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  1. #1
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    Kurgen's Avatar
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    Dentist for implants?

    My auld fella is coming over for 5 weeks at Chrimbo and is thinking of having a full set of implants done.

    Anyone got recc's and approx prices?

    Cheers

  2. #2
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    Albert Shagnastier's Avatar
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    ^Tell him to get dentures and spend the rest on beer.

  3. #3
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    Quote Originally Posted by Kurgen View Post
    My auld fella is coming over for 5 weeks at Chrimbo and is thinking of having a full set of implants done.

    Anyone got recc's and approx prices?

    Cheers

    Wot?!, he wants a boob job?

  4. #4
    Member Breny's Avatar
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    Thonglore dental hospital in Bkk is good and it has reasonable costs. Sukumvit 55 road Bkk.

  5. #5
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    Was hoping to set him up with a Pattaya based dentist.

  6. #6
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    Nedwalk had his whole rack done by the dentist in third road not far past the Pattaya sports club turn off heading towards Pattaya Klang. The dentist is a few shop houses down from the golf shop.

    He reckons a great job at a very fair price and a few other Teakdoor members use him.

  7. #7
    Sukhumvet
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    This one's already had them?


  8. #8
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    Dental Cosmetic and Implant Center

    I have no experience of implants, but ten years ago I made several visits to Bangkok hospital, Pattaya for root canal treatment.

    The dental dept. was highly recommended by several Thais to my wife, who is an ex-nurse. On each of about half a dozen visits the treatment was punctual, sanitary and effective.

    In the unlikely event that I'm ever based near Pattaya again this is the place I would be heading for dental treatment.

  9. #9
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    Quote Originally Posted by Loy Toy View Post
    Nedwalk had his whole rack done by the dentist in third road not far past the Pattaya sports club turn off heading towards Pattaya Klang. The dentist is a few shop houses down from the golf shop.

    He reckons a great job at a very fair price and a few other Teakdoor members use him.
    How much, any idea

  10. #10
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    going to a shophouse dentist for implants is akin to going to khlong toey market and buying caviar.

    dentistry here is pretty much unregulated, a dentist with little training in the specialism of implantology can set up a shiny office and promote himself as an implant specialist with little fear of prosecution if anything goes wrong.

    having successful implants without a ct scan of upper and lower jaws is a huge and expensive gamble. how many of the smaller clinics have an in house dental ct scanner?

    there are many different techniques and many different materials used depending on the clinical situation, how do you know you are getting whats right for you?

    the cheapest, or the most expensive.

    buyer definitely beware when looking for implants in thailand.

    there are many horror stories that dont come to light until three or four years after the event because of poor diagnosis and treatment planning.

    research it well.





    What Everyone Should Know About Dental Implants
    Monday, 12 July 2010 16:46


    By Thomas E. Bramanti, D.D.S., Ph.D



    A dental implant is a medical device that is implanted into the jawbone to replace the root portion of a missing tooth. These orthopedic root-form devices were originally developed in Sweden and Switzerland in the 1970s and are comprised of titanium metal which bonds to human bone. Dental implants have been used to replace teeth for over 35 years, and during that period have enjoyed the highest success rate ever recorded for any medical device inserted into human bone. Today, dental implants are the standard of care for tooth replacement providing clinical benefits that exceed a natural tooth (see Table 1).

    The purpose of this article is to inform the community of the San Joaquin Valley what is necessary for proper surgical placement of an orthopedic dental implant into the bones of the skull. An informed public will be better able to make dependable health decisions and thereby avoid injury and jaw deformity.

    Dental implants were introduced in the United States in 1985 with very meticulous placement protocols and sterile field requirements. The placement of dental implants was only permitted by dental surgical specialists who had been rigorously trained in the necessary orthopedic procedures. For the first 30 years of implant dentistry in this country, dental implants placed by orthopedic surgical specialists enjoyed a reputation of excellence, predictability, and sustainability. Recently, this trend of success has been endangered by implant placement performed by inexperienced practitioners who have not received formal orthopedic surgical training. Implant failure and jaw deformities are two common complications of improper implantation. Three to six years of orthopedic training is required to perform oral surgery and implant placement into bone. It is imperative to realize before selecting an implant specialist that the dental profession allows general dentists to perform a broad range of surgical procedures (much like the cosmetic surgery industry). Weekend classes or mini-courses are not the kind of certification you should feel comfortable with from any practitioner within your healthcare team. Be assured of your practitioner’s level of training, years of experience, and track record of success by asking to speak with past patients. This is the first benchmark in assuring that your dental surgical specialist is knowledgeable and capable of offering you a high standard of care.



    Understanding Tooth Removal and Bone Repair

    Dental implants were designed to fit into the bone region that formerly housed the tooth that was lost, damaged or removed. An understanding of tooth anatomy and the biologic process of bone repair is vital to grasp the scientific principles of implant therapy. A natural tooth is anchored to the jawbone via ligament fibers that connect the root portion of the tooth with the wall of the bony socket. Removal of a tooth from the jawbone always results in remodeling of the bony socket leading to bone collapse at the removal site. It has been observed that most of the crestal bone loss occurs on the outside of the jawbone that faces the cheeks or lips. A lesser amount of bone loss occurs on the palate or tongue side of the jawbone (see Figure 1).

    Recent bone healing research has determined that after tooth removal, a bony ridge deformity occurs from the remodeling process resulting in crestal bone collapse. The outer edge of the bone wall is occupied by a genetically-derived bone type called “bundle bone.” The tooth is anchored to the bundle bone and is invested with ligament fibers that provide a vital blood supply to this delicate bone wall (see Figure 2).

    Tooth removal results in the loss of tooth ligaments that provide essential bone nourishment. With the removal of the tooth and ligaments, the blood supply to the bundle bone is severed and begins to dissolve away. The bone crest rapidly collapses and is reabsorbed, leaving a bony deformity. Because bundle bone is found primarily in the thinner, more delicate outer bony region, bone tissue loss will become most pronounced in the highly visible cheek and lip side of the tooth socket. Bundle bone is a tooth-dependent tissue and will always rapidly disappear after tooth removal.



    Always Increase the Bone Volume

    The only way to prevent bone loss at the time of tooth removal is to graft the bony socket with natural bone in combination with a grafting material that will help to preserve and thicken the local bone volume. If bone grafting is not performed, there will not be sufficient bone volume available to successfully support a dental implant or provide a great result. Clinical research has demonstrated that a significantly greater amount of bone volume (2-4 mm) is required to maintain a dental implant than is required to house a natural tooth. This large amount of bone thickness required for anchorage of a dental implant does not normally exist and has to be created. Consequently, bone supplementation is a necessity if an implant is to be considered. Since the bundle bone is rapidly lost due to a programmed ridge collapse, bone grafting should ideally be performed at the time of tooth removal. A tooth removed without the benefit of immediate bone grafting may still be repaired at a later time but will likely be more extensive and costly. After bone grafting has been performed, a period of at least 6 months is required for the bone to grow and harden prior to placing a dental implant (see Figure 3).

    Surgical specialists with advanced orthopedic training are proficient at growing bone and utilize the most advanced materials and latest techniques to create bone volume for implant support. Expertise in all of the following steps is required for successful bone growth: 1) Harvesting of natural bone chips, 2) use of platelet-rich plasma, 3) selection of appropriate graft material and collagen membrane, 4) graft preparation and membrane placement, 5) specialized orthopedic surgical experience and, 7) a thorough scientific knowledge of bone biology.



    Avoid Immediate Implant Placement

    In an effort to circumvent bone grafting, many have attempted to insert a dental implant into the bone socket at the time of tooth removal. This process is called immediate implant placement or “implants in a day.” Initially, it was believed that implant placement at the time of tooth removal would prevent socket collapse. However, recent clinical research has conclusively proven that placing an implant into a fresh socket cannot prevent collapse of the bony ridge. The bone does not “see” the implant and therefore bone remodeling is not influenced by the implant device. Bundle bone was lost following implant installation due to the genetically programmed collapse. An implant is unable to substitute for a tooth immediately following removal and cannot meet the biologic demands or provide the essential blood supply required to retain the delicate bundle bone. It is now well established that implant placement immediately into fresh tooth sockets results in loss of the outer bone covering the dental implant and the metal implant surface becomes exposed. This bundle bone collapse results in gum recession, esthetic concerns and ultimately implant failure (see Figure 4).

    Immediate implant placement has been abandoned by the leading specialists in the field of implant dentistry. Several studies have reported unsightly results due to bundle bone collapse and gum recession as soon as 6 months after implant placement (see Table 2). This immediate approach to implant placement is no longer considered an appropriate standard of care because of the high incidence of unsatisfactory results and complications that lead to jaw deformity including additional tooth loss. If a tooth is to be extracted, it is critical that bone grafting be performed to prepare the site by increasing the bone volume prior to replacement with a dental implant (see Figure 5). Efforts to skip the bone building process by immediate insertion of the implant will lead to bone collapse, esthetic nightmares, chronic tissue infection, and eventually implant failure. For successful implantation, it is important to take the time required to complete the necessary steps to achieve a result that lasts.



    Standard of Care for Implant Planning and Placement

    It is clear that bone sets the stage for successful dental implants. Therefore, it is essential that bone architecture, volume and density, in addition to the location of nerves and sinus cavities, be assessed prior to implant surgery. Since the jawbone is covered by gum tissue, it is impossible to accurately examine the bone structure without the application of CT-scan technology. In the last decade, breakthrough scientific advances in x-ray imaging have led to the development of CT equipment and software that precisely reveal this vital information in three-dimensions (3D) using a very low radiation dosage. The accuracy of this technology is astounding and affords the clinician the opportunity to do extensive diagnosis, planning and preparation prior to tooth removal, bone grafting and implant surgery.

    3D CT-imaging is an essential standard of care for anyone considering implant therapy and allows the implant team to define parameters of care, treatment limitations and costs pre-operatively. Just as an orthopedic surgeon would not perform a hip or knee replacement without extensive CT imaging and calculations, dental professionals should not proceed with placement of an orthopedic dental implant without CT-imaging and precise positional calculations. Traditionally, dentists have mistakenly used standard dental x-rays and mouth molds to determine bone volume and implant position. Today, proper diagnosis and planning includes 3D CT-imaging of all proposed implant sites (see Figure 6). This approach permits 3D site planning for engineering bone and gum tissues and determines all possibilities for proper implant positioning and alignment. 3D CT analysis and planning changes the surgical approach from speculation to an accurate simulation of the surgery to come. This precise survey permits the surgeon to plan and virtually perform the implant surgery in advance, defining in 3D the esthetic and functional demands for implants.

    Once a thorough 3D CT examination has been performed, needed bone may be engineered to support a dental implant. Creation of new bone requires approximately 6 months for maturation at which time placement of a dental implant may be considered. Using 3D CT data revealing the newly grown bone, precise implant angulation can be determined. Once the surgeon has defined the ideal implant position, customized positioning guides may be constructed from the configured CT-data for use during implant surgery. The 3D CT-rendered surgical guide fits upon the adjacent teeth for stability, and precisely guides the implant surgeon to deliver the implant with proper depth, alignment angle, and positional relationship to the nearby teeth. 3D CT-rendered surgical guides permit accurate delivery of this orthopedic medical device into the ideal position for function and beauty. Using surgical guides eliminates misalignment errors and malpositioning of dental implants thereby reducing complications, undesirable results and implant failure. Dental implant placement too close to a nearby tooth will result in loss of bone on that tooth and lead to an unsightly result and eventual tooth loss. For a dental implant to be successful, the standard of care requires precise implant placement using such computer-guided technology.



    Framing The Tooth

    Once a dental implant is properly placed, a period of 2-3 months is required for union of this orthopedic device with the bone. The next step is to develop the gum tissue around the implant so that it will adapt to the final porcelain crown which simulates a natural tooth (see Figure 7). The purpose of gum tissue is to cover and protect the jaw bone from the mouth and to form a seal around teeth. If a smaller volume of bone is present, then there will also be a smaller amount of gum tissue framing a tooth. Similarly, gum tissues also form a seal around dental implants protecting the bone which is in union with the implant. Because gum tissues around an implant have a reduced blood supply and supporting fiber network when compared to a native tooth, it is very difficult to make an implant tooth look like a real tooth. In order to create sufficient amount of gum tissue to frame a dental implant, it is necessary to engineer an appropriate bony tissue base as described earlier. Newly created bone with orthopedic grafting provides a nourishing framework that supports the gum tissues that encase a dental implant crown. The gum tissue bed that frames the crown is shaped and contoured using customized acrylic temporaries over a period of several months. Exquisite temporary crowns must be modified every few weeks to develop a natural gum geometry surrounding the dental implant.



    Choose An Implant Surgical Specialist

    Finding the right team is essential to a successful implant experience (see Table 3). Since bundle bone always collapses after tooth removal and bone grafting is essential for implant support, it is critical that you find an experienced team that includes a surgical specialist with orthopedic training (Periodontics and Oral Surgery). Another vital member of the team is a knowledgeable general dentist with proven experience in building gum contours when restoring implant crowns.

    No one individual can master all the steps and all the complexities of the implant process. Find out for yourself who is most qualified to provide the excellence you deserve when considering implants. Do your own research, seek multiple opinions and ask the specific questions that help you discern the best specialist for your implant needs. Questions that you should ask when selecting your specialist include:

    • What type of orthopedic specialty training have you received?

    • How long have you been placing implants?

    • How many implants have you placed over your career?

    • Do you place implants immediately into extraction sites?

    • Do you believe bone grafting is necessary?

    • How will you know if I have enough bone for an implant?

    • Do you require a CT-scan to do your diagnostic planning?

    • Do you use CT-rendered surgical guides for implant positioning?

    • How do you develop the gum tissue around the implant?

    • How well do you work with my dentist?



    About The Author: Thomas E. Bramanti, D.D.S., Ph.D. is a specialist in periodontics and a leading authority in implant dentistry. With a passion for lifelong results, he has pioneered new standards of care for dental implant success. He has contributed medical articles in local periodicals to raise awareness of health issues impacting the Valley.

  11. #11
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    Dr Tappasit --Smile Clinic--opposite the Dusit Thani in North Pattaya-- its by where the baht buses load up to go down beach road

    He is not cheap but is absolutely excellent

    Best to have a talk to him and see what you think

    Just going in to places and asking prices tells you nothing --you have to talk to dentists themselves and then make your own mind up

  12. #12
    Member Drainpipe's Avatar
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    Most dentists are not specialists in implants, it is a whole different ball game

    whilst I know plenty of good dentists, I would not ask them to do an implant - in fact, most of them would recommend me to go to Bkk

  13. #13
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    Just like Surgeons work and rotate round different hospitals Implant specialists are the same with various Dental Clinics ,I have had implants in the UK and and now here and the difference in quality is amazing --
    Thailand wins hands down

  14. #14
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    Quote Originally Posted by taxexile
    going to a shophouse dentist for implants is akin to going to khlong toey market and buying caviar.
    That's pretty much how I feel.
    Going to a major hospital with implant specialists is less of a gamble.

  15. #15
    Ho ho ho
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    Quote Originally Posted by cyrille
    Going to a major hospital with implant specialists is less of a gamble.
    My first Thailand dental experience was with an old duffer in Lad Prao. He yanked a tooth out in 2 minutes for 400 baht.

    Next time, Bangkok Hospital, Pattaya. Root canal - 9000 baht.

    Next, go in for an extraction in another place (Smile Dental, SSC, Pattaya) with a view for an implant. 5 perhaps spurious fillings later, they said they could not do the complicated extraction, and told me to see a specialist.

    Never again. BKK Hospital, Pattaya for me from now on and damn the price.
    "It's a small place so don't tell porkies"

  16. #16
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    has anyone used the services of dental clinics listed on www dentalimplantsfriends com/country/thailand/ Thanks!

  17. #17
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    Welcome to TD klikakli.

    Where do you come from?
    What do you do?

    We're pleased to greet you.
    Embrace you into our community.

    Welcome.

  18. #18
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    A dental implant in a third world shithole with no meaningful rule of law or professional code of practice is as sensible as Russian roulette with an automatic pistol.

    Once you get an infection in the bone it is fucking difficult to treat and can kill.

  19. #19
    Sukhumvet
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    Very Interesting Klikakli.

    Have you got anymore generic Thai medical tourism website you would like us to look at?

    One could always go to Madihol University Faculty Of Dentistry.

    It is like going to Chula Hospital except for teeth!

  20. #20
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    This is an old thread bumped by what looks to be a spammer, but if anyone was thinking of implants in Pattaya this would be the guy to at least have a consultation with; Dr.Ramin Yachkaschi | Munich Dental Clinic

    I've used him for root canals x 2, an extraction, and a bridge. Could not be happier with everything from start to end, if European quality is what you're looking for this is the guy. He actually advised me against getting 2 implants that Bangkok Pattaya were keen to do, this was due to a lack of bone structure required for implants to be sucesfull in his opinion, and mine too once he explained how implants work and what we were looking at in the x-rays.

  21. #21
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    Not sure I like my dentists being photographed playing with pussy.

  22. #22
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    ^Well that's your call. But I'll take him over the dentist I walked out on at BP who wore Hello Kitty Crocs.

  23. #23
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    headworx -thanks

  24. #24
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    Not sure about the quality of the dental implants in Pattaya but I strongly suggest that he goes to Bangkok instead and have it done at Thantakit International Dental Center. I can personally vouch for Thantakit. Very happy with the two dental implants that I had with them. Dentists and staff were fluent in English. Very gentle and used to patients from the international community. Absolutely cheaper than having it done in the US!

  25. #25
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    I can recommend Dr Sunil International in Bangkok.
    Will pick you up from hotel and take you and return and from each appointment.
    Aimed at Westerners - reasonably priced for complicated work - would not use for simple fillings etc.
    They offer apartments to stay at a reasonable price - give them a miss pretty crap!
    I had root canal and two implants done in May this year - am returning in November to have the crowns fitted to them.
    I was given 10% discount paying by C/C and offered 13% if paying by cash. - You have to ask.

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