Uplus Dental - Dental Implants Sydney Strathfield
you will be in good hands
Why choose Uplus Dental for Dental Implants? Because you will be in good hands with our 20 years of highly experienced surgeon Dr Cecilia So who has been focused mainly on dental implants and surgical extractions.
At Uplus Dental, we are experts in replacing teeth. Using the latest dental technology we can help you achieve a beautiful, natural smile.
Dr Cecilia is a surgical dentist experienced in treating patients under IV sedation (sleep dentistry) and general anaesthetic. She is a Senior Dentist at Westmead Hospital treating special needs adults requiring oral surgery procedures. She has a special interest in implant surgery, being a current committee member of the Australian Osseointegration Society, and involved in teaching dental implants at The University of Sydney, as a Clinical Associate Lecturer in oral implant rehabilitation, and holds a Graduate Diploma of Clinical Dentistry in Oral Implants from The University of Sydney and is a Member of the Royal College of Dental Surgeons, London. Read more about Dr Cecilia…
Introduction to Dental Implant
Dental Implants can be a long-term solution for anyone wanting to replace missing teeth, close unsightly gaps, or secure unstable dentures. Implant-supported replacement teeth look, feel and function like natural teeth, and the latest advances mean they now can last as long or even longer than your own teeth.
Dental implants are increasing in popularity. We are all generally living longer and want to preserve a healthy, natural looking smile without the disadvantages and problems that dentures can sometimes bring.
Advantages of Implant Dentistry
- Single tooth replacement: no need to file off the neighbouring healthy teeth when preparing them for bridge work,
- Dentures often make a person feel and look older than they are,
- Quality of life that is much more comfortable and secure than the lifestyle endured by those with fixed bridges or removable dentures,
- Dental implants eliminate the day-to-day frustrations and discomfort of ill-fitting dentures,
- Enjoy a healthy and varied diet without the restrictions many denture wearers face,
- With a sense of renewed self-confidence, many people rediscover the excitement of an active lifestyle shared with family and friends and the chance to speak clearly and comfortably with co-workers.
Who can get Dental Implants?
Whether you are suitable for dental implants depends on the condition of the bone in your jaw. This will initially be assessed by our dentist along with your gums and teeth.
Once we have assessed a suitability, we will arrange for a consultation with our implant surgeon Dr Cecilia So. She may arrange for a number of special tests and x-rays. If there is not enough bone, or if it isn’t healthy enough, it may not be possible to place implants without grafting bone into the area first. Please refer to bone grafting for further details. There are some relative constraints which should be judged individually:
- uncontrolled diabetes mellitus
- previous bisphosphonate therapy for osteoporosis
- cytostatic therapy for various diseases (cancer, rheumatoid arthritis etc.)
- heavy smoking
- bleeding disorders
- previous radiotherapy for the jaws or nearby regions.
Of course, we wouldn’t place a dental implant with serious acute periodontitis, neglected oral hygiene carious teeth, dental calculi etc. These problems should be dealt with prior to implant surgery.
Three main components:
- A titanium implant: a metal root
- An abutment: a post
- A Crown
We can place only those materials that will not cause any local or general disease and will not be rejected by the body itself. Implants are made of pure surgical-grade titanium, that doesn’t cause any allergic reaction, and is accepted by the body.
At Uplus Dental, we use only the highest quality dental implants such as Straumann and Osstem implants.
Read more about dental implant materials used by Uplus Dental.
Number of Dental Implant Visits
Our patients usually ask how many times they have to come to the clinic for dental implant treatments. Patients with a healthy mouth and for simple implant placement, we can have an implant placed as soon as patients’ mouth has been examined and a 3D x-ray has been reviewed.
- 1st Visit: In the first visit, we will discuss and provide much information as possible so that you are aware of the treatment procedure options and costs involved.
- Once you are happy to go ahead with the dental implant, your dentist will refer you to take a 3D x-ray (CBCT scan) at your local imaging centre. Please note that before any dental implant treatment, a 3D scan is required, as two-dimensional OPG panoramic x-rays cannot provide 100% accurate information about the condition of the bone tissue, density, texture, etc. for such a surgery.
- Your Implant dentist will assess the 3D x-ray and will provide the assessment of whether it will be an acceptable case for Dental implant and final quote for the dental implant surgery.
- 2nd Visit: Once you accept the procedure to go ahead, we will book you in for a first stage implant procedure. If you need a bone graft or sinus lift, you may need an additional visit prior to implantation, so in this case, extra 1 more visit needs to be planned.
- 3rd Visit: After the first stage implant procedure is complete, a period of 3-6 month healing time is required. You will come again to Uplus Dental to assess your implantation and healing status. Once your dentist is happy with the healing status we will take an impression of your mouth for a dental crown.
- 4th Visit: You will revisit in 1-2 weeks time for a final visit to put in place an abutment and dental crown.
- 5th Visit: A month later we will book you in for 15-20 minutes for a follow-up review.
Prior to Dental Implants Era
Statistics show that 70% of adults aged between 35 to 44 have lost at least one permanent tooth to an accident, gum disease, a failed root canal or tooth decay. Furthermore, by age 74, 26% of adults have lost all of their permanent teeth. Twenty years ago, these patients would have had no alternative but to employ a fixed bridge or removable denture to restore their ability to eat, speak clearly and smile. Fixed bridges and removable dentures, however, are not the perfect solution and often bring with them a number of other problems.
Removable dentures may slip or cause embarrassing clicking sounds while eating or speaking. Of even greater concern, fixed bridges often affect adjacent healthy teeth, and removable dentures may lead to bone loss in the area where the tooth or teeth are missing. Recurrent decay, periodontal (gum) disease and other factors often doom fixed bridgework to early failure. For these reasons, fixed bridges and removable dentures usually need to be replaced every seven to 15 years.
Dental Implants over Dental Bridges & Dentures
Today there is another option for patients who are missing permanent teeth. Rather than resting on the gum line like removable dentures, or using adjacent teeth as anchors like fixed bridges, dental implants are long-term replacements that your oral and maxillofacial surgeon surgically places in the jawbone.
Composed of titanium metal that “fuses” with the jawbone through a process called “osseointegration”, dental implants never slip or make embarrassing noises that advertise the fact that you have “false teeth”, and never decay like teeth anchoring fixed bridges.
Because dental implants fuse with the jawbone, bone loss is generally not a problem. After more than 20 years of service, the vast majority of dental implants still function at peak performance. More importantly, the recipients of those early dental implants are still satisfied they made the right choice. If properly cared for, dental implants can last a lifetime.
A dental implant (tooth implant) designed to replace a single tooth is composed of three parts: the titanium implant that fuses with the jawbone; the abutment, which fits over the portion of the implant that protrudes from the gum line; and the crown, which is created by a prosthodontist or restorative dentist and fitted onto the abutment for a natural appearance.
Many people who are missing a single tooth opt for a fixed bridge; but a bridge may require the cutting down of healthy, adjacent teeth that may or may not need to be restored in the future. Then there is the additional cost of possibly having to replace the bridge once, twice or more over the course of a lifetime. Similarly, a removable partial denture may contribute to the loss of adjacent teeth.
Studies show that within five to seven years there is a failure rate of up to 30% in teeth located next to a fixed bridge or removable partial denture. Further, conventional dentures may contribute to the loss of bone in the area where teeth are missing. The presence of natural teeth preserves the jawbone. When a tooth is missing, the bone may erode and weaken until it may be necessary for your oral and maxillofacial surgeon to graft bone to the area to strengthen it for placement of a dental implant.
When a missing tooth is replaced by a dental implant, the fusion, or osseointegration, of the implant and bone provides stability, just as the natural tooth did. If you are missing several teeth in the same area of your mouth, you may still enjoy the confidence and lifestyle benefits that come with dental implants. Your oral and maxillofacial surgeon will place two or more dental implants, depending on the number of teeth that are missing.
Your replacement teeth will be attached to the implants to allow excellent function and prevent bone loss. The implants will serve as a stable support that tightly locks into your replacement teeth and dentures to prevent slipping and bone loss.
Dental implants (teeth implants) are frequently the best treatment option for replacing missing teeth. Implants can be used to replace one missing tooth so that the replacement looks and feels natural. Also, two or more dental implants can serve as a stable support for the replacement of many teeth.
What is the surgical procedure?
Dental implants combine the best of modern science and technology, including a team approach spanning several disciplines. A successful implant requires that all parties involved – the patient; the restorative dentist, who makes the crown for the implant; and the oral and maxillofacial surgeon, who surgically places the implant, follow a careful plan of treatment. All members of the implant team stay in close contact with each other to make sure everyone clearly understands what needs to be done to meet the patient’s expectations.
The most widely practiced method of placing dental implants is a “staged surgery” procedure The first stage consists of surgically burying the implant (which replaces the tooth root) flush with the bone but underneath the gum. This protects the implant from force while it is healing. At the end of this healing period, the implant needs to be surgically exposed by removing some of the overlying gum.
A local anaesthetic is used during the implant surgery. Other forms of sedation, such as laughing gas or sedative might be used. Patients are advised not to operate any vehicle, automobile, or hazardous devices, or work, while taking such medications, and/or drugs; or until fully recovered from the effects of same. Gum tissue is cut open and pulled away to expose the jawbone, a hole or holes will be drilled into the jawbone, and the titanium dental implant screw(s) will be placed. The implants will have to be snuggly fitted and held tightly in place during the healing phase. The soft tissue (gum) will be sutured over, closed over or around the implant(s). Healing will be allowed to proceed for a period of four to six months. While a period of between 4 and 6 months is usually needed for proper healing of the implants, the exact time will be determined by the operating surgeon. Wearing dentures could be uncomfortable during the first one to two weeks of the healing phase.
After the required healing time period, the implant will need to be exposed. A local anaesthetic will be given, the overlying tissues will be opened and pulled away, and the stability of the implant will be verified. If the implant appears satisfactory, an attachment (healing screw) will be connected to the implant. Following the healing of the gum, if all goes as planned with no complications, plans and procedures to create an implant prosthetic, appliance or artificial crown may begin with your general dentist or prosthodontist.
At this stage, the surgeon checks the implant for its successful integration and connects some form of post which penetrates through the gum into the mouth. This post is called the abutment. Abutments come in many forms and can be stock-manufactured or custom-moulded by your dentist and a laboratory. The gum is allowed to heal around the abutment and form a cuff or collar through which the dentist has access to the implant when preparing the final restorative stage of placing the prosthetic tooth or teeth. Research has shown that it is often possible to place a suitable abutment at the same time as the implant. This has certain limitations but can eliminate the need for a second surgery to expose the implant. However, the implant still requires adequate healing time for the bone to osseointegrate.
The abutments must also be protected from chewing forces during this period to assure effective bony integration and successful healing. Once the teeth implants have had a chance to heal and have been tested for successful integration, the final restorative step takes place. This stage consists of fabricating and connecting the prosthetic teeth to the successfully osseointegrated implants. At this point you will be referred back to a general dentist or prosthodontist. This phase is just as important as the surgical phase for the long-term success of the oral reconstruction. During this phase, an implant prosthetic device will be attached to the implant. This procedure should be performed by a person trained in the prosthetic protocol for dental implants.
Steps in Dental Implant Procedure
Prior to implantation
After a medical examination, a thorough oral hygienic treatment like tartar and plaque etc. removal is required. Later digital x-rays and three-dimensional CT scans are taken for making an accurate treatment plan. A three dimensional CT scan shows more than a dental X-ray. The 3D scan images can be sliced and every single detail in the jawbone can be measured separately millimeter by millimeter. Before the patient accepts the treatment plan he receives comprehensive information on all treatment options and potential risks.
The implantation procedure
Although implantation is a surgery it is still a gentle dental surgical procedure that is done under local anesthesia. First the oral surgeon gently pushes the gum aside and then marks the planned location of the screw in the jaw (single or multiple implantation is possible). The drilling carried out by a special device, which has adjustable parameters, and causes a slight vibrating sensation. The diameter of the pure titanium screw is larger than the diameter of the hole so it can easily and securely be screwed into the bone. According to the treatment plan additional bone replacement could be needed to replace the missing jaw bone. The duration of the operation depends on the number of implants to be implanted or other complicating conditions. It happens that it only takes ten minutes and sometimes it can take up to three hours.
After the titanium screw is inserted the implant is sutured over the gums. In the period of two to three days after implantation your face may be swollen, ancdrarely can experience pain. One week after the operation stitches can be removed, if necessary, however the Uplus Dental uses absorbable stitches, so you do not have to see your local dentsist, stitches will disappear. One week after the surgery you can wear your temporary prothesis. During the next few months, bone grows around the implant, which guarantees a secure connection. High variance in prices Getting implants is actually like buying a new car. You can choose between the upper and lower categories. The Uplus Dental only uses top quality implants such as Osstem Implants.