AKSHAY MULTISPECIALITY DENTAL CLINIC &IMPLANT CENTRE

Modern oral implantology can be traced since the 1960s, and it is now a predictable and successful treatment modality for edentulous (toothless) situations. A dental implant is a prosthetic tool that is fixed into the jaw to provide support to a crown, fixed denture, or removable denture.

A dental implant is a titanium pillar which helps to provide support when embedded into the jaw bone. Such titanium pillars are compatible with the human body and thus, are incredibly safe for usage. The implants then blend in with the bones and tissues and create a stable foundation for teeth restoration. By indulging into a process called abutment where the repair is attached with the help if a connector, a natural look is then obtained for the implants.

Dental implant procedure
Problems solved by dental implants
Used in for any tooth replacement; particularly useful for the:
Single tooth replacement
Completely toothless state
Long toothless spans.
When a fixed partial denture is compromised due to:
Weak abutments
Long toothless spans
Unfavorable number & location of abutments.
When a conventional complete denture may be compromised due to:
Poor muscular coordination.
Low tolerance of mucosal tissues
Hyperactive gag reflex
Procedure for dental implants
The surgical site is thoroughly cleaned and painted with 1% povidone-iodine solution to bring down the bacterial colony count in the mouth.

Incision: standard trapezoidal incision or branemark system buccal incision is made midway between the crest and depth of the vestibule, and then the flap is reflected lingually.
Drilling into bone: the manufacturer gives a guide to the sequence of drills (sizes) to be used to make proper sized drill hole for a particular implant.
Drilling: â the first drill invariably is the round one, to puncture the cortex at the crest. After that, the drills are used in ascending order of thickness.
Drilling speed: bone must be drilled at a speed less than 800 rpm. The drills are marked for depth to guide the surgeon as to how deep the hole should be.
Insertion: implants are provided in a sterile pre-packed container with an implant carrier, which is gently taken to the drilled site and hand twisted to engage a few threads, and then a special ratchet is used to screw the implant up to its required depth. The implant carrier is removed then and healing cap is screwed on to the visible implant top.
Irrigation: it is done with normal saline to keep the local bone temperature at normal body temperature and also to flush out the bone to debris from the drill hole.
Closing the wound: Black silk is the preferred suture material with a traumatic curved needle. Interrupted sutures are placed and are removed 5-7 days postoperatively.

Advantages of dental implants

Some of the advantages are as follows:

Preservation of bone: the placement of an implant will ensure that the bone level is maintained in that region.
Teeth can be positioned for aesthetics: with an implant, the teeth may be positioned where the natural one existed rather than in the neutral zones for stability.
Maintenance of vertical dimension: the loss of vertical dimension decreases due to wear and bone resorption. Implant dentures can maintain the vertical dimension, as bone resorption is minimal.
Occlusion: easier to establish proper occlusion and occlusal loads can be directed.
Improved mastication: enhanced bite force and masticatory efficiency.
Increased stability and retention
Reduced size of the prosthesis
The enhanced success rate of prosthesis

Healthy smile with dental implants

Disadvantages of dental implants

Some of the disadvantages include:

Expensive
Prolonged treatment duration
Involves a surgical procedure.
After effects of dental implants
Intraoperative

Tear of flap
Puncture of the buccal or lingual cortex
Lack of irrigation or insufficient irrigation
Lack of primary stability of implants
Rarely fracture of the implant
Immediate postoperative

Unusual pain
Rarely hemorrhage
Swelling
Nerve injuries
Delayed

Infection
Secondary hemorrhage
Nerve injury
Loosening of implant
Loss of implant

So, if a person wants healthy and natural teeth, then go for dental implants. It is found that the success rate for dental implants is 98%.
 

Spacing is a very common complication in upper front teeth. 

Its treatment varies with it's cause and factors affecting spacing. 

Treatment to correct adult spacing in teeth:

1. Orthodontic braces:
This is the most commonly preffered treatment where complete tooth movement is done 

2. Composite bonding:
It is a cosmetic filling tooth colour material used to close small gap between the teeth.

3. Indirect veneers:
Many types of materials are used like porcelain and composite where minimal tooth cutting is required for the material to accomodate and close the space.

4. Crown and bridges:
It is a more invasive treatment where the space is more and other options cannot be indicated.

Odontalgia or severe toothache is characterized by extreme pain or inflammation of the tooth and its surrounding areas. The excruciating pain that you might experience may stem as a result of gum infection, tooth decay, infection of the dental pulp, abscess and due to certain other reasons like extraction or filling of the teeth. Another key reason for extreme toothache is the fact that a number of heart problems such as myocardial infarction and angina tend to affect your dental health negatively.  
While some toothaches might occur sporadically, they might pose a danger against your overall well being in the long run if the condition is left untreated. Homeopathy can serve as the perfect antidote to your toothache problems and its effects are noted to be significantly higher when it comes down to the question of long-term consumption. Here is a list of homeopathic medications that might prove to be a pain alleviator for your dental complications:

1.HEPAR SULPH AND SILICEA
Root abscess responds positively to both Hepar Sulph and Silicea. For fever accompanied with occasional chills due to severe toothache, Hepar Sulph is considered to be the perfect remedy and tends to significantly decrease the level of swelling and pain. On the other hand, if your face swells and there is an incidence of gum inflammation, Silicea must be used to numb the effects of root abscess.

2.PLANTAGO
Plantago is noted to be the most commonly prescribed medicine for toothaches and for treating sensitivity. The pain extending to the ears from the teeth receives maximum relief due to the effects of Plantago. It might have to be taken internally or applied externally depending on the severity of the toothache and its accompanying conditions.

3.STAPHYSAGRIA
Sensitivity is best taken care of by Staphysagria and resolves the problem of worsening of toothache when any drink or food is consumed. Bleeding gums and excess salivation is also another aspect that is looked after by Staphysagria.

4.ARNICA
Tooth extraction and filling may often lead to the consequence of nerve-wrecking pain in the gums and the affected area. For this, Arnica is prescribed to assuage the nerve pain and must be taken in along with Hypericum, another homeopathy medicine, for best results.

5.MERC SOL
Problems of halitosis and excessive salivation that tend to occur simultaneously with toothaches can be solved by a dosage of Merc Sol. Bleeding gums, looseness of teeth and sensitivity are all taken care of by the same medication.

6.HECLA LAVA
For jaw swells along with toothache, you must always opt for Hecla Lava. The effect is instantaneous and relieves both swelling and pain.

7.CHAMOMILLA
Chamomilla serves as the best remedial homeopathic medicine for easing heat sensitivity that is likely to worsen the existing toothache. Drinks and food, either hot or cold, can then be consumed easily because of the numbing effect of this medicine.
 

Teeth may be lost due to various reasons - decay, periodontal disease, age, trauma, etc. Whatever the reason, losing a tooth causes some side effects, as noted below:

1. Reduced chewing efficiency, thereby affecting nutrition
2. Aesthetics, more effect if front teeth are lost
3. Structural support to the face - puckering can happen
4. Overall nutrition affected

For someone who has lost a tooth or teeth, dentures are a boon. There are various options for people, and choice can be made based on economic, cosmetic, and overall health conditions.

Options:
Partial/complete: If only one or few teeth are being replaced, it is a partial denture. This can be fixed or removable. In case of old age or trauma where all teeth are lost, a complete denture would be in order. In most cases, this is a removable denture.

Fixed dentures/Removable dentures: Depending on whether the denture is fixed in the mouth or can be removed when not in use.

Metal or ceramic or combination: In some cases, for aesthetic or economic reasons, the patient can decide to go for a metallic fixed partial denture. The fabricated crowns will have a metallic surface but is acceptable given the strength, especially in posterior teeth, which take a heavy mastication load.

In cases of front teeth loss, the denture should almost always be a ceramic one, especially for cosmetic reasons. If the person cannot afford, a removable denture can be done.

The optimal denture should be chosen based on a number of factors including the functional and aesthetic expectations.

Caring for dentures: It depends on the types of dentures you choose.
Fixed dentures: This requires religious brushing, flossing or interdental brushing, and rinsing. The edges of the denture can put pressure on the gums and cause irritation, this needs to be watched for.

Removable dentures:
1. Clean the dentures after every meal
2. Be careful when handling them to avoid fall and breakage
3. Handle the clasps with care, altered clasps may not fit properly
4. Clean the bone and gums around the denture after each meal
5. Soak the dentures overnight in water or a denture-soaking solution
6. Avoid soaking it in hot water, can lead to warping of the denture plate
7. Avoid hard brushing of the dentures

With any denture in the mouth, visit the dentist regularly every 6 months to keep a constant vigil on your overall dental health. Ill-fitting dentures, especially, need to be corrected immediately as they can lead to irritation, ulcers, and even infections.

With these small precautions, the denture can function to its optimal level and serve as a good replacement of the lost tooth.