Articles on prosthetics

7 Basic Queries About Total Knee Replacement

Dr Dewangan Ssunil Kumar
 Total Knee Replacement: The knee comprises the joint between the femur and the tibia but also the joint between the patella and the front of the femur. Either or all of these parts of the knee may be affected by arthritis to various degrees. The procedure of joint replacement includes removing the affected joint surfaces and replacing them with metal components with a high-density polyethylene-bearing surface between the metal components What is Total Knee Replacement? A total knee replacement involves replacing the damaged bone and cartilage of the knee joint, which provides articulating surfaces.The total procedure takes approximately an hour to hour and a half to perform and recovery time varies between patients which ranges from 2-3 weeks to 2-3 months. Correct rehabilitation following surgery significantly improves outcomes.In the total knee replacement procedure, each prosthesis is made up of four parts. The tibial component has two elements and replaces the top of the shin bone (tibia). This prosthesis is made up of a metal tray attached directly to the bone and a plastic spacer that provides the bearing surface. The femoral component replaces the bottom of the thigh bone (femur). This component also replaces the groove where the patella (kneecap) sits. The patellar component replaces the surface of the kneecap, which rubs against the femur. The kneecap protects the joint, and the resurfaced patellar button slides smoothly on the front of the joint. This may or may not be replaced depending on the condition of the patient.Advantages of Total Knee ReplacementThe most important advantage is that this operation produces very effective and long lasting relief from joint pain. It also gives a joint which functions normally. The recovery period from the operation is very short and the patient is able to walk from the second or the third day after the operation. Walking support that is needed can often be discarded by around 2-3 weeks or a month's time. The patient regains a normal lifestyle and mobility with significant improvement in quality of life.Frequently Asked Questions about Knee Replacement SurgeryWho is the candidate for a total Knee replacement? What are the risks of Total Knee Replacement? Should I have a total knee replacement? Who develops a more severe or an earlier arthritis? When can I return home? What measures should be taken after the surgery/operation (post operative instruction)? What activities should I avoid after knee replacement?Q 1 who is a candidate for a total replacement?Total knee replacements are usually performed on people suffering from severe arthritic conditions. Most patients who have artificial knees are over age 55, but the procedure can be performed in younger people if joint is already damaged. So criteria for surgery based on age is non dependent. The circumstances vary somewhat, but generally you would be considered for a total knee replacement if:You have daily pain which affects your ADL (Activities of Daily Living).Your pain is severe enough to restrict not only work and recreation but also the ordinary activities of daily living.You have significant stiffness of your knee.You have significant instability (constant giving way) of your knee.You have significant deformity (knock-knees or bowlegs).Q 2 what are the risks of total knee replacement?Total knee replacement is a major operation. The most common complications are not directly related to the knee and usually do not affect the result of the operations. These complications include urinary tract infection, blood clots in a leg, or blood clots in a lung. Complications affecting the knee are less common, but in these cases the operation may not be as successful. These complications include:some residual knee painloosening of the prosthesisstiffnessinfection in the knee jointA few complications such as infection, loosening of prosthesis, and stiffness may require reoperation. Infected artificial knees sometimes have to be removed. This would leave a stiff leg about one to three inches shorter than normal. However, your leg would usually be reasonably comfortable, and you would be able to walk with the aid of a cane or crutches, and a shoe lift. After a course of antibiotics the surgery can often be repeated to give a normal knee.Q 3 Should I have a total knee replacement?Total knee replacement is an elective operation. The decision to have the operation is not made by the doctor, it is made by you the (Patient). All your questions should be answered before you decide to have the operation. If you have any questions, please feel free to write to us.Q 4 who develops a more severe or an earlier arthritis?One who has family history (this having a strong hereditary influence), who has history of injury in the joint (e.g. a fracture or a ligament/meniscal injury in the knee), who has deformity of knees and the one who is overweight. Medicines are not the treatment for this form of arthritis. Weight reduction, regular exercises, and local heat therapy help in early stages. Physiotherapy is the mainstay of the treatment. Painkillers should be used only occasionally as they adversely affect our kidneys, cause intestinal ulcers and bleeding. Another form of Arthritis is inflammatory arthritis (Rheumatoid or its variants). This does need medical treatment (DMARD's), which changes the course of the disease and prevents further damage to joints. Surgical treatment is needed when structural joint changes have taken place. Before and after the surgery, the patient should remain under care of a Physician/Rheumatologist. Post Traumatic Arthritis can follow a serious knee injury. A knee fracture or severe tears of the knee's ligaments may damage the articular cartilage over time, causing knee pain and limiting knee function.Q 5 When can I return home?You will be discharged when you can get out of bed on your own and walk with a walker or crutches, walk up and down three steps, bend your knee 90 degrees, and straighten your knee.Q 6 What measures should be taken after the surgery/operation (Post operative instruction)The success of your surgery also will depend on how well you follow your orthopaedic surgeon's instructions at home during the first few weeks after surgery. Wound Care you will have stitches or staples running along your wound or a suture beneath your skin on the front of your knee. The stitches or staples will be removed several weeks after surgery. A suture beneath your skin will not require removal. Avoid soaking the wound in water until the wound has thoroughly sealed and dried. A bandage may be placed over the wound to prevent irritation from clothing or support stockings. Diet some loss of appetite is common for few days after surgery. A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Activity Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal activities of daily living within three to six weeks following surgery. Some Pain with activity and at night is common for several weeks after surgery. Your activity program should include:A graduated walking program to slowly increase your mobility, initially in your home and later outside.Resuming other normal household activities, such as sitting and standing and walking up and down stairs.Specific exercises several times a day to restore movement and strengthen your knee. You probably will be able to perform the exercises without help, but you may have a physical therapist help you at home or in a therapy center the first few weeks after surgery.Driving usually begins when your knee bends sufficiently so you can enter and sit comfortably in your car and when your muscle control provides adequate reaction time for braking and acceleration. Most individuals resume driving about two to four weeks after surgery.Q 7 What activities should I Avoid after Knee Replacement?Even though you may increase your activity level after a knee replacement, you should avoid high-demand or high-impact activities. You should definitely avoid running or jogging, contact sports, jumping sports, and high impact aerobics. You should also try to avoid vigorous walking or hiking, skiing, tennis, repetitive lifting exceeding 50 pounds, and repetitive aerobic stair climbing. The safest aerobic exercise is biking (stationary or traditional) because it places very little stress on the knee joint.

3 Reasons Why You Shouldn’t Be Nervous About Implant Surgery

Dr. Ishwari Bhirud, Dentist
Dental implants have gained a popular reputation for their life-like appearance and longevity. Much of the latter is attributable to the titanium post embedded in the jawbone. Because titanium has a natural affinity with bone, new cells will grow and adhere to the dental implant over time, making their connection strong and durable.Of course, to achieve that requires implant surgery — a prospect that gives many people pause before choosing this replacement option. But implant surgery is a routine undertaking, causes very little discomfort and in trained hands has a very high success rate.Here are 3 reasons why implant surgery is nothing to be nervous about.The procedure is precisely planned. Implant surgery is a relatively minor procedure, mainly because all the placement details are often mapped out ahead of time. For complex situations your dentist can use x-ray or CT imaging to determine the exact location for each implant and create a surgical guide to use during the procedure to make incisions and create the small channel that will hold the implant.Implant surgery can be performed with local anaesthesia. Implantation is usually easier than tooth extraction — if you’re healthy enough for that procedure you should have no problem undergoing implant surgery. With a local anaesthetic, your dentist will numb only the implant site and surrounding tissues while you remain conscious. If, however, you have any anxiety your dentist can also include a sedative or anti-anxiety medication before proceeding.There’s minimal discomfort afterwards. Thanks to the pre-planned surgical guide and advanced implantation techniques, there’s very little tissue disruption and incised tissues are normally stitched with self-absorbing sutures. While some cases may require stronger pain relievers, most of the time a mild non-steroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen is sufficient for discomfort afterwards.The implant site heals fairly quickly and predictably with a 95-97% success rate. A few weeks after bone integration your dentist will attach the permanent like-like crown, and you’ll be ready for many years of full function and a confident smile.

Why Dental Implants ?

Dr. Swasti Jain, Dentist
WHAT ARE DENTAL IMPLANTS?Implants are artificial tooth roots (screws), made of pure titanium or titanium-alloy, which are inserted (anchored) into the jaw, where they perform the function of the natural tooth that has been lost.WHERE IT CAN BE PLACED? It can be placed wherever teeth are missing. It can be for a single tooth , multiple teeth by an implant supported partial or full arch fixed bridge, all teeth replaced with a implant supported removable overdenture.HOW IMPLANTS CAN BE DONE? The first stage is a surgical phase which involves the placement of the titanium implant in the jaw bone. This is followed by a healing resting phase of 3-6 months.What is a dental implant made of?Dental implants are typically made of titanium, a biocompatible material that is accepted by the body and serves as a strong and sturdy foundation for replacement teeth. Your natural bone locks the implant into place by fusing, or attaching itself, to the implant.The second stage is the restorative/prosthetic phase, where the tooth is placed over the anchored implant using it as a support/pillar.WHAT ARE THE ADVANTAGES OF IMPLANTS OVER OTHER TOOTH REPLACEMENT PROCEDURES?Implants are better than a fixed bridge, as it preserves the adjacent teeth from unnecessary grinding.It gives more confidence during eating and smiling as it gives the effect of emerging from the jaw as a natural tooth.Implants with overdenture are better as it gives more stability.It also helps in preserving the underlying bone and maintains the function of the overlying musculature.What type of maintenance do dental implants require?Implant crowns and other prosthetic (false) tooth replacements are made to be remarkably failsafe systems. They are removable and replaceable (only by your dentist), so that if damage or wear necessitates replacement, this can be accomplished without affecting the implant(s) or attachment to the bone.Nevertheless, implants do require maintenance. It is important to practice good daily oral hygiene, including brushing and flossing to control bacterial biofilm. It is also important to see your dentist and dental hygienist. Special instruments are necessary to clean dental implants that will not damage their metal surface beneath the gum tissues. Your dentist will need to monitor your implants to make sure the integrity of the osseointegration is stable, and that the implant crowns, bridgework or dentures are functioning adequately.

5 Things to Do Before Going in for a Joint Replacement Surgery

Dr. Shreedhar Archik, Orthopedist
Diabetes:  Uncontrolled diabetes is a high risk for any surgery.  I routinely see the surprise on my patients face when I refuse surgery for uncontrolled diabetes! For every single diabetes patient the fasting and post lunch sugar in the normal range means “a well-controlled diabetes state”. FALSE. It is exactly like calling Sachin Tendulkar a poor batsman if he gets out after scoring a duck! We see Sachin’s average before proclaiming him as one of the greatest batsman. Similarly we see 3 months average sugar before we decide to go ahead with a surgery. This test is called HB1Ac or Glycosylated hemoglobin. This tells us how badly your body (tissues to e specific) is loaded with sugar. The more the number higher the risk. We surgeons generally prefer a patient with an HB1Ac levels of 7.5 or below for an elective surgery. For urgent or emergency surgery like a fracture repair of course we go ahead and operate though the risk of complications is higher for obvious reasons.Blood thinners: A lot of patients now days are on drugs like aspirin or clopidogrel. These drugs make your blood thin and prevent clots. Typically patients with a risk for a heart attack or astroke are put on these drugs. These drugs not only interfere with blood clotting during surgery but also complicate the anesthesia process. For plannedsurgeries it is worthwhile discussing your drugs with your doctor. Generally we stop Aspirin 3 days prior and Clopidogrel five days earlier. Some of the patients can’t be taken off these drugs even for a day and for these patients a different drug protocol is used. We surgeons routinely discover these issues after the patient gets admitted and this leads to postponement of surgery and a lot of misunderstanding.Allergies: We routinely ask for allergies and patients feel we are asking for a “drug” allergy. Some patients enthusiastically list even food items they are allergic to! One of my patients developed a lot of blisters after her knee joint surgery. We were worried and then in sheepish tone the patient informed me that she was allergic to the adhesive found in the sticky tape we used for her dressing. Exercises: Most of our orthopedic surgeries would involve post surgery physiotherapy or exercises. It always helps if you ask your doctor what kind of exercises would be required. Joint replacement surgeries are planned surgeries and hence if you start practicing those exercises once you are in the planning stage of surgery you typically will do well post surgery. Early mobility leads to significantly low complications after surgery.Home care: Your home surroundings are very important. I operated my own professor and when I went to see him 7 days after surgery at his residence, I was horrified when I saw a urinary catheter dangling on his lap. He then told me an interesting fact. His bedroom had an attached toilet but it had a big step which he could not negotiate with the walker we had given him. He elected to get a catheter inserted. Being a doctor even he was surprised when I mentioned to him that he could have temporarily used a commode chair. A catheter mind you can lead to infection in the urinary tract and should be avoided if possible. If he had mentioned his home issues in details we could have offered guidance about these small but very important issues.When one gets operated for a lower limb surgery, it is often difficult to getup from low seating positions, even a simple toilet seat. We get commode extensions easily to navigate these difficulties.

Total Hip Replacement - Learn More

Dr. A Mohan Krishna, Orthopedist
HIP JOINT: Basic AnatomyHEALTHY HIPJOINT: Hip joint is formed by head of the femur (Thigh Bone) and cup like acetabulum of the pelvis. The upper end of the thigh bone is shaped like ball which snugly fits into the socket (Acetabulum) of pelvis bone.The ball and cup of the hip joint is lined with smooth firm material cartilage, which cushions and allows smooth movement.The joint is also lined with synovial membrane which produces joint fluid.The ball of the thigh bone has a precarious blood supply, so any trivial trauma or insult can cause avascular necrosis of the femoral head.Causes of hip pain: Damaged or Arthritic HipWhen the cartilage lining of normal joint wears or gets worn out it may result in pain and stiffness in the hip.The cartilage may be damaged byAgeing: a result of natural wear and tear which is termed as Osteoarthritis of hip.Avascular necrosis of femoral head.Injury / fractures around hip joint.Diseases like Rheumatoid arthritis, Ankylosing spondylitis, etc.In some individuals genetic factors may also predispose to early damage to cartilage.OSTEOARTHRITISOF HIP JOINT (OA):Osteoarthritisis the most common type of arthritis. Primary osteoarthritis is commonly seen in elderly, above the age of 50 years. Osteoarthritis is a chronic condition characterized by wear and tear of the cartilage. As cartilage wears off the ends of bone rub against each other causing pain and stiffness. A young individual can develop secondary osteoarthritis due to trauma or diseases like Rheumatoid arthritis, Ankylosing spondylitis etc.AVASCULAR NECROSIS OF FEMORAL HEAD:Avascular necrosis is a condition in which there is loss of blood supply to the bone due to fracture or vascular damage.  Avascular necrosis of femoral head can occur following trauma, using certain medicines and some medical diseases. As a result bone cells in the head of femur dies,then collapses, the joint is destroyed and patient develops painful and stiff joint. This can take 2-8 years to develop, but can happen at an early age too.The most common causes of Avascular necrosis of femoral head are:Trauma:Fractures and dislocationsNon Traumatic causes: Alcohol abuse, Use of steroidsCertain blood disorders TREATMENT OPTIONS:When medication,physical therapy and other conservative methods of treatment fails to relieve pain, total hip replacement may be recommended by surgeon. How will Hip replacement help you?Improvementof quality of lifeSignificant pain reliefMobility is increased.Help to lead independent and comfortable lifeMost of the replaced hip joints last for 10 to 15 years and patient can have pain free lifeGetting ready for Hip replacement surgery:Medical evaluation:  Cardiac evaluation: Tests: Lab tests include Blood, urine and cardiac tests.Preparing your Hip: Surgeon examines your Hip prior to the surgery. There should be no skin infection, wounds around the Hip and skin should be clean.Others:Anaesthetic evaluation:  after getting all the blood tests and cardiologist opinion you will be examined by anaesthetist. He will evaluate you and gives you fitness for giving anaesthesia and advises different modalities of pain relief during postoperative period. SURGERY:On the day before surgery:You will be admitted in the hospital or asked to come directly to the hospital on the planned day of surgery.You need to take the medications as advised by the anaesthetist.You should have light dinner without much oil and spices and plenty of water. You should start fasting from 11PM on the day before surgery till further advice.You should give consent and sign an informed consent.Follow you anaesthetist and surgeons orders if any given to you in writing.Have a neat shower.On the day of surgery:You should be on fasting, take your regular blood pressure and thyroid medications if any with sips of water at around 6 AM.You can have a plain shower bathLimb to be operated will be marked by the surgeon.You will be shifted to operation theater half hour prior to surgery.Anaesthetist will evaluate once again and prepares you for giving you anaesthesia.Anaesthesia: Most of the Hip replacement surgeries are carried under Epidural and General anaesthesia. In rare cases when a patient is not fit for general anaesthesia, Hip replacement is performed under Spinal anaesthesia.Postoperative pain relief is achieved by continuous Lumbar epidural pump.Total hip replacement surgery:Total Hip replacement is a surgical procedure in which damaged bone and cartilage is removed and replaced with prosthetic components.There are 2 main components used in total hip replacement:The acetabular shell replaces the hip socketThe femoral stem and head replaces the worn out top of femurThere are two types of Hip replacementCemented Hip replacementUncemented Hip replacementCemented hip replacement:The damaged femoral head is removed and thigh bone medullary canal is prepared to take the femoral stem component. Bone cement is used to fix the femoral stem. A metallic ball is inserted on the top of the stem. The damaged lining of cup (acetabulum) is removed by using special reamers. A plastic cup mimicking the original anatomy is fixed using bone cement.The artificial joint is relocated and supporting tissues around the hip are sutured back.Uncemented Hip replacement:The damaged femoral head is removed and thigh bone medullary canal is prepared to take femoral component. The femoral stem is made to press fit into the boneThe artificial head is available in two materials – Metallic head                                                                                   Ceramic headThe damaged lining of cup (acetabulum) is removed by using special reamers. A metallic cup mimicking the original anatomy is fixed using press fit and sometimes augmented with screws. There are three types of liners which can be inserted into the metallic cup:Plastic linerCeramic linerMetallic linerAfter inserting appropriate liner the artificial joint is relocated and supporting tissues around the hip are sutured back.There are various combinations of head and liners to make upnew jointMetal on metalMetal on polyMetal on ceramicCeramic on ceramicRECOVERY IN HOSPITAL:  POSTOPERATIVE PERIODFirst 24 hours:Immediately after Hip surgery you would be shifted to ICU (intensive care unit) and observed for at least for 24 hours.After a day you will be shifted to ward of your choice.First postoperative day:On the bed you are advised to perform deep breathing exercises.Ankle pump and static quadriceps exercises on the bed.Gentle mobilization on bed with legs hanging down the bed and knee movement exercises.If you are strong enough you would be made to stand. Cemented hip replacement: walking with full weight on operated leg with walker.Uncemented Hip Replacement: Walking without weight on operated leg with walker.You will be shifted to ward. Second Postoperative day:To continue the exercises on bed and walking with help of walker.Drain tubes urinary catheter will be removed on the second day.You need to take plenty of fluids and regular diet.Third Postoperative day :Depending on speed of your recovery discharge would be planned.The dressing on the hip is changed to simple dressing.You are advised to continue exercises and walking, gradually increasing the pace.Fourth post operative day:Some patients with slow recovery are discharged on 4th postoperative day.Before you are discharged from the hospital, you will be helped to achieve:Getting in and out of the bed independently.Walking with the help of walker.Using toilet or commode chairDISCHARGE ADVICE:RECOVERY AT HOME You should continue to stay active when you are at home for full recovery. However remember not to overdo it. You will observe gradual improvement and increased endurance over the next 6 to 12 months.Tips to make you return home comfortable:Planning your work:You will be able to walk on crutches or a walker soon after surgery. But you will need help for many weeks with tasks like cooking, shopping, bathing and doing laundry. Make advance arrangements to have someone assist at home.Home planning:Before going for surgery, follow the steps given below to make your recovery at home easier.Fix safety bars in your shower or bathroom.Secure your stairways for support and safety.Keep a stable chair, for your early recovery period, with firm cushion, firm back, two arm, and foot stool for leg elevation.If you have low toilet seat, fix a seat raiser with arms.Walking up or down the stairs within you pain limits and depending on your recovery.DO’S AND DONT’S DURING YOUR RECOVERYDO’S Keep the wound area clean.If your wound appears red or begins to drain, inform your doctor.Check temperature regularly and inform your doctor if it exceeds above normalInform your doctor immediately if you have calf pain, chest pain, or shortness of breath.Practice / initiate regular walking using crutches or walker.Perform exercises to strengthen calf and thigh muscles.Keep pillow between the legs if you want to turn to one side.DONT’S Do not bend.Do not cross your legs.Do not squat or sit on the ground.Do not play high impact sports.Do not jog, run or jump.Avoid gaining weight as it can hasten wear and tear of the implant.Do not shower or bath until the sutures are removed.EXERCISES AFTER HIP REPLACEMENT SURGERYPhysical therapy exercise :Continue to exercise as instructed by your physiotherapist or doctor for at least 2 months after surgery.Frequent deep breathing exercises.Ankle Pumps: Move your ankle up and down to squeeze the calf muscles.Static quadriceps:  Sit with your legs straight and keep a rolled towel under your knee. Press the knee against the towel while tightening the thigh muscles. Hold this for a count of 5 to 10.Knee straightening exercises: place a small rolled towel just above your heel.Tighten your thigh. Try to fully straighten your knee such that the back of your knee touches the bed. Hold for 5 to 10 seconds.Knee bending: Sit on your bed side or chair with your thigh supported. Gradually allow your leg to fall down gently on its own weight. Now gently try to push your leg backwards till the back of the leg touches the chair or cot edge. Hold your knee in this position for 5 to 10 second. Gradually try to lift the leg upwards initially with support of other leg or physiotherapist. When the leg becomes straight maintain it for 5 to 10 seconds. Weight bearing

Dental Implants for Missing Teeth

Dr. Revath Vyas Devulapalli, Dentist
Tooth loss at any age can be a traumatic experience. Perhaps you had severe decay at an early age and lost your teeth to extractions. Or, you lost teeth due to injury from a fall or related to sports. You may have developed complications with a root canal tooth, and it couldn’t be saved. Or, you developed an abscess or gum disease that resulted in extractions. Maybe your tooth just never developed and it has always been missing. Treatment approaches can vary from doing nothing to conventional bridges, to modern dental implants. Some people seek immediate treatment while others wait. Patients should first consider what their motivations are for replacing teeth.If left untreated, You may now notice gradual shifting of your teeth and emergence of new problems. If they are front teeth, it may also cause social hindrance because of missing teeth, which in turn effects beauty of your smile. If they are back teeth, you may not be able to chew properly and may not eat your favorite foods and lead a healthy life.A bridge requires the cutting down of healthy adjacent teeth. Disadvantages of bridges:Bridges compromise the long-term health of adjacent teeth by removing the enamel and placing additional forces on them.Bridges are difficult to clean, and the teeth are susceptible to decay, root canals and gum problems.When bridges fail, additional teeth are often affected, and more extensive treatment is usually necessary.Dental implants are made up of bio compatible & Bone friendly Titanium alloys. They clearly offer the best replacement option in today’s dentistry because of their unique property of natural healing and osseointegration. Any age limits for Dental implants?Dental implants should not be done until a patient has completed their growth, typically age 16 to 17 in females and 18 to 21 in males. Some older patients fear their jaw bone is too weak. The fact is, dental implants areequally successful and have excellent prognosis. No one is too old for dental implants, and for many, improvement in chewing and aesthetics adds confidence and quality to their lives.Benefits of Dental ImplantsAdjacent teeth are not compromised to replace missing teeth.The mouth is restored as closely as possible to its natural state.Implants preserve the integrity of facial structures.Your smile is improved when replacement teeth look more like natural teeth.Convenient oral hygieneRestored self-esteem and renewed self-confidenceImproved ability to chew and taste foods

Dental Implants or Dentures: Know It All

Dr. Umesh Nisar, Dentist
Your teeth are as precious as any other organ in your body and they are very essential for your overall wellbeing. Missing teeth can make you conscious and embarrassed so much so that you hide your smile. Lost teeth lead to several problems like difficulty in chewing and inability to eat nutritious foods. It is at this moment that you need to choose wisely for your teeth, dental implants or dentures?Wondering which is the better option? We are here to help you:Dental implants:What are implants? : A Dental implant is a titanium post that is inserted into a jawbone replicating the root of a natural tooth. The implant post integrates strongly with the jawbone, creating an anchor which is used to hold a replacement tooth. They can be used to replace single or multiple teeth, supporting crowns, bridges and also dentures.Pros: It offers stable fixed/removable replacement of missing teeth.Dental implant supported teeth look and function just like natural teethImplants preserve bone.Chewing efficiency with implant supported prostheses is better as compared to removable prostheses/dentures.Implant supported prostheses prevent gum irritation and pain which is a common occurrence in patients using removable dentures.It is a long lasting solutionCons: They are initially more costly than dentures or bridges.Multiple steps are required.Dentures:What are Dentures?Dentures are removable prostheses that replace missing teeth as well as some of the gum tissue. Complete or full dentures replace all the teeth in the upper or lower jaw, or in both jaws, while partial dentures are used to replace few missing teeth when some of the natural teeth still remain. Complete dentures rest directly on the gum, whereas partial dentures are supported by clasps around the existing teeth.Pros: Acceptable appearance of the replaced teeth as newer materials closely replicates natural oral tissues.Economical option to replace multiple or all missing teeth.Non-surgical treatment option to replace missing teeth.Cons:They don’t look as natural as implants since they display acrylic instead of actual gum tissue.They need to be removed and cleaned regularly.They must be left out overnight to allow the gums to recover.With dentures, there are restrictions on the types of foods that can be eaten.Dentures tend to trap food which can increase the risk of gum disease and decay of remaining teeth.Dental implants are regarded as the best for replacing missing teeth due to the way they replicate natural tooth roots and preserve the jawbone and gums. Dentures may seem cheaper initially, but have a high maintenance cost and are not cost effective.Now, you know it all about Dental implants and Dentures. Make the right choice, the best choice.