Имплант эмчилгээ

About Dental Implant Treatment

 

What is dental implant?

Dental Implant is to insert man-made fixture (called implant) into the jaw bone. It should be understood that some dental implant systems or specific applications are still considered experimental. Implant longevity depends on many factors: the patient’s health, the use of tobacco, alcohol, drugs and sugar, oral hygiene, the amount of quality bone, surgical compromises, the degree of biting force, etc. As with any restorative procedure, the potential exists for the fracture of an implant component or loss of the implant from the bone. Alternatives to implants and treatment plan variations will be discussed with you after consultation with the surgeon who will place the implants and continue to monitor their status.

After Implant Surgery

After implant placement surgery, it is possible that the gum tissue that has been stitched together at the time of the surgery may fail to heal immediately and the line of repair may open slightly. To help prevent this, you should temporarily adhere to a soft diet and avoid pressure to the tissues by leaving the dentures out until initial healing is well advanced (usually 7-14 days). At that time your denture may be modified before resuming its wear. The denture must not be used after surgery until your dentist has modified it. This modification will occur after each phase of surgeries. You can expect some discomfort during the initial healing following both phases of surgery. The estimated time between your Phase I surgery (implant fixture placement) and Phase II surgery(placing the parts that project through the tissue into your mouth) is four months in the lower jaw and six months in the upper jaw. You may need frequent soft linings placed in your denture prior to construction of the permanent prosthesis. To promote good healing, you should inform your dentist of any sores or ulcers that persist for 3-4 days, or any uncovering of the fixtures after the first surgery.

Success Rate

Before you decide to do implant, you need to weight the benefit of implant procedure versus the possible risks of the procedure.

Overall Success Rate 
Implant lower arch 91.5%
Implant upper arch 82.9% 
Implant with Bone Graft, Implant in the front tooth area are less successful and more unpredictable

Indication

Replace Missing tooth area,

Contra-indications

Patients with following conditions are more prone to infection and implant loss
Please indicate if any pertains to you

(1)()Smoker

(2)()Diabetes

(3)()Bruxer (or Person with Bite Problem)

(4)()Taking Medication for Osteoporosis such as Bisphosphonate

(5)()Others, where the attending dentist thinks it is contraindicated

 

Dental CT: Required

Dental CT gives us 3D information on the area, for right diagnosis and treatment planning

Implant Complications

You may possibly experience some of the following complications following implant treatment:

  1. Occasionally the individual fixtures may fail to integrate (i.e. they may not become firmly anchored in the bone). This is usually discovered at the time of second surgery and often is the result of not strictly maintaining a soft diet during the interim between the first and second surgeries, or not returning for adjustments and additional soft linings should soreness and ulcerations occur. Any fixture that fails to integrate will be removed. Af that time either a new fixture will be placed (followed by another three to six months healing time) or the prosthesis will be constructed on those fixture that remain.
  2. Fracture of abutment fixtures, screws and associated parts are rare but can happen. This could lead to the removal of the fixture, in which case you may need to have a different prosthesis constructed. It may be necessary to switch from a fixed to a removal prosthetic design.
  3. Your appearance may be changed in terms of tooth contour and position and lip support. Appearance and speech changes are more likely with upper implants since it is necessary to leave the implant posts exposed for proper oral hygiene. If this creates an undesirable appearance, an esthetic veneer can be made (removable type)
  4. Eating excessively hard foods can lead to increased soreness under the conventional denture and possible fracture of teeth or fixture parts.
  5. If the jaw joints or facial muscles are overloaded from excessively hard foods or you clench or grind your teeth, you may experience some jaw joint and facial muscular discomfort.
  6. Cleaning the teeth and posts of the implant will be much different from cleaning a conventional denture. Although rare, abnormal tissue reactions and/or infections can occur around the implant parts if they are not kept clean. Like other dentures or bridges, the teeth may stain with excessive coffee, tea or smoking.
  7. If your denture is of the removable type, the teeth or denture may be damaged if dropped.
  8. There may be some initial discomfort around the implant post immediately after the denture is places, which should eventually disppear.
  9. The screws attaching the prosthesis to the fixture may loosen with time. They will need to be tightened If this occurs.
  10. When the teeth have worn down. they will need to be replaced. This means your denture will be removed for few to several days. This would, of course, be at your expense.

The Alternatives to Implant Treatment Are:

  1. To not have any treatment
  2. To have a new conventional removable denture
  3. Other surgical procedures to improve residual ridge (with attendant risks and other problems)
  4. Other type of implants placed (with attendant risks). In my opinion, the type of implant I have recommended represents one of the best treatment for you at this time.

For Long-Term Success of Implant Treatment You have the Following Responsibilities

  1. Follow all instructions regarding soft diet and denture use during the healing after each phase of surgery
  2. Clean the implant posts and denture thoroughly as instructed
  3. Appear for periodic examinations as advised by your dentist. There is an additional fee for this service.
  4. Exercise care in not abusing the prosthesis.
  5. Advise your dentist immediately if any problems are noticed.

Implant Procedure

Local Anesthesia
Premedication
Surgery
Follow Up

Design of Gum Incision

()Incision made close to the crown

Less Scar tissue, but may have Gingival Recession Problem

()Incision made away from the crown

May have Scar on the Gum, but less gingival recession

Type of Graft Materials

()Collagen Material derived from animal
()Synthetic Bone
()Bone Graft from Animal Sources

Follow up visits.

Following follow ups are required
24 hour check
One week check
Two week check
Sutures are usually removed one or two weeks after the surgery.

Instruction for Before the Surgery

Minimize alcohol intake and do not overeat and sleep well the night before.
The day of surgery, please take your meal normally. It you have any health issues on that day, please let us know.

After Surgery

Anesthesia will still be effective after the surgery. Until numbness goes away(may take 2-3 hours), be careful not to bite your cheek or tongue, or burn yourself with hot food or drinks. Please eat after the numbness goes away. On that day, please refrain from taking hot, hard, or spicy food and alcohol. You may have difficulty with eating with the sutures. Try to eat soft food or something that does not require too much chewing.

1. On Day of Surgery, Do not exercise and avoid long bath. This is to decrease post-operative bleeding and swelling.

2. Take the Medication as instructed. If you have any abnormalities like rash, itch or diarrhea with the medication, please stop taking the medication and call us.

3. What may happen after the surgery

Pain

There can be pain for about a day after the surgery. The pain can controlled with the pain pills provided.

Swelling

There may be swelling after the surgery and will peak out in about 2-3 days and may last more than one week.

Internal Bleeding

There may be internal bleeding around the eye, chin, or below the jaw. It will gradually disappear in two to four weeks.

Wound Open UP:

If this happens, please call you dentist

4. How to take care of your mouth

Suture removal will be about 7-14 days after the surgery
You will not be able to brush the area under surgery. You may rinse gently to keep the area clean.

Case

Implant crowns

 

Missing front tooth
*Missing front tooth

  • 埋入
    ▲Implant placement surgery
  • 仮歯用義歯
    ▲Temporary denture
  • 仮歯
    ▲6 months later
main complaint Japanese Male 46yo
Treatment Implant crown :   | 1

 

Implant crowns

 

左側右側

6 months after implant placement with healing cap

アバットメント左側アバットメント右側

Gold custom abutment

セラミッククラウン左側セラミッククラウン右側

Final Crowns

main complaint Baby teeth was getting loose.
Missing permanent teeth
Implant
▲French Female 39 yo
Treatment Implant crowns : 4|4
Extraction baby teeth and Implant placement.
Pt Testimonial My most concern was pain during the procedure,
but there was NO PAIN.

 

Implant-supported bridges

 

正面・インプラントブリッジ

奥歯・インプラントブリッジ

レントゲン・インプラントブリッジ
*Missing all back teeth on bottom. Placed 2 Implants and made 3-unit bridge on both side

main complaint Japanese Female 59 yo
Treatment Implant bridge : 46|46
Pt Testimonial Much less pain than I expected. Doctors and stuffs
are very kind to me. 6 months ran very quickly and
now I enjoy eating because I can chew anything.

 

Implant-supported dentures

 

インプラントを利用した入れ歯
*Very loose bridge more than 30 years old.
Broken roots and needs extraction  (3 places).

Treatment Sequence

治療前古いブリッジ

Very loose bridge more than 30 years old.
Broken roots and need to extraction.

上あご装着前

6 Implants placement

仮の入れ歯義歯

Temporary denture
Patient needs to use this temporary
denture for 6 months.

インプラントデンチャー装着感がよい

Final denture
No metal clasp and much smaller
denture compare to temporary denture.

main complaint Japanese Female 57 yo
Very loose bridge more than 30 years old.
Broken roots and need to extraction.
Treatment Implant denture : 654321|123456
Pt Testimonial I loved temporary denture a lot. That's why I asked doctor to make the 
final one just like my temporary denture.

 

What is a Dental Implant?

Dental Implant

A dental implant is a titanium "root" used in dentistry to support restorations that resemble a tooth or group of teeth to replace missing teeth.
Virtually all dental implants placed today are root-form endosseous implants, i.e.,
they appear similar to an actual tooth root (and thus possess a "root-form") and are placed within the bone (end- being the Greek prefix for "in" and osseous referring to "bone"). The bone of the jaw accepts and osseointegrates with the titanium post. The osseointegration is the component of this implant procedure that makes it resemble the look and feel of a natural tooth.
Dental implants can be used to support a number of dental prostheses, including crowns, implant-supported bridges or dentures. They can also be used as anchorage for orthodontic tooth movement. The use of dental implants permits unidirectional tooth movement without reciprocal action.