รากฟันเทียม

What Are Dental Implants? Are They Truly the Best Option for Tooth Replacement?

Dental implants represent the most advanced and effective solution for replacing missing teeth. Designed to replicate the form, function, and aesthetics of natural teeth, implants offer unparalleled benefits in terms of both appearance and performance.

While the initial investment in dental implants may be higher than other restorative options, their durability—often lasting 10 to 20 years or more with proper care—makes them a highly cost-effective long-term solution.
At SMILE & CO. Dental Clinic, patients are invited to consult with implant specialists from Mahidol University with free of charge. We recommend reading through all relevant informations before proceeding with implant treatment to ensure optimal outcomes.

What Are Dental Implant?

A dental implant is a titanium-based artificial root that integrates seamlessly with the jawbone, providing a stable foundation for crowns, bridges, or dentures. Due to its biocompatibility, titanium is well-accepted by the human body and fuses naturally with bone through a process called osseointegration. This allows dental implants to function almost identically to natural teeth—firm, non-removable, and aesthetically pleasing

Before implant placement

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After implant placement

ทำรากฟันเทียมทดแทนฟันที่หายไป

The Impact of Tooth Loss on Oral and General Health

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Tooth loss, whether of a single tooth or multiple teeth, can lead to a cascade of oral health issues if not addressed promptly:

  1. Shifting of Adjacent Teeth – Neighboring teeth may drift into the gap, causing misalignment and increasing susceptibility to decay and periodontal disease.

  2. Overeruption of Opposing Teeth – Opposing teeth may elongate unnaturally into the empty space, often leading to sensitivity and further complications.

  3. Overloading of Remaining Teeth – Fewer teeth share the burden of chewing, which can cause undue stress, leading to fractures or premature wear.

  4. Facial Collapse – Loss of vertical dimension from missing back teeth can lead to facial sagging and premature wrinkles.

  5. Aesthetic and Psychological Impact – Gaps in the smile, especially in the front, can greatly affect self-confidence and social interaction.

How Dental Implants Improve Oral Function and Aesthetics

Dental implants restore function and appearance while preventing the above complications. Their stability preserves bone structure, maintains proper bite alignment, and enhances confidence through a natural-looking smile.

Who Is an Ideal Candidate for Dental Implants?

  1. Individuals with one or more missing teeth seeking a fixed solution.
  2. Patients aged 18 or older with fully developed jawbones.
  3. Individuals in good general health or with controlled medical conditions who can attend regular follow-ups.

Components of a Dental Implant System

ส่วนประกอบรากฟันเทียม
  • Implant Fixture – A screw-like component surgically placed in the jawbone to act as a root substitute.
  • Abutment – Connects the implant fixture to the crown and supports the prosthetic structure.
  • Crown – The visible tooth replacement, typically made from high-grade ceramic that mimics natural tooth aesthetics.
  • Prosthetic Components – Includes bridges or dentures attached to implants using dental adhesives or mechanical locking.

Different Types of Dental Implants

  • Single Tooth Implant
  • Multiple Implants
  • Implant-Supported Bridges
  • Full-Arch Replacements (Implant Overdentures)
  • All-on-4 Implants – A cost-effective solution for full-mouth rehabilitation.

Same-Day Dental Implants: Treatment Completed in One Visit

This technique allows for tooth extraction, implant placement, and provisional crown installation in a single visit. While ideal for some cases, suitability must be thoroughly assessed through 3D imaging and bone quality evaluation.

Advantages and Limitations of One-Day Dental Implants

Pros (Advantages):

  1. Immediate Aesthetic and Functional Restoration Patients can leave the clinic with a temporary prosthetic in place, allowing them to smile, speak, and function confidently on the same day.

  2. Reduced Treatment Time The overall duration of treatment is significantly shortened, eliminating the need for multiple surgical appointments spaced over several months.

  3. Preservation of Soft and Hard Tissues Immediate placement helps preserve gingival contours and alveolar bone, minimizing post-extraction bone resorption and maintaining facial aesthetics.

  4. Fewer Surgical Interventions Combining tooth extraction, implant placement, and temporary crown delivery into a single visit reduces the number of surgeries and anesthesia administrations.

  5. Psychological and Emotional Benefits Same-day results often enhance patient satisfaction and emotional well-being, particularly in cases involving front teeth or highly visible areas.

Cons (Limitations):

  1. Case Selection Is Critical Not all patients are suitable candidates. Adequate bone volume, good oral health, and absence of infection are essential for success.

  2. Higher Risk of Implant Failure Immediate loading may introduce micromovements that can compromise osseointegration, especially if occlusal forces are not well-controlled.

  3. Increased Complexity in Planning Accurate 3D imaging, meticulous surgical technique, and precise prosthetic planning are crucial. The margin for error is smaller compared to staged implant procedures.

  4. Temporary Prosthesis Limitations The initial prosthetic crown is usually provisional and may not withstand full chewing forces, requiring patient compliance with soft diet instructions.

  5. Potential for Additional Costs Due to the advanced technology, materials, and expertise required, same-day implants may come with a higher initial cost compared to conventional options.

Types of dental implants

  • Classifications of Dental Implants Based on Function and Design
    Conventional Implants – Require a healing period post-extraction before implant placement (3–6 months).
  • Immediate Placement Implants – Implants are placed immediately after extraction, reducing overall treatment time.
  • Immediate Loading Implants – Crown is placed on the same day as the implant, best suited for select cases with strong bone quality and favorable occlusion

Step-by-Step Guide to the Dental Implant Procedure

Surgical Placement of the Implant Fixture

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  • Initial Consultation & Diagnostics

    • Clinical examination, X-rays, and 3D imaging

    • Treatment planning, including surgical guides if needed

    • Pre-treatment discussions (bone grafts, sinus lifts, etc.)

  • Implant Surgery

    • Performed under local anesthesia (approx. 1–2 hours)

    • Post-surgery follow-ups, suture removal after 1 week

Crown Placement

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  • Typically 3–6 months post-surgery

  • Crown fabrication through dental impressions

  • Final fitting and occlusal adjustment

  • Aftercare & Maintenance

  • Regular follow-up visits at 1, 3, 6 months, and annually

  • Personalized oral hygiene instructions

Patient Case Studies and Testimonials

เคสรากฟันเทียม Astratech ฝังบริเวณฟันหน้า 3 ซี่ ร่วมกับการปลูกกระดูกแบบ particulate bone graft

This challenging anterior implant case involved the placement of three AstraTech implants with a 1:1 protocol. The treatment was complemented by a particulate bone grafting procedure to optimize the aesthetic contours of the alveolar ridge, ensuring natural-looking results in the anterior maxilla.

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Long-Term Success in Implant Dentistry

Successful implant treatment is not defined solely by the surgical placement of the implant or the final prosthetic restoration. Rather, it requires ongoing professional maintenance and patient compliance to ensure optimal long-term outcomes.

In this case example, the patient underwent implant placement followed by consistent follow-up care. With excellent oral hygiene and regular evaluations, the peri-implant bone has remained healthy and stable, exhibiting no significant changes—maintaining the same integrity as on the day of placement.

รักษารากฟันเทียม พร้อมจัดฟัน invisalign

Multidisciplinary Treatment: Orthodontics and Implants for Functional and Aesthetic Rehabilitation

Initial radiographs revealed significant occlusal and periodontal deterioration: over-eruption of the maxillary molars, mesial tipping of the mandibular molars into the edentulous space, periodontal inflammation, and diastema formation in the anterior mandible.

To address the consequences of missing teeth, prosthetic rehabilitation was essential. The patient presented with spacing issues and a desire for complete dental function and aesthetics.

An orthodontist initiated a treatment plan using Invisalign to close anterior spacing and intrude the over-erupted upper molars. Once proper alignment and occlusion were achieved, surgeon proceeded with implant placement to replace the missing posterior teeth. This multidisciplinary approach restored optimal oral health, masticatory function, and provided the patient with a confident smile.

เคสรีวิวรากฟันเทียม 2 ซี่ เคสฟันเขี้ยว ฟันตัดข้างหาย

Replacement of Missing Canine and Lateral Incisor with Implants

In this case, both the canine and lateral incisor were missing. The patient was successfully treated with two dental implants placed by Surgeon, followed by the prosthetic restoration with custom abutments and implant crowns, resulting in a functional and aesthetically pleasing outcome

Dental Implant Pricing and Cost Considerations

For many individuals considering dental implants, one of the most frequently asked questions is: “How much do dental implants cost?” The cost of implant-based prosthodontics varies depending on the complexity of the oral condition and the specific needs of the patient.

At SMILE & CO. Dental Clinic, we offer a flexible pricing structure. For patients who may not be able to make a full upfront payment, we also provide convenient installment plans to ensure greater accessibility to high-quality dental implant services.

Dental Implant Pricing (Including All-Ceramic Crown)

Implant Brand Total Price (THB)
Hiossen Implant (United States) 39,000
Astra Tech Implant (Sweden) 59,000
Straumann Implant (Switzerland) 65,000

  • The prices above include a high-quality all-ceramic crown.

  • Prices do not include X-rays, any additional surgical procedures such as bone grafting, sinus lifts, or the cost of medications and clinical supplies.

All implant packages are eligible for installment payment plans, making treatment more financially manageable.

How Many Brands of Dental Implants Are Available?

Currently, the following globally recognized dental implant brands are utilized in clinical practice:

  • Hiossen – A premium brand developed in the United States
  • Astra Tech – A highly respected implant system from Sweden
  • Straumann – One of the most reputable brands from Switzerland

All implants are paired with high-quality all-ceramic crowns, ensuring optimal aesthetics and function. Notably, both Astra Tech and Straumann offer a lifetime warranty on their implant fixtures (the implant body placed in the bone), reflecting their commitment to long-term success and reliability.

Timeline for Dental Implant Treatment

Dental implant treatment is generally divided into two main stages:
Implant Placement Phase:

  1. During this initial stage, the implant fixture is surgically inserted into the jawbone. A healing period of approximately 3 to 6 months is required for osseointegration (the process by which the implant fuses with the bone). The duration depends on factors such as the patient’s bone quality and the type of implant system selected.
  2. Restorative Phase: Once the implant has securely integrated with the bone, a customized prosthetic crown is attached to restore both function and aesthetics.

How Dental Implants Work

Dental implants are typically made of titanium or biocompatible ceramic materials, and structurally resemble small screws. These implants serve as artificial tooth roots and act as stable foundations for crowns, bridges, or dentures.
The overall treatment period ranges between 3 to 6 months, subject to individual factors such as:

  • Jawbone density and health
  • Number of missing teeth
  • Complexity of the surgical site

Pre-Treatment Preparation for Dental Implants

To ensure successful outcomes, the following preparatory steps are recommended:

  • Comprehensive Consultation: A detailed evaluation with a prosthodontist or oral surgeon to determine the number of implants needed and whether bone grafting is required.
  • Medical Disclosure: Patients with systemic health conditions should inform the dentist, allowing for proper risk assessment and preoperative planning.
  • Advanced Imaging: In cases involving multiple implants or significant bone loss, 3D CBCT scans (Cone Beam Computed Tomography) are recommended for precise surgical planning

Post-Treatment Care and Maintenance of Dental Implants

To ensure optimal healing and long-term success of dental implants, the following comprehensive post-operative guidelines are advised:

  1. Immediate Post-Surgical Care:
    1. Avoid disturbing the surgical site: Do not touch, rinse, or spit forcefully for the first 24 hours to allow for clot stabilization.
    2. Apply cold compresses intermittently for the first 24–48 hours to reduce swelling.
    3. Limit physical activity: Avoid strenuous exercise or heavy lifting for a few days post-surgery.
    4. Sleep with head elevated for the first few nights to minimize swelling and bleeding.
  2. Dietary Recommendations:
    1. Soft diet only for the initial 7–10 days: Avoid hard, crunchy, or sticky foods that may dislodge the healing implant or sutures.
    2. Stay hydrated, but avoid using straws which may create negative pressure and disrupt healing.
    3. Avoid alcohol and smoking, both of which are known to significantly impair healing and increase the risk of implant failure.
  3.  Oral Hygiene Protocol:
    1. Gentle brushing with a soft-bristled toothbrush can be resumed 24–48 hours post-operatively, avoiding the surgical site.
    2. Antibacterial mouthwash (e.g., chlorhexidine gluconate 0.12%) may be prescribed to reduce microbial load in the healing phase.
    3. Water flossers and interdental brushes should be introduced carefully once healing permits, particularly around prosthetic crowns.
  4.  Follow-Up and Monitoring:
    1. Scheduled post-op visits are essential to monitor healing, remove sutures if necessary, and assess osseointegration.
    2. Annual radiographs may be recommended to evaluate peri-implant bone levels.
    3. Professional cleaning should be performed at least twice annually, using instruments safe for implants (e.g., plastic or titanium scalers).
  5.  Lifestyle and Risk Management:
    1. Bruxism (teeth grinding): Patients with parafunctional habits may require a nightguard to protect implant-supported restorations.
    2. Systemic health: Control of conditions like diabetes or osteoporosis is critical, as these can affect bone metabolism and implant longevity.
    3. Medications: Inform your dentist of any changes in medication, especially bisphosphonates, which may affect bone healing.

Comparison of Dental Implants, Fixed Bridges, and Removable Dentures

รากฟันเทียม สะพานฟัน ฟันปลอมถอดได้

When replacing missing teeth, patients may consider three main options: dental implants, fixed dental bridges, and removable dentures. Each solution offers distinct advantages and limitations, depending on the patient’s oral condition, lifestyle, and long-term goals. Below is a professional comparison table outlining the key differences among these options:

Criteria

Dental Implants

Fixed Bridges

Removable Dentures

Longevity

15–25+ years with proper care

7–15 years

5–10 years

Bone Preservation

Yes – stimulates and preserves jawbone

No – bone resorption may occur over time

No – accelerates bone resorption in edentulous areas

Stability

Excellent – fixed in bone

Good – cemented to adjacent teeth

Moderate – may shift or loosen

Impact on Adjacent Teeth

None – does not involve neighboring teeth

Requires preparation of adjacent teeth

None, but may place pressure on surrounding soft tissue

Aesthetics

Highly natural appearance, especially in anterior zone

Good, but may not match gum contours perfectly

May appear less natural; visible clasps possible

Functionality

High chewing efficiency, similar to natural teeth

Good – restores function but less than implants

Reduced chewing ability compared to fixed solutions

Comfort

Feels like natural teeth

Generally comfortable

May cause sore spots or require periodic adjustments

Maintenance

Requires regular hygiene and professional checkups

Requires meticulous flossing under the bridge

Must be removed and cleaned daily

Suitability

Ideal for patients with sufficient bone and good general health

Suitable for cases with healthy adjacent teeth

Suitable for multiple missing teeth or when implants/bridges are contraindicated

Cost

Highest initial investment; cost-effective long-term

Moderate

Lowest initial cost; may require replacement over time

Conclusion:
Dental implants are often considered the gold standard for tooth replacement due to their durability, bone-preserving benefits, and natural aesthetics. Fixed bridges serve as a reliable alternative when implants are not feasible, especially in cases with healthy neighboring teeth. Removable dentures, while more economical, may offer limited comfort and function and typically require ongoing maintenance and eventual replacement.

Advantages and Limitations of Dental Implants

Advantages of Dental Implants:

  1. Enhanced Confidence and Aesthetics: Dental implants significantly improve one’s appearance, allowing patients to speak and smile confidently and without hesitation.

  2. Improved Oral Health: By restoring the integrity of the oral structure, implants help preserve gum tissue and prevent bone loss, supporting long-term periodontal health.

  3. Improved Chewing Efficiency: Implants restore the full function of natural teeth, enabling patients to chew comfortably and eat a well-balanced diet without restriction.

  4. Clearer Speech: Missing teeth or ill-fitting dentures can affect speech. Implants provide stable support, allowing for improved pronunciation and clarity.

  5. Reduced Oral Discomfort: Patients often experience a significant decrease in concerns related to oral discomfort, instability, or pain commonly associated with traditional dentures.

Limitations of Dental Implants:

  1. Higher Cost: Compared to other prosthetic options, dental implants generally involve a higher financial investment.

  2. Age Restriction: Implants are not recommended for individuals under 18 years of age, as their jawbone growth may not be complete.

  3. Medical Conditions: Certain systemic health issues (e.g., uncontrolled diabetes, immunosuppression) may contraindicate or complicate implant procedures.

  4. Lifestyle Factors: Heavy smokers and excessive alcohol consumers may face increased risk of implant failure due to impaired healing and bone integration.

Frequently Asked Questions (FAQs) About Dental Implants

1. What are dental implants?

Dental implants are biocompatible titanium or ceramic posts that are surgically placed into the jawbone to replace missing tooth roots. They serve as a stable foundation for crowns, bridges, or dentures, mimicking the function and appearance of natural teeth.

2. Am I a candidate for dental implants?

Most individuals in good general health with adequate jawbone volume and healthy gums are suitable candidates for dental implants. However, patients with certain systemic conditions, such as uncontrolled diabetes or those undergoing chemotherapy, may require further evaluation.

3. How long does the dental implant process take?

The overall treatment timeline varies by case but typically ranges from 3 to 6 months, including the healing phase known as osseointegration—where the implant integrates with the surrounding bone.

4. Is the procedure painful?

Most patients report minimal discomfort during and after the procedure. Local anesthesia or conscious sedation ensures a pain-free experience, and any post-operative discomfort is generally well-managed with prescribed analgesics.

5. How long do dental implants last?

With proper care and maintenance, dental implants can last 10–20 years or more. The crown or prosthetic attached to the implant may require replacement due to normal wear, but the implant fixture itself can remain functional for decades.

6. How do I care for my dental implants?

Implants require the same level of care as natural teeth—twice-daily brushing, flossing, and routine dental check-ups. Using specialized implant floss or interdental brushes may be recommended to ensure optimal hygiene around the implant site.

7. What are the risks or complications associated with implants?

Though rare, complications can include infection, implant failure due to poor osseointegration, nerve damage, or sinus issues (for upper implants). Thorough evaluation and precise surgical planning greatly minimize these risks.

8. Are dental implants better than dentures or bridges?

Dental implants offer superior stability, aesthetics, and functionality compared to traditional dentures or bridges. They help preserve bone mass and do not require the alteration of adjacent teeth, which is often necessary with bridges.

9. How much do dental implants cost?

The cost of dental implants varies based on the brand, the complexity of the case, and whether additional procedures like bone grafting are required. While implants may have a higher initial cost, their longevity and performance often make them a cost-effective solution over time.

10. Are dental implants covered by insurance?

Coverage varies depending on the insurance provider and plan. Some dental insurance plans may partially cover the implant crown but not the surgical component. Patients are advised to consult their insurance provider for detailed benefits

Reference  Paper dental implant

  1. Wang, Hom-Lay; Boyapati, Lakshmi .“PASS” Principles for Predictable Bone Regeneration Implant Dentistry. 15(1):8-17, March 2006
  2. Misch, Carl E.; Perel, Morton L.; Wang, Hom-Lay . Implant Success, Survival, and Failure: The International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference .Implant Dentistry. 17(1):5-15, March 2008
  3. Sheridan, Rachel A.; Decker, Ann M.; Plonka, Alexandra B.; Wang, Hom-Lay . The Role of Occlusion in Implant Therapy: A Comprehensive Updated Review . Implant Dentistry. 25(6):829-838, December 2016.
  4. Steigenga, Jennifer T.; Al-Shammari, Khalaf F.; Nociti, Francisco H.; Misch, Carl E.; Wang, Hom-Lay . Dental Implant Design and Its Relationship to Long-Term Implant Success . Implant Dentistry. 12(4):306-317, December 2003
  5. Manzano, Guillermo; Montero, Javier; Martín-Vallejo, Javier . Risk Factors in Early Implant Failure: A Meta-Analysis . Implant Dentistry. 25(2):272-280, April 2016
  6. Trakas, Theodoros; Michalakis, Konstantinos; Kang, Kiho . Attachment Systems for Implant Retained Overdentures: A Literature Review . Implant Dentistry. 15(1):24-34, March 2006.
  7. De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: A review. Int J Oral Maxillofac Implants 2008;23:897–904
  8. Buser D, Broggini N, Wieland M, et al.  Enhanced bone apposition to a chemical-ly modied SLA titanium surface. J Dent Res 2004;83:529–533
  9. Gokcen-Rohlig B, Yaltirik M, Ozer S, Tuncer ED, Evlioglu G. Survival and success of ITI implants and prostheses: retrospective study of cases with 5-year follow-up. Eur J Dent 2009; 3: 42−49
  10. Zupnik J, Kim S-W, Ravens D, Karimbux N, Guze K. Factors associated with dental implant survival: a 4-year retrospective analysis. J Periodontol 2011; 82: 1390−1395

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ทันตแพทย์-ธนพล-อริยะนันทกะ-ทันตแพทยศาสตร์บัณฑิต-มหาวิทยาลัยมหิดล

ทพ. ธนพล อริยะนันทกะ

ประสบการณ์ทางการแพทย์

  • ทันตแพทยศาสตร์บัณฑิต (เกียรตินิยม) มหาวิทยาลัยมหิดล
  • Higher Graduate Diploma of oral and maxillofacial surgery Mahidol University
  • Residency training program of oral and maxillofacial surgery Mahidol University
  • Thai board of oral and maxillofacial surgery
  • Oral and maxillofacial surgeon at Phayathai2 hospital