What is a Dental Implant?
A dental implant is a prosthetic replacement for a missing tooth. As we know natural tooth structure consists of a root and a tooth, so in an implant procedure, we replace the root with an implant and replace the tooth with a crown or denture. It is that staright forward ! The implant itself provides a strong foundation for the crown and this can be either fixed or removable. Dental implant procedures are carried out in the dental office and are done in 1 or 2 stages.
So what exactly is a Dental Implant ?
Dental implants are predominantly made of titanium. Titanium is a metal that is bio-compatible -(compatable with a living tissue or a living system that is not toxic, injurious, or physiologically reactive and is rejected by the immune system.) All in all it means that titanium offers the best strength and durability. Dental implants are made in different sizes to suit the gap to be filled and for compatability to the bone.
Dental implants are the most popular option for teeth replacement as they are like new teeth and are strong and stable – they look and feel like your own natural teeth. They give back the confidence and self esteem to smile again.
There are three parts of an implant :
1– the implant device itself (which is placed directly into the bone)
2– the abutment piece that connects the implant device to the third part
3– the overlying crown or denture.
Are dental implants for me?
Dental implants are the best option for people who have missing teeth. They offer the best permant solution for tooth replacement and is most beneficial in regard to oral care and hygiene.
Dental implants are and option for people who have:
How do I know if I am a suitable candidate for dental implant?
Almost everyone is a candidiate for dental implants unless there are areas of untreated disease of the teeth , gums or bone. More than likely a dentist will not carry out the treatment until these problems have been treated as they can affect the success of the implant surgery. So if you are considering having dental implants, and think that you may have dental problem,contact your dentist to schedule an oral exam it only takes a about 30 mins and x-rays should be included. If you are considering to have dental work abroad to save some money, it is a good a idea to have a quick exam and x-ray at home before travelling. This will then rule out any problems that may prevent you from having the treatment abroad.
Dental Implant Scenarios
Some of the reasons loss of teeth ocur can be the cause of several reasons. These include losing teeth by an illness or accident, severe gum disease or root inflammation and tooth decay are also causes tooth loss .
In some cases,where teeth are missing from birth may be that teeth are not developed due to genetic reasons . Therefore , gaps are created between the teeth , making it uncomfortable talking and eating . Implants are the best permanent long-term option for teeth replacement. It provides a better solution compared to bridge and dentures.
When a natural root is lost and leaves a gap then an implant is the ideal solution. Weather there is one or more inplants to be done , the procedure for each implant is exactly the same Unlike a dental bridge, the area where the implant is to be place is the only area that will be affected. The teeth on either side of the gap will not be touched. Whereas with a bridge, the teeth on either side of the gap need to be cut down for the bridge to fit. After the implant has been placed and has fused to the bone over the healing period the crown is then fitted.
An implant bridge can be used when there are multiple teeth missing together. Implants are placed the same way a single implants and the implant bridge is placed. An implant bridge replaces the support lost as a result of missing teeth, is placed from implant to implant and avoids the need to drill the adjacent teeth as the bridge requires the same strenght from implant to implant. Implants are placed in strategic positions to replace the missing teeth. When the implants are stable and ready for loading, abutments can be attached to the implants that will connect the final bridge to the implants. An impression is made recording the contours of the abutments or the position of the implant tops. The implant bridge is then made and placed using dental cement or screws.
If there are multiple teeth missing in different areas of the mouth, then single implants can be placed with crowns on top. Again, unlike a bridge, the teeth on either side of the gap are not touched.
Option 1 Option 2
In the first situation (option 1) where all teeth are missing, a full set of implants can be placed. This would require a Max of 8 implants on the upper jaw and Min. of 6 implants on the lower jaw. Two sets of 14 crowns are then placed. 14 crowns are placed on the top jaw and the lower jaw.
The second option is to have implants and a click denture. Four implants are usually placed on the lower jaw and four implants are placed on the upper jaw. Then denture is then placed using a click system . The denture is clicked on the implants , setting your dentures firmly in place. The denture( click system ) can be removed and thus easy to maintain . The implants stop the shrinkage of the jaw completely . If the bone and gums are healthy , one can choose several implants and crowns choose . dental Implants have more advantages in relation to other teeth replacement options. For instance implants supporting bridges and dentures have more confidence and the to keep from biting and chewing has more security capacity.Depending on the number of implants placed , the connecting device that your new teeth will be tightened to the implant , or it can support a round ball anchor to which a prosthetic ratchet system is adjusted .
In some cases , where teeth have been missing for a long period of time, the jawbone may shrink . Shirnkage of the bone on the upper jaw may cause sinus to drop . Therefore, a bone graft or sinus lift will need to be carried out before an implant procedure. This can be clarified with an x-ray. This is one the reasons it is a good idea to have an x-ray taken before you travel for a dental implant treatment. Although it is never a problem when you arrive at your destination and need this done, it just means you can plan better and add in the cost for this simple surgery. There is a healing a period after treatment before you can have the implants placed.
Most often the jawbone will shrink where areas with teeth that have been missing for a long time, and/or have been prosthetically replaced with removable dentures. There is not enough room for the implant to be placed where the bone has reabsorbed.
There needs to be sufficient jawbone for a patient to have a dental implant. If there is not enough bone or if the tissue is too soft for the implant to be placed a bone graft is neccessary. A bone graft is a replacement of a missing bone. The dentist inserts synthetic bone into the area where the implant will be placed and leav it to heal for about 6 – 8 weeks. When all is good , the implants can be placed.
Sinus lifting is required when there is insufficient bone available to securely place the dental implant.When upper back teeth are missing for a long period of time bone in that area naturally shrinks or resorbs. Your sinuses expand to occupy the empty space where the bone used to be. The sinuses must be lifted in order to create space for placing additional bone in that area. The bone is added between your jaw and maxillary sinuses.
Implants may be contra-indicated if a patient is taking intravenous and oral bisphosphonates as this may put a patient at a higher risk of osteonecrosis. Osteonecrosis is a delayed healing syndrome .
Uncontrolled Type II diabetes is a significant relative contraindication as healing following any type of surgical procedure is delayed due to poor peripheral blood circulation
There are many benefits and advantages to having dental implants placed.
Before having the procedure, a full oral examination is carried by your dentist. Whereby the gums, teeth and bone is examined paying extra attention to the area being treated. An x-ray is taken by either and OPG (panoramic x-ray ) or a CT scan. These x-rays are used to analyse the density of the bone and tissue where the implant will be placed. Local anesthesia is usually adequate for this procedure but for patients who are very nervous and anxious other forms of sedation are available.
Remember to eat and drink fluids (non alcoholic) as normal before all procedures, do not miss breakfast and take all of your medication at normal times.
An opening is made into the gum where the implant is to be placed and a hole is made into the jawbone. Depending on the density of the bone an adequet sized implant is then surgically inserted to the jawbone. The incision is then stitched and closed. İf there is a denture worn before , the denture will be place over the implant until the implant and settled in place. Sometimes the dentist may not close the gum place a the abutment directly on to the implant and place a temporary crown or adjust the denture to sit on to the abutment.
There is a healing time after this – usually between 8 to 12 weeks minimum. This healing time is for the implant to fuse/connect to the bone and act as a root. Upon succesful intregration (osseointegration), the next stage of the procedure in introduced. Osseointegration in when the bone fuses with implant over a period of time in which then the implant has been successful.
Where the gum has been closed, it is re-opened to expose the implant. An abutment is then screwed and tightened to the implant using special dental equiptment so that it does not come loose. After this is done then a temporary crown is placed on to the abutment. The abutments need to be protected from chewing force to ensure successful healing. The temporary crown is used for a few days until the permanent crowns are ready.
After stage 1, when the implant has been placed there is a healing period of 8 to 12 weeks minimum. During this time osseointegration takes place. The implant fuses to the bone and is ready to act a root and a strong foundation fort he cron or denture.
After the crown or denture has been placed sensitivity may be experienced. Pain killers can be taken and any pain or sensitivity should subside after 2-3 days.
Successful implant surgery depends on keeping the mouth as clean as possible.
You should clean your teeth as normal but avoid the area where the implants have been placed on the day of surgery.
Use interedental brushes if a bridge is in place.
Rinsing your mouth with warm water and a pinch of salt is great way to help the area heal and keep it clean.
Rinse your mouth after eating to keep the area clean.
Try not to smoke until the area has healed as smoking limits healing of the mouth.
You are advised not to smoke until the wound has healed as this limits healing the mouth.
Swelling is nomal after an implant and can be worse in the morning after lying flat throughout the night. Swelling usually subsides after 48 hours. Swelling can be reduced with ice packs. Place them on the cheek for 10 mins at time with a 15 minute break.
There may be some bruising on the skin but this will clear up in a few days.
Avoid hot first drinks or hot food for the first day.
Do not eat until the local anaesthetic has worn off.
Try not to rub or touch the area with your tongue or fingers.
Pain should not be excruciating. Although pain is normal for a few days following surgery it can be easily managed with pain killers. If pain starts getting worse rather than getting better you should contact your dentist.
Try to wear a denture as little as possible (if it covers the implant area). This will help protect the implant or bone graft. If the denture does not seem to fit properly after your surgery then you should have it adjusted. A badly-fitting denture can damage a healing implant.
Stitches are normally dissolvable but usually remain for around 2-3 weeks.
Some bleeding following surgery is normal. If it persists, apply pressure with a dampened gauze for up to 30 minutes.
If you have been given antibiotics to take after your surgery then complete the full course.
If you experience increasing pain or swelling after 3-4 days you should schedule an appointment with your dentist.
A patient should avoid strenuous exercise up to 48 hours post surgery.
Hello my name is Declan Deane. I was recommended Tourmedical by very close friends of mine, who are patients for years with them. Im an age of my life where my teeth need to be checked, as you get older we all know the problems begin. The whole process is excellent from pick up from your hotel and taken to their spotlessly clean clinic, which you given your ‘blue shoes’ to wear immediately . All the staff are lovely, very friendly and professional. Your xray is taken and then you are guided through your treatment plan. Every step you are informed, what will be happening, from having your injections, impressions , checkings etc as the process is put into action.
Im at the end of the week now, had a day using my new teeth and back today for final check before I go home tomorrow and am very very happy with my treatment.
Thank you Declan Deane.
I heard about Tourmedical from a friend. I have to say the treatment was fantastic, I had been to a clinic in Kusadasi, previously but was not happy with the treatment I received and have paid the price since, as Tourmedical, had to try and solve the problems caused, which is not easy, as with dentistry, one mistake by a dentist is not something that can be reversed!! Anyway I have now completed another stage of my treatment and have to say the experience has been excellent as you are made so at ease, everybody is so nice.
The dentist is very professional and caring, everything was explained to me and the clinic is the state of the art and spotlessly clean.
The extra service of being picked up by their lovely driver and dropped back again, makes everything so easy.
I highly recommend Tourmedical, already have and will continue to do so.
Im a patient of Tourmedical for a good few years and can only say the treatment is fantastic. From beginning to end, the professionalism and attention to detail is number one. I cant say enough about combining a holiday and dental treatment with Tourmedical. The service and treatment is amazing and I’ll be back for more in the future.
Zirconium also called Zirconia (Cercon) is the most aesthetic crown which is translucent very similar to a natural tooth, reflecting light in much the same way.Time Scale
Porcelian crowns can used by a restoration of a single tooth and also as a dental bridge in case of missing a tooth or more teeth.Time Scale
Dental Bridges are used to span, or bridge a gap (missing teeth) between healthy teeth.Time Scale