In the first visit of implant placement, you gum is gently raised and a screw made of titanium placed inside you jaw under either local anaesthetic or IV sedation (sleep dentistry).
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There are situations where grafting is very difficult such as the illustration shown. As the tooth moves across to the new location it grows bone along the way. A dental implant can then be placed in the newly formed bone. Check out 1888implant.com for more information on implant dentistry, educational videos, and an implant specialist near you.
Fundamentals of Implant Dentistry: Surgical Principles (Hardcover)
Fundamentals of Implant Dentistry: Surgical Principles