Dental Implant Procedure -
Stage 1 - How many dental implants are used?
As a general principle, during the dental implant procedure as many implants as possible should be used. This is particularly important when the procedure involves an implant supported denture. This allows the stresses of biting to be spread over the maximum number of implants. Thus reducing the load on each particular one and reduces the risk of implant failure. Many people suffer with a lower removable denture and want a fixed implant solution. Therefore, it is sometime possible to have two or three implants placed and use them for a while. Then in future add more implants to improve the treatment plan. This is not an approach which is feasible in all situations and is probably most suited for treatment of the lower jaw where no teeth are present.
Lower denture stabilisation
An example of this procedure might be the patient with no teeth in the lower jaw who has two or more implants placed in the first instance. By stabilising their denture using the implants, it can be held more firmly in place. Later on, if they have sufficient bone, more implants can be added and eventually fixed teeth placed on these implants eliminating the denture altogether. A number of the implant systems available today could support this approach. You can rest assurred at the Birmingham Periodontal & Implant Centre we only use the most established and researched dental implants in the world.
Stage 2 – Treatment planning and implant placement
To plan the most suitable treatment for the patient certain information is helpful – for example photographs, x-rays, models of your teeth and jaws. In some circumstances, a more comprehensive three-dimensional x-ray evaluation using a CT scan may be requested to give greater detail of the shape of your jaws. The conventional x-ray views most familiar to patients are only 2-dimensional and subject to varying degrees of distortion and inaccuracy.
Where important anatomical structures must be avoided during the implant procedure, the information they provide may therefore be inadequate, this is another protection against possible implant failure. The CT scan in contrast can provide life-sized 3-dimensional information of all regions of the upper and/or lower jaw from which precise measurements can be taken before the dental implant surgery treatment planning. In some cases the CT scan may also be used to establish the results of bone grafting procedure prior to implant placement that involves surgical procedures.
Dental Implant procedure - Step by Step
Watch Video - Single dental implant procedure
A dental implant is a small but very strong post. Under local anesthetic, it is inserted into the jaw bone in place of the missing tooth root. It acts as a support for an artificial tooth or teeth. Material copyrighted by third parties, provided courtesy of Straumann
Stage 3 – Dental Implant procedure success depend on good oral health & dental care
Implants survive best in a healthy environment. Any tooth decay or gum problems need to be corrected before implants are placed to give them the best chance of success. Sometimes treatment is needed before you are ready for the implants that will replace your missing teeth. At the Birmingham Periodontal and Implant Centre, our registered specialist in periodontics will assess your general oral health and plan your dental care.
Gum Health: Some gum treatment may be necessary; this may involve the use of special brushing methods, flossing, tooth picks and small “bottle” brushes.
Removal of un-saveable teeth: Despite advances in modern dentistry some teeth may have reached a stage when no treatment can save them. It is often best to remove them at an early stage, particularly if you are thinking of having dental implants to replace your teeth so as to prevent further bone loss.
Success of the tooth implant procedure
The success of the dental implant procedure can also be seriously affected by infections resulting from failed gum or root canal treatments or untreated gum disease or nerve problems in site adjacent to the implants. Long-standing infections of the gum tissues beneath dentures can also adversely affect healing at all the various surgical stages. Your mouth should be treated as a whole and not simply as unrelated regions; after all you don’t want to replace more missing teeth.
Stage 4 – Aftercare and the total duration of the implant treatment
This depends on the complexity of the treatment. Initially there is a treatment planning stage which may last a month or so. Then there may be some time spent on such preparatory procedures as improving gum health, removing any unsavaeble teeth and growing bone. This may take anything from a few weeks to many months. After implants are placed using a gentle surgical procedure under local anesthesia, they are left to settle in place from three to six months. The final fitting of artificial teeth such as crowns or bridges or the attaching of dentures to the implants usually takes a number of appointments depending on your individual situation.
Healing time is important for some patients
Special medication can be prescribed for you to help healing and produce minimal discomfort. It is important that neither the patient nor the dental implant dentist attempt to rush the treatment or try to advance the various stages faster that the time required for complete healing and maturation of bone and soft-tissues. Even treatment that is well planned and executed, failure can result in moving too quickly from stage to stage.
The step by step treatment procedures should not be rushed
If you do not have the time available, then it may be more sensible to consider conventional forms of dentistry which can be completed more rapidly. There is more information provided here about getting teeth in a day. Your dental implant dentist may suggest that procedures to grow bone are undertaken separately from placing the implants, even though under certain conditions it is possible to combine these stages.
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