Quality & Affordable Dentistry in Malaysia

Dental Implant Placement Process in Selangor, Malaysia

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Dental Implant placement

First, you are either previously missing a tooth or you will have a tooth taken out soon. In the event that you are now missing a tooth, a little cut is made so your gums can be moved far removed and your dentist can get to your bone. On the off chance that you have recently had a tooth taken out, some of the time your gums are let be or they might be remoulded for you to have your best outcome. Then your bone is re-shaped to allow the implant to be placed. In the event that you are now missing a tooth, a space for the implant should be made for the implant to go into. On the off chance that your tooth was recently taken out, the opening your tooth emerged from is remoulded for the implant to squeeze into. The implant replaces the base of your tooth, yet it isn’t the very same shape.

At this point, either your gums will be quit for the day the implant to recuperate and permit your issue that remains to be worked out with the implant, an interaction called osseointegration, or it will be shut around a transitory projection piece and permitted to mend. Shutting your gums totally over the implant keeps microbes out of the area better, be that as it may, the brief projections can consider your gum tissue to mend into a superior shape alongside the bone healing.

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Sometimes, the impermanent projections can have transitory crowns on them for style. Your dentist will examine which choice will be best for you.

I have a truly dependable patient, my own mom, who I set my absolute first implant in soon after I began my training. I say thanks to her for permitting me to compose and discuss her and her dental consideration and to utilise her as an example.

She lost a tooth when I was in secondary school and had an extension set in those days. Indeed, her extension fizzled in light of the fact that she got a cavity under the back tooth of the scaffold. Food was continuously getting under it and it was almost unimaginable for all her it clean. Rather than simply doing a root channel on her back tooth and supplanting her extension, we put in two separate crowns and supplanted the missing tooth with a dental implant. She was not a contender for a transitory crown on her implant, so her gums were shut totally over the implant. She decided to be conscious for the strategy, and indeed, she was as yet numb for it.

The real position of the implant she depicted as clamor and a touch of vibration. At the point when the deadness wore off, it seemed like somewhere between a pizza consume and a Dorito injury. So not excruciating, yet a piece annoying.

Now for recuperating. As your dental implant recuperates, your bone will combine with it and it turns out to be essential for you in a cycle called osseointegration. It is vital to completely clean the region while your implant is recuperating to forestall disease. A contamination can keep your bone from combining to the implant. What amount of time this requires for will rely on your bone. In some bone, this can be just 12 weeks. In other bone it can require nine months to a year. Most implants fall in the time period of three to a half year. Your mandible, the lower jaw, generally mends quicker than your maxilla, your upper jaw.

Once the implant has intertwined with your bone, an impression will be taken of the region and a crown made for you. There are two choices for crowns, solidified or screw held. There are advantages to each. The established has strong material as far as possible around for better feel, nonetheless, the concrete can be hard to eliminate and can disturb your gums. Likewise, in the event that anything should be changed about the crown from now on, it should be sliced into to eliminate with essentially an entrance opening bored into it or conceivable totally removed and another crown made. Established crowns are solidified to the projection connector that goes through your gums in your mouth, after the projection is appended to your implant. The projection joins to the implant with a screw that is fixed to a particular snugness, called force, to hold it set up.

Screw retained crowns are attached all as one piece to the abutment that connects to your implant and have an access hole made into them. Screw retained crowns are not cemented in your mouth. The abutment and crown are screwed onto your implant all as one, and then the access hole is filled. You do not need to worry about the cement irritation to your gums and these can be easily removed in the future if needed, but the access filling may wear or pick up stain over time, just like a filling in a natural tooth. I prefer screw retained so that cement does not irritate your gums, however, due to the necessity of an access hole, may not be an option for everyone. 

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If you were wondering, my mother originally had a cement retained crown, however, about three years ago, she broke her implant crown, and completely broke the tooth behind it off below the gum line. I have changed her crown out to a screw retained crown and we are working on replacing the tooth behind it. She takes care of her implant and crown the same as any of her other teeth and eats more confidently than she ever had with her bridge.

Now for the variations possible. First, either you are already missing a tooth or you need to have a tooth removed. If you are missing a tooth, and the area has healed, great, you are most likely ready  to start. Your bone may need to be re-shaped or added to with grafting. Sometimes this can be done when the implant is placed; sometimes it needs to be done first. The same can be necessary if your tooth is being removed, although it is more likely that you will need bone added when your tooth is freshly removed. If you have a tooth that needs to be removed, sometimes it is possible to put in your implant on the same day, but sometimes you will need to heal after the tooth is removed. Needing time to heal is more likely if your tooth has an infection around it or if your bone is not healthy around it. Sometimes, even if the implant cannot be put in the same day that the tooth comes out but you need to have bone added, that may be able to be done on the day the tooth is removed. If you have other reasons for delaying having your implant placed on the same day as your tooth is removed, having a bone graft placed at the time of extraction can make your bone more ideal for later.

2 implants supporting a 3 unit dental bridge
2 implants supporting a 3 unit dental bridge

There are variations in healing time. The bone of your maxilla, your top jaw, takes longer to heal than your mandible, your lower jaw. This will cause variation in how long you will need for you bone to fuse with your implant and therefore how long before you have your definitive crown.

Of course, all of the variables specific to you will be reviewed with you at your consultation and examination as well as throughout your treatment. Maintenance and care

Yes, you do have to take care of your dental implant, just like you need to take care of your teeth. While you cannot get a cavity in a dental implant the way you can in your natural teeth, you still have to take care of the gums around the implant and your other teeth as well. Taking care of the gums is best done by keeping the implant clean. You can still get gingivitis, inflammation of the gums, or peri-implantitis, an infection in the gums around your implant, if you do not clean your implant.

Gingivitis and peri-implantitis are caused by bacteria. Gingivitis is inflammation and is reversible by removing the bacteria. The area will usually look red and irritated and may bleed when brushing and flossing.

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Peri-implantitis is the same as periodontal disease around your teeth, just around your implant. Peri-implantitis is an infection between your gums and your implant that causes your bone and gum tissue to detach from the implant. As this is the same infection as periodontal disease, it has all the same complications: bone loss, possible implant loss, increased risk of cardiovascular disease, increased risk of heart attacks, increased risk of strokes, increased risk of diabetes, increased risk of Alzheimer’s disease, etc. There are whole text books and courses on periodontal disease and periimplantitis for dentists. I will be working on a guide just like this to translate all of that information for my patients after I have finished this implant book, If you already have periodontal disease on other teeth, you are at increased risk of the infection spreading to your implant and need to be extra vigilant with your home care. 

So, how do you take care of your implant. First, the big don’ts. Do not do anything to your dental implant that could break a tooth. The crown of your dental implant is the same materials as a crown on your natural teeth, and is made to mimic your natural tooth structure as closely as possible. Therefore, something that can break your tooth can also break your implant crown. Do not chew ice, avoid grinding your teeth, do not eat rocks, and avoid being kicked in the mouth by a horse. Yes, that has happened to one of my patients. If you did not guess it already, the horse won.

Now how to take care of the implant. You can eat any normal food unless advised otherwise by your dentist. This is most likely if you have a temporary crown on your implant or right around the time when the implant is put in or the crown put on. You will need to clean it, just as you clean your other teeth. You need to clean the biting/chewing surface, the cheek/lip side, the tongue side, and in-between your teeth and your implant. The chewing, cheek/lip side, and the tongue sides are easy, brush them. You can use either a manual or electronic tooth brush, whichever works best for you. If you need help deciding, speak with your dentist or dental hygienist and they can help you to pick out which is best. The key with brushing is to be thorough but gentle. Angle the bristles of the brush so that you sweep out under the edge of your gums, and then sweep across the other surfaces of the tooth to remove all of the plaque and food debris. You do not need to scrub. 

Scrubbing is for tile and grout, sometimes the wheels of your car, but not for teeth and not for dental implants. Think of your implant and teeth as the world’s finest hardwood floors and your gums as the most expensive cabinets. So you angle your broom to get the dust bunnies from under the overhang of the cabinets and gently remove them with little wiggles of your broom, then gently but thoroughly sweep across the floor. Now use your tooth brush on your teeth and implant.

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Then take care of the areas between your implant and adjacent teeth.

There is more than one way to do this. The simplest is floss, when done correctly; floss is an excellent tool to clean in-between. Take your length of floss and, using as slight sawing motion, go through the tight spots. Hold the floss against the side of your implant crown so that it wraps around it a bit and slide up and down, getting below the gums. Do the same for the tooth next to it and any other teeth that you want to keep.

Remember to slide down below the gums as far as the floss will go, but do not force it or snap it or you can cut your gums.

There is an alternative flossing technique that works for implants, but not for teeth. Take your floss and put it between your implant and tooth, same as above, then come across on the tongue side and put the floss through on the other side of your implant so that it warps around on the tongue side of your implant with the ends sticking out on the lip/cheek side. Cross the ends in front of your implant then slide up and down and shimmy back and forth. Think of an old fashioned belly dancer doing the dance of many veils. She has removed on of her veils, has it wrapped around her tush, and shimmies it back and forth and up and down. This works well and cleans both sides of your implant at the same time.

There are also alternatives to floss. So no, you do not have to floss, but you still need to clean between your teeth. There are two main alternatives: Water irrigation systems and interdental brushes. Water irrigation, most wellknown being the Waterpik brand, use a stream of water to wash out between teeth and implants and under the edge of your gums. For single tooth implants like yours, you can use either the continuous flow irrigator or the interrupted pulse irrigators, although the continuous stream have more uses than just between your teeth and the interrupted pulse irrigators are limited to just the in-betweens.

Interdental brush
Interdental brush

Interdental brushes have a few options. There are end tuft brushes that look like a regular brush with just one or a few tufts of bristles at the end.

This small tuft allows you to push the bristles between your teeth. There are interdental brushes that look similar to a pipe cleaner on a stick. These are also pushed between your implant and adjacent tooth. There is also a mechanical tooth brush, the Rotadent, which has a pointy brush tip that is registered as an interdental cleaner as well. The very very thin bristles reach between your teeth and your implant to clean the area.

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Please note that Rotadent brushes can only be bought through dental offices, although the replacement brush heads are available online. Exactly which of these options is the best for you, your implant, and your teeth is best discussed with your dentist and/or dental hygienist. They will help you to select which of these will be best and easiest for you while effectively cleaning and caring for your implant.

Of course, you will still need regular cleanings at your dentist’s office as well, for both your implant and your other, natural teeth. Right after your implant is placed, these may be increased in frequency, until you are able to keep it clean at home, then you will return to your regular routine cleanings.

Remember, you do have to clean your implant, just like you need to clean your teeth, if you want to keep it.

Single dental implants are the closest you can get to having your own tooth back. You clean it like a tooth, eat with it like a tooth, and speak with it like a tooth. Once it is in place, most people think of their dental implant as just like any other tooth.

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