From 2000 onwards dental implants have become more acceptable to the dentists and in the past five years or so general dentists have become more and more aware of the procedure as have the general population.
In Pakistan Dr. Amin ur Rahman introduced implant dentistry in 1986, and since then has been in continuing to place and restore dental implants in thousands of his patients. In addition he has been instrumental in teaching almost all the dentists in Pakistan who are doing implants and they are mostly his students.
Implant dentistry is best performed with a team approach, the surgeon, (who surgically places the implant) the prosthodontist (who places the tooth on the implant) the laborotary technician (who makes the tooth) the hygenist makes sure your mouth is clean and healthy, and the auxillaries in the dental office who take care of sterilization, office records, xrays and other important tasks, and a solid reputable implant company whose products are well researched.
With this team approach in mind the Implant Center in Islamabad is the first fully integrated implant center in Pakistan.
The human tooth is composed of a crown which is the part visible in the mouth and a root, which is embedded in the jaw bone and is covered by the gum tissue also called the gingiva. When a tooth is removed for any reason, the best way to replace the missing tooth which is as close to nature, harmonious with the surrounding structures and almost life long is a DENTAL IMPLANT.
A dental implant replaces only one part of the tooth.the root, so keep in mind that the implant itself is just a screw placed in the bone, when it is placed you don't even see it, it is embedded in the bone and covered by your gums. The tooth is then placed on the implant after a waiting period, so the implant is just like a nail in the wall on which you then hang a picture (in very simple terms). The tooth is all that you see in your mouth after we take an impression and color match your other teeth.
Dental implants are a relatively new science in dentistry. Since time immemorial humans have been having some sort of dental work done be it either tooth extractions, some sort of filings, root canals etc, historically, the province of Baluchistan in Pakistan has yieded skeletons with teeth having fillings dating back to the stone age, the Phoroas of Egypt had hot metals inserted into their roots, the first recorded root canals, and this was 5000B.C.
Dental implants were first introduced in Sweden in the 1970's by a Orthopedic surgeon Prof. Branemark. He is regarded as the founder of dental implants. Branemarks theory was that as an orthopedic surgeon if they can place screws and plates in long bones of the legs or arms or any other part of the bone in the human body, then why cannot we do so in the jaw bones. They started experimenting with various metals on animals first and after determining that TITANIUM, an inert metal is most suitable in strength, compatibility and long lasting first human trials were begun in the late 1960's and dental implants became commercially available in the 1970's.
Dentists did not accept this new form of dental treatment and a lot of resistance was put up. But finally in the early 80's there was a consensus conference at Harvard that dental implants are a viable, effective alternative to replace missing teeth that the dental community slowly started to accept this procedure. Dr Amin ur Rahman was a post-graduate student at Harvard and was part of the team that was doing the fundamental research, so he is considered one of the few dental surgeons worldwide who have a long and rich experience in dental implants.
BEFORE YOUR SURGICAL PROCEDURE AT THE IMPLANT CENTER
First and foremost before any surgical procedure is started we take a complete medical history. Your general medical condition can have an effect on the success or failure of dental implants. The medications you take be it blood thinners, steroids, heart meds, diabetics meds etc MUST be told to us before we start. As long as the information is provided truthfully, then we follow a recommended pathway to determine if you are healthy enough to have the implant or we get in touch with your general physician to make sure that you get healthy.
X-rays will then be taken to determine your bone levels and an impression will be taken to make a study cast to see where we will place the implants and if you have enough bone. A complex algorithm is then followed to determine which size implant, what length of implant, what abutment and what type of tooth will best suit your condition. Once we are through with your analysis then a complete written estimate will be given to you explaining each and every aspect of the procedure, the estimated costs and if any change in your medications are required
THE DAY OF SURGERY AT THE IMPLANT CENTER
Dental implant surgery in general in not a painful procedure. It is only in rare cases that w give you sedation and only and only if you are very distraught about the procedure. We might prescribe a tranquilizer the night before and the morning of the procedure as long as you are not driving yourself. Before we start you will be given an antibiotic and a pain medication.
In the surgical suit you will be asked to rinse your mouth with an antiseptic mouth wash your face will be scrubbed with an antiseptic and you will have a sterilized sheets placed over you. We will scrub just like in an operation theater and start the procedure