Dental Implant Procedure

Evaluation and Implant Planning

The process begins with a comprehensive evaluation and implant planning package, which includes:

intra-oral 5D scan

CBCT scan

Tooth already missing

If the tooth needs to be removed: We consider its condition, including:

• Presence of infection, such as an abscess at the root tip or pus.
• Whether bone grafting is required due to active infection or insufficient bone.
• Feasibility of immediate implant placement versus delayed placement.

Tooth to be removed

If the tooth is already removed: We'll evaluate the bone and gum tissue in the empty site.

If you have a tooth that needs to be removed, it may be necessary to wait one to three months before an implant can be placed. During this period, a denture may be made as a temporary for you to use.

Before starting your dental implant treatment, a detailed plan will be created by your doctor. This plan is tailored specifically for you to ensure the best results. During this stage, the entire process will be explained, and any questions or concerns you have can be addressed, giving you confidence and clarity before treatment begins.

Planning the Final Crown

Once we have confirmed that you are a viable canditate for implants and implants are a suitable option to restore your missing teeth, we start by planning the final position of the crown using a digital approach known as digital wax-up. When designing the implant crown, we evaluate the adjacent teeth and the bite (opposing teeth) to determine the exact size and dimensions of the crown. The crown must also be both functional and aesthetically pleasing.

Planning the Implant

Once the crown position is finalized, the implant placement is meticulously planned in 3D considering the adjacent teeth, available bone and important anatomical structures like the sinus or IAN nerve. The final implant position, depth and size is finalized for optimal stability and crown support.

Implant size (diameter and length) depends on different implant systems. (Click here to explore the implant systems available at our clinic.)

Surgical Guide

Based on the detailed 3D planning, a surgical guide is created to assist in the implant procedure. A surgical guide is a custom-made template that:

• Ensures the implant is placed exactly as planned in terms of depth, angulation, and position.
• Minimizes the risk of errors, enhancing precision and predictability.
• Reduces surgery time and facilitates better outcomes, especially in complex cases.

Surgical guide cost = 3,000 THB

Bone Grafting

Bone grafting may be necessary if there is insufficient bone to support the implant. This can be performed:

• Before Implant Placement: Allows adequate bone healing prior to the implant procedure.
• Same time as Implant Placement: Saves time by combining the procedures.

Sinus lifting

Sinus lifting is required when the upper jaw's bone near the sinuses is too thin for implant placement. The procedure involves lifting the sinus membrane and adding bone graft material.

Crown Placement

Once your dental implants have successfully fused with the jawbone—a process known as osseointegration—you’re ready for the next phase: fabricating and attaching the dental crown (artificial tooth). This stage, referred to as the prosthetic phase, involves customizing your new teeth to provide a natural look, feel, and function.

This process is carried out by a prosthodontist or a restorative dentist and typically includes the following steps:

1.Taking Precise Impressions or scans of the implants, surrounding natural teeth, and gums
2.Custom fabrication of the crowns. Every detail, from color to shape, is carefully matched to your natural teeth for seamless results.
3.The artificial teeth are placed over the implants for a trial fitting. During this step, adjustments are made to ensure proper size, color, and bite. In some cases, multiple visits may be needed to achieve perfection.
4.Once you’re happy with the fit and appearance, the new teeth are permanently attached to the implant.
5.Final Placement:

1. For screw-retained crowns, the screw is tightened, and the hole is sealed with composite material.
2. For cement-retained crowns, the crown is securely bonded to the abutment.