Dental implants are normally made of titanium that is compatible to the biology of our body. It is strong, safe, long-lasting. Our dental implant center at thailand dental clinic is the first of its kind with a fully digital dental implant prosthese laboratory that was able to fabricate custom abutment for implant. A digital flow and computerized systems are used to build all zirconia crowns over implants providing metal-free and natural-looking aesthetics. Shades of ceramics may be chosen to closely match surrounding teeth.
TYPES OF MISSING TEETH REPLACEMENTS
SINGLE MISSING TOOTH
A dental implant crown may be done to replace a single missing tooth. Dental implant crowns are ideal tooth replacement solutions because:
- it is permanent and long-lasting
- feels and looks like a new tooth enabling chewing function
- is easy to clean and maintain
- a fixed solution
DENTAL IMPLANT CROWN PROCEDURE
Step 1: X-ray & Treatment Plan
The dental implant process always starts with treatment planning. Your dentist evaluates the area for implantation and takes a digital panoramic x-ray and 3D CT scan for diagnoses in determine which type of implant procedure and implant system is suited for your case. In some instanace, your implant dentist impression takes a dental study model.
The implant planning stage is important as your dentist makes the correct recommendation for each individual case to increase success rates and reduce potential risks. Your dentist discuss with you on your options, benefits and risks of the implant procedure.
Stage 1 : Dental Implant Surgery on Post Placement
After determine your implant treatment plan. Your dentist starts the 1st stage dental implant surgery. Dental implant post placement typically takes approximately 30 minutes to 1 hour per tooth. The session timings vary with the location of the implant post placement, implant procedure as well as type of implant system used. Dental implants are normally done under local anaesthesia. At our thailand dental clinic, you are able to opt for surgical implant under other sedative methods.
After the implant post is placed, gums are stitched and a healing cap is placed to prevent any food particles trapping at the mouth of the implant post. Your dentist arranges an examination of the wound and cut the silk thread typically around 5 to 10 days after implant post placement.
Stage 2 : Build Crown over Implant Post
Your implant post is left to integrate with jaw bone betwen 2 to 6 months or more. After the healing period on your return visit, your dentist takes an panoramic x-ray to examine and check if the implant posts are properly integrated to your jaw bone. If the implant post has healed well, your dentist removes the healing cap and takes an impression or takes an intraoral scan print to build the abutment and crown over the implant post.
At our thailand dental clinic, CDC has an on-site fully digital customzied abutment dental lab. Your dentist is able to customzied the shape, angel and look of your implant abutment to fit percisely with your individual occlusion bite.
Your dentist will also select with you the color shade of teeth over the abutment. Normally, the color shade chosen resembles closest to surrounding adjacent teeth to give a natural looking.
Selected abutment shape and tooth color shade is sent to CDC’s digital dental lab. The abutment and crown is digitally milled with a possible 24 turnaround timing. Your dentist arranges for to fit the crown on the dental implant normally about 3 days later.
MULTIPLE MISSING TEETH
A dental implant bridge may be done to replace a several missing teeth lost together in a row. Benefits of dental implant bridges as teeth replacement solutions include:
- unlike conventional dental bridges, implant supported bridges are able to replace several missing teeth together without the need of any supporting adjacent teeth
- the implant bridge is fixed
- long-lasting solution and permanent
- similiar to having new set of teeth for chewing
- brush and take care of your bridges like normal teeth
PROCEDURE FOR DENTAL IMPLANT BRIDGE
Step 1: Dental Implant Treatment Plan
During your first visit, your implantologist takes a digital panoramic x-ray and 3D CT scan to evaluate your bone condition for dental implant placement. A treatment plan is drawn up and discussed with you.
During the implant planning stage, please do bring up any concerns with your dentist on your options including benefits and risks. In order for implantation, sufficient bone is required prior to placement. If there is insufficient bone, your dentist may recommend having bone grafts.
Stage 1 : Placement of Implant Posts
After confirming your dental implant treatment plan, your implant oral surgeon process the 1st stage dental implant surgery of embedding the implant post into the jaw bone. Dental implant post placement typically takes approximately 30 minutes to 1 hour per tooth. The session timings vary with the location of the implant post placement, implant procedure as well as type of implant system used. Dental implants are normally done under local anaesthesia. At our Cambodia dental clinic, you are able to opt for surgical implant under other sedative methods.
On implant post placement, gums are stitched and a healing cap is placed to prevent any food particles trapping at the mouth of the implant post. Your dentist arranges an examination of the wound and cut the silk thread typically around 5 to 10 days after implant post placement.
Stage 2 : Fabricate Bridge over Implants
The implant is normally left to heal for a period of 2 to 6 months or more. After this osseointegration period, your implant prosthodontist checks if your implant posts has integrated with your jaw bone by taking a panoramic x-ray.
An impression of the healed implant post is taken either digitally be an intraoral scanner or physical model. The imprint is then sent to the dental laboratory to fabricate your new bridge. CDC has an digital dental lab within our dental building that can customzied your implant abutment and all ceramic zirconia bridge. CAD/CAM technologies can be utilized at our dental lab for quicker delivery of your bridge.
When your bridge is ready, this is fitted over the implant posts by your implant prosthodontist
FULL MOUTH MISSING TEETH
Why you should replace missing teeth?
Having edentulous jaws or a need to replace all existing teeth can be dishearting and daunting. Missing several teeth can severely influence your general health, appearance and self-esteem. Consequences of tooth loss include effects on:
- jaw bone and gum: when there is no teeth, gums and bone are no longer exercised so stimulated that can cause jaw bone to shrink over time. Adjacent teeth can collapse into the empty spaces.
- appearance: reduced jaw bone can make you look older and cheeks to sag as there is insufficent bone to support and stablize lips and cheeks on the inside
With today’s advancements in dentistry, there are now several techniques and implant systems that can bring back the confidence and function to you.
ALL-ON-4 IMPLANTS
If you have edentulous jaw or have current full dentures with resorption at posterior area, an minimally invasive solution for fixed full-arch restoration is the All-on-4 or Pro Arch treatment concept.
With All-on-4 or Pro Arch, you have a provisional fixed full-arch prosthesis during the same period of surgery. The concept uses places two anterior implants and titles two implants at the posterior area maximising the use of front anterior bone. This is followed by implant-retained hybrid denture attached to the implant posts.
Lower Jaw & Upper Jaw
The All-on-4 / ProArch treatment concept can be done for both the upper and lower jaw. Your implantologist may recommend more than four implants based on bone and oral conditions.
ALL-ON-4 DENTAL IMPLANTS PROCEDURE
Step 1 : Diagnosis and treatment planning
During your first visit, your dental specialist will evaluate your oral condition to determine if you are a suitable for immediate function full arch dental implant treatment. Considerations include any infection in gums and jaw bone and your bone condition. If there is infection, this will first need to be treated. And if bone loss is signficant, alternative options such as zygoma implants or bonegraft may be recommended.
Panoramic x-rays and a 3D CT scan is taken. Image helps your oral surgeon pre-plan the best angle and depth to place your implant posts. Digital surgical template guides may also be taken at this stage on request.
Step 2 : Preliminary Checks & Treatments
The actual dental mplant post surgery can be done under local anaesthesia as an outpatient procedure in our day clinic or as under moderate sedation and general anaesthesia as an in-patient procedure. Please consult with your implant oral surgeon on selected choices. If the implant post surgery is done under sedation, additional health checks and pre-preparation timings will be required.
Step 3 : Dental Implant Surgery
During the day of dental implant surgery, your implant oral surgeon may provide additional instructions before arriving for your actual surgical appointment based on sedation option chosen. If you are undergoing any sedative options on as an outpatient returning home on the same day of surgery, we recommend having someone accompany with you after your visit.
Dental implant post placement is a typically completed within 1 to 3 hours by your implant oral surgeon. BIDH’s team of implantologists are top tier specialists, each well experienced and qualified, many of whom are American board certified.
Step 4 : Fit Fixed Hybrid Dentures
After surgery on the same or next day, your prosthodontist arranges to take an impression of implant in building your provisional fixed hybrid dentures.
The All-on-4 / ProArch treatment concept is designed to maximize the opportunity for immediate function. Your dentist will often be able to place a temporary restoration on or very shortly after the day of surgery.
Based upon surgical placement visit and actual bone condition, your implant dentist will inform and make recommendations corresponding if the prostheses is ready for immediate or delayed loading.
BENEFITS OF ALL-ON-4 IMPLANTS
Benefits of All-on-4 / ProArch vs other full jaw implant options :
- Immediate teeth :During the same one trip stage, new teeth are fitted almost immediately after dental implant post surgery. This allows for smoother transition especially for individuals that had existing teeth.
- Shortened treatment duration
- Avoids bonegrafts: Posterior implants for All-on-4 is tilted to maximum the use of front jaw bone anchorage. For selected cases, this means there is no need for bonegrafts on the posterior areas.
FULL DENTAL IMPLANT BRIDGES
Full mouth dental implant bridges is treatment procedure where dental implant posts are placed at the exact and precise position with which your prosthodontist will re-build a full set of bridges locking over each specific implant posts.
Unlike All-on-4 /ProArch hybrid bridges that uses a one piece overdenture that is screwed into the implant posts and hidden positions, full arch dental implant bridges needs additional planning and co-ordination between your implant oral surgeon and implant prosthodontist becuase the full bridges need to match exactly at the correct location to achieve a symmetrical bite and aesthetic end results.
Having full mouth implant bridge is similiar to replacing existing teeth with new implant tooth roots. Bridges and crowns are then built over the implant post. With this implant treatment concept, you have a new set of teeth that is long-lasting, functional and is maintained like normal natural teeth that will not decay. Full mouth implant bridges are ideal teeth replacement solutions.
Considerations to implant supported full bridges is sufficient bone will be required to allow the dental implant posts to be placed in the anterior and posterior bone.
Benefits of Full Arch Fixed Bridge
In comparison with other full mouth implant options, full arch implant bridges has its advantages:
- Able to attain same chewing functionand bite load as having natural teeth
- Easy to maintain and clean.All-on-4 and implant dentures will need regular and daily maintenance
- Natural-looking aestheticsrelative to a one piece overdentures in All-on-4 and implant dentures
BIDH thailand dental implant center composes of a top team of implantologists. Many of whom are overseas board certified from USA, Germany and United Kindgom.
PROCEDURE FOR FULL JAW IMPLANT BRIDGES
Step 1 : Diagnoses and Treatment Plan
During diangoses and treatment planning, your dentist discuss with you on your implant options after dianoses with a panoramic x-ray and a 3D CT scan.
Your implant dentist checks your bone condition and bone density to determine if full arch dental implant bridges is suited for your case. If there is insufficient bone in the posterior areas, bone grafts before or during the 1st stage implant placement may be recommeded.
This full implant option require precise marked locations to build the end full bridge prostheses, the dental implant placement planning and positioning is important. Your implant prosthodontist may use digital computer guided software to plan on implant positions and have a implant surgical template done.
Step 2 : Preliminary Checks & Treatments
Full mouth dental implant bridges require precise marked locations to build the end prostheses on a full dental bridge, the dental implant placement planning and positioning is important. Your implant prosthodontist may use digital computer guided software to plan on implant positions and have a implant surgical template done. Preliminary works such as a provisional full dentures during osseointegration period is discussed and started.
Dental implant surgery may be done as an out patient procedure under local anaesthesia or in-patient sedation procedure. You are able to discss with your implant dentist on available sedation options.
Step 3 : Dental Implant Post Surgical Visit
On the day of implant surgery, your implant oral surgeon may provide you advance preparatory instructions based on opted sedation options. A typical implant post surgical visit takes about 1 to 3 hours vayring with selected number of implants opted, location positioning and implant system.
A large majority of our team of implant dentists are American board certified prosthodontist, each well-experiened with over 10 years of experience in their field of expertise.
Step 4 : Fixed Bridges Prosthetics Visits
After the osseointegration period of around 3 to 6 months or more, your implant prosthodontist takes a panormaic x-ray to ensure that jaw bone as properly healed and integrated with the dental implant posts.
The dental bridges are then individually set and made in the dental laboratory to fit precisely over your implant posts. BIDH has an on-site all ceramic zirconia digital dental lab able customized implant abutments and control the specific color shades of your teethworks.
IMPLANT SUPPORT OVERDENTURES DENTURES
Full dentures or false teeth can help replace a full missing teeth arch, however having a good well-fitting full dentures may be difficult to adjust to or even make. Ill-fitting dentuers can cause issues including:
- irritated gum and mouth: if dentures do not fit well, this can cause sore spots and painful inflammation; mouth infections and yeast can settle on dentures
- moving dentures: as gum and bones are no longer exercised or simulated by teeth, jaw bone can start to shrink causing your dentures to loosen
- lack of retention: adhesive creams normally only provide temporary relief
- poor chewing function: wearing full dentures may not enable you to bite properly and eat what you like
- lack of confidence smiling and speaking: as dentures may slip and slide affect speech and you simply giving a smile
Type of Implant Dentures
Placement of dental implant posts with full overdentures snapped over the posts provides for retention and anchorage. Denture implants locks full dentures securing in place and enables a better fit.
Implants with Bar & Implants with Locator
IMPLANT SUPPORTED OVERDENTURES PROCEDURE
Step 1 : Treatment Plan
If you have existing full dentures, please do kindly wear them or bring them along during your consultation visit with your implant prosthodontist. Your dentist discuss with you on your concerns and possible treatment options.
In order to check bone condition and do a detailed dianoses, a panoramic x-ray and a 3D CT scan is taken. An implant surgical template may done. Please do highlight any quesitons and concerns to your implantologist on your treatment plan.
Step 2 : Preliminary Treatments and Checks
Denture implants post has a 2 to 6 months healing period called osseointegration. Whilst waiting for your implant to securely integrate with jaw bone, you may require temporary dentures. If you have already have an existing full dentures prior to dental implant treatment, it may be possible to simply adjust or re-lined your full dentures for wearr post implant surgery. If you do not have a full denture, your dentist may do an impression taking at this stage to have a set of temporary dentures first set up. After the implant surgery, you can then wear the dentures during the osseointegration period.
Dental implant surgery is most commonly done under local anesthesia. However, if your have dental anxiety and would like to consider other sedation in-patient sedation procedure, please consult with your implanologist on various available options also at this stage.
Step 3 : 1st stage Dental Implant Placement
After your treatment plan is confirmed and preliminary are ready. Your oral surgeon places the dental implant posts. The 1st stage denture implants surgery is normally done under local anaesthesia. Having done under local anaesthesia allows quick recovery and is an outpatient procedure. You can return home immediate after your implant posts placement. Under local anaesthesia, the 1st stage implant placement surgery typically takes about 1 to 3 hours depending on number of implants opted.
Many of BIDH implantologists American board certified prosthodontist and over 10 years of experience in their field of speciality.
Step 4 : 2nd Stage Overdentures
The implants are left to heal for around 3 to 6 months or more. During the 2nd stage implant treatment, a panormaic x-ray is taken to check bone osseointegration with implants.
Your overdentures are then made in the dental laboratory. Over the implant posts, a bar, ball or locator abutment is fitted. Your implant prosthodontists then snaps in and adjusts your overdentures over the implant abutments. The implants acts are achorages and retention securing your overdentures in place.
ZYGOMA IMPLANTS
The zygoma implant concepts follows a similar concept to All-on-4 / ProArch for an immediate full-arch prosthetic rehabilitation on upper jaw.
In certain cases, posterior support cannot be achieved with the traditional All-on-4 / ProArch treatment concept. The Brånemark Zygoma implant is an innovative technique where long dental implant posts are embedded into the zygoma area to acquire posterior anchorage for a full-arch prosthesis.
Zygoma Implants enbles cases severe bone loss to have a fixed provisional prosthesis fitted immediately after surgery and avoid potential multiple surgeries required with grafting.