What To Expect
During A Dental Implant Surgery
Implant is inserted into the bone
Healing process of the bone (Osseointegration)
Dental abutment is placed on the implant
Ceramic crown is placed which replaces the real tooth
Facts - Do you know ?
Best among the bests ; Implant
- Planting inside the bone of missing site
- No damage to adjacent teeth
- 3-6 months
- Expensive initial cost, but economical in the long run
- Same masticatory as natural tooth
- Semipermanent lifespan
- Shaving down both adjacent teeth and making three teeth into one mass to fill the gap
- Need to shave down healthy adjacent teeth
- Weak masticatory force due to the absence of dental root
- Replacement every 5 - 10 years
- Taking impression of the gum and making standardized teeth and dentition
- Progressive absorption of gingival bone
- Cheaper than implant, but requires additional cost and causes great discomfort with use
- Difficult consuming tough or hard food
- Repair/replacement every 3 - 4 years
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Dental implants serve as a replacement of missing teeth, just like how dentures and bridges do. Our patients usually seek dental implants if they want a permanent, more comfortable and more convenient fixture than dentures. The implant replaces the entire natural tooth, down to its roots. The implant is surgically implanted into the jawbone, which holds and integrates seamlessly and sturdily with the titanium in the implants so that they won’t slip, produce noise or cause potential bone damage like bridges or dentures. Because titanium is such a hardy material, implants also do not deteriorate over time.
During consultation, our dentists will evaluate your suitability for a dental implant. The dentist will determine if you have enough bone to hold the implants in place or a bone transplant may be required. Strong oral tissues are also a must, and you should also not have any health issues that could affect the bone healing. Teenagers are not generally not suitable to receive a dental implant, as the jawbone must have grown to its full potential for a dental implant to be successful.
Do expect to make several visits to the dentist as getting a dental implant usually involves 5 steps over several months.
- Removal of a damaged tooth
- Jawbone preparation, if necessary
- Bone grafting is required if your jawbone isn’t thick enough or is too soft to support the pressure of chewing and biting. A bone graft will strengthen the implant’s foundation. A variety of bone transplant materials can be used for this process, such as a natural bone transplant from another part of your body, or a synthetic bone graft such as a bone-substitute material that can offer support structures for new bone growth.
- Placement of dental implants
- The dentist will create an incision in your gum to insert the dental implant metal post bored into the bone. This metal post will serve as the tooth root. There will still be a gap where your tooth is missing. The dentist may install a partial or temporary denture might be used to improve look.
- Bone development and repair
- The jawbone integrates with the surface of the dental implant and grows into it. This process, which can take several months, provides a strong foundation for your new artificial tooth.
- Placement of the abutment
- The abutment holds the tooth to the metal post in your gums. A minor surgery may be required depending on the degree of protrusion of the post above your gum line.
- Placement of a dental implant
- This is the final and best part – the installation of your new artificial tooth. An impression of your teeth would have been done prior to this step to create the most natural-looking tooth to be made. You can opt for a permanent or temporarily attached tooth to be mounted onto the abutment each time.
There may be several processes before you finally have a dental implant, but the end result is definitely rewarding. Drop by for a consultation today to explore your options on replacing a missing tooth.
A dental implant serves as the tooth root of your new tooth. It is only a few millimetres long and carefully engineered, so your dentist can firmly anchor it in your jaw bone like your natural tooth and keep the replacement tooth stable. On top of the implant a crown or bridge will be used as the visible part of your new tooth. It is made of strong material (like e.g. ceramics) and individually designed by a dental laboratory to make it look and feel like your natural tooth.
Dental implants are widely considered to be the most successful method of tooth replacement used today, because they give a number of benefits to patients.
There are many advantages to dental implants, including:-
- Healthy Natural Looking Smile
- Prevents Bone Loss
- Matches Your Natural Teeth
- Restores Force Bite
- Prevents Changes in the Shape of Your Face
- Enables Natural Speech
- Won’t Get Cavities
- Cost Effective
- Easy to Care For
- Long Lasting
- Stable & Comfortable Fit
- Highly Successful
The ideal candidate for a dental implant is in good general and oral health. Adequate bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal disease.
If you are considering implants, you must have healthy gums and adequate bone to support the implant. If your bone is too thin or soft and unable to support an implant, you may require a bone graft. Or if there is not enough bone height in the upper jaw or the sinuses are too close to the jaw, you may require a sinus lift. Dental implants are suitable for most adults with good general health. They can only be used once the jawbone has stopped growing and so generally are not used with younger patients.
Step 1: Diagnosis by Doctor
After gathering information via your oral X-rays and CBCT, we will assess the treatment options best suited to your situation and history so you are well-informed before making a decision.
Step 2: Implant Placement
The implant will be surgically inserted into your jaw using local anaesthetic. Depending on the individual case, a temporary restoration may be placed on the implant during the healing stage, while the bone around the implant grows.
Step 3: Healing
The bone around the implant grows and integrates with the implant surface, which takes between four weeks and a few months. After approximately one week, your stitches will be removed.
Step 4: Your New Teeth are Created
As your implant bonds itself to the bone during the healing phase, your dentist and laboratory partners will to create your personalized artificial tooth crown. This will be placed once the healing phase is complete.
Step 5: Restoration Placement
Your final restoration is connected to the implant, leaving you free to smile, bite, and chew like before.
1. You may feel numb from the anaesthetic please don’t bite your lip or touch implant wound with your finger.
2. Please bite on the sterile white gauze for half hour till bleeding stops.
3. Kindly take cold drinks and ice cream for first day and no hot coffee, tea or soup. Can take at room temperature. Take soft foods first as tolerated.
4. Gargle with mouth wash or salt water after meals.
5. Brush with soft tooth brush on other teeth.
6. Take the medication as prescribed.
- Patients will need to maintain good oral hygiene after treatment and equal care of dental implants is required as the natural teeth.
- The bone, after placing the abutment can take nearly 6 months to grow and the different stages of healing after the dental implant can take between 3-9 months.
- The abutment placed in your gums by your doctor will be visible until the last step of placing the artificial teeth is complete.
- There exists a minor risk and complications in the procedure like swelling, bleeding and infection.
- The procedure is not appropriate for all patients with missing teeth and only your doctor can determine whether you need, dental implants, bridges or dentures.
- While more than 98.6% patients get a successful result, in some cases, the bone may fail to fuse with the metal implant. In such a case, you will need to undergo the procedure again.
These implants are indispensable for those that suffer from edentulous or missing teeth. Loss of one’s teeth can lead to a number of serious health problems. The bone of the jaw will permanently change when a tooth is lost and an implant doesn’t replace it. Because adequate chewing pressure no longer exists for bone stimulation, the bone mass itself will dissolve.
Additionally, the adjacent teeth will shift toward the space which is vacant. As time passes, this will lead to apertures between them and because these teeth don’t have a force which counteracts them, their overall anatomical orientation will be adversely affected. As the jaw bones deteriorate further, the face will drape onto the bone in a manner that makes one appear older with more wrinkles.
Even the loss of one tooth can dramatically alter the manner in which one eats. Those with missing teeth also have a greater susceptibility to diseases such as osteoporosis and cardiovascular disease, since the growth of plaque near the carotid artery can lead to more missing teeth which in turn increase the likelihood of heart disease and stroke.
The two most popular implant brands are Dentium and Straumann. Dentium is sought after due to its high stabilization inside extraction sockets, its early loading inside the upper posterior and ease with which it acclimates to the anatomy. Its insertion is fast and sharp, and because it uses a tapered design, the distribution of the tapered load achieves outstanding bone response.
Dentium also uses a broad surface area, which means that excellent stability is provided even when sinus augmentation is factored in. It uses a conical hex based connection between the abutment interface and implant, which results in a hermetic seal. The connection is also biologic, which means that the load is evenly distributed across the fixture. As a result, both bone loss and micro movement are greatly minimized.
The Straumann implant is well suited to treatments at the bone level which are used in conjunction with subgingival or gingival healing. It has a rough surface, which extends to its top where the connection will shift inward. It uses an apex which is tapered with 3 cutting notches, that makes the implant outstanding for operations involving either extraction sockets which are fresh or soft bone sockets where stability is essential. Straumann also incorporates a color code which is unified into its tool which makes identification easier for various endosteal diameters.
Straumann Implants utilize a bone control mechanism which offers maximum bone crestal preservation along with microgap control. Its patented CrossFit connection results in assembly and component positioning that are greatly simplified. It also uses a special material called Roxolid which has superb mechanical characteristics and the SLActive surface provides rapid osseointegration with greater predictability. Because the implant’s structure is apically tapered, this allows for under preparation which will support the stability of soft bone.
Implant surgery is usually performed at the hospital or dentist office. An evaluation and diagnosis of the patient’s local and general health must be performed, along with an analysis of their anatomical and biomechanical structure. Based on this data, the dentist will make recommendations to the patient. Prior to surgery, the patient will be given general or local anesthesia. After that the surgery will begin.
During the first stage, an incision will be made where the site for the implant will be exposed. A group of gradually widening drills will be employed to open the right sized socket. The implant will then be securely put into place. During the second stage, the crown may be temporarily removed, since the actual crown will be on the abutment, which acts as a connective element which is designed to attach the crown to the dental implant.
Once the surgical procedure is finished, the patient must be given time to heal. The fixture has to fully integrate with bone before the patient can proceed. During this time doctors will usually fabricate provisional restorations so the patient won’t display missing teeth. The total process for Dentium can last from three to four months while Straumann implants require two months. For final restoration, the dentist will make negative imprints of both the soft and hard tissues, which will then be transmitted to a dental lab. This data will be used to create a prosthesis that is completely customized.
Some patients experience fever after getting oral surgery. If the temperature rises above 101.5 degrees Fahrenheit, you should contact your doctor. Other symptoms include dizziness, nausea and vomiting, bruising, bleeding and swelling, which should all disappear over time.
Additionally, tobacco products will stain teeth, even after whitening treatments. As such, your dentist will suggest you quit using them. Maintain an appropriate oral hygiene (brushing and flossing) regimen to prevent stains from reforming, and see your dentist and hygienist regularly for scheduled teeth cleanings.Toothpastes containing whitening agents also may be suggested by your dentist to maintain the results of the procedure.
The cost of implants depends on the type which is chosen, and the amount that need to be installed. Dentium implants start at RM 7000 ($1700 USD), while Straumann implants start at RM 10,000 ($2439 USD).
Standard implant surgeries are a costly, multiple stage procedure which requires a total of eighteen months when healing, bone grafting and implant placement are included. The “All on four” is a new technique that allows bridge stabilization with just 4 implants, instead of the traditional eight. This allows for same day operations with lower costs and increased comfort. The cost for All on 4 Dental Implant Supported Dentures starts from RM15k, All on 4 Dental Implant Supported Bridge starts from RM95k.
Dr. Datin Norma earned her Field of Dentistry Fellowship in 1986 in Ireland and became a dental specialist by 1987. She also served as the Head of Department Oral Maxillofacial Surgery at the Kuala Lumpur hospital. She has an extensive background in oral pathology and cancer, implantology and the application of general anesthesia along with wisdom tooth removal. Call us to receive a consultation and be sure to request our special promotion.