Quality & Affordable Dentistry in Malaysia

What is a Dental Implant in Selangor, Malaysia? 

Posted by dentist3 in Uncategorized | 0 comments

"A dental implant is an artificial tooth root that works like a natural one” The choice of materials for dental implants currently is Titanium which is biocompatible
“A dental implant is an artificial tooth root that works like a natural one” The choice of materials for dental implants currently is Titanium which is biocompatible

First, a very short history lesson which may surprise you. In 1931, during a Honduran archaeological dig, a large part of a woman’s jaw was found, dating back to 600AD. In that jaw, there were three teeth missing, and in their place, three tooth-shaped pieces of shell had been inserted. It wasn’t until later, in 1970, when Professor Amadeo Bobbio, in Brazil, examined this same jaw with X-rays. What he found was very interesting. New bone had formed around the shells, proving that these shells had been placed while the woman was alive and that the body had ‘accepted’ them.

In more recent times, dental implants have been tested using the material, titanium. These have been researched and placed in humans since 1965, originally by a surgeon called Branemark. There is now over 50 years research into modern dental implants.

“A dental implant is an artificial tooth root that works like a natural one” 

Sounds perfect, yet are they perfect for you? Let’s get back to the original question.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

What Exactly is a Dental Implant?

“A dental implant is a very small but strong post made of biocompatible metals or ceramics, which is inserted into the jaw bone in place of the missing tooth root. Such an implant acts as a support for the tooth, and is surgically inserted under local anaesthetic on an outpatient basis. Until the implant is securely attached to the jaw bone (the process is called “osseointegration”), a healing phase of between 6 weeks and a few months is necessary, depending on the individual medical situation. Once healed, the artificial root acts as a base for fixing individual crowns and multi-tooth bridges. Also, the implant can be used as an anchor for entire dental prostheses.”

Technically, a dental implant is made up of three parts, the fixture, the abutment and the restoration. We are going to explain these three words, and we want you to remember them, as they will come up again. Let us explain. 

The First Part: The Dental Implant Fixture

The "fixture" lies under the gum, normally out of sight.
The “fixture” lies under the gum, normally out of sight.

The fixture replaces the root of the tooth. This is the screw that is gently placed into the jaw bone. I say gently because the procedure is provided under local anaesthetic, sometimes with sedation. Some patients say that a simple dental implant placement feels similar to having a filling done.

The fixture lies under the gum, normally out of sight. Here is the technical part. There are different materials that the fixture can be made from, the main ones being titanium, ceramic and Roxolid®.

Titanium: Pure titanium is a biocompatible metal, which means that it is non-toxic and well-tolerated by the body. It is both strong and light. This is why it has been used for so many medical uses, like surgical implements and joint replacements.

Titanium has a high strength and low weight. One of its most important medical applications is in implants, and those made from titanium have been shown to bond very well to living bone. This bonding process by the body is called osseointegration. Because of this, dental implants can last for decades and for life. 

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

Ceramic: The ceramic implants are made from an ivory-coloured, zirconia ceramic. However, these are not as popular yet, as the advantages of titanium and Roxolid appear to outweigh ceramic. Although ceramic is a great solution for those patients with an allergy to titanium.

Roxolid®: Roxolid® is a titanium-zirconium alloy which is stronger than pure titanium and has excellent osseointegration properties. Roxolid is unique to one manufacturer, and this is one of the reasons that we use the Straumann dental implant system, because by combining the biocompatibility of the titanium with the strength of the Zirconia, there is a stronger material than just titanium.

This means that smaller fixtures can be placed which are just as strong, perhaps avoiding the need of bone grafting where there is reduced bone. This in turn reduces the overall cost and speeds up treatment time. Roxolid® shows faster healing and higher treatment predictability.

“Roxolid, means that now we can use much smaller implants. So, implants are more easily placed in patients who have reduced bone. We see this problem often affecting older patients. Perhaps they could not have had implants 10 years ago, now, that’s not necessarily the case. Now they can have simple implant procedures with these more modern, smaller yet stronger implant fixtures. These patients are actually able to have treatment that can significantly increase their quality of life.”

Advances in the Surface Technology of Implant Fixtures Research has been done to see if the healing time and predictability can be improved by different surfaces on dental implant fixtures. A new advance has come in the form of Straumann SLActive® which is clinically proven to shorten the healing time and can increase treatment predictability.

Advances are coming all the time. Dental implantology is a major growth area. However, as with all advances in science, progress lies in solid research proving success over time.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

The Second Part: The Dental Implant Abutment

The Dental implant fixture is hollow at the top with an internal screw-like surface

The Dental implant fixture is hollow at the top with an internal screw-like surface. Remember Meccano when you were a kid, where one section attaches to the next and then another to that one?

The abutment is screwed into the fixture. This is the substructure, ready to take the visible restoration. The main reason that this is not normally already integrated into the fixture, is that the abutment can be made up of different shapes, depending on the design of the restoration which fixes onto the abutment. The restoration can be so varied in design, that there needs to be different shapes of the abutment to create the best aesthetics at the end.

The Third Part: The Restoration

There are several ways of restoring an implant, depending on how many teeth are missing, including a single crown replacing a single tooth, a dental bridge on several implants replacing several or all the missing teeth or a denture which is fixed in place wi
There are several ways of restoring an implant, depending on how many teeth are missing, including a single crown replacing a single tooth, a dental bridge on several implants replacing several or all the missing teeth or a denture which is fixed in place wi

The section you see above the gum is the restoration. There are several ways of restoring an implant, depending on how many teeth are missing, including a single crown replacing a single tooth, a dental bridge on several implants replacing several or all the missing teeth or a denture which is fixed in place with implants. Let’s talk about these in more detail.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

Examples of Dental Implants with Illustrations and Pictures in Selangor, Malaysia

Replacing a Single Missing Tooth

If there is a single tooth missing, then you will need a single implant with a single crown on the abutment and fixture. The crown is placed securely and will remain in place like a natural tooth.

Illustration shows zirconia implant fixture supported by zirconia crown

Real Life: Replacing a Fractured Tooth With a Dental Implant

Photo: the final implant crown has been made to match the existing teeth.
Before Xray: this patient’s natural tooth had a fractured root. The tooth had been previously root-filled and crowned (the white is the metal substructure of the crown).
Photo: the final implant crown has been made to match the existing teeth.
After Xray: The failed tooth has been removed and replaced with the implant fixture, abutment and crown.
Photo: the final implant crown has been made to match the existing teeth. 
👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

Replacing Several Missing Teeth

If there are several missing teeth, then multiple implant fixtures are placed, and an implant-bridge is fitted permanently on top of them. This bridge is fixed securely.

LOWE JAW MISSING SEBERAL TEETH
LOWE JAW MISSING SEBERAL TEETH
LOWE JAW MISSING SEBERAL TEETH
LOWE JAW MISSING SEBERAL TEETH

Note: an implant-retained bridge is not to be confused with a tooth retained bridge. In both cases a bridge is used, however the implant-retained bridge has the bridge attached to implants rather than teeth.

Real Life: Replacing Several Upper Front Teeth with Dental Implants

Before: Several back teeth were missing and had been replaced with a partial denture which had become loose and ill-fitting (see the left side of the photo), the remaining teeth had failing crowns and bridges with recession.

After: An implant-retained bridge replaced the loose partial denture, and the remaining upper teeth were restored with new crowns and bridges. 

Replacing a Full Jaw of Missing Teeth

If all the teeth are missing in your jaw then there are three implant-based solutions:

OPTION 1: Implant-Retained Fixed Bridge

1. Implants and fixed bridge being placed.

2. After full jaw implant treatment.

This is the ideal option if you would like fixed-in teeth.  At Dentist3, this is the most popular choice for those missing all of their teeth.

Why? Because the teeth are fixed permanently in place. They look like teeth. When you bite, you can bite fully.

Apples and steak are easy.

Four to eight implants are placed into the jaw. The number of implants used depends on several factors, including bone levels and risk factors. Then a dental bridge is made to carry the new teeth. The implant-bridge uniquely fits the jaw, mouth and facial shape. The implant-bridge is secured in place and not removed, so it will be cleaned in situ with a tooth brush and interdental cleaning brushes and floss.

This is the next best thing to having your own natural teeth. The look of the teeth and the aesthetics can be made specifically to suit your face-shape as the teeth can be placed in the best position to support your overlying skin. The restoration does not need to be in the compromised neutral zone as a full denture does as this restoration is precision fitted to the implant fixtures which are solidly integrated into the jaw bone.

They look natural and the bite functions normally. You should be able to eat everything like you used to with natural teeth. However, this option is the trickiest to clean around. You will need to master interdental brushes and floss. 

If there is a question of your ability to clean around your new implants, then the removable option next may be a better option, so your implants stay healthy for life.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

Real Life: Replacing Failing Upper Teeth with Full Jaw Implants

Before: All the upper the teeth are failing
Before: All the upper the teeth are failing

After: The upper teeth have been replaced with an Implant-Retained Fixed Bridge. 

OPTION 2: Denture Stabilisation on Implant-Locators

This is a simple solution for loose dentures by simply clipping the denture onto implants like press-studs. Two to four implant fixtures are inserted into the lower jaw or a minimum of four in the upper jaw.

The number of implants used depends on many factors, including bone quality, risk factors and cost. The press-stud attachments on the implants have opposing attachments within the denture. This allows the denture to be pressed into the mouth and ‘clicked’ into place. Although there can be slight movement with this type of removable restoration, it is a world away from an unsecured complete denture and offers security, stability and confidence.

A major drawback of this option is that the denture is required to be removed several times a day for cleaning and kept out at night for disinfection.

This option is the cheapest full jaw solution.

Your ability to eat and chew will significantly increase with this option, however if you want to really bite into apples and crusty bread, then you might want to consider the Implant-Retained Fixed Bridge.

Real Life: Upper and Lower – Denture Stabilisation on Implant-Locators

(1) Before: This patient had a partial denture replacing the upper back, missing teeth in the upper jaw. The upper front teeth were failing and needed removing.
(1) Before: This patient had a partial denture replacing the upper back, missing teeth in the upper jaw. The upper front teeth were failing and needed removing.

OPTION 3: Denture Stabilisation on an Implant-Retained Bar

This option is a step up from option 2 and suits the patient who is looking for a much more secure removable option. And in particular, in the upper jaw, if you are tired of your denture covering the roof of your mouth, preventing you tasting and feeling foods, then with this option, your denture base can be really small, allowing the roof of the mouth to remain uncovered.

In the upper jaw, this generally requires placement of four implants per jaw. A custom-made bar is fitted which allows a minimal denture to be secured using clips and studs. This denture has a metal base and can be much smaller and more discreet than a regular denture, while still providing great aesthetics.

This is a very rigid and robust solution, and you should be able to eat apples and crusty bread using this type of solution. This option has  significant stability advantages over the implant-locator style attachment, as the bar-retained denture has increased rigidity.

Again, a drawback of this option is that the denture is required to be removed twice daily for cleaning, and is kept out overnight for disinfection.

Stage 1: Implants and bar placed.

Stage 2: Removable denture fitted over implants and bar.

Stage 3: In place.

“It is very satisfying nursing for the implantologist . It requires meticulous planning to the highest standards to ensure optimum results for each patient. The results are amazing and it is great to see the reactions from our patients at the end of their treatments.”

How Successful Are Dental Implants in Selangor, Malaysia?

Success depends on whether the body accepts the dental implant fixture and bonds with it.

Research by Straumann, one of the largest worldwide implant manufacturers whose clinicians have placed over 14 million of their implants, suggests that success occurs in 95-98% of DENTAL IMPLANTS implants.

“If an implant fixture fails to integrate with the bone, we will be able to spot this on an x-ray before the final restoration is fitted on top. If this happens, the implant is simply removed and then replaced after a few weeks of healing. There is normally no pain associated with this.

The fixture may simply become loose. In general, failure is due to poor healing such as in the case of diabetics and heavy smokers, however it can occur for unknown reasons in healthy individuals. Failure rates are so low, that most surgeons would provide a replacement implant at no additional cost.”

Success depends on several things, including:

O The health of the patient

O If the patient is a smoker

O The quality of the implant placed

O The position the implant is placed in

O Appropriate loading of the implant

O The surgeon who places it

O The quality of the aftercare

O How well the implant is cared for by the patient.

How Are Biting Forces Affected After Dental Implants are placed?

The biting force of natural teeth is about 150-250 psi. With full dentures, this can drop to 5.6 psi. With dental implants, our biting and chewing ability returns to normal, in fact higher than with natural teeth, reaching up to 300+psi on average. So why are the forces achieved with implants be so high? Implant fixtures are fitted directly into the bone, whereas teeth have a ligament which acts as a cushion for the tooth.

Let’s Summarise.

Dental implants merge with our body.

When cared for, dental implants are expected to last a lifetime.

Dental implants give secure confidence to talk and laugh as they are fixed securely in place, eliminating the worry thet a denture will fall out.

We can become more active socially, as studies show we are more appealing and more engaging to be a around.

We can be comfortable with our nearest and dearest, day and night, as we know our teeth are firmly fixed in place.

Our career prospects can flourish as we regain our confidence, as our smiles are beautiful and bright.

Dental implants increase our chances of keeping our remaining teeth healthy. The bone stays strong and the adjacent teeth are kept whole and healthy without any bridge preparation of adjacent healthy teeth.

Bone volume remains intact. Our face height stays normal and the bone volume supporting our cheeks remains, minimising premature aging by maintaining the structure under the skin on our face and lips.

Our chewing and biting ability returns to normal. In fact, chewing forces become even stronger than natural teeth, providing the forces that we need to eat the healthy and nutritious foods that we love. The biting force with natural teeth is 150-250 psi. With full dentures, this can drop to 5.6 psi. With dental implants, this increases to 300+psi on average. This gives us the opportunity to keep our bodies nourished and healthy into old age.

According to the National Institute of Health, on average, we live 9.8 years longer with fixed or natural teeth than those with partial or full dentures.

Dental implants preserve the facial structure, keeping us looking younger. Implants transmit chewing forces to the jaw bone. This is not the case if teeth are missing or when a conventional prosthesis has been put in place. If these forces cease, the bone may slowly recede and the shape of the face may change over time.

👉 BOOK Dentist in Selangor, Malaysia NOW on WhatsApp (based on location) : https://linktr.ee/dentist3cliniclist

Leave a Reply

Your email address will not be published.

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>

error: Please email smile@dentist3.com for Content :)