue can be grafted from another site in the mouth if necessary.

At this stage, Dr. Falender from Indianapolis Oral Surgery & Dental Implant Center, Indianapolis will also determine the best position for the implant and will choose the correct size.

2. Removing The Existing Tooth

It is quite critical that your broken tooth is removed very carefully so that the tooth socket is not damaged.

If any bone from the walls of the socket is damaged or lost, it could lead to unsightly gum recession and/or a poor prognosis; in this case, many practitioners would prefer to end the procedure (and continue with the traditional approach) rather than risk a poor result.

3. Implant Placement

Using this technique, the implant fixture is placed in the bone right after the tooth extraction. It is vital to place the implant so that it is stable and non-movable in the bone. This stability is referred to as the primary stability of the implant.

Latest research suggests that the primary stability of the implant in bone is a more important determinant of the success of implant integration, rather than a certain period of healing time.
The tooth socket of an upper front tooth is cone-shaped. To achieve primary stability, the implant has to penetrate the apex of the socket (or the end point) and affix to the bone in this area. Additionally, a bone graft can be placed inside the tooth socket.

It is very important to select the right-sized implant for the situation and make sure that it is placed in exactly the right position.

4. Crown Placement

The crown will be attached to the implant in one of two ways:

  • Directly : The crown and the abutment are one piece and a lag-screw traverses both to secure the one-piece structure to the internal thread on the implant.
  • Indirectly : First, the abutment is attached to the implant and the crown will be cemented to the abutment. In this variation, the abutment can be used to create a change of angulation for the crown to emerge through the gum tissue with a more natural appearance.

Regardless of the variation used, it is critical that the newly attached crown is free from biting forces, which could displace the implant. The crown is usually a temporary crown, made of a composite or acrylic resin, which can easily be modified to ensure that it is both functional and cosmetic.

Once the implant is fully integrated with the bone, the temporary crown can be removed and replaced with a permanent one.

5. Care And Maintenance

Immediate implant placement and loading requires higher patient compliance. There are 3 key factors that patients have to consider:

  • Overloading : It is vital that the implant restoration should not be overloaded as even micro-movement during the first two months of placement can result in non-fusion and failure of the implant to attach to the surrounding bone. Avoid biting on extremely hard pieces of food and contact your doctor if you notice any signs of involuntary teeth grinding and clenching.
  • Oral Hygiene : It is critical to take good care of the area around the implant for the first couple of months after the surgery in order to prevent infection. If maintaining this level of care could be a problem, then you should consider traditional tooth implants that use a two stage technique.
  • Smoking : You may not be suitable for this type of treatment if you are a heavy smoker and have problems quitting smoking and tobacco products.

Benefits And Risks Of Same Day Dental Implants


Benefits of immediate tooth replacement with implant restorations include:

  • A highly durable and stable restoration
  • Full aesthetic restoration
  • Minimization of the tooth movement associated with tooth loss
  • Reduction in the bone deterioration associated with tooth loss
  • Confidence
  • Less waiting time

The best news is depending on your specific requirements and case, you could be pleasantly surprised at the cost effectiveness of your immediate dental implant treatment.

In the past, it was challenging to replace a patient’s loss tooth immediately. Patients had to wait for a period of 3 to 6 months and suffer the inconvenience of wearing temporary dentures during their healing period.

Now, thanks to modern state-of-the-art surgical techniques and tooth implant technology, our patients can have permanently fixed tooth or teeth fitted within a few days of the surgery.

It is important that you know when you lose a tooth, it is highly advisable you replace it as soon as possible. This is because since your loss tooth no longer supports the jawbone underneath, over time it could result in jawbone deterioration.

Depending on the cumulative deterioration of your jawbone, this can in the long run undermine the strength and position of your remaining teeth. So, even if you’ve lost a single tooth, to avoid a long term “domino effect” it is best to replace your missing tooth or teeth as soon as possible.

Risks and Drawbacks

Same-day dental implant treatments cannot create a shortcut that will bypass the bone-to-implant integration process. This must still take place and cannot be rushed because the body needs time to produce new bone cells that will firmly hold the implant in place. Patient compliance is vital to ensure the tooth implants do not move during a healing period, which may be anywhere between three and six months. During this time, it is often necessary for patients to stick to a softer diet, avoiding particularly hard or crunchy foods, such as carrots or almonds. This can last 6 to 8 weeks after surgery. Failure to adhere to a softer diet may result in the implants moving, negatively impacting integration and increasing the risk of treatment failure.

Often the restorative dental implants that are attached immediately after surgery are simply temporary, remaining in place until integration is completed, after which they can be replaced with more permanent implant-supported restorations. These immediate restorations are usually fabricated before surgery takes place and may not look as highly aesthetic as the final restorations.

While this treatment isn’t for everybody, the potential emotional benefits for patients receiving same-day dental implants shouldn’t be discounted. However, treatment is often extremely technique-sensitive and extensive skill is needed to ensure success.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.


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Dental Patient Benefits of Image-guided Implant Surgery

Dental Patient Benefits of Image-guided Implant Surgery

Image guided surgery makes use of the very latest technology to help ensure that your dental implant treatment is a complete success. When you visit Dr. Lawrence Falender at Indianapolis Oral Surgery & Dental Implant Center for your initial consultation, it’s highly likely that he will want to take some diagnostic images. These will include dental x-rays and if you decide to proceed with implant surgery then you will need what’s called a cone beam CT scan. This is a detailed 3-D image of your mouth showing all of its structures and it is essential for implant planning. Dental implant treatment isn’t simply a matter of inserting a dental implant into the jawbone as the surgery has to be precisely planned and this is where 3-D imaging is so invaluable.

What is Image Guided Surgery?

Indianapolis Oral Surgery & Dental Implant Center is one of the first practice in Indianapolis to use imaged guided technology for dental implant surgery. This revolutionary technology provides real-time, turn-by-turn guidance for less invasive surgery and more accurate placement of dental implants. It is the newest and most advanced system used for placement of dental implants.

It is today’s most advanced method of placing dental implants, one that uses a combination of state-of-the-art medical/dental technology and cutting edge surgical techniques to provide Indianapolis, IN dental patients with exceptional implant-based dental restoration results. Here we’ll delve into the details of image guided dental implant procedures, including how they differ from standard implant procedures and their benefits for the average dental patient.

Image guided surgery starts with 3-D Imaging. Visualizing your jaw in three dimensions allows us to identify the relationship between important anatomical structures and nearly eliminates the uncertainty that is often encountered with traditional 2-D imaging. Virtual surgical planning software is then used to create a 3-dimensional digital treatment plan that is reviewed with your dentist and used to show you what you can expect everything will look like from start-to-finish. This allows you to see the images in an understandable way so that you can make educated decisions about your treatment plan.

Benefits of Image-Guided Implant Surgery

Image-Guided Dental Implant Surgery Provides Greater Accuracy

The mouth is full of important structures that your oral surgeon has to be mindful of them when installing a dental implant. You wouldn’t want your dentist to hit a nerve, and you wouldn’t want the titanium post of your dental implant to come in contact with the root of the adjacent tooth. Nor do you want your implanted tooth to be crooked or off-center.

Image-guided surgery allows your oral surgeon to operate with a high degree of accuracy because the 3D images provide a detailed view of each part of your mouth. Furthermore, mapping the surgical process ahead of time, with the images as a guide, reduces the risk of mistakes at the time of surgery. Image-guided surgery provides more accuracy than other forms of implant surgery.

Image-Guided Dental Implant Surgery is Less Invasive

The higher degree of accuracy provided by image-guided surgery is what allows it to be a less invasive procedure than other types of dental implant surgery. Thanks to the detailed images of your mouth and the careful planning of your surgery before the actual operation, your dentist can install your implant with only a small incision, or even with no incisions at all.

When using a freehand technique, dentists have to plan their incisions and other surgical movements as they’re performing the surgery, which could lead to larger or more incisions, especially if the dentist is placing multiple implants. In the image-guided surgery process, all of that planning is done before the surgery with accurate models of your mouth, which allows your dentist the time and resources to determine the least invasive way to install your dental implants. The less invasive the surgery is, the less risk you have of complications.

It’s Easier to Recover from Image-Guided Dental Implant Surgery

The greater degree of accuracy and the lesser degree of invasiveness combine to make image-guided dental implant surgery easier to recover from than other dental implant surgeries.

Because your oral surgeon can ensure accurate placement and smaller incisions, you’ll have less bruising and swelling and less pain than you would if your dentist used a freehand technique. Fewer and smaller incisions also mean less chance of infection after the surgery. Because post-surgical infections can lead to implant failure, reducing your risk of infections increases the likelihood that your implants will be successful.

Your recovery will not only be easier; it will be faster. You’ll be ready to flash your new and improved smile sooner rather than later.

What Is a Surgical Guide and When Is It Used?

Our implant dentist Dr. Falender may well choose to make what is called a surgical guide which is a template that will be made based on the information provided by 3-D imaging technology. The template shows Dr. Falender the precise positions to insert the dental implants during image guided surgery and helps ensure that the whole procedure will proceed as smoothly as possible. This is also an advantage for you, as the surgical procedure will be quicker and less invasive as Dr. Falender will know precisely where to make any incisions, and smaller incisions will be quicker to heal with less risk of infection or any other type of complication.

How You Get the Very Best Dental Treatment in Indianapolis IN

Not every implant dentist offers this type of advanced technology but it is worth seeking out someone who does if you want to receive the best and most comfortable treatment that will give you a higher degree of success. As well as making for a more comfortable procedure, image guided surgery helps to ensure that the final results will look wonderful. By placing the dental implant in precisely the right position, you can be sure of having an implant tooth that will be able to function properly so it will feel just like your natural tooth. It should also look stunning as the final aesthetics would have been taken into account when planning your treatment.

Dental implant surgery is not a quick procedure and it is not the cheapest way to replace a missing tooth but the advantages far outweigh these factors. However, to maximize your chances of successful treatment, it pays to choose an implant dentist with this advanced technology and who has extensive training and experience in placing all sorts of dental implants. In other words, you do need a specialist such as Dr. Lawrence Falender.

So, the bottom line answer to the question “What is image guided dental implant surgery?” is that it is the safest, most accurate method available today to place dental implants, providing patients with top-of-the-line care when it comes to implant-based dental restorations. Given that fact, it just makes sense to choose an Indianapolis specialist Dr. Falender for your procedure who has invested in this state-of-the-art technology, ensuring that you’ll get the optimal results you’re looking for as you invest your time and money into restoring your smile with dental implants.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Care Do I Need To Take Post Tooth Extraction

What Care Do I Need To Take Post Tooth Extraction

“What Care Do I Need To Take Post Tooth Extraction?” is one of the many questions that are asked by dental patients in Indianapolis who’ve had their tooth extracted at Indianapolis Oral Surgery & Dental Implant Center. After You’ve Had a Tooth Pulled, your oral surgeon Dr. Falender will send you home to recover. Recovery typically takes a few days.

Following all the post-operative instructions after tooth extraction reduces the incidence of infection and chances of dry socket. If aftercare instructions are not followed then it can cause complications, which can further lead to delayed healing.

Here are some of the do’s and don’ts after a tooth extraction.


1. Take Your Medicines as Prescribed by Your Oral Surgeon

Don’t skip the medicines. If antibiotics are given they should be taken regularly. Pain killers and anti-inflammatory drugs are to be taken after tooth extraction. It help in reducing the pain and swelling. If the pain continues even after two days of tooth extraction and bleeding starts then you should call your dentist.

2. Use Ice Packs

Apply an ice bag to the affected area immediately after the procedure to keep down swelling. While on simple extractions swelling isn’t accompanied, in cases requiring severe cheek retractions swelling can occur after operation. The swelling after an extraction may not occur immediately, but can continue to swell for a few days, reaching a maximum at the 2nd or 3rd day. Application of the ice pack is most effective during the day of extraction as after 24 hours there is no significant beneficial effect. Apply ice for 10 minutes at a time.

3. Rest for a Day

Relax for at least 24 hours after the extraction. Limit activity for the next day or two.Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket.

After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.

4. Let it Clot

Let the clot be formed on the tooth extraction site, which covers it and allows it to heal. After the procedure your dentist will give you a piece of gauze to bite on near the extraction site. Try to bite down and keep it in place for at least an hour afterwards. This will put pressure over the wound and help it to stop bleeding.

However, make sure you don’t chew on gauze piece. If you can keep it in place longer that’s best, but make sure to change the gauze after roughly every half hour, depending on the amount of bleeding. If once the clot forms it becomes dislodge the nerve endings then become exposed. The nerves and capillaries spasm and constrict, limiting essential blood supply, which causes delay in healing. If the bleeding persists for a few hours after the procedure then try putting a wet tea bag on the site. The tannic acid present in black tea helps to aide in the clotting process.

5. Take Warm Saline Rinses

The main aim of rinsing is to clean the area of extraction as it is not possible to brush the socket. We mix salt to make the solution isotonic and similar to natural tissue fluid and thus it is less irritating than water. Rinsing is usually advised 12 hours after extraction. So, warm saline rinses help in cleaning and maintaining the hygiene of that area.


1. Avoid Sucking

Do not drink from a straw for the first 24 hours. Avoid using Pacifier and Sippy-Cup. The sucking action will increase the pressure inside your mouth and may interfere with a clot forming.

2. Don’t Smoke

For at least 48 hours after tooth extraction do not smoke. The chemicals in the smoke can affect the clot and hence the chances of developing dry socket 3-4 days after tooth extraction increases and can inhibit healing.

3. Avoid Solids

While you still have numbness it’s best not to eat solids. When you start feeling your jaws you can start taking solids. After tooth extraction, take soft and liquid foods like soups, mashed potatoes, yogurts, milkshakes, smoothies etc. Gradually add solid foods to your diet as the extraction site heals.

4. Avoid Aspirin

Don’t ever take aspirin (Can take ibuprofen). Aspiring being a blood thinner will delay in clot formation thereby will prevent healing. Take the medications as prescribed by the physician and consult your dentist before taking any medicine.

5. Use Pillows

When lying down, prop your head with pillows. Lying flat may prolong bleeding.

6. Avoid Exposure of the Extracted Site

Continue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. Doing so will help prevent infection.

7. Don’t Poke into the Gap Created

Though for initial few days, it will feel a bit awkward to have a gap but don’t poke that area with any toothpick or tongue as it may delay healing, may provoke bleeding and can also lead to dry socket.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Surgeries Carried Out By An Oral Surgeon in Indianapolis


When you hear the words “oral surgery,” you may think of a hospital setting, general anesthesia, and one or more days in recovery from this type of dental procedure. Because of that, you might be surprised to learn what is actually considered oral surgery in dentistry. Many dental procedures are performed in a general dental office are considered oral surgery and patients who require such procedures are booked for it without the inconvenience of being put on a waiting list in a different office for treatment. So what is oral surgery and which are the surgeries carried out by an oral surgeon?

What Is Oral Surgery?

Oral and maxillofacial surgery (OMS or OMFS) specializes in treating many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and maxillofacial (jaws and face) region. It is an internationally recognized surgical specialty.

Surgeries Carried Out By An Oral Surgeon

Depending on the nature and severity of the condition requiring surgery, procedures will be undertaken under general anesthesia in a hospital, day surgery or at a suitably equipped dental practice.

Aside from major extractions such as wisdom teeth removal, some of the surgical procedures that may be carried out by a Maxillofacial/Oral surgeon include:

Tooth Extractions

tooth extraction

An impacted tooth is a tooth that fails to fully pass through the gums. Impacted wisdom and cuspid (or canine) teeth are fairly common. To correct impacted teeth, there are a few treatment options. For impacted wisdom teeth, the most common procedure is extraction. For impacted canine teeth, several treatment modalities are available. Orthodontics (braces) can be used to open space for proper eruption. Primary (baby) teeth can either be extracted or surgically exposed to allow for the placement of an orthodontic bracket to help align the teeth.

Corrective Jaw Surgery

Jaw correctness

Corrective jaw, or orthognathic surgery is performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient’s appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems.

Dental Implants

Dental Implant

Dental implants are used to replace tooth roots. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of bio-compatible metal, called titanium, placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the attachment of the replacement teeth. To fabricate the replacement teeth, an impression is taken and a model of the bite is created. The replacement teeth are based on this model. Replacement teeth can either be crowns, bridges or dentures.

Detection and Treatment of Diseases

Oral Treatment

Oral care doesn’t just keep your teeth strong; it can have a significant effect on your general wellness, too. Nearly one in 10 people have some sign of poor dental health, and in some instances that number goes up to almost 100 percent. The most common oral diseases are:

  • Dental Cavities
  • Gum Disease
  • Infectious Diseases
  • Injury Trauma
  • Oral Cancers

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Is Wisdom Tooth Removal Necessary?

Is Wisdom Tooth Removal Necessary?

It seems that removing wisdom teeth has become a rite of passage into adulthood, but is it always necessary to remove them? The answer varies because each case is different. While it is true that extracting wisdom teeth can prevent dental problems, both now and later, only after assessing the growth, position and impact on surrounding teeth can we decide whether it’s best to remove them.

We Recommend Removing Wisdom Teeth When

They Cause Gum Problems.

Impacted wisdom teeth crowd other teeth and cause pain and swelling, especially when they only partially erupt (push themselves up through jawbone and gum tissue into the mouth). Partially erupted (impacted) teeth may lead to infections, cysts or tumors in the gum tissue or jawbone. These are serious problems that negatively affect your overall health. Incompletely erupted teeth can create deep pockets around themselves where bacteria and food can collect and infection can develop.

Their Growth Can Cause Damage to Neighboring Teeth.

Deep pockets around incompletely erupted teeth create areas where bacterial plaque, calculus and food collect. Cavities on tooth roots may develop in these areas. If cavities do develop on the roots of the neighboring teeth, extraction of the wisdom teeth and the neighboring teeth will likely be required.

The Position of the Tooth Hinders Jaw Movement or Affects Chewing Function in Any Way.

  • Does the wisdom tooth scrape the soft tissues in your mouth?
  • Does it cause you to bite your cheek?
  • Does food get caught under the gum tissue around the wisdom tooth and cause swollen and/or painful gums that you bite while chewing?

These are concerns that need to be addressed to keep you chewing your food well and facilitating digestion.

It’s clear they won’t fully erupt and they are either:

  • Moving in the direction of neighboring tooth roots or
  • Will never come into contact with an opposing tooth.

Wisdom teeth do move within the jawbone as they attempt to erupt. If they move in the direction of adjacent tooth roots and put pressure on them, the roots will resorb. This will permanently damage the adjacent tooth and will require either surgery on the affected roots or tooth extraction. Alternatively, if it’s clear that the wisdom tooth will not come into contact with its opposing tooth, it is functionally useless and the risks of keeping it can often outweigh the benefits of keeping it. Conversely, if your wisdom tooth is impacted and not causing harm in any way, it’s best to leave it in place.

Now that you know when you should remove wisdom teeth, read on for reasons why you shouldn’t.

We Don’t Recommend Removing Wisdom Teeth When They Are

  • Healthy
  • Fully erupted
  • Positioned correctly and not overly crowding adjacent teeth
  • Functioning properly

What Is The Process for Wisdom Tooth Extraction?

  • X-rays and an exam to confirm the need for extraction and plan the procedure.
  • A consultation to discuss your options for anesthesia, sedation and to review the overall extraction process before the day of the procedure
  • Administering anesthetic and possibly sedation on the day of the procedure in the comfort of the dental office
  • Opening the gum tissue and removing the wisdom tooth or teeth
  • Closing the gum tissue with sutures, which will be removed during a follow-up appointment (In some cases, the gum tissue is left open to heal)
  • The procedure may take 1 hour or more. The doctor can give you an estimate of the time required during your consultation appointment.

What Happens After Wisdom Tooth Removal?

  • Post-operative instructions will be reviewed with you in the dental office.
  • Keep gauze pads in the area to help stop any bleeding.
  • Ice packs may be used on your cheek(s) to help avoid or reduce swelling.
  • Rest and refrain from any sports or strenuous activities for a few days.
  • Avoid smoking, carbonated beverages, drinking from straws, touching the extraction site, chips and nuts and eat soft foods for 2 to 3 days.
  • Take any medications prescribed as directed.

Have you felt pain or discomfort in your jaw? Are you wondering if your wisdom teeth should be removed? Contact us for an appointment and get a professional opinion. We have answers and we can help.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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