Dental implants in Bromley are fast becoming one of the most common restorative dental procedures. One of the big driving reasons behind this which is often cited is their flexibility, from replacing single teeth to immobilizing a whole denture.
But there are complications and certain cohorts who are not the best candidates for oral implants. In the article, this will be looked at alongside what is being done to extend treatment options for these niche patients.
Assessments: getting it right
Many risks that come along with medical assessment threaten to stymie the procedures before they even start. One is the risk of an error caused by limited knowledge of the assessor or the tools at their disposal.
A CT scan is the preferred diagnostic tool in preparing for an oral implant, but their presence in local dental clinics is sparse, so be sure the clinic you attend for your implants has one.
In the UK, the training required for dental professionals to carry out implant procedures is beyond the standard dental degree, thus they need to acquire further certification.
This is not the case everywhere and less strictly regulated dental systems often lead to procedures being carried out abroad, but completed to a lower standard by less experienced people.
The assessment decisions that are made will have the greatest impact on the chances of success. There is also an opportunity for the techniques used to be tailored to the patient’s needs and to discuss the patient’s current prescriptions.
If there are any alternatives to contraindicated medications, such as temporarily suspending blood-thinning agents for the period of the surgery in a patient with a history of blood clots, this can mean the implantation may be able to go ahead.
One of the first considerations and most common modifications to the implant procedure is altering the placement of the titanium implant. They require a well-established, high-density jawbone in order to become fused.
With patients suffering from osteoporosis or those who have lost a whole set of teeth, sometimes the jaw can become atrophied and its bone density reduces.
The careful selection of where the implants are placed, perhaps with an extended or flexible connector, can allow those who would normally be rejected as inappropriate for implants to successfully undergo the procedure.
Inappropriately placed or misplaced implants are the most common issues in patients who have had their implants rushed in overseas clinics and require reparative work.
With the complete absence of appropriate high-density bone, a graft can be performed before the implantation process. There are several different ways that this can be performed depending on the overall health and condition of the patient.
The most common is a self-graft where the bone is harvested from either a leg, arm, or other parts of the mouth and used to reinforce the jaw.
Pre-implantation procedures significantly increase the overall treatment time, therefore are only carried out on patients who are most in need of them.
They also range in complexity, with some like sinus lifting being appropriate for clinic treatment, whereas others are exclusively offered only by maxillofacial surgeons in specialized operating theatres under full anesthetic.