GRAZIANO GIGLIO, DDS: It's basically a titanium screw that is placed into the jaw bone and then we anchor a tooth to it.
DAVID FOLK THOMAS: So a titanium screw as in some guy breaking his leg.
GRAZIANO GIGLIO, DDS: It's the same material that they use. There are different grades of titanium and it's placed into the jawbone. First, we make an osteotomy which is a hole in the bone and then it's screwed into the bone. After certain amount of healing we place a tooth on top of that.
DAVID FOLK THOMAS: How far down are you going? I'm screwing stuff in my wall and it doesn't take. I mean the bone can actually support this?
GRAZIANO GIGLIO, DDS: If there is enough bone there. It depends on the areas in the mouth, but there are some vital structures that we can't invade such as the sinus or the mandibular nerve. There are nerves inside the bone. We just have to avoid those. Sometimes a patient has to have bone replaced or augmented there prior to placing the implant.
DAVID FOLK THOMAS: Paul, as Graz just said, we're putting a titanium screw into the bone and then as he alluded to, what are we attaching above that?
PAUL KAMEN, DDS: Actually what is attached to that is what is called an abutment. This is what Graz does in his practice. I usually do the surgical placement of the implant.
DAVID FOLK THOMAS: So we're just going out of order.