Dental Implants / Implantologist
Thinking of Dental Implants, consult Dr. Vikrant Kundu, an experienced Implantologist /Dental Implant specialist (C.A.I.C. from Korea) in Dwarka Delhi
From single implant to full mouth rehabilitation with best Implants in the world are offered. Implant with lifetime & international warrantee is also offered. We strictly adhere to our policy of using sterilized equipments.
What are Dental Implants?
Dental Implants are surgical fixtures of metal posts and frames, which are placed into the gums, beneath the jawbones. With time, the dental implant fuses with the jawbone and replaces teeth in its original position. The implant serves as a replacement of root, for missing teeth, and stands on its own, without harming nearby teeth and gums. It has great stability and easily integrates with the bone, without being identified as a foreign device. The process of fusion between the implant and the jawbone is known as “Osseo integration”.
Today, dental implants have been further developed with time and technology. These are known for its effective results on dental problems. Currently, the success rate is about 98%.
Why are Dental Implants popular?
The demand for dental implants has been immensely growing, due to the following reasons:
- Firstly, dental implants have lots of functionality. Besides replacing single tooth, multiple teeth or all the teeth; it also takes care of oral health and restores proper function and esthetics of dental parts.
- Secondly, dental implants also improve appearance and easily integrate within the jaw bone. The entire procedure is simple, convenient and of great comfort for the users.
- With dental implants, patients can eat better, bite hard food and enhance their oral health and lifestyle.
- The implants are highly durable and last for years. Owing to its long-sustainability; many dental implants even last for a lifetime.
- Poorly-fitted dentures cause problems while taking and as a result patients often slip words and encounter difficulty in conversing. Through dental implants, they can correct their speech, improve their conversation, and stay confident.
- These are permanent solutions to any kind of dental concerns. Success rates of implants are as high as 98%, around the world.
How much Dental Implants cost?
The cost of dental implants depends on the warranty and quality of the implants. Obviously, those having longer warranties, and are of high quality, come at a higher price than those lasting only for few years, and are low in quality. On an average, the cost per implant is around INR 35,000. While some clinics charge only 15,000, other high-end clinics might ask for INR 60,000+. The cost of implants also depends on the standard of the clinic, qualifications and experience of doctors and after-treatment charges. Also, the average cost varies from patients to patients, since it is largely dependent on the kind of dental problem and the specific treatment plan.
What are the Dos & Don’ts before Implant Procedure?
Prior to opting for an implant, patients must be physically and mentally steady. For best treatment and fast cure; the following Dos and Don’ts are commonly advised by experienced implant surgeons:
- Eat Well: Maintaining a balanced diet, much before the treatment is necessary for good oral health. Certain prep foods like cottage cheese, pureed vegetables and yoghurt provides vitamins and proteins, which are much required, before the treatment.
- Choose an experienced clinic and dentist: Choosing the right clinic for implants is important for the long-term success of the implant procedure. Patients should look for well qualified, skilled and experienced surgeons and go to clinics which have been there in the market for a longer time. Prior to treatment, it is also recommended to have an initial consultation to know about the alternate solutions and the pros and cons of each implant.
- Online research: A little research and understanding of the entire treatment helps patients to know their situation and accordingly take care of themselves. Doctors are definitely there for any medical support and advice; however there’s no fault in being a little more cautious and having a basic idea about the treatment.
- Pick up Bad Habits: Incorporating bad habits and poor lifestyle shall affect the treatment. It is better to avoid fast food, street food, and junks, right before treatment. Also, patients must ensure that they must not get into anything, which can affect their physical or mental health. Drinking, smoking must be restricted, all throughout the implant process.
- Be Impatient: Instead of hurrying, patients must be calm, composed and patient. They must give time for the treatment and wait for the desired results, while strictly following medical advices and recommendations. Even after treatment, they must give time and leaf life in normal space, for fast and effective healing.
- Choose the cheapest clinic: By only considering the cost, patients can take a huge risk on their health. Cheaper clinics often don’t have the infrastructure, use outdated dental devices and appliances, and employ moderate doctors. All their procedures might not be standardized and can lead to further dental and health problems.
- Postpone Treatment/Miss Sessions: Postponing treatment sessions or missing a session can cost dear to dental implant patients. Candidates must understand that their treatment adheres to specific plan, where time a key factor. Missing a session can take the treatment longer, which means more time to cure.
How are Dental Implants done?
Presently, the dental implant procedure is done in two phases- preparing the jaw for implant and placing the implant. Implants are mainly done in just one sitting; however require a period of Osseo integration- a process by which dental implants fasten to the bones of jaws.
- Preparing the Jaw: First, a small diameter hole, also known as pilot hole, is drilled at edentulous jaw sites, so as to guide the titanium screw, holding the dental implant in proper place. The implant restoration is usually made of titanium screw and a crown. Dentists bore the pilot hole and size the jawbone with great expertise and efficiency, to prevent any damage to the jaws and facial structure such as the inferior alveolar nerve right in the mandible (lower jaw). In many cases, dentists take help of surgical guides, which they create, according to the CT scans, while placing the implants.
- Placing the Implant: Post drilling the initial pilot hole into the most suitable jaw site, dentists, slowly yet steadily, widen it to place the implant screw. Once the screw is in appropriate place, they secure the surrounding gum tissue right over the implant. The surgeons also place a protective cover screw on the top of implant, to allow healing and Osseo integration to take place. Six months after this procedure, dentists then uncover the implant and connect an abutment to it. The main function of the abutment is to hold the crown or tooth-like replacement. In certain cases, the abutment is attached right at the beginning. Once the abutment is in place, dentists then create a temporary crown, which serves as a template, and surrounding this crown, the gums develop and re-shape naturally. This procedure is done only when the temporary crown is replaced with the permanent one.
How to take care post-Dental Implant?
Dental Implants being a medical procedure; calls for extra care and protection. After undergoing implants, patients must follow their dentists’ advice and abide by certain diet and other regulations. The most common after-implant care is:
- After the surgery, patients must limit their diet to soft food, for five to seven days. In case of any stitches, dentists remove them. However, today, self-dissolving stitches are made, and therefore stitches get dissolved, gradually, with time.
- In case of provisional restorations, patients must treat these restorations, like their natural teeth. This will ensure fast healing, and fusing of the implant.
- Patients must regularly brush and floss their implants to keep it clean and prevent any infection. Smoking and drinking post-implant should be strictly avoided.
- After an implant, the dental parts remain delicate. Therefore, patients must take additional care, if recommended by the dentist.
Where are Dental Implants applied?
Dentures: Implants are applied on dentures, which rest on the gum. An implant-supported denture is a kind of over-denture that has special attachments, which snap into the implants’ attachments.
Broken Tooth/Teeth: Through dental implants, broken tooth/teeth can immediately be replaced. In this process, a temporary crown is attached by connecting an abutment, and forms a complete tooth-replacement system.
Dental Bridges: A dental implant bridge uses implants, in place of natural teeth to provide stability and support to a bridge, across missing teeth. It is a cost-effective way of replacing teeth.
Dental Crown: Dental implant crown works best for tooth, which has been suffered a decay, trauma or fracture. It is the simplest form of treatment where a single implant is used for restoring single crown.
What are the types of Dental Implants available?
Presently, there are about 40 different types of implant available. While some implants have national warranty, others are well acclaimed across the world. Besides these, there are mini and micro-mini implants. The mini implants have a small diameter and are traditional. Micro-mini implants are a variation of both traditional and modern mechanisms, and are small and narrow. With a screw-like appearance, the micro-mini implants are temporary in nature and are can be easily removed. Typically, there are five types of dental implant:
- Single Tooth Replacements: Only one implant is used to support a single crown.
- Multiple Tooth Replacements: With multiple implants, multiple missing teeth can be replaced. In this process, the multiple implants form bridgework, as tiny as a 3-unit bridge. The multiple implants provide support to the bridge or a large number of teeth. In multiple tooth replacements, 4 to 8 implants are required to replace a full jaw of teeth. 10 or more crowns are incorporated through fixed bridgework.
- Combo of Fixed and Removable Bridgework: In this, implants are used to provide support to a particular section of fixed bridgework, which are attached to a removable section.
- Over-dentures: Two or more standard or mini-implants are installed to stabilize the dentures and preserve the bone, beneath the dentures. Full traditional dentures press directly on the bone and the gum; thereby causing loss of bone through resorption. On the contrary, over-dentures supported by implant, protect the bone.
- Orthodontics: It is an anchorage for tooth movement where mini, micro-mini or standard implants are used to provide stable and fixed anchor units to allow fast and easier movement of tooth.
- Temporary Bridgework: Micro-mini implants are used, and are taken away once the permanent implants heal and the teeth get permanently replaced. This ensures that patients have teeth all the time and are more comfortable and confident in their social life.
How is a Single Tooth Implant done?
A single tooth implant comprises of various devices- the implant, the abutment, and the restoration. The implant is placed in the upper or lower jawbone. It is made of titanium. The abutment can be made of gold, titanium, or porcelain. It is connected to the implant, with the help of a screw, and connects the implant to the crown. The abutment has a shape, like that of any natural teeth, which can be cut down to receive a crown. Finally, the restoration is the crown. It is generally made of porcelain or metal, and is integrated to a metal alloy, known as PFM. If the crown is cemented onto the abutment, the hole within the abutment will be covered with tooth-colored filling material or composites; whichever helps in restoration.
The time taken for the single implant procedure is dependent on various factors. If traditional implant is practiced, the entire procedure only takes about five months for the lower jaw and a month more for the upper jaws. In this time frame, dental surgeries are done, and final crown is placed. However, if the jawbone is weak and the bone needs to be first built, the same process can take up to a year.
In the traditional method, two procedures are carried out, keeping a gap of three to six months. A small incision is done in the gum right at the first procedure. The implants are kept within the incisions. Dentist drills a hole in the bone, where the implant is properly placed, and then the incision is stitched and closed. Once it heals, the second treatment starts. In this, a new incision is exposed to the implant, and a healing cap, better known as collar, is screwed at the implant top. This helps in fast healing of the surrounding gum tissues. After few weeks, the collar gets removed and the abutment is clenched into the implant. The abutment provides support to the crown.
In an alternate to the traditional dental implant, both the implants and healing caps are placed simultaneously. If dentists use mini implants, they place the implants along with the crown, denture and bridge, on the same day.
Where the traditional procedure is more commonly in use, in some cases, depending on the patient’s dental condition; the dentists perform the one-stage procedure.
Q1. Who is an ideal candidate for the treatment?
A. Dental implants are suitable for most adults. However, before opting for such procedure, patients must consult their dental implant specialist and know about the pros and cons of their treatment.
Q2. Is the treatment painful?
A. Before starting the treatment, patients are provided with local anesthesia. There is no pain, and therefore no hassles.
Q3. How soon can patients join work, after treatment?
A. Dental implants are the most convenient processes, post which, patients can get back to normal life and work. Typically, they should give a day rest, after undergoing implant. Only in case of severe medications and/or ailments, patients must seek advice from their specialists.
Q4. How long does it take to place the implant?
A. Depending on the location of the implant and the number of implants placed; it may take anything between 30 minutes to an hour, for the complete procedure.
Q5. When do new teeth appear?
A. This varies from patients to patients. Initially, patients develop temporary teeth, until their implants fuse with the jawbone. The timelines for the permanent teeth are provided by the dental implant specialist.
Q6. How to take care of implants?
A. Regular brushing, flossing and seeing the dentist at regular intervals of period, ensure good care and protection for implants. Good eating habits and healthy lifestyle also increase the longevity of implants.
Q7. How long does implant last?
A. If the above measures are properly implemented, implants can last for many years. Normally, they last for about 35 years.
Q8. What are the success rates for implants?
A. Dental implants have success rates as high as 98%. These are most efficient and cost-effective solution for any dental problem.
Q9. What are the long-term values of implant, as compared to other treatments?
A. Where conventional methods have more inconvenience and frequent maintenance after treatment, dental implants are known for lower maintenance, high stability, and convenience. It makes patients more confident, and are highly valuable.
Q10. Are implant procedures covered by insurances?
A. Most insurance cover certain procedures of restoration, however these insurance policies vary. Patients can also go through different financing options and compare among competitive interest rates to get the best insurance cover.