What are Dental Implants?
Dental
implants are accuracy manufactured threaded posts which can be inserted into
the jawbone and which integrate into the bone of the jaw providing an extremely
secure base which can support a crown, fixed denture or bridge. Dental Implants
are manufactured from titanium or titanium alloy; these materials are used as
they are least likely to be rejected by the body’s immune system. They act as
an effective replacement for the root of a tooth that has been lost.
Is the treatment painful?
The
surgical placement of dental implants causes only minor discomfort similar to
having a tooth removed. Post-operative discomfort is controlled with the use of
prescriptions. Depending on the extent of the therapy, many persons return to
work the day of their surgery. Most patients report that they were much more
comfortable following the procedure than they had anticipated.
How successful & safe is the treatment?
Implants
as a solution to missing teeth has been practiced for a few decades. Generally,
because of advances in implant dentistry over the years, dental implants can
have success rates above 90% in natural bone. Having said that, success rates
depend on many factors, for example, the patient’s own health status or whether
he/she is a smoker. Although at the present time we cannot put a figure down as
to the longevity of implants, it is known that the first patient who had
implants placed in 1965 still has them in function today. Of course, regular
checkups and diligently maintaining one’s oral hygiene is also of utmost
importance in preventing failure.
Modern
dental implant treatment is highly successful, as a general guideline, the
five-year success rate of dental implant is over 95% with the lower jaw (mandible)
and about 90% with upper jaw (maxilla). The success rates may slowly decrease,
as the implant stays longer in function. In difficult cases, the success rates
are expected to be lower. Despite the overall high success rates with dental
implant treatment, there is still the possibility of failure, which can be
contributed by various factors and conditions, such as poor healing power, poor
bone quality, smoking and diabetes, and most important of all -poor oral
hygiene.
Whereas
no medical treatment can be guaranteed 100 percent without risks and failures,
implant operation can be considered very safe. The prosthetic phase of
treatment is basically non-invasive and non invasive and non-surgical in
nature.
How long will dental implants last & are they safe?
Dental
Implants are perfectly safe. With proper maintenance they normally last for up
to fifteen years. By comparison, a dental bridge which is supported by natural
teeth is only expected to last for eight years. With an effective dental
hygiene routine – just as with your natural teeth – dental implants can last
for a substantially longer period. Regular appointments with a dental hygienist
are advised to increase the longevity of the implant.
How long does dental implant treatment take?
The
dental implant procedure normally requires 2 or 3 appointments with maximum of
up to a 4 appointments.
A
consultation would take place on the initial visit, which will last around 45
minutes. During this appointment a CT (computerised tomography) scan will be
taken to provide us with a full 3D image of your jaw which will be used to
establish your suitability for to receive dental implants.
Often
the placement of the implant can be carried out during the consultation visit,
which reduces the total number of appointments required. In cases where some
preparatory treatment is necessary on the initial visit – where no other
procedures are necessary – the implant(s) would be placed on the second visit.
Placing the implant(s) would take approximately one to two hours.
This
is followed by a period of three to six months, allowing the implant(s) to heal
and fully integrate with the bone tissue. During the next appointment,
abutment(s) would be attached and an impression would be taken which would be
used by a dental laboratory to create permanent crowns or bridges. The entire
treatment period should not exceed eight months.
How do I get started?
The
first step is a comprehensive examination of existing teeth, bone and gums.
This allows for an accurate diagnosis and discovery of the potential solutions
to your condition.
During
the first visit, Dr Nitish/ Dr. Garima will perform a visual examination and
evaluate radiographs (X-Rays). He/She will then discuss his/her findings with
you, recommend treatment solutions, and help you determine the most appropriate
treatment for you.
We
invite our patients to have a family member or friend participate in our
discussions, which most patients find very beneficial. In addition, any
financial matters will be discussed in detail and in a confidential setting
before any treatment is started.
What is the process of Complete Dental Implants ?
Normally
when all the teeth are lost then with dental implants you can have the comfort
of natural teeth. Dental implants are threaded screw made of TITANIUM which are
placed in the jaw bone and they serve the purpose Of natural teeth and then
taking support of them we prepare the full mouth ceramic bride on top of them.
Implants are available from many different companies .We are using dental implants
from NOBEL BIOCARE. Which is an U S based company with and with F D A approved
implants and are considered to be one of the best .
Normally
we need to place 8 implants for upper as well as 8 implants for the lower jaw,
Then later on we prepare 14 unit ceramic bridge for each upper and lower jaw
Implant are placed under the effect of local anesthesia and normally it takes 2
hrs to place implants for the Lower jaw and then later on after a gap of
roughly one week we can do the same procedure for the upper jaw . Normally we
suggest to wait for 4 to 5 months before we go for the final teeth , so that is
possible when you come for the second visit , and at that time you need to stay
for 15 days.
We
can give you temporary removable denture for next few months so that you are
not without teeth for long time.
Can I remove the tooth fixed to the implant?
The
artificial tooth (crown) which is attached to the implant can only be placed
and taken out by a dentist. However, implant retained dentures can be removed
by the patient enabling them to be cleaned.
Can I choose whether or not to go through with dental
implants?
Yes,
all of our consultations will give prospective patients detailed information
and a professional opinion of which treatments are required. The treatment
which you finally receive is entirely your choice and shortly after the
consultation is complete a written treatment plan will be told to you with
details of all the costs included. You will then be able to choose whether or
not to proceed with the treatment.
Can a tooth be extracted & dental implant placed
immediately?
Yes,
if the patient has sufficient bone density and depth of bone, a dental implant
can be placed immediately following a tooth extraction. However, it should not
be used as a normal tooth until osseointegration (integration with the bone)
has taken place. A CT scan enables the implantologist to evaluate this
beforehand, and a specialised prosthesis can be manufactured or your existing
denture can be modified to be retained by the implants(s).
In
some cases dental implants can not be placed immediately following a tooth
extraction. This is due to period of time which may be required for your bone
and gums to grow back and fill the gap which is left following the tooth
extraction. This takes a minimum of three to four months for teeth removed from
the lower jaw and six to eight months for the upper jaw, which has less
density. A temporary prosthesis would be made for use during the healing
period. For those who currently wear dentures, they can be adjusted or modified
enabling them to be worn during the bone integration period. A CT scan will be
used to discover which approach is best suited for each individual case.
Why should I Replace a Missing Tooth?
The
empty space in your mouth starts to cause many problems including decay and
periodontal disease, an unbalanced bite, and stress on the remaining teeth
leading to unnecessary mobility of the remaining teeth.
What if I am missing a single tooth?
Missing
a single tooth can, over time, allow the misalignment of your remaining teeth
and thus erode your current smile. A single tooth replaced with a dental
implant and crown is the most predictable, conservative and long-lasting method
of tooth replacement. Without a dental implant, the two adjacent teeth to a
missing tooth must be filed down to anchor a bridge. Dental implants eliminate
the need to modify natural teeth.
What if I am missing multiple teeth?
Missing
multiple teeth can be a serious problem as the support structure of your jaw
begins to deteriorate. Implants stop that deterioration.. Dental implants are
designed to serve as a foundation for replacement crowns or bridges that “give
you your teeth back.” They look, feel, and function like natural teeth. Along
with dental implants, we can take support of some natural teeth to restore
multiple missing teeth although the ideal protocol is ONE TOOTH PER IMPLANT.
Are implanted teeth difficult to clean?
No,
Patients are encouraged to look after their implanted teeth in the same way as
they should with natural teeth. This simply means frequent brushing, flossing
and attending regular dental appointments. Smoking should also be avoided to
increase the longevity of the implants.
Who can have dental implants & do they hurt?
Anyone
who is not having any systemic problems can have implants. By using modern
implant techniques even patients who have low sinus cavities in maxilla or a
reduced level of bone density are now able to have dental implants. We provide
sinus lifts and bone reconstruction to patients who have these issues, and we
use advanced techniques such as CT scans and Guided Surgery to prevent the
requirement for complicated surgical treatment, by providing us with the
opportunity to place dental implants in the best possible position, avoiding
nerve canals and sinus cavities.
During
Implant placement we give local anaesthetic to patient so as to make this
procedure completely painless.
Many
patients have stated that even on the day following surgery, they are not able
to feel the dental implant is there. The level of discomfort experienced should
be no more than having a tooth extraction, and we provide patients with
medications just in case they experience any discomfort immediately following
the implant placement. A temporary crown will be provided to take care of
aesthetic appearance.
What problems can occur with Dental Implants?
A
small percentage of dental implants are rejected by the body’s natural immune
system. Studies have shown the average implant rejection rate worldwide to be
4%. In that case also the omplant can be placed again if the body condition
allows.
What if I have further questions?
For
any other questions feel free to Call us anytime at 9501015088/9646805088. Our
staff is very proficient in answering questions. However, if they cannot answer
your question, Dr. Nitish or Dr. Garima will return your call personally as
soon as possible.
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