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Dental Implants

dental-implants
By Medicover Hospitals / 10 Feb 2021
Home | Procedure | Dental Implants

Article Context

  1. Overview
  2. Uses
  3. Types of dental implants
  4. Dental Implants vs Dental Bridges
  5. Frequently Asked Questions
  6. Citations

Overview

  • Dental implant surgery replaces the root area of ​​the tooth with screw-shaped metal posts. These posts are installed in the jaw, where they provide a strong base for an artificial tooth, known as a crown. This surgery can be performed in several steps, depending on the type of implant you are receiving and the health of your jaw.
  • What are Dental Implants

  • Dental implants as we know them today, were invented in 1952 by a Swedish orthopedic surgeon named Per-Ingvar Brånemark. Today, they are considered the standard of care for prosthetic replacement of missing teeth in dentistry. A dental implant is a surgical device that is placed in the jaw bone and allowed to fuse with the bone for a few months. In turn, this "artificial tooth root" serves to hold a replacement tooth or bridge. Having a dental implant fused to the jaw is the closest thing to mimicking a natural tooth because it supports itself without affecting nearby teeth and has great stability. The fusion process between the dental implant and the jaw is called "osseointegration." Most dental implants are made of titanium, which allows them to integrate with the bone without being recognized as a foreign object in our body. Over time, technology and science have progressed to greatly improve the results of dental implant placement. Today, the success rate of dental implants is close to 98%.
  • Types

    Aendosseous Implants:

  • These are surgically implanted directly into the jaw. A second surgery is needed to attach a post to the initial implant until the surrounding gum tissue has healed. Finally, an artificial tooth (or teeth) is individually or in a bridge or denture fixed to the post.
  • Subperiosteal implants:

  • These consist of a metal frame that is placed in the jaw just below the gum tissue. As the gums heal, the frame is attached to the jaw. The posts that hold the frame together protrude from the gums. As with endosteal implants, artificial teeth are mounted on posts.
  • Why Should You Get Dental Implants?

  • There are many reasons for having dental implants. One or more teeth may be missing. You may not be able to wear dentures or have a speech impediment that could be improved by adding one or more dental implants to the gum line. As with any medical procedure, there are risks associated with dental implant surgery. While problems or complications are rare, there is still a risk of infection at the implant site, leading to other problems later on. Also, your jaw will need to be strong enough to undergo the procedure. Another possible complication of dental implant surgery can be damage to the surrounding teeth or nerves and a defective or unstable implant. Consult the dentist or oral surgeon on the complications of dental implants. They should be able to address your concerns before the procedure.
  • Procedure:

    During Surgery

  • When you get dental implants, you are replacing the roots of your teeth with dental posts made of metal. These dental posts are like screws for artificial teeth. Implants are a bit different than some bridges or crowns because they work and look like real teeth.
  • Initial Evaluation:

  • A dentist or oral surgeon will perform a detailed examination to assess the right dental implant treatment for you based on the state of your jaw. X-rays, impressions, and matching the color of your teeth to make the implant appear as normal as possible are all part of this initial assessment.
  • Initial Evaluation:

  • A dentist or oral surgeon will perform a detailed examination to assess the right dental implant treatment for you based on the state of your jaw. X-rays, impressions, and matching the color of your teeth to make the implant appear as normal as possible are all part of this initial assessment.
  • Tooth Extraction:

  • If you still have a tooth that needs to be replaced, your dentist will remove it before dental work is done. You can do this at the same time as the implant insertion. Your dentist will discuss anesthesia options. Your dentist will most likely use a novocaine (or lidocaine) local anesthetic to make you feel numb and ease any pain. It should not take a long time to extract the tooth unless it is fractured. You will feel a little tug and pressure as the tooth is extracted. After extraction, you should avoid blowing your nose, smoking, spitting excessively, or drinking through a straw. These actions can create a dry and painful socket.
  • Insertion of Dental Implant and Bone Graft:

  • Your jaw must be tight because chewing puts a lot of strain on the implant, and you need strong bone to support it. If your jaw needs some extra bone, this bone usually comes from another area of ​​your jaw away from the implant area. You may need to let the bone heal first if you have a graft before you can add the implant. The dentist or surgeon will position the implant after the bone has healed. After adding the implant to the jaw, the jaw will start to grow around the implant. The implant then becomes part of the natural gum line. This process varies from person to person and can take 3 to 9 months.
  • Abutment Placement:

  • Once your implant is stable enough, the dentist will place an abutment on top of the implant. The implant is connected to your crown with this abutment. The abutment needs to be tightened so that it stays in place when you eat. But for a little discomfort, you will feel nothing during this operation. You will receive local anesthesia in that area. Sometimes the abutment can be placed at the same time as the implant as it passes the gum line. It will be visible so you will need to discuss how to mask this piece as it will show when you smile. The dentist will add a healing cap to prevent tissue and bone from growing over the abutment.
  • Add Permanent Crown:

  • After your gums heal, your dentist will make an artificial tooth or crown. You can choose to have a permanent or removable implant. If you have multiple teeth in the back just like removable dentures, you may want the removable option so you can clean and replace them if necessary. A fixed implant cannot be removed for replacement or cleaning. It is permanently screwed into the abutment or glued with cement.
  • After Surgery

  • It is natural to feel some discomfort after surgery. You may notice some bruising on the gums, swelling around the gums and face, light bleeding, and some pain at the implant site. You must stock up on some soft foods after surgery. You may also want to keep some ice packs on hand to help reduce swelling. Avoid tobacco because it could increase your chances of getting infections, such as root canal infections, and staining your teeth. We also offer root canal treatment. It is important that you maintain good hygiene habits to protect this implant. That means flossing every day and brushing your teeth twice a day. Avoid chewing hard candy that could damage your implants.
  • Dental Implants vs Dental Bridges:

  • Dental bridges are false teeth that are held in place by the teeth around the missing tooth. They are usually made from materials such as porcelain or plastic to match the natural color of your teeth. They can cover one or more missing teeth. Dental implants are artificial dental roots usually made of titanium. They are mounted in your jaw with screws to hold a crown or bridge in place.
  • Pros and Cons:

    Dental Bridge:

    Pros
    Cons
    Likely to be covered by insurance Has to be replaced about every 5 to 7 years (although can last more than 10 years)
    Doesn’t require bone grafting or invasive surgery Loses a natural-looking appearance with age
    Usually lower upfront cost than dental implants More cavities and tooth decay in surrounding teeth than with implants
    Usually requires only two visits to your dentist spread over a couple of weeks Can damage the healthy teeth around the missing tooth

    Dental Implant:

    Pros
    Cons
    Can last 15 or more and are the long-lasting option on the market Less likely to be covered by insurance
    Retain natural-looking appearance longer than bridges The process can take up to 6 months
    Don’t damage the healthy teeth around the implant Higher upfront cost
    Very high 10-year success rate, around 97 percent May lead to surgical complications

    Risks

  • Dental implant surgery, like any other surgery, has certain health risks. However, problems are rare, and when they do occur, they are usually minor and easy to treat. The risks include:
    • Infection at the implant site
    • Surrounding organs, such as other teeth or blood vessels, can be injured or damaged
    • Nerve damage in your normal teeth, gums, tongue, or chin will cause discomfort, numbness, or tingling.
    • When dental implants in the upper jaw protrude into one of your sinus cavities, you can have sinus issues.

    Conclusion

  • Most dental implants are successful. Sometimes, however, the bone does not fuse sufficiently with the metal implant. If the bone is not fused enough, the implant is removed, the bone is cleaned, and you can try the procedure again in about three months. You can help your dental work, and your remaining natural teeth, last longer by:
    • Practice excellent oral hygiene.
    • Visit your dentist regularly.
    • Avoid harmful habits.

    Frequently Asked Questions:

    The Teeth in a Day procedure is unique in that fully functional, temporary teeth can be placed the same day you receive dental implants.
    With your nerves numb, you can expect to feel no pain during your dental implant procedure. You may feel pressure at times, but it shouldn't bother you.
    When oral hygiene fails, both the teeth (or dental implants) and the surrounding tissue (gingiva, periodontium, and alveolar bone) are subject to high concentrations of microbial products, which can cause cavities, gingivitis, periodontitis, or peri-implantitis.
    Dental implants chew food just like normal teeth. So don't assume you'll be limited to certain foods like you are with other tooth replacement options. You can really eat any type of food or drink any type of beverage that you want after receiving dental implants.
    Dental implants are the standard of care for the replacement of missing teeth. there is no such thing as old age for dental implants. Dental implants should be placed securely and predictably in a relatively stable person with a few years to live, enhancing their quality of life.

    Citations:

  • Dental implants , https://aap.onlinelibrary.wiley.com/doi/abs/10.1902/jop.1992.63.11.859
  • Dental implants and its limitations ,https://www.sciencedirect.com/science/article/abs/pii/S0022391308602334