Q&A

• Before surgery, you will be given analgesic and sedatives. Use sedatives when you have anxiety, nervousness
• During surgery, the doctor will completely block the sensory nerve that govern the implant area, so you will not feel anything during the surgery.
• After surgery, the doctor will carefully guide you on how to take medicine and clean your teeth so that the implant heals quickly

Special anatomical structures in the maxillofacial region include:

• Maxillary sinus in the maxillary bone
• Mandibular neural tube in mandibular bone

Currently, our clinic uses CT-Conebeam film system to help doctors survey, measure and choose the suitable type of Implant to avoid damage to the anatomical structures.

The payment for Implant treatment will be divided into 2 stages:

• Stage 1: Payment of 70% before surgery, cost for Implant post and consumables during surgery
• Stage 2: 30% payment when completing dentures on Implant (usually after 3-4 surgeries)

All-on-4 and All-on-6 are implant techniques in which the entire upper or lower jaw is replaced with only 4 or 6 Implant posts. These Implant posts are puted into the jawbone at pre-calculated positions to ensure the load capacity for the fixed teeth later.

If the full removable prosthesis could cause entanglement and fall during use, now with the All-on-4/All-on-6 technique, the denture will be fixed on the implant, ensuring chewing function and stability during use

• Loss of one, more or all of the teeth in the jaw
• Age: over 18 years old (to ensure stable bone development) and under 80 years old (to limit implant failure to integrate into bone).

• People who are suffering from oral diseases: gingivitis, periodontitis, .... need to cure their oral condition before implantation.
• Cases of long-term tooth loss, tooth loss due to trauma causing much bone loss need to be bone grafted at the same time or before implantation.
• Smokers should stop smoking 2 weeks before the transplant and 8 weeks after the transplant.
• Diabetics need stable blood sugar control
• Patients with high blood pressure need medication to control blood pressure

• History of myocardial infarction, cerebrovascular accident
• Heart valve replacement (using anticoagulants)
• Blood is hard to clot
• Undergoing cancer treatment
• Psychosis

• The cost is from 15,000,000 to 20,000,000 depending on the type of implant you use

– The most common risk is that the implant is loose, does not integrate the bone and will be rejected by the body (about 5% according to reports in the world). The actual rate at International Implant Dentistry is about 2%.

The cause of implant rejection can come from many factors:

The placement of the Implant is not favorable (too little bone will make it difficult for the Implant to integrate the bone, loose, easy to expose the Implant): at Danang International Implant Dentistry, cases of bone deficiency will be grafted with autologous bone or artificial bone before implant placement.
Because the implant placement area is infected, the body's inflammatory mechanism: It is possible to limit this cause by treating existing oral diseases, ensuring aseptic work during surgery.
Because the body's immune system "does not accept" the Implant, self-rejects the Implant: in this case, the Implant will be eliminated naturally even if it is properly performed according to the standard procedure, but those who have an immune response Implant only accounts for a small percentage of the population.

– Implants through maxillary sinuses (for the upper teeth), invasively compressing the lower jaw nerve, causing numbness, paresthesia of lips, cheeks, and tongue. The causes of the above complications are common due to not doing well the survey and evaluation before surgery. At Danang International Implant Dentistry, we use Conebeam - CT HDX Will film, which can survey special structures in the jawbone.

Porcelain veneer is an aesthetic restoration method by using a thin layer of porcelain, only 0.3 - 0.5 mm, glued to the outer surface of the tooth with specialized dental glue.

In which cases should porcelain veneers be applied:

• Not satisfied with the color and shape of the front teeth. Not confident with his smile.
  Chipped teeth.
  Teeth are stained yellow due to food, smoking for a long time.
  Teeth discolored due to antibiotics, fluorosis
  The front teeth are slightly displaced. Porcelain veneers cannot be used to correct misaligned teeth because only very little tooth tissue to prepare porcelain veneers. So it is not possible to adjust the inclination of the teeth, in this case, orthodontics or all-porcelain teeth are the choice better.

High-grade all-ceramic teeth will have the same aesthetic as real teeth (Emax porcelain teeth) and higher hardness than real teeth (DDBIO, Lava, Amber porcelain teeth)

• Porcelain teeth - titanium: Has a titanium frame with a metallic color and is covered with a layer of porcelain similar to the color of the teeth
  All-porcelain teeth: Cut from porcelain, so it has a high aesthetic value

Cost of porcelain teeth:

• Porcelain veneers do not need grinding or are very thin from 0.3 to 0.5 mm, so they hardly cause sensitivity or affect the real tooth tissue.
• All-porcelain teeth need to grind more tooth tissue, so in some cases, it can cause sensitivity

Veneer has a hardness of up to 400 Mpa (real teeth have a hardness of 80 - 120 Mpa) so you can eat and chew like normal teeth.

Porcelain veneers, if properly applied, cannot fall off during use

Cost of porcelain veneers

Depending on the misalignment of the teeth and bite, the doctor will advise whether to braces for 1 jaw or 2 jaws. Due to the case of teeth with misalignment and a lot of misalignment, the doctor needs 2 jaw braces to adjust to the natural physiological bite.

The average time of orthodontic treatment - braces is from 1.5 to 2 years. Due to body physiology, each tooth can only move up to 1mm / 1 month, if you move more, the bone will be irreversibly resorbed.

• After the first few days of braces, you may experience some discomfort and mild pain, but after a short time you will feel normal.
• Orthodontists move teeth slowly, up to 1mm/month, so there will be no pain during braces

• Braces will help you have a beautiful smile with your natural teeth. However, the treatment time will be longer than porcelain crowns
• If you want to look natural with your real teeth, braces are the best choice

Due to the use of transparent trays instead of the bracket system for braces, most people do not know that you are wearing braces, ensuring absolute aesthetics.

You can almost eat and drink as usual, limit eating tough foods that can cause braces to loosen

You will be instructed by your doctor on how to use an interdental brush to clean your teeth during braces

Whether tooth extraction is painful or not depends on 3 main factors:

• Survey and assessment before tooth extraction: Before tooth extraction, the doctor will take a film to assess the condition of your teeth to be extracted.
• Experience of the doctor: An experienced doctor will completely numb the nerve branches that control pain in the area of the extraction.
• Equipment and instruments: Using advanced machines will help minimize soft tissue damage and shorten surgery time, thereby minimizing pain after tooth extraction.

With the support of the CT-Conbeam film system, the doctor can survey the special structures of the jawbone and completely control the extraction process, so there is almost no danger.

The nervous system in the pulp has only one function, which is to control the sensation of that tooth, and is not related to the central nervous system.

Before tooth extraction, the doctor will take X-ray examination to completely eliminate the risk of damage to special anatomical structures when removing teeth.

Tooth extraction is a common surgery in dentistry, most cases of tooth extraction are simple and gentle, painless.

Most cases of tooth extraction are due to damaged teeth or wisdom teeth that are misaligned, causing local inflammation, swelling, and pain complications that affect quality of life, so tooth extraction does not reduce life expectancy but also helps improve quality of life.

Piezotome replaces the handpiece to perform the osteotomy - division of the tooth root, instead of using the frictional force caused by the rotation of the drill, it uses the energy of high-frequency ultrasonic vibration and watering.

Advantages of Piezotome: Only affects hard tissue, does not affect soft tissue (gums), so it limits bleeding and reduces pain after surgery.

In cases where the tooth is traumatized to expose the pulp or the tooth is infected with pulp necrosis, the doctor will completely remove the injured or infected tooth pulp in the chamber and canal. Then replace with biocompatible root canal filling materials

Where in the past it would take a minimum of 2-3 appointments to complete a root canal treatment, now endodontic treatment can be done in one appointment.

For one-time endodontic treatment, the doctor needs to have the support of a mechanical root canal system and ensure absolute sterility during the treatment.