With changes in technology Stoma Advanced Dental Care offers only one surgical procedure
for most patients. We will, whenever possible, place the implant and the healing
collar at the same visit. This will allow for the implant to integrate with the
bone while the gum heals around the healing collar. Then, after the appropriate
healing time, generally two to three months, we can start making your new teeth.
CT Guided Implant Planning
CT Guided Implant Planning is a revolutionary treatment planning enabling us to
transfer oral planning into the mouth with unrivalled accuracy and ease. The implant
guide software enables us to carry out the entire treatment planning extra-orally
using a Virtual 3D model of the patient jaws and transferring this into a surgical
template there by making the entire process of implant placement, fast and minimally
invasive ( flapless).Its guided surgery components combined with a customized surgical
template guides our drills and we deliver for the result we had planned. Since the
final position of the implant is known prior to the actual surgery, the restoration
to be given on the implant can be planned in advance.
C.T. Guided implant planning for replacing single or multiple teeth
Under local anaesthesia, the first step for many implant procedures is the exposure
of the bone where the implant is to be placed. This is followed by placement of
the implant onto the exposed jawbone. Implants that are placed on the bone are called
endosteal implants and are made of titanium, or a titanium alloy, because this metal
does not adversely interact with biological tissue. After placement of the implant,
a cover screw is put in and the wound is closed with stitches and allowed to heal.
In general, placements in the lower jaw need about three months to heal, while placements
in the upper jaw need about six months to heal.
After healing, in a second surgical procedure, the implant is uncovered, the cover
screw is removed and a healing abutment or a temporary crown is placed. Temporary
dental crowns are generally used for aesthetic reasons. Both healing abutments and
temporary crowns allow the tissue around the implant to be trained to grow around
the final tooth prosthetics.
After about two months, the soft tissue will be healed to receive the final prosthetic
tooth. Impressions are taken to make a custom abutment that takes into account the
shape of the neck of the implant. The prosthetic tooth is sometimes attached to
a gold cylinder that can be screwed into the abutment or directly cemented onto
the abutment. This multi-stage process, where the two surgical procedures are separated
by a lengthy healing time, has proven to provide excellent stability in the final
implant. Single step surgical implants are available, but skipping the healing step
often loses some stability of the final implant.
Replacing Single Tooth
If you are missing a single tooth, one implant and a crown can replace it. A dental
implant replaces both the lost natural tooth and its root.
First implants, which looks like screws, is placed into your jaw. Over the next
2-6 months, the implants and the bone are allowed to bond. During this time, a temporary
teeth replacement option can be worn over the implant sites. Occasionally, a second
step is necessary to uncover the implants and attach extensions. These small metal
posts, called abutments -- foundation on which new teeth or bridges are placed.
Stoma Advanced Dental Care also offers a single step procedure where an implant already has
the extension piece attached. But your periodontist at Stoma Advanced Dental Care will advise you about
what is best for you.
If all of your teeth are missing, an implant-supported full bridge or full denture
can replace them. Dental implants will replace both your lost natural teeth and
some of the roots. Dental implants are designed to be long lasting, comfortable
and stable, allowing you to retain a more natural biting and chewing capacity. In
addition, implant-replace some of your tooth roots thereby preserving your jaw bone.
Dental implants integrate with your jawbone, helping to keep the bone healthy and
intact .With conventional dentures, the bone that surrounds the tooth roots begins
to resorb (deteriorate).
Post Treatment Advise
Dental implants are like your own teeth and will require daily clean and plaque-
free, brushing and flossing. Periodic follow-up visits should be scheduled to monitor
your implant, teeth and gums to make sure they are healthy.
Specialized treatments offered by Stoma
Stoma Advanced Dental Care uses a variety of techniques to regenerate the lost support in
case the jaw bone has atrophied or reabsorbed, which means that the quality of bone
is not suitable for placement of dental implants. In these situations, most patients
are not candidates for placement of dental implants. We at Stoma Advanced Dental Care conduct a dental/radiographic
examination by a special CAT scan to see the status of your jawbone.
A dental/radiographic examination is conducted by a special CAT scan of your jawbone.
Over a period of time, the jawbone associated with missing teeth atrophies or is
reabsorbed. Traumatic extractions, periodontal disease or injuries can also damage
the implant site. This often leaves a condition in which there is poor quality and
quantity of bone suitable for placement of dental implants.
Today, we have the ability to grow bone where needed. Bone is either obtained from
a tissue bank or your own bone is taken from the jaw. In addition, special membranes
may be utilized that dissolve under the gum and protect the bone graft and encourage
bone regeneration. This is called guided bone regeneration or guided tissue regeneration.
This not only gives us the opportunity to place implants of proper length and width.
In these cases Stoma Advanced Dental Care offers:
Ridge Augmentation / Preservation
Graftless (Zygoma) Dental Implants
Stoma Advanced Dental Care offers bone grafting. Bone grafting can repair implant sites having
inadequate bone structure due to previous extractions, gum disease or injuries.
The bone is either obtained from a tissue bank or your own bone is taken from the
jaw, hip or tibia (below the knee.) Sinus bone grafts are also performed to replace
bone in the posterior upper jaw. In addition, special membranes may be utilized
that dissolve under the gum and protect the bone graft and encourage bone regeneration.
This is called guided bone regeneration or guided tissue regeneration. These procedures
are routinely performed in an operating room and require a hospital stay. Sinus
Graft A sinus graft makes it possible for many patients to have dental implants.
The maxillary sinuses are behind your cheeks and on top of the upper teeth. In some
cases we perform a crestal sinus lift. Bone graft particles are inserted into the
osteotomy (implant socket) that is created for the implant. This is a very conservative
procedure and most patients have no added discomfort or side effects.
If the sinus wall is very thin, a lateral sinus lift may be required. The sinus
membrane is lifted and bone graft particles are inserted into the floor of the sinus.
If upper jaw ridge and the bottom of the sinus has strong bone then implant placement
is performed as a single procedure. If not then dental implants are placed after
the bone becomes part of the patient’s jaw.
Ridge Preservation is a technique used to restore the lost bone dimension when the
jaw ridge gets too thin to place conventional implants. In this procedure, the bony
ridge of the jaw is literally expanded by mechanical means. Bone graft material
can be placed and matured for a few months before placing the implant. Ridge Augmentation
is the procedure to correct ridge deformities of the upper and lower jaw when inadequate
bone and tissue thickness makes it difficult to consider either a functional bridge
or dental implant restoration. Soft tissue ridge augmentations is done by an incision
is made to expose the bony ridge. A soft tissue graft is then obtained either from
a suitable site in your mouth and/or a soft tissue substitute and inserted into
Hard tissue ridge augmentations are performed to recreate adequate bone dimensions
prior to dental implant therapy. The hard tissue augmentation can also be done in
combination with a soft tissue augmentation to simultaneously enhance the soft tissue
at the deficient site. After the incision is made and the gum lifted away, the bony
defect or bone substitute is placed in to build up the ridge. A membrane may be
adapted over the bone graft based on individual defect morphology. Depending on
defect size, an average bony healing and maturation time of 6-12 months is allowed
before dental implants can be placed.
This revolutionary dental implant system eliminates the need for bone grafting altogether.
The Zygoma System is a graftless dental implant system where the implant is directly
embedded in your cheekbones (medically referred to as Zygoma). This approach is
on par with other advanced techniques like teeth-in-an-hour or keyhole placement.
Your total treatment time could be as low as a week or two and likewise your healing
would be much faster. As per case requirement we use this system in our clinic.
For five to seven days after surgery, your diet should be restricted to soft foods.
If stitches are present, they may need to be removed by your dentist; however, self-dissolving
stitches that do not require removal are typically used.
If provisional restorations were placed along with the dental implant, it will be
important to clean them as you would to your natural teeth to ensure the best possible
healing and fusing of the implant. Failure to floss and brush is a leading cause
of implant failure, and infection can occur if the implant and surrounding areas
are not cleaned properly. Smoking is also attributed to high failure rates with
dental implants and should be avoided following implant procedures.
The information on this web site is only intended as an introduction to this procedure
and should not be used to determine whether you will have the procedure performed
nor as a guarantee of the result. The best method of determining your options is
to consult dentist at Stoma Advanced Dental Care who will be able to answer specific questions related
to your situation.