The initial consultation involves examining your mouth, discussing the treatment procedures, taking of radiographs and making models of your upper and lower jaw. The need for a bone graft prior to implant placement will be determined upon checking the radiographs.
A request form to undergo blood tests will also be given to assure that you are in fit to undergo surgery. The dentist will also discuss pre-operative or pre-surgery instructions prior to your first phase appointment.
- Do proper oral hygiene care at home by brushing at least twice a day and flossing at least once a day.
- Consider using antibacterial mouthwash such as Chlorhexidine.
- Wear comfortable, loose fitting with sleeves that can easily be rolled up above the elbows.
- If you opt to have intravenous sedation, do not eat or drink anything (including water) for at least six hours before your appointment. More importantly, a responsible person must accompany you and take you home on the day of your surgery.
Is it painful?
This is the most asked question of all dental procedures. Discomfort during and after the procedure is anticipated. Local anaesthesia will be given to numb the areas of the surgical site. Highly anxious patients are usually given IV Sedation in conjunction with local anaesthesia to calm them during the procedure. Medications are given to alleviate any discomfort felt after surgical procedures.
Phase 1 of Dental Implant process
Implant placement is a minor surgical procedure that can be done under local anaesthesia. IV sedation can be given by the surgeon if discussed during the initial assessment.
- The dentist/surgeon will numb the gums of the surgical site with local anaesthesia.
- The jawbone will be exposed by making an incision and retracting the gums away from the bone.
- A hole in the jawbone will be made using a specialised surgical drill to create space for the implant.
- Subsequently, the implant is placed in the hole using hand instruments. It is placed at the same level as the bone under the gums. Then, a second component (crest module) of the implant will be attached.
- The gums are placed back and stitched to secure the tissue.
- A provisional or temporary replacement (i.e. stayplate or temporary removable denture) will be provided, especially for a front tooth.
- The implant will eventually attach to the bone within three to six months. After that, you will be ready for the second phase.
After some time, the implant will fuse to the bone and is called osseointegration. Osseo
– means bone and integration
means incorporation. It happens when bone growth happens around the implant. Osseointegration is a vital part of implant procedure as it will establish the strength and durability of an implant.
Phase 1 of Dental Implant process
Once the implant integrated completely to the bone already, you will be scheduled for another few appointments to place a tooth crown on the implant.
- Under local anaesthesia, the dentist/surgeon will reopen the gums through an incision. (If the dentist placed a healing abutment above the gums during the first phase, no further surgery would be necessary to expose the bone again.)
- A mould or impression of the teeth will be taken and sent to the laboratory where your crown will be fabricated.
- Once the tooth crown is ready (which usually takes a few weeks), another appointment will be scheduled to attach it to the implant.