Missing teeth can cause a myriad of problems, from malnutrition to speech problems. They make you more prone to diseases and facial structure changes as teeth shift into the openings. Traditionally, the solution to missing teeth has been for a dentist to fit the patient with bridges or dentures. However, in modern dentistry there is a third option that provides more natural feeling teeth while smiling, talking, or eating. Dental implants are new tooth roots implanted into the bone structure, to which artificial teeth, either permanent or removable can be attached firmly. This eliminates the problems caused by dentures that slide around, obscuring speech and making eating difficult.

With dental implants, your teeth feel like strong, natural teeth. They are more durable, comfortable, and convenient than dentures. These replacement tooth roots are implanted into the jaw line. Dental health is protected when compared to bridges because the neighboring teeth are not altered with implants. When bridges are installed the teeth on either side are reduced so that crowns can be applied to hold the false teeth in place. Avoiding the alteration of the surrounding teeth improves future oral health. Permanent teeth attached to implants are as convenient as your real teeth.

Dentures can cause embarrassment and a lack of confidence when talking or eating, because they have a tendency to slide. This can affect speech, making your slur or mumble. Sliding dentures when you are eating can cause you to avoid nutritional foods, favorite treats, and eating with friends. Dental implants solve all these problems with a permanent, strong base for your artificial teeth, permanently attached to the implanted tooth roots. You don’t have to worry about adhesives that can be frustrating and messy. The implants can last for the remainder of your life, making them an excellent investment in your future oral health.

Before getting dental implants, you should discuss the pros and cons with your dentist. Your dental professional should examine your mouth to make sure your gums are healthy enough for the procedure and that there is enough bone for the implants. Other medical history, such as diabetes, heart disease, or radiation exposure, may also be a factor in determining whether or not implants are suitable for you. The tooth root implant is a small titanium post to which a crown, or false tooth, is attached. A good dental professional will match the color to your teeth, creating a healthy, natural smile.

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For individuals who have lost teeth in some way-whether they are in their 30s or 60s-dental implants go a long way toward rebuilding any lost confidence by installing safe replacements. These implants, made with titanium, are inserted beneath gum tissue and into the jaw bone, providing artificial teeth with an anchor.

The dental implant market, consisting of subperiosteal, endosteal, and transosteal implants, has been growing globally, in part due to the elderly population increasing with every new year. Interestingly, of these dental implant types, transosteal implants have become largely unpopular in the U.S., and it’s crucial for potential implant candidates that they know why.

How They Work

Transosteal implants are only inserted into the lower jaw, with a U-shaped metal frame or pins being placed through the alveolar socket as well as the bone. This is followed by the teeth being positioned on top.

If metal pins are utilized, they’re stabilized using a metal plate that is located on the jaw’s base, creating the U-shape required for stability. The name “transosteal,” which literally means “through the bone,” differentiates this implant from endosteal (inserted within bone) and subperiosteal (on top of bone).

Why Transosteal Implants Are Unpopular

Being introduced initially in 1953, two models for the metal plate-based transosteal implants were available. However, since their introduction, it’s been discovered that transosteal implants are less successful in the long run and produce too many complications, which is why most dentists no longer recommend them. Implants are judged by an implant success rate, which is based on specific criteria for an implant’s performance:

· Implant does not move more than one millimeter.

· Patient lost less than 30 percent of the bone’s height.

· No indications exist of damage or infection to other teeth or surrounding tissue.

· Implant works well for at least five years.

Some of the complications patients can experience with transosteal implants include implant site infection, gingival hyperplasia, and losing the crestal bone, which supports teeth. As well, the process causes patients a good deal of pain and could result in scarring on the area operated upon.

Current Patients

For patients who currently have transosteal implants, they should seek out a professional evaluation of their implant’s success. If those patients have no issues, the best course of action is to work toward or continue maintaining a strong oral health care routine, which should include brushing twice daily, flossing once per a day, and even using an ADA approved mouthwash for extra protection against bacteria and plaque.

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Oral health as well as oral hygiene is very important. You will not be able to flash your smile at everyone if you have missing teeth. You will probably feel uncomfortable and embarrassed. If you are an adult and have lost your tooth, it won’t grow back again and the only recourse for this matter is a dental implant.

Dental implants replace the missing tooth. Unlike dentures, it is just like your original tooth. You can’t take them out whenever you wish. They are placed in your jawbone and they provide a new root that would hold the tooth in place. They are generally made of titanium. They are lightweight and durable.

You just need to choose the right dental implant clinic and a very good dentist. This will help you to have a comfortable experience. If you are not comfortable with your dentist and do not trust his or her experience then you may not have a very good experience. You should be satisfied with their background and should talk to some of their past customers to understand their experience in this area.

After your dentist’s team has checked you up, they will formulate a specific plan for approaching the treatment. You will be provided with different options depending on your preference and budget. Only once you approve, they will go ahead with the procedure. The titanium tooth is implanted in your jawbone. The healing process may take up to six to twelve weeks. Your dentist will see to it that the new tooth will appear natural and look the same as your other original teeth.

You also need to take good care after your dental implant procedure.You need to place an ice in the affected area. You are also asked to take complete rest for a day. The ice will help alleviate the swelling. You can take a painkiller medicine to reduce the pain. Your dentist will also provide you with the prescription of the right medicine and the right dosage. For fast recovery you may also be asked to take an antibiotic. This will also prevent you from having any infection.

You have to regularly rinse your mouth. Brushing your teeth gently is also important. This will keep your new teeth in good shape. After you brush your teeth, you can floss your teeth gently.

If you visit the right dentist and take good care after your dental implant procedure, you will soon be showing off your pearly whites without any shame or discomfort.

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The pros and cons of the dental implant procedure

First lets get to the pros! – The advantages of the dental implant procedure are many compared to its few disadvantages.

1) They are very convenient for the patient.

2) They go a long way in improving the overall oral & dental health.

3) They restore the dental functionality thus making it easy for the patient to chew.

4) The overall feel and comfort of the dental arch is restored as forces are distributed equally on all the teeth including the dental implant.

5) The aesthetic aspect of your smile is restored thus improving your overall confidence level while you smile and talk.

6) The quality of your pronunciation and speech is improved especially when the anterior teeth are restored.

The few cons of dental implants – We can tell you one thing for sure, that the advantages of the dental implant procedure outweigh the disadvantages which are very few and negligible.

1) Like any other dental care or medical restorative procedure it involves a surgery. This surgery is minimally invasive and with the available equipment and latest technology in the year 2018 they are absolutely safe.

2) The dental implant complication rate is between 1% to 6% depending on the experience, education & skills of the implantologist or the surgeon. Any surgery involves risks but its the responsibility of the doctors to minimise the complications.

3) Infection at the implant sight if the prescribed medications such as antibiotics are not taken by the patient after the implantation surgery for a few days or weeks.

What is Invisalign?

If you are considering invisible braces as an alternative to traditional braces, invisalign is the way to go! These clear aligners are designed to straighten teeth without using any metal appliances to avoid all the fuss involved in dentistry. It has gained popularity in the field of orthodontics. Patients nowadays have many options apart from the unaesthetic metal braces. Invisalign is an appliance made of clear plastic aligners that go a long way in moving your teeth to a proper position. Candidates who feel opting for metal braces is a fuss can give invisalign a try! Even though the cost is a little higher compared to metal braces they are absolutely worth the money.

How much does invisalign cost?

Its cost varies from country to country and orthodontist to orthodontist and the quality of dentistry. The cost of invisalign® treatment is as expected higher compared to traditional braces as they are nor similar to each other. These invisible clear aligners can be removed and worn by the patients as per their wish and the main advantage of them being is that they are invisible avoiding any physical or mental discomfort for the patient.

Cost of invisalign in the U.S.A is approximately 3500 $ to 8000 $ depending on the doctor, experience and the practise.

The cost of invisalign in India is comparatively lesser. It costs around three to four lakhs in Bangalore.

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How is the sterilization process of Dental Implants monitored?

Sterilization procedures should be monitored through a combination of mechanical, chemical, and biological techniques designed to evaluate the sterilizing conditions and the procedure’s effectiveness.

•Mechanical techniques for monitoring sterilization include assessing the cycle time, temperature, and pressure of sterilization equipment by observing the gauges or displays on the sterilizer. Some tabletop sterilizers have recording devices that print out these parameters. Correct readings do not ensure sterilization, but incorrect readings could be the first indication that a problem has occurred with the sterilization cycle.

•Chemical indicators, internal and external, use sensitive chemicals to assess physical conditions such as temperature during the sterilization process. Chemical indicators such as heat sensitive tape change color rapidly when a given parameter is reached. An internal chemical indicator should be placed in every sterilization package to ensure the sterilization agent has penetrated the packaging material and actually reached the instruments inside. An external indicator should be used when the internal indicator cannot be seen from outside the package. Single-parameter internal indicators provide information on only one sterilization parameter and are available for steam, dry heat, and unsaturated chemical vapor. Multiparameter internal indicators measure 2-3 parameters and can provide a more reliable indication that sterilization conditions have been met. Multiparameter internal indicators are only available for steam sterilizers (i.e., autoclaves). Refer to manufacturer instructions for proper use and placement of chemical indicators.

Indicator test results are shown immediately after the sterilization cycle is complete and could provide an early indication of a problem and where the problem occurred in the process. If the internal or external indicator suggests inadequate processing, the item that has been processed should not be used. Because chemical indicators do not prove sterilization has been achieved, a biological indicator (i.e., spore test) is required.

•Biological indicators (BIs) are the most accepted means of monitoring the sterilization process because they directly determine whether the most resistant microorganisms (e.g., Geobacillus or Bacillus species) are present rather than merely determine whether the physical and chemical conditions necessary for sterilization are met. Because spores used in BIs are more resistant and present in greater numbers than are the common microbial contaminants found on patient care equipment, an inactivated BI indicates that other potential pathogens in the load have also been killed.

How often should I perform biological monitoring (BI) (spore testing)?

Correct functioning of sterilization cycles should be verified for each sterilizer by the periodic (at least weekly) use of BIs. Users should follow the manufacturer’s directions concerning the appropriate placement of the BI in the sterilizer. A control BI (not processed through the sterilizer) from the same lot as the test indicator should be incubated with the test BI. The control BI should yield positive results for bacterial growth. In addition to conducting routine biological monitoring, equipment users should perform biological monitoring.

•Whenever a new type of packaging material or tray is used.

•After training new sterilization personnel.

•After a sterilizer has been repaired.

•After any change in the sterilizer loading procedures.

If sterilizing an implantable device, should users perform biological monitoring (spore testing) more frequently?

Any load containing implantable devices should be monitored. Ideally, implantable items should not be used until the results of tests are known to be negative. As previously noted, the manufacturer’s directions concerning the appropriate placement of the biologic indicator (BI) in the sterilizer must be followed. A control BI (not processed through the sterilizer) from the same lot as the test indicator should be incubated in the same manner as the test BI. The control biological indicator should yield positive results for bacterial growth.

What should I do if a spore test result is positive?

If the mechanical (e.g., time, temperature, pressure) and chemical (internal or external) indicators suggest that the sterilizer is functioning properly, a single positive spore test result probably does not indicate sterilizer malfunction. Items other than implantable items do not necessarily need to be recalled; however, sterilizer operators should repeat the spore test immediately using the same cycle that produced the positive BI. The sterilizer should be removed from service and sterilization operating procedures reviewed to determine whether operator error could be responsible.

If the result of the repeat spore test is negative and operating procedures were correct, then the sterilizer can be returned to service. If the repeat spore test result is positive, do not use the sterilizer until it has been inspected or repaired and rechallenged with BI tests in three consecutive empty-chamber sterilization cycles. When possible, items from suspect loads dating back to the last negative BI should be recalled, rewrapped, and resterilized.

Results of biological monitoring and sterilization monitoring reports should be recorded.

Common Factors Influencing the Effectiveness of Sterilization

CAUSE: Improper cleaning of instruments

PROBLEM: Protein and salt debris may insulate organisms from direct contact with the sterilizing agent and interfere with the efficacy of the sterilization agent.

CAUSE: Improper packaging – Wrong packaging material for the method of sterilization – Excessive packaging material

PROBLEM: Prevents penetration of the sterilizing agent; packaging material may melt.Retards penetration of the sterilizing agent.

CAUSE: Improper loading of the sterilizer or overloading – No separation between packages or cassettes even without overloading

PROBLEM: Increases heat-up time and will retard penetration of the sterilizing agent to the center of the sterilizer load.May prevent or retard thorough contact of the sterilizing agent with all items in the chamber.

CAUSE: Improper timing and temperature – Incorrect operation of the sterilizer

PROBLEM: Insufficient time at proper temperature to kill organisms.

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