Welcome to Dr Antony George's Website

There are several methods by which a lost tooth can be replaced :

1. Removable Partial Denture -- RPD
2. Fixed Partial Denture -- FPD (commonly known as Bridges)
3. Dental Implant
4. Full Dentures if all teeth are lost.

Removable Partial Dentures {RPD}:
     The artificial teeth are placed on a castmetal or acrylic framework and inserted into the patients mouth after making an impression. The denture(s) can be removed and replaced in the mouth by the patients themselves. The denture(s) has to be removed and cleaned after every meal and preferably kept out of the mouth at night. The denture(s) becomes ill-fitting over a period of time and needs replacement.

Fixed Partial Denture {FPD}:
     For this the teeth adjacent to the edentulous area (area where the tooth is lost) are prepared to receive a crown. These teeth are called abutments. These abutments are connected like a bridge, resembling the shape of the teeth. The bridge is fixed onto the abutments with the help of Dental Cements. Hence to replace a single tooth a three unit bridge has to be placed. A cantilever bridge may be used if there are teeth on only one side of the edentulous area. This involves anchoring the pontic to one side, over one or more natural adjacent teeth.
FPD can be fabricated from castmetal or Porcelain. Porcelain is more aesthetic than castmetal, for it has the colour and translucency of the natural tooth.

What are the preconditions (contraindication) for Implant?

• Medically compromised patients (cardiac diseases, diabetic, rheumatic diseases, immunocompromised, radiation or chemotherapy) are not fit for implant fixations.
• Smokers, pan or tobacco chewers.
• Young children. There is no upper or lower age limit for implants.
• Inadequate available bone in the edentulous area. Good quantity and quality of bone should be present.
• Unfavorable morphological conditions (anatomical relations to adjacent structures).
• Diseases of the gums and bone.
• Lack of patient motivation to perform optimum oral hygiene.

What are the clinical procedures for Dental Implant?

       

               

What care should be taken after implant fixation?
          For long term success and uncomplicated extended lifespan of the implant, proper oral hygiene is very essential. Bacterial plaque is a threat to the implant as it is to natural teeth. Proper brushing with regular toothbrush, proxibrushes, dental floss, etc is a must after implant fixation. Extra care and time should be given for maintenance of  the cleanliness (hygiene) of the mouth. Any lack of care in the implant area will lead to inflammation of the gums and the loss of surrounding bone with consequent loss of attachment of the implant to the bone, ultimately resulting in treatment failure.