Dental Implants

We are experts in dental implants at the Milltown Dental Clinic. A whopping 74% of all adults have had to have a tooth extracted. Tooth loss is often caused by trauma, decay and other oral diseases.

For centuries, the only option to replace a missing tooth are fixed bridge and dentures; but in the last two decades, dental implants have evolved as the best option to replace one or more missing tooth.

What are Dental Implants

A dental implant or tooth implant is an artificial tooth placed into your jaw to hold a replacement tooth or denture. A dental implant replaces the root of the missing tooth and provides a sturdy and robust foundation for one or more replacement teeth or crowns.

Dental implants are made up of titanium. Titanium is considered the most biocompatible metal because it resists corrosion and has the ability to fuse together with human bone.

Dental Implant Process

Implant treatment involves several stages within a period of three to nine months. It starts with an initial examination of the mouth and followed by two phases of dental implant surgery. In some cases, where bone support is not enough, a bone graft will be done prior to dental implant surgery.

INITIAL EXAMINATION & TREATMENT PLAN

The initial consultation involves examining your mouth, discussing the treatment procedures, taking of radiographs and making models of your upper and lower jaw. The need for a bone graft prior to implant placement will be determined upon checking the radiographs. A request form to undergo blood tests will also be given to assure that you are in fit to undergo surgery. The dentist will also discuss pre-operative or pre-surgery instructions prior to your first phase appointment.

Pre-Operative Notes:

  • Do proper oral hygiene care at home by brushing at least twice a day and flossing at least once a day.
  • Consider using antibacterial mouthwash such as Chlorhexidine.
  • Wear comfortable, loose fitting with sleeves that can easily be rolled up above the elbows.
  • If you opt to have intravenous sedation, do not eat or drink anything (including water) for at least six hours before your appointment. More importantly, a responsible person must accompany you and take you home on the day of your surgery.

FIRST PHASE: IMPLANT PLACEMENT

Implant placement is a minor surgical procedure that can be done under local anaesthesia. IV sedation can be given by the surgeon if discussed during the initial assessment.

  • The dentist/surgeon will numb the gums of the surgical site with local anaesthesia.
  • The jawbone will be exposed by making an incision and retracting the gums away from the bone.
  • A hole in the jawbone will be made using a specialised surgical drill to create space for the implant.
  • Subsequently, the implant is placed in the hole using hand instruments. It is placed at the same level as the bone under the gums. Then, a second component (crest module) of the implant will be attached.
  • The gums are placed back and stitched to secure the tissue.
  • A provisional or temporary replacement (i.e. stayplate or temporary removable denture) will be provided, especially for a front tooth.
  • The implant will eventually attach to the bone within three to six months. After that, you will be ready for the second phase.

Osseointegration Period: After some time, the implant will fuse to the bone and is called osseointegration. Osseo– means bone and integration means incorporation. It happens when bone growth happens around the implant. Osseointegration is a vital part of implant procedure as it will establish the strength and durability of an implant.

SECOND PHASE: THE RESTORATIVE PHASE

Once the implant integrated completely to the bone already, you will be scheduled for another few appointments to place a tooth crown on the implant.

  • Under local anaesthesia, the dentist/surgeon will reopen the gums through an incision. (If the dentist placed a healing abutment above the gums during the first phase, no further surgery would be necessary to expose the bone again.)
  • A mould or impression of the teeth will be taken and sent to the laboratory where your crown will be fabricated.
  • Once the tooth crown is ready (which usually takes a few weeks), another appointment will be scheduled to attach it to the implant.

POST-SURGERY DISCOMFORT

Unfortunately, most dental surgical procedures are accompanied by some degree of discomfort. For the first 48 hours, you should rest and relax with no physical activity. Minimal bleeding, bruises and swelling are expected after implant surgery. Swelling is the body’s normal reaction to surgery and healing which subsides after a few days. Furthermore, painkillers are prescribed to ease discomfort felt after the procedure.

AFTERCARE

Hygiene is vital. To prevent infection and promote healing, keep your mouth clean. Practice proper oral hygiene care at home by brushing and flossing after meals and bedtime. Stay on track with your routine dental check-up and cleaning schedule to maintain a healthy mouth.

Benefits of Dental Implants

Apart from the obvious aesthetic benefit of a Dental Implant, there are a wide range of secondary benefits that should be considered. Missing a tooth in your mouth can have a lot of negative effects on your dental and general health.

Here are some of the benefits of Dental Implants.

  • Decreased risk of endodontic problems to adjacent teeth. A fixed bridge requires removal of tooth structure to adjacent teeth while a dental implant would not need to prepare the adjacent teeth.
  • Decreased risk of caries of adjacent teeth. Dental implant restores normal tooth contact with an adjacent natural tooth which improves the ability to clean the sides of it such as flossing.
  • Improved aesthetics. Dental implant replicates the appearance of a natural tooth.
  • Improved maintenance of bone in the toothless site. If you lose a tooth, the bone around the hole starts to degenerate slowly changing the shape of your jaw. A shrunken jaw makes you appear decades older. However, placing a dental implant in the toothless site can stimulate bone growth and preserves the loss of more bone.
  • Improved function. Unlike removable prosthesis which has chances of getting dislodged, dental implants are fixed. A fixed prosthesis makes it easier to speak and chew. Thus they function better.
Why are Dental Implants needed

Dental implant replaces one or more teeth that have been removed due to decay, gum disease or any other mouth diseases. Here are some circumstances when dental implants are indicated:

Missing one tooth in between healthy adjacent teeth (Single Edentulism)

Single tooth is missing in between two healthy teeth. Instead of having a fixed bridge, you may opt to have a dental implant placed to prevent the need to reshape the healthy teeth.

Missing more than two molars or back teeth (Partial Edentulism)

The back teeth (molars) are often the first teeth lost as a result of decay. Conventionally, if almost all the back teeth are missing without adjacent teeth on both sides, there is no other way but to replace it with a partial denture. With dental implants, more than one tooth can be replaced all at the same time without the need for a natural tooth’s support.

Complete Edentulism

Instead of having a full removable denture, an implant-supported prosthesis can be an excellent choice.

How successful are Dental Implants

According to Institute for Dental Implant Awareness, dental implants are 95%-95% successful for 40-50+ years or a lifetime. The overall general health and proper oral hygiene of the patient is a major factor to consider in the longevity of dental implants.

Am I suited to Dental Implants

To see if you are a suitable candidate for Dental Implants we highly advise you to take up our offer of a Free Consultation. Here we fully analyse your situation and advise you based on these results.

Dental implants may mean you won’t have to worry about your smile anymore, but there are certain conditions wherein a dental implant might not be recommended.

For instance, someone with gum disease (gingivitis) is contraindicated for dental implants. Fortunately, dental implants can still be placed after the dentist has treated the gum disease. Your compliance with appointments and home oral hygiene is critical to the success of treating gum disease.

Persons with serious illnesses such as blood disorders, nerve problems, cancer and uncontrolled diabetes are restricted from having dental implants.

Patients under 16 years old are not yet recommended to have dental implants due to incomplete development of bones.

Dental Implants with bone grafting

There is no doubt that dental implants offer numerous advantages over traditional removable dentures. Since dental implants are fixed, they allow you to speak and chew without worrying about something slipping out place.

However, dental implants cannot be placed in a toothless area that has severe bone regression. After tooth removal, bone degenerates over time when not replaced immediately due to loss of stimulation. Luckily, bone grafting can be made by the dentist to allow placement of dental implants.

WHAT IS BONE GRAFTING

The dentist will perform Bone Grafting to restore bone to its preceding form following tooth loss, gum disease or trauma. Bone grafting procedure involves placing a bone graft material to the jawbone to facilitate bone growth.

Bone Graft Types;

  • Autografts are bone grafts transplanted from one site (bone from the chin or back of the jaw where a wisdom tooth was removed) to another site.
  • Allografts are bone grafts harvested from other people who have donated their bone to a bone bank for medical use.
  • Xenografts are bone grafts from species other than human, such as bovine.
  • Alloplastic grafts are made up of hydroxyapatite which is the main mineral component of bone.

WHY IS BONE GRAFTING NECESSARY

Bone in our jaw resorbs after a tooth removal causing bone height to shrink. A substantial amount of bone is required for optimal stability of dental implants. If there is no enough bone, dental implants will have less area for anchorage which can cause failure of the implant.

HOW IS BONE GRAFTING PERFORMED

Ridge Preservation Graft (Socket Graft) is the most common method used for bone grafting where bone graft materials are placed directly in the hole of a newly removed tooth. It allows growth of new bone to fill the void and prevent the bone from resorbing.

  • After tooth removal, a bone graft material (xenograft or allograft) is packed inside the hole of the jawbone.
  • Bone graft material is then secured by placing a collagen plug above it.
  • The dentist will secure the surgical site with absorbable sutures.
  • The ridge graft requires between three to six months before an implant can be placed.
  • Radiographs will be taken every four weeks to verify bone growth.

Sinus Lift Procedure (Subantral Graft) is another bone graft procedure done prior to placement of dental implants. It is done in the upper jaw wherein there is little bone left between the mouth and airspace (sinus).

  • Under local anaesthesia, the dentist/surgeon will be doing an incision in your gums to expose the bone.
  • A small window will be drilled to open the bone.
  • The membrane lining the sinus will is teased and gently pushed upward to form a small cavity or balloon-like space.
  • Then, xenografts are used to fill this small balloon-like space.
  • Once the cavity is filled completely with bone graft materials, gums will be placed back and secured with a suture.
  • It will take six to nine months for the bone to develop and be ready for implant placement.

Dental implant placement will follow once the bone has fully developed which usually takes three to nine months. Procedure for the placement of a dental implant is the same on how it will be placed on the jaw that did not undergo bone grafting.

Two phases of dental implant procedure will keep on afterwards. First phase will be the placement of dental implant while the second phase is the restorative phase or the attachment of tooth crown to the implant. .

Implants with Tooth Extraction

A natural tooth stimulates bone growth with the forces created when chewing or biting. After tooth removal, the bone will start to shrink because the natural stimulation is lost. Traditionally, a lost tooth can be replaced with a fixed bridge or denture; however, bridges and dentures do not stimulate bone growth. In fact, denture accelerates bone loss.

Dental implant is the best treatment to replace an extracted tooth. It generates bone growth thus preventing changes in the jawbone which directly affects the appearance of a person.

IMMEDIATE DENTAL IMPLANTATION

Ideally, a dental implant will be placed by drilling a hole to a toothless site. Fortunately, with the advancement in Dentistry, a dental implant can be placed directly at the extraction site or at the hole left by the tooth ­which is called Immediate Dental Implantation.

EFFECT OF NOT REPLACING AN EXTRACTED TOOTH

Whether a single tooth is removed or multiple teeth, it has negative effects not just on the appearance but also with function.

Bone loss occurs after tooth removal which affects bone height and width of the jaw. As the bone collapses, lips and cheeks will lose support which makes a person appear older. Bone continues to recede over time with the absence of stimulation made by the tooth root.

Moreover, bone loss can cause functional problems in the mouth. The tooth adjacent to the removed tooth may tilt. A tilted tooth will make it difficult for a future restoration (i.e. implant or bridge) to be seated due to loss of space. The opposite tooth (above or below the tooth removed) can move out of its socket, or supraerupt, due to loss of contact or interaction with another tooth. Both tilted tooth and supraerupted tooth causes biting or chewing problems and can eventually cause joint problems (TMJ Disorder).

SUITABILITY OF EXTRACTION & IMMEDIATE IMPLANT

The dentist will diagnose if you are a good candidate for immediate dental implantation by taking series of radiographs. To undergo immediate dental implantation, you should be free of any gum disease and has a healthy bone with no bone loss recorded.

It is contraindicated for a tooth with pus, bone loss, or is close to a vital anatomical structure like a nerve.

EXTRACTION & IMMEDIATE PROCEDURE

The dentist will diagnose whether an infected tooth is still restorable or not. An infected tooth is usually indicated for tooth removal once it cannot be restored with a tooth filling, root canal treatment or dental crowns. Extraction is followed by placement of dental implants immediately.

Extraction & First Phase of Immediate Dental Implantation

  • Local anaesthesia will be administered to numb the tooth and gums.
  • The dentist/surgeon will use hand instruments to remove the attachment of the tooth from the bone for easy removal.
  • Using dental forceps, the tooth will be removed out the socket.
  • The hole or socket will be carefully inspected. Irrigation using saline will be used to remove any debris.
  • An osteotome, surgical-bone cutting instrument, will be used to prepare a socket to the desired depth.
  • When desired depth is attained, the dental implant is placed.
  • A radiograph is taken to verify the position of a dental implant.
  • A temporary restoration (i.e. denture) will be made for patient’s use until next appointment.

Second Phase of Immediate Dental Implantation

  • After three to six months, the dental implant will be fully integrated to the bone. Once osseointegration transpired, the second phase of the implant will be facilitated.
  • During the second phase, another part –final abutment– of the implant will be attached. Then, a mould of the upper and lower jaw will be taken for fabrication of the final prosthesis (tooth crown to be attached to the implant) and will be sent to the dental laboratory.
  • Once the final prosthesis is delivered back to the clinic, you will have your next appointment for tooth crown’s attachment to implant.

AFTER EFFECTS & AFTER CARE

A little discomfort is expected after any surgical procedures. Painkillers are prescribed to ease discomfort. You should also keep your mouth clean by brushing and flossing every day. Chlorhexidine mouthwash is also recommended to prevent the development of infection.

What options do I have in terms of Dental Implants

Depending on which teeth you are missing, where they are located, and the state of your jaw, nearby teeth etc., there are many options available to you. At Milltown Dental Clinic we offer a free consultation, to ensure you are fully informed on your current options, and can make an educated decision on what is right for you.

Below are some of the Dental implant types;

  • Front tooth implant
  • Back tooth implant
  • Full Arch Dental Implants
  • All on 4 Dental Implants
  • Dental Implants with Bone Grafting
  • Extraction & Immediate Implant Reconstruction
Back Tooth (Molar) Implants

At six years old, the first permanent tooth erupts at the back of baby teeth. Molars refer to the tooth at the back portion of the mouth. An adult has 12 permanent molars with three molars on each quadrant of the mouth (upper right, upper left, lower right, lower left).

In addition, a more anterior to molars are the premolars. An adult has 8 permanent premolars with two premolars in each quadrant.

Since the back tooth erupts earlier than other permanent teeth, it is commonly the first ones that wear off. Back tooth is usually removed at the early stage of life. Although the back teeth are not seen as much as the front teeth, it directly affects your appearance and function.

Conventionally, loss of a back tooth is replaced by a removable denture. But one’s thing for sure – you would love considering having a back tooth implant!

WHAT IS A BACK TOOTH IMPLANT

Back tooth implant is a way of replacing an extracted molar due to caries, trauma or infection. A titanium screw is bored in the back part of the jawbone with a back tooth crown attached.

WHY REPLACE A MISSING BACK TOOTH

Back tooth may be at the hindmost part of the mouth, but it directly affects the appearance and function of a person.

The back tooth is used in chewing food. It breaks food into small particles for easy swallowing. The absence of back teeth makes it hard to eat.

Furthermore, the back teeth maintain the height of our jaw bite called the vertical dimension of the jaw. The absence of back teeth decreases the height of jaw making a person appear old.

CAN EVERYONE HAVE A BACK TOOTH IMPLANT

What’s great with dental implants is that almost everyone can have an implant placed in their jawbone. For most people, it is the most convenient way to replace an extracted tooth. However, patients with ages below 16 years old are not yet recommended to have dental implants. Their bones are not yet fully developed at this age. Placing a back tooth implant in a growing bone may end up having the implant in an undesirable position.

Diseases, such as uncontrolled diabetes, may also cause the body’s immune system to weaken. Persons with medical problems might be prohibited from having dental implants.

BENEFITS OF BACK TOOTH IMPLANT

It is important to replace any missing tooth for many reasons, to restore a full smile for aesthetic reasons, but for a molar tooth especially it is vital to replace the tooth for many other reasons:

  • The back tooth implant will preserve the vertical dimension or height of the jaw.
  • It will also preserve the width of the jawbone which prevents you from looking old.
  • Since the back tooth implant is fixed, it will be easier to eat compared to removable dentures.
  • There is no fear of something getting dislodged out of the mouth.

AFTER EFFECTS, AFTERCARE & MAINTENANCE

Painkillers prescribed could be taken to ease discomfort after surgical procedure. Swelling can be relieved by applying an ice bag on the surgical side for 10 minutes every hour for 24 hours.

Infection is very unlikely to happen and should be avoided by keeping your mouth clean. Brush your teeth at least twice a day and floss at least once a day. You may also use Chlorhexidine mouthwash to prevent the development of an infection.

Visit the dentist for your routine dental check-up and cleanings. It requires a special dental instrument to clean the surfaces of the implant which toothbrush bristles cannot reach.

ALTERNATIVE TREATMENTS

A missing back tooth can be restored with a fixed bridge or a denture.

  • A fixed bridge is a treatment to replace a missing back tooth with one tooth left on each side. Back tooth on each side will be used as an abutment by removing little tooth structure where a fake tooth will be attached to fill the gap.
  • A removable partial denture is a common treatment for missing one or more back teeth. Although there are retention issues and bone loss stimulation, a removable denture is an affordable treatment alternative.

However the dental implant is by far the best solution for missing teeth.

Front Tooth Implants

A front tooth implant is a method of replacing a missing front tooth using titanium screws buried to the jawbone with a front tooth crown attached to the implant. The goal of the front tooth implant restoration is to simulate the appearance of a natural tooth.

The advent of dental implants make restoration of an extracted tooth appear aesthetically appealing. It is a device, usually made up of titanium, implanted to the jawbone. Since it mimics the appearance of a natural tooth, it is the treatment of choice in replacing an extracted front tooth.

WHY REPLACE A MISSING FRONT TOOTH

The front tooth is usually lost due to trauma, accident or improper oral care. Losing one or more front tooth can spoil your overall appearance.

Contrary to a missing back tooth, most patients have an emotional response regarding a missing front tooth. A missing front tooth affects one’s self-esteem which makes it difficult for someone to smile widely and communicate with another person.

Front tooth plays a vital role in speech. The ‘TH’ sound is produced when the tongue touches the back part of a front tooth while the ‘F’ and ‘V’ sounds are produced when the lower lip is pressed to the upper front tooth.

CAN EVERYONE HAVE A FRONT TOOTH IMPLANT

Almost everyone, as long as you are generally healthy, can have a front tooth implant made. Certain medical conditions such as blood problems, cancer or uncontrolled diabetes can interfere with the fusion of a front tooth implant to the bone and may not be advisable to undergo the procedure. Therefore, it is crucial that you inform the dentist about your medical health.

BENEFITS OF A FRONT TOOTH IMPLANT

It is important to replace any missing tooth for many reasons, to restore a full smile, for aesthetic reasons, but for a front tooth especially it is vital to replace the tooth for many other reasons. The front teeth are vital for speaking, pronouncing words properly, supporting the lip and more:

  • Improved appearance. Front tooth implant mimics how a natural tooth appears and matches the shade of your other front teeth.
  • Improved speech. There’s confidence in speaking since there’s no fear of something getting displaced out of the mouth like dentures.
  • Full lip support. Loss of one or more front teeth makes the lip look sunken. Placement of front tooth implants preserves the bone that supports the lips.
  • Much more easy to maintain. In the long term, root tooth implants are easier to clean than bridges.
  • Preservation of adjacent front teeth. Placement of a single front tooth implant does not require removal of tooth structures to adjacent front teeth.
  • 99% Success Rate. Front tooth implant guarantees a long-term solution to missing front tooth.

AFTER EFFECTS & AFTERCARE

Expect to experience a little discomfort after surgical procedures. It is normal and should subside after 48 hours. Painkillers are prescribed to ease discomfort. Remember, swelling is a natural response of the body to promote healing. You may opt to apply an ice bag for 10 minutes every hour for 24 hours at the surgical side.

It is important that you take care of your front tooth implants just like your own natural teeth. Practice good oral hygiene at home by brushing and flossing regularly. Avoid using a high-abrasive toothbrush.

Visit the dentist for your routine dental check-up and cleanings. It requires a special dental instrument to clean the surfaces of the implant which toothbrush bristles cannot reach.

ALTERNATIVE TREATMENTS

A missing front tooth is conventionally restored with a fixed bridge or a denture. Even up to date, the most common – but not necessarily the best – option for replacing a front tooth is a fixed bridge.

It consists of removing healthy tooth structures on either side of the missing front tooth. Removal of tooth structure is irreversible and may increase the risk of the adjacent teeth to decay and gum disease. Moreover, there is no bone growth stimulation which can cause the gums to recede. A space between the receded gums and artificial front tooth restoration (pontic) may also appear over time.

Additionally, a denture might be a more affordable option, but it needs to be replaced after a few years making it costly as well. Also, it is important to note that dentures stimulate bone loss instead of bone growth, so with a denture you will gradually loose the bone mass around the missing teeth. Dental Implants are the best solution in most cases.

Full Arch Dental Implants

A dental implant is a bio-compatible device embedded into the jawbone to replace an extracted tooth. It is a popular and effective way to replace a missing tooth and is designed to mimic the appearance of a natural tooth.

For instance, a dental implant can not only replace one missing tooth but can replace the entire upper or lower jaw. Replacing a whole jaw of missing teeth is called Full Arch Dental Implants.

WHAT ARE FULL ARCH DENTAL IMPLANTS

An adult has 32 permanent teeth (16 upper teeth and 16 lower teeth) which can be lost due to decay, trauma and gum problems. A full set of dental implants are used to replace all missing upper teeth, lower teeth or both jaws. Each arch does not have to be replaced with 16 implants instead 4-8 dental implants are placed on each arch to replace missing teeth.

WHAT ARE THE OPTIONS OF REPLACING ALL YOUR TEETH

Conventionally, missing teeth in upper, lower, or both jaws can be replaced by the following:

  • Removable Full Denture
  • Removable Overdenture
  • All-on-4 Dental implants

WHY IS IT REQUIRED

As we lose one tooth, the bone starts to shrink which progresses as more teeth are lost. Bone loss results in a “sunken face” appearance. Challenges associated with replacing the whole arch with removable dentures are:

  • It requires being replaced after some time because it gets loose.
  • Fear of something getting dislodged out of the mouth.
  • Difficulty in speaking or eating.
  • Painful denture sores as a result of ill-fitting dentures.
  • Removable prostheses are prone to getting lost or breakage.
  • There is decreased sense of taste because a removable partial denture covers a vast amount of mouth tissues (i.e. palate).

PROCEDURE

  • CONSULTATION - once you have decided to have full arch dental implants, your first appointment will be a consultation to discuss treatment options. Our dentist will do a thorough assessment of your previous medical/dental history and jawbone left to check if you are a good candidate for full mouth dental implants.
  • FIRST DENTAL IMPLANT PHASE - if you are a good candidate for full arch dental implants, you will be scheduled for the first phase of implant placement. The dentist will start by numbing your gum tissues. For instance, a highly anxious patient will need to have IV Sedation. After administration of local anaesthesia, the dentist/surgeon will do an incision in the gums to expose the bone. Several holes in the bone will be made using a surgical handpiece to make space for dental implants. Each dental implant will be placed in each prepared hole. Finally, the gums will be placed back and stitched to its original place. The dental implants need to fuse in the bone (usually within three to six months) before proceeding to second phase. But don’t worry, you would not come home toothless – a temporary denture will be provided.
  • SECOND DENTAL IMPLANT PHASE - after follow-up appointments confirm integration of dental implants to the bone, you will be scheduled for your second phase. Second phase is the restorative phase wherein a full denture will be anchored to the dental implants. A connecting device that will hold the denture or the crowns of the teeth is tightened to the implant using a bar or round ball. It is where a denture snaps on and off.

AFTER EFFECTS OF FULL ARCH DENTAL IMPLANTS

The whole procedure of placing dental implants is not painful at all since you will be under local anaesthesia and/or IV Sedation. Though, a little discomfort is expected after any surgical procedure and can be relieved with painkillers.

MAINTENANCE OF FULL ARCH DENTAL IMPLANTS

Hygiene is vital - a dental implant has 99% success rate and can last a lifetime with proper care. Dental implants should be taken care off just like natural teeth with proper tooth brushing and flossing. It is recommended to use Chlorhexidine mouthwash to maintain cleanliness of your full arch dental implants. The use of Waterpik irrigator will also help in cleaning hard-to-reach areas of the prosthesis.

Also, prevent biting or cracking up very hard food or objects using your dental implants such as meat bone, ice, hard candy or tough bread.

If only one arch is replaced (upper or lower jaw only), make sure to brush and floss the teeth left in the opposite jaw to prevent infection from developing. Good oral hygiene is the key to the success of dental implants.

Lastly, visit the dentist frequently for routine checkups and cleanings. It will be better if the dentist will have a look at your dental implants once in a while to check the condition of dental implants.

END RESULT

As a result of a full arch dental implant, your confidence will be restored. You will be able to smile, eat and communicate more efficiently. And you do not have to think of anything getting out of the mouth.

Lastly, the most advantage of full arch dental implants is bone preservation and stimulation of bone growth. It will prevent you from looking aged or having “sunken appearance” and lessens facial wrinkles too!

All on 4 Dental Implants

All on 4 dental implant system is a revolutionary approach in replacing all missing teeth of upper, lower or both jaws using only four dental implants per jaw. In this system, there are two dental implants in front and two dental implants in the back at an angle of 45 degrees.

For instance, a dental implant can not only replace one missing tooth but can replace the entire upper or lower jaw. Replacing a whole jaw of missing teeth is called Full Arch Dental Implants.

WHEN ARE ALL 4 DENTAL IMPLANTS REQUIRED

All on 4 dental implants is desirable to replace all missing teeth at the same time with only four dental implants embedded in the jawbone. It is the best dental implant system for someone with less amount of bone left in the back area or avoiding other structures that might interfere with the placement of a straight dental implant.

It is an appropriate treatment for someone wearing ill-fitting removable full dentures which have caused bone loss.

WHAT ARE THE ADVANTAGES OF A TILTED DENTAL IMPLANT

By tilting the dental implants at the back, longer implants can be used with patients that have little bone left without the need for bone grafting.

BENEFITS OF ALL 4 DENTAL IMPLANTS

All on four Dental Implants are becoming more popular every year, and the after effects of replacing all the teeth on one arch can be absolutely amazing for the patient. Some of the benefits are listed below:

  • It is a more conservative approach of replacing several teeth.
  • Two dental implants at the back are tilted to avoid interference of structures like sinus.
  • It does not require bone grafting.
  • All on 4 dental implants feel and function like natural teeth.
  • High aesthetics due to implants appearing like natural teeth.
  • Low cost for the patient, instead of placing several dental implants.
  • Say goodbye to ill-fitting removable dentures!
  • No denture sores.
  • Sense of taste is not altered compared to removable full dentures.
  • It prevents bone deterioration.

HOW LONG IS THE ALL ON 4 DENTAL IMPLANT SURGERY

The surgery takes 2 to 3 hours per arch but will require fusion of the implant to the bone within 3 to 6 months.

ALL ON 4 DENTAL IMPLANT PROCEDURE

    • CONSULTATION - during your first appointment, the dentist will thoroughly examine your case to check if you are a good candidate for all on 4 dental implants. The dentist will take a radio-graph of your full mouth and CT scan to check other structures around and near your mouth. The treatment plan will also be discussed at this stage.
    • FIRST PHASE - The dentist will start by numbing the gums of the surgical site. Then, depending on the treatment plan, you will undergo either a flap or flapless procedure.
      • With Flap: The dentist will do an incision in your gums then flip it to expose the bone. Then the dentist will drill a hole in the bone for the placement of a dental implant. After all four dental implants are placed, the deflected gums will be placed back by suturing it.
      • Flapless: The dentist will not do an incision of the gums. Instead, a computer-prepared guide will be used as a basis for the placement of dental implants. A surgical template has holes and will be placed on top of the gums. Each dental implant will be drilled directly to the gums with the guide holes to correctly drill and position each dental implant.

A Flapless placement of all on 4 dental implants promotes faster healing because it is a more conservative approach that does not need incision of the gums. After the placement of four dental implants, the dentist will insert temporary denture so you will not leave our dental office without teeth.

  • SECOND PHASE - The dental implants will fuse to the bone within three to six month. After the healing period, you will be scheduled for the second phase. It involves attaching the full denture to the dental implants.

AFTERCARE

It is recommended to eat soft food during the first few weeks for better healing of dental implants. Avoid smoking and drinking alcohol to prevent delay in healing.

All on 4 dental implants should be taken care off like your natural teeth, daily brushing and flossing is recommended. Also, do not forget to visit our dental clinic regularly for routine checkup and cleanings. It is better if you will use oral irrigators like Waterpik flosser for easy cleaning of hard-to-reach areas and space in between teeth.

You may eat anything you like with your dental implants, but avoid biting or chewing on hard objects or food.

Furthermore, our dental team will discuss with you a more detailed after care for your dental implants.

END RESULT

The outcome of all on 4 dental implants is very satisfactory. At Milltown Dental Clinic we have had outstanding life changing results from this treatment.

  • It appears like a natural tooth with gums. People will not notice it as artificial teeth unless you say so.
  • It creates normal bite force and maintains jaw bone.
  • It is fixed and will not be dislodged out of the mouth.
  • Feel more confident in communicating with other people.
  • Improved speech and chewing.
  • It does not need to be frequently replaced.
Caring for Dental Implants

Dental Hygiene is Important. Your teeth require conscientiously oral hygiene routine at home and regular dental visits, so as your dental implant. Take care of your dental implant the same way you’ll do to your natural teeth. Keep it plaque-free by brushing and flossing regularly.

If you have dental implants, make flossing a vital part of your oral hygiene routine. Use unwaxed tape or implant-specific floss to clean the surrounding area of the implant. To floss the implant, insert the dental tape on both sides of the implant. Wrap in a circle, crisscross in front and move in a shoe-shine motion.

Water flossers are recommended to patients with dental implants to reduce plaque formation around the implant (and your other teeth too!). Using a non-metal tip, use water flossers once to twice a day.

Smoking cigarettes should be stopped before and after the placement of dental implants to prevent developing inflammation.

Is it painful

This is the most asked question of all dental procedures. Discomfort during and after the procedure is anticipated. Local anaesthesia will be given to numb the areas of the surgical site.

Highly anxious patients are usually given IV Sedation in conjunction with local anaesthesia to calm them during the procedure. Medications are given to alleviate any discomfort felt after surgical procedures.

If you have any queries in relation to dental implants then do not hesitate to contact Dr Tom Munroe at ( SMILE@milltowndentalclinic.ie).

MILLTOWN DENTAL CLINIC

Milltown Centre,
Bóthar Bhaile an Mhuilinn,
Dublin 6

Eircode: D06 E8W2
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Office Hours: 01 260 3741
Emergency: 086 801 2940

E-mail: SMILE@milltowndentalclinic.ie

Opening Hours:
Monday 08:30 - 17:30
Tuesday 08:30 - 13:00
Wednesday 08:30 - 17:30
Thursday 08:30 - 17:30
Friday 08:30 - 13:00

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