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Post op Instructions
Post Operation Instructions For Dental Implants
Dental implant surgery is the process involving placement of an artificial tooth on an extension of the abutment which makes it look like the real tooth. It is a better alternative to dentures and bridges withering away the problems occurring in chewing and speaking. The surgery depends upon the type of implant and the condition of the jawbone. Dental Implant provides stable support.
Dental implants surgery is a very critical activity and demands utmost care from the patient as well as the doctor. Here are few tips on how to spend the time after the surgery
Indications
Full mouth reconstruction is indicated when
Indications for Dental Implants
- Multiple missing teeth : Missing teeth causes decreased efficiency of chewing food which causes the patient to swallow large lumps of food which in turn impairs digestion of food and bad stomach.
- Gum disease : Gum disease causes bad breath, swollen gums, bleeding gums, receding gums and bone loss. The teeth become loose and shaky in the bone decreasing the chewing capability
- Improper bite : Improper bite is caused by excessive grinding of teeth, broken teeth, crooked teeth.
- Smile design : smile design is done with the help of veneers, crowns and bonding. This is done when patient does not like his or her smile.
- Crooked teeth : Crooked teeth causes food to be lodged in between teeth and becomes difficult to clean causing bad breath, gum disease and improper bite in some cases.
- Loose dentures : Dentures are worn by patients who don’t have teeth, but sometimes they are not satisfied with Dentures as they rock in the mouth and move as we eat food causing lot of irritation to patient and impaired efficiency of chewing food.
Immediately After the Surgery
There are myriad advantages of getting a dental implant done-
Indications for Dental Implants
- Few Hours Post Surgery : You can start by biting down gradually and softly on the gauze packs that have been placed over the surgical areas that will assure you of them being in their place. They should not be changed for first hour unless the bleeding is not under control. Moistening the gauze with tap water before placing is also quite helpful.
- Oral Hygiene : Maintenance of oral hygiene is a mandatory activity that patient has to practice post surgery. Brushing the medicated area gently. Saltwater rinses after a day of surgery are helpful in healing the bleeding if any.
- Remain Vigil about the Surgery : Though surgeon would have taken the best care but remember higher the quality of surgery lesser you will feel the need to take care. But BEWARE – DO NOT rinse vigrously and exercise care at all the times.
- Swelling : Take your prescribed medicines for the side effects of surgery out of which swelling is the most common one. Swelling may last for 2-3 days and there is no need to panic about it the pain can be reduced by placing an ice pack over the swelling at intervals.
- Persistent Bleeding : Oozing is normally very common but persistent bleeding calls for repositioning of packs because the pressure is being exerted at other location than the healing location. Biting on moistened tea bag for 30 minutes can also be very beneficial if nothing makes it better visit your doctor.
- Bed Rest : You should follow bed rest or couch rest because any strenous activity can cause higher amount of bleeding. Even in the case of changing position you should be careful of any jerks to the surgery site.
- What to Eat :Avoid extremely hot foods. It is better to confine to liquid foods etc. soups, puddings, yogurt, milk shakes, etc. Avoid chewing foods till the time tongue sensation has returned.
Single unit toothless gap with healthy adjacent teeth
In the advent of single missing tooth, you can simple place an implant without preparing the adjacent teeth. Alternatively in dentures you require to prepare the adjacent teeth also before the procedure
Partial edentulism with the back (posterior) tooth missing
This treatment is generally planned for Kennedy Class 1 and Keneddy Class 2 wherein the molars and/or premolars could be missing on one or both sides.
Complete Edentulism
When the implantology wasn’t present, the only solution was dentures . With the advent of latest technology and advance prothesis full mouth reconstruction is possible with dental implants
How it is done
In full mouth reconstruction multiple missing teeth are replaced by implants, bridges, removable partial dentures, full dentures.
- No Need Of Adjacent Teeth : Since implants have the ability to fuse into your jawbone.There is no need to prepare for any ground down to give a support to your newly placed teeth. They tend to become like permanent with time.
- Improved Speech : There is no risk of teeth slipping between the mouth as in the case of dentures. You can speak confidently without mumbling
- Durability And No Extra Care :There is no tension of removing or placing it again and again like dentures. It also saves you from the embarrassment of removing your set of teeth when you are about to go to sleep. Implants are so durable that if given proper care they can last a lifetime.
- Easier Eating : The eating due to implants becomes much easier as the implants are well aligned to do the job and bear pressure.
- Improved Self-esteem : You start feeling very confident because the implants
- No Need Of Adjacent Teeth :Since implants have the ability to fuse into your jawbone.There is no need to prepare for any ground down to give a support to your newly placed teeth. They tend to become like permanent with time.
- Improved Oral health :Overall your oral health improves which also positively impact your overall health.
- Convenience :Unlike dentures these are not required to be removed so provide comfort as your own natural teeth.
Implants
- Introduction : Implants are titanium screws placed inside to bone to replace the missing tooth. We can replace single tooth, or multiple teeth with help of implants. If all the teeth are missing we can place 4-8 implants per jaw to replace teeth. There are different ways of loading the implants. In one technique we wait for 3-4 months after placing of implants and once we confirm the implant is stable we place a tooth over the implant. In other technique if we get good stability of implant in bone at the time of surgery we place the crown at the same time which is called immediate loading of the implant. In some conditions we take the teeth out and at the same time place the implants in the socket and is called immediate implantation. In cases of replacing all teeth in very old patients with severe health problem we can place only four implants and replace all teeth. This technique is called All-On-4. In this we convert the existing removable denture into fixed prosthesis.
- Basic Procedure : initially study models, X-rays and CT Scans are done to diagnose the quality and quantity of bone and position of vital structures is noted. Then after diagnosis we decide the no of implants and position of implants to be placed and is informed to the patient. They we do placement of implants and plan immediate or delayed placement of teeth over them according to bone quality.
- Time Required :Full mouth Implants generally we can finish the case by immediate loading which require 3-5 days.
If the bone quality is not good and we don’t get good stability of implants then we have to wait 3-4 months before we can place teeth on them.
All-on-4 case we place the implants and the teeth at the same time. This procedure require 3-5 days.
Bridge
- Introduction : Bridge is an old and economical method of replacing the missing teeth. In this technique we shape the adjacent teeth and place joined crowns to replace the missing teeth. Generally bridge is done when we have sound multiple teeth to support the mouth.
- Basic Procedure : In this technique we take x-rays and study models of the patient and a firm diagnosis is made. Then we repair the mutilated teeth by fillings, root canal treatment, post and core buildups. Then we prepare teeth for the bridge, an impression is made and send to the lab. In between we take try in sittings to confirm fit and bite. Then final insertion of bridge is done.
- Time Required :Time require generally for bridge is 5- 8 days.
Removable partial dentures
Removable partial dentures use plastic teeth to replace missing teeth. These plastic teeth are fixed on an acrylic plate and clasps are placed in the plate to take support from adjacent teeth.
- Basic Procedure : In this technique impressions are taken and then bite record is done on second sitting, then a try in is done to check the prosthesis before final insertion
- Time Required : 3-5 days
Full mouth reconstruction involves various techniques to reconstruct the mouth which may involve aligning of teeth with invasiline, metal braces. Smile correction with veneers, crowns, bonding. Reconstruction of mutilated teeth with tooth colored fillings, inlays, onlays and crowns.
Time required
- Time required depends upon the procedure of reconstruction to be done.
- If full mouth implants has to be done we can finish the treatment in 3-5 days from placing of implants to fixing of teeth.
- Bridges require 3-4 days from taking of impression to fixing of teeth.
- Veneers requires 2-3 weeks from taking of impressions to final fixing on to the teeth.
Endosteal Implants
Process comprising of surgically placing the implants directly into your jawbone.As soon as the gum tissues have healed upto a significant level further step of surgery that connects the post to the implant is done. Lastly an artificial tooth(teeth) is attached to the post individually or grouped on a bridge.
Subperiosteal Implants
The only difference from Endosteal implants is that this process involves placing of a metal frame instead of directly the implants. This frame gradually fuses with the jawbone and then the same process is followed.
Post Operative Care
- Avoid hard foods- In order to lessen the pressure for the beginning days on your newly placed implants avoid chewing of Hard food. Prefer more of a liquid diet.
- Avoid hard foods- In order to lessen the pressure for the beginning days on your newly placed implants avoid chewing of Hard food. Prefer more of a liquid diet.
- Good Oral Hygiene- Be responsible enough regarding your brushing habits.Use interdental brushes that will help you to clean the hard areas around your implants.
- Round of Monthly Check ups- Frequent Appointments with your dentist can be beneficial in helping you to maintain your implants and will ensure longevity for them.
At last the healing process may take 6-12 weeks so you must not panic or anticipate pain just because it is taking long enough. Be in constant touch with your dentist and report him if you develop any side effects like Bleeding in gums, Pus in the medicated area, fever, infection and flap breakdown etc.
Recovery After Dental Implants
Implants must be cleaned after their placement with a Teflon instrument in order to remove any kind of plague. The crowns may be expected to discolour, fracture or may require some kind of repair in and around 10 years. Connections must be changed and modified every one or two years
Dental Implant FAQs
What to eat?
Avoid extremely hot and spicy foods. Habit of Smoking should be abandoned. Soups, Juices & Puddings can be the accepted meals that would provide nourishment along with comfort. Do not intake nuts or any solid food.
How to maintain oral hygiene.
You should rinse your mouth with very soft motions with saline warm water. Do this at least 4-5 times a day.
What to do with discolouring?
The application of moist heat to the surface will quicken the resolution process of discolouring. This should start at least 36 hours the surgery. Discolouring normally happens due brushing in the underneath tissues; you may get black, blue, green, yellow colours.
How will the healing progress?
The healing in this is generally a slow process and will take its own time. The better care you take will help you heal faster. The 2 days will be generally more uncomfortable and from 3rd day you will start feeling better and progress as the days progress.
What are the probable side effects?
Sore throat, dry lips, stiff jaw muscles, mild nausea and sharp edges because of the bony walls are common phenomenon. Anything which you find is out of the proportion, you should hesitate to get in touch with clinic immediately.
Dental Implants is a delicate process and makes patient vulnerable for few days in beginning after the surgery but its benefits are many like the avoidance of embarrassment with dentures and no regular task of taking the artificial teeth out and placing them again properly. It comes with its long term benefits and that is why dentists recommend you implants.