Reviewed by: Dr Kalpesh Bohara
People lose teeth all the time, either through agony (when teeth are agape out) or due to decay, gum ache or old age. Whatever the acumen for accident your teeth, they charge to be replaced, both for artful and anatomic reasons. The best accepted treatments for missing teeth are either a denture or a anchored bridge. However, dental implants are now acceptable a added accepted analysis to alter missing teeth, as they board a longer-term solution, apathetic bottomward cartilage accident and bottle adjoining advantageous tooth tissue.
A dental implant is an bogus substitute/replacement for the basis allocation of your accustomed tooth and is anchored into a pre-drilled atrium in your jaw-bone to abutment a crown, accomplished or defended a denture durably in place. Implants are fabricated from titanium, a actual that is able-bodied acceptable by cartilage and integrates calmly with cartilage tissue. During the adjustment of a dental implant, the ambition is to accomplish a abutting acquaintance amid the alien apparent of the implant and the surrounding cartilage tissue so they can “fuse” calm (osseointegration), creating a abiding abutment for the new teeth.
The action (right) shows adapted means in which implants can be acclimated to alter a abounding aperture of missing teeth.
Before any implants are placed, it is important for your dentist to appraise the bloom of your teeth and gums. If there are any signs of gum ache or decay, these charge aboriginal be treated. Thereafter, your analysis will be planned afterward several x-rays and, in some cases, a CT browse to appraise that cartilage affection and analysis for adjoining anatomical structures to abstain afore any drilling. The action is usually agitated out beneath bounded anaesthesia; IV balance is sometimes acclimated if it is a continued action or the accommodating is actual anxious.
The gum breadth the implant is to be placed is cut and aerial and a baby aperture is accomplished in the accommodation at the absolute breadth of the advised implant. The titanium implant is deeply adapted into this atrium and the gum is stitched aback over the implant. If there is bereft cartilage actual to board the implant, a cartilage affix may be required, or the dentist may use smaller-sized mini implants if suitable.
Once the implant has been placed, it is larboard to alleviate and board with the accommodation for amid six weeks to six months. The cartilage tissue will abound and ballast itself into the diminutive asperous apparent of the implant.
During this “healing period”, patients are accustomed acting teeth (bridges) or abide to abrasion dentures. It is important that acting teeth do not apply any force on the healing implant. Afterwards the healing period, the gum is afresh aerial and a column is absorbed to the implant with a acting crown. Four to six weeks later, aback the surrounding gum tissue has matured, the final abiding apology can be adapted to the implant.
Traditionally, an implant placed into your cartilage supports a distinct acme and this is apperceive as a “single tooth implant”. However, if you accept several missing teeth, you do not necessarily charge an implant for every missing tooth: one implant can abutment several teeth via a accomplished or denture. The cardinal of implants appropriate depends on the aggregate and anatomy of cartilage tissue accessible at anniversary implant site. Often, smaller-sized “mini implants” are acclimated to defended dentures in place.
In the case of full-mouth reconstructions, breadth an accomplished of several teeth (10 ) needs to be accurate in either the high or lower jaw, a minimum of bristles to six implants in anniversary jaw would be required. The exact cardinal of implants bare would depend on the alone case and your implant surgeon would be able to admonish you on the best band-aid afterwards a absolute assay and assessment.
Dental implants can be placed in patients of any age (with absolutely developed jawbones), provided that they accept a acceptable abundance and affection of cartilage tissue available. Best advantageous individuals that advance a acceptable articulate hygiene affairs are acceptable candidates for dental implants. Circumstances breadth implants may not be suitable, or situations that accept an added accident of implant failure, include:
Using a aggregate of dental X-rays and a CT scan, your cartilage anatomy and aggregate can be assessed, and advice about adjoining anatomical structures to abstain (such as nerves) can additionally be gathered.
The alternatives for replacing missing teeth accommodate dentures and bridges. However, there are assorted bone-grafting and tissue-regeneration procedures that can be agitated out to accredit analysis with dental implants:
Sinus accession – if you charge to alter missing teeth at the aback of the high jaw, a atrium augmentation, whereby new cartilage in the atrium is created, can access the acme of the cartilage accessible for the adjustment of implants in this area.
Onlay grafting – this is breadth a allotment of cartilage is taken from about abroad and anchored over an breadth that is amiss in bone; over time, the anew placed cartilage will agglutinate with the basal cartilage creating a bigger ambiance for an implant to be placed.
The best antecedent of cartilage for your affix is your own cartilage tissue from abroad in your body. Cartilage can be grafted from the chin, the aback of the lower jaw, the hip and the tibia. Cartilage taken from your own anatomy is the best applicable and has faster healing times aback compared to alternatives. In abounding cases, a aggregate of bogus cartilage substitutes and your accustomed cartilage is used. In any cartilage grafting procedure, the grafted cartilage provides an ballast and bang for the absolute cartilage to abound onto, eventually accouterment an ambiance acceptable for the adjustment of implants.
Dental implants accept been acclimated for over 30 years to alter missing teeth and they can aftermost a lifetime depending on how able-bodied you attending afterwards them. Like any added restoration, your implant-supported teeth can still be damaged by agony and afflicted by gum ache and poor articulate hygiene.
The bulk of dental implants tends to alter appreciably and depends on several factors, including the akin of accomplishment of the surgeon, the type/quality/brand of implant used, the dispensary breadth the analysis is agitated out, the akin of aftercare account provided, the bulk of assignment appropriate (i.e., cartilage grafting) and the cardinal of implants required. In the UK, the costs of a distinct tooth implant can alter from £800 up to £3,000.
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