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Is Implant The Best Choice For Missing Teeth?

Learn about the causes of tooth loss and the different options for replacing missing teeth, including removable partial dentures, fixed bridges, and dental implants. Discover the advantages and disadvantages of each option and understand the importance of proper planning for implant placement. Find answers to common questions about dental implants and get insights into the conflicting advice and confusion surrounding implant consultations. Consider the factors to determine if implants are a suitable choice for you and explore the impact of implant brands on the success of the procedure. Lastly, find out how dental implants can be part of a medical tour in Taiwan.

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Is Implant The Best Choice For Missing Teeth?

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  1. Is Implant The Best Choice For Missing Teeth? Kuang-min Chang, BDS, DMD, Ph.D Department of Periodontics Rutgers School of Dental Medicine Newark, NJ

  2. Should I Consider Implants For My Lost Teeth? Kuang-min Chang, BDS, DMD, Ph.D Department of Periodontics Rutgers School of Dental Medicine Newark, NJ

  3. Causes of Tooth Loss • Oral Diseases • Caries • Periodontal disease • Tooth fracture, very common after middle age • Congenital missing • Trauma • Orthodontics

  4. Dental caries

  5. Dental caries

  6. Causes of Tooth Loss • Oral Diseases • Caries • Periodontal disease • Tooth fracture, etc. • Congenital missing • Trauma • Orthodontics

  7. Periodontal Disease:Destruction of supporting bone

  8. Periodontal Disease:Destruction of supporting bone

  9. Causes of Tooth Loss • Oral Diseases • Caries • Periodontal disease • Tooth fracture, very common after middle age • Congenital missing • Trauma • Orthodontics

  10. Should lostteeth be replaced? • Functions • Chewing • Prevention of future problems • Periodontal disease • Malocclusion • Extraction • Difficulty in prosthetic work • Speech • Musicians, singers • Esthetics • Dental • Facial: wrinkles, loss of vertical dimension, profile change, etc. • Others • Saliva splash

  11. How to replace lost teeth? Removable partial denture (RPD)/Complete denture Fixed bridge Implants/implant-supported RPD/overdenture

  12. Removal partial denture/Full denture

  13. Advantages of RPD/Full denture Low cost Usually requires no surgery Minimal trauma to existing teeth Fast process

  14. Disadvantages of RPD/Full denture Functionally compromised Dental ridges continue to shrink Inconvenience Sometimes compromised esthetics May jeopardize adjacent teeth Malodor Periodic adjustment or replacement

  15. 大

  16. Advantages of Fixed bridge Functionally good Convenience Esthetics Fast process

  17. Disadvantages of Fixed bridge Higher cost Severe mutilation of supporting teeth High risk for caries of supporting teeth→ shortened life span Difficult cleaning

  18. Era of Implants

  19. Advantages of Implants Best function Independent of existing teeth. No mutilation to adjacent teeth Esthetics Convenience Caries-free

  20. Disadvantages of Implants • High cost • Unfavorable time frame • Surgical trauma/pain

  21. Dental esthetics is determined by teeth and gingiva

  22. Bone is the foundation of implants • Adequate vertical & horizontal spaces • Ridge be sufficient in width and height • Strong enough • * * * * * * * * * • Prepare the bone to meet the above requirements

  23. PLANNING AN IMPLANT Consequences of tooth extraction • Bone resorption • Space narrowing/ Malalignment of teeth

  24. PLANNING AN IMPLANTSteps of Implant Placement Planning prior to extraction Extractions, Pre-implant surgeries Interim teeth for edentulous areas Implant placement Uncovering/healing abutment Restoration

  25. Common pre-implant surgeries • Socket preservation • Soon after extraction • To prevent bone resorption • Ridge augmentation • Long after extraction • Multiple surgeries to achieve sufficient size • Sinus lift: for maxillary posterior implants

  26. Frequently asked questions Can I have implants? How long can implant last? How fast can implant be made? Is implant risky? Whom should I approach for implants? Why are implant advice/consultations conflicting and confusing? Implant brands matter? Dental implants as part of medical tour in Taiwan

  27. Can I have implants? • Finance • Time frame • Surgery • Age • Systemic health • Diabetes • Bisphosphonates

  28. Preparations for implants • Pre-plan implant placement prior to tooth extraction • Requirements of the ridge for implants • Adequate dimensions in height, width, & hardness • Make the ridge ready for implants • Socket preservation • Ridge augmentation

  29. How long can an implant last? • Less than 20 years of current products in the market • Implant failure (< 10%) • Fail to osseointegrate • Periimplantitis (Inflammation, bone loss) • Mobility • Fracture of the fixture • Implant crown problems

  30. Is implant risky? • Common surgical complications • Systemic health • Sinus symptoms • Mandibular nerve damage

  31. How fast can an implant be done? • Quality & durability are not always compatible with expedition (欲速則不達，魚與熊掌不可兼得) • Healing period • Socket preservation/Ridge augmentation: 4-6M • Osseointegration: 4-6M • Implant placement • 6M to 13M for regular case • May require more time for complex cases

  32. Whom should I approach for implants? • General dentist • Periodontist • Oral surgeon • Others

  33. Why are implant advice/consultations conflicting and confusing? • Diversities in philosophy • Training background • Timetable • Finance • Science-driven • Patient’s benefits-driven • Dentist’s benefits-driven

  34. Do implant brands matter? • European • USA • Korean • Israeli • * * * * * * * * * • Size • Design

  35. Dental implants as part of the tour in Taiwan • Time factor • Liability • Dental orphans

  36. THANK YOU FOR ATTENDING

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