Implant Dentistry

Dr. Heimbach has extensive training in dental implant surgery and prosthetic restorations for dental implants (crowns, implant supported overdentures.)  Dr. Heimbach completed a one-year surgical fellowship in implant dentistry with Dr. Carl E. Misch, widely considered one of the top implant experts in the world.  Dr. Heimbach received his fellowship in the MIsch International Implant Institute and will receive his fellowship from the International Congress of Oral Implantologists at their 2013 symposium.  Dr. Heimbach will be continuing his training with Dr. Carl E. Misch as he completes a prosthetic fellowship in the prestigious Misch International Implant Institute.  Dr. Heimbach is currently working towards his Diplomat status in the International Congress of Oral Implantologists and will be taking his oral examination in 2013. 

misch headshot  Dr. Misch

We perform Guided Surgery with most of our dental implants.    Guided surgery uses 3-D digital xrays and our computer CAD/CAM robot software to place an implant in the patients' virtual jaw.  This allow us to plan our patients case without surgically exploring the patient.  The results include less painful surgery, less risk of a complication, and providing a more predictable esthetic solution for the dental implants.  We use several types of implants, including a dental implant that has a pink head.  The pink head reduces the "show-through" of the dental implant as you see in the pictures below, depicting a typical implant show-through retreated with a "pink-headed" implant. 


The real benefit of having implant surgery at Abenaki Dental Care is we can surgically place the implant AND place the crown on top of the implant.  One doctor does the treatment from start to finish as opposed to several doctors.  We can provide intravenous sedation for patients that require the ultimate comfort.  More importantly, the care is planned in a more time-efficient and cost-efficient manner.  Our "total implant care" prevents our patients from having to visit different offices to piecemeal the case together.  Less visits, more predictable outcomes, and the latest technologies in dental implants - all under one roof!


 More on Guided surgeries....

Guided Implant surgery starts by taking a 3-dimensional xray.  This gives us a life-size model of our patients skull, that appears immediately on our computer.  We then place a virtual implant into the computer-generated model.   This allows us to know exactly what we are dealing with in terms of bone width, nerve involvement, sinus involvement.  The planning is more accurate and the results speak for themselves.  Below is an example of the procedure.  This patient was unfortunate and broke her front tooth. 


With the technology, we were able to deliver the extraction, implant, and crown on the same day. Here is an atraumatic extraction procedure that minimizes pain.


Below is the surgical guide, which is created with the 3D technology to put the implant in the ideal spot.


Below we are creating the space for the implant using the surgical guide.


Below is the implant placed. We are beginning to fabricate the patients temporary crown.


And finally, the patient leaving with her tooth on the same day.  There are no parts covering the roof of the mouth, the temporary crown is attached to the implant.


One stitch to tuck the tissue in and hold the bone graft.  The temporary crown is screwed into the implant.  There is no chance the crown falls off.  The temporary crown will assist the gums in healing.  


2 week healing photo.  The tissue is healing perfectly around the temporary crown due to proper planning, atraumatic surgery, and meticulousness with the temporary crown dimensions.  If you compare this photo with the photo directly above (surgery day photo,) you can see the small improvements in the patients gum shape.  Do you see the 'pink shaped triangle' directly in between the two front teeth?  The tissue has filled in nicely, closing the "black triange" or loss of gum papillae.  In addition, the bottom edge of the top gums has not receeded away.  This will aid our effort in achieving esthetic symmetry of the permanent crown.