Implant

If teeth which cannot be saved are extracted then they have to be replaced at the earliest possible to maintain esthetic and functional harmony.

Until now removable partial dentures or fixed bridges were the only options available. But lately we have the option of using dental implants on patients who are otherwise healthy.

We are now entering the era of using Implants to replace the missing teeth.

Implants are titanium screws placed in the bone where a normal tooth would be and thus replaces the missing tooth in the best possible way. Once placed in the bone the screw fuses with the bone or becomes a part of the bone in about three months and is then capped with a ceramic crown ready to take the load of a normal tooth.

Implant retained dentures is the best option in patients opting for complete dentures. These dentures stay in place very firmly.

 

There are advantages to dental implants as opposed to crowns or bridge. An implant to replace a single tooth avoids the need to cut down the teeth either side for crowns to support a bridge. Normal dentures often mean you can’t eat or speak well, due to the dentures moving about. But teeth attached to an implant don’t cause this problem

 

nobelbiocareWe are pleased to introduce to our patients NOBEL-BIOCARE, the company which provides versatile range of dental implants and Procera range of Products to suit every indication.

 

Quick Links: About Implants | Placing implants | Our Work

 

Frequently Asked Questions:

Why have implants?
What is involved with dental implants?
What do I have to do to care for the implants afterwards?
How long does treatment take?
How soon can I have the new teeth?
Can I take the teeth out if they are fixed to implants?
Do the implants show?
Do I have an implant for each missing tooth?
What happens if the implant does not bond (integrate) with the bone?
Are implants safe? How long will they last?
I have some of my own teeth. Can I still have implants?
Can implants always be used to replace missing teeth?
Do implants hurt?
What are the alternatives?
What are the risks?

 

About implants [↑]

Implants are commonly made of titanium, a metal that is well-tolerated by the body. Over time, the jawbone becomes firmly united with the implant. A small attachment at the top of the implant emerges through the gum. Crowns, bridges or dentures can then be attached to the implant by screws or clips.

A dental implant is a titanium metal rod which is placed into the jawbone. It is used to support one or more false teeth.

Dental implants are a well-established, tried-and-tested treatment. 90 per cent of modern implants last for at least 15 years.

You can have any number of teeth replaced with implants, from a single tooth to a complete set.

 

Dental implants

Implants are an increasingly popular option for replacing missing teeth. They are placed directly into the jawbone, rather like the roots of natural teeth.

 

Placing implants [↑]

The procedure can most often be carried out painlessly under local anaesthesia. This means you are awake, but the part of your mouth being worked on is completely numb. In some cases, sedation may be available, which helps you to relax and make you less aware of the procedure. For some patients, it may be preferable to have the procedure carried out under general anaesthesia, where you will be asleep throughout.

The first stage of the procedure usually involves an incision through the gum and preparation of a hole in the bone. The implant is gently screwed or tapped into this hole.

The term "immediate implant" describes an implant that is placed into the tooth socket directly after a tooth has been taken out, replacing the root of the natural tooth straight away.


Illustration showing a dental implant

However, implants can also be placed into the jawbone long after a tooth has been removed and the socket has healed.

Once the implant is in place, the gum is stitched over it and the area is left to heal. Stitches are normally removed after about a week. This healing process allows the jawbone to fuse with the surface of the implant. This usually takes between three and six months.2

During the healing period, a temporary bridge or partial denture can be made so that you cannot see the spaces between the remaining teeth. If you have complete dentures they can generally be adjusted so that they can be worn throughout this period.

In some cases, your implants may be stable enough to have a temporary crown or bridge fitted straight after the implant is placed in the jawbone. This avoids having a temporary denture. Your dentist will advise you of the length of time required for your treatment.

After an appropriate healing time, a second, smaller surgical procedure is sometimes needed to uncover the gum over the top of the implant. Once the gum around the implant has healed, your dentist can take impressions to allow the crown, bridge or denture to be made. Your dentist will ensure that they fit properly, match your other teeth and feel comfortable.

 

Why have implants? [↑]
  • Implants are an alternative to conventional bridges and partial dentures.
  • If you find that your full dentures move around a lot, implants will help to anchor the denture in place.
  • When teeth are lost, the jawbone may start to shrink. Implants can help slow this process down.1
  • Your dentist may recommend using implants to support a bridge rather than cut into healthy teeth either side of a gap.

While increasingly popular, implants are not appropriate for everyone. You need to be medically fit and have healthy gums and a sufficient thickness of jawbone.

 

What is involved with dental implants? [↑]

Placing the dental implants requires a small operation. This procedure can most often be carried out painlessly under local anaesthesia. This means you are awake, but the part of your mouth being worked on is completely numb. In some cases, sedation may be available, which helps you to relax and make you less aware of the procedure or with a general anaesthetic where you will be asleep throughout. You will not feel any pain at the time, but you may feel some discomfort during the week following the surgery. This is usually due to having stitches in place, and the normal healing process.

The first stage of the procedure usually involves an incision through the gum and preparation of a hole in the bone. The implant is gently screwed or tapped into this hole.

The term "immediate implant" describes an implant that is placed into the tooth socket directly after a tooth has been taken out, replacing the root of the natural tooth straight away.


Illustration showing a dental implant

However, implants can also be placed into the jawbone long after a tooth has been removed and the socket has healed.

Once the implant is in place, the gum is stitched over it and the area is left to heal. Stitches are normally removed after about a week. This healing process allows the jawbone to fuse with the surface of the implant. This usually takes between three and six months.

After an appropriate healing time, a second, smaller surgical procedure is sometimes needed to uncover the gum over the top of the implant. Once the gum around the implant has healed, your dentist can take impressions to allow the crown, bridge or denture to be made. Your dentist will ensure that they fit properly, match your other teeth and feel comfortable.

What do I have to do to care for the implants afterwards? [↑]

During the healing period, a temporary bridge or partial denture can be made so that you cannot see the spaces between the remaining teeth. If you have complete dentures they can generally be adjusted so that they can be worn throughout this period.

In some cases, your implants may be stable enough to have a temporary crown or bridge fitted straight after the implant is placed in the jawbone. This avoids having a temporary denture. Your dentist will advise you of the length of time required for your treatment.

Your dentist may give you some pain relief after the surgery, or check whether you have them at home to take over the next few days if you need them. Your dentist may also prescribe antibiotics. Don’t smoke, exercise or drive for the rest of the day. Don’t rinse the area and only eat soft foods. However, it is important that you keep your mouth clean by brushing – but do not poke the implant site. You can use a chlorhexidine mouthwash every day during the first week after surgery (you can get these from supermarkets and chemists).

 

Caring for implants

To help maintain your implants you need to thoroughly brush and floss regularly. Your dentist will give you specific advice on caring for your implants. He or she will ask you to attend for regular check-ups, and will usually take X-rays each year to monitor them.

 

How long does treatment take? [↑]

Your dentist will be able to give you a rough timetable before the treatment starts. Usually the permanent teeth are fitted 4 to 6 months after the implants are put in, but many implant systems now allow the time to be as short as 3 months.

 

Some teeth can now even be fitted at the same time as the implants (known as immediate implants) but you should check with your dentist to see whether these are suitable for you.



How soon can I have the new teeth? [↑]

The implants need to bond (integrate) with the bone after they have been put in. This takes at least 3 months in the lower jaw and 6 months in the upper jaw.

Sometimes the implants may be stable enough when they are fitted for the artificial teeth to be attached much sooner than this.

If you are having one, two or three teeth replaced, you will have a temporary restoration in the meantime. If you have complete dentures, then these can be worn throughout the healing period once they have been modified after the surgery.



Can I take the teeth out if they are fixed to implants? [↑]

Most artificial teeth attached to implants can only be placed and removed by the dentist. However, if you have complete dentures fixed to the implants by bars, then you’ll be able to take them out for cleaning.

 

Do the implants show? [↑]

Your dentist will make sure that the implants won’t show during all normal movements of the mouth and lips. You will need to be able to see them, so that you can clean them properly.



Do I have an implant for each missing tooth?
[↑]

No, unless you’re only having a single tooth replaced. Normally, five or six implants are used to replace all the teeth in one jaw, as each implant can usually support two teeth. For a few missing teeth, two or three implants may be used.

 


What happens if the implant does not bond (integrate) with the bone? [↑]

This happens very rarely. If the implant becomes loose during the healing period or just after, then it is easily removed and healing takes place in the normal way. Once the jaw has healed, another implant can be placed there. Or, the dentist can make a bridge, using the implanted false teeth that have ‘taken’.

 


Are implants safe? How long will they last? [↑]

Implants are a well-established, tried-and-tested treatment. 95 per cent of modern implants should last for many years with the right care.

 


I have some of my own teeth. Can I still have implants? [↑]

Yes. You can have any number of teeth replaced with implants – from one single tooth to a complete set.

 


Can implants always be used to replace missing teeth? [↑]

It depends on the state of the bone in your jaw. Your dentist will arrange for a number of special tests to assess the amount of bone still there. If there is not enough, or if it isn’t healthy enough, it may not be possible to place implants without grafting bone into the area first.



Do implants hurt? [↑]

Placing the implants requires a small operation. This can be done using a simple local anaesthetic, and sometimes with sedation if you are very nervous. Sometimes the dentist needs to use a general anaesthetic for complex cases. You will not feel any pain at the time, but you may feel some discomfort during the week after the surgery. This is usually due to having stitches, and the normal healing process.


What are the alternatives? [↑]

The alternatives to implants are dentures or bridges. On the other hand, you may choose to simply accept the space where a tooth is missing.

A denture usually includes a metal and/or plastic base carrying plastic or porcelain artificial teeth. It is a removable replacement for a few missing teeth (partial denture) or a whole set of teeth (complete dentures). Dentures are very common but they can become loose, making it difficult to eat and speak. One or more implants can be fitted to help support and retain a denture.

A bridge consists of artificial teeth cemented onto adjacent natural teeth. When preparing a conventional bridge, the dentist needs to shape the teeth either side of the gap so that they will successfully hold the bridge. The bridge is placed over the gap and the teeth on either side and then cemented into place.

For more information on dentures and bridges, please see the separate BUPA factsheet:
Replacing missing teeth

 

What are the risks? [↑]

Implant surgery is generally a safe procedure. However, all surgery carries an element of risk. Before deciding whether or not to have implants, you need to be aware of the possible side-effects and the risk of complications.

 

Side effects

Side-effects are the unwanted but mostly temporary effects of a successful procedure. Examples of side-effects include feeling sick as a result of the anaesthesia or sedation and some swelling and discomfort around the implant area.

 

Complications

Complications are problems that can occur during or after the procedure. Most people are not affected. The complications of any surgical procedure can include excessive bleeding, an unexpected reaction to the anaesthetic or infection. It is likely that you will be prescribed antibiotics and an antiseptic mouthwash to reduce the risk of your implant becoming infected.

Your lower jaw contains nerves, which supply feeling to your tongue, chin, lower lip and lower teeth. In a small percentage of cases during implant surgery in the lower jaw the nerves may be bruised and may cause a tingling or numb feeling in your tongue, chin or lip. This is usually temporary, but in a small number of cases this altered sensation may be permanent.

The chance of complications depends on the exact type of procedure you are having and other factors such as your general health.

Implants may not be an option for smokers or people with chronic conditions such as poorly-controlled diabetes or osteoporosis. This is because the implants are more likely to fail due to problems with the healing process.1,3 Ask your dentist if implants are suitable for you. If not, he or she will be able to discuss alternative treatments with you.

It is possible that the jawbone won't fuse with the implant properly and the implant may become loose. If this happens your dentist will need to remove the failed implant and wait until the bone has healed before attempting to place another implant.

Most implants are very successful, but the crowns, bridges and dentures the implants support can be damaged just like normal teeth, due to an accident, break or chip. The crowns, bridges or dentures are generally easily replaced, providing the implant underneath is not damaged.

 

Our Work [↑]

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Address: 22, 1st Floor Navelcar Trade Center, Opp Azad Maidan, Panaji - Goa
Phone: +91-0832-2421924 / +91-9822124680