Last Updated on
If you are self-conscious due to having missing teeth, or if you are wearing dentures that are awkward or want to improve your tooth structure you should talk with your dentist to see if dental implants may benefit you.
Dental implants are a common and practical way to replace lost teeth and are intended to blend in with the rest of your teeth. Implants can be a great long-term option for getting back your smile. Dental implants development and use are one of the single most significant advances in modern dentistry looking back over the past 40 years. Dental implants are composed of titanium and other substances that are agreeable with the human body. They are studs that are surgically positioned in the lower or upper jaw, where they serve as a firm anchor for replacement teeth.
- The majority of patients think that dental implant is a stable, secure, functioning replacement for there natural teeth. There usually are three phases to getting a tooth implant:
First, the dentist surgically installs the implant into the jawbone. Your dentist may suggest a diet of cold, soft foods, and warm soup throughout the healing process.
- Next, the bone surrounding the implant recovers in a process termed osseointegration. The bone is what makes an implant so sturdy as it grows around solidify the placement holding it in position. Osseointegration means to “combine with the bone” and requires time to do so. Some patients may need to wait sometime time before the implant is fully integrated, which can be up to several months before the replacement tooth will be attached to the implant. Other patients may be able to have all of their implants and replacement teeth positioned in the mouth all in one visit.
- Lastly, it will be time for the placing of the artificial tooth/teeth. For an individual tooth implant, your dentist will tailor-make a new tooth for you, referred to as a dental crown. The crown will be formed based on frame, size, color and fit, and will be composed to blend in with your other teeth. If you are substituting more than a single tooth with an artificial implant, personalized bridges or dentures will be produced to fit your mouth shape and your implants. Since replacement teeth may take several weeks to develop, your dentist may provide you with a temporary crown, denture or bridge to help you speak and eat `regularly until the permanent replacement is created.
If you think dental implants may be for you, it’s a good idea to discuss it with your dentist first carefully. If you are generally healthy, this solution may be a decision for you. In fact, your health is more of a determinant than your age. You may be medically assessed by a physician before any having your implant operation scheduled.
Chronic illnesses, such as leukemia and diabetes, may hinder healing following surgery. Patients with these issues may not be suitable candidates for tooth implants. Using tobacco can also impede healing.
People who have lost teeth might become too self-conscious to talk or smile. Additionally, biting irregularities triggered by tooth loss can hurt eating habits, leading to following health problems like malnutrition.
By replacing missing tooth roots, dental implants provide people with the durability and stability needed to eat all the foods they love, without grappling to chew. Additionally, they help to stimulate and control jaw bone, preventing bone loss and helping to preserve facial features.
Types of dental implants
Teeth are lost because of:
A meeting with your dentist, periodontist, oral surgeon, and prosthodontist is required to determine if implants are appropriate for you, Throughout this appointment, your dental professional will thoroughly inspect your teeth and gums and evaluate bone density and quantity. This may include X-rays and computed tomography scans (CT scans) to guarantee there is sufficient bone formation for placing the implant(s) and to determine precisely where they should be set.
Based on the condition of your oral tissues, personal habits and oral hygiene, and responsibility to follow aftercare directions, your dentist will instruct you of the most appropriate treatment plan. Some patients with insufficient bone or gum tissue need bone or soft tissue grafts and the use of small diameter implants (also termed mini implants).
Based on your circumstances, your dental specialist will guide you on how long the complete treatment process will take, how many appointments will be needed and what you can expect after each procedure. During the consultation, alternatives for local anesthesia (to numb the impacted and encompassing areas) and sedation dentistry, if needed, also will be addressed. The calculated cost of your dental implants will also be reviewed during this meeting. Costs can deviate significantly based on the type of treatment you opt for (amongst other things).
Any underlying oral health issues must first be managed before implantation may be considered. Common problems such as gum disease and tooth decay can lessen the effectiveness of treatment.
If you are a smoker, your dentist will strongly recommend quitting, as smokers face a higher risk of failure than non-smokers. Smoking can influence osseointegration, the process by which a dental implant anchors to the jaw bone.
Once your dentist believes your mouth well enough for surgery, your treatment plan can begin.
Placing Your Implant(s) – The Procedure
Today’s dental implant restorations are essentially imperceptible from other teeth. This look and texture are supported in part by the functional and structural connection between the implant and the living bone. The procedure is generally accomplished in a single appointment but also requires a period of osseointegration.
Osseointegration is the method by which the implant attaches to the jaw bone. An osseointegrated implant may need anywhere from three to six months to secure and heal, at this point your dentist would finish the procedure by putting in a crown restoration. If osseointegration does not happen, the implant will not hold.
Dental implantation, which is implemented to replace missing teeth, can be done any time after adolescence or when bone growth is complete. Certain medical conditions, such as active cancer diabetes or periodontal disease, may need additional treatment before the procedure can be conducted.
Detailed procedural steps are as follows:
Preparing the Jaw for Implantation: A dental implant restoration is commonly formed of a titanium material screw and a crown. A small-diameter hole (pilot hole) is pierced at edentulous (where there is no tooth) jaw sites to guide the titanium screw that keeps an implant in place. To avoid damaging vital jaw and face structures like the inferior alveolar nerve in the mandible (lower jaw), a dentist must use great skill and expertise when boring the pilot hole and size the jaw bone. In many instances, dentists use surgical guides created based on the CT scans when placing the implants.
If cared for correctl , it can remain in place for more than 40 years.
Different Types of Dental Implants: Over 60 companies develop dental implants and the materials used to fabricate the restorations placed on top of them. As a result, dentists have many options for distinguishing the right treatment for specific patient needs. But, be cognizant that if you undergo an implant procedure by one dentist, then see a different dentist for a repair, your new dentist may have restricted experience with, or may not have an introduction to, the material components used by the previous dentist.
Dental implants usually are categorized based on the type of procedure used to place them: two-stage or single stage.
Two-Stage Implants: A two-stage procedure includes surgery to place the implant into the jaw bone and close (stitch) the gum tissue. Several months after healing, a secondary/minor operation is completed to attach an abutment and interim restoration.
Endosteal (Endosseous) Implants: Put into the jaw bone, endosteals are the most generally used type for two-stage implant surgeries. Placed primarily as an option to a bridge or removable denture, endosteal implants add screw types (threaded), cylinder types (smooth) or bladed types.
Single-Stage Dental Implants: A single-stage procedure involves surgically placing a permanent implant into the jaw, placing it on the jaw bone, with the top level with the gum tissue, after which the gum tissue is joined (stitched), leaving the implant head visible. The outcome, after several months of healing, the abutment and temporary restoration can be connected without the need for minor surgery to expose the head.
Subperiosteal Implants: Placed on the jaw bone within the gum tissue, with the metal implant post opened to hold the restoration, subperiosteals are the most generally used type for single-stage dental implant methods. Subperiosteals are principally used to keep dentures in place in patients with insufficient bone height.
Although most dental implants are developed with titanium, the surface — which influences the long-term integration and durability of treatment — can vary. A porous surface offers more bone contact than a machined titanium surface. Other covers include a grit-blasted or acid-etched and roughened surface, a microgroove, and a plasma-sprayed hydroxyapatite coating and plasma-sprayed titanium surface,
Implants also may be classified based on the shape/type of their head. All implants require the recovery and abutment to be connected or screwed to the head. For this method, there are three main connector types:
Internal Hex Connectors: In the shape of a hexagon, an internal hex connector is an opening in the implant head into which the restoration/abutment is screwed.
External Hex Connectors: Also positioned like a hexagon, these connectors are atop the implant head.
Internal Octagon Connectors: Shaped like an octagon, an internal octagon connector has an opening in the implant head into which the restoration/abutment is screwed.
A different method of categorizing implants is based off their size (also referred to as a platform), which prescribes where they commonly can be installed in the mouth. However, every situation is different, and single spacing and bone availability requirements may direct the use of a different size.
Standard Platform: Standard dental implants size range from 3.5 mm to 4.2 mm in diameter. These relatively narrower and shorter implants are most commonly placed toward the exterior of the mouth.
Wide Platform: Wide platform dental implants extend in size from 4.5 mm to 6 mm in diameter and are put mainly in the back of the mouth.
Narrow or Mini Body: Narrow or mini body dental implants sizes range from 2 mm to 3.5 mm in diameter and are positioned principally in patients with inadequate space separating their tooth roots to support a larger scale. They also may be placed when the patient has low bone density.