Dental implant failures!

The replacement of missing teeth by titanium dental implants is currently the gold standard in dental rehabilitation. There are many factors responsible for implant failure they are as follows:-

Habit of Cigarette Smoking:-

Dental implants have a lower survival rate in smokers. Smoking affects the osseointegration process by decreasing the blood flow rate due to increased peripheral resistance and platelet aggregation. The residue of cigarette contains carbon monoxide and cyanide, which delays wound healing capacity. Studies have shown that there is significant marginal bone loss in smokers compared to non-smokers.

Oral hygiene and maintenance:-

The accumulation of bacterial plaque leads to disease’s like gingivitis, periodontitis, peri-implantitis. The presence of any type of infection, radiographic evidence like bone loss, and/or neuropathies reduced vascularity concomitant with parallel-oriented collagen fibers may be indicative of a failing implant. Hence it requires maintenance visit for evaluation of the implant and also for the prosthetic component.

Medically compromised patients:-
Hyperglycemic- affects the ossteointegration of dental implants also it alters the bone matrix, its components, adherence and extracellular matrix.
Cardiovascular disorders – it interferes with healing and ossteointegration process, resulting in reduced fibroblast activity, and decreased collagen synthesis. The pathologies like hypertension, atherosclerosis, and congestive cardiac failure.
Bleeding disorders- uncontrolled hemorrhage is caused by platelet disorders, coagulant factors deficiency and using anticoagulant therapy.
Peri-implantitis: –

Peri-implantitis is a progressive inflammatory condition which affects the tissues surrounding an osseointegrated implant, leading to the loss of the supporting bone and implant failure. It is characterized by bleeding, suppuration, increased pocket probing depth, mobility of implant, and radiographical bone loss. This inflammatory process is more intense and, goes deeper and faster around the dental implant as compared to the inflammation around the adjacent natural tooth. Systemic antibiotics for Gram-negative anaerobes alter the microbial composition and clinically improve the condition over a 1-year period. The local delivery devices such as Actisite which has fibres containing polymeric tetracycline hydrochloric acid can be used, which significantly reduces total anaerobic bacterial counts.

Our team of skilled and knowledgeable implant surgeon Ahmedabad at Teeth Care Centre, the top dentist clinic in Ahmedabad, will counsel and direct you regarding the course of treatment. As the only implant dentists in Ahmedabad, we are unique in that we only have single patient operatories, and stringent sterilization protocols which is extremely important to avoid cross-contamination, particularly during surgical procedures like implant placement.

When is an inlay or onlay preferred?

When there is a damaged or decayed tooth, dental restoration becomes crucial to preserve both function and aesthetics. In such cases, dentists often recommend either inlays or onlays as treatment options. Understanding the differences between these two procedures and their respective advantages can help patients make informed decisions about their dental care.

What are Inlay and Onlay?

Inlays and onlays are types of indirect dental restorations, meaning they are fabricated outside the mouth and then bonded to the prepared tooth. They are used when a tooth has moderate to extensive damage that cannot be resolved with a simple filling but does not require a full crown.

Inlays are typically used when the damage or decay is confined within the cusp of the tooth.

Onlays sometimes referred to as partial crowns, are used when the damage extends to one or more cusps of the tooth or cover more surface area.

Both inlays and onlays are custom-made to fit the specific dimensions of the prepared tooth, ensuring a precise and comfortable fit.

When is an Inlay Preferred?

Inlays are preferred in situations where the damage or decay is limited to the central portion of the tooth, within the cusps. This method preserves more of the natural tooth structure compared to a traditional filling and provides a stronger, more durable restoration. Key advantages of choosing an inlay include:

Conservation of Tooth Structure:

Inlays require minimal removal of tooth structure compared to crowns, making them a conservative option.

Strength and Durability:

Inlays are fabricated from strong materials such as porcelain or composite resin, offering excellent longevity.

Aesthetics:

Inlays can be colour-matched to blend seamlessly with the natural tooth, providing a more aesthetically pleasing result.

When is an Onlay Preferred?

Onlays are recommended when the damage extends beyond the cusps of the tooth or covers a larger surface area. This type of restoration provides additional coverage and support compared to an inlay. Key advantages of choosing an onlay include:

Extended Coverage:

Onlays can repair and protect more extensive damage, including fractured cusps or larger areas affected by decay.

Strength and Stability:

By covering a larger portion of the tooth, onlays offer enhanced strength and stability, reducing the risk of further damage.

Preservation of Tooth Structure:

Like inlays, onlays preserve more of the natural tooth structure compared to crowns while providing significant restoration.

In summary, the choice between inlays and onlays depends largely on the extent and location of the tooth damage or decay. Inlays are preferred for more localized damage within the cusps, offering conservative treatment with excellent durability and aesthetics. Onlays, on the other hand, are chosen when the damage extends to multiple cusps or covers a larger area, providing extended coverage and strength.

At Teeth Care Centre the best dental clinic in satellite, Dr. Pankti the dentist doctor in Ahmedabad is skilled and experienced, she helps you to cease the dental problems before their onset and does the most precise teeth treatment in Ahmedabad.

Laser root desensitization

Laser root desensitization is a modern technique in dentistry aimed at decreasing tooth sensitivity, a common complaint among dental patients. This procedure utilizes advanced laser technology to treat hypersensitive teeth by sealing the tubules on the tooth’s root surface that are responsible for transmitting sensations to the nerve.

Tooth sensitivity often occurs when these tubules become exposed due to gum recession, enamel wear, or dental procedures like root planing. The exposed tubules allow stimuli such as hot, cold, sweet, or acidic substances to reach the nerve endings inside the tooth, causing discomfort or pain.

During laser root desensitization, the dentist directs a specialized dental laser onto the affected tooth or teeth. The laser energy helps to seal the tubules without the need for invasive procedures or drilling, promoting a quick and relatively painless experience for the patient.

Benefits of laser root desensitization include:

Minimally Invasive:

Unlike traditional methods that may involve drills or chemicals, lasers provide a minimally invasive solution.

Quick Procedure:

Treatment is typically swift, often requiring only one visit to the dentist.

Effective Results:

Many patients experience immediate relief from sensitivity after treatment.

Precise Targeting:

Laser technology allows dentists to precisely target the affected areas without affecting surrounding tissues.

Improved Comfort:

Patients often find laser procedures more comfortable compared to conventional techniques.

It’s important to note that while laser root desensitization can provide significant relief for many patients, the effectiveness may vary depending on the underlying cause of sensitivity. Consulting at TCC, with a team of best periodontist in Ahmedabad, is crucial to determine if this treatment is suitable and to explore other potential causes or treatments for tooth sensitivity.

At Teeth Care Centre dental clinic in Ahmedabad, laser root desensitization represents a modern approach in dentistry that combines advanced technology with patient comfort, offering a promising the best laser surgeries in Ahmedabad.