Dental Implant Dentistry
What is implant dentistry?
The implant dentistry deals with the placement of post (titanium screw) or a metal frame in the jaw bone to restore the functions of the extracted tooth.
Different types of dental implants systems
- Endosteal Implants
- Subperiosteal implants
Stages of dental implant treatmentEndosteal Implants
Endosteal implants or root-form happen to be the most commonly recommended type. During the first phase of the treatment, a small titanium screw or cylinder is implanted into the jaw bone. It heals and becomes a part of the jaw. Then, during the second stage, a post is connected to the screw so that the artificial tooth structure (crown) can be attached to the same during the third stage.Subperiosteal implants
Subperiosteal implants consist of a frame that's implanted on or above the jawbone, slightly below the gum tissue. In stage two, once the gum heals, posts are attached on the frame in such a way that they remain above the gum line. Then, in the third stage, just like in Endosteal implant, an artificial crown (tooth) is attached to the post. It is recommended for patients with a weak jawbone.
Reasons for getting dental implants
- To stop the nearby teeth from misaligning due to the space created after tooth extraction.
- To restore the jawbone support after getting a tooth extracted.
- To control facial aging triggered after tooth extraction.
Dental implant pain causes
- The patient might experience a little bit of swelling and post-surgery minor pain after the anesthetic has worn off. Both these symptoms are usual if experienced during the seven days timeframe after the surgery.
- The patient might experience pain after three to four months post surgery due to an infection, excess pressure on the implant, or due to damage to the nerves. It is advisable to get in touch with your dentist immediately.
- Issues like a loose implant or loose screw may also cause slight pain.
Dental implant placement procedure
- At times, in complicated cases, the procedure requires co-ordination between periodontist, prosthodontist, ENT specialist, as well as an oral and maxillofacial surgeon.
- A dental examination is conducted; x-rays are taken to create models of the area to be operated. Patient's medical history is reviewed, and necessary antibiotics are prescribed before a few days from the surgery date.
- There are various stages involved in outpatient surgery. First, the damaged tooth is removed. Then, if required, the surgeon would perform the bone grafting procedure. Minor holes are drilled, and a dental implant is placed in the jaw.
- Depending on the time required for bone growth, the surgeon decides the waiting period.
- After the completion of osseointegration, another minor surgery is conducted to place the crown part of the artificial tooth on the post.
Dental implants without surgery
Thanks to advanced technology, minimally invasive and guided surgeries have become a reality. Microsurgical techniques ensure a minimum incision of gum.
Detailed 3-D imaging helps surgeons to select a surgical site and create a small opening to align the specially designed implant that offers ideal aesthetics and functions like a natural tooth. These advanced techniques reduce the bone trauma, the time required for bone growth, and most importantly, the pain as well as bleeding involved in the process.
Common problems with dental implants
- Untreated gum disease can lead to implant failure.
- Smoking can affect the gum's blood flow and result in implant failure during the osseointegration process.
- The patient may feel a little bit numbness.
- The osseointegration may take a more extended period than expected.
- Implants may become loose due to excess pressure applied on them while eating.
What are the benefits of dental implants?
- Implants offer much more comfort compared to dentures while eating.
- It fills up the space created due to the lost tooth and brings back the smile.
- An implant restores jaw support and helps in controlling facial aging.
- It helps in improving facial appearance and speech.
- Nearby teeth are not damaged while getting implants in place.
Risk factors in implant dentistry
The success rate in this procedure is extremely high, and just five percent of the implants can cause problems at a later stage.