At Harvest Dental, Dr. Aaron Horsley-Teny can perform many surgical procedures. They have years of experience in extractions, bone grafting, and dental implant placement.

We are fortunate enough to have a state-of-the-art 3D imaging machine. This machine aids us in accurately placing dental implants and diagnosing different types of extractions. We are honored to provide these services right here in our office to our growing community.

Please click on any one of these links for a more in-depth description of our oral surgery in Farmersville and Van Alstyne, Texas, or call us at 469-812-7100.

Bone Grafting

Why is dental bone grafting done?

At Harvest Dental, we do bone grafting procedures to gain or preserve bone quantity.  When bone grafting in Farmersville and Van Alstyne, Texas, is done immediately after an extraction, it is called socket preservation, or alveolar ridge preservation (ARP).  We perform this procedure because studies have shown that after a tooth is extracted, the surrounding bone will resorb (diminish) between 30-60% during the first six months of healing.  If a socket preservation bone graft is done following an extraction, it greatly reduces the amount of bone that is lost.  Preservation of your bone ridge allows us to place a dental implant, or provides a denture or partial a broader more a comfortable and supportive ridge.  If you have had an extraction months or years ago you may notice how that area of your jaw caves in or has a divot.  This is a case where a bone graft can be added to regain thickness of the bone ridge. This is called ridge augmentation.  After a successful augmentation, an implant can often be placed, allowing a patient to gain a tooth where one has been missing for years.

Dental Implant

What is a dental implant?

In many cases, when a person is missing a tooth, a dental implant can replace it. There are three parts that make up a restored dental implant tooth. First is the dental implant, which is a titanium screw placed in your jawbone that replaces the missing tooth’s root.  Next is the abutment, which is a connecting component between the implant and the crown.  Finally there is the crown, which is the “tooth” part of your final restoration.

Why would I need a dental implant?

Patients have teeth extracted for a wide variety of reasons, including deep decay, trauma, or gum disease.  When these teeth are removed, many problems can occur.  The remaining teeth may shift or rotate and become crooked.  These crooked teeth may cause your bite to change, which makes it harder to chew food.  Spaces and gaps between your teeth develop after extractions, which may cause embarrassment over your appearance or problems with speech.  Another consequence of extractions is that on either side of the extraction site, the gums and bone of the surrounding (adjacent) teeth will start to recede.  This recession exposes the roots of these adjacent teeth, which can cause a great deal of sensitivity and a less attractive smile.  Dental implants placed soon after an extraction can eliminate most of these problems.  Patients who have missing teeth replaced with dental implants report an improved ability to chew food, a renewed confidence when speaking and smiling, and better self-esteem.

Single Tooth Implant

If you are missing a single tooth you should seriously consider a single tooth implant in Farmersville and Van Alstyne, Texas. This procedure can replace the missing tooth using three components: a dental implant that acts as the root, restorative abutment that connects the implant to the crown, and a beautiful porcelain crown. If you have lost a single tooth, especially if there is a neighboring tooth on either side, a single tooth implant may be your best option to replace it.

What are the advantages of a single-tooth implant over a bridge?

A dental implant provides several advantages over other tooth replacement options such as a tooth supported bridge. In addition to looking and functioning like a natural tooth, a dental implant replaces a single tooth without sacrificing the health of neighboring teeth like a tooth-supported dental bridge does. Tooth-supported bridges require that the adjacent teeth (the teeth on either side of the missing tooth) be ground down to support the cemented bridge. A single-tooth implant doesn’t involve these teeth.

Because a dental implant will replace your tooth root, the bone is better preserved. With a tooth supported bridge, some of the bone that previously surrounded the tooth begins to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact. In the long term, a single implant can be more attractive and easier to keep clean than a bridge. Gums can recede around a bridge, leaving a visible defect when the metal base, or collar of the bridge becomes exposed. Resorbed bone beneath the bridge can lead to an unattractive smile. And, the cement holding the bridge in place can wear away, allowing bacteria to enter under the crown and cause decay in the teeth that anchor the bridge. A single-tooth implant has a much longer prognosis than a tooth-supported dental bridge. Please call our offices to arrange your visit with our dentists.

Implant-Supported Bridges

What is an implant-supported bridge?

An implant-supported bridge is similar to a tooth-supported bridge, but it is supported by implants and not by your natural teeth.  An implant-supported bridge in Farmersville and Van Alstyne, Texas, is used when there are two or more missing teeth in a row. After the implants are placed and have properly integrated or fused to the bone, two or more crowns are placed to fill in the missing space.

Why would I need an implant-supported bridge?

If you need to replace two or more missing teeth in a row, then an implant-supported bridge may be your best solution. Unlike partial dentures that are removable, implant-supported bridges are fixed, meaning they cannot be taken in and out of the mouth.  They offer unparalleled strength and stability compared to their removable partial counterparts.  This allows you to eat what you want and speak in public without the fear of your teeth becoming loose.  An implant-supported bridge will also preserve your jawbone and facial appearance.  Be sure to discuss your goals with Drs. Horsley and Walker, and they will help you in any way possible.

Implant-Supported Dentures

What is an Implant-Supported Dentures?

An implant-supported denture in Farmersville and Van Alstyne, Texas, is a type of denture that is supported by, and attached to implants for stability. By comparison, a traditional denture rests on the gums and is not supported by implants.  An implant-supported denture is used when a person doesn’t have any teeth, but has enough bone in the jaw to support implants. An implant-supported denture has special attachments that snap onto the implants.  Implant-supported dentures are usually made for the lower jaw because regular dentures tend to be less stable there. A regular denture made to fit an upper jaw usually is quite stable on its own. However, you can receive an implant-supported denture in either the upper or lower jaw. You should remove an implant-supported denture daily to clean the it and your gums. Just as with regular dentures, you should not sleep while wearing your implant-supported dentures at night.

How Does It Work?

There are two types of implant-supported dentures: ball-retained and bar-retained. At Harvest Dental we will predominately use the ball-retained denture. In both cases, the denture will be made of an acrylic base that will look like gums, and acrylic teeth that look like natural teeth, which are attached to the base. Both types of dentures need at least two implants for support

  • Ball-retained dentures: Each implant placed in the jawbone holds an implant abutment that sticks out of the gums. This abutment fits into another attachment on the inside of the denture. In most cases, the attachments on the implants are ball-shaped, and they fit into sockets on the inside of the denture.
  • Bar-retained dentures: A thin metal bar that follows the curve of your jaw is attached to two to five implants that have been placed in your jawbone. Clips, or other types of attachments are fitted onto the bar, and the denture snaps on to these clips.
  • The implants usually are placed in the jawbone at the front of your mouth, which tends to have more bone than the back of the jaw. This usually is true even if your teeth have been missing for some time. Once you lose teeth, you begin to lose bone in the area. The front of the jaw is chosen because it doesn’t have many nerves or other structures that could interfere with the placement of implants.