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Maxillofacial Surgery

Dental implants

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Description

In some cases, it is impossible to save a tooth. However, an implant can be used to ensure that the surrounding teeth do not need to be prepared for a bridge.

Dental implants are metal posts that are surgically placed in the jawbone under your gums to provide stable support for artificial teeth. Some people who have lost bone in their jaw can still have implants, but first the bone has to grow with a bone graft. Dentures and bridges placed on dental implants will not slip or move in your mouth, which will make you feel more comfortable and confident about eating and speaking. After receiving implants, regular follow-up visits are important.

 

WHAT TO EXPECT

MULTIPLE VISITS – CASE COMPONENT

After local anaesthesia is administered, the implant will be carefully inserted into the bone. The gums will be sutured over the implant site and left to heal for about two to three months depending on the implant site. At the end of three months, a test will be done on the implant to ensure what is called osseointegration or fusion of the implant to the bone. At this stage, a small healing contour will be attached to the implant to attach the implant to the gum surface and help shape the gum and obtain the final crown.

The dentist will unscrew the healing cap and screw on an impression cap, which is specially made for your implant. An x-ray and impression will be taken to ensure proper fit. They will take pictures of the teeth for the dental technician to create an innate crown that no one will detect. The healing cap will be replaced and your next visit will be in two weeks for the final fitting of your crown.

The final visit will be just as easy as the previous one. The healing cover will be removed, a disinfectant solution will be applied to the implant to get rid of any bacteria, and the permanent custom abutment will be tested along with the implant crown. Dental radiographs will be taken to ensure a quality fit and to ensure that there are no micro gaps between the abutment and implant interface.

Frequently asked questions

The dilemma of “bridge or implant” is one of the most common for patients. The following may help you understand which is the best option for you. (Note that both solutions are appropriate and scientifically proven dental treatments.)

 

DENTAL BRIDGE:

To make a bridge, the teeth adjacent to the gap are ground and prepared to become the teeth that will support the bridge abutment.

 

DENTAL IMPLANT:

The implant consists of a “screw” that is inserted and osseointegrated into the jawbone and a porcelain crown (socket) that fills the gap of the missing tooth in the mouth. It is the most biological way of replacing a tooth as it does not require any intervention in the adjacent teeth. Its placement is divided into 2 phases. The first is surgical, i.e. the placement of the implant into the bone and the second is the placement of the porcelain crown in the mouth.

Certainly the fear of “hurting” or “swelling” should not be a factor in avoiding such an operation.

The choice of a dentist properly trained in modern techniques is a key factor in ensuring a smooth postoperative course.

Proper tissue management during surgery reduces the likelihood of postoperative pain, where in combination with appropriate medication the pain becomes a minor or non-existent discomfort.

The occurrence of oedema (swelling) is seen in some very extensive operations, where again with appropriate treatment it can be reduced or avoided.

The success rates of implant placement are quite high, higher than any other dental procedure. Of course, for this to be valid, the dentist who places implants must be properly trained and there must be no problems from the medical history that affect the patient’s healing mechanisms (diabetes mellitus, immuno-deficiencies, taking biphosphonate drugs, etc.).

The usual time of placing a tooth on the metal root (implant) is 3-4 months, in order to “bond” with the jawbone.

There are of course cases where special procedures are performed to regenerate the lost jaw bone where the waiting time can reach 6 months. as there are also cases where the tooth can be placed on the day of the surgery (immediate loading).

After a thorough examination of your case by the periodontist, your question can be answered accurately.