A sinus is an empty space present in your skull. They do not contain any solid or liquid matter generally and it has 15ml of air space without any resorption.
Lightens the skull.
Improves voice resonance.
Production of mucus for the nose, that gives protection from dust, microorganisms, etc.
Serves as a shock absorber during trauma.
It accommodates growth.
Generally, the maxillary sinus is involved in implant dentistry they are present rite on top of the first and second molar. When either or both the teeth have extracted the bone surrounding it will start resorbing, this will, in turn, thin the bone above maxillary teeth.
This resorption reduces bone height practically making it impossible to place an implant.
Maxillary Sinus lifting is a simple procedure to gain space to place an implant in the maxillary molar region. Sinus lifting can be done in two ways:
direst sinus lifting and indirect sinus lifting is otherwise known as internal sinus lifting and external sinus lifting.
These are the common types of sinus liftings.
Indirect sinus lifting is otherwise known as internal sinus lifting, this is done when minimal sinus space is required to place an implant.
Indirect sinus lifting is done by simply tapping with a sinus lifting instrument known as an osteotome.
The sinus space can be left alone with an implant or filled with bone graft and implant.
Direct sinus lifting is otherwise known as external sinus lifting, this is done when more space is required to place an implant.
The sinus lifting is performed by creating a window on the lateral wall of the cheekbone and placing a bone graft into the sinus. This is also called open sinus lifting.
The space gained must be filled with bone graft and membrane to produce a new bone in the gained space.
The cost of the sinus lifting will differ from the type of sinus lifting required. The sinus lifting involves with or without collagen membrane and bone graft.
The sinus lifting procedure is a simple procedure and no rest is required after the procedure, the procedure is done under local anesthesia and you will recover on the same day.
Although it is a simple procedure, good maintenance is required post-operative to avoid complications and you must have your medicines prescribed by your dentist regularly for the next three days.
The bone graft in a dental implant is a material that helps in regenerating new bone in a particular region or helps in fixing the problem in your bone or joint.
The bone graft material can be derived from your body(Autograft), from a donor(Allograft), from different species(Xenograft), or completely synthetic. In which autograft and allograft are majorly used in dentistry.
The autologous or autogenous bone graft is something derived from your body, the bone will be derived from non-essential places like the angle of mandible or chin bone. When performing a bone block replacement this graft is always preferred because the graft rejection risk is very low as it’s derived from your body.
The allograft is derived from another human ( mostly cadavers), the bone is typically sourced from a bone bank.
Three types of allograft are present:
A xenograft is derived from the bone of different species.
The synthetic bone graft is made of ceramics such as hydroxyapatite(HA) and tricalcium phosphate, they have an organic matrix ratio that is similar to human bone.
The grafts placed on the bone acts in the following ways to generate new bone:
Osteoconduction: the material acts as a passive matrix scaffolding new bone to cover itself
Osteoinduction: The molecule in this material will convert cells in the neighboring region into osteoblast which inturn will be converted to new bone.
Osteogenesis: The material itself will turn in to osteoblastic cells and form new bone
These grafts are used individually or combined to guide new bone growth towards the desired region and it’s completely controllable, it’s used around the implant to facilitate new bone growth and increase the stability of an implant.
FAQ on Dental Implants
How do Dental Implants work?
When an implant is placed there are two types of stability which hold the implant to the bone, one is primary stability and another is secondary stability.
The primary stability is when an implant is first placed into the bone the friction between the bone and the implant stabilizes the implant in its position this is called primary stability. This friction can be from 45ncm to infinity.
The secondary stability is gained by Osseo-integration.
Osseo-integration, when an implant is placed into the bone, the bone grows into the microporosity in the implant and has a firm grip over the implant this is called osseointegration.
When either one of the stability is strong the dental crown is placed on the implant.
When primary stability is high the crown can be given immediately on the dental implant, This is called immediate loading of the crown.
When primary stability is low, you must wait for at least 3 months for osseointegration and acquire secondary stability and place a dental crown over the implant. this is called delayed loading
How Dental Implants Are Done?
The implant is done painlessly with local anesthesia. Nowadays dentistry has become painless and even a child can have his/her dental procedures with a smiling face.
Still, you have a dental phobia you can also opt for conscious sedation to your dentist.
How Dental Implants Are Made?
Implants are made in implant factory under a sterile environment. Dental implants are made with grade V titanium.
Grade V titanium has 6% Aluminium, 4% Vanadium, 0.25% of Iron, and 0.2% of Oxygen. Since the iron is only a trace element in it and its an alloy of titanium you don’t have to worry about corrosion or rusting.
Branded implants do come in a sterile double packaging where it’s safe to place in your jaw right from the pack.
How do Dental Implants fail?
Implants do not fail that easy as they are strongly attached to the bone placed under a proper sterile environment.
There are multiple causes for the failure of dental implants. in this, the most common cause of implant failure is improper maintenance of dental implants by the patient. Approximately 85% of failure is caused by negligence.
Other than that there is implant failure due to excess load on the implant, balanced teeth must be present for chewing if not the bitting load will entirely fall on the particular implant and the implant may fail.
Other clinical problems are:
How Dental Implants Are Placed?
Dental implants are placed under local anesthesia( anesthesia only for the particular region of surgery).
If the implant placing site is extracted and already healed then the implant will be laced in a key-hole surgical procedure this is called delayed placing.
When an implant is placed immediately after removal of teeth/tooth it’s called immediate placing. The existing damaged teeth/ tooth is removed and implants are placed into that socket and wait for osseointegration.
How Dental Implants Are Installed?
Dental implants are installed into the bone by a sequence of drills under local anesthesia, do not worry about the drills its totally a painless procedure.
How Dental Implants Work Youtube?
|Visit our youtube channel: https://www.youtube.com/user/MegaManikandaprabhu|
Will Dental Implants Get Cheaper?
May be or maybe not, once dental implants were a complicated treatment and there were only a few dental implant brands but today there are so many brands and dental implants are getting cheaper (affordable).
When a dental implant brand has its long term data on living human with its success, its cost is comparatively higher than any emerging dental implant brands.
Do not worry the implants brands will be introduced to a general dentist only after several trial and error and research in the laboratory.
Will Dental Implants Lift My Face?
No dental implant will not lift your face, as it’s embedded into your bone it has no role to play with face alteration.
Will Dental Implants Hurt?
no, a dental implant will not hurt and postoperatively please do remember to take your pills to avoid post-operative pain.
Will Dental Implants Ever Be Covered By Insurance?
I don’t know about other countries but in India dental implants are not covered by insurance. But a dental implant can be covered with warranty, In SDC we give warranty based on the implant brands.
Will Dental Implants Last Forever?
Yes! A dental implant does last forever if it’s maintained properly.
Maintenance of dental implant is not that difficult,
Will Dental Implants Interfere With An Mri?
|Titanium is a paramagnetic material its not affected by the magnetic field of MRI scan. The implants are safe and you don’t have to worry about taking an MRI scan having a dental implant. All implants used in the craniofacial regions are safe to have an MRI scan.
Please do inform your MRI technician about the implant before taking the scan.
When coming to the prosthesis over the implant, a Nobel metal prosthesis is always recommended. Zirconia crown is suggested most of the time for implant prosthesis for this reason.
Will Dental Implants Help Gum Disease?
No, any gum disease must be identified and cured before placing the implant or the microbes in the gum disease will affect the implants and this will cause peri-implantitis.
PERI = SURROUNDING, IMPLANT, ITIS = INFECTION
Periimplantitis is another major cause of dental implant failure. Infection from anywhere surrounding the implant will affect the osseointegration and will block the fusing of implant and bone.
Since there is no fusing of bone and implant, the implant may loose and fail. Don’t worry this is curable if found earlier and can be treated.
First, if there is any infection your dentist must take steps to eliminate the infection.
If found after placing the implant you must immediately go to your dentist and treat it as early as possible.
How to find periimplantitis?
Can Dental Implants Be Removed?
It’s tough to remove implant after osseointegration, with proper surgical instruments and techniques dental implants can be removed from the bone. If the implant is not osseointegrated its easy to remove with hand ratchet by your dentist.
Can Dental Implants Cause Headaches?
No, the implant will not cause headaches but the post-operative pain may cause discomfort followed by a headache. There is one solution for this please take your pills properly post-operative and if the problem persists please visit your dentist immediately.
Can Dental Implants Be Replaced?
Yes, dental implants can always be replaced. If it did not heal it easy now, we can simply remove it and replace it with another implant with a wider diameter if adequate bone is present.
If the implant is osseointegrated. Why change it? But still, if you want to change we can remove it surgically and place a good bone graft in the removed region and place the implant for osseointegration.
Can Dental Implants Decay?
No, only organic tissue can decay, Dental implants or dental crowns are made up of inorganic substance and metal.
Can Dental Implants Go Wrong?
Yes! Some times if not placed with certified implantologist, But don’t worry about that in Senthil dental care, We have the best-certified implantologist to provide you with a great implant solution.
Why Dental Implants?
Dental implants are the best alternative method of tooth replacement up to date. They are a premium way of replacing missing teeth that replicate your natural teeth.
Why Dental Implants Hurt?
Do not worry about the pain before, during, or after implant placement. It’s absolutely a painless procedure.
But! If you have any prolonged swelling, redness, and pain, do contact your dentist immediately.
Why Dental Implant Center?
A dental implant center is a dental clinic where implant procedure is majorly done and the dentist himself is a certified dental implantologist.
When Dental Implants Don’t Work?
When you don’t follow the instructions given by us after implant placement the implant will not work in function.
When Are Dental Implants Medically Necessary?
The dental implant can be necessary when there is one or more loss of teeth and you don’t want to involve the adjacent good teeth for a fixed tooth or you don’t want any removable prosthesis.
When Are Dental Implants Covered By Insurance?
Dental Implants are not covered by insurance in India.
Are Dental Implants Safe?
Yes, dental implants are safe when done with a certified implantologist. Before having a dental implant procedure it’s always mandatory to have a complete health check-up.
Which Dental Implants Are The Best?
It depends on your implantologist what type of implant he uses for implantation.
Generally, implants like Nobel Biocare, Ostem, Dentium, Adin, etc are best because they have long term follow up data on their implant patient. Implant companies like Nobel Biocare have more than 30yrs successful implant data, Dentium has more than 11yrs of success data likewise leading brands will have very long success data.
It’s also necessary to know what type of warranty the implant brand provides you. The warranty is also based on the success data. Nobel Biocare implants provide a lifetime warranty for the implant they provide.
What Dental Implant Crown Loose?
The implant crown loosening is also a common problem in the screw-retained type of dental implant.
Every brand of the implant has a different type of abutment and abutment screw, if the abutment or screw are changed it will not engage the crown properly to the implant, then there will be screw loosening.
If the implant screws are not tightened up to 15 newtons. If the screw is over tightened it will cause a fracture.
If the screw is not inserted completely into the implant, there will screw loosening.
Who Does Dental Implants Near Me?
Dental implants are done by implantologist, better search for dental implant center near you.
Where To Get Free Dental Implants?
Price is what you pay, value is what you get. (Warren buffet)
A dental implant is a highly valuable treatment, hence you will not get it for free.
What Dental Implants Look Like?
Dental implants may look like a screw but the function, use, and science behind it it is different. The thread in the implants facilitates the easy insertion of a dental implant into the bone and for primary and secondary retention.
Advice after surgery?
Taking your medication regularly will be the first advice.
No forceful spitting or gargling.
If you are smoker, it’s better to avoid smoking for the next couple of weeks as it will help in healing faster.
The same applies to drink alcoholic beverages.
Should not meddle
What should I eat after the surgery?
After surgery, its always advised having anything cold like ice cream or fruit juice( no aerated drinks and must not use a straw).
Hot or spicy food can be avoided for the next 3 days.
Soft food is always recommended if you are wearing temporary teeth until you get your fixed implant tooth.
What are teeth over implants made of?
The initial temporary teeth are made up of acrylic material which is free of charge, then the final teeth can be selected by you according to your wish.
We do provide ceramic, zirconia, and gold teeth for dental implants.
The cost of the teeth must be discussed before
What is the other option to implant and why an implant is better than those?
A dental implant is a recent advancement over a fixed bridge or a denture.
In a tooth bridge, the adjacent teeth are taken in support to replace missing teeth, whereas in implant the adjacent teeth remain unaltered and the teeth are gained in the missing region.
Other problem of supporting teeth may be sensitivity, pain, and decay
In denture, the possibility of denture loosening is high, and long term prediction of bone support to the denture is questionable.
Hence implant is always a better option than any other type of fixed prosthesis.
How do I know if dental implants are possible for me?
The dental implant is almost suitable for 99.99% of the world population because it is made up of biocompatible metal that is titanium. Some times its also made of metal-free zirconium implants.
What is the correct age to have dental implant therapy?
Age is just a number and it has nothing to do with dental implant procedure, the only factor is the body growth of the individual should have stopped, so the implant therapy can be started with the age of 18 onwards.
Are bone grafts necessary for dental implants teeth?
Yes, sometimes when we do not have adequate bone length to place an implant on the missing region, a bone graft will help to form new bone to support the implant.
What is the warranty on implants?
Lifetime International Warranty is available on selected implants like Nobel Biocare & Straumann implants. In sdc, we provide up to 2 yrs warranty for all the implants.
How long do dental implants last?
If implants are well maintained and with a regular visit to your dentist once in 6 months the implant is positively to last for a lifetime.
99.99% of dental implants do last for a lifetime if they are well placed by a certified implantologist.
How often do implant failures occur?
On a good dental and medical examination by your implantologist and well placed dental implant, In this condition, dental implant failure is highly impossible. It is also you’re responsible to maintain the implant after the surgical procedure, 99% of implant failure is due to negligence of proper maintenance of implant teeth
How do I care for my dental implants?
For single implants
For full mouth implants
How do the teeth on top of the implant look like?
Teeth on top of the implant will very likely resemble your natural teeth. A dental implant is not only done for the function of the teeth but also to restore the beautiful smile and confidence in you hence the selection of teeth over the implant must be chosen wisely by you to have a good aesthetic appearance.
Are Dental Implants As Strong As Natural Teeth?
No teeth can match the capability of natural teeth, but the next strongest solution after natural teeth will be implant fixed teeth.
How do you fix teeth on top of my implant?
There are two types of fixtures, one is cement-retained teeth another is screw-retained teeth. In SDC we mostly perform screw-retained teeth as its easy to maintain by you.
How soon may I return to work after teeth implant treatment?
No rest is required after a single implant surgery but the patient can get a day rest after full mouth implant surgery and can proceed with normal work the next day.
Can any dentist perform a dental implant procedure?
No, dental implant surgery can be performed by certified dental implantologist with good skills and knowledge of dental implants.
Do the metal of the dental implant causes any allergy?
No, titanium is allergy-free metal and its biocompatible to the human body.
Can elderly people have dental implants?
Yes, the dental implant can be used at any age after 18years of age, the individual must be in good health to have a dental implant.
Since a dental implant is a painless procedure it can be used on elderly people.