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The Procedure for Dental Implants

2010 October 21
by Sanjay Narda

Dental implants are the most effective way to restore a missing tooth or teeth. The thought of it, however, frightens people but many do not realize that it is in fact less painful than having a tooth extracted.

Before implant treatment can be undertaken, the implant dentist needs to carry out a thorough examination. This begins with assessing the mouth in general and confirming that the existing teeth are all healthy. This is followed by examining the area in which the implants are to be place. This includes determining the height and width of the bone, the presence of any anatomical structures in the bone that need to be avoided and the shape of the gum. X-rays are able to show this information but occasionally a CT scan is needed. This is more likely when several implants are being placed and/or the width of bone in the area is reduced significantly.

Once the implant dentist has planned the treatment, a separate appointment is made to place the implant. This is performed under local anaesthetic but sedation can also be used to help anxious patients. A small incision is made in the gum where the implant is to be placed and a small hole is drilled into the bone. The implant is then inserted into this hole and the gum is repositioned with several stitches. As the area heals, the implant will fuse to the bone, a process called osseo-integration. The pressure applied to the implant during this healing period should be kept to a minimum but temporary crowns, bridges or dentures can be worn proved they are adjusted appropriately. After the healing process has been completed, an implant post, known as an abutment, is connected to the implant followed by the final restoration.

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