Are Dental Implants Safe for Diabetics?

Woman with diabetes Many patients with diabetes believe they are not candidates for dental implants. However, having diabetes doesn’t automatically disqualify someone from implant placement. Under the right circumstances, implants can be a great alternative to options like removable dentures.

Important Factors to Consider

Are you wondering if dental implants are a safe choice for you? Ask yourself the following questions to get a better idea of your candidacy:

  • Is your diabetes under control? Studies have shown that patients with controlled diabetes experience the same risk of implant complications or failures as non-diabetic patients. However, patients with uncontrolled diabetes have a higher rate of post-procedure infection and implant failure. Delays in healing and problems with jawbone integration are often to blame.
  • How is your oral health? People with diabetes are at risk for mouth infections and periodontal (gum) disease. These problems must be treated before it’s possible to proceed with dental implant therapy. It’s also important to have good jaw bone density.
  • Can you commit to good pre- and post-op care? In order to minimize complications, people who have diabetes often require special pre-and post-operative dental implant care. You may need to watch what you eat, check your blood glucose levels, and take additional precautions as recommended by our dentist.

Maintaining a Diabetes-Friendly Diet with Implants 

Eating healthy foods is an important part of controlling your blood sugar. However, missing teeth can make it difficult to chew fresh and whole food options like vegetables and chicken. You may find yourself reaching for soft, processed, and high-carb snacks to avoid discomfort. Implants restore your full bite power so that you can eat the foods you need to keep your levels in check. 

Schedule a Dental Implant Consultation in Boulder

You don’t have to replace your missing teeth immediately. You have some time to explore your options and work to improve your dental implant candidacy. 

Call 303-449-1119 today to schedule a consultation with Dr. Michael Adler. Adler Advanced Dentistry welcomes patients from Boulder, Denver, Fort Collins, and nearby Colorado communities.

The Dental Implant Process at Adler Advanced Dentistry

dental implant procedure boulder colorado dentist A missing tooth can really impact your smile and oral health. It may make you feel embarrassed and self-conscious when you talk with others, leading you to feel awkward in social situations. Even more serious is the effect on your oral health. Missing teeth can cause a number of dental issues that, when left untreated, may necessitate more dental work.

At Adler Advanced Dentistry, Dr. Michael Adler offers dental implants to help those with missing teeth have their smile back and also to maintain a healthy and functioning mouth. Many people may not realize how serious a missing tooth can be. Beyond the unpleasant appearance, a missing tooth can cause oral health problems, including:

  • Shifting of surrounding teeth
  • Alignment problems in your jaw
  • Joint and muscle strain in the jaw
  • Problems with chewing and biting
  • Weakening of the jaw bone

Having all of your teeth is critical to a healthy, functioning mouth. While dentures are a common solution to address a missing tooth, they’re known to slip and shift over time and can still make eating certain foods difficult. However, as oral medicine continues to advance, dental implants have become the preferred solution to replace a missing tooth.

Made of titanium, dental implants are surgically implanted into your jawbone and support a replacement tooth. Because the implant is placed into your jaw, it fuses with the bone, effectively becoming a part of your jaw thus creating a permanent fix to your missing tooth.

Dental implants require a significant amount of time with multiple steps before the process is complete. However, once the process is finished you will have a natural-looking, long-lasting solution to your missing tooth. At Adler Advanced Dentistry, the process of completing a dental implant is as follows:

  • The implant process begins by using the NewTom VGI machine to take 3D pictures of your mouth. This allows us to see the density of your jawbone to find the best spot to place your implant. An implant needs sufficient bone density to be successful.
  • Once the optimal spot is determined, the implant is surgically placed into your jaw and under the gums. The implant is left for four to six months to allow the bone to fuse around it, a process called osseointegration.
  • After enough time has passed and the implant has properly fused with your jaw, an abutment is placed on the implant. This abutment is an implant post which will hold your replacement tooth.
  • Once the gums heal properly around the abutment (roughly one month), we’ll create a custom tooth restoration to finalize the implant process. Depending on your situation, this replacement tooth can be a crown, bridge, or denture and since it’s connected to the implant, your restoration will be an effective long-term solution for your missing tooth.

While this may seem like a long process to replace a missing tooth, it’s necessary to make sure that the implant is effectively fused with the bone and your gums have healed around it. Once complete, you’ll be able to eat your favorites foods without worry and enjoy a healthy, beautiful smile for years to come.

If you’re interested in learning more about dental implants and if you’re a candidate for this procedure, please fill out the form on this page or give us a call at to schedule a consultation. We proudly provide services to those who live in Boulder, as well as the surrounding communities on the Front Range in Colorado.

New Sleep appliance for snoring and Sleep apnea

We just started using a new sleep appliance called MicroO2 with great success. This appliance seems to be much more comfortable than the Somnomed appliance. We have stopped significant snoring and improved oxygenation almost immediately, even in very severe cases. The appliance also does not constrict the tongue space- a common problem with other sleep appliances. When we call our patients after a few days of wear they are amazed with the results. We use a neuromuscular bite as the starting point for the appliance. This allows a much more comfortable jaw position. There is a greater than 70% overlap between TMD and sleep apnea so by combining neuromuscular dentistry techniques into the design of the appliance makes sense. We begin to treat both problems at the same time and find this to be integral to success. I will post some pictures and some sleep studies showing how the appliance works.

Boulder Denver Colorado Periodontist | Cherie Brown DDS, MS

Boulder Dentist Serving Denver, Ft. Collins & Nearby Areas in Colorado

Boulder Denver Colorado periodontist Dr. Cherie Brown provides an introduction to periodontics in this February 2011 video interview.

Boulder Dental Office Welcomes New Cosmetic and Restorative Dentist to the Practice

Boulder Dentist Serving Denver, Ft. Collins & Nearby Areas in Colorado

Dr. Jim Harding, DDS

Adler Cosmetic & Family Dentistry is proud to welcome Dr. James Harding as the newest member of our team. Dr. Harding will be in our office on Wednesdays and Thursdays. He will offer the finest treatment in general, restorative, and cosmetic dentistry. Dr. Harding is trained and skilled in aesthetic and neuromuscular dentistry in addition to the placement and restoration of implants. He also treats sleep apnea.

Dr. Harding is a graduate of University of North Carolina with a DDS and a degree in Psychology. Dr. Harding also has a practice, The Vail Valley Center for Aesthetic Dentistry in Avon, Colorado. He has been an LVI clinical instructor since 2001 and teaches ten or more courses a year. Dr. Harding has received a fellowship from the Las Vegas Institute for Advanced Dental Studies (LVI) and the International Congress of Oral Implantologists (ICOI). He was president of the International Association of Comprehensive Aesthetic Dentistry (IACA) from 2007-2008. He is the official dental provider to the US Ski and Snowboard Teams and the dental provider and team dentist for Ski and Snowboard Club Vail. Dr. Harding is a member of many well-known organizations including the American Dental Association, Colorado Dental Association, American Academy of Dental Sleep Medicine, and the International College of Oral Implantologists to name just a few. He has also published several articles and papers.

Adler Cosmetic & Family Dentistry is excited to welcome Dr. Harding as a great addition to our team and will be both a very skilled and valued member.

Titanium Dental Implants | Zirconium | Fractured Tooth Replacement

Barbara After Extraction
Barbara After Extraction

As a child, Barbara had had a root canal done on her upper right front tooth, tooth #8.  Over the years, Barbara had several crowns on that tooth but never really liked how they looked.  For 45 years, the tooth did not cause any pain until one day she began having pain and pressure especially when chewing.  This is when she first sought treatment from Dr. Adler.  Based upon the exam, x-rays, and prior history of a root canal, Dr. Adler recommended that Barbara have an apicoectomy.

An apicoectomy is usually performed after a tooth has had at least one root canal but continues to develop infections.  Root canals are very complex, with many small branches off the main canal.  Sometimes, even after root canal treatment, infected debris can remain in those branches and possibly prevent healing or cause re-infection later.  During Barbara’s apicoectomy, the root tip was accessed directly through the bone instead of up through the tooth as in a root canal treatment.  The root tip, or apex, was removed along with the infected tissue.  A filling was then placed to seal the end of the root and a suture is placed to close the access opening.  In order to stabilize the tooth, Barbara then had an all porcelain crown and carbon fiber post placed.

Healing Cap

Healing Cap

For a year after the apicoectomy, the tooth was symptom free but unfortunately the tooth became infected again forming an abscess.  A tooth or root abscess is pus enclosed in the tissue of the jaw bone at the tip of an infected tooth that usually originates from a bacterial infection that has accumulated in the soft pulp of the tooth.  If left untreated, an abscess can continue to grow and may become large enough to perforate bone and extend into the soft tissue.  It will continue to follow the path of least resistance and spread either internally or externally which can lead to severe complications.  Dr. Adler performed another apicoectomy in an effort to save the tooth hoping that it was another root tip infection.  During the procedure, Dr. Adler saw a fracture in the tooth that extending from tip to crown and it was determined that the tooth could not be saved due to the vertical root fracture.

Ziconium Post

Ziconium Post

The tooth was extracted and a bone graft, allograft, was placed by Dr. Cheri Brown to help replace the bone that had been lost due to the abscess.  Dr. Cheri Brown, a periodontist, works with Dr. Adler at Adler Cosmetic & Family Dentistry.  A removable temporary partial, custom made prior to the appointment, was fitted so that Barbara was able to leave the office without a gap in her smile while she continued to heal.  While the graft was healing, Dr. Adler was able to perform guided tissue recontouring.  Guided tissue recontouring reshapes the gum around the tooth giving a more aesthetic look.  This was done for Barbara by slowing adding material to tooth on the temporary partial where it presses against the gum line.  Overtime the tissue is gently formed into the desired shape to better match the other teeth.

Barbara After

Barbara After

Once the graft had healed and become stable, Dr. Brown placed the titanium implant.  The implant was placed during a surgical procedure, directly into the jawbone and under the gums.  The implant with a healing cap attached was then allowed to heal for four to six months so that the bone will grow around the implant and “osseo-integrate”.  Dr. Brown later placed a soft tissue graft because Barbara needed more connective tissue to support the implant.  After six months of healing, Dr. Adler placed a zirconium implant post, also known as an abutment, that connected to the implant.  The post was made of zirconium to allow for ideal translucency once the all porcelain crown was place about a month later.  So today, Barbara is no longer bothered by that troublesome tooth and she looks great.

Barbara's New Smile

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