Dental implants

Dental implants, are just subsititooths 🦷

What are dental implants?

  • Dental implants serve as artificial tooth roots and are placed within the jawbone.

  • They act as anchors for various dental restorations, including crowns, bridges, or dentures.

  • The implant structure typically consists of three components: the implant, the abutment, and the crown.

  • The term “dental implants” often refers to the combination of implant + abutment + crown.

  • These implants are commonly used to replace missing teeth and maintain the jawbone’s structure.

  • For those considering dental implants, factors like healthy gum tissue, sufficient bone density, and good oral hygiene practices are essential. Regular hygiene routines, dental check-ups, and a balanced diet contribute to their longevity.

By Coronation Dental Specialty Group - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=29442971

How is it done?

Here is a summary flow chart of how implants are placed:

For those who like to read text instead:

  • We need to examine your mouth and greenlight its suitability for dental implants.

    • If the planned teeth will be seen by everyone, will take additional photos and 3D scans to make a wax up.

    • You’ll be able to see a live preview of it in person, and if you’re okay with it will go on to the next step.

    • If your planned teeth are not complicated or won’t be seen by everyone, we’ll jump straight to the next step.

  • Stage 1: implant placement (foundation) appointment

  • Wait for 3-6 months for it to become stable

  • Stage 2: prosthesis fabrication and scans

  • If it is up to standard, installation will be done on the same appointment.

What are some of the alternatives?

For those who like read about pros and cons of dental implants, plus alternative treatments:

  • + Fixed to your existing bone.

    + The closest thing to +having your original tooth.

    + Long term lifespan

    + High success rate

    + Prevents and/or reduces bone resorption.

    - Cost

    - Involvement of multiple dentists and dental specialists

    - Time: takes weeks and months to plan and execute - like building a house from scratch!

  • + Fixed to the adjacent teeth.

    + A very good alternative to dental implants

    - The need to prepare and drill the adjacent teeth (big disadvantage if the tooth had never had a filling)

    - Not suitable if you have multiple large gaps to fill

    - Will not prevent bone resorption (can result from the tooth being replaced under the bridge to have large gaps and food trap).

  • Note: Option limited to upper arch only!

    + Relative lower cost compared to dental implants.

    + Medium term solution

    + Fixed to the adjacent tooth after conservative preparation.

    - Limited to the upper front tooth only - Will not prevent bone resorption - There will be a chance of debonding over time (i.e. the bridge unit comes off) but on the plus side it can be rebonded easily

  • + Relatively quick to make.

    + Conservative preparation of the existing tooth in order to make the denture stay in.

    + Good, economical option to fill in multiple gaps in your teeth.

    + Very adaptable to future changes (i.e. if you're upgrading to an implant)

    - Will not prevent bone resorption

    - Because of this, the denture will need to be serviced at least once every 6 months in order to allow the base of the denture to match the change in the bone height.

    - Not fixed in the mouth

    - Needs to be removed every night

    - Good oral hygiene is a must, otherwise the denture can cause the other tooth that is holding it to loosen and exacerbate gum diseases.

    - Potential poor tolerance due to people who have oversensitive gag-reflexes

    - May reduce your taste sensations - May reduce your ability to bite on foods compared to having natural teeth.

  • + Viable choice due to the costs of dental treatment

    - The alveolar bone where the tooth has been taken will slowly resorb over time once the tooth is lost.

    - Because of the above problem, it can make future replacement of your tooth more complex (adding to the cost of treatment)

    - Potential aesthetic concern.

    - Potential for drifting, rotation and over-eruption of adjacent teeth into the gap over time

    - Possible gum problems in the future due to the above scenario