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A Patient’s Guide to Dental Implants
“All-on-Four” or implant supported Overdentures in Malaysia
If you are currently wearing dentures, ask yourself:
- Is your denture feeling less than satisfactory?
- Is your denture uncomfortable, loose or painful?
- Are you not wearing your denture because it’s uncomfortable or ugly?
- Is your existing bridge starting to leak or show unsightly margins?
- Is the colour of your bridge less than ideal?
If any of the above situations apply to you, it might be time to take a look at dental implants as a permanent option.
What is a Dental Implant?
A dental implant is an artificial “root” system comprised of a titanium screw coupled with a prosthetic tooth. The implant, which is lodged in the jaw, operates completely independently from your other teeth, giving it a secure fit and realistic look.
Why Dental Implants?
Dental implants can be used to solve a number of dental impairments including:
• Missing or Broken Teeth
• A Rotted or Brittle Tooth
• As an alternate to dentures
Typically dental implants are the best permanent solution for a picture-perfect smile, and are considered one of the best investments for your overall oral health and longevity of your teeth.
Implant overdentures are removable appliances which are both implant‐ and tissue‐borne prostheses and utilize an abutment and a denture attachment for the retention.
These appliances solve several major problems with traditional dentures, notably:
- Provide greater masticatory forces (≥50% of that for dentate patients)
- Improved incisal capacity
- Increased retention/no denture adhesives needed
- Possible elimination of palatal coverage for patients who cannot tolerate the denture due to gag reflex
- Improved taste, thermal and sensory capability if the palatal coverage is eliminated
- Reduced awareness of foreign bodies in the mouth
- Improved occlusion and reduced TMJ problems assuming correct verticaldimension
What are Mini Dental Implants?
Mini Dental Implants are relatively a new concept in Malaysia and quite rarely done by general Malaysian Dentists
Mini dental implants are ultra-small diameter (1.8 millimeter width), bio-compatible titanium alloy implant screws, conceived and developed over 20 years ago by a Manhattan dentist, Victor I. Sendax, DDS. Dr. Sendax originally created the unique design of this innovative dental product as a transitional device to help support fixed bridge replacementes for missing teeth. His novel theory was that min implants could function free standing by themselves or in combination with natural tooth supports and/or larger conventional type implants. This was a revolutionary concept in dental science.
I’m somewhat aware of the tremendous forces the uman jaw usually endures during normal chewing of food.
How are Mini Implants in Malaysia Inserted ?
The Sendax insertion protocol included prepar- ing a minimal receptor site for a 1.8-mm implant by drilling directly through the attached gingiva into the bone for the part of the length of the implant portion that would be inserted but without the clas- sic osteotomy that removed substantial bone to pro- vide premeasured space for stabilizing traditional implants. The mini implant would then be turned and threaded into the bone with pressure from fin- ger and thumb drivers until the threads were fully inserted.
Is the Mini Dental Implants FDA approved?
Yes. After reserach, clinical trials and exaustive studies, a formal application was filed with the FDA in Washington, D. C. seeking permission to market the mini dental implant devices to the general public. After providing satisfactory techinical and clinical evidence to that federal agency that the product was safe for public use and in fact had beneficial attributer, the FDA granted its formal consent to market the MDI device not only as a transitional or temporary dental product, but significantly, as a long-term device.
When can Mini Dental Implants be used
When critically needed for support purposes, and where solid bony adaptation (integration) has clearly occured, mini implants can function as long-term supporting structures rather than as short-term or medium term devices.
In fact, some have been successfully functioning in patients jaws for several decades.
Further, the’re particularly effectuve in crown and bridge applications, as well as single-tooth replacements.
What’s the primary and most effective use for them?
The most effective use of this unique dental product is stabilization of a mandibular (lower) denture.
A majority suffers a great deal of discomfort as a result of loose or ill-fitting dentures. Also, many denture wearers simply withdraw from any type of social engagement as a resultof being compelled to wear them. Moreover, it’s
not uncommon for family members to complain about a denture wearer’s disagreeable breath as a result of food being trapped and decaying un der their denture prosthesis.
What are the Mini Implant Malaysia Lengths ?
There are many manufactures of mini implant imported into Malaysia . Typically the length of mini implants are in six lenghts, 6, 8, 10, 13, 15 & 18 millimeters. One trained in dental science will recognaze instantly that these lenghts appropriately anticipate the type of depths that are needed in a wide variety of prospective MDI patients.
How are mini impants different
As a revolutionary departure from routine implant methods. mini implants are so narrow they are typically inserted directly through the overlying gum tissue and into the bone underneath. Consequently the need to surgically cut and “flap” open the gum tissue, routinely required for standard dental implantsystems, is avoided in most Mini implants applications.
As a result, post-insertiond patient irritation and soreness is significantly reduced. While all dental implants require care during insertion to avoid encroaching on vulnerable nerve, sinuses or bony structures, the ultra small width of the mini implants also offers a comfortable margin of safety.
How can these tiny mini implants withstand strong biting forces?
It’s true that what the dental profession calls occlusal forces create dynamic pressures on the human jaw. The jaw is marvelously designed to adequately withstand those forces.
It’s also true that mankind has been struggling for centuries to come up with some type of metal or metallic element that can efficiently withstand those forces. Most have been outright failures. However, approximately twenty-five years ago some doctors around the world began experimenting with titanium as a potential dental medium.
Titanium is an extremely strong metal used in the contruction of aircraft and aircraft engines. The titanium in its commercial form, is incredibly strong and durable. The current mini implant designs takes that metallurgical concept to the next level by adapting an industry approved mixture of commercially pure titanium, a small percentage of the strongest metals on earth, now commonly referred to as titanium alloy.
The bottom line is simple: If a denture patient has sufficient bone mass to create a rock hard placement of the tiny implant, wich an experienced dentist can usually determine by an initial examination, the mini dental implants will generally withstand normal occlusal forces just like natural teeth. Fractures are extremely rare, but as is the case with a person’s normal teeth, can certainly occur. In those rare instances, a dentist can quickly remove the fractured implant and replace it.
What type of surgery is involved for placing mini implants?
A single, minimally invasive surgery is needed for insertion of the mini implants. They are then put into immediate biting or “loading” function thanks to their “self-tapping” design, thereby anchoring a fixed bridge system. As a result, it is often possible to provide the complete mini implant service in a single clinical visit.
What about failures?
It must be recognized that all implants system as well as natural teeth are subject to potential failure due to natural causes, including osteoporosis, poor oral hygiene, wear and tear attrition, poor healt, heavy, stressful biting habits, and lack of follow-up dental mainenance care.
Mini implants similarly do not carry any actual or implied guarantee of longevity.
However, the loss of a mini implants is a far less critical event to the patient since it may be replaced at relatively minimal cost compared to larger conventional implants, and with minimal associated bone or gum deterioration. Case failures involving mini implants are extremely rare.
What’s a typical daily routine one might expext once the MDI’s have been placed?
As with all dental applications, there’s a short adjustment period during which time the Mini Dental Implants patient becomes comfortable placing and removing the denture. Typically, this involves removal of the lower denture in the morning, brushing the gums and implant area with an curved bristle toothbrush, using the mouth rinse, rinsing the denture itself, then replacing it.
Source : Mini Dental Implants Principles and Practice, 1e by Victor Dr. Sendax