$16001st stage implant placement
Implants in Modern Dentistry
There are principally two ways an implant can be placed.
1. Immediate implant - This is where the tooth is extracted and an implant is placed into the extraction site.
2. Delayed implant - This is where the tooth has been previously extracted and bone healing has occurred. The implant is then placed into the healed or healing bone.
Crown options after implant placement stage
There is principally two methods of placing a crown
1/ Immediate crown at time of placement, this crown is generally constructed of composite resin and is made at the time of surgery. This procedure is generally only performed when there is good primary stability, that is when the implant can be screwed firmly into the bone, this in technical terms is ideally 35 ncm.of torque. There are advantages and disadvantages to this procedure.
The advantages are there is no need to wear a denture or other temporary prosthesis. It allows for much better adaption of the gingiva/gum around the tooth allowing for better papilla formation around the implant tooth. It is a one step procedure and is a very cost effective technique to provide tooth replacement particularly in aesthetic areas particularly the smile line. By achieving good gum contour and maintaining bone height it also allows for a more aesthetic permanent restoration in porcelain in future.
The disadvantages are that there is a slightly greater risk of failure of the implant owing to premature loading of the implant before osseintergration has had time to occur. Osseointergretion is the process where the bone grows onto the surface of the implant. The crown on top of the implant is composite resin and is not as mechanically strong as porcelain. Composite is also not as aesthetic in appearance, porcelain has for more life like appearance however in some instances it is hard to tell the difference.
2/ Delayed crown placement, this is where bone quality and quantity is not ideal and insufficient torque has been achieved. It is also preferable when there is no aesthetic reason to place a crown on the implant at time of surgery. Generally three months is allowed for the implant to integrate, that is to allow the bone to physically attach to the implant surface
Bridges and full mouth crowns are done as explained above in greater numbers and can be a combination of the above procedures.
There are many different types of implants on the market our practice mostly uses Neoss which are a very widely used implant that is used all over the world by general dentists and specialists. For more information visit their website at www.neoss.com for any other information please do not hesitate to contact our practice and talk to our highly trained staff or consult with one our dentists.