IMPLANT DENTISTRY



Implant Dentistry is one of the most advanced tooth replacement procedures done by dentists nowadays to restore the lost teeth in their patients. Dental Implants are artificial teeth that are attached to support your crooked or damaged tooth by replacing them or restoring the missing ones to stop or prevent jaw bone loss. The implantation dentistry is symbolized as a form of prosthetic (artificial replacement) dentistry and is now also a part of cosmetic dentistry.

By replacing or restoring the missing tooth, dental implants also help your patients with the strength and stability to eat the foods they choose without struggling to chew. The process also helps the patients stimulate and maintain jaw bones, preventing bone loss and helping support facial features.

Patients and implantologists prefer dental implants over other tooth replacement alternatives such as an RPD or a dental bridge for various reasons, including a high success rate. However, here is a detailed blog to help you understand the in-depth procedure of dental implants.

In this blog, we will understand the surgical aspect of dental implants and answer the common questions that patients have about the dental implant process and the best dental implants for them.

Overview - Implant Dentistry

Tooth loss generally happens for various reasons, ranging from gum disease to trauma. According to the American Association of Oral and Maxillofacial Surgeons (AAOMS) ( https://www.aaoms.org/ ), "69 percent of adults ages 35-40 have lost one or more permanent teeth." A dental implant is a procedure to restore or replace a missing tooth and is composed of the following three sections:

  1. Dental Implant -
    It is similar to a screw and is usually made up of titanium, which is an inert material and is biocompatible.
  2. Abutment -
    A small piece attaches to the dental implant and acts the same as a connector with the crown.
  3. Crown -
    It is the custom-made artificial tooth that joins the abutment.

Dental Implants - The Procedure

The success rate of dental implants depend a lot on the quality of the bone. It is aided by the structural and functional connection between the implant and the alveolar bone. The procedure is generally done in a single sitting but requires a period of osseointegration.

An osseointegrated implant usually takes from six weeks to six months to anchor and heal. At this point, you can initiate and finish placing a crown, bridge, or hybrid denture restoration. You should be very careful as; if the process of osseointegration does not occur, the implant may fail.

Before placing a dental implant, you must check all the patient's medical conditions, such as active diabetes, cardiac health cancer, or periodontal disease. Patients' current medications also play a crucial role in the healing and success of dental implants. Following are detailed step-by-step procedures for dental implants:

Treatment planning

treatment planning is one of the major step that needs to be taken before the procedure is initiated. In dental implant treatment, the ondodontics can reduce the chances of biological and technical complications by keeping these key paramenters prior to implant placement. The risk of failures and complications may vary from patient to patient seeking dental implant treatment. Many patients may be prone to have one or more risk factors, making them more susceptible to complications than those with no significant risk factors.Therefore it is important to clinical examine and evaluate X-raya to reduce the scope of complications. following are some of the important pointers to keep in mind, while planning your patients treatment:

Clinical examination

  • alveolar bone
  • interocclusal space
  • interdental space
  • soft (ketainized tissue)

Radiographic examination

  • Check landmarks such as the nerve, and the sinus in OPGs
  • Better evaluation in cone beam computed tomography [CBCT] using 3D visualization

Placement

After the initial pilot hole is drilled adequately into the planned jaw site, it is slowly made broad with the placement of the implant screw. The sequence of the drills vary with the implant system and the kit used. Once the implant is placed, a cover screw is placed ensuring healthy healing on the site and osseointegration. After three-six months of healing, you can uncover the implant and attach an abutment that helps join the crown. In certain situations, the abutment can also be fixed during the initial procedure. You can place a temporary or final crown when the abutment is in place. It may depend on the patient's oral health, bone quality and the stability of the implant. Sometimes, the crown can be inserted on the same day the abutment is placed. The procedure is then finished when the temporary crown is transferred with a final crown.

Recovery Stage & Aftercare

Dental implant recovery may vary from person to person and might depend on various scenarios. One of the significant factors is the different functions that take place during the treatment. However, in most situations, once an implant has been placed, maintaining good oral hygiene habits will help the patient ensure perfect bone structure placement. Ignoring the routine of regular flossing and brushing can become a significant reason for treatment failure.

Smoking is another factor that may affect your patient's high failure rates, so help your patient understand the damage caused by these practices.

After the initial surgical procedure, ensure minimal discomfort to your patient with proper safety measures. Swelling of the gums may occur, followed by minor bleeding and bruising of the implant site. Keep calm and make your patient aware of these issues. Prescribe them painkiller medications for instant relief in pain or discomfort. For three to five days after surgery, advise your patient to have healthy eating habits and restrict them to soft foods. Plan follow-up meetings with your patient to remind them of adequately caring for the treated site, as good care can make the implant last a lifetime.

Take Away

As we have understood the basics of implant dentistry, there is also scope for in-depth knowledge and practice. At docMEP, we offer the "Basics of Dental Implantology" Online Lectures by our Founder and Oral and Maxillofacial Surgeon and Implantologist, Dr. Avi Ramavat (BDS, MDS Oral & Maxillofacial Surgery). He is a reputed dentist and is also the Founder and Director of Ideal Dental Care, Indore, India. With the help of this excellent and knowledgeable series of online lecture videos filled with clinical tip, you will be able to Diagnose and Plan routinely done primary Dental Implantology cases. You will also get help reading all the primary Dental Implantology cases clinically and radiographically so that you can give your patients the perfect consultation and treatment. If you are already helping your patients with implants, these lectures will boost your confidence to extend your services in an excellent way. To know more, call us today.

FAQ (Frequently Asked Questions)