Wobbly Tooth
Dental Implants : are they for me
What is a dental implant?
Today, the preferred method of tooth replacement is with dental implant. They replace missing tooth roots and form a stable foundation for replacement teeth that look, feel and function like natural teeth.
They can be used to support individual teeth or to help anchor removable dentures. Using local anesthetic, the implants are surgically placed under the gum and into the bone. The healing period for dental implants varies depending on the location and the health of the bone. It can be as little as 6 weeks or as much as four months. Some form of aesthetic temporization is always preferred in visible areas. Once the implant is biologically attached to the bone, the crown part is attached with the help of screw connection between implant and crown (abutment).
Implants are made of a bio-compatible material called titanium, which cannot decay. One advantage of implants is that they stimulate bone growth, and thus, prevent future bone loss. Bone that disappears when a tooth is removed can only be replaced with a bone graft.
What are the advantages of choosing dental implants?
- Maintain Anatomy: If you have missing teeth, the bone begins to shrink over time. Unhealthy bone loss can make your jaw line recede and change your facial structure. Dental implants can help prevent deterioration of the jawbone so your face retains its natural shape.
- Grinding of natural teeth not necessary: A better long-term alternative to bridgework, dental implants eliminate the need to grind down healthy teeth when replacing one or more adjacent teeth. Your own natural healthy teeth are not compromised.
- Security: Securely anchored dental implants do not slip or move. This eliminates some of the key problems of dentures, including poor fit, gum irritation and pain from exposed nerves. The result is superior comfort, reliability, and freedom from embarrassment.
Advantages of Dental Implants Over Dentures or a Fixed Bridge
- Aesthetic 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 patients to once again speak and eat with comfort and confidence. They are secured and they don’t allow dentures to wobble in the mouth giving more confidence to smile, eat and talk.
- Reliable The success rate of dental implants is highly predictable. They are considered an excellent option for tooth replacement.
- Immediate Placement Fractured, decay, blocked canals and other conditions can prevent the successful completion of root canal treatment. Fortunately, if this is anticipated, it is possible to remove the tooth and immediately replace it with an implant.
How do dental implants work?
The “root replica” implant is made up of titanium and is inserted in channel created in the jaw by precision instruments (which is same as removing the tooth). After osseointegration (when the surrounding bone has bonded to the implant), a replacement tooth is secured to the top of the implant. This new tooth looks, feels and performs similar to your natural tooth.
Who is a candidate for dental implants?
Anyone who is missing one or more of their teeth due to injury, disease or decay is a candidate for dental implants. Occasionally, older patients may get worried over the surgical concerns of the dental implant as a concern to their age. Health is more of a determining factor than age. A careful evaluation of your dental and medical health history must be made to determine whether you can safely have a tooth removed. If you’re healthy enough to have a tooth extracted, you’re healthy enough to receive dental implants.
Is there any pain or discomfort involved?
Most patients report very little discomfort and were much more comfortable following the procedure than they anticipated. Anesthesia and patient sedation are used to eliminate any discomfort during the procedure.
How long will the treatment take?
Treatment time will vary depending on your particular situation. Nowadays it is often possible to get well-functioning and esthetic looking teeth within a few days. In some cases it may be necessary to wait longer before finishing the restoration in order to obtain an optimal result.
What is involved in the implant procedure?
The dental implant process involves several steps that take place over a time period that averages from literally immediate placement and loading to 6 months. The typical process will include:
- Pre-treatment consultation: After a careful evaluation of your dental and medical history, your practitioner will determine if you are a good candidate for dental implants. If you are, you will then have a thorough consultation before your treatment begins.
- Initial implant placement: Your practitioner places the dental implant into your jaw while you are under either local or general anaesthesia. Over the next several months, bone will heal to the surface of the implant, anchoring it into position. Depending on your particular case, an additional minor procedure creates an opening through which your artificial tooth will emerge.
- Implant prosthetic attachment: During this phase, your practitioner painlessly attaches a prosthetic “post” to the implant. An impression will be taken, and soon after, an artificial replacement tooth will be created for a natural restoration.
Proper maintenance: Your dental practitioner will guide you on the proper care and maintenance of your new implants before, during and after the procedure. By following a regular routing of careful oral hygiene and regular checkups, your implants will look, function and feel great for many years to come.
Will I ever be without my teeth?
This depends on your situation. Most patients can leave the office wearing some type of temporary prosthesis.
How much will it cost?
The fee for tooth replacement with dental implants will depend on several factors, including the number of teeth being replaced and the number of implants required to support your replacement teeth. It is important for you to know that you do not necessarily need an implant for each missing root. Some additional procedures may be required prior to the placement of your dental implants to ensure the long-term health of your dental implants. To obtain a specific fee estimate, it is necessary to have a doctor examine your mouth. After a diagnostic examination, your dentist will recommend the treatment that is best for you and what your investment would be for the procedure.
How long do implants last?
Modern dental implants have been maintained in individual cases for more than twenty years. An implant, although made of metal, still requires continued care after placement. This includes patient home care and professional maintenance. The life of the implant varies with factors of patient health (diabetes, HIV, metabolic bone disease), patient habits (smoking, oral hygiene) and structural overload.
It is impossible to predict exactly how long an implant will last, therefore it is impossible to predict or guarantee success. If an implant fails it may be replaced, however the prosthesis (overdenture/crowns) will need to be remade. It is not uncommon to have success rates over 95% in the field of dental implants.
Is it important to take care of the implants after the treatment is completed?
Yes! Maintenance of the implants will help to assure the long-term success of your treatment. You will be responsible for daily plaque removal, which can be accomplished through brushing and flossing around your restoration. Your dentist or hygienist will show you how to properly care for your implants. You should visit your dentist at least once a year for maintenance appointments.
About the Author
Name: Dr. Nikhil Verma
Professor, Dept of Prosthodontics
Academic qualifications:
- Completed BDS in 1999 from P.M.N.M Dental College, Bagalkot
- Completed MDS in Oct 2002 from P.M.N.M Dental College, Bagalkot
Work experience:
- Worked as Sr. Lect. in Darshan dental college, Udaipur from 1st oct 2002 to sept. 2005
- Worked as Reader in pacific dental college, Udaipur from Oct 2005 to Sept 2008
- Presently working as, Associate Professor, in pacific dental college, Udaipur.
Advanced courses done:
- Completed advanced course of one year in Implants through Nene’s Implant Institute, Pune in 2005.
Achievements:
- Executive committee member of rajasthan state IDA branch since last five terms
( since 2005)
- CDH to IDA local branch in 2004-06
- Treasurer to IDA local branch since 2007-2008
- CDE to local IDA branch 2010
Conferences and Conventions participated after 2002:
- 1. World Congress on Prosthodontics & 31st Indian Prosthodontic Society Congress, New Delhi – Nov 2003
- 2. FDI World Dental Congress, New Delhi – Sept 2004.
- 3. Dental conference – Jaipur, Jan 2005.
- 4. 1st national student conference for global perspective – Udaipur feb 2005.
- 5. Organizing committee member of the National Conference of IAPHD held at Udaipur in Dec 2005.
- 6. 2nd national student conference for global perspective – Udaipur feb 2006.
- 7. Organizing committee member of the Rajasthan State Dental IDA Conference held at Udaipur in January 2006.
- 8. Rajasthan state dental conference, Udaipur, Jan 2006
- 9. 32nd Indian Prosthodontic Society Conference held at Kanyakumari, 2007
10. Rajasthan state dental conference, Jaipur, Jan 2007
11. National conference on anti-oxidants and trace elements held at Udaipur in March 2004
12. Organizing committee member of post graduate convention for Indian prosthodontic society, held atUdaipur in February 2008.
13. Organizing committee member of post graduate convention for Indian Periodontology society, held atUdaipur in July 2008.
14. Rajasthan state dental conference, Nov.2008.
15. 34th Indian Prosthodontic Society Conference held at Trichur , 2009
16. Rajasthan state Conference, Jan. 2010
Workshops and C. D. E. Programmes Participated in Past 4 Years
- Workshop on root canal treatment, IDA Udaipur Branch 2003
- Lasers in dentistry – IDA Udaipur Branch 2003
- Composites in denrtistry – IDA Udaipur Branch 2003
- Management of medical emergencies in dental practice, IDA Udaipur Branch 2004
- Rotary cutting instruments in endodontics, IDA Udaipur Branch 2005
- Workshop on Implantology conducted by Dr. Ashish Jain at Udaipur – Jan 2006
- Workshop on Post and Core by Dr. Amit Mehta at Udaipur – Jan 2006
- Workshop on composite by Deepak Mehta at Udaipur – oct 2008
- Getting started with implants, workshop and hands on- oct 2008
- FDI-IDA CDE held at jaipur Nov. 2008
- Udaipur local branch CDE’s conduced in 2009.
Scientific Papers Presented In past 4 years:
- Defects of mandible: A review – IDA Udaipur branch, 2004
- Management of acquired defects of mandible – Jaipur IDA State Conference, 2005
- Rehabilitation for acquired defects of mandible – 1st Student Conference for Global Perspective, at Darshan Dental College, Udaipur, 2005
- Endodontic posts: Basics - IDA Udaipur branch, Udaipur, Dec 2006
- Post And Core – National Symposium of Clinical Research Centre( Promoted by Boston University) at Darshan Dental College, Udaipur, 2006
- Failure of bridges: A review – IDA state conference at Jaipur march 2007
- Model Surgery And Surgical Splint : A Prosthodontic Outlook – Orthognathic workshop held at Udaipur, July 2007
- Guest speaker at JAIPUR for Rajasthan state CDE in March 2009; Topic: “Impressions In Fixed Partial Denture”.
- Guest speaker at ALWAR for Rajasthan state CDE in Jan 2010; Topic: “Soft Tissue Management In FPD”.
10. Guest speaker at JAIPUR for Rajasthan state CDE in Jan. 2010; Topic: “Failures In FPD”.
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