A dental implant is one of the best solutions for a missing tooth or teeth. It is a surgical component that interfaces with the bone of the jaw or skull to support the dental prosthesis such as a crown, bridge, denture or even facial prosthesis. The basis for modern implants is a biological process called osseointegration where materials, such as Titanium, form an intimate bond to bone.
At New Smile Dentists Phuket Implant Thailand, our implant specialists’ team will use their high skills and expertise to serve each patient individually. Planning the position and number of implants is the key to the long-term success of the prosthetic since biomechanical forces created during chewing cannot be ignored. The position of implants is determined by the position and angle of adjacent teeth, lab simulations or applying computed tomography with CAD/CAM simulations and surgical guides known as Surgical Stent.
After the completion of consultation and preparation steps, the surgical step comes next in the procedure.
Steps for Placing The Dental Implant
The First Step is to place the implant fixture in place of the tooth’s root. It will encourage osseointegration. Depending on the quality of the bone, this process will usually take 3-6 months healing time, prior to adding any prosthesis.
The Second Step will be the time of adding the dental prosthesis on the dental implant. Depending on the type of prosthesis to be delivered, it will take about 3-6 visits in a span of 10-14 days.
The final prosthesis can be either fixed, where a person cannot remove the denture or teeth from their mouth, OR removable, where they can remove the prosthesis. In both cases, an abutment integrates to the implant fixture.
With a fixed prosthetic, a crown, bridges or denture is fixed to the abutment with either lag-screws or cement. With a removable prosthetic, a matching adapter is placed in the prosthetic to secure the 2 pieces together.
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Success or Failure
Currently, with scientific researches backed by the latest technology, the success rate of dental implant treatment exceeds 95%. Nevertheless, the success rate will be determined by other factors like:
– The health of the patient
– Good oral hygiene maintenance
– Medication, the chances of osseointegration can be impacted by some drugs
– Amount of stress that will be put on the implant fixture and the prosthesis during normal function
The Dental Implant Phuket specialists’ team will hold a full discussion with you on the success and failure of your case prior to decision making.
Immediate Dental Implant
The implication of this procedure is that the specialist will extract the existing tooth or teeth and replace them with implant fixtures into the empty sockets right immediately after extraction.
It might also include the loading of the temporary or permanent fixed prosthesis onto the implant fixture.
The benefit of doing an immediate dental implant is to reduce the implant treatment process duration to between 3-6 months.
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Types of Dental Implant Prosthesis
Single Tooth Implant: A single dental implant replaces one missing tooth.
Dental Bridges supported by a few implant fixtures: if you have 3 or more teeth in the same area.
Denture supported by dental implants: such as full denture, no remaining teeth. There are 2 kinds of prosthetics.
Procedures for Insufficient Bone Condition
One of the key factors for getting the best result of dental implant procedure is having sufficient bone density and structure. If we encounter this problem, additional surgical processes may be necessary prior to the placement of a dental implant.
Sinus Lift Maxillary sinus floor augmentation (sinus lift) is a surgical procedure which aims to increase the amount of bone in the posterior maxilla (upper jaw bone), in the area of premolar and molar teeth by sacrificing some of the volume of the maxillary sinus. The goal of the sinus lift is to graft extra bone into the maxillary sinus, so more bone is available to support the dental implants. The sinus augmentation bone takes about 4-6 months to become integrated with the natural sinus floor bone of the patient. Sometimes an allowance of up to 6 months is left for healing before an attempt for implant placement. However, there are cases that the specialist performs both the augmentation and dental implant simultaneously to avoid one surgery after another.
Bone Graft Bone grafting procedures are usually necessary if there is not enough bone available to place the dental implants or if any vital anatomy is underway. Currently bone grafting procedures also have practically become a vital part of implant reconstruction. Bone grafting normally attempts to re-establish bone dimension.