Procedure planning for dental implants: detailed and careful planning is essential before the beginning of the procedure, as it hepls in identifying important structures, e.g. the sinus or inferior alveolar nerve, in addition to the dimension and shape of the bone, to select the most suitable implant to achieve effective results. Two-dimensional radiographs, such as periapicals or orthopantomographs, are usually performed prior to the procedure of implants. CT scans may also be obtained in certain cases, or a specialised 3D CAM or CAD may assist in planning the case. A stent (an acrylic wafer fitted over either the surface of the bone, the teeth or the mucosa with pre-drilled holes indicating the angle and position of the implants to be used), whether manual or CT-guided, may often be used to regulate the placement of different implants.Do you want to learn more? Visit Adult Dentistry of Ballantyne-Dental Implants Charlotte .
At this stage, the bone is prepared for optimal implant placement using either precision drills or highly controlled velocity hand osteotomes to prevent either pressure necrosis or burning of the bone in certain cases. After a short period of time, crowns or crowns can then be placed on the implant to allow the bone to grow on the surface of the implant.
Detailed procedure for dental implants
This stage involves carefully drilling a pilot hole into the edentulous jaw site (without teeth) to avoid the significant structures within the mandible (mental foramen and IAN / inferior alveolar nerve). Drilling normally involves several steps. To expand the pilot hole based on the width and length of the implant, progressively wider drills are used, great care should be taken to avoid causing any damage by overheating to the bone cells or osteoblasts. To keep the bone temperature below 47 degrees after which the implant is screwed into position at precise torque, a cooling water or saline spray is used to prevent overloading of the surrounding bone that may lead to osteonecrosis (death of the bone), which may lead to implant failure to fully bind or integrate with the bone.
Incisions from Surgery
This stage involves making an incision over the crest of the site where the implant, known as a flap, is placed. Some dental implants allow for a flapless procedure involving the punching of a portion of the mucosa from the site of the implant. Research suggests that the flapless procedure reduces the dental implant’s healing time.
Time of Healing
Usually, based on different practitioners, the amount of time allowed for the implant to recover before placement of restoration on it differs widely. Generally , it takes about 2 to 6 months to recover, although studies show that earlier implant loading may not accelerate long-term or short-term complications, but earlier implant loading may increase the chance of failure.
Timing by surgery
Different procedures can be used to place the dental implant after the tooth has been removed, including: immediate, delayed, which takes about two to three weeks after the tooth has been removed, or late implant placement after the tooth has been removed, where placement occurs after three months or more after the tooth has been removed. The time required for loading the implants usually varies depending on the time it is performed, although the procedure for implants can be grouped into three main categories, namely: immediate dental implant loading procedure, early dental loading procedure which takes one to twelve weeks, and finally delayed dental loading procedure which is usually performed after a period of more than three months.