|Procedure of Dental Implant Surgery|
|The technique of dental implant surgery depends on the type of implant used and the condition of patient’s jawbone. As a rule the dental implant cylinder is first inserted in your jawbone, and then you must sit through a period of healing for several months. After that healing period the abutment is located. Ultimately, you get your new artificial tooth. Sometimes artificial teeth are called an implant prosthesis or crown. Sometimes it happens that patients require bone grafting before the initial dental implant surgery; and this will lengthen the whole process.|
When bone grafting is required
If your jawbone isn't thick enough or is too soft, you may need bone grafting before you can undergo a dental implant surgery. That's because the powerful chewing action of your mouth makes large pressure on your bone, and if it can't support the implant, the surgery to replace your teeth would likely be a failure. A bone graft can create a much more solid base for the implant.
Bone grafting means the removing of a piece of bone from another part of your body, like your hip, and transplanted to your jawbone. The transplanted bone will grow, but it may take six to nine months to grow enough new bone to support a dental implant. In some cases, you may need only minor bone grafting that can be done at the same time as the implant surgery. The condition of your jawbone determines how you can proceed.
Placing the dental implant
The dental implant must be surgically inserted in your jawbone. As a rule, this surgery is performed on an outpatient basis, in either a dental office or a hospital.
You get some form of anesthesia for pain control during surgery, such as local anesthesia, sedation or general anesthesia. You should talk to your dental specialist about which form of anesthesia is best for you. Your dental care team gives you special recommendations about eating and drinking before surgery. For example, if you are having general anesthesia, plan to have someone take you home after surgery and expect to rest for the remainder of the day.
During the procedure your gum is cut open to expose the bone. Then surgeon drill holes into the bone, making a place for the dental implant cylinder. Since the cylinder will serve as the tooth root, it's implanted deep into the bone. Since the dental implant is securely in place, your gums are stitched closed over the cylinder. The cylinder sits under the surface of your gum, so it is not visible when you open your mouth.
Waiting for bone growth
When the metal dental implant cylinder is inserted in your jawbone, osseointegration begins. During this process, the jawbone grows into and unites with the surface of the dental implant. This process usually takes three to six months. This helps to provide a very solid base for your new artificial tooth.
Placing the abutment
When osseointegration is complete, you need additional surgery to place the abutment, to which the crown will eventually be fixed. In order to place the abutment, your gum is reopened to expose the dental implant. The abutment is attached to the dental implant. This minor surgery is typically done with local anesthesia in an outpatient setting. Once the abutment is placed, the gum tissue is then closed around, but not over, the abutment.
Selecting your new artificial teeth
After the abutment is located, your gums must heal for one or two weeks before the artificial tooth can be fixed. You and your dental specialist can choose from two main types of artificial teeth. They are:
1. A removable implant prosthesis
This type is similar to a conventional removable denture. It contains artificial white teeth surrounded by pink plastic gum. It is mounted on a metal frame that's attached to the implant abutment, and it snaps securely into place.
2. A fixed implant prosthesis
In this type, an artificial tooth is permanently screwed or cemented onto an individual implant abutment. You can't remove the tooth for cleaning or during sleep. If affordability isn't a concern, you can opt to replace several missing teeth this way. Each crown is attached to its own dental implant.