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The dental implant treatment process in Sungai Buloh, Selangor

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the typical dental implant treatment process normally takes 3-6 months and requires 4 steps
the typical dental implant treatment process normally takes 3-6 months and requires 4 steps

The dental implant treatment process in Sungai Buloh, Selangor

What is the process of dental implant treatment in Sungai Buloh, Selangor ?

The process for dental implant placement will vary somewhat from dentist to dentist in Sungai Buloh, however, you can expect to have an initial appointment where the dentist evaluates the area where the implant is needed, and he or she will take an X-ray and likely a mold of that area of your mouth. The second appointment will be the actual dental implant placement appointment. The dentist will numb the area and place the implant. Now, realise this is only the implant placement appointment.

The dentist will not likely place the abutment and crown on the implant that day or clip your denture on the abutment that day. The reason for this is the bone needs to tighten up around the implant (osseointegration) which takes three to six months. Not until osseointegration has occurred can you place an abutment and crown or clip a denture to the abutment/implant complex. If you do this too soon you risk the dental implant coming loose.

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For example purposes, we will share with you our appointment protocol for a patient who is getting a single implant placed with an abutment and crown to be put on the dental implant. The patient in this example has adequate bone volume so doesn’t require any auxiliary procedures (bone grafting) and there are no contraindications to implant placement. We’ve also included approximate chair time for each appointment and time between appointments to illustrate an average length of time you can expect before getting your new “tooth”.

Appointment 1: initial consultation (30 minutes)

(1 week later)

Appointment 2: records (30 minutes): x-ray and mold of mouth

(1 week later)

Appointment 3: Implant placement (1 hour)

(3 months later)

Appointment 4: impressions for crown (30 minutes)

(3 weeks later)

Appointment 5: deliver crown (30 minutes)

As you can see there are multiple appointments involved even with the most straight forward cases. Also, the total time elapsed in the above example from appointment one to appointment five is approximately four months. This illustrates one potential drawback to dental implants which is the time it takes. One of the most active areas of research and innovation right now  revolves around finding ways to reduce this time lapse.

We cannot rush biology. By that we mean we need to let the body heal/osseointegrate on its own time. The majority of implants that we see that fail did so because the patient and dentist were in a hurry to get a tooth on that dental implant and rushed the process. They put a crown on or clipped a denture on the implants before full osseointegration and the forces of chewing or even forces from their tongue (a very strong muscle) wiggle the implant loose. When this happens, we are all the way back to the start. It is always safest to give the body plenty of healing time. The lesson here is patience. I understand it is a long time to go without a tooth, but except in very limited and specific situations it is too risky to get impatient and load that implant too soon. 

Are dental implants Safe in Sungai Buloh, Selangor?

As with anything in dentistry, dental implants when planned with proper diagnostic equipment and a properly trained dentist, have a very high safety and success rate. The best way is to ask a lot of questions. Make sure the dentist has had adequate training and the proper diagnostic equipment in his office to perform this procedure. Dental implant placement, as with any dental procedure, should be planned meticulously. 

That means that you as a patient need to have patience. A well performed dental implant procedure will take some time to plan and execute. If the dentist seems in a hurry to get the implant placed, I suggest a red flag is evident 

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the great majority of dental implants are made of a surgical grade titanium
the great majority of dental implants are made of a surgical grade titanium

What are dental implants made of?

Today, the great majority of dental implants are made of a surgical grade titanium. Studies show that this type of titanium allows the bone to osseointegrate into the dental implant itself, thus stabilising it so you are able to apply chewing forces without it coming loose. There has recently been a substantial amount of research on ceramic dental implants. As of this writing, ceramic implants show promise for those who refuse to have any “metal” in their mouths, but the research lacks long term studies with this type of implant.

This is a good time to answer two very common questions that dentists hear:

1) If I have a dental implant, can I get an MRI in the future?

2) If I have a dental implant, will it be detected in airport scanners?

All FDA approved dental implants are safe with MRI’s and will not be detected in airport scanners. 

How long will dental implants last?

Dental implants are truly one of the most amazing developments in dentistry to date. Their success rate is astounding. However, contrary to popular belief, we cannot honestly say they will last forever. The long term success of a dental implant is dependent on many factors. For example, placement of a dental implant is extremely important for its long term stability. If a dental implant is placed at an angle such that chewing puts a horizontal force on that implant, the stability may be compromised. The dental implant may still last for years, but the long term consequences of those off angle forces may cause it to fail eventually. Dental implants will not get cavities. However, the bone around the implant can become infected if proper care is not taken. Just like your natural tooth, you must keep your implant clean with proper brushing and flossing (or interdental brush) or the bone around the implant could become infected (peri-implantitis) leading to loss of the implant.

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What are the potential drawbacks to dental implants?

A natural tooth root is suspended in a ligament which is attached to the bone. This ligament has nerve fibres which detect minute movements such as pressure sensation in the tooth. If you’ve ever been eating and bitten down on a seed for example, you will have noticed you fairly quickly detect the hard seed and as a reflex, your jaw quickly opens. This reflex is due to the ligament around the tooth sensing this extremely hard substance. It is a built in safety mechanism to minimise breaking teeth.

Dental implants do not have that pressure sensation with the surrounding bone. What this means is you are more likely to chip the porcelain on a dental implant crown than you are your natural tooth. At the time of this writing, the great majority of dental implants being placed are surgical titanium and are silver in colour. This creates some challenges when you need an implant in a highly aesthetic area of your mouth such as top front teeth. Sometimes, depending on the thickness of bone and soft tissue in the area of the dental implant, there may be some dark shadowing along the gum line where the silver of the dental implant can show through. There are many techniques being constantly developed to overcome this problem such as tissue grafting procedures, ceramic dental implants, teeth and gum tissue coloured porcelains. This will continue to get better and better in time. 

dental bridge vs dental implants
dental bridge vs dental implants

Why go for a dental implant instead of a dental bridge treatment?

Traditionally, when a person was missing a tooth, they would get a dental bridge placed. The procedure for doing a bridge is to crown the tooth behind the space and in front of the space and create a one piece tooth bridge where each individual crown is attached to the fake crown.

There are two significant problems with this technique. First, it does not solve one of the major reasons to replace that missing tooth which is for load distribution. To the patient, function will be restored because they now have something filling the space and contacting the opposing tooth when they chew.

However, the forces put on that fake tooth are all being distributed to the adjacent teeth which is greater force than those teeth were designed for.

The second problem with a dental bridge is it ties teeth together unnecessarily. If just one of these teeth gets a cavity under the crown, you often have to remove the entire bridge just to fix one tooth. It is always best to keep teeth/implants separate that way if you need to fix one, the others go untouched.

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When should you do a dental bridge instead of a dental implant?

There are situations where a bridge would be a better option than an implant.

It is often easier to make a dental bridge look more aesthetic in the front of the mouth when there has been significant hard and soft tissue loss. In situations like this, to make a dental implant look natural may require significant and multiple bone and soft tissue grafting procedures and even then the aesthetics of the final outcome can be unpredictable. Another reason a patient may elect to have a dental bridge placed instead of an dental implant in Sungai Buloh, Selangor is if there are absolute contraindications present or if there are relative contraindications in which the patient and the dentist feel would present too much of a risk or the prognosis is not optimal. (Prognosis is defined as the likelihood the dental implant will be successful).

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