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Replacement of missing single tooth, multiple teeth Implant supported dentures.
A dental implant is an artificial tooth root replacement and is used in prosthetic dentistry to support restorations that resemble a tooth or group of teeth. There are several types of dental implants. The major classifications are divided into osseointegrated implant and the fibrointegrated implant. The most widely accepted and successful implant today is the osseointegrated implant. Titanium can be successfully fused into bone when osteoblasts grow on and into the rough surface of the implanted titanium. This forms a structural and functional connection between the living bone and the implant. A variation on the implant procedure is the implant-supported bridge, or implant-supported denture.
Procedure
A typical implant consists of a titanium screw (resembling a tooth root) with a roughened or smooth surface. An osteotomy or precision hole is carefully drilled into jawbone and the implant is installed in the osteotomy.
The most common treatment plan calls for several surgeries over a period of months, especially if bone augmentation (bone grafting) is needed to support implant placements. In straight forward cases patients can be implanted and restored in a single surgery, in a procedure labeled "Immediate Loading". In such cases a provisional prosthetic tooth or crown is shaped to avoid the force of the bite transferring to the implant while it integrates with the bone.
A single implant procedure that involves an incision and "flapping" of the gum or gingiva (to expose the jawbone) takes about an hour, sometimes longer; multiple implants can be installed in a single surgical session lasting several hours.
Healing and integration of the implant(s) with jawbone occurs over three to six months in a process called osseointegration. At the appropriate time, the restorative Dentist uses the implant(s) to anchor crowns or a bridge (a prosthetic restoration containing several crowns). Since the implants supporting the restoration are integrated, which means they are biomechanically stable and strong, the patient is immediately able to masticate (chew) normally.
In an immediate function procedure, the gingiva is usually not flapped (Flapless). Instead, the surgeon removes a small plug of gingiva directly over the drilling site. The site is drilled and the implant is installed. Then a crown is immediately added.
Pedodontics
- Fillings
- Pulpotomy/ Pulpectomy
- Apexification/ Apexogenesis
- Extraction
- Braces
Radiology
- RVG – Digital X-ray
- IOPA X-ray
Preventive dentistry
- Oral prophylaxis
- Pit and fissure sealants
- Topical fluoride application
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