Himachal Dental


Immediate dental implant techniques

Dental implants are an increasingly popular choice for my patients as I’ve been doing a lot of them recently.
Just recently we’ve had an unusual number of patients coming in with serious problems with single front teeth.
Among the causes of these problems are

* sports injuries (eg getting hit in the face playing cricket)
* ‘other’ injuries (eg falling down the stairs or sliding on the ice)
* old crowns that have failed and cracked the root
* problems with old crowns with posts
* problems with root filled teeth

In these cases extraction is often the only option.In the past we would have had to wait months after extracting the tooth before putting the implant in, and then a few more months of waiting before the implant could have a tooth added to it…..6-9 months of waiting with a temporary bridge in place….With Immediate Implant techniques(also known as ‘teeth in an hour’) we can often bypass this waiting time: If the bone is intact around the failing tooth and there is no infection present then we can (very) carefully extract the root (without damaging the socket walls) and put an implant directly into the tooth socket!And if the implant is secure in the bone then we can even put the titanium post into place and put a temporary crown on top.

Where appropriate this treatment means that the patient can literally come to the clinic with a failed tooth and leave a short while later with their new implant tooth in place.So it is possible to walk into a dental clinic and have all your old broken, unsightly teeth replaced with shiny white new ones supported by titanium implants all on the same day ,provided the case has been prepared carefully in advance.

We now have enough long term data (over 5 yrs) to convince even the more conservative of us that;

* immediate implant teeth work in the long term
* in some cases doing it this way can improve the aesthetic outcome
* this method can significantly reduce bone the bone shrinkage which occurs when teeth are extracted.
* the immediate implant technique can be used on single, multiple or full mouth cases

Tooth Replacement :Dentures

There are many reasons why people lose their teeth including dental caries, periodontitis, and tooth trauma.  Dentists have been using dentures for numerous years to replace lost teeth. There are also other ways to replace lost teeth. Compromised oral function has been linked to decreased self-esteem and a decline in the quality of life. Adults with missing teeth or loose dentures may avoid certain social activities because they are embarrassed to speak, smile, or eat in front of others. Your teeth provide support and structure to your face and cheeks, and lost teeth may result in sagging cheeks, making you appear older than you really are. By replacing your teeth, you can remove years from your face.
Dentures are removable appliances to replace your teeth, and are made to look, feel, and function naturally. They are made to look like your teeth and gums, and look very realistic and natural and have a comfortable feeling. There are several different types of dentures, and these include partial and full dentures. Partial dentures are made when there are some teeth that are in good condition still remaining in your mouth, and full dentures are made when there are no teeth remaining in your mouth. Partial dentures are clasped onto your existing teeth, and will keep those teeth from shifting in your mouth. Made of acrylic resin and plastic or porcelain teeth, we can now give you many different aesthetic options to replace your missing teeth.
Full dentures are held in place by suction created on the roof of your mouth when the dentures are in place. Lower dentures do not have the same suction, due to their smaller surface area and your tongue and muscles of the mouth moving. These lower dentures may require an adhesive agent to hold them in place, as they can become loose upon eating. There is an alternative, You can have the option of having either dental implants, or miniature dental implants, placed into your gums and underlying bone, to stabilize the denture and hold it in place. This way you can eat anything you want without the worry of your dentures loosening or coming out. Many denture patients are receiving these implants, because they dramatically improve their confidence.
The best way to care for your dentures is to make sure they are kept clean. Your dentures should be removed while you sleep to allow your gums to rest, and allow them to be exposed to your mouth environment in order to keep them healthy. When you remove your dentures, you should brush them and soak them in cold water, or a cleaning tablet specifically made for this purpose that you place in water. DO NOT USE BLEACH! Also, brush your dentures again before replacing them back into your mouth. If your denture has large buildups and debris that you cannot remove by brushing, visit your dentist and have them or their dental hygienist remove the debris and clean your dentures. Even though you don’t have your natural teeth, it is very important for you to visit your dentist on a regular basis, in order to make sure that your dentures and your underlying supporting tissues are in good shape. They will also fit your dentures better if they are getting loose from shrinkage of the underlying tissues. Dentures that do not fit properly, cause gum irritation and inflammation, and other problems such as bad speech and inability to chew food.
Dentures can last quite a while if they are properly maintained by the patient and you visit your dentist regularly. There is some natural wear and wear that occur to dentures, especially those made with plastic teeth. These teeth wear more quickly than porcelain teeth. Also, your gums and underlying bone tissues may shrink causing your dentures to get loose and changing your bite in the process. Your dentist will reline or rebase your denture depending on the situation. However, it is highly recommended that you have new dentures made after five years.
Your dentist will perform a complete examination and take radiographs of your mouth. After discussing your needs and wants, your dentist will determine if dentures are right for you. If you already have an old denture, your dentist may use your old denture to take an impression of your mouth. If not, the dentist will decide if there are some questionable teeth remaining in your mouth that cannot be saved. After this is decided, the dentist will take impressions of your mouth and a bite registration, and stone models will be made of your mouth in the dental laboratory. Dental technician(s) will fabricate the best possible dentures according to your dentist’s instructions.
If you need to have teeth extracted, “immediate” dentures will be fabricated prior to teeth removal, and following the surgery, the denture is inserted immediately. This aids in the healing of the extraction sites and will act as a surgical stent. It allows you to function and have better aesthetics during the healing period. These dentures usually require relining with soft and/or medicated material while the tissues are healing and shrinking. “Regular” full dentures are fabricated after the healing is complete. This denture can usually be inserted 8-12 weeks after the teeth have been extracted.

Dental Implant : Advantages

With today’s numerous researches into dental procedures and the like, dental patients around Shimla have plenty of options for their dental maintenance and other procedures to select from. A very good alternative to acquiring dentures for missing teeth are dental implants. This sort of procedure brings about many favourable results compared to dentures in most cases. Having dental implants involve several procedures and can take longer than having ordinary dentures yet results are definitely far better.
Procedures Involved in Getting an Implant

The first procedure involved is a surgical one. Since a metallic contraption needs to be screwed onto the jaw bone (this is an endosteal type of dental implant), a small incision has to be made on the gums covering that section of the jawbone. The incision has to be big enough to allow the implant to be screwed to the jawbone. The implant is the one that will anchor the new artificial replacement securely. The incised gum will have to be stitched.

After four to six months of allowing the implant to integrate with the jawbone itself, the artificial replacement can now be attached. These replacements are customised only for you. Each time that a new patient comes for an implant, new impressions will have to be made.

Advantages of Getting a Dental Implant

Since your new artificial teeth replacements are supported by implants attached to your jawbone, they give a more comfortable and natural feel in your mouth. With these, it is less awkward for you to chew and speak and they are far more stable than removable dentures.

In the course of time, atrophy in the jawbone can develop because of the missing teeth. Dental implants are known to prevent such atrophy.

After a permanent tooth has been damaged or pulled out, no other tooth will grow out to replace it, meaning it is lost forever. In the procedure for bridges, some teeth need to be cut, which is quite a waste given the fact that permanent teeth grow only once in your lifetime. Yet with dental implants, the necessity to make cuts on other teeth is eliminated.

Aside from far better aesthetic results, dental implants are also permanent, meaning you will not have to keep on returning to the dentist to have new ones made. With these advantages, more dental patients in India have chosen implants over removable dentures.

Dental Implants : The Secret

 

A typical implant consists of a titanium screw (resembling a tooth root) with a roughened or smooth surface. The majority of dental implants are made out of commercially pure titanium, which is available in 4 grades depending upon the amount of carbon and iron contained. More recently grade 5 titanium has increased in use. Grade 5 titanium, Titanium 6AL-4V, (signifying the Titanium alloy containing 6% Aluminium and 4% Vanadium alloy) is believed to offer similar osseointegration levels as commercially pure titanium. Ti-6Al-4V alloy offers better tensile strength and fracture resistance. Today most implants are still made out of commercially pure titanium (grades 1 to 4) but some implant systems (Endopore and NanoTite) are fabricated out of the Ti-6Al-4V alloy[10] Implant surfaces may be modified either by plasma spraying, anodizing[11], etching or sandblasting to increase the surface area and the integration potential of the implant.The main benefit provided by implant technology is that the new teeth last a life-time. There are few substances that are biocompatible with the human body – and titanium is one of them. Titanium is very strong at a low weight, and is also extremely resistant to corrosion.
While these features are ideal in serving the mechanical needs,  the most unique feature of titanium is that the bone tissuegrows on, and bonds to, the surface of the titanium.

Bone Expansion By Ridge Splitting

Ridge splitting is a procedure used to expand the bone by separating the buccal and palatal plates.It is normally performed in the maxilla using chisels, osteotomes and a mallet.It could be done also in the mandible, but is a little bit more complicated due to the denser bone. In this case, is recommended to use a cutting disk or piezoelectric devices and threaded expanders, because these are less traumatic. Is indicated when: -The bone is less than 3 mm wide. (If we have more we normally can expand it just by means of osteotomes or expanders) -The bone is enough to place an implant but we want to expand it for esthetics reasons. Typically, the procedure is initiated by thin chisels, followed by wider ones and then osteotomes.Residual spaces are filled with a bone graft.

Immediate Implant dentistry: An analysis

Immediate post extraction implant placement is very simply,the placement of an implant into afresh extraction socket.It may or may not be accompanied by augmentation procedures .The approach to restoration of this implant then throws up three possibilities ,one option is to load this implant coventionally after osseointegration has taken place(delayed loading),the second option is to load it within two weeks with a restoration that is not under the impact of direct occlusal load(progressive loading).Alternatively you may choose to load the implant within 48 hours ,a procedure reffered to as immediate loading.The criteria that drives the decision of choice between various protocols is most often based on individual operators skill level and experience.

     Immediate implant placement after extractionhas become the favourite treatment protocol with many clinicians worldwide .There are many advantages to this protocol, amongt them:shortened treatment time ,placement of implant in sound bundle bone that constitutes the socket wall,placement trajectory guidance by the socket and preservation of the bone volume.The decision to place the implant in a fresh extraction socket must only be made if there is an absolute assurance of primary stability.An evaluation of the extracted root will often yeild valuable information as to the length and diameter of the implant to be placed . A periotome can be useful aid in sucessful extraction of the root .Also important is an assessment of the trajectory of the socket-a malpositioned trajectory often rendering the implant difficult to restore. The presence of infection might predispose the placed implant to failure and it is hence important to evaluate why the tooth is being extracted in first place.There is also evidence to suggest that use of right implant design is critical to success ,tapered design with rough surface may be more suitable.

Dental Implants

                                                               Get prepared with CBCT! Patients make the best decisions when they receive go information.  Dentist have an obligation to deliver good information. Excellent results from increasingly popular dental implant surgery can be assured. 3D X-ray technology that your dentist may recommend will eliminate nerve injuries, permanent numbness, sinus perforations, involuntary drooling, incorrect tooth angles and broken jawbones. Called cone beam computed tomography or CBCT, it’s now the standard of care for many implant cases. As general dentists move into a field that has been the exclusive territory of oral surgeons, this article will help you stay safe by making CBCT your ally. Based on actual outcomes and patient dental imagery, the article explores, educates and enlightens.As general dentists move into a field that has been the exclusive territory of oral surgeons, this article will help you stay safe by making CBCT your ally. Based on actual outcomes and patient dental imagery, the article explores, educates and enlightens.

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