What is a dental implants procedure? Dental implant procedure refers to a process of restoring damaged or lost teeth. It involves utilizing implants i.e. titanium-made root devices resembling a collection of teeth or a tooth in restoration procedure. Dental implants are normally strong, durable and cannot be distinguished from the natural teeth as their behavior and appearances is much similar to that of natural teeth and are capable of holding one or a number of teeth via a bridge or overdenture. Root canal failure, mouth trauma, congenital defects, tooth decay, gum disease or excessive wearing of the teeth may require utilizing implants to rectify these conditions. There exists two major dental implants procedure i.e. fibrointegrated and osseointegrated implant however; the most preferred one is osseointegrated implant careington dental.
Dental implants procedure involves various stages i.e.
Dental implants procedure planning: prior to beginning of the procedure, detailed and careful planning is essential as it hepls in identifying important structures e.g. the sinus or inferior alveolar nerve in addition to the dimension and shape of the bone to select the most appropriate implant for effective results to be achieved. Two-dimension radiographs e.g. periapicals or orthopantomographs are usually taken prior to implants procedure. In certain cases, CT scan may also be obtained or a specialized 3D CAM or CAD may help in planning the case. Whether manual or CT-guided, a stent (an acrylic wafer fitted over either the surface of the bone, the teeth or the mucosa having pre-drilled holes indicating the angle and the position of the implants to be used) may be used often to regulate the placement of various implants.
Basic dental implants procedure
In this stage, the bone is prepared for optimalimplant placement by use of either precision drills or via a hand osteotomes having high regulated speed to avoid either pressure necrosis or in certain cases, burning the bone. After a short duration of time to allow growth of the bone on the implant surface, crowns or a crown can then be placed on to the implant.
Detail dental implants procedure
This stage involves drilling a pilot hole into the edentulous jaw site (without teeth) carefully to avoid the important structures (mental foramen and IAN/ inferior alveolar nerve within the mandible). Normally drilling involves several steps. Progressively wider drills are used to expand the pilot hole based on the width and the length of the implant, great care should be taken to prevent causing any damage to the bone cells or osteoblasts by overheating. A cooling water or saline spray is used to maintain the bone temperature below 47 degrees after which the implant is screwed into position at exact torque to avoid overloading of the surrounding bone which might lead to osteonecrosis (death of the bone), which might cause implant failure to fully bond or integrate with the bone.
This stage involves making an incision over the site`s crest where to place the implant known as a flap. Certain dental implants procedure allow for flapless procedure which involves punching out of a portion of mucosa from the implant site. Research indicates that flapless procedure reduces the healing time for the dental implant.
Normally, the amount of time allowed for the implant to recover before placement of restoration on it differs widely based on different practitioners. Generally, it takes about 2 to 6 months for recovery though studies indicate that loading of implant earlier may not accelerate long or short term complications, however, loading of the implant sooner may increase the possibility of failure.
There are different procedures that can be used to place the dental implant after the tooth has been extracted, these include: immediate, delayed which takes about two to three weeks after the tooth has been extracted or late post-extraction implant placement in which placement occurs after three months or more after the tooth extraction took place. The time required for loading the implants usually differs based on the time it is performed, though implants procedure can be grouped into three main categories namely: immediate loading dental implants procedure, early loading dental procedure which takes one to twelve weeks and lastly delayed loading dental procedure which is normally carried out after a period exceeding three months.