IMPLANTOLOGY

A dental implant (also known as an endosseous implant or fixture) is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called osseointegration, in which materials such as titanium form an intimate bond to bone. The implant fixture is first placed so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic. Implantology is the most popular treatment alternative to replace missing teeth. The loss or damage of teeth can considerably affect an individual’s everyday life and confidence. Many people with dental problems avoid smiling and going out, causing them to appear less social, or unhappy.


Success or failure of implants depends on the health of the person receiving the treatment, drugs which affect the chances of osseointegration, and the health of the tissues in the mouth. The amount of stress that will be put on the implant and fixture during normal function is also evaluated. Planning the position and number of implants is key to the long-term health of the prosthetic since biomechanical forces created during chewing can be significant. The position of implants is determined by the position and angle of adjacent teeth, by lab simulations or by using computed tomography with CAD/CAM simulations and surgical guides called stents.

The prerequisites for long-term success of osseointegrated dental implants are healthy bone and gingiva. Since both can atrophy after tooth extraction, pre-prosthetic procedures such as sinus lifts or gingival grafts are sometimes required to recreate ideal bone and gingiva.Regardless of the aesthetic and psychological reasons, missing teeth should be replacedEvery gap in your teeth position potentially poses issues to your long-haul dental health. One missing tooth can ultimately lead to the loss of extra teeth and finally a change in your facial appearance over time.

The final prosthetic can be either fixed, where a person cannot remove the denture or teeth from their mouth, or removable, where they can remove the prosthetic. In each case an abutment is attached to the implant fixture. Where the prosthetic is fixed, the crown, bridge or denture is fixed to the abutment either with lag screws or with dental cement. Where the prosthetic is removable, a corresponding adapter is placed in the prosthetic so that the two pieces can be secured together.The initial step of the dental implant treatment at Fort hospital is a comprehensive initial consultation where your teeth, gums, and jaws are examined. A 3D CBCT scan is required at this phase to decide the implant positions and to evaluate the measure of bone to secure the implant. A detailed treatment plan is given to you specifying the expenses and appointments required for your treatment procedure.

The risks and complications related to implant therapy divide into those that occur during surgery (such as excessive bleeding or nerve injury), those that occur in the first six months (such as infection and failure to osseointegrate) and those that occur long-term (such as peri-implantitis and mechanical failures). In the presence of healthy tissues, a well-integrated implant with appropriate biomechanical loads can have 5-year plus survival rates from 93 to 98 percent and 10 to 15 year lifespans for the prosthetic teeth. Long-term studies show a 16- to 20-year success (implants surviving without complications or revisions) between 52% and 76%, with complications occurring up to 48% of the time . No special consideration is required for dental implant treatment. You will most likely be advised to keep your characteristic and artificial teeth clean by brushing and flossing and have ordinary dental check-ups.

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