If teeth have been missing for a long period of time then there are no teeth loading the bone. The bone will shrink and oftentimes you are left with a knife edge ridge which is not wide enough to place implants. When this occurs we need to re-grow the bone width (ie: ridge augmentation) so we can place large, stable implants.The process is the same principle as any bone grafting. Bone graft material is grafted in the site and covered up with a membrane to allow the healing to take place undisturbed. During this time the bone graft is replaced with natural bone. After 8 months of healing your Periodontist can return to place your implants.
Dr. David has a wonderful chairside manner, just as his father did when I saw him many years ago. He made me feel very comfortable.
I would highly recommend Dr. Engen and his office staff to anyone whose child was apprehensive about having braces. Other than the high level of professionalism, I appreciate the down-play of cutsie-pie gimmicks for kids. He thoroughly explained everything to us right from the start.
Because of the internet information provided about his background and education, I feel I have a top level, up-to-date professional taking care of me.
State of the art care! I like the “get it right” attitude. After eight years I have not had one negative experience.
Lyle B. (Periodontal patient)
Dr. Engen was great! He explained my diagnosis and the procedure required thoroughly. I was even asked if I liked the colors of paint for the office.
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