Dental Implants: Replacement Teeth That Look and Feel Like Your Own

Dental Implants: Replacement Teeth That Look and Feel Like Your Own

A dental implant is an artificial tooth root that a periodontist places into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.

While high-tech in nature, dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support.

Dental implants are so natural-looking and feeling, you may forget you ever lost a tooth.You know that your confidence about your teeth affects how you feel about yourself, both personally and professionally. Perhaps you hide your smile because of spaces from missing teeth. Maybe your dentures don't feel secure. Perhaps you have difficulty chewing. If you are missing one or more teeth and would like to smile, speak and eat again with comfort and confidence, there is good news! Dental implants are teeth that can look and feel just like your own! Under proper conditions, such as placement by a periodontist and diligent patient maintenance, implants can last a lifetime. Long-term studies continue to show improving success rates for implants.

What Dental Implants Can Do?

                      Replace one or more teeth without affecting bordering teeth.

                      Support a bridge and eliminate the need for a removable partial denture.

                      Provide support for a denture, making it more secure and comfortable.

Types of Implants in Use Today

                      Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.

                      Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework's posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

Before dental implant                                  After dental implant

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 are secure and offer freedom from the irksome clicks and wobbles of dentures. They'll allow you to say goodbye to worries about misplaced dentures and messy pastes and glues.

                      Reliable   The success rate of dental implants is highly predictable. They are considered an excellent option for tooth replacement.

Are You a Candidate for Dental Implants?

The ideal candidate for a dental implant is in good general and oral health. Adequate bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal disease.

Dental implants are intimately connected with the gum tissues and underlying bone in the mouth. Since periodontists are the dental experts who specialize in precisely these areas, they are ideal members of your dental implant team. Not only do periodontists have experience working with other dental professionals, they also have the special knowledge, training and facilities that you need to have teeth that look and feel just like your own. Your dentist and periodontist will work together to make your dreams come true.

What Is Treatment Like?

This procedure is a team effort between you, your dentist and your periodontist. Your periodontist and dentist will consult with you to determine where and how your implant should be placed. Depending on your specific condition and the type of implant chosen, your periodontist will create a treatment plan tailored to meet your needs. Click for more information about the treatment options described below.

                      Replacing a Single Tooth   If you are missing a single tooth, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root.

                      Replacing Several Teeth   If you are missing several teeth, implant-supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

                      Replacing All of Your Teeth   If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

                      Sinus Augmentation   A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants.

                      Ridge Modification   Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.

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, your periodontist will work closely with you and your dentist to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.

Factors Which Affect The Cost Of Dental Implant Treatment

Dr Mayurgiri Goswami gives an insight into the factors which affect the overall cost of dental implant treatment. Following are the factors which could affect the cost of dental implant treatment.

The type or the make of dental implant
There are different makes of implants available. All of them are basically commercially pure titanium. To group them they are less expensive ones and branded ones. The most of the commonly used implants have the same success rate. Doctors prefer certain brands to others because of the user friendliness, support from the company in supplying the parts, their previous experience ect. The so called branded ones are expensive but they don’t improve the success rate.

NUMBER OF IMPLANTS DEFINITELY AFFECTS THE COST.

More no of implants are used more will be cost.

ANY BONE AUGMENTATION SURGICAL PROCEDURES NEEDED.
If the jaw bone is very thin and if an implant cannot be accommodated than surgical procedures are needed to increase the volume of bone. For this highly technical surgical procedures like sinus graft, nerve repositioning ECT are done. These surgical procedures are usually done by specialist who is trained in such procedures.

BONE GRAFTING MATERIALS USED.

The bone grafts are synthetic or natural and are used to augment deficient jaw bone where implants are placed. These are expensive and are charged as per the quantity used. Some times when large quantity of bone are required the bone is harvested from patients own body. For example chin, hip bone, skull etc.

TYPE OF ARTIFICIAL CROWN FITTED ON TO THE IMPLANT
(For eg: procera crowns are more expensive than porcelain fused to metal crowns).

TYPE OF ABUTMENT USED
Some times angulated or esthetic or zirconium abutments are used which are many times more expensive than straight conventional abutment.

TYPE OF ANESTHESIA USED

Local anesthesia and out patient procedures are less expensive than procedures done under general anesthesia. For general anesthetic procedures patient need to be admitted in hospitals and there will be extra cost for using theater, using the services of anesthetist, anesthesia medicine etc.

ANY CORRECTIVE SURGERY
Any indication for a corrective surgery after the placement of implant which could be for much reason is also brings added expenses.

Conclusion
By proper assessment most of these expenses can be assessed and near accurate treatment cost can be worked out in consultation with an implantologist before starting the procedure

Sterilisation Standards At Aashirwad Dental Implant Center

It is a great concern for those patients who are traveling from distant parts of the world to India for dental treatment or dental implant treatment. We follow the international standards in sterilization.

USING DISPOSABLE INSTRUMENTS

Many of the commonly used items are disposable and hence transmission on communicable diseases cannot happen. For eg the suction tips, suction tubing’s, syringes, gloves, patient drapes, impression trays, are some of the disposable items to be mentioned

AUTOCLAVING

Expensive surgical instruments are sterilized using a technique called autoclaving. This a high pressured steam chamber where is instruments are placed for a specified temperature to kill all the micro organisms including their spores. There are different cycles which are incorporated by the manufacturer of autoclaves. Usually the temperature is 121 degree Celsius under 15 pounds of pressure is one recommended cycle. The autoclave manufacturer also provides test strips to check the efficiency of the autoclaving. We in our clinic insert a test strip with all autoclaving cycles to make sure the cycle is perfect. Remember boiling water has only 100 degree Celsius temperature and it does not kill the spores of the bacteria. Just placing instruments in boiling water in insufficient.

COLD STERLISATION

Those instruments which cannot be subjected to such high temperature at high pressure are subjected to cold sterilization. There are time tested liquids used for this. 5% sodium hypochlorite is one such liquid used. Instruments are immersed in this liquid for 20 minutes effectively sterilizes instruments.

USE OF DISINFECTENTS
Commonly touched areas are frequently painted with disinfectants to keep the area clean. Table tops, door handles, switches, water taps ECT are cleaned like this.

USE OF DISPOASABLE PLASTIC WRAPPERS

Dental chair, light handle, electric codes ect are wrapped in plastic covers while treating the patient and this covers are disposed off after each surgery. New covers are replaced for each new case. This is a very effective step is maintain the cleanliness.

ULTRA SOUND BATH

Those instruments which are autoclaved will pass through an ultrasound cleaning chamber for the minute debris to be cleaned by sound waves. The chamber contains a cleaning solution and specified cycles is very efficient for cleaning minute debris especially the drills used in implant surgery.

PERIODIC CULTURE OF WATER IN CONTAINERS
We use only drinking water in water chambers attached to the dental chairs and hence it is completely safe even if patient swallow the water during treatment. Regular culturing of the water samples from this containers are done rule out any bacterial growth.

IMMUNISATION OF ALL STAFFS

All the clinical staffs are immunized against blood born diseases which have available vaccinations.

GLASS BEAD STERILISATION, FORMALIN CHAMBER, ULTRAVIOLATE INSTRUMENT CHABER, ECT are other equipments used in our clinic.

The clinic regularly updates scientific advancement in the field of sterilization and frequently attends conferences and exhibitions to procure latest machineries for effective sterilization

Wisdom Teeth

              32 adult teeth, which replace “baby” teeth as they are lost. Unfortunately, sometimes, people with large teeth and/or small jaws do not have enough room in their jawbones to allow all 32 teeth to come in.

The third molar teeth (so-called “wisdom teeth) are usually the last teeth to erupt (grow into the mouth)and they wind up with no place to go! Less often, other teeth can also become trapped for various reasons. These teeth are then trapped in the bone. Think of 32 people trying to jam themselves into an elevator that is only big enough for 28 people. The last 4 people (teeth) cannot find room to grow into the mouth all the way.

When there is not enough room, some or all of the “wisdom” teeth (or other teeth) can only break through the gums part way, or sometimes not at all, and they become blocked by the other teeth around them. When this happens, the teeth are said to be “impacted” (buried or partially buried). Because these teeth often have a “window” through the gums into your mouth, every time you eat, small pieces of food debris can get underneath the gum tissue and come to rest around the buried teeth. This gives the bacteria that are normal residents in your mouth lots of food and encourages them to grow. Your immune system is then kept busy trying to keep these pesky bacteria under control. If it fails, the bacteria can get the upper hand and cause an infection.Doctors call these infections “pericoronitis” (“perry’-cora-nitis”). your teeth hurt, it hurts to swallow, the gum tissues may be swollen and reddened, and you may have a fever. Typically this condition flares up, quiets down, then flares up again at a future time. Over the months, these times of infection often increase in frequency and last longer.

Infection is not the only problem that these teeth (especially the third molars) can cause. Because these teeth are surrounded by a “sac” of soft tissue as they lay deep inside the bone, for no reason at all at any time in your life the sac can suddenly begin to fill up with fluid and get larger, slowly dissolving the bone around it and possibly pushing the tooth out of position. Tumors can grow in the walls of these soft tissue sacs, or they can simply grow so large the jaw is weakened. When the third molars are present, people who are involved in contact sports (football, rugby, hockey,basketball, etc.) are more likely to have their jaw break if they are hit in the right place! If the buried wisdom teeth are taken out the jaw becomes stronger in that area.

Some doctors argue that wisdom teeth do not need to be removed. These are often well-meaning doctors who do not have to deal with the problems created by these teeth later in life. Oral surgeons, who must deal with patients who have not had their impacted (buried) teeth removed in their earlier years of life, believe that it is better to remove these teeth earlier in life, before they cause problems, than taking a chance that surgery will be needed when you are 60 or 70 years old. Patients who have to have tooth surgery after the age of 35 have more complications, higher risks, harder surgery, and longer healing times than patients who have these teeth removed when they are in their late teens or early 20s. The problem is that nobody has ever done a study of large numbers of patients, so we simply don’t know what the exact odds are of you developing a problem later in life. Most oral surgeons believe the odds are quite high. The best time to remove buried wisdom teeth is when the roots of the teeth are about two-thirds formed. For most people, this occurs when the patient is roughly 15-18 years of age.

How do you know if your wisdom (or other) tooth or teeth need to come out?

You need to be examined by an oral and maxillofacial surgeon whose judgment you trust. An ethical surgeon will not advise you to have surgery if you are not at risk. If surgery is recommended, the surgeon will tell you what alternatives, if any, exist and what risks and complications exist if you have the surgery performed. You can then make an informed judgment as to whether this risk of problems is greater than the risks associated with surgery. Your surgeon will need to take an xray and look in your mouth, because every case is different. Only then will he/she be able to tell you all of the facts and advise you of the costs for the surgery you need.

Although the surgery can often be done with just a local type of anesthesia, many patients choose to be “put to sleep” (sedated) for the surgery. Although this adds slightly to the risks of surgery, it is a more pleasant way to have the surgery done. You will not be aware of what is happening during surgery, and when you awaken at the end of the case, the surgery will be finished. Your doctor will explain the advantages and disadvantages of this additional step. Do not be afraid to ask our doctors questions and be sure you understand all of the factors before you make your decisions.

 

Patient Dental Education

Dental Implants Placement

Smile Designing

Before

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Before

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Multiple Teeth Implants

Multiple teeth implants may be placed if you need or desire to permanently replace an extracted or lost tooth.  Titanium tooth implant bases are placed into the jawbone to replace the job of the roots. We allow a period of time to allow for the jawbone to heal over the bases before fitting for a crown.  Next, tooth implant abutments are screwed into the bases of the implants to allow crowns to be attached.  Finally custom fabricated crowns are placed over the tooth implant abutments and will function like a real tooth.

Single Tooth Implant

       Dr. Mayurgiri Goswami dental team may recommend a single tooth implant procedure if a tooth has been extracted or is missing.  A titanium implant base is placed into the jawbone to resemble the root.  For our  tooth implant clients, we allow a period of time for the jawbone to heal over the tooth implant base before fitting for a crown.



Next an abutment is screwed into the base of the tooth implant to allow for a crown to be fitted on top.
Finally a custom fabricated crown is placed over the tooth implant abutment to function like a real tooth.

Tooth Implant

A tooth implant is a titanium "root" which can be placed in to the jawbone.  Once integrated with your bone, the tooth implant can be used to support a crown, a bridge, or secure a complete denture. Dental implants may be used to eliminate partial plates and dentures.  Implants have been used successfully for over 30 years and have a high success rate, and function and feel like your natural teeth.  In our tooth implant clinic, dental implants are now the standard of care for replacing missing teeth.
Dental implant treatment represents a slightly greater investment than conventional treatment; however, the benefits of implant therapy for most patients outweigh the minor additional costs involved.