What happens during the dental implant procedure, and how is it performed?
A typical implant consists of a titanium screw, with a roughened surface. This surface is treated either by plasma spraying, etching or sandblasting to increase the integration potential of the implant. At edentulous (without teeth) jaw sites, a pilot hole is bored into the recipient bone, taking care to avoid vital structures (in particular the inferior alveolar nerve within the mandible). This pilot hole is then expanded by using progressively wider drills. Care is taken not to damage the osteoblast cells by overheating. A cooling saline spray keeps the temperature of the bone to below 117 degrees Fahrenheit (approx) or 47 degrees Celsius. The implant screw can be self-tapping, and is screwed into place at a precise torque so as not to overload the surrounding bone. Once in the bone, a cover screw is placed and the operation site is allowed to heal for a few months for integration to occur. After some months the implant is uncovered and a healing abutment and temporary crown is place