Dental Implants

Implants are the modern way to replace missing teeth. An implant is a tiny titanium screw which is drilled in the bone where the tooth's root would normally be. Osteointegrationis a process with which the implant stabilizes and becomes part of our jaw bone. When the implant is fully integrated to the bone, an abutment and a post is attached to it. A crown can be placed over the post to replace the missing tooth. A denture can also be stabilized with implant.2 to 4 Implants can be used to support dentures which is of great benefit to denture wearers.

The initial implant takes around 45 minutes and is usually done under local anesthetic. It takes about an average of three months for the implant to fully integrate with the bone of your jaw.

You can have any number of teeth replaced with implants - from a single tooth to a complete set. There are many companies which manufacture implants eg Bio-Horizon, Nobel Biocare.

To see if you are a good candidate for implants, we complete a medical and dental examination which includes all previous dental and medical history. An X-Ray or CT scan is done to look at the bone in your jaw to assess the amount of bone still there. If there is not enough, or it's not healthy enough, you might need some extra surgery (bone grafting) to build up the bone in the jaw.

What are the benefits of dental implants?

  • Implants prevents premature bone loss associated with loss of tooth or teeth
  • Implants give comfort and confidence to the patient
  • Patients can chew and digest the food well after getting dental implants
  • Patients with loose lower denture feel relieved as now their dentures are firm. The same dentures stop causing sore and clicking sounds.
  • Biting forces are improved leading to better chewing.

Am I a good candidate for implant?

Good general health is a prerequisite for implants. All pre-existing diseases should be under control and all blood parameters should be within normal limits with medication.

  • Healthy gums with no active infection.
  • Sufficient bone should be present to place the implant.
  • Patient should be disciplined to follow the oral hygiene practices and visit the clinic for regular check ups.

How to prepare for the implant surgery?

  • Ensure that you have had all the medication prescribed for the dentist.
  • Have a good night's sleep and take a low dose of anti-anxiety medication in case of stress.
  • Do not skip a meal on the day of the surgery.
  • Wear comfortable clothes on the day of the surgery.
  • Do not wear any makeup as we would need to scrub the area around the mouth.
  • Lastly switch off your mobile while the surgery is happening.

What are the post operative instructions after the implant surgery.

  • We would prescribe pain medication and in some cases antibiotics to help you feel comfortable after the surgery.
  • You may be provided with an artificial teeth in case the implant is done for the front teeth.
  • Remove the cotton pack 30 minutes after the surgery. AVOID SPITTING for the first 24 hours.
  • Anaesthesia will wear off in about 1 hour so avoid eating during this period. However you could drink anything cold while the anaesthesia effect is still there.
  • Avoid hot drinks and food for 24 hours after the surgery.
  • Avoid using a straw and fizzy drinks.
  • Sleep with your head slightly raised with a pillow.
  • Mild soreness, swelling & discomfort might be present for 48 hours.
  • It is normal to have a slight blood ooze for the first 24 hours.
  • Hot fomentation should be avoided.
  • Avoid smoking for at least 4 days.

What are the risks involved?

Implant failures are rare. However risks like infection, injury to nerve and maxillary sinus, haematoma or bleeding or bone graft failure can happen in some cases.

Some patients do feel discomfort, swelling but this usually heals. At Smayate we give personalized attention to every patient undergoing implants.

What is the maintenance required for dental Implants?

  • Brushing twice a day.
  • Flossing once a day.
  • Use of water pik after meals.
  • Regular dental check ups and professional cleaning should be done every three months in the beginning and subsequently every six months.