Dental Cosmetic Thailand, Dental Clinic Thailand, Dental Implant Thailand, Cosmetic Surgery Thailand, Surgery Thailand

Dental Implant

What is Dental Implant?

Dental implants are the small screws designed to replace the root of a tooth and restore the physical appearance and the chewing function with partial or full tooth loss.  Nobel Biocare dental implants are intended for use in either the upper and/or the lower jaw to support prosthetic devices, such as artificial teeth. By integrating with the jaw, they enable restorations that range from replacement of one single tooth to an entire arch of bridgework, or as stabilizing elements for over denture applications. Nobel Biocare manufactures dental implants from titanium, which is both biocompatible and strong.
Are you a good candidate for dental implants?
Patients must undergo a medical evaluation to determine whether the implant placement procedure poses any health risks, and whether any factors exist that may affect the healing capacity of either their bones or their associated soft tissues.
Who can receive dental implants?

• Patients who are medically fit to participate in a general oral surgical procedure.

 Who should carefully consider dental implants?

• Patients who have medical or other conditions that may interfere with the healing process of either their bones or soft tissues (e.g., connective tissue disorders, steroid therapy, bone infections, cigarette smoking) must carefully evaluate, with their dentists, the potential risks and benefits of using dental implants.

Precautions for implant treatment
Dental implants should not be used with patients that have inadequate amounts of bone to permit placement of implants in sufficient size and numbers to support their biomechanical loads. Mechanical failures, including fatigue fracture of implants, prosthetic screws, and/or abutment screws, may occur if dental implants are insufficient in size or number to support their biomechanical loads, or are not properly positioned. To reduce the risk of overload or fatigue failure, dentists must place the implants and design prosthetics to accommodate the physical or medical conditions of their patients, such as bruxism (i.e., grinding or clenching of teeth) or unfavourable jaw relationships.

Types of Implants that is use now’s day

• Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.
   
• Subperiosteal (on the bone): These are placed on top of the jaw with the metal frame work's posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

What is the treatment like?

This procedure is a team effort between you and us (Bangkok Smile Clinic).  We will consult with you to determine where and how your implant should be placed.

• Replacing a Single Tooth   If you are missing a single tooth, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root.
  
• Replacing Several Teeth   If you are missing several teeth, implant-supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots.
  
• Replacing All of Your Teeth   If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots.
  
• Sinus Augmentation   A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants.
  
• Ridge Modification   Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.

Replacing a Single Tooth

If you have a single tooth missing, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root.
What are the advantages of a single-tooth implant over a bridge?

A dental implant provides several advantages over other tooth replacement options. In addition to looking and functioning like a natural tooth, a dental implant replaces a single tooth without sacrificing the health of neighboring teeth. The other common treatment for the loss of a single tooth, a tooth-supported fixed bridge, requires that adjacent teeth be ground down to support the cemented bridge.
Because a dental implant will replace your tooth root, the bone is better preserved. With a bridge, some of the bone that previously surrounded the tooth begins to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact.

Replacing Several Teeth

If you have a several missing teeth, implant-supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots.
What are the advantages of implant-supported bridges over fixed bridges or removable partial dentures?

Dental implants provide several advantages over other teeth replacement options. In addition to looking and functioning like natural teeth, implant-supported bridges replace teeth without support from adjacent natural teeth. Other common treatments for the loss of several teeth, such as fixed bridges or removable partial dentures, are dependent on support from adjacent teeth.
In addition, because implant-supported bridges will replace some of your tooth roots, your bone is better preserved. With a fixed bridge or removable partial denture, the bone that previously surrounded the tooth root may begin to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact.
In the long term, implants are esthetic, functional and comfortable. Gums and bone can recede around a fixed bridge or removable partial denture, leaving a visible defect. Resorbed bone beneath bridges or removable partial dentures can lead to a collapsed, unattractive smile. The cement holding bridges in place can wash out, allowing bacteria to decay teeth that anchor the bridge. In addition, removable partial dentures can move around in the mouth and reduce your ability to eat certain foods.

Replacing All of Your Teeth

If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots.
What are the advantages of implant-supported full bridges and implant-supported dentures over conventional dentures?

Dental implants provide several advantages over other teeth replacement options. In addition to looking and functioning like natural teeth, implant-supported full bridges or dentures are designed to be long lasting. Implant-supported full bridges and dentures also are more comfortable and stable than conventional dentures, allowing you to retain a more natural biting and chewing capacity.
In addition, because implant-supported full bridges and we (Bangkok Smile Clinic) will replace some of your tooth roots, your bone is better preserved. With conventional dentures, the bone that previously surrounded the tooth roots begins to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact.
In the long term, implants can be more esthetic and easier to maintain than conventional dentures. The loss of bone that accompanies conventional dentures leads to recession of the jawbone and a collapsed, unattractive smile. Conventional dentures make it difficult to eat certain foods.

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Sinus Augmentation

The key to implant success is the quantity and quality of the bone where the implant is to be placed.
The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you've lost bone in that area due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants.
Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form. In one common technique, an incision is made to expose the bone. Then a small circle is cut into the bone. This bony piece is lifted into the sinus cavity, much like a trap door, and the space underneath is filled with bone graft material. We (Bangkok Smile Clinic) will explain your options for graft materials, which can regenerate lost bone and tissue.
Finally, the incision is closed and healing is allowed to take place. Depending on your individual needs, the bone usually will be allowed to develop for about four to 12 months before implants can be placed. After the implants are placed, an additional healing period is required. In some cases, the implant can be placed at the same time the sinus is augmented.

Ridge Modification

The key to implant success is the amount and quality of the bone where the implant is to be placed.
Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. This defect may have been caused by periodontal disease, wearing dentures, developmental defects, injury or trauma. Not only does this deformity cause problems in placing the implant, it can also cause an unattractive indentation in the jaw line near the missing teeth that may be difficult to clean and maintain.
To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. We (Bangkok Smile Clinic) will advise you about your options for graft materials, which can help to regenerate lost bone and tissue.
Finally, the incision is closed and healing is allowed to take place. Depending on your individual needs, the bone usually will be allowed to develop for about four to 12 months before implants can be placed. In some cases, the implant can be placed at the same time the ridge is modified.
Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come. Ridge modification can enhance your restorative success both esthetically and functionally.

What are the advantages of Dental Implant?
There are many advantages to dental implants such as:

• Improved appearance. Dental implants look and feel like your own teeth. They are designed to fuse with bone, they become permanent.
  
• Improved speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that your teeth might slip.
  
• Improved comfort. They become part of your, implants eliminate the discomfort of removable dentures.
  
• Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
  
• Improved self-esteem. Dental implants can give you back your smile, and help you feel better about yourself.
  
• Improved oral health. Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving your long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
  
• Durability. Implants are very durable and will last many years. With good care, many implants last a lifetime.
  
• Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing your dentures, as well as the need for messy adhesives to keep your dentures in place.

How successful are Dental Implants?

The success rates vary, depending on where in the jaw the implants are placed but, in general, dental implants have a success rate of up to 98%.

Advantages:

As our life span increases, a permanent dental replacement like implants is increasingly important as we get older. While dentures and removable bridges are usually loose and unstable, implants provide you with dental replacements that are both natural looking and very functional. Implants look much better, and feel better, than traditional removable bridges, and offer the same force for biting as bridges that are fixed in place. Implants will last your lifetime.

Disadvantages:

Implants are a major investment and not without risk. It is also a very time consuming procedure when having many implants placed. As this procedure is surgery, it is very important to research and find a well credited cosmetic dentist that you are comfortable with. For some people there are varying degrees discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure. The crown (false tooth placed on top) will need to be replaced in ten to fifteen years.

Who needs to gets Dental Implants?

In most cases, anyone healthy enough to undergo a routine dental extraction or oral surgery can be considered for an implant procedure. Patients should have healthy gums and enough bone to hold the implant. They also must be committed to good oral hygiene and regular dental visits. Heavy smokers, people suffering from uncontrolled chronic disorders – such as serious diabetes or heart disease – or patients who have had radiation therapy to the head/neck area need to be evaluated on an individual basis. If you are considering implants, talk to our implant dentist to see if they are right for you.

 What are the steps for Dental Implant?
The first step in the process is the development of an individualized treatment plan. The plan addresses your specific needs and is prepared by our teams of professionals who are specially trained and experienced in implant dentistry oral surgery and restorative dentistry. This team approach provides coordinated care based on the implant option that is best for you.
Next, the tooth root implant, which is a small post made of titanium, is placed into the bone socket of the missing tooth. As the jawbone heals, it grows around the implanted metal post, anchoring it securely in the jaw. The healing process can take normally a period from 1 to 4 month.
Once the implant has bonded to the jawbone, a small connector post – called an abutment – is attached to the post to securely hold the new tooth. To make your new tooth or teeth, our implant dentist makes impressions of your teeth, and creates a model of your bite (which captures all of your teeth, their type, and arrangement). Your new tooth or teeth are based on this model. A replacement tooth, called a crown, is then attached to the abutment.
Instead of one or more individual crowns, some patients may have attachments placed on the implant that retain and support a removable denture.
Our  implant dentist also will match the color of your new teeth to your natural teeth. Because the implant is secured within the jawbone, the replacement teeth look, feel, and function just like your own natural teeth.

Are Dental Implants painful?

Most people who have received dental implants say that there is very little discomfort involved in the procedure. Local anesthesia can be used during the procedure, and most patients report that implants involve less pain than a tooth extraction.
After the dental implant, mild soreness can be treated with over-the-counter pain medications, such as Tylenol or IBU Profen.

How to care for Dental Implant?

Dental implants require the same care as real teeth, including brushing, flossing, and regular dental check-ups.

CARING FOR YOUR IMPLANTS
Implants can serve you for years if you keep your mouth healthy and take care of your implants. Just like your natural teeth, you should brush after every meal.

SPECIAL CLEANING AIDS
A small tooth brush or special interdental brush can be used to clean the abutments. Use a brush with a bent handle to reach behind your teeth to clean the abutments. Use gauze or special floss with a foam coating to clean around your gums, abutments and prosthetic teeth.

TIPS FOR BRUSHING YOUR TEETH
 REMOVABLE PROSTHESIS 
After removing, brush the inside and out side, brush around the gums and abutments and floss the abutments.
 FIXED PROSTHESIS 
Brush your fixed PROSTHETIC TEETH as thoroughly as you would your own teeth, reach the brush behind the teeth to brush the back of the abutments and floss around the abutments from front, side and behind.
 ROUTINE CHECK-UPS 
At least twice a year you must have your PROSTHESIS check to see how well it fits in your mouth. Make any repairs and clean the abutments. And at the same time the stability of the anchors and the health of your gums and jaw will be checked.