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People always seem to be popping ibuprofen for aches, pains, sprains and swelling. Is it really safe and effective, and will it be useful for my upcoming wisdom teeth removal?


Monika Lewis couldn't remember a time when she was happy with her smile. By age 54, she was so upset with the appearance


 Can you give me a “step by step” of what to expect?


The implant crowns can either be screwed into implants or cemented on to them. Screws Are Safer In Certain Situations....


Toothpaste — What's In It?


Egyptians scrubbed their teeth with a mixture of ox-hoof ashes, burnt eggshells and pumice as far back as 5000 BC.


 fluoride is arguably the most valuable component in toothpaste. But it was not until the 1950's that formulations were developed in which the fluoride was available to react with tooth enamel.


 case carries a moderate degree of complexity because of the loss of the incisor and the disappearance of space available for the placement of a new incisor.


People always seem to be popping ibuprofen for aches, pains, sprains and swelling. Is it really safe and effective, and will it be useful for my upcoming wisdom teeth removal?



Pain Management

We placed great emphasis in minimizing the discomfort in dental treatment, to eliminate the discomfort associated with injections, specially compounded topical agents are applied to tissues prior to the injection. Also our dentists are train to deliver the LA injection as slowly and smoothly as possible to minimize pain. For invasive procedures, nerve block are often administered.


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All on Four Fixed Dental Implants
Dental Bonding
Dental Bridges
Dental Crowns & Caps
Dental Fillings
Dental Implants [Traditional]
Immediate Load Dental Implants
Mini Dental Implants
Bone Grafts for Dental Implants
Fixed Dentures
Lumineer Porcelain Veneer Procedure
Porcelain Veneer Procedure
Root Canals
Teeth Whitening
Tooth Contouring and Reshaping
Full Mouth Restoration
Dental Crowns & Bridges in Cancun
Sinus Lift Surgery

Dental Tourism Panama
Dental Vacations in Panama
All on 4 or 6 Dental Implants – Panama








Dental Implant 3


Dental Implant 5




 Phone:  00 (507) 224 - 2026 / 653 - 19014   Email:

Please note that an accurate estimate can only be known after receiving dental reports from you or a phone consultation with one of our dental advisers. Price estimates are in US Dollars.


Dental Implant Works

1. Single Tooth Dental Implants

You may have lost a single tooth as a result of an accident or injury. This can be replaced with an implant and in fact, having a dental implant in between your natural teeth is the most successful dental procedure. Success rates are nearly 100% perfect.

A single tooth implant does not affect your other teeth, looks better and is easy to keep clean. It is kept clean in exactly the same way as your other teeth.

If your jawbone is not deep or strong enough for an implant then a bone graft will be required.

Dental Implant 1

Single tooth implants can be carried out on both front and back teeth. Mini implants can be used although some dentists prefer the normal, full sized ones.

The procedure is as normal: the dentist will make a tiny incision in your gum in order to access your jawbone. He or she will then drill a small hole in this bone before inserting the implant. The implant will look like a small metal rod and is either cylinder or screw shaped.

This is inserted into the jaw. The incision is closed and given time to heal. This is usually a period of 3 to 6 months. During that time the implant will fuse with the jawbone in a process called osseointegration. A temporary tooth or crown will be fitted during that time, purely for cosmetic reasons.

Once this has happened, a second procedure will be carried out. The dentist will open up the original wound before fixing a small attachment or abutment to the implant. This will enable him/her to fasten an artificial tooth or restoration to the abutment.

This is usually done in two stages although there is the option of having this done all in one go, known as 'immediate loading'.


2. Few or Several Teeth (partially edentulous)

Dental Implant 2

This section is aimed at those patients who are missing a few or several teeth. The technical term for this is 'partially edentulous'. If you have lost a few teeth, either as a result of an accident or an injury then you are basically looking at a crown and bridge implant system.

If, however, you are missing quite a few teeth then you could be looking at extensive dental work. This type of treatment will involve implants but will also include bone/sinus grafts and quite possibly some major reconstructive work.

Are you missing just a few teeth?

If so then there are several different ways of performing this treatment although they all involve attaching crowns or a bridge onto an implant. These can be cemented or screwed onto the implants.

Crowns and bridges are constructed from a variety of materials such as ceramic, porcelain or a combination of metal and porcelain.

The traditional crown and bridge system was a short term answer to the problem of missing teeth but required the dentist to file down a couple of healthy teeth to act as 'posts' to support the bridge.

Another issue is that of bone loss. The traditional crown and bridge system does not prevent bone loss. Bone loss tends to happen when a tooth or teeth are lost and are not replaced. The jawbone becomes thinner and less dense and results in a sunken cheeked appearance.

The only way to prevent this is to combine the crown and bridge system with dental implants. The implants stimulate the bone cells within the jaw and stop any bone loss.

This procedure can be performed as part or all of the following:

  • Implant crown and bridge
  • Major maxillary reconstruction
  • Major reconstruction
  • Replacement of a failed blade implant
  • Total dental care


Implant crown and bridge

This procedure involves several stages which start with the initial diagnosis, x-ray and wax impression of the patient's jaw. Once this has been completed then the next stage is that of the insertion of the implant itself.

Once sufficient time has elapsed for osseointegration then the final stage is that of the restorations. The patient will have had temporary restorations during this time, but once the implants have completely fused then they are ready for the final restorations.

A bridge is required to span the gap left by the missing teeth along with laboratory constructed crowns.

Major Maxillary Reconstruction

This is an extensive procedure, designed to treat problems with teeth in the upper jaw or maxilla. If you have missing maxillary teeth, for whatever the reason then this procedure is an option.

This procedure is carried out on those patients who have been diagnosed with a tumour or have a maxilla related injury such temporomandibular disorder.

The procedure involves implants, a cast and restorations.

Major reconstruction

The same rules apply as above. The patient can be looking at the insertion of several implants, bone augmentation (possible) and/or sinus lift, and temporary restorations before the placement of the final restorations.

It can involve either the upper or lower jaw, or both.

Replacement of Failing Blade Implant

A blade implant or plate form implant is a type of endosteal implant (implanted into the bone) which is less commonly used than the root form implant. It consists of a flat piece of metal (blade) with two prongs on one side of this metal. It is inserted into the jaw in such a way to support a bridge or crowns.

These along with other types of implants enjoy a high degree of success, usually around the 95% mark. But, failure can happen in a tiny minority of cases. This is usually due to a failure to fuse or 'osseointegrate' with the bone, inflammation (peri-implantitis) or fracture. Sometimes, implants can move around or shift out of position.

Whatever the reason an implant which is said to have 'failed', needs to be removed and replaced with a new one.

In this scenario, the failing blade implant will be removed and replaced by root form implants as part of a two stage process. The first stage will involve the removal of the defective implant and the second stage will be the placement of the new teeth or restorations.

Total Dental Care

This is the 'full works' in regard to dental treatment. It involves implants, crown and bridge restorations and porcelain veneers (also known as laminates).

This comprehensive treatment will involve a sinus lift plus a cast for the crown and bridge restorations. The veneers (laminates) are wafer thin shells, comprised of porcelain or ceramic, which are fitted over the front of the teeth in order to improve their appearance.

If your teeth are stained or damaged then consider this as an option.


3. No Teeth (fully edentulous)

Edentulous is a dental term, used to describe a state in which a patient has no teeth at all. This may sound strange but there are a great many people who do not have any teeth, either as a result of an accident or illness.

If you are in this position then dentures are often the only solution. This means having to use a messy 'glue' to fix their dentures in place which can be awkward and off-putting.

Dentures are a tried and tested answer to the problem of missing teeth but they are not without their problems which include the tendency to become loose, soreness and irritation.

These problems will resolve themselves over time as you become used to wearing dentures but there are some patients who never come to terms with denture wear. For that group of patients, dental implants are the answer.

There are several treatment options available to the patient:

  • Crown and bridge restoration
  • Fixed/detached restoration
  • Implant overdenture
  • Mini implant overdenture


Crown and bridge restoration

Dental Implant 3

This involves the use of restorations or crowns (artificial teeth) and a special bridge (a temporary denture). The crowns are attached to this bridge and are a permanent fixture unlike the usual removable restorations.

Fixed restorations (teeth) are more realistic looking than the removable type of restoration but are also more expensive.

And, they are more difficult to clean and generally, care for.

A crown and bridge restoration can be carried out as part of a major reconstruction or as a means of converting from a removable restoration to a fixed restoration.

This is an extensive process which includes initial diagnostics, the taking of an impression of your jaw - for purposes of casting, and the insertion of the implants. The second stage includes the fitting of the abutments and the final replacement teeth (crowns and bridge).

Fixed/Detachable Restorations

These are as the name says: they are a type of restoration which is fixed in place by a series of screws. It is a permanent fixture and can only be removed by your dentist.

These tend to appeal to those patients who find dentures to be awkward or plain unattractive.

Fixed restorations are harder to keep clean than removable ones.

This restoration takes the form of a metal framework, dentures (teeth) and an acrylic resin.

Implant overdenture

Dental Implant 4

This form of treatment combines dental implants with an overdenture and so may appeal to those patients who want a cheaper yet effective dental treatment.

An overdenture is made to fit over existing tooth roots or dental implants. This is supported by the natural tissue of your mouth and is designed to work as a working alternative to natural teeth.

One advantage of this over conventional dentures is that this stays firmly in place. This means no risk of 'slippage' or any other problems associated with a conventional denture; plus it is easy to look after.

It is also cheaper than other types of hybrid restorations such as crown and bridge restorations.

Mini Implant Overdenture

Dental Implant 5

This is very similar to the normal sized overdentures: the only difference being that mini dental implants are used instead. Mini implants are cheaper than the standard sized ones and easier to insert but have usually been seen as a temporary measure.

But, they have proved to be useful in situations where patients don't want the full implant, are unable to pay for a full implant or just need something to secure a loose denture.

There are still ongoing discussions about mini implants as compared to the normal, full sized implants. Some sources view them as a suitable form of treatment if there are no other choices, or if normal implants are not an option.

Other sources see them as providing a good, solid foundation for bridges, crowns and overdentures.


Dental Implant Imaging

In the world of dental implant placement, imaging is the key to successful case planning. There are three main types of implant imaging widely used in the industry today.

The preliminary means of imaging is the Panoramic X-ray, which gives a broad overview of the entire mouth. They provide information about the teeth, upper and lower jawbone, and sinuses. Panoramic x-rays is the most commonly used imaging in the field of implantology. This method is useful in providing diagnostic information regarding identifiable landmarks, pathology, and initial estimates of bone availability.

The secondary means of imaging is the Dental CT Scan (computerized tomography), which is a type of X-ray that produces images of internal physical structures in cross section, far superior than the standard images produced by conventional X-ray exams. A CT allows the practitioner to select an area in question and see it from the side divided into cross sections, similar to a slice. A section of the jaw a few millimeters long can be selected from an overhead view and additional images will display the layout of that area from the side perspective. This is helpful to determine what implant diameter, size, and type should be used to maximize the implant to bone contact.



The 2 stage dental implants:

The 2 stage procedure begins with the surgery. This is the process in which the dental implant (the "screw") is placed into the jaw bone. During this procedure the implant is screwed all the way down so that the top surface of the implant is exactly flush with the surface of the bone. The soft tissue of the gum is sewed up and there is nothing visible.

After the surgery has healed (this amount of time depends on the individual patient and is usually several months) the dentist will again perform minor surgery, exposing the top of the implant. At this point the abutment will be connected and the restoration of the implant will begin. The end of the appointment sees the patient going home with the abutment attached. There is a short healing period again (much shorter and not painful) and the job is done!
The single stage dental implant procedure was designed to avoid the second surgery. In this surgery,


ALSO... the implant (which is a longer one) is placed into the jawbone with the top extending over the bone and at the level of the soft tissue. At the end of the procedure, after the soft tissue is sewn up, the head of the screw is visible. In this case, there is no need for the second surgery after the healing is complete and the abutment can be attached and the restoration process can begin.

Both types of implants have the same rate of success (98%)


Pain Management

We placed great emphasis in minimizing the discomfort in dental treatment, to eliminate the discomfort associated with injections, specially compounded topical agents are applied to tissues prior to the injection. Also our dentists are train to deliver the LA injection as slowly and smoothly as possible to minimize pain. For invasive procedures, nerve block are often administered.



Download PDF format !!

Calle 74 est., San Francisco, Ciudad de Panamá, Panamá
Tel:  00 ( 507 ) 224 - 2026  /  653 - 19014

last update January 25; 2014

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