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DENTAL IMPLANTS
Replicating the natural function and appearance of your lost teeth
can be very difficult to accomplish. Historically, dentures or bridge
restorations would be used as replacements, but with limited results.
Dental implants, however, are natural-looking replacements for missing
teeth that also provide the same function as your natural tooth
root. They have also been used to anchor these other types of restorations
for greater success and patient satisfaction. A dental implant is a small, sturdy, titanium post that acts as the root structure would for a natural tooth. A dental implant is placed into your upper or lower jaw bone. After the bone has grown around the implant, implants can hold a crown, bridge or over-denture just like roots hold natural teeth in place. Implants are very durable and can last a lifetime. They require the same maintenance as natural teeth; this includes brushing, flossing and regular dental check-ups. A single tooth or a full arch of teeth which have been lost due to injury or disease can be replaced with dental implants. Titanium metal is used because of its compatibility with bone and oral tissues. For more information in implant visit http://www.dentsplyfc.com/xive/xive.shtml
Dr. Branemark went on to demonstrate that under carefully controlled conditions, titanium could be structurally integrated into living bone with a very high degree of predictability, and without long-term soft tissue inflammation or rejection. Brånemark coined the name “osseointegration,” meaning the attachment of healthy bone to a titanium implant. Thus dental implants were born and the first application of dental osseointegration was the implantation of new titanium roots in an edentulous (toothless) patient in 1965. Dental implants have shown a 90 percent success rate and long-term studies continue to show improving success.
What are the types of Implant Restoration There are three main categories that need to be distinguished:
1. Fixed Prostheses are, as the name implies, fixed to the dental implant and the patient cannot remove them (although the doctor usually can). Within this category fall single-tooth as well as multiple-tooth replacements. Fixed Prostheses are usually the most desirable prostheses in implant reconstruction, however depending on the individual situation that may not always be indicated. Multiple teeth in a row are usually splinted together in a Bridge, which is then attached to the implants. Below you see several examples of Fixed Prostheses.
2 Removable Prostheses are attached to implants in a way that permits the patient to remove them at any time. This usually also implies that the prosthesis is not completely supported by dental implants, but rather by the implants and the tissues in your mouth. In fact they are usually your typical Full Denture or Partial Denture that derive some extra retention out of the implants. As mentioned above, one usually tries to strive for a Fixed Restoration, however in certain situations compromises have to be made and this type of restoration can still benefit the patient tremendously. Below you can see again several examples of Removable Prostheses for implants.
3. Fixed-Removable Prostheses are usually found in full mouth reconstruction for patients who have either one or both jaws without teeth. This prosthesis is usually completely supported by implants (with no or little tissue contact-just like a Fixed Prosthesis), however the patient or the doctor can remove part of the prosthesis for hygiene access. This entire set-up usually consists of two parts: a retentive metal part (usually some type of bar attached to the implants) which is not removable and the actual super structure which has the teeth on it, which is removable. This super structure fits over the metal part (connected to the implants) and it usually stays connected to that metal part via friction mechanisms and/or retentive clips.
Who Is A Good Candidate For Dental Implants?
What Does The Procedure Involve? Phase I - Preparation Study models of the jaw are made from molds, or impressions, of the mouth. A surgical guide is then made from the mold. Special x-rays of the jaw are also taken - both an individual x-ray (periapical) and an x-ray of the entire mouth (panoramic). If there is not enough bone to place the implant, a bone graft may be required. Grafts are usually taken from the hip, a different area of the jaw, or the skull. Donor bone may also be used. Phase II - Placing The Implants Dental implants are then placed. Local anesthesia is sufficient for most patients. The implant area is anesthetized, and an incision is made in the gum to expose the jaw. The surgical guide made from the jaw mold is then placed over the jaw to aid in the placement of the implant. A series of successively wider drill bits are used to create an opening in the bone. The implant is placed in the jaw by screwing it into the opening made by the drill so that the top of the implant is at or slightly above where the jawbone meets the gum line. A cover (healing screw) is then placed in the implant to prevent debris from filling it. The gum is then stitched over the healing screw, and the Phase II is over. After implant placement, dentures cannot be worn for about 2 - 5 days. Antiseptic mouthwash, antibiotics, and pain medication are all provided to prevent infection, and for the patient’s comfort. Phase III - Osseointegration: Fusing To The Bone Time is required to allow the bone to fuse with the implant- a process called osseointegration. Depending on the where the implants are placed, this process can take anywhere from 3-6 months for the lower jaw and 6-9 months for the upper jaw. Phase IV - Cosmetic Prostheses: Finishing Up All procedures from this point on are much easier than for natural teeth, and require no anesthesia. Depending on the individual case, a variety of devices can be attached to the implant. This process usually requires one visit to take impressions for fabrication, and a final visit to place and adjust the teeth or tooth.
How Many Physicians Will I Have To See? How Do I Know They Are Qualified? Most dentists refer implant placement to a specialist like an oral surgeon, prosthodontist, or periodontist. Our team consists of Dr. Vikram Prabhakar, MDS, who has been placing implants for last 8 years,has been trained in Germany for all surgical procedures in Implantology. Dr Pankaj Chauhan, BDS [1Year Certificate course in implantology] as principle dentist. Dr. Neeraj Sharma, MDS [Handles prosthetic Phase of treatment]. Dr. Divye Malhotra, MDS [Oral Surgeon.] So every step of treatment is taken care by expert hands in respective fields.
Does Dental Implant Surgery Hurt? Because each surgery is different, and each patient has a different pain threshold, this is a difficult question to answer. Most patients report less pain with a dental implant than a simple tooth extraction. Many report no pain at all.
How Long Do Dental Implants Last? Although dental implants are designed to last a lifetime, the earliest implant is only about 30 years old. The overall dental health of the patient, the condition of the bone structure of the jaw, and regular follow-up care by your dentist all play an important part in how long implants last. According to published studies, the survival rate after 5 years is 95% for implants in the front of the lower jaw and about 85% for implants in the sides and rear of the upper jaw. Few, if any, implants fail completely.
How Much Do Dental Implants Cost? The cost of dental implants varies depending on the number of
missing teeth, whether or not a bone graft is required, the number
of implants that need to be placed, and the type of prosthetic device
to be used in the final restoration.
Dr. Chauhan dental implant and care DIFFERENCE !! Dr. Chauhan Dental implant centre has the equipment, expertise and experience to perform all procedures at their location. There is no need for hospitalization. No more hassles with multiple hand-offs to different doctors who rarely have time to see their patients much less communicate with the primary dentist!! Our Team has performed dozens of dental implant surgeries to date, and is considered by his peers to be an expert and leader in the Dental Implantology field in Himachal. At Dr Chauhan Dental Implant centre, we enhance the lives of the people we touch by providing the most up-to-date, high quality dental care in a comfortable, personalized manner. A beautiful, healthy smile can make a difference in your confidence and self esteem. We emphasize dentistry in a personalized and comfortable adult setting. We have been a pioneer in enhancing smiles with artistic cosmetic dentistry. Our name has been synonymous with excellence since 2001. If you are looking for an office that knows and deals with the special dental needs of an adult…Why not call or e-mail us (implantdentistmanali@hotmail.com). We offer complimentary get-acquainted consultations where the doctors can discuss your specific concerns. Our Dental Centre is conveniently located at KARPA COMPLEX,
1ST FLOOR, Mall Road, Ram Bagh, Adjacent to German Bakery [Cafe
Amigos], Manali, Take that important first step towards dental peace of
mind or smile beautification.
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Dental
Implants were developed in 1952, in a laboratory in the university
town of Lund, Sweden by Professor Per-Ingvar Brånemark, who
had a “lucky” accident during bone grafting research.
Much to his dismay, Dr. Branemark discovered that
it was impossible to recover any of the bone-anchored titanium microscopes
he was using. The titanium plate had apparently bonded irreversibly
to living bone tissue, an observation which contradicted all scientific
theory at the time.
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