Implant Dentistry

Fixed tooth replacement option that stops the bone loss

Dental implants can resolve these problems and leave you with permanent fixed teeth.

DentalImplants1

 

For many people, a missing tooth or teeth can be a confidence shattering experience. The permanent need to hide one’s smile can cause embarrassment in social situations, and missing teeth can make one look older. Most tooth replacement treatment relies on some form of bridgework or dentures.

Dental implants use a high-tech surgical procedure to fuse a prosthetic tooth or teeth to the jawbone. They are ideal for people who are in good oral health. Candidates for the treatment must have healthy gums and enough bone to support the implants. Dental implants can last a very long time, and because the tooth is placed permanently into the bone, you can actually forget it is there.

There are many benefits to dental implants. For the right candidate, the success rate is extremely high. Since the implants are fitted straight into the jaw, there is no continued bone loss as seen with bridgework or dentures. Dental implants also do not require work to be done to adjacent teeth, unlike bridgework. With dental implants, no one will ever know you have a replacement tooth or teeth.

A single tooth, several teeth or all the teeth can be replaced using dental implants. The key to successful implants is the amount of bone in the jaw. The back areas of the upper jaw is a difficult areas to implant teeth due to decreased bone density and proximity to the maxillary sinus area.

A treatment called sinus augmentation may help correct this problem. The procedure raises the sinus floor and developing bone for the placement of the implants. Also, deformities and deficiencies in the bone can be corrected using ridge modification and bone grafting. Here, the defect or deficiency in bone is filled with a bone or bone substitute. This enhances the chance of the implant staying in place. This is a very common procedure in implant dentistry and is very predictable. At See The Dentist, we use the latest technology in bone grafting procedures such as a Piezo Surgery Unit.

Please remember that any surgical or invasive procedure caries risk. Before proceeding, you should seek a second opinion from an appropriately qualified practitioner.
Surgery

 

If you are missing teeth, did you know you are losing bone?

 

Bone Loss

 

Question: What is involved in placing implants?

First, surgery is performed to place the implant. Surgery can take up to several hours. After 2-6 months bone grows around the implant and firmly holds it in place. The implant surgery can be done under local anaesthetic or IV sedation. Implants often require a second surgery in which the implant is uncovered and a healing post (abutment) is attached to the implant.

After the gums have had several weeks to heal around the healing post, the prosthetic treatment begins. The healing post is removed and then an artificial tooth is made and fitted to another post, which is screwed into the implant. This may require several fittings, and hence this step can take one to two months to complete.

Depending upon a number of factors, you may require additional procedures prior to implant surgery to achieve an adequate amount of bone necessary to place an implant. One of the most important factors is bone loss due to a missing tooth.

 

Our Implant Cases

Missing Upper Lateral Incisors

Tooth loss due to congenitally missing upper lateral incisors. Bone grafting was also needed.

Before                                                                       After

IMG_5023_2   IMG_7081

laterals1w   laterals5w

laterals4w   laterals3w

laterals9w   laterals10w

Tooth loss due to trauma

Presentation (Before)

centrals5   centrals1

After (Note the improved gum healing at 12 months compared to that at the day of issue)

Day of issue                                                               12 months after issue of crowns
centrals7   centrals9
centrals11   centrals25
centrals6   centrals2
Day of issue of screw-retained crowns (Note the fine gold work that has been done by the ceramist)
                centrals13w                                     centrals14w
centrals21   centrals23

Tooth loss due to trauma. Bone grafting was also needed.

Presentation (Before)                                         After

IMG_6370   IMG_7938

CF13   CF15

CF16   CF17

CF11   CF12

After (Note the improved gum healing at 6 months compared to that at the day of issue)

Day of issue                                                               6 months after issue of the crown

CF14   CF15

centralincisor1   centralI1

Day of issue of a single screw-retained crown (Note the fine gold work that has been done by the ceramist)
maxcentral2      maxcentral1

Tooth loss due to a crack formation

Before                                                                                   After

Smile_2   IMG_5716

PostImplantside1   PostImplantside2

PostImplantside3   PostImplantside4

Healing Abutment             Head of the Implant                  Screw-access hole                 Final Crown

PostImplant1 PostImplant2 PostImplant3 PostImplant4

PostImplant5 PostImplant6 PostImplant7 PostImplant9

Tooth loss due to cyst removal. The space was too narrow to place 2 implants. Orthodontics was utilised to open the space in order to fit 2 implants. Bone grafting was also needed along with soft tissue grafting.

Before                                                                    After

IMG_3998   IMG_9034

IMG_3989   IMG_9037

Space at the start of treatment is too narrow. Space is created using orthodontics for 6 months on one arch only. Once we have gained the space we need we have placed 2 implants.

IMG_3997   IMG_7827

IMG_9039   IMG_3993

IMG_7829   IMG_9042

IMG_3990   IMG_9045

Began with inadequate space              Space increased with orthodontics     Implants placed and restored

IMG_3994                          IMG_7916                            IMG_9026

Tooth loss due to severe decay of the teeth that held a bridge in place (see picture). These teeth were removed and allowed to heal for 8 weeks and then 2 implants were placed.

implantbridge01   implantbridge04

8 Weeks after Implants were placed they were restored with a 4-Unit bridge supported by 2 implants.

(Note the fine gold work that has been done by the ceramist)

implantbridge12   implantbridge11

implantbridge10   implantbridge09

Tooth loss due to gum disease.

  • The extensive period of time without teeth have left a thin lower ridge – this is common
  • This ridge is incapable of providing retention of a conventional full lower denture
  • This ridge is incapable of providing resistance to rocking and tilting forces place on the denture
  • The result is the patients full denture moves during lip movements, function and speech

overdenture1   overdenture2

Locator abutments place onto the implants           Attachments that fit over the locator abutments
overdenture3   overdenture4

 

 

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