Which Dental Implants are best for me? What are the different types?

different types of dental implantsThere are different types of Dental Implants in the market all over the world. There are more than 10000 companies in the market all over the world. Which is the best is the question?  BRAND or the DESIGN/ FEATURES of the Implant and its Prosthetic components? Is BRAND ruling over EVIDENCE BASED CONCEPTS?  Which is more important? Restoring Simple Single tooth missing cases??

For example .When we or our children get simple fever or common cold or cough, What do we do?
We would like to visit our Family physician or a Corporate Hospital. ( Major Criteria for Selection: Know the doctor for long time, Reputed doctor with good experience- Online and offline, cross check with referrals of our family and friends, Patient video testimonials, facebook recommendaations and find out why he visited and message him in prior about their experiences, Neat and Clean premises to prevent cross Infections. In this digital world we can easily find out the doctor how he is – Best or Bad or THE BRAND OF MEDICINES HE IS USING IN HIS PHARMACY)

The Family physician diagnoses a particular disease and prescribes medicines to us, be it an Antibiotic or a Painkiller. We believe in him. We trust him.. because he’s our family physician and go ahead…Are we asking or questioning him? Which brand of Medicine or Drug Is he giving to us? There are so many new brands in the world, thousands of pharmaceutical companies – manufacturing the same molecule or composition. Every pharmaceutical company before selling have to undergo Strict FDA guidelines to enter the country and the market.

Now coming to Dentistry: Dental Implants usage are  based on different techniques which are practiced- Transosteal or Sub periosteal or Endosteal or Zygomatic or Pterygoid or TTPHIL Implants? All over the world Most widely used dental implants are the endosteal two piece implants. The endosteal implants can be categorized as Single piece implants, Two-piece implants and Two-Piece Cortical implants The two-piece cortical implants Are having all the advantages of single piece inclines. And two-piece implants They are called the Hybrid implants These hybrid implants take all the advantages from Single piece in plants And Prosthetic advantages of 2-piece implants. As you know that Single piece basal implants have wide variety of disadvantages. We at The Dental Specialists stopped doing them because of their disadvantages.

All the Single piece advantages are with the 2 piece cortical systems. Immediate loading, Flap less Procedures,  No cuts or Incisions , No grafts , No waiting Periods are all with the 2 piece cortical Implants. Single piece basal Implants engage the basal bone because of which they are able to load the implants and give immediate teeth. Single piece basal Implants have more disadvantages than advantages as shown in the above link clearly explaing the disadvantages of Single piece basal Implants at each level. Any technique will have Diagnostic, Surgical, Prosthetic, Laboratory and Maintenance problems. Single Piece basal Implants have the disadvantages at each level.

Dental Implants are produced by lots of different manufacturers around the world. Most of them are based around the same theme in that they are  screw shaped, varying sizes and lengths. They are made of Titanium because  Titanium is biocompatible with the bone. The bone will actually grow on it. They’ll screw shaped so that they can be inserted into the bone and will be stable when they placed the surface of the implant is treated in such a way that it is, cells from the bone and not only encourages early healing but will also maintain the bone over a long period of time.  So there are lots of different connection designs and the importance of these connection designs is that they must be stable over a long period of time as they will be subjected to repeated loading. So an implant is effectively a way of attaching a mechanical joint in a biological. The environment and as long as the materials used are of a high quality and the execution of the treatments is of a high standard implants. We know what works we know which design features work, what materials work what connection designs work. We have now been doing implants in this practice for about 13 years and we kind of know what works of short-term and long-term.     

To Simplify: Two Piece Implants will be done by Graft believers. Two Piece cortical System is done by the graftless  TTPHIL Protocol. These implants are similar to Two piece Implants, the only diffrence is that they are longer engaging the basal cortical plates which give high primary stability for immediate loading which is he primary criteria. Treatment Options when all the teeth are missing?       

1.Graft options  2. Graft less options TTPHIL PROTOCOL

TTPHIL Ⓡ Believers: These Dentists believe in the theory of utilizing Basal Cortical which is highly resistant to resorption and infections and giving complete function

Advantages: Minimal Invasive: Flapless Key Hole Surgery  with 6 implants, No Cuts and Incision,  Less Traumatic and Painful, No Morbidity, No Bone Grafts – No Sinus Lifts, Single Visit, Less Expensive, Full set of 14 Screw retained CAD CAM Ceramic teeth (Retrievable), No Cantilevers

Disadvantage: None

                                                              

The Convenience of Single Visit Dental Implants

If the dental implants are inserted at the same time immediately after the tooth is removed, it is called as Immediate Implants Placement or Immediate Implantation. Previously we used to wait for 3 months after the tooth is removed. Immediate Implantation has lot more advantages than the conventional implant procedure as it avoids the bone and gum changes surrounding the tooth which is going to get removed. It is simple, pain free, convenient for the patients as it allows the surgical treatment to be completed in single visit. But in few cases where there is a pus discharge cyst or abscess or sinus completely pneumatic or severely atrophied cases especially in relation to a badly infected tooth, it is better to first remove the infected tooth and allow it to heal before the dental implants are placed.

If the dental implants are inserted at the same time immediately after the tooth is removed, it is called Immediate Implants Placement or Immediate Implantation. Previously we had to wait for 3 months after the tooth is removed and before the implant could be placed. Immediate Implantation has a lot more advantages than the conventional implant procedure as it avoids the bone and gum changes surrounding the tooth which is going to get removed. It is simple, pain-free, convenient for the patients as it allows the surgical treatment to be completed in a single visit. But in few cases, if there is a pus discharge, cyst or abscess or sinus completely pneumatic or severely atrophied cases especially in relation to a badly infected tooth, it is better to first remove the infected tooth and allow it to heal before the dental implants are placed.

Immediate Functional Loading of Dental Implants

A conventional Dental Implant procedure involves multiple visits for treatment over a period of from 3 months to 1 year: In traditional implantology after the tooth is removed, we wait for 3 months for implant placement. Later these implants are buried inside for 3 to 6 months depending on the quality of the bone of the patient, waiting for the new bone to form. After waiting for 6 months these implants are reopened with the second surgical procedure and they are uncovered and exposed to the oral cavity (mouth). Now repeated visits of the healing cap followed by impressions, jig trials, temporary teeth followed by permanent crowns would again take 3 to 6  months. this repeated connections and disconnections of the prosthetic components can lead to pocket formation which can accumulate the bacteria leading to periimplantitis and other implant infections. So with the delayed loading technique which involves multiple visits, the implant patients would have to wait for a very long time, approximately 1year from the start to the end of treatment. Until then the patient had to wear a temporary removable denture until the implants fuse with the new bone as the new bone gets formed.

At The Dental Specialists, we follow the unique Implant placement procedure called Immediate Implantation by TTPHIL ® – Tall and Tilted Pin Hole Immediate Loading Protocol (ABC-DE IMPLANT PROTOCOL:  ANATOMIC GUIDED, BIOLOGIC, BIOMECHANICAL AND CONCEPT DRIVEN EVIDENCE-BASED IMPLANTOLOGY). With today’s digital technology and highly improved quality and design of the implants and the unique TTPHIL® Protocol, which is followed exclusively at THE DENTAL SPECIALISTS, we are able to restore the implants immediately with permanent teeth in just 2 days.

In some cases, the patients may require additional procedures like Root Canal Treatments, Gum Flap surgeries, Curettages, Fillings, for adaptation of the new teeth in the mouth can take some more time which can delay the treatments. So if you are an International patient, always be prepared and plan your visit for a week or a couple of weeks. If it’s just a single or few teeth which are missing and are devoid of infections, we are confident, we can fix your teeth in just 2 days. We recommend you to see all our testimonials across Google and Facebook to understand more about our patient experience.

3 Things to Consider While Going for Single Tooth Implant

  • This is a once in a lifetime investment – don’t settle for cheap replacement but focus on quality. Go for high-quality FDA recognized and CDESCO cleared Dental Implants
  • Choose your dental clinic wisely. This is a specialist’s job. Find out every detail about the doctor, the team, the facility and infrastructure and more
  • Look for reviews for your preferred clinic – Google and Facebook are good places to start.

Why The Dental Specialists

For Appointment:
Whatsapp/ Call our International Patient Coordinator: +919000021174 / +919177671117
Mail us: dentalspecialistsindia@gmail.com
Click the link to enquire for a free quote. We need the information to provide a ballpark quote.

Choosing the Best Dental Implant Clinic for Your Treatment

Replacement of missing teeth with implants and crowns is the latest trend in dentistry that’s rapidly advancing with extensive research and development across the world, including India. As more and more dentists start offering dental implant services it becomes important for the patients to choose the best dental clinic for their treatment. Hence it is very important to choose the right implant clinic or implantologist to ensure quality assurance, longevity and ensured success of the implant and prosthesis.

In India, there are various types of dental practice from single dentist practice to large corporate chains of dental clinics. When you are looking for a critical treatment like dental implant, it is extremely critical and imperative to ensure quality, longevity and success of the implant and prosthesis.

So what factors to consider while selecting your dental implant clinic?

  1. Dental Implant Specialist / Implantologist
  2. The Team of dentists / Other specialists
  3. Lab and Infrastructure
  4. Hygiene standards
  5. Cost of dental implant
  6. Reviews, testimonials & references
  7. Travel and Accommodation assistance for International patients

Dental implant specialist or implantologist

You should understand that dental implants are a specialist’s job, so the first thing you should ensure is that you are working with a dental implant specialist. Talk to your dentist, do Internet research and understand if he is a general dentist or a specialist implantologist. Also, get info on his experience and the number of years in practice. While doing this, keep the following vital things in mind about a specialist implantologist in mind.

  1. The implant specialists qualification, experience and years in practice.
  2. His contribution towards the field of implantology, in the form of researches, articles published in national and international journals.
  3. Awards and rewards won
  4. Recognitions by international bodies, certifications
  5. Advanced up to date techniques followed, success rates.

Team of dentists, other specialists

A dental implant procedure often requires additional procedures like periodontal gum strengthening, bone grafting, root canal procedures, surgical procedures, radiological protocols, and more. While selecting your dental implant clinic, check what other specialities are available in the team. A specialized dental implant clinic like ours will have every other speciality like oral and maxillofacial surgery, radiology, periodontology, Endodontics, prosthodontics, crown and bridge, cosmetic dentists, oral pathologists, orthodontists, all working as a team. You should remember that the combined efforts of a team are far better than single-handed effort. This is very important to ensure that you get comprehensive treatment under one roof and from specialists in their respective areas. The Dental Specialists boasts of a highly experienced and skilled team of more than 20 super-specialized dentists offering their services round the clock.

Lab and infrastructure

For a dental implant procedure, there is a significant amount of lab work and advanced technology involved. Ensure your dental implant clinic has an in house lab and the right infrastructure to support. Is the laboratory equipped with the latest in equipment? Do they have 3D stereolithographic models? Do they provide the latest CAD ceramic, latest advancements in dental material science? What standards do they follow? The Dental Specialists has an in house 24- hour digital laboratory with all the latest, advanced precision machinery to support and deliver products of the highest quality and warranty.

Hygiene Standards

Asepsis is the most important factor in determining the success and stability of implants. Do not forget to ask your dental implant clinic about the hygiene standards they follow and if they are certified. It is absolutely critical to have world-class hygiene standards.

At The Dental Specialists, we maintain impeccable international standards of hygiene and sterilization and also reviewed and certified periodically.

Cost of dental implants

Cost is another important factor that you should be considering while selecting your dental implant clinic. The cost of dental implants can vary widely depending on a bunch of factors. A good dental clinic should be able to give you a detailed estimate without any hidden charges like taxes, service charges etc. They should provide you with various options of treatment depending on the materials and techniques used. Transparency is the deciding factor in choosing the right dental implant clinic.

Reviews, Testimonials & References

While selecting the best dental implant clinic for your treatment don’t be shy to ask for references. A good dentist will be happy to provide enough references. Also, for most dental practices you should be able to find online reviews on Google and Facebook. Just don’t look at the ratings but also look at how many reviews are there and also read the reviews to understand the treatment experience reported in the reviews.

The Dental Specialists has been reviewed positively across several platforms –

Facebook: 4.9/5 from 382 reviews
Google: 4.9/5 from 1267 reviews

Travel and Accommodation for international patients

If you are an international patient travelling to India for your dental implants then it is also important to check if your dental clinic provides support with your travel, accommodation and visa formalities. At The Dental Specialists, we are committed to making your travel and stay comfortable and hassle-free, providing end to end to assistance with visa application, booking flights, fixing appointments, airport pickups, hotel-clinic-hotel transfers, tourism assistance and anything you need.

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..

Choosing the Right Type of Dental Implants

Dental implants are the best treatment modality for the replacement of missing teeth and with the advance in medical sciences, there are different types of dental implants available for the patients today.

Choosing the right type of implants plays a vital role in the rehabilitation process and prognosis. We have provided here a detailed explanation of the different types of dental implants, the time frame involved, and the advantages and disadvantages of the respective type of implants.

Different Types of Dental implants

types of dental implant

Single Piece /One Piece Implants

Single piece implants are implants that are designed in such a way that the implant and the abutment are connected in one piece. The bridge of the crown can only be cement-retained.

Advantages of Single Piece Implants

Single piece implants or One Piece implant is proven to be a cheaper option for a patient because the implant and abutment are made as one piece during their fabrication and this reduces the abutment cost when compared to a two-piece implant.

Disadvantages of Single Piece Implants

Abutments cannot be customized. The company manufactures the abutment with the implant. Hence no customisation possible. Single or one-piece implants can only be bent. They can never be made parallel to the adjacent implant abutment which is possible in the laboratory by CAD-CAM Designing. We used to do a lot of trimming and abutment shaping in the patient’s mouth. This leads to a lot of titanium dusting which is not good if swallowed.

After the implant placement, the abutment milling has to be done directly in the mouth itself. Milling in the mouth requires a lot of chairside time, keeping the patient’s mouth open for a very long time which is more traumatic to the patient. This leads to lot of stresses on the implant, affecting the healing of the bone around the implant. Abutment milling in Single piece implants is done with the airotor-handpiece with Tungsten carbide bars which is not precise, Moreover, it leads to a lot of frictional heat generation which is not good for bone healing around the implant or Osseo-integration. Abutment milling in the mouth immediately after implant placement when the stability of the implant is not very good can lead to failure of the implant.

The tip and abutments of these implants are very thin and they tend to break. Removal of the implants becomes difficult if proper stability is not achieved. These implants are also not easy to retrieve.

Choosing the right option from the different types of dental implants is critical for a patient. Read more on the disadvantages of single piece implant and why we do not recommend this.

Two-Piece Implants or Delayed Implantation

Delayed Implantation is a more conventional technique where the techniques used are not flapless and are time taking. One has to put up with a waiting period of almost 3 months and upwards for appropriate Osseo-integration to take place after which the crowns are given.

The two-piece implants are implants where the implant and the abutment are designed separately. Unlike single piece implants, the two-piece abutments allow a lot of scope for customization.

Advantages of Two Piece Implant

Two-piece implants essentially prevent the need for abutment milling to be done in the patient’s mouth and provide an ideal environment for better Osseo-integration. These are ideal for immediate loading protocols.

Disadvantages of Two Piece Implant

The rough surface is till the crest, so chances of the implant being affected are more because of the gum shrinkage over a period of time.

Hybrid Implants

Hybrid Implants have advantages of both One-piece implants and two-piece implants. The smooth machined surface at the collar prevents peri-implantitis and the rough surface is helpful for osseointegration.

The implant-abutment junction has a multi-lock hex design to prevent screw loosening. There are no micro-movements at the junction. At The Dental Specialists, we use advanced Hybrid Implants taking surgical advantages of Single piece for immediate loading and screw-retained prosthetic solutions applying the concepts from two-piece implantology.

Immediate Implants & TTPHIL

Immediate Implantation

Immediate implantation techniques are novel approaches developed to make the implant experience less tedious and comfortable to the patient. The techniques are flapless and use surgical and radiographic guide stents which make it possible for us to perform immediate loading.

We use a unique protocol called the Tall and Tilted Pin Hole Immediate Loading ( TTPHIL) Technique and give permanent teeth in 2-9 days. TTPHIL- ALL TILT™ Technique is innovative and is more reliable than traditional surgical techniques for implants as we aim for minimal time loss and discomfort for our patients.

Edentulous Type Loading Protocol Implant Type
Single Tooth Immediate Hybrid Implants
Multiple Tooth Immediate Hybrid Implants
Complete Edentulous Immediate Hybrid Implants

At The Dental Specialists, we counsel our patients on all the different types of dental implants, the advantages and disadvantages of each of them and help them choose the right type of implant they need.

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.

Common Questions to Ask Your Dental Clinic in India

  • Ask them for video / Text testimonials
  • Ask the dental clinic 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 a 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 clinic uses various other technologies.

What type of teeth options are available?

There are various types of teeth options available today. 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.