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Jaw Surgery and Dental Implants in Singapore Blog

Implant Dentistry; General Dentist or Specialist?

bigstock-Woman-Dentist-Giving-Her-Patie-69458989-2There has been much debate in recent weeks within the dental profession about the competency of dentists to do certain procedures. The issue has attracted a lively debate amongst various dental organizations. The Ministry of Health and the Singapore Dental Council has begun seeking feedback on “Better competency development for safe and quality dental care for patients”. Two of the oft-cited procedures that were considered to be of higher risk and may need additional training and certification are implant dentistry and wisdom tooth surgery. While this debate is on-going who should patients requiring such service go to? We will address the issue of implant dentistry first.

 

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Dental Implant Complications in Singapore

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As dental implants becomes increasingly popular as teeth replacement, more and more people are having dental implants in their jaws. Today, it is has become a mainstream treatment in many clinics. Along with it widespread adoption, the incidence of complications arising from dental implants is also rising. Countries that have an earlier adoption of dental implants on a widespread scale are beginning to see many complications surfacing. This trend is also beginning to appear in Singapore.

 

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Dental implants- the $200,000 mouth and the $6 million man

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 Cost of dental implants in Singapore is the second most important concern of patients seeking dental implants. The first concern is fear. Fear, daunting as it is, can be overcome with education. Cost, however, is a greater barrier as it cannot be easily bridged, especially when the amount runs into six figures. Yes, six figures. Many patients have that incredulous look as I explain the hundred thousand dollar treatment plan. But there is hope.

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What are the alternatives to sinus bone grafting in Singapore?

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Many patients who need dental implants to replace their missing molars do not have sufficient bone and hence need sinus bone grafting to augment the bone mass to house the implants. Although sinus bone grafting has already evolved to be a commonly done procedure with good results, many patients are understandably concern and would like to avoid it if possible. Some may have a history of sinus disease and entering the sinus for bone grafting may cause a relapse of the disease. In others, there may be ongoing sinusitis which contraindicate the procedure altogether. For these patients, what are the alternatives?

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Types of sinus bone grafting for dental implants in Singapore

Sinus_bone_graft_8.pngReplacement of missing molars and premolars in the upper jaw with dental implants is often challenging due to a lack of bone. Above the roots of the molars and premolars is the maxillary sinus, which is an empty space within bone that is lined by a layer of tissue which secretes mucous. The mucous helps to humidify the air as it enters through the nose on the way to the lungs. These cells lining also contain hairlike structures that function like a broom, sweeping the mucous and any foreign particles that is trapped in the mucous, out of the sinus and into the nose where they are discharged. There are three other pairs of sinuses in the human skull, serving the same function. In Oriental patients, the maxillary sinus tends to expand quite rapidly with age. In adults, it is not uncommon to have the sinus dipping down between the roots of the molars and premolars.

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Nerve transposition for dental implants in Singapore

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Dental implant placement depends on the availability of bone. In the case of missing lower molars, bone is usually sufficient but it is complicated by the fact that there is a nerve running through the back of the lower jaw. This nerve, known as the inferior alveolar nerve and commonly referred to as the inferior dental nerve (IDN), provides sensation to the lower lip. When this nerve is located too close to the crest of the edentulous jaw, it leaves very little bone for placemetn of implants. In this situation, the nerve must be moved aside before implants can be placed. This is a procedure commonly known as nerve lateralization or tranposition.

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NobelGuide- CT guided dental implant placement

 

NG1.pngA 60 year old man came into the clinic with a newspaper cutting showing a certain way of doing dental implants and requested for it. The implant company that came up with this technique was marketing direct to the consumers through the mass media. The idea of placing 8 implants on one jaw and attaching a fixed prosthesis onto them immediately was an attractive proposition. To top it off, the whole procedure was to be completed in two hours, with no pain. That was the NobelGuide system. How does is it work?

 

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What is the cost of zygomatic dental implants in Singapore?


bigstock-Funny-Old-Man-5781083.jpgOnce of the common problems in oral rehabilitation with dental implants is the lack of bone in the jaw to place an implant. This is especially the case for patients who have lost all their upper teeth for a long time and have been using a removable denture for years. The pressure of a removable denture resting on the surface of the bone causes significant bone resorption. Converting to a fixed implant supported prosthesis is often impossible without resorting to reconstructive jaw surgical procedures such as bone grafting, distraction osteogenesis and even orthognathic surgery. The objective of such augmentative procedures is to “normalize” or “idealize” the jaw for placement of dental implants. However, the process is usually long drawn, requiring multiple surgeries spread over several months. The zygomatic dental implant seeks to circumvent these procedures and shorten the treatment duration and minimize the number of steps needed.

 

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Dental implants are becoming more affordable in Singapore

bigstock-Coins-in-glass-money-jar-with--86673011.jpgWe often read about rising healthcare costs and how governments try different ways to tackle the problem. It is a problem that affects all countries, big or small, rich or poor. In Singapore, the recently revamped Medishield scheme together with integrated shield plans, is one way of managing the problem. These insurance policies are designed to cover the major hospitalization expenses. In addition, Medisave has been made accssible for use in outpatient surgical procedures, instead of being limited to inpatient treatment. Dental implant surgery is one the procedures whereby the patient’s Medisave account can be used to pay for the treatment costs.
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What is the cost of All-on-4 dental implants in Singapore?


4340759130_a68503474a_n.jpgAll-on-4 dental implant treatment protocol is gaining popularity around the world and is beginning to catch on in Singapore. There were a lot of skepticism about this protocol when it was first introduced as it required a significant change of mindset to accept that four implants angulated divergent from one another could predictably support a fixed prosthesis. Now that there are scientific publications in refereed journals documenting their success, it is beginning to gain traction. Cost is one of the major advantages of this protocol. By using fewer implants and by avoiding bone grafting, significant costs were saved. So, how much does it cost to do an All-on-4 dental implant prosthesis?

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