Dental Implants
Studies say that almost half the population have at least one tooth missing. So you are not alone!
Having one or more missing tooth can shake and dent your confidence. Not only this it will also affect the way you speak, smile or eat. Various treatment options are available to address this problem. These can be dentures, bridges or Dental Implants.
Dental implants have been used to replace missing teeth since the mid-1960s, but have changed the face of dentistry in recent years. Implants are manufactured from titanium, a metal that is known to be compatible with body tissues and able to bond with adjacent bone during healing.
Dental implants are as natural as it gets to the real thing. Most importantly they look natural and can be used to replace a single tooth, multiple teeth or complete set of teeth.
What is Dental Implant and what is it made of?
A dental implant is essentially a titanium screw or cylinder, between 8 and 16 mm long, which is inserted into a prepared bony socket in the jaw and acts as a replacement root for the missing tooth.- A special attachment called the abutment, which is fitted to the top of the implant, forms the external connection for the new replacement tooth (crown) or teeth (bridge or denture).
During healing, the titanium surface of the implant fuses with the surrounding bone, in a process known as osseointegration, which can take about 3-6 months. After this time, the implant is stable enough to support one or more false teeth.
What are various types of implants which can be fitted or suitable for my needs?
The gold-standard option for replacing single missing teeth is a Single Tooth Implant.- For 2 or more adjacent missing teeth. One or more implants can be fitted to support enough crowns or bridges to effectively fill the gap, so called Multiple Teeth Implant.
- All on 4 Teeth Implants involves placing 4 implants in each jaw and loading a complete set of teeth.
Where can implants be used?
They can be used to
- Replace a missing tooth
- Replace multiple teeth
- To give added retention to dentures or give fixed teeth
Are dental implants a better option than crowns or bridges?
Dental implants have a number of important advantages over conventional crowns, bridges and dentures:
- Implants look and feel like natural teeth
- Healthy adjacent teeth do not have to be filed down to act as supports for the missing tooth or teeth
- Implants help in getting a good profile for the teeth as they preserve the bone of the jaws
Can a decayed tooth be removed at the time of placing dental implants?
Decayed teeth can be removed at the time of placing implants provided the infection in the tooth has not caused resorption in the bone where the implant needs to be placed. In case the tooth is highly infected, it will have to be removed first and the patient will have to wait for about 6 weeks after the removal of the tooth.
What if I do not replace my missing teeth?
- Missing teeth can adversely affect your dental health. The first is that your existing teeth will move and adjust to compensate for the teeth that are no longer there hence creating spaces between your teeth. This has an effect on your natural bite and can make brushing more difficult leaving you more vulnerable to oral infection.
- Over time, the bone that surrounded the tooth root deteriorates making your jawbone less strong and dense. Dental implants give a wonderful opportunity to address these issues while restoring your smile
Is everyone a suitable candidate for implants?
Dental implants are suitable for almost anyone who has lost one or more teeth and would like to restore their appearance or chewing ability provided they are:
- More than 18 years of age.
- Having healthy bone and gums, that is, not having periodontal disease.
- In good general health.
- Not smokers or tobacco chewers.
What does implant treatment involve?
- Examination: A preoperative examination and tissue assessment is done. Based on the amount of available bone and tissue, an assessment is made whether an additional surgery for augmentation of bone or tissue is required.
- An impression of the teeth is made in the first appointment and blood tests and a scan are advised in order to proceed with the treatment planning.
- Implant surgery: Implant surgery can be carried out using either a one-stage or two-stage procedure, depending on your particular clinical circumstances. In either case, the surgery involves making a small incision in the gum to expose the bone and using a special drill to shape the implant site.
- In case any additional surgery is required for bone or tissue augmentation, it may be possible to carry out the procedure along with the Stage 1 surgery. At times, an additional surgical appointment might be necessary for the bone/tissue augmentation prior to the implant surgery and the implant surgery might have to be delayed by 3 to 6 months.
- Prosthetic treatment: During a two stage surgery, a second incision is needed to uncover the implant via a small incision and a healing screw is left in place for two weeks. In case of single stage surgery, a portion of the implant is left jutting out of the implant and the need for a second incision 3 to 6 months later is avoided. An impression is taken 2 weeks later once the gums have adapted well to the healing screw. The impression is sent to the lab and an abutment ( an attachment on top of the implant) carrying the crown is fitted on to the implant
Can implants replace multiple missing teeth as well?
Implants can replace multiple missing teeth in a row. However, each individual tooth will not require one implant. Instead a few implants can be given and the support provided by these implants can be used to fabricate a bridge in the area of missing teeth.
How are mucositis and peri-implantitis detected and treated?
- Bleeding could be a sign of mucositis or peri-implantitis. Other changes that you might notice are local swellings, bad breath or a bad taste, and loosening of the implant, bridge or dentures.
- Regular recall appointments with your dentist will help ensure that any mucositis or periimplantitis is detected well in time and treated .Treatment of mucositis and peri-implantitis involves professional cleaning of the implant surface to remove bacterial deposits.
- In addition, you may be asked to use an antibacterial mouthwash or gel or, in some cases, prescribed an antibiotic to eliminate the infection.
- If the peri-implantitis is more advanced, your dentist might consider a surgical procedure to gain better access for cleaning.
- However, if the condition cannot be controlled, the implant may have to removed.
Watch Video to know more about
Dental Implant
FAQ - About Dental Implants
- Depending upon how many implants need to be replaced, a decision will be made as to how many surgeries will be required to replace the teeth. We, at Citylife Dental prefer to place not more than four implants during one surgery. Additional surgeries can be planned after a week to ten days depending upon the recovery of the patient.
- During the second phase of treatment, at the time of taking impressions,two additional sittings will be required at the time of placement of implants.
- It is advisable to keep quiet and generally take it easy for 48 to 72 hours after your surgery. Rest facilitates healing.
- Please take cold & soft-diet for at-least 24 hrs after surgery.
- Some amount of swelling in the operated area is normal. Apply ice pack to face on the operated area, alternating 2-3 minutes on and 2-3 minutes off for 15 to 20 minutes after surgery. This will help control the swelling.
- Avoid spitting for 24 hours. Please swallow the spit and do not spit and check whether the bleeding is there or not.
- You can expect to be uncomfortable for the first day after surgery. The second day you may be even more uncomfortable with swelling and possible discoloration in areas of cheeks and along jaw line due to possible slight bruising. The third day is generally a little better with rapid improvement on the fourth day.
- Do not take liquids through a straw. This creates an inward suction and causes tension on your sutures which could interfere with healing.
- Do NOT smoke. Smoking creates a two-fold problem. It also creates a harmful inward suction, as well as introducing nicotine which is harmful to the tissues of the mouth.
- Ideally smoking should stop 1 month prior & 1 month after surgery since it delays healing. Smoking may even cause Implant failure.
- Avoid vigorous rinsing during the first week. Begin rinsing your mouth the day after surgery. Gently rinse your mouth with warm salt water 3-4 times daily, especially after mealtime.
- Avoid alcohol consumption for approximately one week after surgery. Alcohol dissolves blood clots and interferes with actions of other medications. (Combining alcohol and drugs can cause serious problems.)
- Please contact the dental office immediately in case:
- Bleeding continues
- There is high fever.
- There is pus discharge from the surgical site.
Dental implants have an average integration success rate of 95%, meaning that 1 in 20 of dental implants placed may not provide a long-term function.
A small percentage of dental implants are rejected by the body’s natural immune system.
If a dental implant does not realise or maintain a strong bond with the surrounding bone it will gradually become loose and will eventually be unable to support the replacement tooth or teeth.
- In the event of a dental implant being rejected by the patient’s immune system, there are a remedial treatments which can be implemented to prevent an implant being rejected.
Assuming there have been no problems with the healing process after implant placement, the most likely cause of failure is inadequate oral hygiene. If tooth cleaning is poor, bacteria will build up on the implant surface and cause inflammation of the mucous membrane surrounding the implant – mucositis. If left untreated, this can progress to a more dangerous condition called peri-implantitis, in which there is inflammation and bone loss around the implant. Eventually, the implant loses its anchorage in the bone and becomes loose.
- With careful maintenance, dental implants will function for many years. 95% of implants last for at least 5 years, but most are likely to have a much longer life. To maximize the lifespan of your implant, you are strongly advised to
- avoid smoking
- maintain a thorough oral hygiene programme at home
- go for recall visits to your dentist regularly.
Stages of Visits for Successful Dental Implant
Please note that for single implant, 6 visits are all that is necessary.
Visit – 1
- Consultation
- Planning
- X-rays
- Impression of teeth
- Request for a 3D – Scan (results are e-mailed to me)
- Blood tests
Visit – 2
- Implant Surgery
- Any bone grafting is done cases of bone loss.
- Any additional surgery if needed, is done during this visit.
Visit – 3
- At 2 week after first visit
- Check the surgical site
- Removal of sutures (1 week after Visit – 2)
Visit – 4
- At 3 – 4 months
- Screws are placed on the implant for 2 weeks so the gums can be prepared to receive a prosthesis
Visit – 5
- Impression is taken in preparation for the Crown/prosthesis
Visit – 6
- 3 days after Visit – 5
- Crowns are given in cases of single tooth implant, but for other cases a bite record is made.
Visit – 7
- 3 days after Visit – 6
- Trial fitting of the Crown over the implant is done.
Visit – 8
- 3 days after Visit – 7
- Final full mouth fitting is given.
- Final checking of implant is done.
Reasons Why Patients Love Us
We have over 20 years of expertise in Dentistry. Citylife Dental has survived the test of time.
We believe in perfection, reproducibility of results, precision and professionalism.
- We work Ethically
- Cost Effective Treatments
- Team of Dentists
- National Lab Support
- Fantastic Professional Experience
- Quality Assurance
What our patients have said....
Best dentist in my opinion.
Really great. I had a WONDERFUL experience. Good tips to keep the teeth’s shining and cavity free.
Most Ethical Dental Surgeon
“Visited Dr. Sajili Mittal’s clinic a few years ago after having a number of “not good” experiences. Was a bit scared too initilally. But the way my problem was handled at her clinic made me so at ease, comfortable and relaxed.
At Dr. Sajili Mittal’s clinic, everything is explained in detail & giving all the possible options to be decided by the patient himself. Since my first visit, I never felt uncomfortable and always feel free to discuss even the smallest possible issues. Besides being a good dentist, Dr. Sajili Mittal, is a very good human being too. She makes her patients comfortable, understands their issues and accordingly suggests possible and affordable options ( NOT creating fear factor).
Besides, being highly experienced and knowledgeable, Dr. Sajili Mittal is a person of ETHICS and MORALITY which is rare to find these days in our society. My Best Wishes to Dr. Sajili Mittal.”
Professional dentist
My experience with Dr. Sajili has been amazing. She has genuine care for her patients and never fails to engage and explain everything in detail. She is professionally approachable and friendly.
I highly recommend Dr Sajili.
Greetings from Germany
Thank you for the friendly treatment and the good interaction. The method of working of the team of doctors and assistants was s comforting experience. The clinic was aesthetic and pleasant. Hearty Greetings from Germany!
Best Root Canal Treatment by Dr. Sajili
“Every experience I’ve had in the dentist’s chair has been miserable, until now. Citylife Dental has the most compassionate team of dentists I’ve ever seen. They understand (and therefore can eliminate) fear and pain. The work they’ve done on my teeth which includes root canal, scaling and whitening has been top quality. Add to that their ability to calm the nervous wreck in the chair and you have a combination of skills that can’t be beat. I’m no longer afraid, and that’s pretty much a miracle. I can’t recommend these guys enough.”
Brilliant Citylife Dental
My experience at Citylife Dental was very good.
Dr. Sajili is a very professional dentist and made sure I understood everything. Her patient handling and education skills are excellent. She is a confident doctor and knows the art of dentistry well. The staff at Citylife Dental was humble and courteous.
After I was done I expected a very large bill but the prices were nominal.
Even though I don’t like going to a dentist , but Citylife Dental made it a good experience.
Next visit due after 6 months!
Amazing Dentist in Yojana Vihar
Sajili is a wonderful Dr. with amazing skills.
Great dentist Dr Sajili Mittal
An extremely ethical and qualified doctor.
Good Dentist
Dr Mittal is very good in her dental professionally & personally she is good human being & good doctor
Excellent Dental Treatment
Very happy with the quality of treatment I received.
Best Dentist for NRI’s in New Delhi
Well to start with I met Dr.Sajili and her team 10 years ago when i was planning to move abroad. It started with basic gum issues and root canal.
Now i am an NRI but whenever i visit India make sure my dental issues are handled properly. Thanks goes to Dr. Sajili for her warm, affectionate, caring and patient nature. A professional touch on the top is what everyone gets for sure. She is intelligent, confident, has a sound experience in her specialisation and makes sure the patient in contented at the end of the treatment. Well as far as her clinic is concerned she does not compromise on quality and hygiene.AT work front she even follows her patients after the treatment is complete for their concern if any. I was also given 2 implants by Dr. Sajili which are very much intact as i follow her advice regularly. Will recommend Citylife Dental, Yojana Vihar for overall satisfaction under the leadership of Dr. Sajili.
Good luck and Best wishes always
Very satisfied with Dental treatment
My wife Dr Roma Raj and I just walked into Citylife Dental for a complete dental check-up, soon after from the US. We found the clinic’s hygiene and comfort levels at par with any good clinic in the US. The doctor’s mannerisms were so good that we signed up with Citylife for our complete dental treatment plans and since then we have felt very satisfied with the treatment, rates, punctuality and professional approach of their team to our dental problems.
There are no short cuts in this clinic.
May God keep the healing touch of this centre alive for years to come.
Best Dentist
The best dentist near Anand Vihar, New Delhi. Thanks
Special Centre for Tooth Implants
City Life Dental as the name indicates the dental care has direct or indirect relationship to city life. City Life Dental is one of the top clinics in East Delhi with state of the art equipment. The doctor in charge of the clinic is a specialist in periodontics where all type of diseases around the teeth and gums are taken care of. This is a special centre for tooth implants. At this centre the sterilisation of instruments is routine and even all the ethics in dental care and treatment are followed.
Very Caring Dentist
I came across city life dental for dental problems off and on for last 6 years. Though i live in west Delhi and clinic is located in east Delhi via Karkardooma metro station on blue line. From there taking shared e rickshaw up to red light crossing of Ashoka Niketan to reach A 85 Yojana Vihar made my life easy from transportation point of view. I visited this clinic first time in 2013 but the atmosphere, behavior, care, personal and detailed attention looking into minute details of health and history of patient is routine in this clinic. They treated me as if they are treating themselves. Such personal touch care quality sincerity, responsibility with lower cost as well made me my permanent destination to visit city life dental until now in 2019. Dr Sajili Mittal MDS renders multi-focal care with personal touch. She takes total responsibility of dental care if proper timely visits are made. I wish the clinic all the best.
Very professional treatment
The team here is both extremely professional and extremely kind and generous. Ashok and Sajili took wonderful care of me both with my gum surgery and my short stay in Delhi. They have gentle warm spirits. Thanks for everything from breakfast with chai to the gum graft itself!
