Family/Cosmetic & Implant Dentistry

Computer Guided Implants

Implant Drawing

Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth.  Surgically placed below the gum, implants integrate to the jawbone and serve as a base for individual replacement teeth, bridges or a denture.  They can be used to replace any tooth including molars!

implantsImplants offer stability because they integrate to your bone.  Integration of the implants into your jaw also helps your replacement teeth feel more natural and some people also find the secure fit more comfortable than conventional substitutes.

Candidates for dental implants need to have healthy gums and adequate bone to support the implant.  A thorough evaluation by Dr. Prouty will help determine whether you are a good candidate for dental implants. 

How are "Computer Guided Implants" different?  Using CEREC Cad Cam and 3D XG technology, Dr. Prouty can precisely place the implant in the ideal location using a surgical guide.  This guide eliminates the need to cut a flap in the gum to expose the bone underneath, which in turn eliminates the need for sutures making it much more comfortable for the patient.  In addition, using the surgical guide allows Dr. Prouty to place the implant in just the right position avoiding contact with nerves and sinuses.  

 "We design a new tooth for you, then plan the implant to be centered underneath it."
First, we scan the area of the missing tooth with CEREC to create your 'virtual' crown in just the right shape and dimension.  

Next, we take a digital 3D scan of the area.  Dr. Prouty reviews it thoroughly documenting location of nerves and sinuses and takes detailed measurements.

Then Dr. Prouty places your implant 'virtually' at just the right depth and angle.
This allows him to be precise in the location of the implant in proximity to your other teeth thus avoiding nerves and sinuses.


This data then integrates with our CEREC Cad Cam system where he virtually places the crown on the implant assuring the best shape and size to fit your bite and your smile.


Once the virtual components are all in place, he uses the data to mill a surgical guide (usually right here in our office).  Dr. Prouty then uses this surgical guide while placing your implant. The guide directs him to a pre-planned depth and angle of your implant assuring the most accurate placement.

No more free hand approach and no more gum flaps!  Most implant surgeons approximate the location of the implant.  They cut a large flap in the gum to expose the jaw bone underneath, then must add several sutures once the implant is placed.  This adds to the healing time and discomfort for the patient.  The "Guided Implant" system allows Dr. Prouty to simply punch a very small hole in the gum to place the implant.  No sutures needed and using the guide takes the guess work out of the equation, assuring the best possible position, for the best possible outcome.
        • Ideal placement for the best possible outcome, 
        • No gum flap,
        • No sutures,
        • No return visit to remove the sutures, and
        • Less discomfort for the patient!
        • It just makes sense to go guided!
After a course of healing, you will return for the crown and abutment.  However, sometimes we're able to place the crown at the same time as the implant.  If this is not suitable for your tooth, we'll suggest an alternative to fill in the gap until the permanent crown may be placed.  It's important not to rush into placing the final restoration to assure longevity of the implant.  Waiting for the implant to properly and completely integrate to your jaw bone is critical and can take about 3 months of healing time.   

Why Dental Implants?

Q: When is it best to replace a missing tooth?

Within a year or two of losing a tooth due to subsequent bone loss and shifting of your remaining teeth.

Q:  It's been longer than two years for me.  Is it too late?

A:  No.  We'll need to do a quick scan of the area to determine if you are still a candidate.  Though it's ideal to replace a tooth soon after it's extracted, many patients are still able to get implants years later to replace an old denture or bridge... or to get a complete smile makeover.  We just need to be sure there is enough bone remaining to support the implant(s).

Q:  Enough bone?  Why wouldn't there be enough bone?

A:  Natural tooth roots are embedded in the jawbone, providing a stable foundation that allows the teeth to function properly. When teeth are lost or extracted, the bone that previously supported those teeth no longer serves a purpose and begins to deteriorate, or resorb.  Over time, facial appearance will begin to change as the bone resorbs.  See more about bone loss on our "Missing Teeth Options" page.

Q: - How can this bone loss be prevented?

A: - Dental implants are substitute tooth roots, providing the same function as natural tooth roots, including stimulating the bone, thereby preserving it and preventing the bone loss that would normally occur with tooth loss. The jawbone actually forms a bond with the dental implants, creating a stable foundation for replacement teeth that look, feel and function like natural teeth. 

Q:  Isn't it painful?  Will I be asleep? 

A:  No!  Dr. Prouty uses a local anesthetic, so you'll be very comfortable and awake.  With the tissue punch fully guided method he uses, patients compare the experience to that of having a simple filling done!  

After the numbness wears off, any discomfort is mild and usually handled with over-the-counter medication like Advil.  Most patients are able to return to work the next day!    

Q:  I have dental anxiety.  Can you still treat me?

A:  Of course!  Though most patients with anxiety are fully able to handle the procedure without any aide, Dr. Prouty can prescribe something to relax you prior to starting as long as you have a driver who can bring you to and from your appointment.