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Dental Implant

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What is Dental Implant?

	1. Dental Implant is the surgical placement of the implant(s) into the bone. This is done with a local anesthetia. After surgery, there is a healing period, during this time, the implants fuse to the bone by a process known as ‘osseointegration’.
	2. Next, there is a small surgical exposure of the top of the implant, whereby the dentist will attach the post to the implant(s). The function of the post is to become the support for either one tooth or a set of teeth, this is a short procedure that usually requires only local anesthesia.
	3. The last phase is called the restorative phase. The dentist will take impressions and then make a prosthesis that will attach to the implants. Once completed, your mouth will be restored to natural looking, strong teeth.
	Dental implants replaces fractured or broken teeth with artificial teeth. The artificial tooth is inserted into the jaw. Dental implantology is a recent development. By dental implants you can replace a single tooth or several teeth. Jawbones play a major part to support a prosthetic tooth.

Different forms of oral implants exist. Teeth implants are inserted into the jawbone surgically, or on top of the jawbone and done using device similar to a nut and a pressure plate.

Prosthodontist determines the type of dental implant you need. Any one missing a tooth can go for dental implant. For complicated and advanced dental implants, metal plates and screws are inserted into the jawbones to give increased jaw support. It will look like a real tooth and also functions like natural teeth. Bone anchored tooth implants compensate for lost root support. Dental implants look very natural that you cannot differentiate the artificial teeth from real natural teeth. Custom Implant is also available.

Procedures Involved.

The surgery can commence after thorough diagnosis and treatment planning. A recipient site of the same size and shape as the implant is created in the jawbone with drilling instruments. The implant is inserted into the site prepared. Usually, a healing period of 3 to 6 months is required for the jawbone to fuse with the implant. The jawbone has different densities in different areas – the denser the bone, the shorter the healing period. After this healing period, the prosthesis is constructed over the implant and the treatment is completed. Usually, a straightforward implant treatment takes about 4 to 7 months to complete. Longer periods are required for complex situation such as cases requiring bone grafting.

How is the operation arranged?

The operation will be performed under aseptic condition usually in a clinic with the proper facilities and conditions for dental implant surgery.

Local anesthesia is given for pain control during the operation. Intravenous can be given if necessary. Pain, which may occur after the operation, can be effectively controlled with dental medications. The prosthetic part pf the implant treatment does not require anesthesia.

How successful is the treatment?

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.

Safety

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.

Am I a suitable candidate for dental implant?

You will be a suitable candidate for dental implant if you fulfill the following requirements:

• You must be medically fit to undergo ordinary surgery.
• Your jaw must have enough bone to support the implant. (If not, bone grafting may be required)
• There must be enough space to accommodate the prosthesis over the implant.
• You must understand what the treatment can offer.
• You must realize to what extend the treatment can meet your expectations

Should I consider dental implant?

• You do not want to have your natural teeth cut down which is required in making your conventional dental bridge.
• You cannot wear or chew well with your denture.
• You cannot tolerate a denture in your mouth.
• You do not want to damage your remaining teeth from wearing a partial denture.
• You have lost your back teeth making it possible to construct a conventional dental bridge.
• You have a long toothless span, which is not indicated for making a conventional dental bridge.
• You want superior aesthetic results with your tooth replacements.
• You want the most effective way of restoring your chewing function.

How long can an dental implant last?

The service life of an dental implant can be affected by many factors:

High standards of treatment, meticulous daily cleaning by the patient, regular professional maintenance, abstinence from smoking and avoidance of overloading (like chewing bones, shells, hard nuts and candies), can contribute to the durability of the oral implant. In view of the high success of modern dental implant treatment; an dental implant can be considered a long lasting medical implant that does not need to be changed.

What Dental Implants Can Do?

• Replace one or more teeth without affecting adjacent teeth.
• Support a bridge and eliminate the need for a removable partial denture.
• Provide support for a denture, making it more secure and comfortable.

Advantages of Dental Implants Over Dentures or a Bridge

Every way you look at it, dental implants are a better solution to the problem of missing teeth.

• Esthetic: Dental implants look and feel like your own teeth! Since dental implants integrate into the structure of your bone, they prevent the bone loss and gum recession that often accompany bridgework and dentures. No one will ever know that you have a replacement tooth.
• Tooth saving: Dental implants don't sacrifice the quality of your adjacent teeth like a bridge does because neighboring teeth are not altered to support the implant. More of your own teeth are left untouched, a significant long-term benefit to your oral health!
• Confidence: Dental implants will allow you to once again speak and eat with comfort and confidence! They'll allow you to say goodbye to worries about displaced dentures and messy denture adhesives.
• Reliable: The success rate of dental implants is highly predictable. They are considered an excellent option for tooth replacement.

What Can I Expect After Treatment?

As you know, your own teeth require conscientious at-home oral care and regular dental visits. Dental implants are like your own teeth and will require the same care. In order to keep your implant clean and plaque-free, brushing and flossing still apply!

After treatment, periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.

Implant Procedure

Dental Implants are considered the ultimate solution for tooth replacement, they are the first choice to replace the missing teeth. The dental implants process involves several steps that take place over a time period that averages from 4-9 months. The Key to a successful dental-implant restoration is the development of a comprehensive treatment plan that considers the overall condition. It must be made sure that there is no uncontrolled infection in the mouth that jeopardize the implant success. The typical process includes following steps :-

INITIAL IMPLANT PLACEMENT : -
The first step is the placement of the titanium implant. The doctor places the small implant into your jaw. The implant will remain covered underneath the gum for approx. 3-6 months. During this time, the bone gets attach to the surface of the implant anchoring it into its position.

ATTACHING A POST :-
The second step of the procedure involves the implant & attaching a post, which completes the foundation on which the new tooth will be placed. Sometimes, the doctor may also place the post at the time of the initial placement of the implant.

IMPLANT PROSTHETIC ATTACHMENT :-
During this phase, new/artificial tooth is placed by the dentist. With the use of latest technologies the new artificial tooth, that blends with the remaining natural teeth & ensures optimal size, shape & color, is placed by the dentist.

ORAL HYGIENE :-
Poor Oral Hygiene can jeopardize the implant success. Although implants don't get cavities, they are susceptible to peri-implantitis, an infection of the supporting bone that can lead to bone loss & eventual implant failure. Meticulous oral hygiene, periodic checkups & professional cleanings around the implants are just as important as around teeth.

Dental Implant Restoration Types

Single Tooth Missing

The single tooth implant restoration consists of three parts. Namely, the implant post which replaces the tooth root, the abutment which will support the crown and the prosthetic crown itself. The crown is either cemented onto the abutment or held in place with a screw.

With today's developments, there are a variety of implant systems, models and ranges available. Each line catering to the individualized needs of patients. A single tooth implant with crown is one of the best permanent restorations. This solution both looks and functions just like a natural tooth.

Multiple Tooth Missing

If multiple teeth are missing in different parts of the mouth, several single tooth implants are good replacement restorations. If multiple teeth are missing within the same region, several missing teeth can sometimes be replaced with fewer implants because dental implants are stronger than the natural tooth roots. This solution includes having implant fixed bridges done.

An implant fixed bridge is very much like a conventional bridge except the support is actually over implants rather than natural teeth. The implants themselves act as man-made roots. A great advantage is that this is that it is self-supporting unlike conventional tooth-supported bridges that puts a heavier load on the remaining teeth.

All Teeth Missing

When all teeth are missing or in a condition that all teeth need to be replaced, there are two basically types of full arch implant reconstructions options: Fixed bridges anchored to dental implants Implant Supported Dentures

Fixed Bridges anchored to dental implants: With today's technologies, it is possible to replace a full jaw with dental implants and a fixed bridge that results in a permanent, stable and high esthetic solution similiar to having a new set of teeth again.

Implant Supported Dentures: Implants allow you to wear full dentures (overdentures) and partial dentures without worrying that they will slip or fall out. Having implants to support these dentures also means that the base of the denture can be made much smaller and more comfortable. For overdentures, implants with screws placed in the jaw will serve as attachments for a metal bar, which will help support a removable denture.

Benefits of Dental Implant

Eat Better

Dentures can only deliver a small fraction of the biting force of natural teeth. With dental implants, patients can bite with forces close to that of natural teeth. Better chewing efficiency results in better digestion leading to improved health of patients

Speak Better

One fear, which denture wearers have, is that of their dentures coming out of their mouths when they speak. Implant supported prostheses are retained firmly to the jaw, allowing patients to speak with confidence.

Look Better

Implant supported crowns and bridges can be made to look very natural, with excellent aesthetics, which greatly enhances the patient’s smile.

Feel Better

Implant supported dentures can be fabricated with reduced extensions, so that patients feel less bulk in their mouths while wearing their denture. With dental implants you won’t have your dentures slipping and sliding in your mouth again and you will enjoy excellent fitted dentures.

 

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Today the implant procedure may be performed with a tooth crown in place directly after implant placement or within a few days, meaning that you can eat and smile directly after the treatment.

This makes implant treatment very similar to general crown & bridge restorations. NobelDirect™ is the ultimate form of simplicity and tissue friendliness, taking implants even closer to traditional crown and bridge therapy. The implant is machined from a single piece of titanium, incorporating both implant body and an integral fixed abutment.

The procedure is easy and very efficient: in one appointment is not only surgery performed but a provisional crown is also in place. Patient discomfort is much reduced due to the less invasive procedure.

Historically implants have been associated with a time consuming surgical procedure. This is no longer the case with NobelDirect™. Using the one-piece design, most often the surgery can be made flapless, with minimal surgical invasion. In most situations the implant can be inserted and used immediately, based on the refined treatment protocol and the unique implant surface, TiUnite™.

Immediate Function makes it easy for both patients and dentists: Implants become a natural adjunct to teeth and the patients get immediately restored teeth – and immediate quality of life.

 

 

 

 

 

The Immediate Function procedure with Nobel Biocare implants is clinically proven and the success rates are similar to those of conventional implant protocols. The results from these studies show that Immediate Function is possible in all oral regions and the following should be considered when performing the treatment.

The result is that the patient leaves the chair with teeth in place after a short and non-traumatic surgery with a minimum of post-operative reactions. This new modality provides enhanced patient satisfaction and simplifies the work of the treatment team.

Advantages

Less Discomfort: Patients experience minimal discomfort, especially during a flapless procedure.

Reduced Chair time: The one-stage surgical procedure reduces chair time, saving the patient time, expense and discomfort.

Immediate Function™: An esthetic restoration can be achieved immediately, providing patients with immediate gratification.

Reduced Bone Loss: The Osseo conductive implant surface and the immediate function protocol reduce potential bone loss at the alveolar crest.

 

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Are you 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.

Are you 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. In conjugation 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.

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, doctors will perform a visual examination and evaluate radiographs (X-Rays). He will then share his 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.

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.

What is the success rate?

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.

How successful is the treatment & Safety?

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. & 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.

What if I have further questions?

We expect you will. Feel free to contact our office at +91-11-26280184; 26217029. Our staff is very proficient in answering questions. However, if they cannot answer your question, Dr. Kathuria will return your call personally as soon as possible.

No. Of sittings required.

Normally it’s a matter of 3 sittings.

• 1st sitting or initial assessment, radiographic records, medical history & clinical examination.
• 2nd sitting for the implant placement
• 3rd sitting to place temporary crowns for a period of 4-6 mos to be subsequently changed to ceramic crowns/bridges.

 

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