What is Dental Implantology?
In some cases, it may not be feasible to try to maintain a tooth.  If a tooth cannot be properly restored, or if it is fractured, or if the periodontal condition is poor, it may be necessary to extract the tooth.  Dental implantology involves placement of a fixture into the jaw bone to replace the missing tooth.  The implant then can be restored with a crown, or, if multiple implants are placed, crowns or a bridge.


Bruce D. Schulman, D.D.S., P.A.

Who Places Implants?
Implants are placed by dentists who have advanced educational training in this area.  Oral surgeons, periodontists, endodontists, general dentists, and even orthodontists are involved with implant placement.


Why would an Endodontist Place Implants?
In many situations, it is up to the endontist to determine if a tooth is "saveable."  Since the endodontist's primary focus is to maintain teeth, the endodontist can give an informed opinion whether the patient should try to keep his or her tooth or have it extracted and replaced with an implant.  Many times, the patient will present with endodontic symptoms, such as pain to chewing or hot or cold.  The endodontist will examine the patient, sometimes anesthetize the patient, discover that the tooth is either fractured or extensively broken down and needs to be extracted.  Instead of closing up the tooth and having to refer the patient, only to have to be anesthetized again and then have the tooth extracted, it may be more of a service to extract the tooth and place the implant right then and there; or, if the area is not ready to receive the implant, a graft may be placed to allow more bone to "fill-in" to allow more support for the implant at a later time.