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Dr. Maneesh RaiBDS 

Smile Designig   Implants   Orthodontia   General Dentistry

Dental Implants

 


In Medicine, the term implant refers to a device that replaces a body part which is missing. These devices or implants are surgically put or implanted into the body and function instead of the body part that it is replacing. An example of a medical implant is the use of an artificial knee joint to replace a painful, worn-out arthritic knee.

Implants are constructed from materials that are compatible with the tissues of the body; therefore the body does not reject them. A dental implant is a device that is used to replace the root portion of a missing tooth or missing teeth. Dental implants are used to support natural looking teeth and enable patients who are missing some or all of their natural teeth to smile, speak with confidence and chew their food more comfortably.

The most common type of dental implant that is placed into the jaw bone is the threaded titanium cylinder. Dental implants are also available as non-threaded, non-tapered cylinders and as non-threaded, tapered cylinders. The type of implant used is decided upon by the surgeon and depends on the location in the jaw that the implant is needed, and the forces that the implant will encounter.

Even though modern dentistry stresses prevention and maintenance therapy, millions of Indians are toothless (edentulous) in one or both jaws; many of them cannot wear dentures for physical or psychological reasons. Fortunately, dental implants now offer an alternative, a ray of hope for toothless people.

Dental implants are artificial substitutes for natural tooth roots. They are lightweight, metal devices surgically embedded in the gums or in the bone to which replacement teeth are attached. Implants can provide support for improved appearance, speech, comfort, and chewing ability. The implant procedure involves the insertion of tiny metal fixtures into the jawbone. These fixtures actually bond with the bone and hold fixed or removable prosthetic teeth. The new teeth remain in the mouth and can stay secure for years and years. The implants have shown success rates greater than 90% everywhere in the world and are catching on in India.

As with any dental treatment, patients must meet stringent criteria to have a good chance for success. Exceptional oral hygiene is an absolute necessity and they require regular maintenance by a dentist as long as they are functioning.

On top of the implants we can place a denture .The denture can easily be removed for cleaning, but will stay in place firmly while in the mouth. We can place an implant supported fixed partial denture(bridge).A single crown (tooth) can be placed as well.


 

On top of the implants we can place a denture .The denture can easily be removed for cleaning, but will stay in place firmly while in the mouth. We can place an implant supported fixed partial denture(bridge).A single crown (tooth) can be placed as well.

Benefits

Dental implants have given countless patients many amazing benefits.

  • You will smile again
  • Improved appearance
  • Improved comfort
  • Improved speech
  • Eat better, enjoy more foods, better nutrition
  • Convenience
  • Improved self-esteem

Dental implants are also a great value for your investment. You will be getting a product that you will be using 24 hours a day, 7 days a week, 52 weeks of the year, probably for many, many years of your life.  

 
 

Frequently Asked Questions about Dental Implants

Am I a candidate for dental implant/s?

If you are missing one or more teeth, then you may be a candidate for dental implants. A candidate for dental implants should be in a good state of health. You should inform your dentist of any systemic illness or condition that may adversely affect healing. Conditions such as diabetes may not prevent you from having dental implant surgery provided that the disease is being treated successfully. Any concerns that you may have regarding your medical history should be discussed with your dentist at the consultation appointment.

A candidate for dental implants should have enough high quality bone to support the implant(s). When a tooth is lost, the surrounding bone begins to change and may slowly disappear. This slow process is called resorption. If the amount of resorption is slight, then a dental implant may be placed into the bone. However, if the amount of resorption is too great, there may be insufficient bone available to support the implant and bone grafting may be required prior to implant surgery. At the consultation appointment, a complete examination will be performed and you will be informed of the condition of your bone and the options you have with regard to dental implants.

Also if you are an inveterate gutka, tobacco, paan or paan parag eater, less than good at maintaining oral hygiene, you shouldn’t consider implants.

What is the success rate of dental implants?

This depends very much on where the implants are placed and what they will be called upon to do. The best case scenario is the placement of implants in the front portion of the lower jaw. Here success can be as high as 98-100%.According to figures that we have today, the success of implants in the front part of the upper jaw are anywhere from 90-95%. Success rates of implants in the back part of the upper and lower jaw can be in the 85-90% range.

Why have dental implants become so popular?

As our lifespan increases, the need for some type of permanent dental replacement system becomes very important to our overall health. Dentures and removable bridges have obvious problems: They are loose and unstable. Implants can provide people with dental replacements that are both functional and esthetic. The demand was always there, we just needed the tools to fulfill that demand.

How long after a dental implant is placed can it be used to anchor my new teeth?

The protocol that was originally developed clearly states that we must wait four months before we can begin to construct the new dental prosthesis that will be supported by the implants. In recent years, however, there has been a movement within the profession to sort of speed up this process. Today we believe that it is possible in selected patients to accelerate the healing time. We are even loading implants in very specific situations right away.

Does it hurt to have dental implants placed?

The actual procedure to surgically place a dental implant is done under local anesthesia and is generally not at all painful. When the anesthesia wears off about three or four hours later, you might expect some discomfort. The level of discomfort is quite different from patient to patient, but most patients do not have significant problems. Some patients do have varying degrees of pain or discomfort which may last for several days. Swelling and black & bluing may also develop.

Do I have to go without my teeth & while the implants are bonding to my jaw bone?

Once again, the original protocol called for patients to go without wearing their dentures for at least two weeks after implant placement. Over the years, this has been modified considerably and in most situations, patients leave the office wearing their teeth the day the implants are placed. Every patient and procedure is evaluated separately and there might occasionally be a recommendation that a patient go without their prosthesis for a short period of time.

What Exactly Does the Dental Implant Procedure Involve?

First, you will need to discuss your options with the doctor. Together, it will be decided if you are a good candidate for dental implants. We will then take a complete dental history, x-rays, and complete a thorough oral examination. If you are a candidate for implant surgery, the procedure is as follows:  

1. Surgical placement of the implant(s) into the bone. This is usually done right in the dentist’s office, with a local anesthetic. After surgery, there is a healing period of approximately four months. During this time, the implants fuse to the bone by a process known as ‘Osseo integration’.  

2. Next, there is a minor surgical exposure of the top of the implant, whereby the dentist will attach the post to the implant. 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 the restorative phase. The dentist will take impressions and then make a prosthesis that will attach to the implants. This will require several visits. Once completed, your mouth will be restored to natural looking, strong teeth.  

 

Implantation: 


Myths and Realities

by Alpha Dent Implants

Myth One: «It is excruciatingly painful»

The dental implant placement procedure is no longer painful. Only a single anesthesia injection is enough to make it pain-free. Contrary to the common belief, the jawbone, which an implant is placed into, does not have any nerve receptors and therefore it cannot hurt. In addition, the latest technological innovations, such as the seamless method of implants placement, the modern system of computer diagnostics and the treatment and surgery planning make it possible to minimize all the posterior painful sensations.

Myth Two: «The risk of implant rejection is very high»

The risk of implant rejection is very low. The average number of implant rejections is only 3% out of all cases. The vast majority of implants survival is successful and manage to perform its functions to the patients, who are relatively healthy and without any serious endocrine system and metabolic disorders. The implants are made of biologically inert material, which provides an effective fusion with bone tissue.

Myth Three: «The implants can’t be offered to everybody, as there are too many contra-indications»

Pregnancy is considered to be a temporary contra-indication for the dental implantation. Patients with systemic diseases of internal organs (diabetes, hypertension) as well as those who have bad habits (smoking, alcohol abuse) should be approached with more heed. Although Alpha Dent Implants experts states it does not mean that the implantation is not possible for these patients. If such patients have an appropriate postoperative management, even in cases of severe forms of diabetes, the implants settle down and function well.

Myth Four: «The implantation procedure takes a very long time»

The implant placement procedure itself can be completed in one single session and it takes about 20-30 minutes. The standard dental implant acceptance time is from 3 to 8 months, at the end of which a doctor starts making a permanent crown for the inserted implant. Moreover, thanks to the modern technology, in many cases a temporary crown can be placed on an inserted implant immediately. The period of implant service is practically lifetime, that is why it is worth suffering a little bit in order to have beautiful teeth for the rest of your life.

Myth Five: «Patients have no teeth or have ugly «pieces of ironmongery» in the

mouth while implants are settling down»

The temporary dental prosthetic devices (including both removable and not removable dentures) are used to solve the problem of the patients’ aesthetic appearance during the implant settling down period. These temporary dentures help to hide all the apertures in the mouth and enable people to live their full life. The temporary dentures can be made of both metal ceramics and plastic.

Myth Six: «The implantation is very expensive»

Yes, the cost of the implant placement is quite high, but in reality, the cost of the implant prosthesis for one lost tooth is the same as the cost of the dental bridge for the same lost tooth, consisting of three crowns. Moreover, the payment for the implant placement is a so-called “one-time expenditure”. A successfully placed implant will not require any more expenses, except the expenses for buying toothpaste. Normally the implants performance period is not less than 10 years.

Myth Seven: «Elderly people should not have the implants placed»

Age is not considered to be a contra-indication for the dental implantation. The risk factors can be metabolic disorders, severe types of cardiovascular diseases, diffuse diseases of connective tissue, etc. According to Alpha Dent Implants experts, the dental implantation usually becomes possible after appropriate health improvement procedures that are carried out by general medical professionals.

Myth Eight: «The implants can cause pain and provoke other diseases»

Let us have a critical look at the dental prosthesis once again: they can cause problems. Even if they are placed and adjusted perfectly well, they may still become a cause of pain. They can lead to inflammation if they cut into gums. The poorly adjusted dentures can cause various complications due to the constant gums irritation. The implants do not usually create any of those problems. The successfully functioning implants do not cause pain and do not lead to inflammation or irritation.

Myth Nine: «The implants may destroy bones»

The implants don’t destroy bones. In fact, the opposite is true. The implants prevent the decrease in bone density and stimulate bone growth. The only case associated with the bone destruction because of the implantation is related to the complications of a conducted operation. This may happen when a “rejected” implant is left in the jaw for a long time. Such cases are extremely rare; moreover, this kind of complication can be avoided by regular visits to the dentist for the oral cavity examination, which should take place regardless of the implant presence in the mouth.