Dental Implants Sydney: Comprehensive Guide
Dental Implants Sydney is the permanent solution if you are self-conscious because of a missing tooth or if you wear dentures that are uncomfortable.
More importantly, it protect against bone deterioration or weakening which often results because of missing teeth.
Dental implants appear, feel, and perform like natural teeth, let you eat virtually any kind of food, preserve the structure of your face and bring back your beautiful smile.
Choosing the right dental surgeon with extensive dental implant training and with years of experience is crucial to the success of the procedure.
Most dentists are capable of performing implants, however, for a successful and life-time result, implant work needs to be done by a highly skilled, experienced dentist. We believe that only dentists who have a deep understanding in both nerve and bone anatomy of the mouth and face should perform this procedure.
Obviously, these dentists must possess the sharp eye of an artist with an in depth understanding of dental cosmetic balance.
Inferior Alveolar Nerve (IAN) Injury Can Happen In Implant Dentistry
A careless dentist who hurries his work to accommodate more patients has a higher chance of causing inferior alveolar nerve injury – one of the most serious complications in implant procedure.
Determined by the degree of nerve injury, change in sensation varies from mild numbness to complete loss of sensation. In addition, the injury can be transient, manageable, or, in some cases, permanent.
Implant Complication Symptoms
Changes of sensation can happen in the form of paresthesia, dysthesia, analgesia, or anesthesia.
Paresthesia is a change in sensation that is felt as numbness, burning, or prickling sensations, either evoked or spontaneous.
Dysthesia is a spontaneous or evoked nasty sensation.
Analgesia is the loss of pain sensation, while anesthesia is the loss of perception of stimulation by any injurious or non-injurious stimulant.
Causes and Prevention of IAN Injury
As you can see sensory impairment of the skin and lining of the mouth is a real possibility especially if you don’t research your dentist carefully.
Nerve damage can happen at any stage of dental implantation, including anesthesia administration, incisions, gum tissue being pulled back, surgical prep work for cutting of the bone, bone drilling, implant placement, suturing after the procedure.
By now it is clear that the skills required to perform this procedure can only be acquired through extensive training and experience.
As a patient it is your duty to make sure that your doctor has done everything to properly locate the nerves and accurately measured available bone before the surgery starts.
The above paragraph is extremely important. It is the first step in the prevention of IAN injury. So read it again.
So research a dentist who properly understands the involved anatomy, the surgical procedures, and implants systems and treatment planning. Look for testimonials and even better, talk to previous patients of your dentist.
Dental Assessment Prior to the Procedure
You will undergo a dental assessment process to find out whether you are a good prospect for dental implants or not. This assessment consists of a dental exam, your dental and medical history, and imaging tests.
A part of this evaluation is the examination of the health and shape of your mouth. The results will assist your dental team in understanding the placement of the implants.
The illustration below shows what your dentist have to understand prior to the procedure.
A dental exam provides essential data of your mouth’s structure. Your bite is assessed to figure out how your jaws and teeth fit together. The overall condition of your mouth, head and neck should also be checked.
At the time of the examination your dentist will find out whether your mouth can hold implants by doing the following:
- Measures the height and width of your jawbones. Doing so confirms there is enough bone to hold an implant.
- Signs of periodontal disease are checked. Affected gums has to be treated before implants are placed.
- Examine your gums for adequate firm tissue to enclose an implant.
If you have a lifelong medical condition, like diabetes, you will need blood tests. This ensures your medical problem is controlled before the start of the procedure. Inform your dentist if you are taking medications, like aspirin, insulin, etc.
Imaging tests allows your doctor to see parts of the mouth and head that can’t be viewed during a dental exam. This helps your doctor in finding more about the location of nerves, the quantity and quality of the bone in your mouth.
During your dental consultation your dentist will talk about the dental assessment process and treatment options with you. This is also your chance to ask questions and voice your concerns about the procedure.
The Implant Procedure
Surgery is required to “plant” the implants in your jawbone. Overtime, successful implants relies on the jawbone fusing to the implant.
By keeping your teeth and gums clean, you can help the fusing of the jawbone with the implant a lot faster.
A few minutes before the procedure, you will be required to wash your mouth with an antiseptic. Meds to enable you to relax or help you become sleepy will be provided.
Next, your jaw will be anesthetized and set up for the installation of the implants.
You are going to be aware of the sound and vibration of the instruments, however, you will not feel any pain.
The length of the procedure will depend on the number of implants to be placed.
Procedure Details. Please refer to the figure below.
- Creating an incision. Your dentist will create a little incision in the gum to expose the jawbone, enabling him to prep the bone.
- Prepping the bone. A hole is progressively and carefully drilled into the bone. The hole’s size will depend on the size of the implant.
- Implant placement. The implant is carefully tapped into position. Next, the incision is stitched. In certain cases, abutments are placed together with the implants.
After the Implant Procedure
Recovery starts after the procedure and will take some time. And remember that a certain amount of swelling and minor bleeding is normal. To shorten your recovery, consistently follow your doctor’s instructions, for example:
- Be sure to just drink clear liquids for the first couple of days.
- Always take prescribed pain meds and antibiotics.
- Refrain from putting pressure on your jaw.
- Eat only soft foods for the first week.
- Avoid wearing your temporary prosthesis or denture for some period of time.
Most of the recovery process is impacted by how clean your teeth and gums are. Failing to regularly care for your mouth may lead to an infection which may cause failure of the implant to fuse with the bone. To get satisfactory results:
- Use a soft toothbrush after every meal to clean your teeth and mouth.
- Never brush the incisions, only areas near the incisions.
- Use the prescribed antiseptic mouth wash.
Fusing of the jawbone with the implants will take several months. Through this time, you will need multiple follow-up visits with your dentist. During these visits your dentist will check how well your jaw is healing.
Healing VS Final Abutments
Depending on your needs, your doctor will use two types of abutments. Healing abutments or healing cuffs aid gum tissue heal around the implant site, see letter E on the figure below.
Once the gum is healed, the second part of the procedure will follow and the final cuffs are placed so the prosthesis can be joined with the implant.
After the Cuffs Are Placed
It usually takes 5 to 7 weeks for gums to heal around the cuffs. Through this time, comply with your doctor’s advice regarding what type of food to eat as well as cleaning procedures.
Second Part of the Dental Implant Procedure
Please refer to the figure below for the details of this procedure.
D. The implant is exposed. Your dentist will create a small incision to expose the implant.
E. Healing cuff placement. A temporary healing abutment is connected to the implant.
F. Final abutment placement. Once the gum has healed, the final abutment can be placed. The top of the abutment extends over the gum line.
Once your gums, adjacent to the cuffs, have healed, your dentist will begin preparing your permanent prosthesis. Several visits with your dentist is needed to be able to create a precise model of your mouth. After which it will take a month or more to create your prosthesis.
To custom-make your prosthesis, your dentist will create molds of your jaws, teeth, and cuffs. Bite prints will also be created to discover how your teeth fit together.
These molds are used to develop a model of your mouth. Your new prosthesis will then be made from this model.
Putting Your Prosthesis In Place
When your prosthesis is ready, your dentist will do several fittings to see how it feels in your mouth. Once all modifications are done, the prosthesis is positioned and connected to the cuffs, see figure below.
You will only be allowed to eat soft foods for a couple of weeks after this procedure.
Please contact us for a personalized treatment plan.