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Dental Implants Tips

Dental Implants Or Dentures - Which Is Better?

Bachelor of dental science, MDS Prosthodontics
Dentist, Delhi
Dental Implants Or Dentures - Which Is Better?

Tooth loss occurs due to various reasons – decay and infection, fracture, accidents, gum disease, to name a few. Tooth loss has a negative impact on various aspects - facial appearance, chewing efficiency, and overall nutrition. The attempts to restore the lost tooth have led to various advancements from removable dentures to cast partial dentures to fixed dentures to implants.

Listed below are features (covering advantages and disadvantages) of both dentures (fixed and removable) and implants. While dentures can be complete or partial, implants are more often partial, of course, can be used to replace multiple teeth. A detailed discussion with your dentist along with oral and radiographic examination will help in making a decision.

Removable Dentures:

Advantages:

  1. Replaces tooth but more for cosmetic reasons than function.

  2. Poor chewing efficiency.

  3. Useful when multiple teeth are to be replaced, especially when no adjacent teeth are available for support.

  4. If good bone support is not available, retention is an issue.

  5. Not very healthy for the underlying jaw bone and adjacent gums.

  6. Requires daily and routine maintenance.

Fixed Denture(s):

Also called as bridges, as the artificial replaced tooth is a bridge between two natural teeth.

  1. Requires removal of sound tooth structure as abutment (support). This is the major disadvantage with fixed dentures, which promoted further work from the dentists, ending up with discovery of implants.

  2. Promotes tooth decay in the adjacent teeth.

  3. Good support, so retention is not an issue.

  4. Not as harmful to the underlying jaw bone as a removable denture.

  5. Requires maintenance but not like the removable denture.

  6. Expensive compared to removable dentures.

  7. Replacing a bridge also means the adjacent healthy teeth are affected.

Implants:

  1. Very good replacement alternative, replaces not just the crown structure but also the root structure.

  2. An excellent option when the jaw bones and gums are extremely in good condition.

  3. Almost natural restoration of both chewing efficiency and facial appearance, the person can eat almost anything.

  4. Not as harmful on the gums like dentures.

  5. Does not cause bone loss like dentures.

  6. Can be used to replace single or multiple teeth, where multiple implants are placed and a bridge is placed over them.

  7. The titanium screws that are used fuse with the jaw bone over a period of time.

  8. The titanium is also biocompatible, thereby reducing chances of allergy.

  9. Implants are expensive, and many insurance companies may not cover them.

  10. If properly fabricated and maintained well, then it can last for decades.

The decision to go for a denture or for an implant should be decided based on a detailed evaluation of overall health and if required radiographic examination. Both dentures and implants have advantages and disadvantages, and the dentist will help make the right choice.

1619 people found this helpful

Dental Implants - Know Important Points Of Consideration!

Dr.Banashri Bordoloi Bhuyan 89% (18ratings)
BDS (Implantologist)
Dentist, Guwahati
Dental Implants - Know Important Points Of Consideration!

Dental implants are titanium posts which resemble the root of the tooth. These posts are embedded in the jawbone below the gums. This makes it easy to place missing bridge or teeth of the area where inserted. Implants are different from dentures and benefit oral health as they are not fastened to other teeth like the bridges. Titanium is considered to have an affinity with bones and also when the new cells grow they attach to the post, thereby, making a strong bond.

Factors to Consider For Oral Implants

For consideration of implants, it is a must that one should have healthy gums and sufficient bone support. In case the bone is soft and thin a bone graft might be required to support the implant. Also, if in the upper jaw the bone height is not much or the sinuses are near the jaw then a sinus lift might be required. 
One has to undergo surgery to get replacements through dental implants and this fact is enough to give jitters to people. The fact is that implant surgery is just a routine procedure and is very successful if done in the correct manner and by trained hands. 

Reasons Not To Worry About Implant Surgery

1. Procedure is planned: This surgery is a minor operation as all the details are usually plotted prior to the procedure. In case of complex conditions, Ct imaging or x-rays are used to locate the positions for the implants. Surgical guides can also be used to generate passages and incisions for the placement of the implants.

2. Surgery can be done under local anesthesia: If a person has a healthy mouth then there is no problem for an implant surgery as it is much easier as compared to an extraction. When performed under local anesthesia then only the implant site and the tissues close to it are numb. Some people who suffer from anxiety can request their dentist anti-anxiety medication or a sedative to make them calmer.

3. Minimal post-surgery discomfort: A pre-planned procedure and advanced technique leads to less tissue disruption. Also, the tissues which are incised are stitched together with absorbable sutures. Post-surgery a NSAID (non-steroidal anti-inflammatory drug), such as aspirin is enough to relieve discomfort. In some cases, strong pain relievers might be required. 

The implant heals very quickly and the success rate of dental implants is almost 90-97%. After some days of the bone integration, dentist fixes a permanent crown which provides the same functions as that offered by the natural tooth. A successful implant is sure to give a confident smile and functions for a long time.
 

1718 people found this helpful

Implants - Know Forms Of Them!

Dentist, Mumbai
Implants - Know Forms Of Them!

A dental implant is a titanium post which mimics the root of the tooth and it’s surgically positioned into your jawbone beneath the gum line. After the implant is positioned, your dentist mounts replacement teeth or a bridge to replace a tooth or teeth that have fallen off, into that area.

Implants are a very useful new way to replace teeth that have been lost due to ageing, gum disease or trauma.

Benefits-
The options which were earlier available to replace missing teeth were an ordinary bridge which was attached to teeth on either side of the space left by the missing tooth.

  1. A big advantage of implants is that no adjacent teeth need to be chipped or ground down to hold your new replacement tooth or teeth in place.
  2. Dental implants allow you to speak without the worry that teeth might slip. It gives you improved speech. 
  3. An implant also is better for maintaining dental health as it does not have to be anchored to other teeth, like bridges.
  4. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
  5. Implants also don’t come loose as dentures can.

Because implants fuse to the jawbone, they provide stable support for artificial teeth. This means dentures and bridges mounted to implants don’t slip or shift in your mouth. This helps you eat and speak normally.

This secure fit also makes the dentures and bridges mounted over implants feel more natural than bridges or dentures.

Some people can’t get ordinary bridges and dentures because of sore spots, poor ridges or gagging and for them, implants are a heaven send.

Should you get implants?

You can only get implants if you must have healthy gums and adequate bone to support the implant. If your bone is too thin or soft you may have to get a bone graft first.

You should also be committed to keeping your implants healthy. For this, you should be committed to meticulous oral hygiene and regular dental visits as these will ensure the long-term success of your dental implants.

Types-

Two types of implants are considered safe by the American Dental Association. They are:

  1. Endosteal implants —These are surgically implanted directly into your jawbone. This is followed by a second surgery to connect a post to the original implant after the surrounding gum tissue has healed. And finally, an artificial tooth or teeth is attached to the post. This can be done individually or grouped on a bridge or denture.
  2. Subperiosteal implants — These consist of a metal frame that is fitted onto your jawbone. After the gums heal, the frame automatically becomes fixed to the jawbone. After these artificial teeth are mounted onto the posts, which are attached to the frame, and left to protrude through the gums just like with endosteal implants.
  3. Implants are very natural but they are expensive than other dentures or bridges, the other methods of teeth replacement.
5454 people found this helpful

Implant Dentistry - Know More!

Dr.Arunima Chandra 91% (427ratings)
BDS , MCP
Dentist, Bangalore
Implant Dentistry - Know More!

Missing teeth is a common issue and finding the best solution for patients is our goal. Dental implants are a permanent replacement of tooth roots. They are made of titanium and are attached to the jaw bone. Dental implants can be used to replace one or more teeth. They are also used in conjunction with dental bridges and dentures. 

1 person found this helpful

Dental Implants - What All Should You Know?

Dentist, Siliguri
Dental Implants - What All Should You Know?

Dental implants are generally identified as substitutes for tooth roots. Besides, replacing damaged or decayed teeth, implants also provide a strong foundation for both permanent as well as removable replacement teeth.

Advantages
There are loads of advantages of dental implants:

  1. Better overall appearance of teeth, since they are made to fuse with the bone
  2. Unlike removable dentures, implants are much more comforting as well as convenient
  3. Higher self-esteem as you will feel better about yourself
  4. Improved speech quality in the long run
  5. Eating becomes comparatively easier with implants rather than sliding dentures because they function like your own teeth
  6. Improved oral health
  7. Good durability (can even last a lifetime if taken good care of)

Success rate
Generally, dental implants have a very impressive success rate (up to 98%). This can differ, however, based on the placement of the implants.

Who can go for dental implants?

  1. Patients must have healthy gums
  2. Must have sufficient bone strength to hold the implants in place
  3. Must be dedicated to maintaining good oral hygiene
  4. Must visit dentist regularly

Procedure
There are many steps involved in getting an implant:

  1. An individualized treatment plan, addressing all your specific needs and prepared by a team of professionals, well versed in oral surgery and restorative dentistry
  2. Placement of the tooth root implant into the bone socket of the missing tooth
  3. Attachment of a small connector post known as an abutment, which securely keeps the new tooth intact
  4. Attachment of a crown (the replacement tooth) to the abutment

The operation is normally administered under local anesthesia. The whole process is not harmful at all, to say the least, and people have reported that a normal tooth extraction causes much more pain than a dental implant operation.

6369 people found this helpful

Dental Implants - What Are The Procedures Of It?

Dr.Anupreet Kaur Choudhury 92% (9057ratings)
BDS, MDS - Oral Medicine and Radiology
Dentist, Kolkata
Dental Implants -  What Are The Procedures Of It?

Dental implants are generally identified as substitutes for tooth roots. Besides replacing damaged or decayed teeth, implants also provide a strong foundation for both permanent as well as removable replacement teeth.

Advantages

There are loads of advantages to implants. These include:

1.   Better overall appearance of teeth since they are made to fuse with the bone.

2.   Unlike removable dentures, implants are much more comforting as well as convenient

3.   Higher self-esteem as you will feel better about yourself

4.   Improved speech quality in the long run

5.   Eating becomes comparatively easier with implants rather than sliding dentures, because they function like your own teeth

6.   Improved oral health

7.   Good durability (can even last a lifetime if taken good care of)

Success rate

Generally, dental implants have a very impressive success rate (up to 98%). This can differ, however, based on the placement of the implants.

Who can go for dental implants?

1.   Patients must have healthy gums

2.   Must have sufficient bone strength to hold the implants in place

3.   Must be dedicated to maintaining good oral hygiene

4.   Must visit dentist regularly

Procedure

There are many steps involved in getting an implant:

1. An individualized treatment plan, addressing all your specific needs and prepared by a team of professionals well-versed in oral surgery and restorative dentistry

2.   Placement of the tooth root implant into the bone socket of the missing tooth

3.  Attachment of a small connector post known as an abutment, which securely keeps the new tooth intact

4.    Attachment of a crown (the replacement tooth) to the abutment

The operation is normally administered under a local anesthesia. The whole process is not harmful at all, to say the least, and people have reported that a normal tooth extraction cause much more pain than a dental implant operation.

6431 people found this helpful

Unreplaced Missing Teeth - Know Impact Of Them!

MDS , BDS
Dentist, Kota
Unreplaced Missing Teeth - Know Impact Of Them!

Our teeth are most definitely, vital for our living. Our everyday choices, pertaining to our lifestyle would call for changes, adjustments and lots of sacrifices without them. Though, a number of replacement options are available for the people with missing teeth, the most recommended are dental implants. Ask why?

They are simply the ideal solution due to their look and feel, which is similar to the natural teeth.

What happens if replacement is not considered?

To prevent the nasty repercussions from occurring, it is necessary that any missing teeth are replaced in time. Though, the symptoms of problems due to missing teeth only appear to be superficial in the early stages, the long term effects may certainly prove to be quite severe.

Some of the short term consequences of missing teeth are as follows-

  1. People with missing teeth tend to feel self-conscious or even embarrassed at times, while they talk to others or smile.
  2. Problem in speech is a common issue that may arise due to tooth loss.
  3. When teeth are missing, people find it difficult to consume some certain food types. These may include ones which contain some essential nutrients, hence leading to possible malnutrition.
  4. Increased wear or stress can also lead to the weakening of the teeth that are remaining.
  5. People with tooth loss find it difficult to chew the food properly.
  6. When teeth are missing, there is movement of the teeth that remain, to compensate for the gap places created. This leads to ugly looking gap teeth.

Though, these were the short term issues, the major consequence of not getting any lost teeth replaced is the gradual bone loss. Our teeth are firmly embedded in the jaw bone. Chewing and biting are the constant uses, which are required by the jaw bone to remain hale and hearty as well as active. You may believe it or not, be it at the beginning or at the end; the major focus is not on the teeth, but on the bones.

Maintaining form as well as density of the bone requires regular stimulation, coming from the teeth, as mentioned above. The contact with teeth causes small stresses, which the periodontal ligament transmits to the bone and prompts its continual rebuilding as well as remodelling. When any missing teeth are not replaced, it leads to the gradual deterioration in the jaw bones, over time. This not only results in facial shape changes but also will eventually burn a huge hole in your pockets, as increased complications will also lead to increased costs required for rectifying the problems.

So, now it's up to you. Choose healthy and wise. Go for teeth replacement at the earliest, if and when, need arises.

4783 people found this helpful

Know More About Dental Implants!

Dr.Mandar Joglekar 88% (245ratings)
BDS
Dentist, Pune
Know More About Dental Implants!

The implant is a fixed replacement which looks, feels and functions like a natural tooth!

4 people found this helpful

Replacing Entire Missing Tooth!

Dr.Jyoti Ranjan 91% (630ratings)
Post-Graduate Certificate in Endodontics, B.D.S
Dentist, Cuttack
Replacing Entire Missing Tooth!

What if we could replace the entire decayed tooth with a new one. Yes, it can be done easily with dental implants. Simple procedure, less visits, absolutely zero pain and years and years of long-lasting stability. The best thing your body deserves.

Dental Implants - Know Merits Of Them!

Bachelor of dental science, MDS Prosthodontics
Dentist, Delhi
Dental Implants - Know Merits Of Them!

Root canal therapy (RCT) followed by a crown is the most common mode of treatment for severely decayed teeth. However, this is not devoid of failure. In another case, if a tooth could not be salvaged by RCT, then extraction followed by a bridge (replacing the removed tooth with support from adjacent healthy teeth) became the next best option.

In both cases, especially latter, healthy teeth are being manipulated to support the tooth being replaced. The next quest was to work without touching the sound tooth. So, instead of taking support from adjacent teeth, thought was given to provide support from within the bone - very similar to how a natural tooth stands. The lost root is replaced by a compatible metal, on which a tooth crown is then built. This was the beginning of dental implants, which has gained significant popularity over the last two to three decades.

Advantages:

-Does not affect adjacent healthy teeth
-Functionally better, as it has stronger support from the bone
-More esthetically appealing
-Maintain facial bone and soft tissue structure
-Better for the gum health compared to bridges
-Easier oral hygiene practices

Mechanism: A strong, biocompatible material is used to make screws which are inserted into the bone. Titanium is the most preferred material, and because of its unique property of osseo-integration (fuses with the bone), it fuses with the bone to reduce bone loss after the tooth is gone. In most cases, the titanium screws which act as the root for the implants are placed into the bone and allowed for some weeks to few months to fuse with the bone.  Then, an interim crown may be used until the screw is ready to take on an implant. The screw is periodically monitored and once it is completely accepted, then an abutment is placed on it. This acts like a stump or a root, over which a crown will be placed.

Though most implants are done for replacing single teeth, in many cases, multiple teeth may be replaced using abutments. If the missing teeth are adjacent to each other or in the same quadrant, then a denture might be overlaid over the abutments.  Alternately, a partial denture may be used which is screwed over an abutment.

Maintenance: Regular brushing and flossing, rinsing and mouthwashing assume a greater significance in patients with implants. Also, regular visits to the dentist are a must.

Dental implants are a boon for missing teeth, with the various advantages. However, it is not for all, with excellent bone health being one of the prerequisites.  A thorough dental examination will help determine if you are a right candidate.  Visit your dentist to find out more.

3019 people found this helpful
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