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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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Learn More..

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
Dentures
Fixed Dentures
Lumineer Porcelain Veneer Procedure
Porcelain Veneer Procedure
Root Canals
Teeth Whitening
Tooth Contouring and Reshaping
Full Mouth Restoration
Invisalign
Dental Crowns & Bridges in Cancun
Sinus Lift Surgery


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

 

 

 

TEETH WHITENING...

 

 

Dental Implant Works



All the common forms of tooth replacement, such as bridges or dentures can be replaced by dental implants.

 If you are missing one natural tooth, then one dental implant is normally all that will be needed to provide a replacement.

Larger spaces created by two, three of more missing teeth do not necessarily need one dental implant per tooth, however the exact number of dental implants will depend on the quality and volume of bone at each potential dental implant site.

Occasionally, it is even possible to join natural teeth to dental implants with a conventional bridge. In the upper jaw, bone density is generally poorer than in the lower but.. if you have no teeth at all we may recommend otherwise...

Most treatment providers will want to place a minimum of 6 dental implants to support a complete arch of 10 or more replacement teeth. In the lower jaw..

 The bone towards the front of the mouth is often very strong and as a direct result, fewer dental implants may be needed than are required to treat a whole upper jaw.

 A simple treatment plan to provide 10 or more teeth in the lower jaw might be possible with as few as 4 dental implants, although it is still more common to use 5 or 6.




The procedure goes normally in three steps.

In the first step an X-ray is taken to see if there is enough bone and to look at the bone quality. One can do this by taking a big x-ray called OPG , but mostly a dental scan or CT-san is taken to see the area in full 3D . The most recent are CT-CB scans, using a lot less radio-activity.

 

The surgeon and the dentist will then decide how many implants can be put and where.

They recently often do that with the guide of specialized computer programs.

The latest development is a computerised prefabricated guiding model , so the surgeon can do a guided surgery.

 

 In a second step the implant is brought into place..

The patient gets normal a local anaesthesia and the implant is placed is less then 20 minutes . Opening the gums is not necessary anymore, just a little hole is punched through it.

 

 When the canal is almost as large as the implant, the implant is screwed in If required, some stitches are placed and the gums are closed. Whenever more implants are placed , usually this done in the same session.

When this procedure is done, in some cases the implant is covered by a healing cap that sticks through the gums and can be visually detected.

This is called a “one-phase” healing procedure. When the implant is fully covered with gums the healing abutment is placed after a second surgery phase a few weeks later,

Also; the healing time , meaning the time that the bone needs to fully osseo-integrate the implant, is about 2 months for the lower jaw and four months for the upper jaw.



They generally have the shape of a screw.Titanium is very biocompatible, meaning it won’t be rejected by the human corps, creating a bone guided integration in the jaw, also called osseo-integration.

Special treatment of the surface of the implant generates a better osseo-integration and better healing. This process generally takes up from one month to three months. The success rate of dental implants, due to all this, is about 97%, if you had bone surgery, if you smoke or are diabetic, these rates are a bit lower.


Implants come in a variety of lengths and diameters. To replace a molar , you will need a wider implant then for an canine.


This length and diameter will be chosen in function of the amount of bone, but also some other parameters are looked in to. If there would be really not enough bone, you can always get a bone graft.

The average diameters go from 3 to 6 mm and the lengths usually from 7 up to 16 mm.

 

Doing full mouth implants reconstruction can be of two types:

- A single long span full arch fixed bridge across the entire arch where all of the implants crowns are connected together as a single unit.
- Multiple segment fixed bridges: only 2-3 implants are connected together as single segments.

Adequate amount of bone and soft tissue “gums” support is essential in considering the above treatment options.

The number of dental implants required for the above restorative options is 8-10 for the upper arch and 6-8 for the lower arch.

There are some minor variations in the number of dental implants required between dentists depending on philosophy of practice, training and experience.



Hybrid Bridge and Dentures

Hybrid dental implant fixed bridge or hybrid dental implant fixed dentures are a full mouth reconstruction with dental implants where adequate tissue support is not possible.

The fixed bridge in this case will be connected along the entire arch in one segment and customized pink porcelain or acrylic will be added to reconstruct missing tissue.

This is why they are called hybrid implant supported fixed bridges, “it includes teeth and tissue replacement”.

The number of dental implants required for the above restorative option is 6-10 for the upper arch and 4-8 for the lower arch.


All-On-Four Dental Implants

All-on-four dental implants is where the entire edentulous upper or lower arch is restored with a fixed restoration anchored by four implants. In all-on-four, a fixed temporary restoration is placed on the same day of surgery similar to teeth in a day concept.

In all-on-four, the dental implants are placed in the front part of the jaw avoiding the need for bone grafting, sinus lifts, nerves, second surgery and other vital structures.

Two of the implants are placed near the front midsection of the jaw while, the back implants are angled to avoid vital structures and to provide for a favorable restorative mechanics.
 


All–on–Four is a good option for patients who have battled with gum disease for a long time and have reached the point where the remaining teeth must be removed.

These patients can have the teeth removed and implants placed along with a fixed temporary restoration on the same day.


Limitations of all-on-four dental implants

All-in–Four dental implants require the presence of a considerable vertical space “arch height” for adequate restoration.

 If the space is not adequate, bone removal to reduce the height of the arches is required thus creating more space. In some patients bone removal may not be possible as they may exhibit a minimal amount of existing bone which is just enough to retain the implant. In these cases other alternatives must be explored.


There are several advantages of all-on-four over other fixed full arch restorative options

- - Less costly than other full arch fixed restorative options
- There is no need for second surgery such as bone grafting and sinus lifts
- Greater measure of safety by avoiding vital structures
- The simplicity of this concept produces higher level of predictability with less complications


 


The addition of at least two dental implants per arch to support dentures can increase the degree of retention significantly. Retaining dentures with dental implants allows for much more chewing and biting ability of tougher foods like meat, lettuce and apples.

 

There are several ways by which dental implants can support and help retain a removable denture:

Removable dentures with two dental implants

Two dental implants are the minimal number of implants that can be used for retain full upper or lower dentures. These two implants are usually placed around the eye teeth position.
 


Removable dentures with three or more dental implants

Using three or four dental implants to retain full dentures allows for even higher degree of retention and stability.

More importantly it eliminates the unfavorable fulcrum forces on the bone. These forces are associated with using two dental implants to retain full dentures.

More importantly, using more than two implants on the upper arch allows us to eliminate the denture coverage of the roof of the mouth. This allows for the tactile feel of food against the roof of the mouth which translates to a much more enjoyable eating experience



Locator retained dentures by dental implants

Denture locator attachments are a another type of male /female connection where a protruding triangle-like attachment is placed on the implant “male part” and skirt –like attachment is placed on the under surface of dentures “female part”.

The advantage of locator retained dentures over ball retained dentures is that locator retained dentures provide more stability, tighter fit, and less wear of the attachment components.


Partial Implant Bridge

Partial mouth dental implant options

This is when the patient is only missing few teeth. Two restorative options are usually considered when few teeth are missing:



Due to the non traumatical extraction and very smooth placing of the implant, you might notice that the gums and papillae are very well maintained, and that a perfect esthetic solution was realised.


 

 

 

A Case of replacing dental implant with another bigger and to re enforce it with bone graft material to enhance the stability of the implant..

 

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 OUR FIRST TIME PATIENT FORM.

 

Download PDF format !!

Copyright © Implantes dentales económicos de Panamá

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

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