Myths About Dental Implants That Are Not Actually True

dental implant myths

Tooth loss has become a very common problem and therefore replacement of the lost tooth with dental implants has become a most widely accepted and successful option. Even though it is the most appropriate solution, many people have myths and misconceptions about dental implants. However, not all misconceptions are true and therefore making an informed decision when going for dental implants is very crucial.

Dental Implants is a Painful Procedure

dental implant for tooth replacement

At “The Dental Specialists” we perform the implant procedure with a simplified technique using minimally invasive flapless keyhole technique, which hardly takes 10 minutes. The procedure is performed with modern technology with no incisions, no cuts and with minimal anaesthesia. Hence, there will be minimal bleeding with minimal postoperative pain and discomfort.

Dental Implants are Costly

There are multiple options available for replacement of teeth like Dental Implants, Fixed Partial Denture (FPD) and Removable Partial Denture (RPD). However, Dental Implant procedure is a lifetime solution for the replacement of your missing tooth and it does not involve taking the support of your adjacent teeth. As a result, there is no need to prepare your adjacent teeth. Now with the widely accepted modality all over the world, the cost of dental implant is reduced. We at The Dental Specialists practice Immediate Implantology with Immediate Loading protocol which gives back your natural-looking teeth in less TIME. And as it is rightly attributed by Benjamin Franklin (1748) “TIME IS MONEY”, so we should be as expeditious as possible and last but not the least it is the best investment for your overall health.

Dental Implants Are Not for Everyone

A newer technique Tall and Tilted Pin Hole Immediately Loaded Implants (TTPHIL)TM can be performed even in elderly persons, diabetics and smokers as it is done by following advanced surgical protocol which involves engaging basal cortical bone. Therefore, it can be done even in patients who have reduced bone height, reduced bone volume.

Dental Implants Are Not Natural Looking

TTPHIL Sinus Lift Alternative
After TTPHIL Implants – an alternative to Sinus Lift

At “The Dental Specialists” we give a personalized smile designing solution to our patients using CAD-CAM technology. We use this technology to design the anatomical features of prosthesis on a computer. CAD-CAM computer screen displays a 3D custom image of the teeth and gums which helps in drawing the precise design of the crowns which helps in delivering a highly esthetic crown with high translucency which is similar to your natural teeth.

Dental Implants Require Extensive Care

Dental implants are sealed into your bone under the retrievable screw-retained crown. Thus, you have to take care of the implant the same way as you take care of your teeth which include regular cleaning. A visit to your dentist every 6-12 months will help in avoiding any infections in the mouth and in and around Dental Implant which will help in avoiding peri mucositis and peri-implantitis.

Number of Missing Teeth Equal to Number of Implants

For full mouth rehabilitation, ALL TILTTM protocol involves placing 6 implants per jaw which has been proved to be the most optimal and with evidence-based successful results. They have better biomechanics with no cantilever effect and better anteroposterior spread with Tall and Tilted 2 piece cortical implants. Therefore, you can get a complete set of 14 teeth within a few days.

Dental Implant Metal is Unsafe to be in the Body

Dental implants are made of Titanium metal which is totally biocompatible with the body and it is the same metal used in Orthopedic and cardiac stents. Therefore, Dental Implants are absolutely safe to be in the body.

Full Mouth Implants – Life Time Solution For Loose Dentures

full mouth dental implant

There is a continuous increase in demand for Dental implants in the latter part of this era with an increasingly elderly population, as the implants provide a fixed comfortable solution for missing teeth and also for soon to be missing teeth. Failing teeth is becoming a common problem in the elder people by affecting their chewing efficiency, appearance, speaking ability etc. Dental Implants holds the unique ability to restore normal function i.e. chewing, speaking, smile/looks, thereby altogether boosting up not only one’s self-confidence but also general health.

Full Mouth Implants: A Unique Method to Replace Missing Teeth

No more worries with your old dentures!! Drop them at your home and visit us to get a fixed permanent set of teeth within 48 hours.  In the traditional method of getting a Full Mouth Implant, it takes around three to six months to get your permanent teeth. But the waiting is over! With TTPHIL ALL TILT 6 method, a life-changing innovation in dental implantology, we are able to provide you with permanent teeth in less than 48 hours.

Full Mouth Implants – Better Option Than Your Dentures

Yes!! All those worries with your loose dentures can be overtaken by Full Mouth Fixed Implant Bridge. Using removable dentures is really a big task with many hurdles where one should strive very hard to overcome those. Though they can serve the purpose of restoring the lost smile and chewing ability, this is only a temporary one which needs many more modifications further in future to maintain the achieved result. The major drawback of these dentures is, it is a removable one, which needs special care on a daily routine. Dentures need to be removed and stored in water before sleep and should be cleaned thoroughly next morning before wearing again. Sometimes there will be a need for usage of denture adhesives to gain more fit. If it is made of cheap material there is a good chance of wrappage when it comes in contact with hot foods resulting in a loose fit. Also, there is a chance of denture breakage if it falls. Moreover, the support to the lips and cheeks will also get reduced on long-term use. Also, patients typically have a constant fear of denture dropping down / coming out when speaking and eating etc.

 

 

TTPHIL for Full Mouth Implants

Now with full mouth dental implants, we can provide a fixed permanent solution for those who are facing hurdles with their old dentures. In traditional implant technique, the permanent teeth are fixed over the implant only after three to six months, post-implant placement. Also, additional surgical procedures will be advised if sufficient bone is lacking. Such longer waiting periods and expensive add on surgical procedures are the drawbacks in traditional implantation technique. With TTPHIL ALL TILT 6, we are able to address all these problems associated with traditional implant methodology and give you a smart and bright smile, much faster and in a convenient manner.

Dental Implants Vs. Dentures

Let’s have a quick look at how dental implants are proven to be more beneficial than dentures.  

 

Full Mouth Implant Bridge

  • Fixed, permanent solution
  • Comfortable and enhance confidence
  • Speech and chewing ability not affected
  • One time investment with life time warranty @TDS
  • Lifetime permanent solution @TDS
  • Stable and more durable
  • No risk of bone absorption in future
  • No diet restrictions
  • preserves jaw bone
  • Jaw bone quality is preserved
  • Addition usage of adhesives not required
  • Post operative maintenance minimal with routine brushing and rinsing

Traditional Dentures

  • Removable, temporary solution
  • Unreliable with fear of falling down
  • Speech and chewing ability affected
  • Less expensive initially with add on investments later for repairs
  • A necessity for repair and relining in future
  • Unstable and unreliable
  • Evident risk of bone absorption resulting in loose dentures in future
  • Restricted to avoid hard and sticky foods
  • Thinning of jaw bone seen on long term use
  • Denture adhesives are sometimes required to maintain stability
  • To be stored in water every night before sleep

 

TTPHIL All Tilt 6 at The Dental Specialists, India

Waiting for three to six months can be avoided with TTPHIL All Tilt 6 technique @ The Dental Specialists, India. Many of the challenging edentulous cases with minimal bone support and medically compromised conditions are taken up and treated successfully by Dr Venkat Ratna Nag ever since 2009 when he introduced his own sophisticated, ingenious TTPHIL All Tilt 6 technique of dental implants. He always works to the utmost satisfaction of his patient in regard to function, speech, sense, speech and self-esteem. TTPHIL All Tilt 6 treatment concept has been proven to be the best in its class of solutions for full arch treatment.

TTPHIL All Tilt is the technique, where the permanent teeth are immediately fixed over the implants within 48 hours by placing six tall and tilted two-piece hybrid cortical implants using a pinhole, flapless method with minimal bleeding and postoperative pain.

dental implant techniques
Before Implant Placement and After TTPHIL All Tilt 6

 

How is Immediate Loading of Implants Possible

The immediate loading i.e. placing permanent teeth over implants within 48 hours with TTPHIL All Tilt 6 has been proven successful by using six tall and tilted two piece cortical hybrid implants @ The Dental Specialists, India. Two tilted front implants and four implants tilted up to 45⁰ degrees in the back jaw region are used to avoid the need of adding on expensive and time taking surgical procedures like sinus lift and nerve bypass. These implants are long (around 16-25mm) take anchorage from basal bone and cortical bone, which is highly resistant to absorption and micro-movements of implants within the bone due to which the primary stability attained by the implant is high. The good primary stability is the pre-requisite for immediate loading which is attained by using two-piece hybrid cortical implants.

Edentulous Jaws
Pre Operative Photograph Showing Completely Edentulous Jaws
After full mouth implants
Post operative Photograph with Beautifully Restored Teeth Through Implants

 

Advantages of TTPHIL All Tilt 6 for Full Mouth Implants

  • Need of only six implants to replace 14-16 teeth per jaw
  • Immediate loading, the permanent teeth can be loaded on the day of surgery with the help of advanced CAD CAM technology.
  • Overall treatment time taken for entire treatment is also less i.e. within 48 hours.
  • Long term solution with lifetime warranty @The Dental Specialists, India
  • Economical due to the usage of a minimal number of implants
  • Graft less solution; doesn’t require sinus lift kind of additional expensive surgical procedures
  • Increased anchorage with minimal bone volume due to tall and tilted implants
  • Implant and bone interface is more due to tall and tilted implants
  • Bicortical anchorage with two-piece hybrid cortical implants
  • Even load distribution with better distribution of implants along jaw bone
  • Improved quality of life with an enhanced smile and chewing abilities
  • Full compliment of teeth 14 to 16 teeth: Up to 2nd molar area, which will improve the chewing surfaces and occlusal table. In comparison, a short arch will provide only 10 to 12 teeth depending on case to case.

 

Possible Exceptions in TTPHIL for Full Mouth Implants

Ideally, Pin Hole surgeries or keyhole surgeries are Painless. All the cases are planned according to the DICOM DATA. This data is converted to STL data used for 3D Printing. Virtual planning is done based on this data. Sometimes, in 5 to 10% cases the bone levels are too less that we may have to do open flap. Some times the treatment can be prolonged because the patients have a very low pain threshold, also some procedures like root canal, impacted teeth removal, highly apprehensive patients, the treatment may go up to 9 days to 14 days. Sometimes, 5 to 10% cases, the bone is too weak that immediate loading is not possible. In those cases, we may have to wait for 8 to 12 weeks for the new bone to form.

 

Highly professional dental treatment

The team at The Dental Specialists are professional, confident and knowledgeable! I had some implants done and the treatment was completed in a single sitting. Amazing! Dr.Venkat has a calm and confident persona and updated with the latest skill sets in his profession. Little wonder that he is invited to address industry colleagues at international forums. My experience here has been good not only in terms of the treatment I received but the way my appointments were managed. My search for a reliable dental team ends here! I would recommend The Dental Specialists to others who are looking for a reliable and professional dental clinic.
– Ms.Sumedha

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Did your Dentist Recommend Dental Implants with Sinus Lift?

Over the last decade, improvements in dental implants have revolutionized dentistry. The fascinating improvement in the field has resulted in the dental implants process offering highly predictable results. However, even with all these improvements, there could be some cases where there are some limitations and two most common ones being the lack of considerable bone to support and need for additional surgical procedures like sinus lift. Also the cost, the number of visits and time taken for these surgical procedures is also to be considered.

Recently we had an International patient who had already consulted many dentists regarding dental implants. When we asked her about her problem, she started explaining in detail. Initially, ten years back she used to have a very good dentition. Later she developed little gum infection and decayed teeth which progressively increased over time leading to complete loss of upper and lower back teeth five years back. She was advised to go with dental implants by many dentists but for the upper back teeth, an additional surgical procedure of sinus lift was also advised in her home country as well as in India. Finally, we understood that she wishes to get an immediate, fixed permanent solution for her missing teeth in a simple way and she doesn’t want to go with additional surgical procedures i.e. Sinus Lifting and Bone Grafting. For patients like her and others, we thought it would be good to write this blog on Sinus lift/bone augmentation and the alternatives to sinus lift method.

sinus lift
Lowering of sinus membrane showing lack of enough bone support for the implant.

What is Sinus?

Sinus lifting procedures are being advised to many patients nowadays. A sinus lift is an invasive surgical procedure where an artificial bone graft is placed and it requires a minimum one-hour procedure with the necessity of more post-operative care. What is this sinus? Why is it required? let’s discuss in detail…

Sinus is actually an air-filled empty space in the skull bone. There are various sinus spaces in the skull bone.

How is Sinus Related to Dental Implant

  • The cheekbone which is present immediately above upper back teeth holds an empty space(sinus) in it which is known as the maxillary sinus.
  • Usually, there are two pyramidal maxillary sinuses located above the upper back teeth and besides nose.
  • This is an air-filled empty space with a pink soft tissue lining known as sinus membrane.
  • Due to this position above the upper back teeth, it has a significant role in dental implant placement, especially in the upper back teeth region.
  • The dental implant shouldn’t hinder these sinuses as these have very important functions like reducing skull weight, moisturizing the air and also affects tone quality in speech.

Sinus Lift Implant Xray

What is sinus lift and why is it done?

A sinus lifting procedure is done when the floor of the sinus is too close to the site where the implants are to be placed.

Why does the floor of the sinus get lowered?

This could result from –

  1. Prolonged period of tooth loss
  2. Periodontal disease i.e. severe gum disease.
  3. Trauma

What exactly are the sinus lift and bone grafting procedure?

  • In this procedure, the sinus membrane is elevated and space is created between membrane and bone.
  • Into this space, an artificial bone graft is placed to the required thickness for the future dental implant and closed back.
  • The patient will be asked to wait for 6 to 8 months for the bone graft to get integrated into the adjacent bone.
  • Later a dental implant will be placed. Some dentists might place a dental implant and bone graft in the same visit in order to avoid a second surgical procedure.

Dental Implants with Sinus Lift

Drawbacks of Dental Implants with Sinus Lift

  • Time-consuming, involves a waiting period around 6-8 months
  • Relatively more expensive than regular dental implants
  • A more invasive surgical procedure
  • Sometimes if the membrane ruptures, an additional surgical procedure is required after six months
  • Postoperative pain, swelling, sometimes hematoma also can occur

Types of Sinus Lift

  1. Lateral window /Direct technique
  2. Osteotome /Indirect technique

Are there any alternatives to Sinus Lift

TTPHIL ALL TILT procedure invented by Dr.Venkat Ratna Nag is a great alternative to dental implants with sinus lift.

Considering patients who cannot afford invasive procedures like Sinus lift, who are medically compromised and can’t support such surgical procedures, Dr. Venkat Ratna Nag has come out with an innovative process of dental implantation to avoid sinus lifting type of surgical interventions. Our main motto is to streamline the time, cost and number of appointments taken for a successful implantation procedure. Here at The Dental Specialists, India, we place implants with TTPHIL ALL TILT technique to bypass sinus and we are proud to say that we can give permanent fixed teeth just in two days ( in ideal condition) whereas in the traditional method it will take minimum 6-12 months to give permanent teeth. We take utmost care of the patient to restore his/he lost smile with minimal bleeding, pain, discomfort and postoperative care using this latest technology. Wondering how it is possible?

  • Yes! There are definitive alternative treatments to sinus lifts with the help of bi-cortical anchorage.
  • Here we take anchorage from the basal bone with a two-piece cortical implant, which is strong, resistant to regular wear and tear and can bear chewing forces very effectively without any failures.
  • A combination of zygomatic and pterygoid implants are preferable for bypassing the sinus chamber.
  • Immediate loading can be done without any hesitation as it attains its support from basal bone whereas in regular implant procedures permanent teeth fixation is done only after three to six months.

TTPHIL ALL TILT Technique at The Dental Specialists, India

TTPHIL ALL TILT is a gold standard technique which gives glow to your smile with minimal intervention. How it is different from traditional technique?

TT-Tall and tilted: Tall around 16mm- 25mm implants are placed in a tilted (with angulation upto30⁰-70⁰) way to give more surface area for the bone to integrate

PH- Pinhole: Pinhole surgery which is completely flapless thereby protecting the gum architecture as the gum grows around the new crown

IL-Immediate Loading: Immediate loading i.e. teeth can be given within 48 hours, with CAD /CAM as it is getting its support from the basal bone which is strong and resistant.

Before TTPHIL Implants
Before TTPHIL Implants

TTPHIL Sinus Lift Alternative
After TTPHIL Implants – an alternative to Sinus Lift

Sinus Lift alternative XRAY
X-Ray of TTPHIL Implants – an alternative to Sinus Lift

The Quick Six Fix

Replacing 14 -16 PERMANENT FIXED TEETH per jaw using only six implants in 48 hours(in ideal conditions) with the aid of advanced CAD/CAM technology is our speciality at The Dental Specialists, India. The dedicated team of dentists at TDS take intimate, special care of apprehensive, medically compromised patients. The entire process of teeth replacement will be done in seven to nine days giving enough time for them to adjust to these procedures.

  • The set 14 -16 teeth are replaced using only six implants per jaw in ideal full mouth edentulous conditions.
  • The first step would be for Dr.Venkat Ratna Nag to assess both clinically and radiographically and surgical guides are prepared using CBCT data on the same day.
  • Later the tall and tilted implants are placed using pinhole, flapless surgery using TTPHIL ALL TILT technique, which is exclusively done by Dr. Venkat Ratna Nag @ The Dental Specialists, India.
  • As we are taking bicortical anchorage immediate loading is possible.
  • In case of apprehensive patients, temporary teeth are given on the same day. By using these temporary teeth patient will get accustomed to the new set of dentition and check for any further corrections. Also, it prevents opening up of spaces in between permanent teeth and gum line as we are giving ample time for gums to heal.
  • Later within 7 to 9 days the permanent set of teeth are fabricated and fixed.
  • Meanwhile, within these 9 days, any other procedures like root canals, fillings or gum surgeries will be performed by the specialist doctors who are experts in their respective branches
  • The excellent team of doctors headed by Dr.Venkat have been successfully practising this TTPHIL ALL TILT technique for years and delivered hundreds of beautiful smile to clients all over the world.

About Team TDS India

The team at The Dental Specialists are a team of 70 highly experienced medical staff including specialist doctors across all branches of dentistry and super specialization around dental implants. All our departments are in-house, including highly equipped labs with best in class equipment. We also have a strong team of non-clinical staff to provide comprehensive support to all our patients across the entire process. 

The Dental Specialists has once again been selected as one of the top three dental clinics in Hyderabad by Three Best Rated ® (U.S.) @threebestrated.Three Best Rated rates doctors and Dental Hospitals based on a rigorous 50 point inspection list.

For any questions/queries contact us through the Contact form. For International patients can also reach out to our International patient coordinator at +91 9908182916/ +91 9963511139/+91 9177671117

Importance of Milk Teeth & How To Take Care of Them

Every individual in their lifetime has two sets of teeth. The first set is called as Milk Teeth (also known as Baby Teeth or Primary Teeth) and the second set is known as the Permanent Teeth.

Why Do We Need to Take Care of Milk Teeth Which Are Going to Fall

A total of 20 milk teeth emerge from the gums in a child by the age of 3 years. Milk teeth, though are present temporarily act as “Natures Braces” by holding space in the jaws for the growing permanent teeth.

Baby teeth care

Badly decayed milk teeth harbour a variety of bacteria which invade the gums and eventually bone. When left unsupervised, milk teeth lose their support and fall out prematurely. Early loss of milk teeth leads to loss of space and further makes it difficult for permanent teeth to emerge into their right place. This may lead to crooked teeth.

loss of space in baby teeth

crooked baby teeth

How Milk Teeth Help in Child’s Overall Development

Speech Development
Have you ever heard a child speak with two missing front teeth? Lack of teeth during the speech development in early ages will hamper the child from pronouncing in the right way leading to lisping and other speech defects.

Hence, just like in adults, having healthy and properly aligned teeth are instrumental to form new words and speak clearly in growing kids.

perfect baby teeth

Efficient Chewing and Eating
Milk teeth are of huge significance in the general health and wellness.
As we all very well know teeth has great importance in efficiently chewing the food. If your child has pain in his or her teeth, they may only prefer to eat foods, which cause little disturbance and thereby possibly getting rid of many healthy foods from the diet.

Growth of Muscles and Jaw Bones
Chewing food with great variety in textures as mentioned above provides an opportunity to exercise the muscles of the jaws which in turn help in the proper development of jaw bones thereby accommodating the developing teeth.

taking-care-of-baby-teeth

Self Confidence
Healthy teeth help your child feel good and boost their self-image giving them a chance to smile with confidence.

How to Take Care of Baby Teeth at Home

  • Children should practice parent supervised oral care routine each day.
  • Infant gums should be gently wiped with a clean, damp cloth after every meal.
  • Brush your child’s teeth twice daily.
  • Limit the sugars to mealtime.
  • Avoid frequent snacking.

Do Dental Implantologists in India Follow Correct Potocols

There are broadly two different types of Dental Implant Procedures in India or anywhere in the world. The first one is Immediate Loading Implants (The implants are placed and teeth are given immediately on the Implants in 2 to 9 days) the other is Delayed Loading (The implants are placed and teeth are given on the implants after 3 months to 6 months).

4 most important things to keep on mind while selecting a Dental Implant Specialists

Reliability & Quick Healing: Getting an implant or implants done is often a lifetime dream for many people. Patients invest in premium implants. Comprehensive experience from over 1,000 studies and more than a million implants happening worldwide, ensures dental implantologists are able to offer reliable implants and patients can have dental implants that truly last for life. Innovative technologies and growth activating space provide for secure and quick healing of the implants and thus a predictable and shorter treatment time

2. Predictable results: Latest technologies such as computer guided implant placement provide, if desired , detailed insights of the jaw anatomy in advance thus making the treatment result predictable. Diverse implant systems and designs with different diameters, lengths and geometries offer just the right restoration for any “gap”

3. PROSTHETIC solutions is the key to dental implant success.
Exact Fit: Prosthetic precision – utilizing prefabricated as well as individually CAD/CAM-fabricated components offers custom-tailored esthetic solutions for a perfect fit the first time. Made in Germany, using technology from Israel and masterminds of Indian Scientists and Researchers, extremely strict controls for dental prosthetics ensure process reliability. The Indian dental implant specialists can ensure consistent workmanship and quality.
High-quality materials: Fully selected materials with top quality ensure optimal eability- the prerequisite for long term results. In India, we have all the major companies available.

4. Screw retained prosthetic solutions is the most important factor for taking a decision. Most of the implantologists can do immediate loading but can never give a retrievable solution. When undergoing full arch or full mouth rehabilitation, replacing all the teeth with implants, there is always a possibility of complications. This is because one should understand the fact that dental implants are artificial root substitutes which go into the bone to bear the teeth or crowns above the gum levels. The latest implants are fabricated with grade 5 Titanium which is highly pure and medical grade. The prosthodontist replaces the missing teeth and hence it’s important that you not only have an experienced implantologists, but also a full team of dental professionals including the best in prosthodontics.

You can read more detailed case report..

Questions You Should Ask Before Getting Dental Implants in India.

dental-implants
Most patients get apprehensive with the idea of getting a dental implant. This is due to the popular belief that getting a dental implant can be a tedious procedure and expensive. The concerns are much higher when you are getting a dental implant done in India or in any other foreign country.

Every year we get hundreds of patients across the world coming to India for getting their dental treatment done and as a specialist in dental implants, many of them come to us for implants. While there are a lot of good dental clinics in the country, dental implants require specialized skills and infrastructure. We felt it would be helpful for our patients, and more so for international patients to have a checklist on what all they should consider before they decide on getting a dental implant in India.

The common questions to ask your dental clinic in India

  • Ask them for video / Text testimonials
  • Ask them for any previous cases that they have done similar to yours. Ask them if they can share photographs.
  • Sometimes they might be able to share the patient details as a reference. Check on that, though it also depends on whether the patient has given them the approval to share the details. But this could be great to judge the credibility of the clinic.

 

Enquire if the Dentist performing the implant procedure is a licensed Implantologist.
Implantology is a specialist treatment, while a general dentist might be able to pull of an implant, it is always advisable to get your implants done only with licensed implantologists.

How many years have they been doing implants and what proof do they have?
The more experience your dental implant specialist is the better. Dr.Venkat has done over 4000 implants in his career to date.

Do they use single piece or two piece implants and what is the big difference in the result.
A knowledgable implantologist would be able to advise you on what type of implants you need and what would be the impact in terms of treatment outcome, long term sustainability, treatment time, cost etc

Do they use CAD-CAM technology for immediate loading of teeth.
CAD-CAM is one of the most common technologies needed for a proper dental implant today. Besides this a specialised dental implants house uses various other technologies.

What type of teeth options are available.
There are various types of teeth options available to day. A knowledgable dentist would be able to advise you on what are the different types of teeth are available, there pros and cons and help you choose the right option.
– Acrylic : needs replacing every 4-7 years ,so ongoing expense.
– Ceramic : lifelong material, best results.
– Zirconia : can only be used in certain circumstances.

Do they use the flapless procedure to avoid lengthy healing.
Dental implant technology today is a lot more advanced and if done right with the right technology it would not take much longer to heal. Flapless procedure helps quick recovery. Ask your implantologist about this.

10 reasons why we at THE DENTAL SPECIALISTS stopped using single piece Implants

 

10 reasons why we (THE DENTAL SPECIALISTS Team) stopped using single piece Implants. This article Compares the SINGLE PIECE IMPLANT DESIGN, CONVENTIONAL IMPLANT DESIGN AND TTPHIL IMPLANT DESIGN. TTPHIL IMPLANT DESIGN takes the advantage of SINGLE PIECE IMPLANTS – BICORTICAL ANCHORAGE. thus able to give the teeth Immediately (IMMEDIATE LOADING), also take the advantage of CONVENTIONAL IMPLANTS by giving the multiunit connection which is Precision fit making it into a Single Piece after tightening the Implant to multi unit abutment at 25 to 35 Newton Centimeter Torque. This will lead to a morse connection fit – not leading to any more Screw loosening which used to happen before. This article is nothing to promote  or criticise one particular company. This article is related to the design and technique of the Implant and not the company.

1.Narrow Diameter Implants (Conical in Shape) : Very thin Implants. Hence more number (Minimum 8 -12 in each Jaw) of Implants are required to restore full mouth rehabilitation. Threading only at the tip at the apical apart. Hence less surface area. Some single piece implant designs have threads all over but they are conical in shape. The surface area is less when compared to TTPHIL Implants. Same with the conventional Implants. The conventional implants definitely in this regard have better surface area when compared to Single piece implants. TTPHIL implants have the advantage

2.Bone Implant Contact(BIC): BIC ratio is very less- No Osseointegration during the surgery time.  Polished Surface all over- Thin Implants- Less Surface area- less osseointegration. Since they are conical implants and have smooth surface area, the implants have less surface area when compared to conventional Implants. The Single piece implants believes in OSSEOFIXATION and NOT OSSEOINTEGRATION because it engages the bicortical bone at the Basal Implants. TTPHIL Implants have an advantage of both Single Piece implants and Conventional Implants. It has both OSSEOINTEGRATION and OSSEOFIXATION. It compresses the bone during the insertion of the implant adding advantage of high torque stability.

3. Implant retention: because it engages only the cortical bone. Threads only in tip: leads to spinning or failure of Implant in some cases. Single piece compression threads have this advantage but they are conical and have very less surface area when compared to conventional implants which have  parallel or tappered implant design.

4. Need to load the implants for sure if there is no primary stability also (Because it is Single Piece- Implant and Abutment is connected)- leads to failure in some cases. The most important factor for immediate implantation is primary stability. In 2 piece implants the advantage is that we can leav the implant burried which will allow it to osseointegrate ( bone formation around the Implant). This option is not available in single piece implants.

5. Can not be tilted beyond 15 degrees. Sometimes the connection between the abutment and the Implant fixture breaks and the implant becomes useless. Most of the designs in single piece are rigid which will lead to neck failure. Nowadays some of the single piece implants the companies claim that they can be twisted to any angle but the criteria is not twisting. The purpose of the twisting or bending the abutment is to make it parallel to the adjacent implant which is not possible in single piece implants. The precision can never be matched to the 2 piece implants. In TTPHIL Implants we make the customised abutments or  multi unit abutments  in CAD CAM machine to make precise prosthesis. The final output the crown and bridge is definitely better.

6. Neck Connection: Implant and Abutment connection is very thin and can break while tightening at high torques or tilting the abutment to make it parallel to the adjacent implant. Tilting the abutment can never become parallel to the adjacent implant. Imagine the robots doing the precise fabrication  with CAD CAM Machine and tilting the abutment manually in the mouth.

7. No US FDA approval

8. Cannot be loaded individually. Needs to be connected to the other implant or tooth which is not suggested. Need to place 2 implants instead of one especially in the load bearing areas. Because the single piece implants are narrow and some noty having the threads in the crestal surface the surface area of these implants or the bone implant contact ratio is very less when compared to conventional implants they need to be placed more in number.

9. Too much Tilting of the implants is not possible because the implant and abutment is in one piece. Especially in upper anteriors and when there is no bone  tall and tilted implants are necessary to engage the cortical bone- Nasal floor.

10. Palatal placement of the implant is not possible because it cannot be bent. The abutment when  bent can break at the neck of the implant.

11. NO OPTION OF RETRIEVABILITY. The Single piece implants after placement to connect them or to give crowns above them needs to be cemented. This cement seeps into the gum which is irritating factor to the gum which can lead to bone loss. The most important factor is that the prosthesis needs to be cemented.  The single piece implant companies to avoid the complications which are inevitable in any kind of implants cannot be retrieved. Because they are cemented the whole prosthesis needs to be cut for repair purpose which is very traumatic to the patient.

To go into depth and detailed description why Single piece Implants are not successful. Read the link below…

Single Piece Implants- Disadvantages

 

To the protocol and technique of TTPHIL Technique follow this link below.

TTPHIL Technique – Permanent Teeth in 2-9 Days

 

Check out the link below to understand the concept of screw retention. Why screw retained bridge is accepted

worldwide and not cemented retained solutions..

SCREW RETAINED BRIDGE VS CEMENT RETAINED BRIDGE

 

 

 

Immediate loading Implants with TTPHIL ™ Technique

Immediate loading Implants with TTPHIL ™ TechniqueTTPHIL IMPLANT

What is  TTPHIL  ™ technique?

  • TTall implants measuring 16 to 57.5 mm depending on the engagement of the Bicortical Basal bone support
  • TTilted implants placed at an angulation of 15 to 70 degrees.
  • PHPinHole – Flapless procedure
  • ILImmediate Loading (Provisional Prosthesis in 2 hrs and Permanent Prosthesis in two days)

WHY TTPHIL- ALL TILT TM Technique? Rationale: Set of reasons and logical basis. A Justification…

Surgical Phase Advantages

1.Immediate Loading- Permanent CAD CAM Ceramic teeth in just 2 days.

2.Avoid Sinus Lifting procedures and other Bone Augmentation procedures unless really needed for aesthetic reasons. – Secondary Morbidity Invasive procedures- Avoidance of additional surgical risks.

3.Local Anesthesia procedure – Minimal Anesthesia

4.Minimal Medication.

5.Can be done in Heart Patients/ Smokers/ Diabetic Patients/ Gum diseases

6.High success rates

7.Low cost to the patient and time saving ( Avoids bone grafting procedures)

8.No healing time required- Immediate function the same day- Permanent prosthesis in 2 days

9.Less post operative pain

10.Most advanced system

11.High success rate in patients with less bone height

12.Employs cortical bone areas which are resistant to infection and resorption.

Prosthetic Phase Advantages

Latest CAD CAM Abutments which are customised have a Q- lock Morse connection when torqued at 25 Newton centimeter becomes cold welded. This cold welding property prevents screw loosening.

Single piece implants have abutments and Implant fixture in one piece, hence needs to be cemented. There is no option for screw retention at all. In TTPHIL ™ Technique the restorations ( Implant Supported Crowns and Bridges ) can be either cement retained or screw retained depending on the case. The main advantage of screw retention is retrievability – In case of any complication ( For eg: Gums shrinkage: Most common in immediate Implantation and loading)  we can remove the ceramic prosthesis simply and add ceramic where required.

Aesthetics is better in cement retained restorations  but now with the Pre Angulated abutments with Micky Mouse screw this also has a solution. But very expensive..

Retrievability – Screw retained better than Cement retained. In case of any complication the bridge can be removed and can diagnose the situation easily.

Retention: In case of less mouth opening less than 7 mm abutments are used screw retained is always better when compared to cement retained restortions

Immediate implant placement: Screw retained restoration better because of repairability and maintenance.

Passivity and provisionals ( Temporary teeth): Both are good

Occlusion: In screw retained restoration you can get it removed and add ons can be done later after osseous integration of the implants. Progressive loading is possible in screw retained restorations.

Immediate loading: Both cement and screw retained can be done.

Impression procedure: Its easy to do cement retained restorations. The doctor should be a Prosthodontist or skilled dental surgeon to take accurate impressions.

Long term Planning: Screw retained restoration is always better than cement retained restoration.

 

8 DIFFERENCES BETWEEN TTPHIL IMPLANT TECHNIQUE AND CONVENTIONAL IMPLANT TECHNIQUE. 8 REASONS WHY WE CHOOSE TTPHIL TECHNIQUE at THE DENTAL SPECIALISTS: ADVANCED DENTAL IMPLANT CENTRE

1.Load Transmission is in the basal Cortical Bone – Because these implants are Tall and Tilted beyond 16mm to engage the cortical basal bone which is highly resistant to resorption. This cortical bone is highly mineralized and more resistant to infections as well as its ready from day 1 to take the loads. Conventional implants the load transmission is in crestal cortical plate leading to crestal bone loss. In thus area it leads to bacterial attack.

2.Polished collar in the crestal region: No penetration of bacteria. No source of Infection and Periimplantitis – Hence No bone losS

3. TTPHIL™ Implants require only patients own, residual bone for anchorage and primary stability.

4. No risky augmentation procedures required- No time delay for augmentation Graft to take up- No secondary morbidity chances

5. Immediate loading- No edentulous phase- No waiting period. 2nd day permanent teeth- Direct Metal Laser Sintered CAD CAM teeth- Improves quality of life..

6. Simple and easy Surgical Phase- No bleeding- Flapless technique- No sutures- Minimal anesthesia- Just 0.2ml. Minimal bleeding- Minimal medication- Minimal discomfort during and after – It will not take more than 30 minutes for full mouth implant placement. Simple Single implant cases takes just 5 minutes. Post operative pain minimum.

7.Extractions and Implants are done on the same appointment. Same Anesthesia- Same Post Operative medications. Even if the teeth have periodontal infection, the teeth are removed, bone

curettage is done and TTPHIL™implants are placed at the same time. Patients are never with out the teeth. Immediate provisional are given in 2 hours. Permanent CAD CAM DMLS teeth are given on the second day.

8. The Implant Design will allow better bone healing and osteonal remodeling.

 

10 reasons why we at THE DENTAL SPECIALISTS stopped using single piece Implants

1.Narrow Diameter Implants: Very thin Implants. Hence more number (Minimum 10-12 in each Jaw) of Implants are required to restore full mouth rehabilitation.

2.Bone Implant Contact(BIC): BIC ratio is very less- No Osseointegration. Polished Surface all over- Thin Implants- Less Surface area- less osseo integration

3. Implant retention: because it engages only the cortical bone. Threads only in tip: leads to spinning or failure of Implant.

4. Need to load the implants for sure if there is no primary stability also (Because it is Single Piece- Implant and Abutment is connected)- leads to failure.

5. Can not be tilted beyond 15 degrees. Abutment breaks and the implant becomes useless.

6. Neck Connection: Implant and Abutment connection is very thin and can break while tightening at high torques or tilting the abutment to make it parallel to the adjacent implant.

7. No US FDA approval

8. Cannot be loaded individually. Needs to be connected to the other implant or tooth which is not suggested. Need to place 2 implants instead of one especially in the load bearing areas.

9. Tilting of the implants is not possible because the implant and abutment is in one piece. Especially in upper anteriors and when there is no bone  tall and tilted implants are necessary to engage the cortical bone- Nasal floor.

10. Palatal placement of the implant is not possible because it cannot be bent. The abutment when  bent can break at the neck of the implant.

 

 

Screw Retained Bridge Vs. Cement Retained Bridge

SCREW RETAINED BRIDGE VS CEMENT RETAINED BRIDGE

Paulo Malo: The Pioneer and inventer of All on 4 technique says in his own words that the screw retention is always better than cement retained bridges.

Listen to him…

 

Hello I’m Dr. Venkat Nag.   The hot topic in implant dentistry today is kind of an old technique is holding your crown in with a screw or holding your dental implant crown in with cement so it’s cement retained versus screw retained crowns and implant bridges so  that’s the topic is which one’s better.Well the reality is one isn’t better than the other and they should on a case-by-case basis be evaluated for what’s really right for you there are people that are very feel very strongly that everything should be retained and everything should be a cement retained but the reality is I do a little bit of both I do what’s best for my patients regardless of perhaps sometimes what they want or what they’ve read on the internet so let me just give you a some basics so screw retained means that the bthe implant holds in place by a screw there is no no cement that holds it if the implant goes into the bone that’s screwed into the bone that stays there but the crown can come on and off with the screw so we know one of the big advantages of screw retained is retrieveability that means if you have to take it out you can for most dental implants.

 

Smoking and Dental Implants

#SmokingandDentalImplants

Question: I am a SMOKER for past 25 years. Can I get Immediate Implants done with TTPHIL technique?

Image result for smoking

Most of my patients who are  smokers ask me about the success rates of Dental Implants in Smokers when compared with others.  Clear answer is that there is no problem with Smoking. There is no direct relation between Smoking  and Dental Implants. Smoking indirectly effects the gums if not taken care properly leading to peri implantitis. Whatever you smoke and how often you smoke you are definitely a candidate for immediate load implants one of the reason of course is that you don’t need a bone of limitations you don’t need bone transplant all these procedures which are contraindicated for smokers are not necessary and therefore it is you have the same chance as any other patients if you are smoking even if you are smoking heavily and also this is a question which I get often can I interrupt the operation too small and the clearances of course yes we can give you a break and you relax a little bit you smoke a cigarette and then we continue with the influent procedure with impression or whatever so don’t be worried you have to you don’t have to limit yourself you can just live your normal life and we give you the immediate load implants. Smoking and Dental Implants is not very important in this technique because it is a complete flapless technique and no chance of Infection. Basal Implantology is based on the concept of bicortical anchorage which will allow immediate stabilization of the implant and loading of the implant.

 

 
According to the Literature , Cigarette smoking has long been known to be associated with a variety of oral conditions including periodontal diseases which are inflammatory diseases affecting the tissues that surround and support the teeth bone loss tissue loss tooth loss and dental implant failure.  The success rate for patients who smoke is significantly lower than for people who do not smoke the nicotine in tobacco has been shown to reduce the blood flow in the mouth pipe smoking can be worse than cigarettes due to the higher temperatures generated in the upper jaw and excessive tooth wear as the teeth clenched the pipe not only is smoking detrimental to implants it’s also bad for conventional bridge work smokers also experience a slower healing time when following implant replacements if you’re a smoker and considering dental implants be sure to talk to your doctor about any increased health risks. So do not neglect your gums. This can lead to implant failure. #Smoking and Dental Implants

 The reason TTPHIL technique is better when compared to Single piece basal implants or conventional two piece implants especially in Smokers is that
1. These implants are tall and longer implants which have more surface are leading to better Osseointegration.
2. By Tilting the Implants we can increase the length of the implant in-turn we are increasing the surface area of the implant.
3. The concept in this technique is that we are engaging the cortical plate on both ends- Single and multicortical anchorage. Hence immediate loading can be done because of high torques and stability (This is the concept and Principle behind the success rate of  Zygomatic implants)
4. Screw retained solutions which is not possible in Single piece basal implants. ( GEN XT. KOS, BCS, BOI , Swiss Etc)
5. Any time it can be removed cleaned and refixed when required which is not possible in any system available in India.
6. No Cement used to fix the Prosthesis. There fore its clean. Cement leads to irritation of the gums.
7. Final Metal ceramic or Zirconia prosthesis is given for immediate loading
8. No Stitches required to do this procedure because it is a Pinhole technique. No Flap Opening- Complete Flapless procedure- Minimal bleedding- Minimal Anaesthesia.
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