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Nobel Biocare Dental implants In Delhi

Dental Implants FAQs

When do I need a Dental Implant?

whenever you lose a tooth.

Even if I get a third Molar extracted?

technically yes, although traditionally doctors don’t agree on this. Current observations and understanding shows, cheeks bulge into the extracted tooth area and by some complex mechanism contribute to Sleep Apnea. But if space restriction is severe or if accessibility is not possible, one may have no choice.

What is an Implant?

In today’s most accepted concept, a metallic (Titanium and others)/ceramic/zirconia, cylinder or screw shaped cone, which tends to fuse with the bone eventually, also called as Osseo-integration. Although other shapes, and permutations available.

Is it painful place an implant?

Pain is a subjective phenomenon. Essentially, it’s a painless phenomenon. It’s less traumatic than an extraction, and mostly requires half the local anesthesia required for extraction.

Does it require a surgery?

Surgery is mostly understood by a lay man as placing incisions and sutures. In that sense most Implants today can be placed through a small hole in skin of mouth, like for an ear-ring.

Are there different types of Implants?

Yes, Many.

Which type or design would you recommend?

Depends on availability of bone in your mouth, overall hygiene, previous dental health etc. But largely, one-piece, screwless implant is an implant of choice, as it does away with the screw loosening and breakage problem. It’s a recurring problem. People with less time or from abroad, this is an implant of choice. Like all Medical treatments, there is a flip side, that the initial rate of failure that is the first few months, before it joins with the bone, the failure rate is high?

If, for some reason, two piece implant is suggested by the doctor, the platform switch, soft tissue adhering surface, a dual locking with the screw are some of the parameters that a doctor will look for.

Other factors, like your preference, allergy to Metals etc. will also be considered by the dentist.

I am confused, how should I select mine?

Don’t- rather select your doctor well. Ask to speak to lot of successful cases cured long long ago. Find out if Doctor has in-house CBCT, a tool, which allows doctors to commit least accidents, to your nerves/sinuses and blood vessels or perforate your bone.

Find out if he has a tool” Implant Center”, to lift sinuses hydraulically, a very non traumatic technique. Essentially, long standing complex cases is what you will look for, talk to those patients, and just don’t depend on testimonials alone.

Another factor is your doctor trained in “dental occlusion”, look at the courses he has done. Does he have tools like T-scan and Jva; these are required to ensure long term success of implants by preventing wrong loads over implants.

In a nut shell, tell your budget to the doctor, and let him decide what should be done for you considering your circumstances. As ideal treatment may require bone grafts, membranes, 3D planning etc., and that may be very costly.

what types of accidents are possible while doing Implants? And what’s the way out.

Following are possible and rare at the hands of an expert.

  • Nerve Injury- Mostly for back teeth in Lower Jaw, Having on the premise 3D X-ray machine or CBCT, preferably FBCT, which is Kodak 90003D, as it FBCT is 30 times lesser exposure than a CBCT. This allows a scan in the middle of treatment too, to allow patient to be protected from a Nerve Injury. Another option is creation of surgical template, which is computerized. Adds cost and week extra and trauma to bone at places away from implant site. A 3D FBCT remains a tool of choice.
  • Blood vessels- particularly, when lifting sinus in back teeth of upper jaw. Is easily manageable at the hands of an expert.
  • Bone Perforation- Implants when placed by novice, or not under supervision by a novice, or not using tools judiciously or in very difficult areas can lead to perforation of the bone.
  • Too small an Implant: Fear from a previous accident or a novice may end up placing a smaller implant.
  • Sinus perforation: Sinus is an air filled cavity, in upper jaws, back teeth, way above the roots normally. An injury to sinus can be prevented by using an “Implant Center”, that hydraulically lifts it during indirect sinus lifts and using ultrasonic surgical techniques can prevent injury during direct sinus lift.

What is the price range of Implants in India?

Depending on the seniority of Doctor used to perform the procedure, the tools added, and the type of cap included in the cost, and the abutment, it ranges from as low as INR18000 to INR 1 lac, per implant. Doctor’s recommendations lie in range of INR40, 000 To INR 70,000 unless you have special needs like metal allergies, unaesthetic zones, very high esthetic requirements due to profession etc.

Can you name some implants systems.

Nobel Biocare, Straumann, Adin, BOI, Kos, Endopore, Uniti, Alpha-Bio, Ankylos etc.

What if I don’t go for an Implant?

Your choice is a Bridge, which is not possible everywhere, one loses bone wherever there is not an implant at almost a mm a year rate, and the teeth supporting the bridge gradually destroy themselves over the years.

Isn’t bridge a cheaper choice?

No, let’s assume you have one tooth missing, so you go for three caps in a bridge, two going on existing good teeth, one in front and one at the back of the missing tooth. At the cheapest cost this costs you INR5500 per cap, comes to 15,500INR. While in INR18,000, you can get an implant. Plus, don’t forget, it costs you two very good teeth.

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