Nine reason you should not go for implant supported prosthesis

Implant supported prostheses include over-dentures, crowns and bridges. These are the treatment of choice in modern dentistry. They are very predictable in nature and have a track record of very successful life span serving their purpose. But, there are certain conditions where the dental implants cannot be provided due to the inherent nature of the disease. The implant supported prostheses are contraindicated in the following conditions:

  1. Immune disorders (leukemia)
  2. Cancer
  3. Disorders of coagulation (anticoagulants, liver cirrhosis, thrombocytopenia, tendency to hemorrhage)
  4. Rheumatoid disease (steroid medication)
  5. Unstable endocrine disorders
  6. Chemotherapy (i.e. bisphosphonates) and radiotherapy within the last 5 years
  7. Patients under 16 years old (incomplete development of bones)
  8. Psychosis
  9. Pregnancy

    It's not that the implant will fail in these patients, but their physiology, especially bone physiology gets changed; therefore, these patients do not get the full advantage of the implant supported prostheses.

    So, it would be wise to provide them the other type of prosthesis, unless they have been treated and have a stable condition.

    Article written by Dr. Ajai Singh.

Five reasons you should take an implant supported prosthesis!

People often ask me; can I get a fixed artificial teeth? While most of the time, they can get it, but in few unfortunate one, it remained impossible to provide a fixed partial denture due to their unfavorable oral conditions. In those cases, we suggest them, "you should take an implant supported prosthesis".

We see a sigh of relief on patients face. At least there is something that will solve my problem, the patient says or thinks something like this. Once they confirm the willingness for an implant supported prosthesis, it becomes a "dentist's" duty to explain its advantage.

Lest us talk about advantage and indications of implant supported prosthesis.

Improved function:

Compared to conventional removable partial dentures, the implant supported prosthesis gives a much better masticatory performance. The force, a patient can apply through implant supported teeth on food is equivalent to the natural dentition. The better chewing of food will have great positive effect on digestion and psychological overall wellbeing. It will also improve the satisfaction as the patient will be able to eat variety of food, which was limited due to poor performance of RPD.

Improved aesthetics:

The aesthetics rendered by implant supported prosthesis are greatly improved due to better emergence profile in anterior segment of the oral cavity. The ridge augmentation and other allied techniques have given ample toot to restorative dentists to help patient aesthetically.

Improved stability and support:

Implant supported dentures are as stable as natural dentition. Additional implants can be surgically placed as per the need of the support.

Conservative in nature:

The prosthesis supported by implants are conservative to soft and hard tissues. The presence of implant reduces the bone loss and maintain the soft tissue contour at the site as opposed to with a RPD. It also prevents the natural tissue loss that occurs during tooth preparation for crown and bridge.

Prevention of caries:

A tooth having crown over a natural tooth may get recurrent caries or root caries but an implant is immune for the same. Therefore, an implant supported bridge will never have a chance of secondary or root caries.

Thus, we see that the implant supported artificial teeth are the most predictable and highly satisfactory option to restore missing teeth.