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Dental Implants - Types , Procedure, Advantages - Deccan multispeciality Hospital

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DECCAN MULTISPECIALITY HARDIKAR HOSPITAL Offering best Dental Implants treatment in Pune from highly experienced doctors.It is known to be the best dental clinic in Pune for dental implants at affordable cost.Dental implants are replacement tooth roots made of titanium. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth. more info – PowerPoint PPT presentation

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Title: Dental Implants - Types , Procedure, Advantages - Deccan multispeciality Hospital


1
No Teeth to Functional Teeth
What Happens if didnt replace teeth 1. Opposite
arch teeth get extruded
  • Long term effect on TMJ
  • Best Tooth Replacement Options for Missing Teeth
  • Single Tooth or Cap
  • Tooth-Supported Fixed Bridge
  • Resin-Bonded Bridge/ Merry land Brides
  • Dental Implant
  • Implant-Supported Fixed Bridge
  • All-on-Four Implant Supported Dentures/
    All-on-Six
  • Removable Partial Denture
  • Removable Partial Denture
  • Flipper a Temporary Replacement Option
  • Do Nothing
  • New Treat Modality

2
  • The best possible option for your oral health and
    your general health would be to replace each
    tooth with a dental implant, as implants are the
    closest thing to restoring a natural tooth.
    However, this option isnt always realistic as
    single implants can be quite expensive, putting
    them out of reach for many people.
  • If you are concerned you may not be able to
    afford all of the implants you need right way
    (heres how to find low cost dental implants),
    this doesnt mean you cannot revisit this option
    at a later date when your financial situation
    has improved. While its certainly possible to
    wait and get implant treatment at a later date,
    there are other, more affordable solutions for
    replacing missing teeth.

3
A Single Tooth or Cap
4
B) Tooth-Supported Fixed Bridge
  • A tooth-supported fixed bridge is the most common
    alternative to having implant- supported
    restorations, particularly where a single tooth
    is missing. A tooth- supported fixed bridge
    consists of two crowns, normally fitted onto the
    teeth either side of the gap and these are the
    abutment teeth. The abutment crowns are attached
    to the replacement teeth which are called
    pontics.
  • This type of restoration is permanently cemented
    in place. It can be made from a number of
    different materials that include gold, precious
    metal alloys, and porcelain, or a
    tooth-supported fixed bridge may be made from a
    combination of these materials.
  • Benefits
  • Feel and function just like your real teeth
  • Procedure is very straightforward and treatment
    will normally only take two or three weeks to
    complete
  • Maintenance is easy, as a fixed bridge can simply
    be brushed and flossed
  • Cost effective way to replace missing teeth and
    is less expensive than implant supported teeth
  • Treatment is relatively low risk if the bridge
    fails then it can generally be replaced quite
    quickly and painlessly

5
  • Disadvantages
  • More expensive than a removable denture
  • Teeth adjacent to the gap must be ground down in
    order to support the bridge, removing healthy
    tooth structure that can only ever be
    artificially replaced
  • Once these teeth are ground down, there is an
    increased risk that they could become decayed
    and infected in the future
  • Must thoroughly clean underneath the pontic and
    there is a possibility that this could become a
    food trap, especially as bone loss occurs
  • Does not provide any stimulation to the bone
    underneath the bridge
  • Does not generally last as long as an
    implant-supported bridge
  • When to Choose a Tooth-Supported Fixed Bridge
  • This option can be best for anyone looking for a
    quick solution to tooth loss and/or who doesnt
    want to undergo surgery. Not everyone wishes to
    or is suitable for implant surgery, especially
    if they have medical conditions that have
    compromised their immune system which can slow
    down healing, increasing the risk of implant
    failure.
  • People in these situations can often obtain
    better and more predictable results through
    using a fixed dental bridge. Treatment can often
    be completed within a matter of just a few weeks
    rather than the several months required for
    implant treatment.

6
C) Resin-Bonded Bridge/ Merry land Brides
  • A resin-bonded bridge is sometimes called a
    Maryland bridge or a Rochette bridge and tends
    to only be used to replace front teeth. This is
    because it is relatively fragile and is unable
    to withstand the chewing forces created by back
    teeth. It consists of two wings that are
    attached to the abutment teeth on the tooth
    surfaces nearest to the tongue, and the wings are
    attached to the replacement tooth or pontic.
  • The abutment teeth must be healthy and strong,
    but its unlikely that your dentist will need to
    change their overall shape very much. Sometimes
    they may choose to remove a small amount of
    tooth enamel, as a slightly rougher surface will
    help increase the bond between the tooth and the
    bridge.
  • A Rochette bridge has holes drilled into the
    wings to help increase this retention. It is a
    better solution than a removable denture, but it
    isnt as strong or as permanent as a fixed
    bridge and it will not function as well as
    implants.
  • Benefits
  • Cheaper and less invasive than a fixed bridge
    supported by your natural teeth
  • Restores your ability to smile and to eat and
    speak
  • Provides the correct amount of support for your
    lips
  • Prevents your remaining teeth from drifting out
    of place

7
  • Disadvantages
  • Isnt very strong, which is why it is only used
    to restore front teeth
  • Hard food can cause the bridge to pop off your
    teeth and need to be re- cemented
  • Relatively fragile which doesnt make it a good
    long-term option
  • When to Choose a Resin-Bonded Bridge
  • This option is cost-effective and non-invasive,
    particularly when compared to dental implants.
    It could be a good short-term solution and this
    type of bridge may occasionally be supplied as a
    temporary restoration, while an implant heals
    underneath the gums.

8
D) Dental Implant
  • Dental implants have been designed to
    artificially replace a natural tooth root and
    are inserted into the jawbone to support a
    restorative or replacement crown, bridge or
    denture. They can be the best solution for people
    missing one or more teeth due to injury,
    periodontal disease or other oral health problem.
  • Benefits
  • Success rates of treatment are in excess of 95
  • They are durable and permanent
  • Minimal maintenance is required other than good
    oral hygiene and professional dental checkups
    and cleanings
  • Feel natural and comfortable and provide the best
    aesthetics
  • Only tooth loss solution that prevents jawbone
    loss
  • Teeth adjacent to the gap do not need to be
    modified
  • Can be more cost effective in the longer term,
    due to the long lifespan of treatment

9
  • Disadvantages
  • Treatment is more invasive a surgical procedure
    is required to insert implant
  • Treatment takes longer and requires a greater
    number of dental visits
  • compared to other options
  • Most expensive tooth replacement solution
  • When to Choose Dental Implants
  • This is the best option if you are suitable for
    treatment and can afford dental implants.
    Treatment is a long-term solution for tooth loss
    and it provides the best aesthetic results.
  • Although treatment is more expensive, it can be
    more cost effective in the longer term as
    implant restorations will not need to be replaced
    as often as a dental bridge. Additionally, an
    implant preserves the jawbone and the gum tissue,
    and there is no need for your dentist to grind
    down healthy teeth.

10
E ) Implant-Supported Fixed Bridge
  • With an implant-supported fixed bridge, it is not
    necessary to replace every single tooth with a
    single dental implant. Instead, the
    implant-supported fixed bridge will restore
    several missing teeth and its possible for this
    option to replace a complete arch of teeth. The
    number of implants required can vary according to
    the type of dental implant used by your implant
    dentist, and the number of teeth being restored.
  • An implant-supported bridge looks very similar to
    a tooth-supported fixed bridge and can either be
    cemented or screwed into place. Sometimes an
    implant dentist will choose to screw the bridge
    onto the implants as this makes it easier to
    retrieve the bridge should it need cleaning or
    repairing. The screw holes in the bridge are
    covered up with tooth-colored composite resin so
    they are virtually invisible.
  • Benefits
  • Provides very good aesthetic results
  • Feels and looks very natural, making it easy to
    speak and to eat virtually anything
  • Easy to look after and can be brushed and flossed
    just like an ordinary
  • tooth-supported fixed bridge
  • Cost is lower compared to replacing every single
    tooth with a single dental implant
  • Should last for many years before it needs
    replacing
  • No need for your dentist to grind down healthy
    teeth

11
  • Disadvantages
  • Only suitable if the missing teeth are situated
    adjacent to each other
  • Relatively expensive, particularly when used to
    restore a complete arch of teeth
  • Requires a greater number of visits and treatment
    takes longer to complete
  • compared to a tooth-supported fixed bridge or a
    denture
  • Implant treatment does require a small surgical
    procedure
  • When to Choose an Implant-Supported Fixed Bridge
  • This option can be ideal for anybody who wishes
    to enjoy the sensation of having strong and
    stable teeth that are not removable. Although
    more expensive than All-on-Four
    implant-supported dentures, this solution does
    make it easy to forget you ever lost your teeth.
    The teeth are strong enough to allow you to eat
    just about any foods you like, within reason. It
    also provides excellent aesthetics, especially
    as the bridge can be constructed to replace any
    missing gum tissue using gum colored porcelain.

12
F) All-on-Four Implant Supported Dentures/
All-on-Six
  • Its possible to support a full-arch lower
    denture with just four implants, while an upper
    denture may require six implants for support.
    With this treatment, two implants are inserted
    right at the front of the arch in the positions
    previously occupied by your front teeth.
  • The remaining two implants are placed either side
    and at a 45 angle tilting towards the back of
    the mouth. The overdenture will clip onto the
    dental implants using special attachments on its
    fitting surface.
  • Benefits
  • Affordable due to the fewer number of implants
    required to support a complete arch of teeth
  • More stable and strong than dentures
  • Make it possible to enjoy a wider variety of
    foods compared to dentures
  • Can be constructed without a palate so it will
    feel less bulky and eating will be more
    enjoyable because you will be able to taste food
    more easily
  • Can easily be removed for cleaning

13
  • Disadvantages
  • Denture is still removable, which some people may
    find undesirable
  • DCare needs to be taken when eating, as foods
    that are particularly chewy or hard could damage
    the denture
  • DSpecial attachments on the fitting surface will
    need to be regularly maintained and must be
    replaced periodically
  • When to Choose an Overdenture/All-on-Four
    Implants
  • This treatment is relatively affordable and even
    though the denture is removable, it allows
    patients to enjoy the stability of having fixed
    teeth. Treatment may also be suitable for people
    who have suffered significant jawbone loss. This
    is because the implants are inserted towards the
    front of the jaw where the bone tends to be
    naturally thicker and stronger and more able to
    support dental implants.
  • Its often possible to load the implants quite
    soon after treatment and patients may be able to
    receive their new implant supported denture just
    hours or a day or two after surgery.

14
G) Removable Partial Denture
  • A removable partial denture is designed to
    replace one or more missing teeth in the same
    arch and which may or may not be adjacent to each
    other. The denture consists of an acrylic base
    which is sometimes strengthened with a Cobalt
    chrome metal framework.
  • It will frequently have metal clasps that fit
    over your existing teeth, holding the denture
    firmly in place but still allowing it to be
    easily removed. Some are made from a flexible
    nylon material and these have clasps made from
    gum colored nylon so they are less visible in
    the mouth.
  • Benefits
  • Less expensive than fixed bridges or implants
  • Very effective at filling in the gaps in between
    teeth and restoring your ability to smile
  • Restoring missing teeth can help improve your
    speech and your ability to eat comfortably
  • Sometimes possible for additional teeth to be
    added to the denture
  • Procedure is non-invasive and relatively quick

15
  • Disadvantages
  • Can be unstable and uncomfortable
  • May not always look very natural and will not
    function as well as fixed teeth
  • Need to be removed every day and thoroughly
    cleaned and left out overnight to allow the gums
    a chance to recover
  • Need to be replaced or relined quite frequently
  • Quite fragile and easily broken, with the
    exception of nylon dentures which are
    unbreakable
  • Easy to lose or mislay a partial denture
  • When to Choose Removable Partial Dentures
  • Removable partial dentures can be a good option
    for people who cannot afford dental implants, or
    who do not have natural teeth that are strong
    enough to support a fixed bridge.

16
  • Removable Complete Dentures
  • Removable complete dentures rest on top of the
    gums and are a low-cost and non-invasive
    alternative to dental implant treatment. Dentures
    consist of an acrylic gum-colored base to which
    denture teeth are attached.
  • Benefits
  • Can significantly improve appearance and may help
    to increase self-confidence by replacing teeth
    that may have been worn down or decayed
  • Provide the correct support for the muscles in
    the cheeks and lips, restoring facial dimensions
    and creating a more youthful
  • appearance
  • Can help improve speech and the ability to eat
    comfortably
  • Affordable and treatment is relatively fast
  • Look quite natural as they come in many different
    shapes, colors and sizes, while gum tissue can
    be closely matched to your natural
  • gums
  • Can be relined or adjusted to accommodate the
    changing shape of the jawbone.

17
  • Disadvantages
  • Can become ill-fitting within a very short while
    as the jawbone changes shape
  • Not possible to eat certain foods that are very
    hard or very sticky without
  • risking damage to the denture
  • Have to be removed for cleaning and must be left
    out overnight to give the gums a chance to
    recover
  • Can accelerate bone loss in the jaw due to the
    pressure of the denture resting on the gums and
    the jawbone
  • May affect your ability to properly taste food,
    and they may move around when you eat or speak
  • Can rub on gums, creating painful sore spots
  • Denture adhesives are often messy and do not
    offer a long-term solution
  • May make a clicking sound when you speak, which
    can be embarrassing in social situations
  • When to Choose Removable Complete Dentures
  • They can be a good low-cost solution for
    replacing a complete arch of teeth. They are
    also good for anybody who doesnt wish to undergo
    dental implant surgery, or who is not a suitable
    candidate for treatment.

18
I) Flipper a Temporary Replacement Option
  • A flipper tooth is a temporary partial denture
    that is used to restore one or more missing
    teeth. Its purpose is to fill in any unsightly
    gaps so that you can smile and talk without
    feeling self-conscious. A flipper tooth is only
    used until a more permanent replacement can be
    fitted.
  • Benefits
  • Treatment is very inexpensive
  • Fabricated prior to tooth extraction and fitted
    right after a natural tooth is removed
  • Process requires fewer trips to your dentist
    compared to a more permanent partial denture
  • Lightweight making them easier to wear and to
    tolerate
  • Disadvantages
  • Not very strong or stable
  • Fragile and easily broken
  • Can be bulky, making them uncomfortable to wear,
    particularly towards the end of a long day

19
When to Choose a Flipper Tooth This type of
restoration is purely for temporary use, so it
can be useful while you decide how to more
permanently restore a missing tooth, or while
waiting for dental implant treatment to be
completed.
20
J Do Nothing Those were the most popular ways to
replace one or more missing teeth, but there is
another option doing nothing. However, this is
not an advisable choice if you can help
it. Jawbone density decreases after a natural
tooth is removed due to the lack of stimulation
that would normally be provided by a natural
tooth root. If you later decide to replace the
tooth with an implant, youre more likely to need
a bone graft to make up for the lost
bone. Doing nothing will also allow any adjacent
teeth to move out of position, potentially
destabilizing them and affecting your bite. While
its not always possible to replace missing
teeth immediately after their loss (financially
and/or physically), it is important to figure
out a more permanent way of replacing them as
soon as possible.
21
K New Treat Modality
  • 72 HOURS IMPANTOLOGY/ STRATEGIC IMPLANT
  • WHAT IS IMPLANT?
  • Dental implant are metal posts or frames that are
    surgically positioned into jaw bone beneath your
    gums. Once in place, they allow your dentist to
    mount replacement of tooth.
  • HOW IT WORKS?
  • It fuses to your jaw bone, provide stable support
    for artificial teeth .Denture and bridge mounted
    to implants wont slip or shift in your mouth.
  • On an average 3 months time is required for
    osseointegration.
  • BASAL IMPLANTS/CORTICAL IMPLANT
  • Trending alternative for treatment modality for
    atrophied ridges
  • Is a term used in reference to the principles of
    utilizing basal bone areas which is free of
    infection and resorption, and employing of the
    cortical bone areas. The load bearing tolerance
    of the cortical bone is many time higher than
    that of spongious bone.
  • Types of BASAL IMPLANTS
  • BOI-Basal osseointegrated lateral basal
    implants

22
  • ADVANTAGES
  • Safe and painless procedure.
  • Use of single piece implantology. Very fast
    procedure (Within 72 hours fix and permanent
    teeth) and high rate of success.
  • No need of bone graft.
  • No screw loosening and crestal bone loss.
  • No cantilever is placed.
  • Sinus is not involved, so no chance of sinusitis.
  • BOI/BCS require patients own residual bone for
    anchorage.
  • Avoiding risky bone augmentation complications.
  • Immediate loading-no edentulous phase, no
    secondary operations
  • ,good patient acceptance.
  • Can be placed even if periodontal involvement is
    present. BOI and BCS implants can be placed
    immediate after teeth or infected tissue is
    removed.
  • Low demand for patient compliance.
  • As cortical bone is resorption and infection
    resistance load transmission areas are strictly
    cortical.
  • Even skeletal discrepancies can be neglected
    teeth may be
  • positioned in regions where no bone is presents.

23
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