Edition 1492
15 September 2018
Edition: 1492

Read this week's issue online exactly as it appears in print.

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Everything you always wanted to know about dental implants - Part II

by Advertiser, in Profiles · 05-07-2018 15:10:00 · 0 Comments

As in all areas of medical treatment, preventive measures are a fundamental part of dental care. This applies even when, for whatever reason, patients have already lost teeth. When considering a treatment involving implants an indispensable first step is to ensure that the patient can maintain good daily oral hygiene. Planning then starts with assessing the amount and quality of the supporting bone with X-rays (cone beam imagery) and plaster casts of the jaws. An important consideration at this stage is the type of final restoration. For a small number of missing teeth this is usually individual crowns or a bridge on 2 or 3 implants but to replace all of the teeth the prosthesis can be either fixed (on 4, 6 or more implants) or an ‘overdenture’ - a removable prosthesis but with implants (usually only 2) providing stability.

Everything you always wanted to know about dental implants - Part II

And prevention? These crown(s) or bridges should permit correct oral hygiene procedures and routine professional prophylaxis. In the front of the mouth this is sometimes difficult to reconcile with aesthetic demands. Ultimately the prosthesis is attached to the implant with a titanium screw (sometimes an intermediary ‘abutment’ is required); ideally it should be easy to remove for a dentist.
The ‘implant revolution’ of the last half century has seen more and more implants placed by practitioners with different skills and experience. Also implants are lasting for longer. As a result a small percentage of complications inherent with any new technology has taken on greater proportions. Amongst the long-term problems (after 6 months) some - a loose retaining screw or a small ceramic fracture for example - can be easily rectified. More pernicious is undetected gum inflammation around the implant which can lead to bone loss (peri-implantitis). If corrected in its early stages - mucositis - reinforced hygiene techniques will stabilise the situation.
Dr. Haley, an English dentist based in Cascais, is particularly concerned with prevention for all patients including those who have received implants.

For more information, 

Tel: 214863012 or visit:  http://clinic.cdhaley.pt

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Edition 1492
15 September 2018
Edition: 1492

Read this week's issue online exactly as it appears in print.

Twitter

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