Dental Implants: Process, Procedure and Phases

The dental implants are anchors, preferably made of chemically pure titanium, which act as artificial roots replacing missing teeth or lost for any reason, able to integrate healthily and completely natural to the rest of the tissues of the mouth, explains the dentist in Uttam Nagar.

On each implant, the dental crown or prosthesis will settle and in it we can distinguish, like the natural tooth:

• Implant fixation or dental implant (portion under the gum)
• Transepithelial abutment (portion of the fixation that emerges in the mouth)
• Crown or prosthesis (which covers the abutment and is noticeable in the mouth)

Dental implant placement process

The first information on implants is provided by the dentist in Uttam Nagar, after their study, the collaboration of other professionals with special knowledge of periodontics, prosthetics or other areas of dentistry and medicine is often required.

The group of professionals who intervene to re-establish their oral health through dental implant treatments, is known as "The Implant Team".

The entire process around implant placement typically includes:

- Initial study and planning phase.

- One or more actions during the surgical phase.

- Restorative or prosthetic phase.

- Maintenance phase.

Initial study and planning phase

During the study and planning phase of dental implants in Uttam Nagar, it is necessary to carry out a panoramic radiography or orthopantomography at least, being, in many cases, a CT scan necessary to see the patient's bone situation in three dimensions and thus assess what the best position in which we can place the dental implant or implants. The placement of dental implants requires one or more surgical procedures to prepare the bone bed and install the implants.

Surgical phase

Depending on each case, this placement can be performed in one or two stages or surgical acts at dental clinic in Uttam Nagar.

If the surgical procedure is carried out in two phases, the implant is inserted in the first phase, leaving it completely covered by the gum for a variable period of time, approximately 2-3 months. In the second phase, a small incision is made in the gingiva to check the good condition of the implant and make the connection of the abutment that remains in contact with the oral environment and will serve as a connection to the future prosthesis.

When the implant is placed in a single surgical stage, which is being performed more and more frequently today, the fixation or implant is installed, and at the same time a connection component that remains in contact with the oral environment, called the transepithelial or healing abutment, thus avoiding the second phase mentioned above and the need for surgery after implant placement.

It should be borne in mind that we do not always place implants to replace an already missing part, but that sometimes the extraction of the part is linked to the treatment planned for the implant placement, so we must take into account the process to follow and assess the possibility of performing the extraction and subsequent implant surgery in the same surgical act. It depends on the cause of the tooth loss. This option may be possible if the loss has occurred in the absence of infection and with a healthy or unaltered bone bed. In case of infection or there have been alterations in the quality or quantity of the bone, it is advisable to wait a while for the bone bed to receive the implant to normalize, as otherwise the reliability of the treatment may be compromised. In these situations, when the case requires it for aesthetic or functional needs, a provisional, fixed or removable prosthesis can be made that allows you to comfortably endure the waiting time.

The length of the waiting period will depend on each patient.

Once the surgery is performed, the patient leads a normal life while the integration of the implant in the bone bed is achieved by going to the dentist in Janakpuri for periodic reviews. After the waiting time necessary in each case, varying between 2 and 3 months normally, we can start with the restorative phase in which we carry out the different tests necessary to make the prosthesis on implants in the laboratory. For this we use a series of silicone measures and other components with which we achieve a faithful replica of the position of the implant with respect to the other dental pieces, which we send to the prosthetist and thus achieve a perfect fit of the prosthesis in its final placement.

Restorative or prosthetic phase

Finally, this whole process of dental implants in Janakpuri leads us to make a prosthesis that we screw to the base of the implant that acts as an artificial root. In this case, the photos of the article reflect cases of unitary prostheses in which there is only one dental absence and it is only necessary to place an implant to which we screw a single ceramic piece. However, we can replace full arches in cases in which we face totally edentulous patients. In this way we can place complete fully screwed prostheses on 6-8 implants or even prostheses subject to screwed anchoring devices on 3-4 implants. These cases require an exhaustive study of the presence of bone and the design of the prosthesis that best suits the needs of our patient.

Maintenance phase

Implant treatments have demonstrated a high degree of safety in multiple research studies. This security is based on the existence of exhaustive control and maintenance protocols. Hence, any patient with implants must carry out the same revision and maintenance sessions for their implants as with the rest of their mouth. The need to establish adequate surveillance and periodic maintenance care is justified to avoid both bacterial contamination and possible mismatches of the prostheses due to the wear that function and the passage of time may cause.

The maintenance reviews are aimed at controlling the evolution of the treatment by early detection of any unfavourable situation that may occur and acting accordingly. In the most probable case that no problems appear, diagnostic and preventive routines are carried out aimed at guaranteeing the long-term health of the treatment, which are individualized by the implant team for each specific case.