Jyoti Dental Clinic

Dental Implants

Dental Implants

Dental Implants

Once you learn about dental implants, you will finally realize there is a predictable and long lasting way to replace teeth that both, enhances your smile and improves your ability to chew.

What Are Dental Implants?

Replace missing teeth with dental implants by modern dental technology and advanced treatment concept like All-on -4, ensuring accurate diagnostics, planning and implant placement. Dental implants are artificial tooth replacements that are used to counter tooth loss. They are generally made of titanium and covered with a porcelain crown or a bridge to give the appearance of real teeth.

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence.

Although you have a number of restorative options for the treatment of missing teeth, none have proven to be as functionally effective and durable as implants. In many cases, dental implants may be the only logical choice for the restoration of all necessary functionality of the teeth and supporting structures. 

Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Oral and Maxillofacial Surgeon - a specialist in surgery of the jaws, face, and teeth.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile! Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.

Why Dental Implants?

The decision to have a dental implant placed is one that should be made by the patient, after discussing all options with his/her general dentist.  Many believe that dental implants are the new standard of care.  They are the most predictable and conservative way of replacing missing teeth with the best long term success. Implants do not decay, and adjacent healthy teeth do not require crowns to support them. And because it is easy to clean and floss between implants, the gum tissue and underlying bone are more likely to remain healthy. Dental implants can be your doorway to renewed self-confidence and peace of mind.

Are You A Candidate For Dental Implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If you mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.

Do Dental Implants Need Special Care?

Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dentist.  Patients should have a professional dental cleaning and check up every 6 months.

Benefits of dental implants:

1. Replace one or more missing teeth without affecting adjacent teeth.
2. Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
3. Restore a patient’s confident smile.
4. Restore chewing, speech, and digestion.
5. Restore or enhance facial tissues.
6. Support a bridge or denture, making them more secure and comfortable.

The Surgical Procedure

For many patients, the placement of dental implants involves only one surgical procedure.  First, implants are placed within your jawbone and allowed to bond with your jaw bone for about 3 months. You will be able to wear a temporary prosthesis during this 3 month period so that you never have to be without teeth; we have a high regard for the esthetics and facial appearance of our patients.
After the implant has bonded to the jawbone, the second phase begins.  Now your Surgeon will attach an abutment to the implant, which will act as anchor for the artificial teeth.  The crown will then be cemented or screwed into the post achieving a highly esthetic final result.  The entire combined procedure, by our Oral Surgeon, usually takes about 4 months.  Most patients experience minimal disruption in their daily life.

Surgical Advances

Utilizing the most recent advances in dental implant technology, our surgeons sometimes are able to extract a tooth and place an implant at the same time.  However, sometimes this is not possible and the extraction site needs to be augmented with bone prior to implant placement.  The augmented bone needs to bond to your jawbone for 2-5 months prior to implant placement. 

The bone utilized is mostly from a cadaver that has gone through rigorous processes to ensure an infection free environment.  At Jaipur Oral and Maxillofacial Surgery, We can utilize your own bone as donor bone but this creates an additional surgical site. 

There are select cases where we can place implants and provide an immediate restoration that same day.  This is sometimes referred to as teeth in a day or immediate loading.  The advantage is that the patient does not have to wait that 3 month period for the implants to bond to the bone prior to placing the teeth on the implants. 

In summary, the patient comes in the office has the implants and teeth placed that day without ever having to go one day without a prosthesis (teeth).  The quantity and quality of the jaw bone has to be very good for us to utilize this highly efficacious and esthetic technique.

The process of getting implants requires a number of visits over several months.

X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant.  While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months, but usually 2-4 months. Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place.  With other implants the post and anchor are already attached and placed at the same time.

After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step may take one to two months to complete. After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient. You will receive care instructions when your treatment is completed.  Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.

Who Performs The Dental Implant Placement?

Implants are a team effort between an Oral and Maxillofacial Surgeon and a Restorative Dentist. While our surgeons performs the actual implant surgery, initial tooth extractions and bone grafting if necessary, the restorative dentist fits and makes the permanent prosthesis. Typically, your Surgeon will also make any temporary prosthesis needed during the implant process.

What Type Of Prosthesis Are Available?

A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants.
A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended.
A removable prosthesis (overdenture) has attachments that engage into the implants. The prosthesis can be removed for easy cleansability by the patient, whereas a fixed prosthesis is permanent and removable only by the dentist.  Many patients with ill-fitting lower dentures greatly benefit from an overdenture.
A complete lower denture many times will necessitate the daily use of cumbersome denture adhesives.  Many times even with the best made lower denture and adhesives, the lower denture exhibits gross movement and a lack of stability during function (speech and chewing). The placement of just two implants in the lower jaw can transform a previously non-functional and ill-fitting lower denture to one that is extremely stable and functional.  The patient may now discard the denture adhesives and not have to worry about the denture moving during function.

Pre-Prosthetic Surgery

The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery. Some patients require minor oral surgical procedures before the placement of implants.  There may be problematic teeth that need to be extracted, bone grafting procedures (bone augmentation) and/or gum grafting to augment the gum tissue.


Benefits of an all-ceramic crown on implant: When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a ceramic crown. This solution both looks and functions just like a natural tooth. In this case, a so-called one-piece implant is used. This means that all components are installed as a single unit, resulting in immediately full functioning teeth, shorter treatment time and minimized pain.

1. Immediately functioning teeth
2. Excellent esthetic result
3. Life long, stable solution
4. Treatment
5. This procedure normally includes four visits to the dentist. You should expect to be able to work the day after having the implant installed.

Implant Anchored Overdenture

If you are unhappy with the stability or fit of your dentures, an implant supported denture could be an affordable option. A removable full denture that is connected to either a ball or bar attachment, which in turn is anchored on two or more implants in the front part of the jaw. The implants help keep the denture in place and provide better function and comfort.  More implants can be placed into the jaw bone to turn the overdenture into a fixed implant bridge that stays in your mouth at all times!

Dental Implants

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. Individuals whom have lost teeth regain the ability to eat virtually anything and smile with confidence, knowing that their teeth appear natural.

What Type of Anesthesia is Available?

Many single tooth implants can be placed under local anesthesia. Often these are less traumatic than the extraction that created this edentulous space. If fear and anxiety are a major factor then intravenous sedation utilizing sedative and general anesthetic medications is especially worthwhile to eliminate the stress of worrying about a surgical procedure. Particularly long and extensive procedures can be performed in our outpatient facilities at the Jaipur Oral and Maxillofacial Surgery Clinic. Following the surgical procedure patients are closely observed in our office during recovery. Prescriptions for pain medication and antibiotics are prescribed, and oral rinses consisting of an anti-plaque agent as well as an oral antibiotic are used in most cases. Written discharge instructions which will be reviewed prior to discharge. When fully recovered from the anesthesia patients are escorted to the car by one of our trained staff members. For at least 24 hours after any sedation do not plan to drive, operate machinery or make legally binding decisions as one is under the influence of the anesthetic medications or any medications taken for pain control at home.

Postoperative Care

Following surgery instructions as to how to contact us in case of an emergency at night or on the weekend will be provided. We want to assure our availability to handle any and all problems following our surgical treatment. Generally, a one week postop appointment will be made prior to the surgical procedure. At this appointment an oral examination will be performed to determine how healing is progressing. Any changes in diet, medications, or physical activity will be discussed at this visit. Do not assume that feeling good automatically allows resuming normal activities without checking with your surgeon first.  During the integration phase of treatment, exercise, chewing, and normal oral hygiene may be resumed, when okayed by the surgeon, until the second phase of treatment begins which involves loading of the implant and restoration. The surgeon will determine when the implant has integrated through the use of x-rays as well as testing the implant directly. If an implant is lost due to nonintegration the surgeon will remove it, evaluate the site and prepare it as necessary for replacement of the implant.

After Implant or Bone Grafting Surgery

General Instructions

1. On the day of surgery, do not rinse, spit or drink through a straw.
2. Do not disturb the surgery site or over-exert yourself. It may cause bleeding, irritation or infection.
3. The day after surgery, continue normal brushing and use a warm saltwater rinse (1/4-teaspoon salt in a glass of warm water) every 2-3 hours for 3 days.
4. Pain may last for 10-14 days following surgery. Usually the third day is the most uncomfortable. If your over-the-counter pain medicine does not control the discomfort, you may use the pain medication prescribed by your doctor.
5. If you were sedated, do not drive for 24 hours following surgery.
6. Narcotic analgesics tend to cause constipation. Keep bowel movements normal by using a mild laxative if necessary.
7. Following surgery, you should eat a soft diet for 24-48 hours. Avoid chewing over surgical sites until instructed otherwise by your doctor. You should supplement your diet with plenty of fluids and gradually return to your normal diet as tolerated. Avoid spicy foods and drinks for 2 weeks. 8. Avoid alcohol or smoking during the first week following surgery.
9. Ice packs may be used for the first 24 hours after surgery to reduce swelling. Rotate ice pack on and off or side to side every 30 minutes for 24 hours. Swelling is usually greater 2 days after surgery and may last about a week. If you continue to have swelling on the 4th or 5th days, or if the swelling goes down and then begins to swell again, you should call our office.
10. You may have sutures placed in your mouth to control bleeding and hasten healing. They will dissolve on their own over 1 to 2 weeks. Occasionally non-resorbable sutures are placed and will need to be removed in 1-2 weeks.


If you were given gauze, change it as directed every 30 minutes until active bleeding has subsided (usually 2-3 hours). Some bleeding may last for 24 hours. If there is excessive bleeding, follow these instructions:

1. Rinse mouth with cool water and gently wipe away blood clots with a clean piece of gauze or a tissue.
2. Take a large amount of gauze, a piece of sanitary napkin or 2 tea bags moistened with water and place over bleeding area and close mouth, applying constant pressure.
3. Remain quiet and in a sitting position for 20-30 minutes.
4. Repeat steps 1 and 3 until bleeding is controlled.
5. After these instructions have been followed in detail and excessive bleeding persists, you should call our clinic.

Specific Instructions

1. Apply ice to jaw for the first 24 hours.
2. Leave immediate denture, partial or flipper in mouth for 24 hours, then remove it and begin salt-water rinses (¼ teaspoon salt in glass of warm water). Rinse every 2-3 hours for 3 days. Wear denture or partial as much as possible to reduce swelling from the surgical site. If you do not have a denture or partial, begin salt-water rinses 24 hours after surgery.
3. Use heat on swollen areas as directed.
4. If you had a sinus lift, do not blow your nose for 2 weeks. Take a decongestant for 2 weeks after surgery to decrease sinus congestion.

You may be given any of the following prescriptions:

Pain medicine: should be taken as needed. You may take ibuprofen (400-600mg every 6 hours) in addition to or instead of your prescription pain medication. While taking prescription pain medication, do not drive or operate heavy machinery. Be sure to eat something prior to taking pain medicine to reduce nausea.

Antibiotic: should be taken as directed until gone. Be aware that some antibiotics can reduce the contraceptive effect of birth control pills. Please contact your gynecologist or pharmacist if you have concerns.

Nausea medicine: should be taken as needed. While taking this medication, do not drive or operate heavy machinery.

Mouth rinse: use as directed on the bottle. Avoid full-strength mouthwashes for 2 weeks.