Do you have gaps in your smile or teeth that need to be extracted? Dentists recommend filling gaps between teeth to prevent the surrounding teeth from shifting position and avoid problems with eating and speech. One of the most popular ways to replace a tooth is using a dental implant.
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Dental implants can replace as many teeth as you need and they have many advantages, but it's important to get a balanced overview so you can make fully informed decisions. Read this guide to the pros and cons of dental implants for different circumstances.
Implants have a number of benefits over a bridge or dentures, depending on your goals from the treatment. Five major pros of dental implants are:
Dental implants are made from titanium, which is not only incredibly strong, but also biocompatible. This means the jaw will grow new bone around the implant once it's placed, holding it firmly in position like the root of a natural tooth.
Although the replacement teeth attached to implants are subject to wear and tear and may need to be replaced after a number of years, the underlying implant is extremely durable and will usually last a lifetime with proper care.
An experienced prosthetist can make a dental bridge or dentures look just like natural teeth, but there may still be issues such as dentures slipping, producing clicking sounds or affecting your speech. These drawbacks can be avoided with implants, which replace the supporting tooth root beneath the gum as well as the crown above.
Many people with implants also find that eating and speaking feels more natural, the replacement tooth having comparable strength and stability to a healthy natural tooth.
Teeth are supported by the jaw, but the reverse is also true. When you lose a tooth, the bone underneath will no longer be stimulated to regenerate and may start to deteriorate over time. With multiple missing teeth, this can lead to noticeable shrinking of the jaw and a prematurely aged appearance.
By bonding with the jaw, a dental implant supports the jaw and can stimulate new tissue growth. This can make bone loss and deterioration less likely than with a bridge or dentures.
If you have dentures or a dental bridge, your dentist will usually recommend avoiding certain types of foods that could cause them to damage or come loose &#; particularly hard, crunchy chewy and sticky foods. A replacement tooth supported by a dental implant will stay in place and won't shift or dislodge, so you don't have to give up your favourite foods.
Whatever treatment you have, your dentist will still recommend that you avoid having too much sugar in your diet. Sugar feeds bacteria in plaque and can lead to tooth decay and gum disease, which can affect the success of implant treatments.
Unlike dentures, which need to be cleaned thoroughly every day and stored overnight in a solution to keep them moist and free from bacteria, there are no special care requirements for a dental implant. Your dentist will simply advise that you follow good oral hygiene as normal. This means:
When you're learning the facts about implants, it's important to recognise the possible downsides too. Reasons why you might prefer an alternative to implants include:
Dental implants can replace a single tooth, multiple teeth or all of your teeth, but not everyone is suitable for the treatment. Reasons why you may not be eligible can include:
Smoking and oral health problems such as gum disease can increase the risk of implant failure. Committing to improve your oral health or quit smoking could make you a candidate at a future appointment.
If you have a small jaw, you may still be able to have implants if you choose to have a procedure such as a bone graft or sinus lift to increase the density of your jawbone. If you want to replace all of your upper or lower teeth with full arch implants, these may be suitable for smaller jaws as they are implanted at an angle.
The dental implant procedure typically involves a series of appointments that can take place over a period up to six months. This could make it off-putting if you want a quick fix for your smile, but the wait is necessary to give the jaw bone time to heal around the implant and hold it securely in place.
During this time, you will be fitted with a temporary crown or bridge. When your dentist confirms that the implant has fully fused with your jaw, they can place your final crown, bridge or abutments for implant-retained dentures.
There are exceptions to this timeline depending on the speed of bone growth and the type of implant treatment you're having. Notably, full arch implants don't need to bond with the jaw, so the procedure may be completed in two or more appointments.
Dental implants cost more than a bridge or dentures up front, although the ongoing costs are less. Implant surgery is a one-time investment for most people, with only the prosthetic teeth attached to the implant generally needing to be replaced after a number of years. For comparison, dentures and bridge treatments normally need to be replaced more frequently.
Depending on the type of insurance you have, you may be able to claim back part of your treatment cost on your health fund. You can also ask your dental clinic whether they offer payment plans to help you spread the cost over a number of instalments.
Placing an implant involves a series of minor operations on the gum and jaw, so if you don't like the idea of surgery, dental implants might not be for you. Your dentist will explain each step of the process so you'll know what to expect during the treatment and recovery period.
Local anaesthetic will be used to numb your mouth so you won't feel pain during the implant procedure. If you're nervous, you can talk to your dentist about other types of sedation and other ways to manage dental anxiety. If you're having multiple implants or extractions at the same time, general anaesthesia may be required.
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Dental implants have a high success rate, but any surgical procedure involves risks and your dentist will make sure you understand what these are before making your decision. Possible complications of implant surgery include:
These risks will be reduced if you choose a qualified and experienced dentist, but will be increased if you have poor oral health or you smoke before or after the treatment. Flying overseas for cheap dental implants can also increase the risk of complications, as the facilities, equipment and hygiene protocols may not be held to the same strict standards as those in Australia.
Whether the pros of dental implants outweigh the cons is a personal decision, and your dentist will make sure you know all your options for replacing teeth so you can decide what's right for you. Alternatives to dental implants include:
You can get all the information about dental implants and other teeth replacement treatments at your initial implant consultation.
To find out more about dental implants or start planning your treatment, call Face Value Dental on (07) to schedule an appointment with our experienced implant dentists in Brisbane.
We have five convenient locations in Brisbane CBD, Albert Street, Albany Creek, Helensvale and Toowong. You can also book online.
Healthdirect. Dental implant procedure [Online] [Accessed June ] Available from: https://www.healthdirect.gov.au/dental-implant
Thermoplastic materials have been available in prosthetic dentistry for more than 30 years and the market place continues to grow with new and existing companies manufacturing their own products.
What makes these dentures different from traditional partial dentures is the material from which they are made and how they are made.
Unlike acrylic dentures, they are made from a thermoplastic nylon resin that is ultra thin, very flexible (think more comfortable for chewing and speaking) and is so durable that one company &#; Valplast &#; offers a lifetime warranty for fractures or breaks.
The material doesn&#;t absorb odors or stains, and if patients suffer from allergies to acrylic or certain metals, it&#;s a great choice. It contains no BPAs and is considered the most biocompatible material.
Some patients feel that the appliance &#;disappears&#; or is &#;invisible&#; in their mouth, thus the esthetics of it is far superior to conventional acrylic/metal partial dentures.
The cost may be slightly higher than conventional acrylic partial denture because the fitting and finishing time at the lab is increased, but the result makes it well worth it.
Thermoplastics like Flexite, TCS (IFLEX) and Valplast all differ from regular thermosets like acrylic powder and liquid because they are already polymerized (cured) when manufactured and shipped to your lab. They can be manufactured in many forms, from sheet to pellets to powder. Once heat is introduced, the plastic is softened to the desired state and then injected into a mold. The only thing that changes is its physical shape; there are no actual chemical changes. Thermoplastics will differ depending on their molecular composition &#; some require higher temps to become moldable and some require greater injection pressures.
One advantage of this material is that there is also flexibility in the design of the types of clasps. We can often use the circumferential ring clasp on any freestanding tooth and it works well on medially tipped mandibular molars. It can make an excellent transitional restoration during the healing period on implant cases.
Your dental lab will have its preference for which thermoplastic material it prefers to work with. Some are more difficult to finish, fit and adjust than others. Some may require more repairs to the teeth than others. Some may prefer a specific material because of the color blending. A conversation with your technician will help you decide the best material for your patient. Click this link for a video lesson on communicating with your technicians.
The biggest challenge for the dentist is the adjusting and polishing of the material. Do not think acrylic when polishing by using a quick and pressure-applied motion. Think of dividing the appliance in sections and spending one minute per section. That will seem like a long time when your experience is only conventional acrylic resin.
Whether or not you are using Valplast, Flexite, TCS or Iflex, each company has a system for polishing. If you are going to provide these partial dentures, be sure you have the armamentarium to polish them well.
The partial needs a smooth and satin finish before polishing so use the appropriate rubber wheels. I typically round the edges of the wheel when I receive them so that I don&#;t accidentally cut into the nylon with a sharp edge. If there are any spots that the wheel cannot access, I recommend using a Robinson wheel in a horizontal motion with a light dusting technique.
Patients are very happy with these prostheses because they are fabricated readily and don&#;t require multiple try-in appointments. I suspect in the future we will make very few traditional metal acrylic removable partial dentures as this material excels for all our patients. The challenge for us is in adjusting it.
Check out this SpearTALK thread for a discussion on Valplast and other thermoplastic partial dentures
Mary Anne Salcetti, DDS, PC, Spear Visiting Faculty www.maryannesalcettidds.com
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