513-871-4411
Hyde Park Medical Arts Bldg.
2752 Erie Ave. #1
Cincinnati, OH 45208
We are committed to helping you improve your smile with dental implants.
Cincinnati Implant Dentistry
Dr. Manny Chopra and Dr. Randall Stastny
Prosthetic Dentistry is a specialty that emphasizes the science and art of restoring the entire mouth including veneers, crowns, bridges, implants, dentures and restorative dentistry. A degree in prosthodontics requires an additional three years of University based advanced training beyond the DDS/DMD degree.
Dr. Chopra earned his DMD dental degree from Washington University School of Dental Medicine in St. Louis in 1990. He then graduated from the Indiana University School of Dentistry in 1993 with his advanced specialty training in Prosthodontics.
Dr. Chopra attends numerous dental seminars and lectures every year. Dr. Chopra is extremely active in the dental community with many affiliations. He is a member of the American Dental Association, the Ohio Dental Association, the Cincinnati Dental Dental Society, the American College of Prosthodontics and numerous study groups.
Dr. Randall Stastny
About Dr. Manny Chopra and Dr. Randall Stastny
Dr. Manny Chopra is a Prosthodontist and is partnered with Dr. Randall Stastny, an oral maxillo-facial surgeon. They have extensive knowledge about dental implants and have decided to partner together to expand their services to the patients in the Greater Cincinnati area. Other companies may offer similar services, but our services are the best, and come with a personal touch.
Interested in learning more?
Manny Chopra BDS,DMD, FADI
Tooth loss is something no one looks forward to
If you lose one or more teeth, you have a number of options, one of which is dental implants. You owe it to yourself to be informed as possible about these options. With this in mind, we've created this section on dental implants.
Dental implants are fixtures of titanium which are surgically placed into your jaw bone. The implant is an anchor for a crown, partial denture or a full complete denture. The success rate of dental implants depends on where the implants are placed and their purpose. They are typically best placed in the front portion of your lower jaw. Implants are great for replacing missing teeth. It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants are not only used to replace one tooth, but rather people missing most, if not all, of their teeth benefit greatly as well. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.
Advantages:
As our life span increases a permanent dental replacement like implants is increasingly important as we get older. While dentures and removable bridges are usually loose and unstable, implants provide you with dental replacements that are both natural looking and very functional. Implants look much better, and feel better than traditional removable bridges, and offer the same force for biting as bridges that are fixed in place. Implants should last your lifetime.
Disadvantages:
Implants are a major investment and not without risk. The extensive use of implants can cost thousands of dollars to achieve a great result. It is also a very time consuming procedure when having many implants placed. For some people there are varying degrees discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure. The crown (false tooth placed on top) will need to be replaced in ten to fifteen years.
Who is a candidate for dental implants?
If you're missing one tooth or all of your teeth, implants may well be for you. So long as you have enough bone in the area of the missing tooth to facilitate the anchorage of the implants, this procedure can yield terrific results. If you don't have enough bone for this purpose, a bone graft may be necessary. If you have a small dental bridge or removable partial denture, implants will be a welcome alternative. Implants are an alternative to a fixed bridge. The implant may last a lifetime, but the crown on top of it will last ten to fifteen years.
Overview of Dental Implants
Implants are surgically placed in your jaw bone while under anesthesia. For some people there are varying degrees of discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure.
How are Dental Implants attached in your mouth?
The implant procedure is a surgical placement of the implant or implants in your jaw bone which requires a three to six month healing period before an implant is ready to be loaded with biting forces. During this healing time the bone grows in and around the titanium implant creating a very strong support. Dental implants can be rejected. Usually they are replaced with another implant of a slightly larger size. The rejection or "failure" rate Is minimal, only 1 to 2% of all implant procedures. You must go without wearing your dentures for one day to two weeks after an implant placement. After the implant has "taken" and you have sufficiently healed, Dr. Chopra will need several appointments to help attach your final crown, partial denture or complete denture to the implants.
Types of Dental Implants
Implants rely on titanium fixtures inserted into the jawbone. Most implants are made of titanium, which is very effective at fusing with living bone (osseointegralion). There are three types of dental implants which may be offered to you:
Root Form Implant
This screw type implant is shaped like the root of a tooth. This is the most commonly used implant and is used where there is plenty of width and depth in your jawbone. If your jawbone is too narrow or short for placement of the Root Form implants, bone grafting may be needed to allow for their placement. After you've received anesthesia, the implant surgeon will expose an area of your jawbone and prepare the bone for the implant. The number of incisions and bone preparations depend on how many implants you need. The implant will be set into place and your gums are closed with stitches. It will take three to six months for healing. After you've fully healed, your implant is uncovered and an abutment is attached.
Plate Form Implant
If your jawbone is too narrow for bone grafting, a Plate Form implant is placed into your jawbone. The Plate Form implant is unique for this purpose as it has a flat and long shape for a better fit into a narrow jawbone. After you've received anesthesia, your implant surgeon will expose an area of your jawbone and prepare the bone for the implant. The number of incisions and bone preparations depend on how many implants you need. The implant will be set into place and your gums are closed with stitches. It will lake three to six months for healing (some Plate Form implants are immediately ready for restoration wihout the long healing process).
Subperiosteal Implants
If there's not enough bone width or height for the Root Form or Plate Form implants, the Subperiosteal implant is recommended. The Subperiosteal implant is custom made to rest on top of your jawbone and under your gums like the Plate Form implant, but the Subperiosteal implant is placed through one of two special methods.
The first method of placement involves Dr. Stastny and Dr. Chopra making an impression of your jawbone. After you've received anesthesia, we would expose your jawbone and take an impression of it. The impression is used by a dental laboratory to make a custom-fit implant for your jaw. The next procedure, after your custom-fit implant is created, is to again expose your jawbone and place the implant. Your gums are then closed with stitches and replacement teeth are installed.
The second method of placement requires a CAT scan of your jawbone. Through computer modeling techniques, a model of your jawbone is made from the CAT information. The next procedure, after your custom-fit Subperiosteal implant is created by a dental laboratory, is to again expose your jawbone and place the implant. Your gums are then closed with stitches and replacement teeth are installed.
Dental Implants - A New Way of Living
Many people "get along" with missing teeth or removable dentures, but they hate it.
Often they:
1.Avoid eating certain foods
2.Avoid opening wide when smiling, laughing, or talking
3.Feel old
4.Get mouth sores from appliances
5.Lack confidence with their smile in public
6.Don't feel natural
7.Gag on dentures
Two implants supporting a complete lower denture
Today dental implants represent a dramatic breakthrough in modern dentistry. Here is what many people feel about implants:
1.Eliminate wobbling dentures
2.Go to sleep at night without removing some appliances
3.Eat a sandwich, apple and corn on the cob confidently
4.Help avoid further bone loss
5.Avoid cutting down and capping adjacent natural teeth for bridges
6.Improve facial appearance
7.Improve comfort, build confidence
8.Improve speech
9.Feel younger
Implants work like real teeth.
They are anchored in the bone of your jaw. All other conventional kinds of tooth replacements lay on top of the gums and feel unnatural and bulky.
Dental implants are changing the way people live.
With them, people are rediscovering the comfort and confidence to eat, speak, laugh, and enjoy life.
How do implants work?
The success of modern implant dentistry is based on reproducing the healthy relationship between your natural teeth and the surrounding bone.
A titanium cylinder "root" is surgically placed into the bone of your jaw. Your bone will slowly generate around the titanium implant and fuse to it. Three to six months later the bone has locked the implant in place and can now withstand normal chewing forces.
When the implant is solid, I will build a replacement for your missing teeth over the implant. The natural healthy relationship of the implant replaces the stressful relationship of the denture to the underlying gum and bone tissue.
These implants have a 70-95% chance of lasting at least 10 years.
Since implants are accepted as a natural part of the body, almost everyone can have them.
Conditions that may lead to failure are:
1.Those who are not physically healthy (for example: uncontrolled diabetes, hypertension, osteoporosis or radiation therapy)
2.Not enough bone to support the implant
3.Poor home dental care
4.Smoking one pack per day or more
5.Clenching/grinding
Single Tooth Implant Prosthesis
Advantages
1.Free standing, fixed restoration
2. No preparation of neighboring teeth
3.Superior appearance
4.Natural contour
5.Similar hygiene procedure as natural tooth
6.Interchangeable precision engineered components
7.Crowns can be replaced if necessary
8.Other replacement options still available in event of failure
Disadvantages
1.Need for surgery with the possibility of pain, swelling, or permanent numbness
2.High costs of components
3.Must have adequate bone for implant
4.Use in molar region with caution
5.Technically demanding precise surgical placement
6.No way to accurately predict gum or bone healing after implant placement
As an Oral & Maxillofacial Surgeon, certified by the American Board of Oral & Maxillofacial Surgery, Dr. Stastny has had extensive training in dental, oral and facial surgical procedures. His training includes four years at the, University of Louisville School of Dentistry where he was in the top of his class. He then completed a one year General Practice Residency at the VA Medical Center in Louisville, which included rotations on general anesthesia and general medicine. His Oral & Maxillofacial Surgery Residency was completed at the Mt. Sinai Medical Center in Cleveland, Ohio. This four year program included rotations on general anesthesia, general surgery, plastic surgery, intensive care unit, emergency room, general medicine and the trauma team. In addition to functioning as a resident on each of these rotations, when on the Oral & Maxillofacial Surgery service, he was required to function as an Ear, Nose & Throat resident for the ENT attending surgeons.
Dr. Stastny initially opened up his Cincinnati practice in 1992. He continued his training in facial cosmetic surgery with T. William Evans, DDS, MD, MSc. over a period of three years. Dr. Evans is well known for his meticulous technique, and his devotion to teaching. He has long held an appointment to the Ohio State University for that purpose. Dr. Evans expertise and training has proven so valuable that he now teaches a one year fellowship in facial cosmetic surgery to oral & maxillofacial surgeons