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Dental Implants

What are dental implants?

Dental implants are like tooth roots over which a missing tooth is replaced.

How much a dental implant costs?

Dental implants are made up of titanium or zirconia which are costly materials. Cost may range from INR 20000 to 60000 per implant in India. Also these implants come with life time warranty so in long run they are not costly.

What is the best way to replace a missing tooth?

Dental implants replaces a missing tooth as naturally as close to 95%. As it is individual tooth root like structure so it gives the best way to replace a missing tooth.

How much time it takes to place a dental implant?

An expert hand can get it done within an hour without any discomfort.

What is the success rate of dental implants?

Most of dental implants are come with a life time warranty. A properly placed dental implants stay forever.

Is dental implantation is a painful procedure?

No, not at all. It is just a technique sensitive procedure which requires a skilled operator who knows all the proper anatomy of surgical site for an uneventful surgical success.

Do dental implants fail?

Dr. Shashi Ranjan is spesialised in implant placement and equipped with worlds best dental implants with life time warranty. So don’t worry you are in safe hands. Dental implants have a very high success rate of almost 95-99%. However anything improperly planned and placed is destined to fail.

Do I need extra care to maintain my implant?

You need to maintain your implant as the way you maintain your other natural teeth. Also follow the instructions of your doctor.

What are advantages of dental implants over other tooth replacement techniques?

Dental implants are the most advanced technique to replace missing tooths. It doesn’t require your adjacent healthy tooth to be used as bridge support. Also it is fixed so doesn’t require to remove every night like in case of removal dentures.

What preoperative investigation has to be done for a dental implant placement?

Apart from proper clinical examination, Dr. Shashi Ranjan may advise you for few routine blood investigations, simple X-RAYS and CBCT X-RAYS for appropriate treatment planning.

My tooth is missing, Am I candidate for dental implant?

Dental implants are suitable for any adult however its no for below puberty age group. Also any person with controlled systemic condition like diabetes, hypertension can go for dental implants.

Can a implant be placed simultaneously after extraction of a decayed tooth?

Yes Dr. shashi Ranjan is specialized to place implants simultaneously after extraction. Its advantageous as patient escapes another surgery in comparison with those patients who waits for few months to get extraction site healed and again go for implant surgery. Also bone remodels and shrink after tooth extraction and in upper back tooth cases sinus floor recedes , so its always advantageous to place implants simultaneously after tooth extractions to prevent such bone losses.

I don’t have proper bone height , can I go for dental implants?

Bone can be harvested from other areas of jaw or artificial bone graft particles can be used to build bone in any deficient area for proper implant placement.

My three consecutive teeth are missing, how many implants I need to replace them?

Two implants in the corner missing tooth can be placed and over these two implants a three unit bridge can be placed. Similarly more than three teeth can be restored on fewer numbers of implant.

I don’t have teeth at all, how many implants do I need?

6 implants In both jaw are needed to replace the full arch missing teeth. These implants are placed at proper distance to support the load of full arch tooth bridges.

How much time it takes to load or place crown over implant?

A temporary crown in esthetic zone can be placed immediately in most of cases. However a permanent crown is placed after 3-6 months of implant placement depending upon healin and bone quality of jaws.

What is a dental implant crown?

Dental implant crowns are placed over a dental implant for replacing a missing tooth to restore natural appearance, function and physiology.

Is dental implant crown differs from artificial tooth crowns?

Artificial tooth crowns are placed over existing natural RCT treated tooth. So artificial tooth crowns just restores the shape, color, function and physiology of an existing tooth. It doesn’t replaces a missing tooth. Whereas dental implant crowns are placed over a dental implant for replacing a missing tooth to restore natural appearance, function and physiology.

What is a dental implant bridge?

Dental implant bridge takes support of two or more dental implants for replacing one or more missing teeth to restore natural appearance, function and physiology. Dental implant bridges doesn’t takes support from adjacent tooth like tooth supported dental bridges.

Is dental implant bridge differs from tooth supported bridges?

Bridge is used to replace one or more missing teeth. Bridge can take support from adjacent normal teeth. So for utilizing as a support for a dental bridge these adjacent teeth are sacrified and used in the bridge. Where as dental implants can be used to replace one or more missing tooth sparing adjacent healthy tooth.

How dental implant crown or bridge is fixed to the implant?

There is two ways by which implant crown or bridge and be fixed with underlying dental implants:-

  1. Cement retained - once dental implant integrated to the bone then the mouth part of implant i.e abutment(stump like) is screwed to underling bone. Over this abutment the crown or bridge is glued through luting dental cements.
  2. Screw retained – once implant is integrated in the bone, the upper crown or bridge is made with a screw access hole through whicha screw is used to tighten the crown to underlying bone. We don’t use glueing dental cements in this way.

Which is advantageous screw retained or cement retained implant crowns or bridges?

Cement retained crowns has issue of excess cement flow between implant and the crown, which may lead to irritation/ inflammation around the implant gums . As screw retained crowns are tightened or fixed by screw so it escapes from glueing cement issue.

Also screw retained crowns are easy to place and can be removed when required in future without damaging the crown.

Cement retained crowns can’t be removed without damaging the crown.

Screw retained crowns are slightly costlier than cement retained crown but economical in long run.

My dentures are loose. Can it be stabilized by dental implants?

You can opt for implant supported dentures. Two implants are place at corners of jaw. Ball type implant abutment or a connecting bar will be placed. A corresponding rubber socket will be place in the denture which will lock on the ball abutment or the bar of corner implants. Denture can be removed easily.

I don’t have proper bone height and all my teeth are missing. Do I have any option for fixed teeth replacement?

Yes you can go for All On Four technique in which all the teeth are supported over four implants per jaw.

What is sinus lift surgery?

A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. It's sometimes called a sinus augmentation. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or "lifted."

What is the purpose of sinus lift surgery?

A sinus lift is done when there is not enough bone in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this:

  • Many people who have lost teeth in their upper jaw - particularly the back teeth, or molars - do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.
  • Bone may have been lost because of periodontal (gum) disease.
  • Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies from person to person. The sinus also can get larger as you age.

Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.

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