ABOUT US


  • Pune International Dental HospitalCentrally located in Pimpri Chinchwad
          on Mumbai Pune road.
Teeth Bleaching

PAINLESS DENTISTRY


  • Cosmetic Dentist Many people feel afraid or uncomfortable when
           they are placed in vulnerable positions.
Dental Implants
DENTAL IMPLANTS

Cosmetic Dentistry

In modern dentistry, dental implant is one of the best treatment modality for replacement of missing teeth. Basically dental implant is titanium screw which serve as replacement for the the root portion of the missing tooth. Dental implant is available in various sizes (height and weight)
Selection of dental implant varies according to clinical situations.
It can be use to replace one or more missing teeth. In edentulous patients implant retained dentures can be used. Dental implant retained denture provide fixed teeth to edentulous patients.

Advantages to Dental Implant
  • Dental implant is better than conventional bridge as they eliminate the modification of adjacent sound natural teeth & they do not place additional load on adjacent natural teeth.
  • Long time missing teeth lead to shrinkage of surrounding jaw bone. Denture implants help to maintain shape & structure of jaw bone by bone stimulation.
  • Implant retained dentures are more comfortable than conventional dentures because there is no slipping problem. As dental implant are fixed into the jaw bone they function like natural teeth.
    Implant retained denture eliminate key worries of denture wearer & thus improve self confidence.
    Now a days various implant materials & techniques are available so anyone with missing teeth can go ahead for the implants. Also due to development in dental implant techniques one can go for immediate implant.

    Benefits of Implants Benefits of Implants

Conventional Implants
Cosmetic Dentistry

With today's advancements in dental implant techniques, materials and technologies, almost anyone with missing teeth can now have Dental Implantologist treatments done. Conventional implants techniques have had good long-standing success rates.

Also due to new developments in implant technologies and techniques, immediate implants and immediate loaded implants are now possible that can dramatically shorten treatment.

Conventional Dental Implants Procedure
Procedure for placement of implants involve several steps requires period of 2 to 6 months.

Assessment of patient & treatment planning
In first visit case assessment is alone in which patient is examined for systemic diseases. When patient wishes to proceed with implant treatment detail assessment of patient is done. This involves X-rays, OPG, CT scans & taking of impressions.

Placement of Dental implant
It is simple procedure. This is performed under local anesthesia in sterile conditions in a dental clinic. If required bone contouring can be done using artificial bone.

Osseointegration (Healing Process)

  • Dental implant is left in jaw bone for integration for period of 2-3 months.
  • Suture removal is done after 7-10 days of surgery.
  • Temporary bridge or simple dentures can be worn during the healing phase

The Restorative Phase
After complete healing when tissues gum is ready; special abutment is attached to the implant
  • If overdentures are opted, the metal bar/ball is placed and clip is used to securely retain the set of new over denture.
  • If crown or bridges are opted, abutment is placed which provides the support for new crown or bridge.

Maintenance
  • Patients are demonstrated brushing and flossing around implant.
  • Patient is recalled for check-up

Delayed Placement Mature Bone Site
Delayed Placement Mature Bone Site Delayed Placement Mature Bone Site
   
Delayed Placement Mature Bone Site Delayed Placement Mature Bone Site

Immediate Implants
Dental implants can now be placed after tooth extraction if bone condition and density are favourable.This technique is called as "Immediate Implant/Single day implants/Same day implant or One day implant."

Immediate implant placement in extraction socket


Immediate Implants Immediate Implants
   
Immediate Implants Immediate Implants

What is Immediate Loaded Implants (Teeth in an Hour)
In some patients, temporary or permanent prosthesis can be placed immediately during the same treatment visit. This is called as immediately loaded implants.
This forms the basis of "TOOTH IN AN HOUR" concept which is widely being used by Dentist Pune.
The immediate loading of dental implant shortens the treatment time.


Advantages of Immediate Loaded Implants :


Benefits of Immediate Loaded Implants

  • Shorter treatment period
  • Good aesthetic result
  • Immediate functioning teeth

Immediate loaded implants are dependent on the individual bone quality and conditions so they do not apply to all cases.

Decision to immediately load the implant is largely depend on clinical judgement of dental surgeon.
Following rules must be kept in mind:
  • Patient should be healthy
  • Patient should have good oral hygiene
  • Site selected for immediate loading should be free from infection and even adjacent tooth should be free from clinical/radiological sign of infection
  • Good bone quality and quantity is required
  • Patient should have stable occlusion

Implants supported Fixed Bridge Implant supported fixed bridge is best treatment modality if there are no posterior teeth or no healthy natural teeth available to support fixed bridge or when multiple natural teeth are missing.
It gives better stability and strength than removable partial denture.As bridges are tightly secured,patient can chew better.It helps to improve quality of life as well as self confidence.It helps to save adjacent teeth as it prevents bone loss and drifting of existing teeth into missing teeth space.It requires less maintainance than implant supported overdentures. Metal, ceramic, all-ceramic or zirconium teeth can be placed as per the patients choice.

Installing Implants with Fixed Bridge
1] Before the procedure

Installing Implants with Fixed Bridge Installing Implants with Fixed Bridge

2] At first implants are placed and left for 3-4 months to get integrated with the jaw bone.In case of immediate loaded implants a temporary bridge can be placed at the same time.

Implant Placement Implant Placement

3] Fixing bridge to the implants

Attaching the bridge to the implants Attaching the bridge to the implants

4] The new bridge handles all pressure like natural teeth.Patients wil have secure and stable solutions that allows them to eat whatever they want.

End result End result

Implants supported Overdentures
  • It is removable
  • Simple and relatively inexpensive.
  • Existing denture can be used.
  • As dentures are stabilized with implants it prevents slipping of dentures.So it renews the self confidence as well as improved quality life.

Fullarch Implants with Overdentures

procedure

1) Presurgical procedure:
Before the procedure, assessment of patient is done.

Before the procedure

2) Placements of implants
Firstly, placement of implants which serve as replacement to the roots portion of missing teeth is done.Usually two implants are placed but in some cases for added overdenture retention four implants may be placed. Patients can wear temporary denture which enable them to eat.

Implant Placement

3) Attachment of bridge to the implant
A bar of ball is then attached on the top of the implants and the over dentures installed over it. The ball or bar acts as a clip that enable the over denture to snap securely in place.

Attaching the bridge to the implants

4) Final Procedure
At the end the removable overdenture are securely clipped on top of implant with the ball / bar.

End result

FAQ's regarding implants: 1) Am I a good candidate for dental implant?
Any healthy individual who wants to replace missing teeth, those who are unsatisfied with current dentures, those who would like to eat better and with more comfort, smile more frequently, and feel more secure when they talk or laugh are candidate for dental implants. If treatment is properly planned, the surgery accomplished following accepted rules of practice, the prosthesis fabricated correctly and maintained properly by patient success rates are in excess of 98%. In majority of situations only one or two implants are required. Patients who have implants placed eat better also can eat more comfortably and they donít need to use adhesives to retain their dentures.
They can talk and laugh without feeling self conscious and without fear of denture slippage.

2) Do dental implant require special maintenance?
No, Dental implant requires same care as real teeth such as brushing, flossing, regular dental check up.
  • Brush twice a day with soft brush.
  • Brush after eating leafy and sticky food.
  • Floss atleast once to twice a day use proxa brush or floss to remove plaque under and around the areas to maintain good oral hygiene.
  • Rinse with fluoride mouthwash before going to bed. Rinse vigoursly for atleast 1 minute. Do not swallow any of the rinse and don't eat or drink anything for 30 minute.
  • visit your dentist for routine dental check-up and cleanings.

special maintainence

Which Implant ?

Which Implant ?


Currently the market is flooded with companies marketing dental implants. Barring few and negligible differences almost all have same design and pattern. Choice for a particular product is purely based on user preference and being friendly to a particular product. Common systems available in the market include Nobel Biocare, Xive, Endopore, Alpha Bio etc

What to do in cases where bone volume does not support implants?
The success of a dental implant primarily depends on its ability to bear chewing forces which in turn is very much dependent upon how much bone is available in the site where the implant is placed. There are lots of things that affect the bone volume like gum diseases, trauma and age and it is not unusual to open up a site in the mouth for implant placement and find out that some of the critical supporting bone is missing. No problem.... Modern dentistry has gifted us new techniques to augment missing bone. We can increase both the height and width of bone by using bone substitutes called as Bone grafts. We can even use grafting techniques to prevent the loss of bone in circumstances where bone would normally be lost like the extraction of a tooth.

Types of Bone Grafts
There are a number of ways in which bone grafting can be done. The bone used for grafting may be collected when preparing an implant site and then reusing the same bone for grafting purposes. Use of such autogenous bone provides the best results.

But due to the limited quantity that can be procured and the requirement of a second surgical site, most often synthetic bone substitutes commercially available are used for the purpose. This bone is specially prepared from cadavers, corals or other sources but it is very effective and very safe.

The Sinus Lift
The human skull has several air filled cavities called "sinuses". They help to make the head lighter and add resonance to voice. However, they sometimes pose a problem in implant placement in the upper jaw specially in molar region by limiting the available bone volume. We cannot place a dental implant into the sinus because we would just be placing it into an air cavity and nothing would hold it into place. In such cases, bone grafts are placed on the floor of the sinus to increase the bone volume. The procedure is called "Sinus Lift". It has a very high success rate and is commonly done to augment bone for implant placement. We can then go back several months later and place our dental implants in solid bone. Sometimes, there is enough bone to place the implants at the same time that you raise the floor of the sinus.

Drawbacks of Bone Grafting Technique:
1. The bone grafting process adds significant time to the procedure.
2. The second problem is the increased cost to the patient.

Is the implant treatment very painful?
The implant treatment might appear very scary but infact it is associated with little or no pain or discomfort during the entire procedure.

Can anyone go for implant treatment?
Most of the patients can have dental implants irrespective of age. If you are healthy enough to undergo routine dental extractions then you are suitable candidate for implants.
In some cases loss or lack of sufficient bone to support implant may preclude implant treatment.
Smoking & Uncontrolled blood sugar level in diabetic person increase the number of problems associated with implants.

How long do implant last?
Statistics confirm a success rate of nearly 95% for individual implant & even higher for the bridges they support. Generally implant will normally serve its owner for life.

Is the implant treatment very painful?
Implant treatment might appear very scary but infact it is associated with very little or no pain or discomfort during entire procedure.
In general, the placement of single implant is no more traumatic than tooth extraction.

Which implant is better?
Now a days, implants of various marketing companies are available in market. Barring few & negligible differences almost all have same pattern & design.

Choice for a particular product is purely based on patient. Preference common systems available in market include Nobel Biocare, Endopore, Alpha Bio, Uniti etc.

What to do in cases where bone volume does not support implants?
The success of a dental implant primarily depends on it's ability to bear chewing forces which in turn is very much dependent upon how much bone is available in the site where the implant is placed. There are lots of things that affect the bone volume like gum diseases, trauma and age and it is not unusual to open up a site in the mouth for implant placement and find out that some of the critical supporting bone is missing. No problem.... Modern dentistry has gifted us new techniques to augment missing bone. We can increase both the height and width of bone by using bone substitutes called as Bone grafts. We can even use grafting techniques to prevent the loss of bone in circumstances where bone would normally be lost like the extraction of a tooth.

Types of Bone Grafts
There are a number of ways in which bone grafting can be done. The bone used for grafting may be collected when preparing an implant site and then reusing the same bone for grafting purposes. Use of such autogenous bone provides the best results.

But due to the limited quantity that can be procured and the requirement of a second surgical site, most often synthetic bone substitutes commercially available are used for the purpose. This bone is specially prepared from cadavers, corals or other sources but it is very effective and very safe.

The Sinus Lift
The human skull has several air filled cavities called "sinuses". They help to make the head lighter and add resonance to voice. However, they sometimes pose a problem in implant placement in the upper jaw specially in molar region by limiting the available bone volume. We cannot place a dental implant into the sinus because we would just be placing it into an air cavity and nothing would hold it into place. In such cases, bone grafts are placed on the floor of the sinus to increase the bone volume. The procedure is called "Sinus Lift". It has a very high success rate and is commonly done to augment bone for implant placement. We can then go back several months later and place our dental implants in solid bone. Sometimes, there is enough bone to place the implants at the same time that you raise the floor of the sinus.


Drawbacks of Bone Grafting Technique
  • The bone grafting process adds significant time to the procedure.
  • The second problem is the increased cost to the patient. Is the implant treatment very painful?

  • The implant treatment might appear very scary but infact it is associated with little or no pain or discomfort during the entire procedure.

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