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Single Tooth Implants

Dental implants has brought the paradigm shift in the way people live. They are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth.

The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence.

What Are Dental Implants?

The dental implants are titanium posts that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts that protrude through the gums are then attached to the implant. These posts provide stable anchors for artificial replacement teeth.

Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.

Why Select Dental Implants Over More Traditional Types Of Restorations?

There are several reasons:

  • Why sacrifice the structure of surrounding good teeth to bridge a space?
  • In addition, removing a denture or a “partial” at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.

Are You A Candidate For Implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If your mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.

Do Implants Need Special Care?

Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists every 3-6 months~

The conventional implant Procedure

For most patients, the placement of dental implants is a two staged procedure. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone.

After the implant has bonded to the jawbone, the second phase begins, we will uncover the implants and attach small posts that will act as anchors for the artificial teeth.

The entire procedure usually takes six to eight months. Most patients experience minimal disruption in their daily life.

Single stage implants

Using the most recent advances in dental implant technology we are able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of 10-12 weeks of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction – further minimizing the number of surgical procedures.

We performs in-office implant surgery with highest level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.

Why Dental Implants?

Once you learn about dental implants, you finally realize there is a way to improve your life. When you lose several teeth – whether it’s a new situation or something you have lived with for years – chances are you have never become fully accustomed to losing such a vital part of yourself.

Dental implants can be your doorway to renewed self-confidence and peace of mind.

Multiple Teeth Dental Implant India

If you are missing several teeth, implant-supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

Why Multiple Teeth Dental Implants?

Once you lose a tooth there is no way to get it back, right? but what you can do is make use of the modern dentistry and replace the gap formed due to multiple missing tooth by placing an implant in the bone and taking the support from that implant to place an bridge.

Multiple teeth Dental implants provide several advantages over other teeth replacement options. In addition to looking and functioning like natural teeth, implant-supported bridges replace teeth without support from adjacent natural teeth. Other common treatments for the loss of several teeth, such as fixed bridges or removable partial dentures, are dependent on support from adjacent teeth.

Some advantages of multiple teeth dental implants.

  • Replacing multiple missing teeth using dental implants will help you prevent future bone loss
  • At Manaswa we provide a zirconia dental bridges on implants.
  • You can enjoy all your favourite food without the fear of implants breaking or coming out
  • Can mimic the strength of your natural tooth.

Or team of experts will develop custom fabricated crowns and are placed over the abutments and will function like a real tooth. You don’t have to worry about the future bone loss or difficulty in chewing your favorite food.

ALL On Four Dental Implants in India

Read the digits 3,600,000,000. Do you wonder what is this count for? This my friends, represent the number people in the world with missing teeth. Yes, almost half of the world’s population is missing one or several teeth due to different reasons. Now that’s a huge number!! Tooth is an organ of your body just like any other organ but you realise its value after they’re gone. Each missing teeth can have a negative impact on your quality of life. Do you even remember the last time you bit into a juicy apple or a crunchy snack without hesitation? Do you feel less confident while speaking in public or smiling on social occasions? or Do you have a denture/prosthesis that gives you more trouble than support? Whatever may be your problem, we shall give you a permanent solution for it.

Have you ever thought just four implants replacing all the teeth in your mouth? Ground breaking concept of ‘ALL-ON-FOUR’ dental implants have made it possible. If you want to replace all your lost teeth with dental implants than you’ll obviously be interested to know the ways to save your money . All-on-4 implants can offer the most cost-effective solution as they require only four implants to replace all teeth in one jaw.

Why choose All-on-4 treatment and how are they better than conventional implants?

  • Immediate improvement in quality of life providing comfort in eating, esthetics and speech.
  • With just four implants needed and provisional teeth possible on the same day, this treatment is definitely faster and more cost-efficient than other alternatives.
  • Four implants act as pillars on which the full mouth denture is supported. They provide high stability and more permanent solution to missing teeth.
  • Costs at first glance may seem high, but high maintenance costs of other restorations land up making them more expensive in the long run. Hence, with good maintenance, your implants can last you a lifetime.
  • Helps avoid complex bone grafting procedures by tilting the implants, hence, it is less invasive technique as compared to other conventional modalities.

In a nutshell, All-on-4 requires less work when compared to other implant supported bridges that require about six to eight dental implants. It mostly also does not require any bone grafts, which adds to the total cost, and are done prior to the implant surgery for it to be successful.

Zygomatic Implants in India

They may be used when maxillary bone (upper jaw) quality or quantity is inadequate for the placement of regular dental implants.

There are normal dental implants and there are zygomatic dental implants, Our doctors may have asked you to go for an zygomatic dental implants because Zygoma implants are different from conventional dental implants in that they anchor in to the zygomatic bone rather than the maxilla.

How zygomatic dental implants work?

The Zygomatic implants attach to the area of the jawbone close to the zygoma bone. After the surgery, fixed teeth can be replaced after three days. The common recovery time after this procedure is about four months. After this time, a final restoration can be applied to completely finish the operation.

The Zygomatic implants are seen as better than conventional dental implants in some ways.

  • Zygomatic implants does not require bone grafts which can take up to half a year to heal.
  • If you wanted dental implants but you are not a candidate because of a lack of supporting bone, then our team will advise you to go for Zygomatic implants.

What are Zygomatic Implants, and how are they used?

  • Zygomatic implants are longer than ordinary dental implants and engage the very strong bulk of bone that forms the cheekbone.
  • Zygomatic implants can be used as an alternative to complex bone grafting operations, making it possible to carry out surgery in just one simple stage.
  • Depending on bone availability we may only need to use one or two Zygomatic implants, along with 2-4 ordinary dental implants to support the restoration.
  • In cases where bone has further diminished in availability, up to 4 Zygomatic Implants may be used to achieve a stable support for restorations.
  • In particularly challenging cases where the jaw is exceptionally damaged by advanced bone loss / destruction, we will design and make implants specifically for your particular situation

Benefits Of Zygomatic Implants

  • Although Zygomatic implants are considerably longer than conventional implants, the treatment is very similar from the patient’s perspective.
  • Our placement of Zygomatic is minimally invasive, using our image guided surgery to produce a precise replica model of the upper jawbone meaning we do not have to carry out a wide surgical exposure.

Implant Supported Overdentures

Looking to replace missing teeth?

We know how difficult that can be. Without teeth, it can be nearly impossible to perform basic tasks like eating and speaking. If it wasn’t difficult enough to go without teeth, jawbones lose mass over time when people don’t replace their teeth. This causes victims to age more quickly and gives their faces a sunken look. But on the other side, finding an affordable teeth replacement option can make the process tough to ever fix.

We at Manaswa understand this conundrum. That’s why we’ve made our teeth replacement options as affordable as possible, including the placement of overdenture implants.

If you know anyone that is embarrassed about losing their teeth or needs extensive improvement to their smile, please refer them to Dr Manish & Dr Swathi at Manaswa Facial surgery & dental implant centre.

Overdenture implants are an efficient teeth replacement method for anyone looking to replace multiple teeth. Our team is experienced and ready to place your overdenture implants today. But before we talk about the benefits and drawbacks of overdentures, let’s learn a little more about what they are.

What are Overdenture Implants?

Overdenture implants are a set of dentures which are supported by implants. Overdenture implants are also often referred to as implant dentures, implant-retained dentures, or simply implants. When having overdentures placed, your dentist or oral surgeon will place the implants first. They’ll give you some time to let them heal and become one with your jawbone. After this process, false teeth are placed on top of the implants, giving you a smile that looks and feels real.

Overdenture implants can come as a fixed denture or as a removable denture. Both types of implant dentures are better than regular dentures as far as comfort, convenience, and overall health go. Once a person has implant dentures placed, they’ll need to take good care of them like with regular teeth. This means that patients with implants will simply brush and floss their new teeth.

Benefits of Overdenture Implants

Stability

Overdenture implants are much more stable than regular dentures, so you won’t have to worry about your denture falling out. If the denture is fixed, it will only be able to be removed by a dental professional. If they’re removable, you’ll take them out to clean them. In either case, they’ll be more stable than a conventional denture.

Prevention of Bone Loss

With implant-retained dentures, a person’s jawbone is supported by the implants. As a result, the patient’s face won’t change shape at all, unlike with conventional dentures. Because conventional dentures have no way of supporting a person’s jaw, they allow the lack of teeth to significantly impact the shape of a person’s face.

No Teeth Falling Out

Overdenture implants allow you to chew without the concerns of loud clacking or dentures falling out. Once the implant is secured, it will hold your teeth in place. Similarly, many people with conventional dentures must avoid foods that could damage the denture. With overdentures, this is not the case. The teeth are securely fastened to your jaw like real teeth, and thus can handle all kinds of foods.

Long-Term Solution

Overdenture implants are made of titanium. In almost every case, they’ll last your whole life. Take good care of your dentures at home to guarantee a lifelong smile. After a few short years, you won’t be dissatisfied with your results.

Less Costly Than Other Teeth Replacements

Conventional dentures often need repairing, especially with cheap dentures. Though it can be tempting to go out and find a set of cheap dentures, this often results in much more money being spent on them in the long-run. However, with overdenture implants, once they’re in, they’ll almost certainly last a lifetime without extraneous costs.

The Cost of Overdentures

Like with many other dental procedures, nailing down the exact cost of overdentures can be tricky. Instead of offering a price up front, we recommend setting up a free consultation at our office. This will allow our dentists to tailor a treatment plan to your specific needs and offer a more accurate cost.

Some consider the high cost of implant dentures the only major drawback. However, it’s important to note the costs of conventional dentures down the road. In many cases, the cost of conventional dentures is comparable to that of implants, due to repairs and replacements.

Frequently Asked Questions about Overdenture Implants

What are the right candidate for different types of dentures?

Overdenture implants are the ideal option for those without teeth. The implants will stabilize your dentures and prevent bone loss. Ultimately, implant dentures will also increase your confidence, since they look just like real teeth.

What is an excellent alternative to dentures?

An excellent alternative to dentures is permanent hybrid prosthesis. Hybrid prosthesis uses several implants to support bridges over each implant site. This procedure also gives you a real smile that will last a lifetime.

Do dental implants hurt?

Most patients undergo local anestheisa procedure to have overdenture implants place. You can expect some discomfort after the procedure, but it should be minimal. If you have serious discomfort, however, you should re-visit your dentist as soon as possible.

Can smokers have overdenture implants?

We recommend that patients quit smoking before receiving implant dentures. Smoking makes it very difficult for the gums to heal, which often causes implants to fail.

Guided Implant Surgery

  • Guided implant surgery is the process of planning the implant surgery on a computer using the patient’s CT image.
  • The conventional method of using the patient’s panoramic x-ray to plan implant surgery cannot transfer the planning exactly as planned, however, guided implant surgery can transfer the plan as exactly as the doctor plans on the computer.

The Advantages of Guided Implant Surgery

Guided implant surgery uses the patient’s CT data to diagnose the patient beforehand, can mimic the surgery according to the surgery plan, and has the following advantages:

  • Implant planning using software
  • Custom surgical template
  • Surgery can be precise, safe, and predictable.
  • Surgery time is shorter.
  • Generally carried out as a flapless surgery and shorter recovery time for the patient.
  • Less invasion, blood, and pain for the patient.
  • Immediate loading is possible.
  • Bone grafts can be minimized.

To carry out the surgery exactly as the surgery plan our team use a custom surgical template and guided implant surgery kit. We love to save your time and energy. And we want to make implant treatment easy for you.

Jaw Bone Health

When one or more teeth are missing it can lead to bone loss at the site of the gap. This loss of jaw bone can develop into additional problems, both with your appearance and your overall health. You may experience pain, problems with your remaining teeth, altered facial appearance, and eventually even the inability to speak and/or eat normally.

In the same way that muscles are maintained through exercise, bone tissue is maintained by use. Natural teeth are embedded in the jaw bone and stimulate the jaw bone through activities such as chewing and biting.

When teeth are missing, the alveolar bone, or the portion of the jaw bone that anchors the teeth into the mouth, no longer receives the necessary stimulation it needs and begins to break down, or resorb. The body no longer uses or “needs” the jaw bone, so it deteriorates.

Potential Consequences of Tooth and Jaw Bone Loss

  • Problems with remaining teeth, including misalignment, drifting, loosening, and loss
  • Collapsed facial profile
  • Limited lip support
  • Skin wrinkling around the mouth
  • Distortion of other facial features
  • Jaw (TMJ or temporomandibular joint) pain, facial pain, and headaches
  • Difficulty speaking and communicating
  • Inadequate nutrition as a result of the inability to chew properly and painlessly
  • Sinus expansion

Jaw Bone Loss and Deterioration

The following are the most common causes for jaw bone deterioration and loss that may require a bone grafting procedure:

Tooth Extractions

When an adult tooth is removed and not replaced, jaw bone deterioration may occur. Natural teeth are embedded in the jaw bone and stimulate the jaw bone through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jaw bone that anchors the teeth in the mouth, no longer receives the necessary stimulation and begins to break down, or resorb. The body no longer uses or “needs” the jaw bone, so it deteriorates and goes away.

The rate that the bone deteriorates, as well as the amount of bone loss that occurs, varies greatly among individuals. However, most loss occurs within the first eighteen months following the extraction and will continue gradually throughout your life.

Periodontal Disease

Periodontal diseases are ongoing infections of the gums that gradually destroy the support of your natural teeth. Periodontal disease affects one or more of the periodontal tissues: alveolar bone, periodontal ligament, cementum, or gingiva.

Dental plaque is the primary cause of gingivitis in genetically-susceptible individuals. Plaque is a sticky colorless film, composed primarily of food particles and various types of bacteria, that adheres to your teeth at and below the gum line.

Plaque constantly forms on your teeth, even minutes after cleaning. Bacteria found in plaque produces toxins, or poisons, that irritate the gums. Gums may become inflamed, red, swollen, and bleed easily. If this irritation is prolonged, the gums will separate from the teeth causing pockets (spaces) to form. If daily brushing and flossing is neglected, plaque can harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.

Periodontitis is affected by bacteria that adheres to the tooth’s surface, along with an overly aggressive immune response to these bacteria. If gingivitis progresses into periodontitis, the supporting gum tissue and bone that hold teeth in place deteriorates. The progressive loss of this bone, the alveolar, can lead to the loosening and subsequent loss of teeth.

Dentures/Bridgework

Unanchored dentures are placed on top of the gum line, but they do not provide any direct stimulation to the underlying alveolar bone. Over time the lack of stimulation causes the bone to resorb and deteriorate. Because this type of denture relies on the bone to hold them in place, people often experience loosening of their dentures and problems eating and speaking. Eventually, bone loss may become so severe that dentures cannot be held in place with strong adhesives, and a new set of dentures may be required. Proper denture care, repair, and refitting are essential to maintaining oral health.

Some dentures are supported by anchors, which do help adequately stimulate, and therefore preserve bone.

With bridgework, the teeth on either side of the appliance provide sufficient stimulation to the bone, but the portion of the bridge that spans the gap where the teeth are missing receives no direct stimulation. Bone loss can occur in this area.

By completing a bone graft procedure, your doctor is now able to restore bone function and growth, thereby halting the effects of poor denture care.

Facial Trauma

When a tooth is knocked out or broken to the extent that no biting surface is left below the gum line, bone stimulation stops, which results in jaw bone loss. Some common forms of tooth and jaw trauma include: teeth knocked out from injury or accident, jaw fractures, or teeth with a history of trauma that may die and lead to bone loss years after the initial trauma.

A bone grafting procedure would be necessary to reverse the effects of bone deterioration, restoring function and promoting new bone growth in traumatized areas.

Misalignment

Misalignment issues can create a situation in the mouth where some teeth no longer have an opposing tooth structure. The unopposed tooth can over-erupt, causing deterioration of the underlying bone.

Issues such as TMJ problems, normal wear-and-tear, and lack of treatment can also create abnormal physical forces that interfere with the teeth’s ability to grind and chew properly. Over time, bone deterioration can occur where the bone is losing stimulation.

Osteomyelitis

Osteomyelitis is a type of bacterial infection in the bone and bone marrow of the jaw. This infection leads to inflammation, which can cause a reduction of blood supply to the bone. Treatment for osteomyelitis generally requires antibiotics and the removal of the affected bone. A bone graft procedure may be required to restore bone function and growth lost during removal.

Tumors

Benign facial tumors, though generally non-threatening, may grow large and require the removal of a portion of the jaw. Malignant mouth tumors almost always spread into the jaw, requiring the removal of the affected section of the jaw. In both cases, reconstructive bone grafting is usually required to help restore normal function to the jaw. Grafting in patients with malignant tumors may be more challenging because treatment of the cancerous tumor generally requires removal of the surrounding soft tissues as well.

Developmental Deformities

Some conditions or syndromes are characterized by missing portions of the teeth, facial bones, jaw or skull. Your doctor may be able to perform a bone graft procedure to restore bone function and growth where it may be absent.

Sinus Deficiencies

When molars are removed from the upper jaw, air pressure from the air cavity in the maxilla (maxillary sinus) causes resorption of the bone that formerly helped keep the teeth in place. As a result, the sinuses become enlarged, a condition called hyperpneumatized sinus.

This condition usually develops over several years and may result in insufficient bone from the placement of dental implants. Your doctor can perform a procedure called a “sinus lift” that can treat enlarged sinuses.

Bone Grafting

What is Bone Grafting?

Over a period of time, the jaw bone associated with missing teeth atrophies and is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.

With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

Types of Bone Grafts

1. Autogenous Bone Grafts

Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is your own live bone, meaning it contains living cellular elements that enhances bone growth, also eliminating the risk of your body rejecting the graft material since it comes from you.

However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be recommended.

2. Allogenic Bone

Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on it’s own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.

3. Xenogenic Bone

Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.

Both allogenic and xenogenic bone grafting have an advantage of not requiring a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft’s bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.

Bone Graft Substitutes

As a substitute to using real bone many synthetic materials are available as safe and proven alternatives, including:

1. Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA)

This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.

2. Graft Composites

Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.

3. Bone Morphogenetic Proteins

Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.

Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. manish & Dr. swathi will determine which type of bone graft material best suited to your particular needs.

Ridge Augmentation

What is a ridge augmentation?

A ridge augmentation is a common dental procedure often performed following a tooth extraction. This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from a tooth extraction, or for another reason.

The alveolar ridge of the jaw is the bone that surrounds the roots of teeth. When a tooth is removed an empty socket is left in the alveolar ridge bone. Usually this empty socket will heal on its own, filling with bone and tissue. Sometimes when a tooth is removed the bone surrounding the socket breaks and is unable to heal on its own. The previous height and width of the socket will continue to deteriorate.

Rebuilding the original height and width of the alveolar ridge is not always medically necessary, but may be required for dental implant placement or for aesthetic purposes. Dental implants require bone to support their structure and a ridge augmentation can help rebuild this bone to accommodate the implant.

How is a ridge augmentation accomplished?

A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed to avoid the need for a second procedure later. Next, the gum tissue is placed over the socket and secured with sutures. we may choose to use a space-maintaining product over the top of the graft to facilitate new bone growth. Once the socket has healed, the alveolar ridge can be prepared for dental implant placement.

A ridge augmentation procedure is typically performed in office under local anesthesia.

Sinus Lift

What is a sinus lift?

The maxillary sinuses are behind your cheeks and on top of the upper teeth. These sinuses are empty, air-filled spaces. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

The key to a successful and long-lasting dental implant is the quality and quantity of jaw bone to which the implant will be attached. If bone loss has occurred due to injury or periodontal disease, a sinus augmentation can raise the sinus floor and allow for new bone formation. A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw. The procedure seeks to grow bone in the floor of the maxillary sinus above the bony ridge of the gum line that anchors the teeth in the upper jaw. This enables dental implants to be placed and secured in the new bone growth.

Am I a candidate for a sinus lift procedure?

A sinus lift may be necessary if you:

  • are missing more than one tooth in the back of your jaw
  • are missing a significant amount of bone in the back of your jaw
  • are missing teeth due to a birth defect or condition
  • are missing most of the maxillary teeth and require support for dental implants

How is a sinus lift accomplished?

Most commonly, a small incision is made on the premolar or molar region to expose the jaw bone. A small opening is cut into the bone, and the membrane lining the sinus is pushed upward. The underlying space is filled with bone grafting material, either from your own body or from a other sources. Sometimes, synthetic materials that imitate bone formation are used. After the bone is implanted, the incision is sutured and the healing process begins. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in the newly formed sinus bone.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to sufficiently stabilize the implant, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for up to several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

The sinus graft makes it possible for many patients to have dental implants that previously had no other option besides wearing loose dentures.

A sinus augmentation is generally performed at Manaswa office, under local anesthesia. Some patients may request oral or intravenous sedative medication as well.

Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for the placement of dental implants in the lower jaw.

A nerve repositioning procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually other, less aggressive options are considered first (placement of blade implants, etc).

Typically, we remove an outer section of the cheek on the side of the lower jaw bone in order to expose the nerve and vessel canal. We then isolate the nerve and vessel bundle in that area and slightly pull it out to the side. We then place the implants while tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.

These procedures may be performed separately or together depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or additions, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and is used to get the patient’s own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.

These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day, as well as limited physical activity for one week.

Socket Preservation Procedure

Preserving Your Jaw Bone after Extraction

Removal of teeth is sometimes necessary because of pain, infection, bone loss, or due to a fracture in the tooth. The bone that holds the tooth in place (the socket) is often damaged by disease and/or infection, resulting in a deformity of the jaw after the tooth is extracted. In addition, when teeth are extracted the surrounding bone and gums can shrink and recede very quickly, resulting in unsightly defects and a collapse of the lips and cheeks.

These jaw defects can create major problems in performing restorative dentistry whether your treatment involves dental implants, bridges, or dentures. Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile’s appearance and increase your chances for successful dental implants.

Several techniques can be used to preserve the bone and minimize bone loss after an extraction. In one common method, the tooth is removed and the socket is filled with bone or bone substitute. It is then covered with gum, artificial membrane, or tissue, which encourages your body’s natural ability to repair the socket. With this method, the socket heals, eliminating shrinkage and collapse of the surrounding gum and facial tissues. The newly formed bone in the socket also provides a foundation for an implant to replace the tooth. If your dentist has recommended tooth removal, be sure to ask if socket preservation is necessary. This is particularly important if you are planning on replacing the front teeth.

Dr. Manish Kumar Singh

Dr. Swati Iyengar Singh

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