Dental Implant Surgery
Teeth serve an important role in our daily lives as it affects our speech, our ability to eat well and the way we look. Its loss through disease or trauma sets in motion the loss of underlying bony support resulting in tooth loss. This in turn affects support for our lips and cheek leading to a more aged appearance. Failure to replace missing teeth often leads to the opposing teeth overgrowing and the adjacent teeth tilting resulting in areas of food trapping which in turn may result in gum disease tooth decay.
What are the different ways of replacing missing teeth
Traditionally, missing teeth were replaced by either removable plastic or metal based dentures, or fixed bridges made of either metal alone, or porcelain fused to a metal base. Developments in dental material science have focused on developing more aesthetic materials with adequate strength, such as all-porcelain and zirconia bridges. While all of these are still very much in use today, implant based methods of replacing missing teeth are increasingly preferred as it provides greater biting ability and a more comfortable and natural feel.
What are dental implants?
Dental implants are sterile titanium screws which are inserted into the jawbone as artificial roots to support and retain replacement teeth. It comprises 3 parts. The first part or “fixture” is placed within the jaw bone to replace the roots of missing teeth. The second part or “abutment” emerges through the gums and is used to carry the 3rd part, which may be a single crown or a bridge depending on how many teeth are missing. If we have lost all our teeth, we can use 4 to 8 implants in each jaw which when connected can support dentures or even a fixed bridge
How do Implants compare with alternative options?
When compared with removable dentures, they provide stronger support, firmer retention and are more stable. The implant supported and retained replacement teeth occupy less space and are more comfortable. They are also able to generate much stronger biting force. When compared with fixed bridges, they can be used even when more teeth are missing as they can provide stronger support over a longer span. They are also preferred when the teeth adjacent to the gap are weak or too small to provide sufficient support. Additionally, they provide an alternative to trimming healthy teeth.
Benefits of Dental Implant
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Are permanent replacement for missing teeth
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Has predictable and good long-term success rate
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Prevents supporting bone from shrinking after tooth loss
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Does not decay as it is made from Titanium
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Able to generate stronger bite forces for better chewing and hence better digestion and nutrition.
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Restores appearance thus creating more confidence and self-esteem Able to provide better support for lips and cheeks for a more youthful look
Types of Dental Implant
Dental Implants have been widely used for more than 40 years since the original scientific research was published. While many different implant systems are now available and are generally of high quality, our clinic prefers using implants from Nobelbiocare, Sweden and Straumann, Switzerland due to the extensive research and long track record. These implants come in different sizes and lengths and are generally at least 3.5 mm in diameter and 8 mm in length which differentiates them from “mini-implants” which should be used only as temporary supports or in very specific cases.
Are you suitable for Implants
Implants can be placed in most patients from age 18-80, even if you have lost your teeth for many years as we are able to regenerate bone in order to place implants as a foundation for your denture or bridge. Patients with health conditions should inform the dentist so that additional precautions can be taken, if required. Conditions which require attention include patients with significant heart disease, unstable high blood pressure, uncontrolled diabetes and patients on therapy for cancer. Surgery can still be performed after clearance from your medical specialist.
What is the surgical procedure like?
After giving some local anaesthetic, a small incision is made through the gums and a point of insertion decided. Drills of a predetermined length and with increasing diameters are then used to gently prepare the site to receive the implant. The implant is then rotated to the desired depth. The top of the implant channel is then covered with a temporary cap and the gums stitched either over or across after cleaning the surgical site and allowed to heal undisturbed for 3-4 months. A higher temporary cap called a healing abutment is often placed to avoid a second surgery to uncover the implant.
Is Implant Surgery Painful?
No, implant surgery is generally a minimally invasive procedure and in most instances the pain is minimal. If more major treatment is required, some post-surgical pain may be present. If you are fearful, we can arrange for you to have a complete pain-free experience either by performing the procedure under intravenous sedation or general anaesthesia within an operating theatre. The mix of drugs given will help you relax, sleep and eliminate pain. You will also usually be given a painkiller to take before the procedure so that you will be comfortable after the surgery.
How long does it take to recover from the Surgery?
After the operation, you may feel uncomfortable but this can be eliminated by taking the prescribed painkillers regularly. Some swelling and bruising is to be expected for a few days after the surgery. You can resume normal activity within a day but should avoid strenuous exercise and swimming. A normal or soft diet is advised and can be commenced after the numbness from the local anaesthesia wears off, usually around 2-3 hours after the procedure to avoid biting your lip or tongue inadvertently.
Same Day Teeth Replacement
Rationale for immediate tooth replacement
Losing a tooth, especially one of our front teeth can be very distressing for most patients. In addition to the effect on appearance and confidence, it affects our speech and on the long-term, the gums and the supporting jawbone will also shrink. A common request from our patients is to get a replacement for their missing tooth immediately, hence the advent of protocols for "same day teeth replacement". This could be done by partially loading the implant on the day of the surgery, or more commonly by using the adjacent teeth as temporary supports.
How long does it take for healing after tooth extraction and implant surgery
Teeth extraction and implant surgery are fairly routine and painless procedures and you will feel back to normal in just a few days. However, it takes around three months after tooth extraction for the bone to reform before placing an implant. In addition, it takes a further three months for the bone to grow around the implant in order to anchor it firmly in the jaw. During this waiting period, removable dentures, or temporary bridges made of plastic are used to prevent direct forces on the implant allowing the implant to heal.
Can this waiting period be shortened
Yes, it is possible to reduce this waiting period as implants can often be placed immediately into extraction sites for patients with missing front teeth. This reduces the waiting times significantly. In general, we are able to place implants to replace our front teeth on the day of extraction as there is usually adequate bone around and beyond the tooth socket to stabilise the implant. For back teeth, it is not always possible as there is usually insufficient bone after removing the tooth. Very often a bone graft will also be needed and is therefore a more technique sensitive procedure.
Immediately Loaded Implants
If the implant lies firmly within bone, it is possible to even allow partial loading immediately after the surgery. In combination, with the latest computer assisted techniques, it is possible to deliver aesthetic looking temporary teeth in selected cases within 3 hours after the surgery. The patients are however advised to avoid chewing on the implant, especially in the initial weeks after the surgery when the original bone anchoring the implant would have been resorbed with the new bone yet to form.
Is immediate loading of implants a new technique
No, the first controlled study of successful immediate loaded implants was published in 1997 after a successful 10 year study. Our lead clinician has been placing immediately loaded implants since early 1999. The success rate of immediate implants are comparable to that of implants placed using conventional protocols but is more technique sensitive as it requires the dentist to determine if the initial stability of the implant is sufficient for immediate loading. Done selectively, it is a useful option for patients with no other remaining teeth to anchor a temporary denture or bridge.
Laser & Ultrasound
FOTONA LASER
Fotona laser is a medical-grade laser that can be used for a variety of skin treatments. Some of the skin treatments that can be done using Fotona laser include:
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Skin rejuvenation: Fotona laser can be used to stimulate collagen production, which helps to reduce the appearance of fine lines and wrinkles, and improve skin texture and tone.
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Pigmentation removal: Fotona laser can be used to treat hyperpigmentation, such as age spots and sunspots, by targeting and breaking down the excess pigment in the skin.
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Acne treatment: Fotona laser can be used to treat acne by reducing inflammation and killing the bacteria that cause acne.
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Scar removal: Fotona laser can be used to treat scars by stimulating collagen production and breaking down scar tissue.
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Hair removal: Fotona laser can be used to permanently reduce hair growth by targeting the hair follicles with laser energy.
The specific details of the Fotona laser skin treatment depend on the individual's skin type and the specific skin concern being addressed. It is important to consult with a trained and experienced medical professional to determine if Fotona laser is the right treatment for you.
FOTONA LASER TREATMENT
Fotona laser skin treatment can be used to address a variety of skin concerns, such as fine lines, wrinkles, acne scars, hyperpigmentation, and uneven skin tone. It can also be used for skin tightening and contouring. Therefore, individuals who are interested in improving the overall appearance of their skin, reducing the signs of aging, and achieving a more youthful, radiant look may be good candidates for Fotona laser skin treatment.
However, it's important to note that Fotona laser skin treatment may not be suitable for everyone. For example, pregnant or breastfeeding women, individuals with certain medical conditions, and those with certain skin types may not be good candidates for this treatment. It's always best to consult with a qualified and experienced dermatologist or aesthetician who can evaluate your skin and determine whether Fotona laser skin treatment is right for you.
DIODE HAIR REMOVAL LASER
Diode hair removal is a popular cosmetic treatment that uses a specific type of laser called a diode laser to remove unwanted hair from various parts of the body. The diode laser emits a concentrated beam of light that is absorbed by the pigment (melanin) in the hair follicle, damaging the follicle and preventing future hair growth.
During the treatment, the diode laser is applied to the skin, and the light energy is absorbed by the hair follicles, which then heat up and get destroyed. This process is known as photothermolysis. The surrounding skin tissue is left unharmed as the laser is designed to target only the hair follicles.
Diode hair removal is considered safe and effective for both men and women and can be used to treat hair on various body parts, including the face, arms, legs, underarms, bikini area, and back. It is a non-invasive treatment that provides long-lasting results and requires minimal downtime. The number of sessions required for optimal results varies depending on the individual and the area being treated. It is always recommended to consult with a licensed and experienced professional to determine the best treatment plan for your needs.
ADVANTAGES & OTHER METHODS
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Precision: Diode laser technology targets hair follicles precisely, without damaging the surrounding skin. This means that the treatment can be used on delicate areas, such as the face, without causing harm to the skin.
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Effectiveness: Diode hair removal is used for removing hair from the treated areas. The laser energy is absorbed by the hair follicles, damaging them to the point that hair growth is inhibited. This means that over time, hair growth in the treated areas will be significantly reduced.
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Speed: Diode hair removal is a quick treatment that can cover large areas of the body in a short amount of time. This is because the laser energy can target multiple hair follicles at once, allowing for a more efficient treatment.
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Minimal discomfort: Diode hair removal is generally well-tolerated by patients and causes minimal discomfort. Most people describe the sensation as a mild tingling or snapping feeling.
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Results: With multiple treatments, diode hair removal can provide long-lasting results. The reduction in hair growth can last for months or even years, depending on the individual.
DEKA C02 LASER
The DEKA CO2 laser treatment is a type of laser therapy used to improve the appearance and texture of the skin. The laser technology delivers high-energy light pulses to the skin, which creates controlled damage to the skin tissue. This prompts the body's natural healing response, which leads to the growth of new, healthier skin cells. The DEKA CO2 laser treatment can be used to address a variety of skin concerns, including fine lines, wrinkles, scars, uneven skin tone, and age spots. The treatment can be customized to suit the specific needs of the individual patient, as the intensity and depth of the laser can be adjusted to treat different skin conditions.
During the treatment, the laser is directed at the skin in a precise and controlled manner. The heat generated by the laser energy prompts collagen production and skin regeneration. As the skin heals, it becomes smoother, tighter, and more youthful in appearance. The DEKA CO2 laser treatment is considered a safe and effective method for improving the appearance of the skin. The treatment is minimally invasive and requires little downtime, although some redness, swelling, and peeling may occur for a few days after the procedure. It is important to consult with a licensed and experienced professional to determine if DEKA CO2 laser treatment is the best option for your individual needs.
ADVANTAGE OF DEKA CO2 LASER TREATMENT
DEKA CO2 laser treatment is a type of laser therapy that is commonly used in dermatology for a variety of skin conditions. This treatment is generally suitable for individuals who want to improve the appearance and texture of their skin, or who are seeking to treat specific skin concerns. It can be used to treat a wide range of skin conditions, including:
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Wrinkles and fine lines
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Scars from acne, surgery, or injury
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Age spots and sun damage
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Uneven skin tone and texture
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Skin laxity and sagging
However, not everyone is a suitable candidate for DEKA CO2 laser treatment. Individuals who have darker skin tones may not be good candidates, as the treatment can cause hyperpigmentation and scarring. Additionally, individuals who are pregnant or have certain medical conditions may not be eligible for this type of treatment.
Before undergoing DEKA CO2 laser treatment, it is important to consult with a qualified dermatologist or laser specialist to determine if it is right for you. They can evaluate your skin type and condition, discuss your goals and expectations, and provide personalized advice on the most appropriate treatment options
