Dental Implants – The perfect solution for missing or damaged teeth.
For the millions of people with missing teeth, dental implants provide an excellent solution to get their teeth fixed. Traditional methods for replacing missing teeth include fixed bridges, which often required the reduction of adjacent teeth to replace a missing tooth, or removable dentures. Implant dentistry allows us to replace individual teeth, without altering adjacent natural teeth. Dental implants help retain jawbone and anchor dentures, bridges and crowns firmly in place.
Why choose Dental Implants?
More Comfortable: Because Dental Implants are securely anchored, there is no slipping or movement like with Dentures. This eliminates some of the key worries of Dentures – poor fit, gum irritation, and pain from exposed nerves.
More Confident: With Dental Implants, you’ll never need to cover your mouth when laughing, smiling, or speaking. You can eat your favorite foods without pain or fear of embarrassment. You will look better, feel better, and live more confidently.
More healthy and beautiful teeth: When teeth go missing, the bone surrounding it begins to shrink. This unhealthy bone loss can make your jaw line recede. Implant Dentistry can help prevent deterioration of the jawbone caused by loss of teeth, so your face retains its natural shape.
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What is an Implant?
A dental implant is a small “anchor” that is inserted into the jawbone to take the place of your missing tooth root. After healing, a replacement tooth is secured to the top of the implant.
Is it a surgical procedure and how long does it take to place a dental implant?
Dental implant placement is a minor surgical procedure like a tooth extraction and takes approximately 30minutes per implant placement
Am I a good candidate for dental implants?
If you are healthy enough to have a tooth extracted, you are probably healthy enough to have an implant. General good health and adequate bone in the jaw are the key requirements. Anyone who is missing one or more teeth due to injury, disease or decay may be a candidate for dental implants.Patients who have medical or other conditions that may interfere with the healing process of either their bones or soft tissues (e.g., connective tissue disorders, steroid therapy, bone infections, cigarette smoking) must carefully evaluate, the potential risks and benefits of using dental implants.
I am a diabetic ,Can I have Dental Implants?
If your diabetes is under good control or can be bought under good control, dental implants can be placed. However if you are a chronic uncontrolled diabetic then it is important to discuss with your physician and bring ir under good control before placing dental implant.
I recently had a cardiac bypass surgery ,Can I have Dental Implants?
Any general surgical procedure is not a contraindication for dental implants .It is generally recommended that implants can be placed 6 months after bypass surgery. Prior to dental implant placement it is important to check to a complete health check and evaluate surgical fitness.
How successful is the procedure?
For more than three decades, dental implants have been used successfully with people just like you. Good oral hygiene is an important factor in insuring long lasting results from your implants.
Is the procedure painful?
Anesthesia is used during the surgical procedure to eliminate any discomfort. Pain medication is given for any discomfort after surgery. Most patients indicate that the discomfort is minimal once they arrive at home. Many feel great the next day and are able to return to work.
How long will it take to fix teeth over the implant.
Traditionally after a recommended healing period of approx 3 months the teeth were fixed over dental implant, but with the newer implant technology the teeth can be fixed within a week.
Will I be able to chew well after I have dental implants
There are no food restrictions after placing dental implants, so you can chew any type of food like murukkus ,chips,chocolates etc.
How many implants will I need
For a missing single tooth we will need one implant. Fixed implant dentures would need 4 to 6 implants per jaw.
How many visits does it take to get my teeth fixed
It may take you a minimum of 2 to 5 visits from the initial consultation to implant placement to checkup appointments
Will the teeth over dental implants be comfortable?
Because dental implants are securely anchored, there is no slipping or movement as there is with dentures. This eliminates some of the key worries of dentures, including poor fit, gum irritation, and pain from exposed nerves. With dental implants, you’ll never need to cover your mouth when laughing, smiling, or speaking. You can eat your favorite foods without pain or fear of embarrassment. You will look better, feel better, and live more confidently
Will my new teeth look natural?
Your new teeth will look and feel like your natural teeth.
How long to Dental Implants last?
Dental implants have had a 20 year success rate of over 95 percent. The longevity of the implants also depends on the quality of the dental implant, quality of the bone, type of ceramic teeth used etc.
Is there a warranty on Dental Implants?
Since the success rate is very very high, most of the dental implant manufacturers provide a free replacement warranty for a failed Implant.
What happens if an Implant fails?
The failed implant is removed and a new implant can be placed in the same position. The time and effort for this procedure is similar to placing a new dental implant.
Implant Timeline – Steps in Implant Placement
Whether placing a single implant or multiple implants, the procedure remains the same. A methodical approach to planning treatment with dental implants ensures optimum results. The treatment timeline for placement of a single implant and permanent crown is only 3-4 days when all other factors are favorable! Immediate temporary teeth can be given even for completely edentulous patients in the same visit as placement of implants. There are multiple permutations available and depending on the clinical situation and the financial constraints, dental implants can be provided for all.
Occasionally, the site of implant placement has to be prepared prior to placing the implant to ensure long term success. The preparation includes bone grafting and/or sinus lift procedures. When there is deficiency of available bone in the area of the missing tooth, bone graft isplaced to enhance the strength of the existing jawbone for greater density. Once the grafts have fused to the bone, it can better accommodate a dental implant and increase the chances that dental implant results are successful and permanent. Bone graft material is usually readily available and 100% biocompatible. In some cases, the patient’s own bone is harvested from the chin when the defect is extensive. This procedure is done under local anesthesia. When an upper molar is to be replaces, the proximity of the sinus can cause insufficient height of available bone, In such cases, sinus lift procedure along with bone grafting is done to augment the height of available bone.
Implant Supported Dentures
Conventional dentures rest on the gums causing the denture to move during speech or eating. Connecting a denture eliminates the disadvantages of conventional dentures. Dental implants offer more stabilization and strength to dentures.The dentures are modified to snap onto two or more dental implants. The implants hold the dentures in place so that they don’t move, making speaking and chewing easier. Implant supported dentures (Overdentures)negates the need for adhesives and prevent dentures from moving. This allows the dentures to feel and act more like natural teeth.
A minimum of two implants are required for overdentures. The more the number of implants, the better is the stability. The connections between the implants and the denture can be by way of ball attachments or a bar framework. The choice of connector is specific to each individual. An existing denture, if in good condition can be attached to implants too.
Guided Implant Surgery
Computerized Tomography (CT) Scans and 3-D imaging allows dentists to visualize the placement of dental implants in three dimensions, aiding in diagnosis and treatment planning. This eliminates the guesswork involved determining what parts of the jawbone offer the best sites for dental implant placement.
CT Guided Implant placement with an Implant placement software allows more predictable resultsof implant placement with increased precision in choosing the location for implant placement that will provide optimum function. It also allows the dentist to create the permanent crown prior to surgery and place it on the day of the surgery.Surgical stents are 3D printed to translate the digital positioning of implants in the patient’s mouth.
Additional diagnostics required is a Cone Beam CT of the jaws. The additional cost can be a dampener but the benefits far outweigh the additional cost. While CT is preferable for even a single missing tooth, practically, guided surgery is recommended in full mouth replacement cases or when there is a compromised bone condition.CT Guided implant surgery provides greater patient satisfaction and simplifies the dental implant treatment process.
In special clinical situations, where there is absolutely no bone available in the upper jaw due to long term denture wear or bone disease, the only treatment option to provide a fixed replacement of all teeth is with the help of zygomatic implants. While a dental implants take anchor in the jaw, zygomatic implants are anchored to the zygoma bone in the face. Zygomatic implants avoid grafting and sinus lift procedures and therefore contribute to a shorter and more comfortable treatment. Additional indications for zygomatic implants include failed conventional implant placement, failed sinus augmentation or grafting procedures, rehabilitation after tumor and trauma resections.
Generally, one zygomatic implant is placed on each side of the upper jaw, in combination with two conventional dental implants in the front teeth region. If there is no bone available in the front region also, and placement of conventional dental implants is not possible, two additional zygomatic implants are placed(Quad Zygoma). Zygomatic implants are usually immediately fitted with a fixed bridge upon placement.
The placement of Zygomatic implants is usually done under general anesthesia in a hospital setup. Guided surgery is preferable for predictable results. Success rate is 99% after 15 years of placement.
The conventional dental implants are made of titanium. Nowadays, more people are inclined to opt for a metal free mouth, either due to personal choice or allergies. Newer advances in Dental Implants offers a metal free dental implant made from Zirconium (CeraRootImplants). These implants are best suited to replace a single missing tooth especially in the front tooth region of the mouth. They are not preferred when multiple teeth are missing or for back teeth where the forces of chewing is maximum.
- Metal allergies
- Front teeth – to avoid metal exposure over a period of time due to gum recession
- Personal choice, if suitable
- One-piece implant allows for better gum health
- Very esthetic (for front teeth) as it is 100% white
- More expensive than Titanium Implants
- Limited clinical indications
- Newer technology