Today the best way to replace missing or grossly decayed teeth is dental implants, Dental Implants has following advantages -

 

Natural look and comfortable fit

Dental implants are designed to look, feel, and function like your natural teeth. In addition, implants give patients the confidence to smile, eat, and engage in social activities without worrying about how they look or if their dentures will fall out.

Long-lasting and reliable

With proper care and maintenance, implants last as long as conventional restorations on teeth, with predictable outcomes.

High success rate

Well planned and cared for dental implants offer better survival rates than other teeth replacement options. People in good health have the best chance for successful implants.

Improved ability to eat and chew 

Dental implants are anchored in your jaw bone just like natural teeth. Over time they will help preserve the jaw bone and significantly reduce bone resorption. Replacing missing teeth with implants allow you to chew your food better and speak more clearly.

Improved facial and bone features

Dental implants preserve natural tooth tissue by avoiding the need to cut down adjacent teeth for conventional bridgework. They also will preserve bone and significantly reduce bone resorption and deterioration that results in loss of jawbone height. Dental implants also help restore your jawbone structure because they reduce the load on the remaining teeth and preserve natural tooth tissue and reduce bone resorption and deterioration that results in loss of jawbone height.

 

 

Immediate dental implant placement by Dr. Abhishek Kumar and Dr. Archana Rani following extraction of teeth

 

Dental implant offers the most cost-effective and long-term solution for replacement of missing teeth with high average life expectancy, providing the patient with the best sense of security and well-being. Recently, immediate implant placement after extraction of tooth with early loading has become more common. The advantages of this procedure include fewer surgical interventions, reduction in overall treatment time, reduced soft and hard tissue loss, and psychological satisfaction to the patient.

 

Video - Immidiate dental implants by Dr. Abhishek Kumar & Dr. Archana Rani at Magadh Oro Dental, Patna

 

Immediate dental implant placement is recommended in certain cases where the surrounding bone of the tooth to be replaced is healthy and gum tissue is in good condition. It is also suitable for patients who are looking to replace a single missing tooth, have a strong immune system, and who do not have any underlying health issues that may affect the success of the implant. Immediate dental implant placement can also be a good option for patients who have a tight schedule and want to complete the implant process in as few appointments as possible.

 

Video - Immediate implant placement after extraction of Mandibular Molar & Bone Graffting -Dr Abhishek Kumar

 

Immediate dental implant placement may not be recommended in cases where there is significant infection or damage to the surrounding bone and gum tissue. It may also not be recommended for patients who have a weakened immune system, smoke, or have other health conditions that may affect the success of the implant. In such cases, Dr. Abhishek Kumar may delaying the implant placement until the extraction site has fully healed and any underlying issues have been addressed.

Pros of Immediate Dental Implant Placement

Faster treatment time

One of the most significant advantages of immediate dental implant placement is that it can reduce treatment time. With this approach, you can have a new tooth and fully restored function in your mouth in just one procedure, instead of multiple appointments.

Preserves bone and gum's tissue

When a tooth is extracted, the bone and gum tissue around the tooth begin to deteriorate. Immediate dental implant placement can help to preserve these tissues and prevent further bone loss.

Immediate restoration of function

Immediate dental implant placement allows you to immediately restore function to your mouth, which means that you can resume eating, drinking, and speaking with confidence.

Cons of Immediate Dental Implant Placement

Risk of implant failure

Immediate dental implant placement can carry a higher risk of implant failure than delayed placement. This is because the implant is placed in a site that has not yet fully healed, which can compromise its stability and increase the risk of infection.

Higher cost

Immediate dental implant placement can be more expensive than delayed placement because it requires more complex surgical procedures and may require additional materials.

Not suitable for All patients

Immediate dental implant placement may not be suitable for all patients, particularly those who have existing oral health issues, such as gum disease or a compromised immune system.

 

Conventional procedure for implant placement - Delayed dental implant by Dr. Abhishek Kumar and Dr. Archana Rani

 

Most advanced way to replace missing teeth is dental implant which is designed to replicate the natural tooth root and crown of the natural tooth. This procedure preserves the gingival mucosa and bone with no damage to adjacent teeth. Conventional procedure for implant placement involves extraction of offending tooth, waiting 2–4 months for extraction socket to heal, insertion of implant, and again waiting for 3–6 months for integration of implant with surrounding bone. After this procedure, another surgery is necessary to expose the implant and to place a prosthetic abutment. Taking into consideration the prosthetic treatment, the patient had to wait up to 8–12 months for a lost tooth to be replaced. Dr. Abhishek Kumar say's the period of osseointegration is a big advantage of delay dental Implant as it permits the implant and the jaw to completely fuse. Provides a stronger foundation for the replacement tooth to sit. Have a higher success rate.

Video -Why Delay Dental Implant Placed? for Mandibular Molar by Dr. Abhishek Kumar at Magadh Oro Dental Clinic

Delayed dental implant placement can be a good option for patients who have underlying health issues, weakened immune systems, or a history of smoking, which can affect the success of the implant. It can also be a good option for patients who require additional procedures, such as bone grafting or sinus lifts, to improve the quality or quantity of the bone tissue at the implant site. Delayed dental implant placement generally has a higher success rate than immediate placement, as the implant is placed in a site that has had time to fully heal and any underlying issues have been addressed. 

During the first appointment, the tooth is extracted and the extraction site is allowed to heal for several weeks or months, depending on the patient’s individual circumstances. Once the extraction site has fully healed and any underlying issues have been addressed, the implant can be placed. The implant is then left to fuse with the surrounding bone tissue over the course of several months, a process called osseointegration. Once osseointegration is complete, a custom-made restoration, such as a dental crown, bridge, or denture, can be attached to the implant.

 

Pros of delayed dental implant placement

Greater success rate

Delayed dental implant placement has a higher success rate than immediate placement because the implant is placed in a fully healed extraction site.

Lower risk of Infection

Because the implant is placed in a fully healed extraction site, there is a lower risk of infection compared to immediate placement.

Time for bone and gum tissue to heal

Delayed dental implant placement allows the bone and gum tissue around the extraction site to fully heal, which can improve the stability of the implant and provide a better long-term outcome.

Cons of Delayed Dental Implant Placement

Longer treatment time

Delayed dental implant placement requires multiple appointments over several months, which can extend the overall treatment time.

May require additional procedures

Delayed dental implant placement may require additional procedures, such as bone grafting or sinus lifts, to ensure that there is enough healthy bone to support the implant.

Temporary restoration may be necessary

Delayed dental implant placement may require a temporary restoration to be placed in the extraction site while the implant heals, which can be uncomfortable and may require additional appointments.

Factors Dr. Abhishek Kumar and Dr. Archana Rani consider when deciding between immediate and delayed dental implant placement

Oral Health

Your overall oral health will play a key role in determining whether immediate or delayed dental implant placement is right for you. If you have underlying issues such as gum disease or bone loss, it may be necessary to address these issues before placing an implant. Dr. Abhishek Kumar will evaluate your oral health and determine if you are a good candidate for dental implant placement.

Extraction Site

The location of the tooth to be replaced and the condition of the extraction site will also influence whether immediate or delayed dental implant placement is recommended. Immediate placement may be possible if the tooth being replaced is healthy and there is adequate bone and gum tissue present. Delayed placement may be recommended if there is significant damage or infection in the extraction site that needs time to heal.

Patient Preference

Some patients may prefer the convenience of immediate dental implant placement, while others may prefer the higher success rate of delayed placement. It is important to discuss your preferences with Dr. Abhishek Kumar and weigh the pros and cons of each approach before making a decision.

Cost

The cost of immediate and delayed dental implant placement can also be a factor in the decision-making process. Immediate placement may be more expensive due to the additional procedures required, while delayed placement may require more appointments over a longer period of time, which can add up in terms of cost.

Overall Health

Your overall health and medical history can also influence whether immediate or delayed dental implant placement is recommended. If you have a weakened immune system or other underlying health conditions, delayed placement may be recommended to reduce the risk of implant failure.

Ultimately, the decision to choose between immediate and delayed dental implant placement will depend on your unique situation and needs. Don't worry Dr. Abhishek Kumar and his team of specialist dentist, Consulting Oral Maxillofacial surgeon and Consulting Prosthodontist at Magadh Oro Dental - Implant and Orthodontic Clinic can help guide you through the decision-making process and recommend the best approach for your specific case.

 

 

Capture an Accurate digital impression for prosthesis over implants by Dr. Abhishek Kumar at Magadh Oro Dental Clinic

 

Benefits of taking digital impressions

There are numerous benefits to consider with this advanced technology. When used correctly, digital impressions can increase productivity and efficiency and provide a high degree of accuracy. They are extremely convenient, particularly because the impression can be emailed to the dental laboratory rather than sent, as a conventional impression would be, by courier or by mail. This type of technology is often used for same-day dental restorations, reducing the need for patients to make multiple visits to the dental clinic.

Video - placing scanbody on Osteem dental implant for 3D scanning by Dr. Abhishek Kumar at Magadh Oro Dental Clinic

 

Video - Digital Impression for OSSTEM Implant with ScanBody by Dr Abhishek Kumar at Magadh Oro Dental Clinic

 

Additional benefits of taking digital impressions at Magadh Oro Dental Clinic  include:

Improved impression quality, resulting in precision-fitting restorations

Less chair time should be required as it can take as few as three to five minutes to complete scanning of teeth at Magadh Oro Dental Clinic

Digital impressions can be far more pleasant for patients who struggle with conventional impressions, especially for people with strong gag reflexes, anxiety, or fears when receiving dental treatment

Eliminating the use of conventional materials can reduce impression-taking errors, resulting in fewer remakes

A digital impression can easily be stored electronically, resulting in less paperwork, more efficient record-keeping, and less required physical storage space

Digital dental impressions are an eco-friendly way to take impressions because the process eliminates the need for disposable impression trays and impression materials that would otherwise end up in a landfill

Turnaround times may be faster because the digital file is instantly sent to the dental lab and there is no need to spend time casting up a traditional working model

A digital scan can be magnified and evaluated by Dr. Abhishek Kumar while the patient is still in the chair so if there are any errors, they can be corrected before the file is submitted to the dental lab

The ability to see the impression on-screen in the surgery allows dentists to check tooth preparations more accurately and to modify preps if required

Taking digital dental impressions can increase patient satisfaction, not least because they result in a precision-fitted restoration, with far fewer remakes and chair-side adjustments needed. With traditional dental impressions, there is significant room for error- impressions can have voids or defects, air bubbles, or distortions. Often, patients of Magadh Oro Dental Clinic will become more involved and interested in the use of this cutting-edge technology and will appreciate learning more about the treatment process because they can view the scan while still in the dental chair.

 

Video - 3d scan of teeth |CAD CAM Dentistry |by Dr. Archana Rani at dental clinic in patna Magadh Oro Dental

 

Prosthesis over Implants by Dr. Abhishek Kumar

 

Video - screw retained implant crown by Dr. Abhishek Kumar at best dental clinic in Patna Magadh Oro Dental Clinic

 

Video - prosthesis on OSSTEM Implant by Dentcare at best dental clinic in patna - Magadh Oro Dental Clinic

 

After the dental implant procedure:

Carefully follow the oral hygiene instructions given to you by Dr. Abhishek Kumar and Dr. Archana Rani. Regularly cleaning the implant and surrounding teeth is very important for long-term success of the implant.

Schedule regular visits with Dr. Abhishek Kumar.

If your implant feels loose or painful, tell us right away.

 

Benefits and Risks of Dental Implants

Dental implants can significantly improve the quality of life and the health of a person who needs them. However, complications may sometimes occur. Complications can occur soon after dental implant placement or much later. Some complications result in implant failure (usually defined as implant looseness or loss). Implant failure can result in the need for another surgical procedure to fix or replace the implant system.

 

Benefits of Dental Implant Systems:

Restores the ability to chew

Restores cosmetic appearance

Helps keep the jawbone from shrinking due to bone loss

Preserves the health of the surrounding bone and gums

Helps keep adjacent (nearby) teeth stable

Improves quality of life

 

Risks Associated with Dental Implant Systems:

Damage to surrounding natural teeth during implant placement

Injury to the surrounding tissues during surgery, such as sinus perforation Injury during surgery

Inadequate function, such as feeling like the teeth do not bite together normally

A sensation that the tooth is loose or twisting in place resulting from an abutment screw loosening

Implant body failure (looseness of the implant body)

  due to systemic infection, which may be more likely in patients with uncontrolled diabetes

  due to local infection in bone and gums supporting the implant body

  due to delayed healing, which may be more likely in patients who smoke

Difficulty cleaning the gums around the implant, resulting in poor oral hygiene

Untreated periodontal disease

Post-surgical numbness due to nerve impingement or damage

Always notify health care providers and imaging technicians that you have dental implants before any magnetic resonance imaging (MRI) or x-ray procedures. Dental implants can distort or interfere with these images. FDA is not aware of any adverse events reported for MRI or x-ray procedures with dental implants.

 

Types of dental implant available at Magadh Oro Dental - Implant and Orthodontic Clinic

Single-tooth implant

 If you have one tooth that needs to be replaced, your doctor will do a single-tooth implant, then put in a single replacement tooth or crown.

Multiple-tooth implant

If you have a few teeth missing, your doctor may do a multiple-tooth implant with custom-made replacement teeth.

Full-mouth implant

If you don’t have any teeth, your doctor may do a full-mouth dental implant.

 

All-on-4 Dental Implants for Full Mouth Prosthesis

If you need a full set, or full arch, of top or bottom replacement teeth, your doctor may recommend this option. First, your doctor will put four implants in your available bone. Then they’ll add special abutments that can hold same-day temporary replacement teeth.

 

Classification of dental implants on the basis of how how they’re attached to your jawbone.

Endosteal implants 

This is the most common type of dental implant. It’s shaped like a small screw, cylinder, or blade. It goes in your jawbone and holds one or more replacement teeth, which are also called prosthetic teeth. We at Magadh Oro Dental may recommend an endosteal implant if you already have dentures or bridges.

Subperiosteal implants 

This type of implant is placed on or above your jawbone. It’s a metal post that’s put under your gum and sticks through your gum to hold it in place.
You may get a subperiosteal implant if you can’t wear regular dentures, you don’t have enough natural jawbone to hold an endosteal implant, or you don’t want to do a bone augmentation procedure to build up the bone.

Zygoma Implants 

Zygomatic implants are a type of dental implant that are placed in the zygomatic bone, also known as the cheekbone rather then jaw bone, to replace teeth in the upper jaw. They are similar to traditional implants, but are longer and placed at an angle, allowing patients to avoid bone grafting. The zygomatic bone is denser and stronger than the jawbone, providing support for the weight of the prosthetic. zygomatic bone, which is a bone located in the cheek area of the upper jaw.

 

Pic - 1st Zygomatic Implant of bihar placed by doctors of Magadh Oro Dental Clinic

 

Video - 1st Zygomatic Implant of bihar at Magadh Oro Dental Clinic

 

Zygomatic implants are longer than traditional dental implants and provide additional support for patients with severe bone loss in the cheekbone of the upper jaw. Zygomatic implants are designed to anchor a prosthetic tooth, such as a dental bridge or a denture, in the upper jaw. The implant is surgically placed in the zygomatic bone, which is a stronger and denser bone than the jawbone, allowing it to support the weight of the prosthetic. Zygomatic implants have several advantages over traditional dental implants Can be used with insufficient bone mass, Eliminates the need for supplemental procedures, and Are immediate-loading. Zygomatic implants are typically longer than traditional implants, ranging from 35mm to 55mm in length, and are placed at a 45-degree angle in the jaw bone The procedure is far less invasive than bone grafts, so it takes much less time and causes much less pain. Zygomatic implants have a high survival rate of 96% after 12 years.

 

 

 

 

Immediate-load dental implants

With these, we can place your implants and your temporary teeth in during the same appointment. This is also called same-day implants, or teeth in a day. If you have enough natural, healthy bone, and if your implant is secure enough to support a new temporary tooth, same-day implants may be an option for you.

 

Video - How is an immediate dental implant surgery done by Dr Archana Rani at Magadh Oro Dental

Mini dental implants 

These small implants are the size of a toothpick or the lead of a pencil. They’re narrower than most implants. We may choose this if you need to stabilize a lower denture. Mini dental implants can be placed through less invasive techniques than other dental implants. We may recommend mini dental implants if you have a lot of bone loss and limited jawbone available. We may also recommend mini implants if you have loose dentures. We can stabilize them so they don’t slip when you eat or talk.

Implant related surgery available at Magadh Oro Denta - Implant and Orthodontic Clinic

Bone augmentation

If you don’t have enough natural, healthy bone in your jaw, it may not be able to support your dental implants. We may recommend bone augmentation to restore or regenerate the bone so it can support implants. This may involve bone additives and growth factors.

Sinus lift.

One of the hardest places to put dental implants is your upper back jaw. That’s because you may not have enough bone quantity or quality there, and it’s close to your sinus. A sinus lift surgery is done by our Maxillofacial Surgeon Dr. Ritesh Vatsa when there is not enough bone in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this. Many people who have lost teeth in their upper jaw - particularly the back teeth, or molars, do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw. Bone may have been lost because of gum disease. Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
We at Magadh Oro Dental can correct this with a sinus lift, which is also called a sinus augmentation or a sinus elevation. This raises your sinus floor to make room to add bone that can hold dental implants.

 

Video - Sinus lift for implant prosthesis at magadh oro dental

 

Ridge expansion

We may recommend a ridge expansion or modification if your jaw is too narrow to support implants. This involves adding bone graft material to a small space along the top of your jaw, which is also called a ridge.

Complete Digital Dentistry with Magadh Oro Dental : Patna's 1st Dental Clinic with ih house 3D Scanner for Prosthesis Over Dental Implants

With digital technology, it is possible to capture accurate impression data more quickly than it is when using conventional dental impressions. Digital impressions eliminate the need for messy impression materials and provide a more comfortable experience for patients.

 

Pic - Dental Implant placement for missing/extracted lower molar teeth by Dr. Abhishek Kumar and Dr. Archana Rani at Magadh Oro Dental Clinic

 

Cost of Dental Implants at Magadh Oro Dental Implant and Orthodontic Clinic, Patna

Dental implants are made up of titanium which are costly materials. Cost of dental implants range from ₹15000 for indian implants, ₹ 25000 for osteem implants and ₹ 40000 for noble bio care implants. Also these implants come with life time warranty so in long run they are not costly.

Advantages of dental implants over other tooth replacement techniques

Dental implants are the most advanced technique to replace missing tooths. It doesn’t require your adjacent healthy tooth to be used as bridge support. Also it is fixed so doesn’t require to remove every night like in case of removal dentures.

 

Pic - Dr. Abhishek Kumar and Dr. Archana Rani placing dental implants at Magadh Oro Dental, Patna

 

Preoperative investigation has to be done before dental implant placement

Apart from proper clinical examination, Dr. Abhishek Kumar may advise you for few routine blood investigations, simple X-RAYS and CBCT X-RAYS for appropriate treatment planning.

Pic - delayed implant placing for extracted lateral Incisor at Magadh Oro Dental Clinic, Patna

 

 

Pic - 2 implants to replace 4 teeth at Magadh Oro Dental Clinic

 

 

 

Video - Zirconia teeth prosthesis over Osstem implant by Dr. Abhishek Kumar at Magadh Oro Dental Clinic


How dental implant crown or bridge is fixed to the implant?   

There are two main ways that dental crowns attach to implants. The first way is with the use of screws. The second is by cementing the crown onto the abutment that connects to the implant.

 

Pic - Cement Retainded implant crown over dental implant

 

Video - prosthesis on OSSTEM Implant by Dentcare at best dental clinic in patna - Magadh Oro Dental Clinic

 

Which is advantageous screw retained or cement retained implant crown   

A cement retained crowns has issue of excess cement flow between implant and the crown, which may lead to irritation/ inflammation around the implant gums . As screw retained crowns are tightened or fixed by screw so it escapes from glueing cement issue.
Also screw retained crowns are easy to place and can be removed when required in future without damaging the crown. Cement retained crowns can’t be removed without damaging the crown. Screw retained crowns are slightly costlier than cement retained crown but economical in long run.

Video - screw retained implant crown by Dr. Abhishek Kumar at best dental clinic in Patna Magadh Oro Dental Clinic