Dental implants are titanium structures used in dentistry to imitate a natural root of the mouth. The structure is built to support tooth restorations. Crowns, bridges and dentures are just some of the dental prostheses used with implants.
The traditional types of implants used were blade endosseous or subperiosteal. Blade endosseous implants were metal pieces placed within the bone that resembled flat blades. The framework of subperiosteal implants was designed to attach to exposed bone. Root-form endosseous implants are commonly used today. They are similar to tooth roots and placed within the bone. They usually look and feel like a natural tooth.
The primary composition of a dental implant is commercially pure titanium. The titanium screw used for the implant is made to imitate the natural tooth root with a rough or smooth surface. The surface on the implant can be modified through etching, plasma spraying, anodizing or sandblasting.
There are usually some tests and procedures to do before planning implant surgery. Usually radiographs are conducted on the patient in order to identify the structures, shapes and dimensions of the mouth. This is an important step to ensure the structures are properly oriented. Sometimes CT scans are done. Stents may be added to aid with placement of implant.
During the procedure the area is prepped using special drills or hand osteotomes. After a variable period of time, a restoration can be added. The bone must grow to the surface of the implant, in a process called osseointegration, before restorations can be added. The time required for placement will vary with practitioner and quantity and quality of bone.
The time between implant surgery and adding restoration will vary depending on your doctor. Generally a dentist will wait several months for the area to heal. Restorations that are added too soon after the procedure can lead to implant failure. It may take up for 18 months for the area to completely heal.
The success rate of this procedure is estimated to be at 95 percent. Success is attributed to skill of operator, condition of bone, oral hygiene, overall general health, achievement and maintenance of implant stability and compliance with post-surgical care. A failure with the procedure is usually related to osseointegration.
An important thing to keep in mind for this procedure is the amount and strength of the jaw bone. The bone must be strong enough to support the implant. If it is not, a graft procedure can be done to fix this. It is also important to remember that this procedure requires care even after it is completed. That means setting up frequent check ups with your doctor and making sure that the area is kept clean.
There are complications to keep in mind. Infection can occur in the surrounding bones and gums. The implant can also be rejected if the body recognizes it as a foreign object. Metal fixtures can come out, though this is not very common, and cause implant failure. Bone loss, or periodontal disease, around the natural teeth can result from the procedure. The surgery incision line can open up and cause problems. Inflammation of bones and gums in the mouth is another problem that can arise after surgery.
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