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Dental Implants

  • At OrthoSmile, we believe that dental implants are the best possible solution for missing teeth available today. To have a functioning set of teeth can greatly improve your quality of life. Not only will you be able to eat well, but you can also look great. Having your teeth helps give shape and support to your whole face. When teeth are lost, the gum and jaw bones shrink, which gives rise to a premature aging effect.  Dental implants are made from titanium that is coated with a special coating that encourages the bone to grow around it. Once the implant integrates into the bone (osseointegration) the implant can last a lifetime. The implant is then restored with a porcelain crown, just like a tooth would be. Unlike a bridge, implants replace a missing tooth without compromising the two teeth on either side of the space by crowning them. Implants are a predictable, conservative, and aesthetic approach for tooth replacement.  They are incredibly strong which means that you can bite and chew with an implant just as well as with natural teeth. They are very long-lasting, and allow you to live as if you had all of your natural teeth. Implants are also very versatile, and a combination of one or more implants can be used to restore anyone's smile to brilliance.

    Dental implants are made from titanium that is coated with a special coating that encourages the bone to grow around it.

    OrthoSmile was built to provide the best possible environment, with the latest technology and equipment and with the only use of top-quality dental implants.

    Please visit us for a consultation with our dental implantologists, Dr. Ken Kasidis, to discuss your dental implant options. We do a lot of implant dentistry and make beautiful results happen where there was a missing or broken tooth. Come in and see some of our recent work using dental implant technology.

  • What are Implants?

    Implants consist of small titanium posts which are placed into the jawbone where teeth are missing.  The bone bonds with the titanium, creating a strong foundation for artificial teeth.  In addition to restoring natural appearance in the mouth, implants can help preserve facial structure, preventing bone deterioration, which typically occurs when teeth are missing.

    jawbone
    • Dental implants are small titanium screws which are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth.  A person with implants regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contour have been preserved.

    What are the components of an implant?

    The main component is the titanium implant itself. This resembles a precisely manufactured screw with a specially roughened surface which makes it very compatible with bone. The implant is about the same size as the root of a natural tooth. It is placed into the bone and left to integrate for 4-6 weeks. By this time it is rock-solid in the bone. There are no problems with the integration of the implant into the bone, because titanium is one of the few materials that can perform osseointegration, whereby the implant is accepted into the bone which fuses around it.  Once the implant is solid in the bone, the second part, a special titanium post, can be screwed into the implant. This is called the abutment. The abutment allows the fixation of the final part of the implant – the crown (a replacement tooth). The crown is usually screwed into place. The porcelain on the crown is custom made to match the color of the rest of your teeth, so that the implants are imperceptible from natural teeth.

  • Why implants?

    The Benefits of Dental Implants

    Choosing dental implants as a treatment option can offer you a number of significant advantages.

    • Maintain anatomy.

      If you have missing teeth, the bone begins to shrink over time. Unhealthy bone loss can make your jaw line recede and change your facial structure. Dental implants can help prevent deterioration of the jawbone so your face retains its natural shape.
    • Keep your healthy teeth.

      A better long-term alternative tobridgework, dental implants eliminate the need to grind down healthy teeth when replacing one or more adjacent teeth. Your own natural healthy teeth are not compromised.
    • Security.

      Securely anchored dental implants do not slip or move. This eliminates some of the key problems of dentures, including poor fit, gum irritation and pain from exposed nerves. The result is superior comfort, reliability, and freedom from embarrassment.
  • Uses of implants

    Dental implants can be used in almost any situation to provide the strongest possible platform for the replacement of missing teeth. Here are a few common situations where dental implants can help to restore your smile 

    Single Tooth Replacement

    Single Tooth Replacement
    • Unlike bridges and dentures, implants more closely mimic natural teeth in appearance, feel and function.
    • Unlike a conventional three-unit bridge used to replace a single tooth, the healthy adjacent teeth do not have to be modified to support the bridge.
    The implant abutment was then connected 8 weeks after the implant placement.
    • This lady had been without a front tooth for many years. She had been wearing a denture. A dental implant was placed with bone grafting. The implant abutment was then connected 8 weeks after the implant placement.

    Replacing Bridges

    Implants are so strong that they can be used to permanently replace your bridge.

    Implants are so strong that they can be used to permanently replace your bridge.

    Retaining or replacing dentures

    dental implants
    • Implants can be used to retain dentures which will stop your dentures from moving. This can be incredibly useful if your dentist has been unable to make a set of dentures which does not move. Implants can also be used to do away with dentures all together and return you to fixed teeth again. So if you are fed up with your dentures and have to always watch what you can eat, avoiding tough food, then denture free implants can be a great solution. Just imagine being able to bite into a crisp apple or eat a raw carrot! Many dentures have unsightly clips on existing teeth which can now be eliminated with dental implants.

    food escaping under the denture

    Replacing unstable or infected teeth

    If existing teeth are becoming a liability and your dentist is unable to reliably fix the problem, many patients are now choosing to have the problem tooth carefully removed and replaced with a much more reliable and stronger dental implant

    Replacing unstable or infected teeth

    Full Mouth Rehabilitation with Dental Implants

    Extensive rehabilitation of an aesthetically challenging case with advanced periodontal disease, failing teeth and bone loss.

    This gentleman presented with advanced periodontal disease and requested an aesthetic restoration of his mouth. He had already suffered some tooth loss and all of his remaining maxillary teeth were very mobile with advanced bone loss around most of the teeth in the upper jaw and posterior teeth in the lower jaw.

    Extraction of his hopeless teeth, placement of implants, bilateral sinus lifts and bone grafts and a full upper and partial lower restoration was carried out along with thorough periodontal treatment.

    Full Mouth Rehabilitation with Dental Implants

     

  • Implant FAQs

    •   Who is a candidate for dental implants?
      • Each year, hundreds of thousands of people all around the world benefit from dental implant therapy, from children in their early years to adults in their nineties. According to The American Academy of Periodontology, "The ideal candidate for a dental implant is in good general and oral health. Adequate bone in your jaw is needed to support the important, and the best candidates have healthy gum tissues that are free from periodontal disease.

        Your dentist will evaluate various factors to determine if you're a candidate for dental implants. Those factors may include certain health conditions (e.g., uncontrolled diabetes) or risk factors (e.g., smoking). These types of conditions may not rule out dental implants, but they must be taken into consideration to be sure they will not compromise successful implant therapy. 

        One important factor affecting implant therapy is the density of your jaw bone, which can vary in density from very dense (ideal) to very porous or spongy. Less-than-ideal bone dentistry does not necessarily prevent having dental implants, but it will likely affect your treatment plan.

    •   Am I too old for dental implants?
      • No. Any person at any age can have dental implants as long as there is enough bone available in which to place the dental implants. If there is not enough bone, extra bone can often be grafted.

    •   What are the benefits of dental implants?
      • 1.Your new dental implant will look and feel like natural teeth.
        2.With dental implants you will have more confidence to smile and even be able to bite an apple!
        3.Dental implants can replace a removable denture with fixed teeth.
        4.Dental implants stop your gums and bone from shrinking which reduces the aging effect caused by losing teeth. 
    •   Will I be left without teeth during treatment?
      • We understand it can be embarrassing for patients to be without their teeth. During the treatment we will ensure that you will always smile confidently and that nobody will know you have a gap. 

    •   Is dental implant surgery painful?
      • We work closely with our patients to ensure that they feel no discomfort during the placement of the dental implant. This is through using an effective local anaesthetic. Post-operatively we supply painkillers to ensure that our patients remain comfortable. We also offer Sedation if you want to know nothing about your treatment.

    •   How long does the treatment take?
      • For routine cases treatment time is usually ten weeks. More complex cases can take longer. For instance, when there is sufficient bone, treatment time is shortened and when there is insufficient bone, treatment time can be increased. Your specific treatment schedule will be explained to you during your consultation.

    •   Would I need to do anything prior to implant treatment?
      • Yes. As part of our consultation we will screen your gums and bone for any infections. Prior to implant placement your remaining teeth and gums need to be healthy.

    •   What if I am nervous about the treatment?
      • Some of our patients prefer to have the dental implants placed under sedation. A sedative can be carefully administered to relax you during the treatment, and ensure that you remember nothing about it afterwards. 

    •   Is there a minimum age for dental implants?
      • Bone growth should be completed at the time of implant placement. It can be assumed that this is complete by about the age of 18 years. Girls generally finish growing earlier than boys. In case of doubt the state of the bone can be checked by an x-ray examination of the carpal bones.

    •   Is implant placement contraindicated at an advanced age?
      • It is never too late to improve your quality of life with implants. The treatment is so low-risk that implants can be placed in patients aged 70, 80 or even 90 years. There is no upper age limit. If you are fit for any other routine dental treatment and you are in good health, you can also have implants.

    •   Will metal detectors beep at my implant, such as at an airport check?
      • No, don't worry about it. Implants are not magnetic and they are also much too small to trigger the detector. And if the detector ever does beep at your implants, you will have your implant pass that will explain the problem quickly and easily.

    •   Is it possible to be allergic to dental implants?
      • Dental implants have been available for more than 40 years. Over this long period no allergies to titanium implants have become known. Titanium has no allergenic components and is completely neutral in the body. Of the materials used for crowns and bridges ceramic has proven the most compatibility to the body. The allergy risks vary for metals and plastics. Let your dentist advise you what material is best for you.

    •   Is a general anesthetic really not necessary for implant placement?
      • No. Local anesthetic can completely prevent any pain. When the dentist prepares the implant site in the bone and place the implant in, you will feel vibration and a slight pressure but no pain. For most patients the procedure feels like a normal treatment for caries, which is also conducted under local anesthetic. However, if you still want to „sleep“ during the treatment the dentist can explain the implications of general anesthetic.

  • Dental Implant Procedures

    Step by Step replacing one tooth

    • Implant step 1
    • The need to replace a missing tooth could be the result of an accident or because there was no predisposition for a tooth at birth
    • The need to replace a missing tooth could be the result of an accident or because there was no predisposition for a tooth at birth
    • Implant step 2
    • The dental implant is installed in the jawbone. No healthy teeth are affected or damaged. With other replacement solutions, adjacent teeth might need to be ground down to support a bridge.
    • The dental implant is installed in the jawbone. No healthy teeth are affected or damaged. With other replacement solutions, adjacent teeth might need to be ground down to support a bridge.
    • Implant step 3
    • The abutment is attached to the dental implant. A crown is then placed on the abutment, fitting perfectly at the edge of the gum.
    • The abutment is attached to the dental implant. A crown is then placed on the abutment, fitting perfectly at the edge of the gum.
    • Implant step 4
    • The new tooth is now complete and it is virtually impossible to see the difference between the existing teeth and the new tooth
    • The new tooth is now complete and it is virtually impossible to see the difference between the existing teeth and the new tooth

    Step by Step replacing several tooth

    • Some people lose teeth in the back of the mouth. This is typically caused by gum infection (periodontitis) or by teeth cracking due to previous fillings.
    • teeth cracking due to previous fillings
    • orthosmile dental pattaya replacing several tooth 1
    • Between two and four dental implants are installed for a dental implant bridge. This solution does not affect your own teeth. The bridge will function for many years, regardless of the condition of your existing teeth.
    • This solution does not affect your own teeth
    • orthosmile dental pattaya replacing several tooth 2
    • Abutments are attached to the dental implants. The next step is to fit a bridge; the new set of teeth is placed on the abutments.
    • Abutments are attached to the dental implants.
    • orthosmile dental pattaya replacing several tooth 3
    • The dental implant bridge is now in place and can withstand the strong chewing forces that occur in the back of the mouth. It feels and functions like natural teeth.
    • It feels and functions like natural teeth.
    • orthosmile dental pattaya replacing several tooth 4

    Replacing all teeth

    If all of your teeth are missing in the upper or lower jaw, dental implants are the best solution. You can choose a full bridge that is attached to several dental implants. Another option is a removable prosthesis that is attached via anchoring devices to two or more dental implants. The prosthesis remains securely in place in your mouth – yet it is easy to remove.

    • Treatment overview
      A thorough examination
      The first step in dental implant therapy is a discussion with your dental professional, followed by a thorough dental examination. The jaw is x-rayed to check the condition of the bone tissue and to determine the placement of the dental implant. An impression is made of the jaw and existing teeth, forming an important platform for the treatment.
    • A thorough examination

    Inserting the dental implant

    There are two options for dental implant placement depending on your clinical situation. In a one-step procedure, the dental implant is put in place and a temporary abutment is attached. In a two-step procedure, the dental implant is inserted and then covered by the gum. The abutment is attached at a later date.

    In both cases, a temporary tooth or prosthesis is put in place, followed by a maximum healing period of three months for the lower jaw, and six months for the upper jaw. In some cases, the dental implant can be loaded immediately although this depends on your bone condition.

    Attaching the abutments

    In a one-step procedure, the temporary abutment is replaced by a permanent one after the dental implant has bonded with the bone tissue. The second part of a two-step procedure involves making a minor incision to open the gum and put the abutment in place.

    Producing the teeth

    When the abutment is in place, a new impression is made. It is then compared with the impression made during the initial examination. Based on a final model, a dental technician carefully crafts the crown, bridge or prosthesis. Special attention is given to ensuring the right color and shape so that your new teeth look like your natural teeth.

    Fitting and re-examination

    When the teeth are ready, your dental professional simply attaches them to the dental implants. This is usually followed by a few follow-up visits to check functionality and esthetics and to make sure you are completely satisfied with your new teeth.

    Healing period

    When you are ready for a dental implant, you will have a solution tailored to your needs, general state of health and the quantity and quality of your bone tissue. These factors also determine the total duration of the treatment. Consult your dental professional for advice on your specific options.

    Step by Step replacing all teeth

    • replacing all teeth 1
    • a removable prosthesis that is connected to two or more dental implants.
    • If you have lost all your teeth in one or both jaws, you can choose a permanently anchored dental implant bridge or a removable prosthesis that is connected to two or more dental implants. This is called an overdenture. This type of overdenture remains in place more firmly than a conventional removable prosthesis. For the most natural looking solution, the permanently anchored dental implant bridge is the answer when the prerequisites are met.
    • replacing all teeth 2
    •  a secure foundation to attach the prosthesis.
    • For a permanently anchored dental implant bridge, several dental implants are installed to form a good foundation. Because the dental implants are anchored in the jawbone, they stimulate the bone tissue and help to maintain healthy bone levels and facial structures.

      An overdenture involves installing two or more dental implants that will be used as a secure foundation to attach the prosthesis.
    • replacing all teeth 3
    • The prosthesis is fitted with corresponding devices underneath.
    • The abutments are attached to the dental implants and the bridge is fitted in place. All dental work is performed according to your prerequisites and wishes.

      For the overdenture, either ball abutments or a small bar between the abutments are used. The prosthesis is fitted with corresponding devices underneath.
    • replacing all teeth 4
    • The dental implant bridge
    • The dental implant bridge, or the overdenture, is now in place. It looks and functions like normal teeth. You can now eat whatever you like and laugh without having to worry about the prosthesis falling out.