A
dental implant is an artificial tooth root that is surgically anchored
into your jaw
Present and Future of Modern Dentistry
It is impossible to find a person not wanting to have a bright, perfect
and natural looking smile, teeth firmly integrated in the jaws, ease
of eating, talking, and to top it all, laughing with confidence, in
a spirit of self esteem.
It can only be termed unfortunate for a person to loose a tooth or
teeth. The reason could be caries, trauma, periodontal reasons (gum
problems) or congenitally missing one or more teeth. There are many
ways to restore missing tooth / teeth by Complete Dentures, Removable
Partial Denture, Fixed Partial Denture (Crown & Bridges), Orthodontic
correction or by Dental Implants.
What are
Implants?
DENTAL IMPLANTS are the better solution for every case. These are
root like device, a post, made of Titanium, screw-shaped threaded
cylinders that are surgically placed into the jawbone by the chosen
oral surgeon in the upper (Maxillary) and/or lower (Mandibular) arches
of the mouth. They are used to replace one or many missing teeth,
or to stabilize dentures. Titanium is an inert metal that is capable
of creating a very tight bond with bone. The prosthesis (artificial
tooth or teeth) is/are then attached to the post.
What
are the types of Dental Implants?
There are several types of dental implants available. The endosteal
and the subperiosteal implants find more recognition and acceptability
by ADA. An important factor for selection is to determine whether
your jawbone can adequately support the implant. Most dental implants
placed today are endosteal root form fixtures (similar to a man-made
tooth root).
What is the Dental Implants Used For?
There are two basic uses for Dental Implants:
1. As an artificial root for a single tooth replacement.
2. As anchors for a fixed or removable prosthesis to replace multiple
teeth.
What Are the Benefits of Dental Implants
The only next best alternative to the loss of your natural teeth,
are the dental implants. In looks the implants are as good as your
natural teeth. One important benefit of implants is that they slow
the shrinking of bone and gum tissue from the area of the missing
tooth, thus preventing premature aging.
• Of people between
the ages of 18 and 65, a greater percentage is missing at least one
tooth. • Dental implants are the most advanced tooth replacement
system ever devised and in use for many years now. • More
than nine out of ten implants last longer than 15 years. •
They are cleaned and flossed just like natural teeth. •
Dental implants never develop decay. • Dental implants
never require root canals. • Dental implants preserve the
jawbone, which can prevent premature aging. • No one can
be disqualified for implant treatment solely because of the age; some
patients receive implant treatment when they are in the niceties of
nineties!
How Are Dental Implants Placed?
The procedure begins with a thorough evaluation of the patient's medical
and dental history. A full clinical examination of the entire mouth
and missing tooth area is done. The clinical exam should also include
any specific CT Scan, OPG X-rays and dental imaging. After the patient
has been assessed, a comprehensive treatment plan is devised and patient
so informed for consent. After the patient is in affirmation, implants
are surgically placed in the jawbone under local anesthesia.
Traditionally, a dental surgeon, like an Oral Surgeon or a Prosthodontist
or a Periodontist, performs the surgical component. A general dentist,
or laboratory technician performs the restorative component. However,
as implant dentistry has become more sophisticated, sometimes a dentist
who specializes in restorative dentistry conducts the entire procedure.
The length of the healing time is based on the quality and quantity
of bone, as well as the type of implant placed. Implants placed in
the upper jaw need six months to attach to the bone (called ‘osseointegration’)
and implants placed in the lower jaw need four months. After that,
the tooth can be attached on top and the whole thing is done. Once
the natural process called osseointegration (bone formation around
the implants) is achieved in a few months, the Implantologist can
fasten the crown, bridges or overdenture to this artificial root (implants).
Step One:
The gum is gently folded back and a space is prepared for the implant
to be placed. Step Two:
The dental implant "anchor" is put into place.
Step Three:
In this a temporary cap is placed on the implant and the gum tissue
is repositioned around the implant. The implant is then left alone
for several months so the bone can attach to the implant and create
a secure anchor.
Restorative Phase: Step One:
After the implant has had a chance, after due gestation (osseointegration),
to attach to the bone tissue, the temporary cap is removed from the
anchor and a post is attached to the anchor. Step
Two: The implant is now ready for the prosthesis. An impression
is taken of the implant and the appropriate prosthesis (crown, bridge
or overdenture) is made. Step Three:
The prosthesis is then attached to the implant(s). What
number of Implants can be placed?
This is a question that should be determined during the treatment
plan. In cases where there are multiple missing teeth, or where the
patient has previously had dentures, multiple implants are placed
in the mouth to allow for implant-supported crowns or bridges, ball
abutment retained overdenture, and/or bar-supported overdenture. Other
decisive factors for the number of implants needed for success is
the quality and quantity of the patient's bone. A good rule-of-thumb
is to place one implant for each tooth replaced. Placing enough implants
to restore teeth is vitally important to the long-term success of
the restoration. If the number of implants is limited due to financial
constraints of the patient, then the implant treatment should be avoided
or the type of restoration must be altered.
Considering
a Dental Implant?
If you are considering a dental implant, contact our office for an
evaluation appointment. The oral surgeon on our panel will perform
an evaluation to determine whether you are a good candidate for a
dental implant. Generally, if your jawbone ridges are in good shape
with healthy oral tissues, you are a good candidate for implants.
If you are declared a good candidate for an implant, the chosen dentist
will provide you with further information to help you decide.
Implant placement is a minimal invasive, atraumatic and painless procedure
that is done under local anesthesia in a normal dental chair unit.
The procedure doesn’t take much time and there are no restrictions
in maintaining stress less routine activities.
The picture below is a good example of permanently implanting a synthetic
tooth to fill a gap, while tooth-coloured fillings substantially improve
the aesthetics of your smile.
Advanced Procedures:
In selected cases implants can be immediately placed after tooth extraction
like in anterior trauma cases, and in cases with retained deciduous
tooth / teeth etc.
Sometimes, patient may have less
available bone width and height necessary for implant placement due
to resorbed ridges, ballooning of maxillary sinus, traumatic bone
loss etc. In such cases implant placement is possible by various bone
augmentation procedures like sinus lift (direct and indirect), chin
graft, ileac crest graft, grafting by alloplastic materials, nerve
repositioning etc
Earlier removable partial dentures (R.P.D) were prevalent and to support
the artificial teeth plastic like material (acrylic) were used. It
creates lots of inconvenience by hindering movement of tongue, thus
leading to speech problem and being unhygienic because of food deposition.
The fixed partial dentures (F.P.D) are very convenient comparable
to removable partial dentures but for F.P.D healthy and firm teeth
are needed to get the support. The quite unfortunate option is that
the normal healthy teeth are trimmed for the crown placement. But
a person can’t have a fixed prosthesis when there are no firm
teeth present on the posterior aspect for supporting the F.P.D.
Similarly wearing a complete denture (C.D.) puts the patients
to long learning curve how to keep the dentures in the mouth. The
denture got the rocking tendency due to tongue movements and is very
difficult when resorbed ridges are there.
IMPLANTS MAY NOT BE PLACED IN:
Patients on certain medicaments like corticosteroids.
Patients with bone disorders like fibrous dysphasia etc.
Patients with hematological disorders like hemophilia.
Patients with missing the tooth or teeth for a long time (more
than five years) and there is not enough bone to put the implant
into.
Having active infections like tuberculosis, temporal flu etc.
Active lesions like cyst, abscess, etc.
Patients with endocrine disorders like uncontrolled diabetes,
pituitary and adrenal insufficiency, hypothyroidism etc.
Anatomical restrictions like insufficient space for implant
placement.
Social restrictions like psychological disorders.
Chain smokers.
Merits and Demerits:
Perfect for aesthetic demands.
Implants maintain, or realign, facial structure and profile,
and preserve bone.
Implants help to preserve adjacent natural teeth.
Implants look, feel, and function like natural teeth.
Implants are more durable, firm and can take 8 times
extra load than natural tooth.
Implants are cost effective when taking into account
the functioning life of the implant.
It involves minimal invasive and placed at the edentulous site
without touching
natural tooth structure.
Floating dentures can be firmly secured.
On the demerit side, these are costly compared to conventional
ones.
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Statutory Warning: The information is intended
to help you better understand dental conditions and procedures and should
not be construed as specific medical advice or recommendation. The general
information provided here is not a substitute for a consultation with the
dentists. Only personal discussion of your individual needs with a professionally
qualified doctor / dentist will determine the best method of treatment suitable
for you.