Benefits (Advantages) And Understanding of Dental Implants & Implant related costs in Malaysia

Details: Published: Saturday, 06 November 2021 05:30

UNDERSTANDING DENTAL IMPLANTS

Comfort & Confidence Again

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A NEW SMILE

It’s no fun when you’re missing teeth. You may not feel comfortable eating or speaking. You might even avoid smiling in public. Fortunately, dental implants can help. Implants can replace a single tooth, several teeth, or all the teeth in your mouth. Best of all, they look and feel like natural teeth.

Osseointegration occurs when bone fuses with the implant. This provides a solid base for the prosthesis.

This movie shows the replacement of the upper right left tooth with an implant fixture metal post and cores and porcelain bonded to metal crown.

When Teeth Are Missing

It can be embarrassing to have spaces in your mouth where teeth are missing. But you’re not alone. Some people lose teeth due to injury, tooth decay, or periodontal disease (infection of the gums and bone surrounding teeth). Unfortunately Periodontal disease is quite prevalent amongst Malaysians . Others may not have had all their teeth grow in. Whatever the reason, dental implants can help replace missing teeth. And implants often feel more natural than dentures and other dental restorations.

Implants can replace teeth lost from injury.

Implants Can Help

If you want a dental restoration that looks and feels as though it’s really part of your mouth, dental implants may be right for you. A dental implant is an artificial tooth root. Your jawbone fuses with the implant to provide a secure platform for a prosthesis (artificial tooth). If you are missing many teeth, several implants can be used to sup- port a partial or complete denture.

It takes teamwork to make dental implants a success.

Working Together

Throughout the implant process you’ll work closely with a dental team. Part of the team prepares your jaw and surgically places the implant. Others build and adjust the prosthesis.Your surgeon may be an oral surgeon, periodontist, or a general dentist skilled in dental implant procedures. In Malaysia the costs of Dental Implant can range from RM 7000 to up to RM 10000 per unit including the crown.

Your restorative dentist may be a prosthodontist or general dentist.
Your surgeon may be an oral surgeon, periodontist, or a general dentist skilled in dental implant procedures.

Understanding Your Role

Depending on your dental needs, total treat- ment time for implants can range anywhere from several months up to a year or more. Without a strong commitment from you, implants are less likely to be successful.
For best results, be prepared to:
• Keep all your appointments.
• Take good care of your mouth during the implant process.
• Commit to a lifetime of good oral hygiene.
• Have dental checkups at least twice a year.
• Contact team members if you have any problems.

YOUR DENTAL EVALUATION

To learn whether you’re a good candidate for dental implants, you will have a dental evaluation. The evaluation includes a dental exam, a dental and medical history, and imaging tests. As part of the exam, the health and structure of your mouth are studied. This helps the dental team understand where to place the implants.

Your Dental Exam

An exam supplies important details about the structure of your mouth. Your bite is studied to see how your jaws and teeth fit together. The condition of your jaws, gums, head, and neck is also checked. This is done to see whether your mouth is ready to accept implants. A typical price range of dental consultation in Malaysia if from RM 30 to RM 100*

During the exam:

The height and width of your jawbones are measured. This is done to make sure there is enough bone to hold an implant.
Your gums are examined for signs of periodontal disease. Diseased gums need to be treated before implants can be placed.
Your gums are also checked to see if there is enough firm tissue to surround an implant.

The Importance of Your Dental History

The more your surgeon learns about you, the more successful your implant surgery is likely to be. Your dental and medical history is an important part of this learning process. It includes questions about your overall health and any previous dental treatments, such as crowns and bridges. You’ll also discuss your expectations. Why do you want implants? What do you hope the results will be? Finally, you’ll discuss factors that can affect healing after surgery. These include smoking and the use of certain medications.

Tell your surgeon what you hope implants will do for you.

If You Have an Ongoing Medical Condition

If you have an ongoing medical condition, such as diabetes, you may have blood tests. This is to make sure your condition is under control before treatment begins. Also, be sure to tell your surgeon if you take medica- tions, such as insulin or a blood thinner, including aspirin.

Panoramic x-rays show all the teeth and bone in your mouth.

The Importance of Imaging Tests

Imaging tests are a key part of the dental evaluation. They make it possible to view parts of the mouth and head that can’t be seen during an exam. Imaging tests also help your surgeon learn more about the quantity and quality of the bone in your mouth.

• Dental x-rays show teeth and jaws.

• Panoramic x-rays provide a wide view of the jaws, teeth, nerves, and sinuses. They can also help indicate bone problems. In Malaysia , taking an OPG (Panoramic x-rays) usually costs around RM 100

• Other imaging tests, such as a CT scan or x-ray tomography, may also be used. Taking a CBCT imaging test in Malaysia typically will cost around RM 500*

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FORMING A TREATMENT PLAN

After the evaluation, your surgeon and restorative dentist will each discuss treatment options with you. You’ll also talk about any dental work or special procedures you may need before the implant process can begin.

A Solid Foundation for Implants

Having a healthy mouth is just as important for implants as it is for natural teeth. If you don’t have enough healthy bone or gum tissue in your mouth, you may need a graft before implants can be placed. Grafting helps build a solid foundation for the implants. You’ll probably have to wait for a graft to heal before you can have implant surgery. If you have periodontal disease, it will also need to be treated prior to placing the implants. Bone Grafting in Malaysia usually costs from RM 2000 - 4000* depending from dentists to dentists.

Bone from the jaw (gray areas) may be grafted to a site where it is needed.

If You Need a Graft

Graft surgery can build up bone or gum tissue in an area where it’s lacking. It can also replace bone and gum tissue that has been lost due to disease or trauma. One type of graft surgery is the sinus lift (a procedure to build up bone at the bottom of the maxillary sinus). This adds height to the jawbone, ensuring enough bone to hold an implant. Sinus Lifting treatment in Malaysia usually costs from RM 2000 - RM 4000* depending on dental clinics

Bone for a graft may be taken from your jaw, hip, or other sources. Sometimes a synthetic (artificial) graft is used.
A graft to build up gum tissue usually comes from your own mouth.

Periodontal disease must be treated before implants can be placed.

If You Have Periodontal Disease

Periodontal disease weakens gum tissue. Left untreated, it can also weaken bone and lead to the loss of both natural teeth and implants. Depending on your condition, cleanings, medications, or surgery may be needed to treat the problem. You’ll also need to practice good oral hygiene throughout your life. This will help keep periodontal disease from returning. It will also help your implants last longer.

Your surgeon will explain any treatments that may be needed before implants can be placed.

Outlining Your Treatment Plan

If you’re a good candidate for implants, the dental team will talk with you about a treatment plan. You’ll also discuss the costs and time that may be involved. Keep in mind, your commitment during the process will be crucial. In many cases it will take at least several months before new prosthetic teeth can be attached to implants. If you need a graft or treatment for periodontal disease, the process is likely to take longer.

A bridge may be an alternative to an implant. The supporting teeth are shaped to hold the bridge.

You Have Alternatives

If dental implants aren’t right for you now, consider your alternatives. One option may be a bridge to replace your missing teeth. If you already have a denture, adjusting it for a better fit may help. You can also decide to have implants at a later time. Together, you and your surgeon will decide what’s best for you. A normal 3 unit porcelain fused metal (PFM) bridge in Malaysia usually costs from RM 3000 - RM 5000 depending from clinics to clinics

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Risks and Complications

The risks and complications of implant surgery may include: • Bleeding
• Infection
• Failure of the implant (jawbone doesn’t fuse to the implant) • Injury to adjacent teeth or sinus

• Injury to nearby nerves and muscles

THE RIGHT PROSTHESIS FOR YOU

A dental prosthesis is secured to one or more implants. It can be made of one or many artificial teeth. The prosthesis you have will depend on your dental needs. If you’re replacing a complete set of teeth, you may be able to choose between a removable or fixed prosthesis.

The restorative dentist will talk with you about the type of prosthesis best suited to your needs.

A Prosthesis to Fit Your Needs

Depending on how many teeth you’re missing, you may have a single, partial, or complete prosthesis. The more teeth
to be replaced, the more implants you will need. For most people, a permanent prosthesis won’t be made until the jawbone has fused to the implants. Until then, a temporary prosthesis may be used.

A single prosthesis is used to replace a missing tooth. One implant is all that’s needed for support. Typically in Malaysia , depending on the brand of implants used and also the dental clinic, one unit of dental implant usually costs from RM 7000 to RM 10000*
A partial prosthesis replaces two or more teeth. Two or three implants are used for support.
A complete denture prosthesis replaces all the teeth in an upper or lower jaw, or both. (See page 9.) The number of implants needed depends on whether a fixed or removable prosthesis is used.

A single prosthesis is used to replace a tooth that has been lost.

A partial prosthesis is used as an alternative to a bridge.

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Types of Complete Prostheses (Dentures)

There are two types of complete denture prostheses: removable and fixed. Both can be used to replace a complete set of teeth. Removable means you’ll be able to take it out of your mouth. Fixed means it can only be taken out by a dentist. You and your restorative dentist can discuss which type is best for you. An "All on four" implant supported dentures in Malaysia usually costs from RM 30,000 to RM 45,000*

A complete denture prosthesis is used as an alternative to a traditional complete denture.

Choosing a Removable or Fixed Complete Prosthesis

Removable Prosthesis
With a removable prosthesis, the new teeth are joined to the implants by a connecting device, such as a clip and bar. This allows you to take the prosthesis out for cleaning. For support, this type often uses four to six implants per jaw.

Fixed Prosthesis

With a fixed prosthesis, the new teeth are fitted to a frame that is secured
to the implants. Five or more implants are placed along the contour of the jaw. In some cases, a fixed prosthesis offers more stability for chewing.

SURGERY TO PLACE IMPLANTS

Surgery is used to place implants in your jawbone. Ultimately, successful dental implants depend on the jawbone fusing to the implant (a process called osseointegration). You can help this process along by keeping your gums and teeth especially clean over the next few months.

Preparing for Surgery

Most implant surgeries are performed in a dental office. To prepare for surgery, follow your surgeon’s instructions. Also:

Tell your surgeon if you’re taking any medications or herbal remedies.
Wear comfortable clothes to the office.
Take antibiotics if prescribed.
If you will be sedated or asleep (under general anesthesia) during the surgery, arrange for an adult to give you a ride home. Also, don’t eat or drink for several hours before surgery.

Your Surgical Experience

Upon arriving, you may be asked to rinse your mouth with an antiseptic. You may also be given medication to help you relax or to make you sleepy. Right before surgery, the jaw is numbed. Then the jawbone is prepared so the implants can be placed. If you’re awake, you may hear sounds or feel vibrations. But you shouldn’t feel any pain. The length of the surgery depends on how many implants are placed.

Making the Incision
A small opening is made in the gum to expose the jawbone. This allows the surgeon to prepare the bone.

Preparing the Bone
A precise hole is slowly and gently drilled into the jawbone. The size of the hole depends on the size of the implant.

Placing the Implant
The implant is twisted or gently tapped into position. Then the incision is closed with stitches. In some cases, abutments are placed at the same time as implants.

After Surgery

When your surgery is over, you may rest a while. But you can go home as soon as you feel able. Be aware that a certain amount of swelling and minor bleeding is normal. To speed your recovery, be sure to follow your surgeon’s instructions. You may be told to:

Drink only clear liquids for the rest of the day.
Take pain medications and antibiotics.
Avoid putting pressure on your jaw.
Eat soft foods for the first few days as your mouth begins to heal.
Avoid wearing your temporary prosthesis or denture for a certain amount of time.

Eat soft foods as your mouth heals.

Taking Care of Your Mouth

Much of the healing process depends on keeping your teeth and gums clean. If you don’t take care of your mouth, you may get an infection. This could cause implants to fail. For best results:

Use a soft toothbrush to clean your teeth and gums after every meal.
Clean the areas near your incisions. But do not brush the incisions themselves.
Use an antiseptic rinse if prescribed.

Help the healing process. Keep your teeth and gums clean.

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Follow-up Care

It often takes a few months for jawbone to firmly attach to implants. During that time, you’ll have several follow-up visits with your surgeon. This is to see how well your jaw is healing. If you wear a denture, you may also visit your restorative dentist. He or she may put a new lining in your denture for greater comfort.

When to Call Your Surgeon

Call your surgeon if you have any of the following:

A large amount of swelling under the tongue, or around the face and neck
Bleeding that won’t stop
Pain in the jaws, mouth, or sinuses that isn’t relieved by prescribed medication
A fever
Numbness that does not go away after the anesthesia wears off

PLACING ABUTMENTS

Abutments are connecting pieces that join the prosthesis to the implants. They also help gum tissue heal around the implant site. In certain cases, abutments may be placed at the same time as implants. More often, though, surgery to place abutments is done after the jawbone has fused to the implants. This second surgery usually takes less time than the first.

Healing Abutments and Final Abutments

Depending on your dental needs, two kinds of abutments may be used. Healing abutments (also called healing cuffs) help gum tissue heal around the implant site. Once the gum has healed, final abutments are placed so the prosthesis can be joined with the implant.

Exposing the Implant
If you have a second surgery to place abutments, a small incision is first made in the gum tissue.

Placing Healing Cuffs
In many cases, a healing cuff (also called a healing abutment) is temporarily secured to the implant.

Placing Final Abutments
When gums have healed, the final abutment is placed. The top of the abutment sticks out just above the gum line.

After Abutments are Placed

It usually takes 4 to 6 weeks for gums to heal around the abutments. During that time, follow your surgeon’s advice about what kinds of food to eat. You will also be given instructions for cleaning around the abutments. Proper cleaning prevents infection and promotes healing.

A mold of your teeth takes just a few minutes to make.

MAKING YOUR PROSTHESIS

When your gums have healed around the abutments, your restorative dentist will begin making your permanent prosthesis. Several office visits may be needed to make a precise model of your mouth. Then it may take a few weeks, or even months, to build your prosthesis.

A Custom Fit

To custom-fit the prosthesis, your restora- tive dentist will make impressions (molds) of your jaws, teeth, and abutments. Bite registrations are also made to see how your teeth fit together. These molds are used to create a model of your mouth. Your new prosthesis is then made from this model.

The Prosthesis in Place
The crown may be screwed or cemented to the abutment. In some cases, the crown and abutment are a single unit.

Fitting Your Prosthesis

Once the prosthesis is ready, you’ll have several fittings to see how it feels in your mouth. With a fixed prosthesis, this process may take a little longer. After any needed adjustments are made, the prosthesis is attached to the abut- ments. You may be told not to eat hard or crunchy foods for a few weeks after the prosthesis is attached.

GOOD HABITS TO LAST A LIFETIME

To ensure that your implants last, take good care of your mouth. This means brushing and flossing every day, and having regular checkups with your dental team. If you don’t keep your mouth in good shape, your implants can fail.

Brushing After Meals

Brush your teeth, prosthesis, and abutments after every meal and at bedtime. You should also brush the gum- line and the gum around your abutments. Be sure to call your restorative dentist if you have trouble cleaning your prosthesis or abutments.

Remove the prosthesis and brush it inside and out. Also brush your gums and abut- ments while the prosthesis is out of your mouth.

Brush the top and back
of a fixed prosthesis as if you were brushing natural teeth. Brush your gums and abutments, too.

Make and Keep Appointments

Commit yourself to a lifetime of good dental care. See members of your dental team as often as directed. Regular care is important for the health of your implants. During appointments:

Your abutments are cleaned, and any needed adjustments or repairs are made to the prosthesis.
Your implants and the health of your jaws and gums are checked. You will also have x-rays to evaluate the bone around the implant.
Your teeth are cleaned to maintain good oral health.

A WINNING SMILE

It takes time and effort to make dental implants successful. So commit yourself to the care of your mouth. Brush and floss, and see your dental team for checkups. That way, you can keep smiling with comfort and confidence.

A WINNING SMILE