Implant Dentistry

Dental implants are the single most important advancement in dentistry offering a modern day solution for missing teeth. Implant based dental restorations look, feel, and function just like your natural teeth. They can support an active lifestyle and can give you back the quality of life you deserve. With an overall success rate of about 95% and almost 50 years of clinical research to back them up, dental implants are the best treatment option for replacing missing teeth and have many superior benefits. Traditional options such as bridges and dentures often have problems with comfort, aesthetics, stability, and longevity. And they can negatively impact your confidence, nutrition, and overall wellness. At DR.JANGALA KNM SMILE whether replacing single or multiple teeth, stabilizing an existing denture or completely replacing a denture, dental implants create possibilities where none previously existed.

Advanced 3D Dental Implant Imaging

CBCT 3D Maxillofacial Dental Implant Imaging

DR.JANGALA KNM SMILE is one of the few facilities in Hyderabad to offer the CBCT 3-D digital CAT scan Implant planning for oral and maxillofacial dental implant imaging. The CBCT offers the most complete information (and 0.01mm accuracy) on the anatomy of a patient’s mouth, face, and jaw areas. Anatomy we once estimated is now completely visible. This leads to the most accurate diagnosis, treatment planning, minimally invasive procedures, and predictable outcomes for oral and maxillofacial dental implant procedures.

Patients love the CBCT because it’s more convenient, less costly, and it uses a significantly lower radiation dose compared to traditional hospital-based CAT scan and dental x-ray units. Images produced by the CBCT reveal medical problems much earlier, when they can’t be seen using conventional x–ray films or two-dimensional imaging equipment. Patients remain seated in an “open environment,” which increases their comfort and captures the natural orientation of anatomy. The digital data is transferred to a computer within one minute, and is displayed on an interactive, 3-D mapping tool that allows us to easily format and select desired regions for immediate viewing. We use the CBCT with nearly all of our dental implant patients and make it available to other doctors that wish to capture the highest-quality images of their patients.

All – on – 4 Dental Implant Procedure :

Nobel Biocare / MIS / Biosky

Tooth loss, gum and bone disease affect millions of people worldwide, on every continent, in every age group. Globally, several hundred million people are thought to be missing one or more teeth. More than 40 million people are estimated to be fully edentulous in the Western world alone. Completely edentulous jaws are a much more widespread handicap than most of us realize. Major barriers for solving the problem are the perceived complexity, antiquated technology and high cost of multi-step complex treatment. With innovative new solutions this no longer needs to be the case. There is a solution. A cost effective, enthusiastically accepted, breakthrough procedure.

Patients suffering with uncomfortable and painful dentures, and those patients living with unsightly partial bridges – causing even more damage to their remaining teeth and gum line – now have a clinically proven, FDA accepted treatment option for replacing missing or non-functional teeth.

DR.JANGALA KNM SMILE is proud to be among the few centers in Hyderabad to offer the innovative new implant technique called All-on-4. All-on-4 is based on Nobel Biocare’s pioneering Immediate Function™ capability & also that is specifically designed for people with dentures or in need of full upper and/or lower restorations. All-on-4 qualified patients receive four Dental Implants and a full set of new replacement teeth per arch in just a few appointments. The All-on-4 implants can be immediately loaded, instead of waiting months to heal. The fixed provisional bridge can be completed within a day. This is one of the most exciting options we have ever had in implant dentistry because the goal of most patients who wear dentures is to be able to go back to a time when they had fixed teeth.

DR.JANGALA HARI is one of a select few clinicians in Hyderabad and a leader in delivering Nobel Biocare’s All-on-4 MIS & Biosky pegt & Fixed procedure for restoring a full arch of upper and/or lower teeth. The All-on-4 (AO4) clinical solution has fortunately been developed to simplify treatment for those suffering with poor oral health. The procedure maximizes the use of available bone to allow for Immediate Function™ – allowing you the ability to have a full mouth restoration (new functioning teeth) the same day as the implant procedure. Using only four implants in the jaw, the AO4 solution takes advantage of the benefits of tilting the posterior implants to provide a secure and optimal prosthetic support for a prosthetic bridge, even with minimum bone volume. In conjunction with Nobel Biocare, the world leader in innovative restorative and esthetic dental solutions, European researchers and clinicians developed the AO4 procedure based on their pioneering Immediate Function capability, which is specifically designed for people with dentures or in need of full upper and/or lower restorations. In addition, the AO4 technique can now be used in collaboration with NobelGuide™ planning software, also utilized at DR.JANGALA KNM SMILE Prosthodontic & Implant center.

The major benefit to the All on Four Dental Implant Procedure is how quickly dentures can be replaced with permanent implants and fixed, non-removable, new replacement teeth. DR.JANGALA KNM SMILE Prosthodontic & Implant center is a leader in delivering the life changing AO4 procedure for those patients who are “dentally exhausted”. Unlike other approaches that can use six, eight, or even more implants per arch, and often involve bone grafting, Dr. Jangala Hari uses this proven technique that involves only four specially placed implants, usually without bone grafts or other ancillary surgical procedures, meaning lower costs and reduced healing time. And the success rate of AO4 is superior to more traditional approaches, and is designed to last a life time.

The end result is a solid base to attach your new teeth that does not have to be removed. The procedure saves time and money, recaptures a youthful smile, restores normal function and can enhance the quality of your life.

Benefits of Dental Implants

The mouth is restored as closely as possible to its natural state. By replacing the entire tooth, including the root, it is possible to replicate the function of natural teeth, with a strong, stable foundation that allows comfortable biting and chewing. In addition, nothing in the mouth looks, or feels artificial.

Implants preserve the integrity of facial structures. By preventing the bone resorption that would normally occur with the loss of teeth, the facial structures remain intact. This is particularly important when all of the teeth are missing, as the lower one-third of the face collapses if implants are not placed to preserve the bone.

Adjacent teeth are not compromised to replace missing teeth. Tooth replacement with traditional tooth-supported bridges requires grinding down the teeth adjacent to the missing tooth/teeth, so that the bridge can be cemented onto them. This tooth structure can never be replaced and the long-term health of these teeth is compromised. Partial dentures have clasps that hook onto adjacent teeth, putting pressure on them as the partial rocks back and forth. Eventually these teeth can loosen and come out as a result of this pressure. Replacing missing teeth with implant supported crowns/bridges does not involve the adjacent natural teeth, so they are not compromised, or damaged.

Your smile is improved when replacement teeth look more like natural teeth. Even when only one tooth is missing, long term esthetics are usually much better with an implant supported replacement tooth than with a traditional tooth supported bridge, which has a shorter lifespan, does not support the underlying bone and involves destruction of healthy adjacent tooth structure. This is particularly important in the front of your mouth, where preventing a visible bone defect is critical for natural appearance.

Convenient oral hygiene. It is much easier to care for an implantsupported crown, which can be cleaned like a natural tooth. In comparison, a tooth supported bridge requires the use of a floss threader for proper cleaning. It is also more convenient to clean a full set of implant supported replacement teeth than a traditional denture.

Improved appearance. Since implants preserve bone, preventing deterioration of the facial structures, appearance is improved. Collapse of the lower one-third of the face caused by complete tooth loss can be visually corrected and the remaining bone preserved. The appearance of wrinkles around the mouth caused by posterior bite collapse, or complete facial structure collapse is virtually eliminated.

Restored self-esteem and renewed self-confidence. Many of the people who now enjoy the benefits of implant supported replacement teeth state that their self esteem and self confidence have been restored as a result of improved appearance, function, comfort, and health.

Overall quality of life is enhanced with replacement teeth that look, feel and function like natural teeth. With implant supported replacement teeth, the appearance of the smile is more natural and the teeth function more like natural teeth. The result is increased comfort and confidence when smiling, speaking, and eating. If dentures and partials are replaced with implant supported teeth, the overall enhancement in quality of life is even more significant, with an ability to eat all types of foods, elimination of messy adhesives, and improved speech, comfort and appearance.

Bone Grafting For Dental Implants

Following tooth extraction there is often resorption of the surrounding bone, resulting in loss of both bone height and width. As bone resorbs the overlying gum tissue also tends to lose both volume and its normal anatomic form. This loss of bone and gum tissue following tooth extraction often results in both functional and cosmetic defects, leaving an unsightly collapsed appearance.

At DR.JANGALA KNM SMILE we take a proactive stance on bone preservation, and because of advances in grafting procedures and bioengineering, bone and gum tissue loss following tooth removal can either be greatly reduced or completely eliminated. This proactive technique is termed ridge preservation bone grafting. Following the removal of a tooth, a specially bioengineered graft material is placed within the extraction socket. The bone graft material not only supports new bone growth, but also has been shown to preserve bone and overlying soft tissue following tooth removal.

For those patients that have had teeth missing for some time with typical resultant bone loss, Dr.Jagala employs several bone grafting techniques to restore deficient areas, thereby creating implant placement possibilities which would otherwise be absent. These techniques include sinus lift and bone grafting for the upper maxillary posterior deficient bone areas, cortical block grafting also referred to as onlay block grafting for deficient ridge height, ridge split widening and bone grafting for deficient bone ridge width. The grating techniques can employ a variety of sources of bone ranging from the patient (autologous), form human cadaver sources (allograft), animal sources (bovine bone), and synthetic bone substitutes.

Computer Guided Dental Implant Tooth Replacement

Guided implant surgery is the most advanced dental implant placement technique available today and uses a patient’s CT images to plan implant surgery through computer software. Conventional implant planning via panoramic x-ray images has its limitations as precise execution according to the surgery plan is often difficult. However, guided implant surgery can be executed accurately and precisely as planned.

Guided implant surgery requires the following:

GMedical or Cone-beam CT

Guided implant surgery dental implant kit

Custom surgical template created for each individual patient case

Implant planning software such as NobelGuide™

NobelGuide™ is a revolutionary treatment planning and surgical implementation software system from Nobel Biocare that incorporates 3-D CT scans, sophisticated computer CAD-CAM software, and biomedical engineering; all coming together to enable Dr. Jangala to carry out implant procedures with unrivaled accuracy and ease and to provide patients with the best implant experience for practically all types of tooth replacement needs.

By planning your treatment and transforming this into a surgical template there is a higher degree of safety and predictability compared to “freehand” implant placement.

This treatment method reduces discomfort and swelling considerably for our patients compared to conventional treatment. The new concept also reduces the number and duration of appointments for our patients, which means fewer interruptions in everyday life.

Dental Implant Overview

The dental implants used by most dental implant specialists today are root-form implants. Translated, they are substitute tooth roots, used to replace the natural tooth roots in areas of the mouth where teeth are missing. It is vitally important to replace the tooth root and not just the visible part of the tooth (crown) because the natural tooth roots, which are embedded in the bone, preserve the bone.

When the tooth roots are missing, the bone that previously supported those teeth melts away, or deteriorates. This process is called bone resorption. The impact of deteriorating bone from complete tooth loss includes collapsed facial profiles, lost lip support, increased wrinkles around the mouth and the appearance of a pointed nose and chin that are too close together.

However, the bone can be preserved by replacing missing tooth roots with dental implants. Since the bone actually forms a strong bond to the implants, they can serve the same functions as natural tooth roots: a strong foundation for biting and chewing, and stimulation for the bone to hold it in place.

Dental implants are small and made of titanium, a biocompatible material that is not rejected by the body. With an overall success rate of 95% and over, with an additional 40+ years of clinical research, dental implants have the best long-term prognosis of any method of tooth replacement.

A tooth replaced by a dental implant has three components to it: The implant itself, which replaces the missing natural tooth root. The abutment, which is a post that connects to the implant, protrudes through the gumline, and acts as a support to attach the artificial tooth crown. The crown, which is made from porcelain and is either screw-retained or cemented to the abutment permanently for a naturally beautiful final tooth restoration. None of these components are subject to bacterial invasion and subsequent decay, as natural teeth and traditional dental crowns and bridgework, and dental implants are designed for a lifetime.

Our Team

Dr. Jangala Hari

Prosthodontist & Implantologist

Dr. M.Mahesh Babu

Prosthodontist & Implantologist

Dr. Srilaxmi

Periodontist

Dr. G.V.Seshu

Oral & Maxillofacial Surgeon

Dr. Kiran Koora

Pedodontist

Dr. M.Thirumal Naik

Orthodontist

Dr. Harshanandan B

Orthodontist

Dr. C.K.Anil

Endodontist

Dr. Preethi Buelah

Resident Doctor

Dr. Divya Jyothi

Resident Doctor