According to dental researchers, advanced research and superior technology will bring radical changes in the dental care industry during the 21st century.
Dental implant is the most notable among these changes. Thirty years ago they were considered "quackery". Now they are the "gold standard" for replacing one or a full mouth of missing teeth.
Most dentists agree that dental implant appears as a great example of advanced dental care technology. A dental implant is an artificial tooth root that replaces a patient's missing natural tooth root. It establishes an ideal treatment option for those who have lost one or more teeth in the upper and or lower jaw due to accident, gum disease or some other traumatic experience. Whether making only one or two teeth or all of your teeth, this ace dental technique has become the standard for teeth replacement. New technologies, new implant designs, and new procedures have consistently made the use of implant quicker, easier, more reliable, and more affordable.
Dentures have been in use for more that 30 years. However, dental implants long ago surpassed dentures in providing a reliable treatment option for those who are missing all of their teeth. Fixed and removable bridges were once the standard of care for one or a few missing teeth. However, it is not the standard anymore. Now, single unit implants are used to replace one or a few missing teeth. This procedure is done without causing damage to the remaining teeth. This minimizes the need for further corrective dentistry along with the future cost and discomfort associated with it.
There are two basic approaches for placing and reconstructing dental implants. One is called immediately load and the other delayed load. With the immediate load technique, a tooth or teeth are built on one or more dental implants, on the same day when the implant is placed. The All on 4 technique is an example of immediate loading. Remaining bad teeth are removed, implants are place and the patient leaves that day with a new set of natural looking and functioning non-removable teeth. Delayed loading is commonly used when only one or two teeth require replacement. Because of bio-engineering concepts related to force and stress vectors it is often best to let single implants integrate for 4 to 6 months before they are loaded. A common exception to this single tooth delayed protocol is when a front tooth is lost by accident. In those cases, whenever possible, the remaining root is carefully removed, the implant is placed, and a temporary crown is secured to the implant all in one appointment. It is essential that this temporary crown does not make contact with the other teeth when chewing but if that can be accomplished this technique can be used with excellent success and the patient leaves with an attractive smile. This is appropriate for front teeth were as it might not be for back teeth for two reasons:
1. When we close together the front teeth do not touch one another so there is less pressure against front implant than back implant.
2. The incidental loss of a front tooth results in a sudden and dramatic change to our appearance thus justifying the slightly increased risk [approximately 5%] associated with immediate implant placement and loading
So, if you need a dental implant to replace a natural tooth either delayed or immediate loading will be options. An experienced Houston Dental surgeon will be able to discuss the pros and cons of each method with you so you can make an informed decision.
A dental implant is a permanent tooth replacement procedure for one or multiple missing teeth. This procedure is considered as one of the most successful procedures as it replicates the look and feel of a natural tooth.
If you are suffering from a multiple tooth loss condition, all on 4 dental implants offer a permanent solution to the traditional dentures. This method consist of using only four titanium implants to apply a dental prosthesis with at least twelve teeth fixed in the jaw. Here is a step by step description of the all on 4 dental implants procedure:
– Free Consultation – The first step involves making a visit to a specialized and trained implant specialist. He will examine you to decide whether you are a candidate for the all on 4 dental implants procedure. He will take impressions of your upper and lower jaw to be able to custom design and fabricate the prosthetic dental bridge. If you have any questions or questions, you can ask the specialist during the initial consultation.
– Preparation – When you will visit the specialist for the treatment, you will be given pre-operational instructions and medicines. Once you are prepared, you will be anesthetized for the specialist to begin the procedure.
– The Procedure – The specialist will first do a proper cleaning to remove all the failing teeth and infected tissues of your gums and jaw. Two dental implants are then placed near the front of your jaw as there are a greater number of bone tissues in that area. Another two implants are placed in the back of the jaw to enable them to get good support from the jawbone. After the implants are placed, the surgical site is thoroughly cleaned and you will be given some time to relax. Afterwards, final Touches are given to the customized temporary dental bridge and a new set of teeth are attached to the implants.
– Post-Operative Care – You will be given detailed instructions on how to care for your teeth post this procedure. If needed, you will also be given pain medication, anti-biotics or other required medicines. In most of the cases there is usually no discomfort felt and the patient feels better with time.
You will have to make one or two visits to the clinic about 10-14 days after surgery to make sure that the implants are healing nicely. After the implants have successfully integrated with the jawbone, you will receive the final dental bridge, made of durable materials.[Top]
Dental implant is something that people would like to have now. It is because the cost is not so high nowdays and more and more people can afford it.
Before you receive the treatment, you certainly need to understand the dental implant procedure. If not, it would be quite difficult for you to look for the good services.
Before the formal dental implant procedure takes place, there would be preparation work necessary. The gum tissue would be opened to show the bone area out and bone grafting might be necessary if there is insufficient bone for the implant.
As long as the healthy bone is established, special drill would be used to make the bone prepared for the implant.
The first of the formal dental implant procedure would be to place the implant. The implant would be placed and then the tissue would be sutured.
There would usually be a special post being attached to implant and this would be important for supporting the new crown which is made of porcelain. In recent years, the technology would allow dentists to include materials like zirconium to the implant. This would usually help the clients have more natural teeth because the materials would give a natural color and feeling.
After that, the healing process would be something that follows. This is considered as one of the very important and natural dental implant procedure and you should not underestimate the importance of it.
You should remember that there are actually a lot of steps taken by the dentist in order to find the best dental implant procedure for you. The structure of teeth varies from person to person. Therefore, you can find that there are actually differences in the necessary procedures for you to get the implant completed. In other words, dentists actually need to do a lot of things to make the impressions for you and this would be important for them to ensure that the implant process would fit your teeth structure. If not, it would be really impossible for them to do the implant because you would soon realize that some discomfort would be felt. Yes, some of the poor dentists may fail to find the implant which fits the patient and it would not be a good thing because in some serious cases there might be a need for the dentists to throw away all the works done and do the implant all over again.[Top]
If you are considering dental implant surgery, you probably have a lot of questions and, possibly, concerns. For starters, you should understand that there are different types of dental implants. Your dentist, working with his team of dental professionals experienced in oral surgery and restorative dentistry, will choose the most suitable one for your specific situation.
An ideal candidate for the procedure should be in good general and oral health, preferably without the signs of the periodontal disease. The state of your gum tissue is critical for the success of the surgery. That is why your dentist should have a periodontist in his dental implant team.
For dental implant surgery to be successful, you must have enough bone to hold the implant. If needed, bone augmentation can be performed, either as a separate procedure, or at the time of your dental surgery.
Having dental implants inserted takes several months. You may be disheartened to learn that the dental implant procedure involves having more than one operation. In most cases, "staged surgery" procedure is performed, so you will need to be patient. The results should be well worth it, and with adequate oral care on your part, your implants should last you a lifetime!
In the first stage, the tooth root implant is inserted into the bone socket of a missing tooth underneath your gum. This replaces your own tooth root. It will take six to twelve weeks for your jawbone to heal and grow around the implant, anchoring it into the jaw. After the healing period, the implant is surgically exposed by removing some of the gum.
The following step involves attaching an abutment that will hold your new tooth. Finally, after the gum has healed around the abutment, the replacement tooth is inserted into it. In some cases, these two stages can be performed during a single surgery procedure.
Making impressions of your teeth is required before taking a dental implant surgery, because your replacement tooth will be modeled based on this model in order to match the color, size, and other characteristics of your missing tooth. It will then be attached to the abutment.
Dental implant surgery is usually performed in the dentist's office. Occidentally, it may be performed in a hospital setting. The surgery usually requires local anesthesia only. Other forms of sedation may be used as well.
The level of discomfort is similar or less to that of tooth extraction. Any soreness after the surgery can be treated with OTC pain treatments.
Unfortunately, dental implants are not covered by dental insurance. Check to see if it is possible to get coverage under your medical plan.[Top]
Metallic dental braces are increasingly becoming a relic of the past and few would be saddened by their demise, especially those who suffered from bullying during their school years due to their use. New cosmetic dental procedures are slowly coming to the fore and taking their place. These include the ever popular but expensive invisible braces and the new 6 month smiles procedure which has become very popular in the United States and is increasingly seen in the UK and other western countries. This new system is a combination of traditional braces and new technology and materials. The old metal train tracks have been replaced by a tooth colored material and the wiring is almost invisible, making them a much improved version of dental braces that are used to straighten a person's teeth.
Although the 6 month smiles procedure is not as discreet as invisible braces, it is believed to be a significantly faster process; some claim around 25% of the time that invisible braces take, and at around half of the price this makes it a popular compromise.
At the initial consultation, impressions are taken of your teeth and approximately three weeks later, the treatment should be available to you.
Although each patient is different, it is not usual for any extra treatments such as bonding or veneers to be needed in conjuction with the six month smiles procedure.
After the name, the six months reflects not to an exact period of time that the procedure takes to complete, but an average time. For those with only minor issues, the period may be worse, while for those with very crooked and uneven teeth, it may be significantly longer. This will vary from person to person. The key factor is that they should not be removed until they have done their work correctly.
Although the treatment is not entirely effective at correcting underbites or overbites, it can be used to significantly improve these and make alignment much better, making eating and chewing more efficient.
As this is a cosmetic treatment, it is highly unquestionably to be offered on the National Health Service if you live in the UK, and would only be so in extremely rare cases. This is usually done privately and can be moderately expensive. Dental insurance plans may cover this treatment so if you are considering it, you should contact your insurance company to make sure that this is the case.[Top]
Many dental patients are concerned when they hear the words dental implants. These restorative devices should not be so intimidating. Prosthodontists use them to support dental health and preserve people's abilities to chew, talk and otherwise enjoy life.
What Are Dental Implants?
History tells us that people have been using dental implants for thousands of years. Ancient Egyptians and Mayans apparently used bone and wood to create false teeth. George Washington used wooden teeth.
Thankfully, science has advanced so that we do not have to depend on these materials any more. Dental implants are typically made from titanium today. They are surgically inserted in the jaw to take the place of teeth and their roots. Additionally, implants do much more than simply sit in place of dental structures. They support the surrounding teeth as well. Implanted into the jaw, they support various other dental prosthetic devices, such as crowns, bridges and dentures.
Dental Implant Procedure
Dental patients may notice that there is a lot of preparation before an implant procedure. The oral surgeon must identify the exact location, form and structure of the jaw and mouth. For example, depending on the future location of the implant, he may need to identify the abundance of the sinus cavity or the inferior alveolar nerve canal in the jaw. Aside from the usual dental X-rays, CT scans of the area may be required as well. It is important to know the exact shape of the jaw and amount of bone that can support the implants in order to avoid complications but also to prepare an implant that will fit exactly in place.
Once the planning has been finished, the oral surgeon can begin the actual procedure. It is necessary to make some sort of incision into the gums over the place where the implant will be inserted.
The implant is set in place without any other permanent adornment. It must be given time to let natural bone grow over it and set it in place firmly. Then, a prosthodontist can place crowns or other prostheses over the implant.
Recovery from Dental Implant
There is a great deal of debt over the proper amount of recovery time required to let the implant heal properly before placing a prosthesis on it. The general practice is to allow anywhere from two to four months for healing before adding the stress of a prosthesis, or four to six months if bone grafting is involved.
In very selected cases, a temporary prosthesis can be inserted on the same day of implant placement, possible if certain clinical criteria are meant.
Implants generally have a high success rate, although this is dependent on the type of procedure needed and the skill of the surgeon making the dental implant . So choosing the right dental surgeon to carry out the procedure is very important.[Top]
Dental care treatment has become an absolute necessity for millions of people worldwide; in spite of improvements and advancements in dental care and health, people are afflicted by gum disease and tooth decay. Till a few decades ago, bridges and fixing dentures were two main options for treating people with missing, broken or in situations where teeth have to be surgically removed.
Modern day dental care includes dental implants that are replacement teeth roots. An implant can support one or more artificial teeth; the implant is a screw made of titanium that is fixed into the jawbone in place of a tooth root when it fails. They provide a strong foundation or base on which removable or permanent teeth can be fixed to match existing natural teeth.
There are many advantages to dental implants, some of which are:
• Greater comfort – dental implants can help avoid discomfort of fixing and removing dentures.
• Ease of chewing and eating food – dentures do not always fit 100%; with use they become less fitting and chances of slipping out while chewing food are high. With dental implants, this problem is eliminated.
• Better oral health – dental implants do not require other teeth to be modified or adjusted thus ensuring that more natural teeth are left unharmed thereby improving dental health and hygiene in the long-term.
• Improvement in appearance – since dental implants are so designed that they fuse with the jawbone; they become permanent and feel like natural teeth.
• Speech improvement – unlike slurring or mumbling sometimes caused by dentures, implants do not slip ensuring better speech and communication.
• More confidence and self esteem – a good smile brings back confidence and a spring in the step.
• Convenience – dentures have to be removed and cleaned everyday; with dental implants this is not necessary at all.
• Durability – dental plates can last a lifetime with proper care and regular dental check-up.
Most dental implants can be safely done in the dentist’s office under local anesthesia. A slightly more complicated procedure may require hospitalization and intravenous sedation. Every dental implant procedure is different because it involves the patient’s preference, the experience of the dental surgeon and the overall need of the situation.
The procedure usually necessitates a three-step process because each stage requires time to heal.
This involves placing the dental plate flush into the gum, burying it like the root of a tooth would be. This is to give time for healing and to protect the implant from force. Once the healing period is over, the dental implant is exposed by surgically removing some of the gum covering it. This integration process is known as ‘osseointegrate’.
In this step, the dental surgeon examines the implant to see if it has integrated successfully into the gum and places a post or ‘abutment’ which is drilled through the gum. As the area around the gum heals it forms a collar which gives the dentist access to the implant while placing the artificial or prosthetic tooth.
In some cases, steps 1 and 2 are done together within small intervals. The advantage is that it eliminates extra surgical procedure; however this is a decision to be made by the dental surgeon taking into account the time needed for the implant to heal and integrate.
The time gap between steps 1 and 2 if done at different times can be from a few days up to a couple of weeks.
The final step is the fabrication and fixing of the prosthetic tooth or teeth to the integrated dental implants.
Medical or Dental Insurance
Dental plates by and large are not included in dental insurance. Here again, the factors leading to the implant are considered and in some cases, insurance coverage under existing medical plan may be considered by the insurance company. As dental implants are an expensive treatment, it is advisable to consult a good dental surgeon and finds the pros and cons before opting for it.[Top]
Porcelain veneers are a great way to cover chipped, cracked, discolored, slightly misaligned, or gapped teeth. The procedure is quite common and can be easily performed by most dentists in a matter of a couple visits. The veneers are made of a thin strip of porcelain, which is bonded directly to the front of the teeth in order to improve the shape and / or color of your smile.
First, consult your dentist and clearly express what it is that you would like to achieve. Obviously communicating your desires and expectations with your dentist will help ensure that you have successful results that you will be happy with. Your dentist can fully explain the procedure and answer any questions you may have.
After the initial consultation, your first visit will be to fit you for your new smile. It may be necessary for your dentist to strip away small amounts of the tooth to make room for the porcelain veneers. If this is necessary, a local anesthetic will be used to alleviate any discomfort. Impressions of your teeth will then be made and sent away to be crafted to fit your smile as closely as possible. If your teeth require any contouring, temporary veneers may be given to you to use until the permanent veneers can be finished.
When you return to the dentist for your second visit, your porcelain veneers will be test fitted to your teeth to ensure a comfortable and accurate fit. The dentist will then use a bonding agent to permanently secure the veneers to your teeth, creating a lasting seal. The tooth covering is then hardened, making your new smile durable and able to hold up to daily usage.
Your dentist will no doubt want to see you again for follow-up visits to ensure satisfactory results. Directly after the application of your porcelain veneers, your teeth may be a bit sensitive to temperature. Extremely hot or cold food and beverages should be avoided for the first two weeks if you experience any sensitivity.
As far as care goes, your porcelain tooth covering will be nearly just as durable as your teeth, and will only require the same care your teeth needed before the procedure. Flossing and brushing regularly will ensure that your veneers will last. A professional check-up and cleaning is recommended every 6 months, just as normal. With proper care, your new smile will typically last in upwards of 15 years.
Every dental institution's porcelain tooth coverings may differ slightly from this, but, in general, this is what you can expect when having porcelain dental veneers applied to your teeth. Be sure to consult your dentist to see if porcelain veneers will be helpful to you.[Top]
A dentist recommends crowns for those who have teeth that are broken or damaged due to deceay or effects of previous treatments like fillings. A crown can be made of ceramic, gold, porcelain, or porcelain that's bonded on gold. It's shaped like your natural tooth and usually appears gold or silver.
While it is already a common treatment, it poses some risks to its wearer. But usually, these problems only happen when not properly administrated by the dentist or when proper maintenance is neglected by the wearer.
Expect some discomfort or sensitivity once the anesthesia wears off after your tooth is crowned. You'll probably experience sensitivity to hot and cold food and beverages. You'll be advised by your dentist to use toothpaste that's made for sensitive teeth and gums to help you get through this problem. However, if you're feeling any pain or discomfort when you chew or bite, it may be because the crown is placed too high on your tooth. Contact your dentist as soon as possible.
It is often recommended that you have porcelain crowns on teeth that are easily visible. However, porcelain can chip easily. You need to follow your dentist's advice on how to properly care for it once it is set on your tooth. If the porcelain has a small chip, the dental clinic can still repair with the use of a composite resin material. But if the damage is quite substantial, the whole crown might have to be replaced.
After your tooth is crowned, try to check if the material is an exact fit. Tell the dentist right away if it feels loose or uncomfortable. A loose crown can bring more serious problems like tooth decay, since bacteria can easily creep in your teeth. It's also possible that the crown will just fall off if it's not set perfectly right from the start. But it's also possible that the cement used in your dental crown procedure will be washed out after some time. So always check your treated tooth every now and then. Get in touch with your dentist once you notice this problem. It may just need a reapplication of the cement. In extreme cases, the crown might have to be replaced.
There are rare situations where the patient develops allergies after a crown is set on his or her tooth. This is due to the mixture of metals used in the procedure. Let your dentist know any significant medical history about allergies and other conditions you may have before the treatment to help you avoid this situation.
These risks can continue into serious conditions. It is important that you go to a reputable dental expert for a treatment like this. Be sure also to follow proper oral hygiene and maintenance and any other special instructions the dentist gives you in relation to this procedure.[Top]
Veneers are one of the best advances in cosmetic dentistry. They are made at the lab from a thin layer of porcelain. They are then cemented directly over a slightly prepped tooth. They are best performed over a healthy, non-chewing surface or front tooth. They can cover stains, close spaces, cover chipped teeth and change the color of the teeth. They are very natural looking and resilient to wear. They will not discolor. If you are looking for very white teeth, porcelain veneers are the ultimate. The dental veneers procedure usually take 2 office visits.
On the 1st visit, a small amount of tooth is reduced from the front (facial) to compensate for the thickness of the veneer. An impression is then taken of the patients prepped teeth and sent to the dental lab for custom fabrication. You are then fitted with a temporary facing for approximately 2 weeks.
To cement the completed veneer, the dentist carefully prepares the tooth with acid gel, which creates small pores on the surface of the tooth. When the new veneer is pressed against the prepared tooth, the pores interlock and create a very strong bond. Because they are porcelain, the possibility of fractures are present, but rare. The veneers should last a lifetime with proper care. Ask if there is any guarantees against fracturing.
Below outlined is the detailed and step by step dental veneers procedure aesthetic try-in.
With a veneer set-up an aesthetic try-in needs to be performed on the patient. The objective is the verification of:
Shape, color and position
Occusal plane, provided that posterior teeth are involved
Movement function (dynamics)
Centric bite and
A silicone precast is created from the set-up and a proper abutment is chosen. On top of the abutments primary telescope crowns and galvanically produced secondary parts are constructed along with a gingival mask for the verification of the gingival margin
2. Tertiary framework
The tertiary framework was produced with the model casting method. With the casted and finished tertiary structure, the optical verification with the veneers in the precast takes place. A transfer key for the abutments is mandatory as the absence of the rotation lock requires it in the dental veneers procedure.
3. Try-in and travel prosthesis
In the next step of the dental veneers procedure the abutments are placed and definitively screwed in with the transfer key. Non-rotation locked abutments can only be placed once and have to fit perfectly in the secondary construction in the mouth in other words: on the first try. The primary crowns are bonded to the abutments and the secondary crowns are placed on top followed by a try-in of the tertiary structure and tension-free cementing. Another impression over the tertiary structure is necessary because we have to produce a new model to finalize the work. The travel prosthesis is integrated and lined with a non-hardening material.
After the model is produced the same tooth shape of the veneers is placed on the tertiary structure without the patient requests changes. These are the advantages of travel prosthesis: the abutments and primary crowns are placed in the mouth quickly; the patient can leave with her first prosthesis. The patient is able to test the prosthesis in her daily life: is the speech as it was during the try-in? Is the aesthetic effect to her liking, how is the reaction of her social environment … all that without pressure and stress.
The veneers are set-up in front of the tertiary framework and are ready to be cemented. The tertiary framework is blasted with AL2O3 110 μm and conditioned with metal primer, followed by the application and curing of the light cured opaquer. The with AL2O3 110 μm blasted veneers are conditioned with the primer viso.link and light cured.
The cementing of the veneers is done with combo.lign, the dual-hardening adhesive composite, which matches any selected dentine color.
The finishing of the veneering from the palatal region and the designing of the inter-dental areas is carried out with crea.lign. These composites can be used for the characterization of the veneer in the selected dentine and incisal shades.[Top]