TEL: (038) 111844, (038) 111845,

         (038) 488-353, 094-960-4966


Dental implant clinic Pattaya / Implant dentist Pattaya

Known Complications with Dental Implants


Dental Implants are an established treatment modality with a long history of clinical success. However, all medical procedures have inherent risks and complications. These are generally minor and manageable. They include those related to:


1. The Implants


2. The Artificial Teeth


1. Complications relating to The Implants


  • Breakdown in the bone-implant junction - The fusion of the implant to bone is known as osseointegration. Clinical studies have shed some light on its success. Approximately 90% of fixtures in the upper jaw, 95% in the front lower jaw and 90% in the back lower jaw are still in function after 10-15 years.
  • Loss of osseointegration may occur after implant placement, crown placement or after years of usage. The implants may become loose or unstable and will need to be removed. The implant site will heal within a period of three months after which a new implant may be inserted.
  • Inability to use the fixtures for prosthetic rehabilitation. These implants may be left alone in the bone without usage.
  • Bone resorption may occur around the necks of the fixtures. This may require additional bone grafting procedures to rectify the situation.
  • There may be a slight risk of permanent numbness to the lips and chin, as well as injury to the teeth adjacent to the implant.
  • There is a higher risk of complications in certain individuals, for example, uncontrolled diabetics and heavy smokers. Your dental surgeon will carefully plan and discuss your concerns in detail with you.


2. Complications relating to the Artificial Teeth


Chipped Teeth


Like natural teeth, artificial teeth may undergo wear and tear over the years. The material used to make them include porcelain and acrylic. They may chip or break. For screw-retained designs and where the damage is relatively minor, the teeth can be unscrewed and sent to the lab for repairs. For cemented designs, the teeth will have to be removed, a process which may destroy them. New crowns will then have to be made.


Loosening of Screws


Depending on the design, there may be one to two screws holding the artificial tooth to the underlying implant. Although the screws are tightened to specific torques to prevent loosening, it is theoretically possible that they may loosen over time if the load is excessive or if the tooth does not fit well in the first place. Your dentist should be able to retighten the screws. However, if it is a cemented design, the overlying tooth may be destroyed during removal and a new will have to be fabricated.


Gum Inflammation


It is important that you keep your implants clean. Poor oral hygiene can cause the gums surrounding the implant to become irritated, swollen and bleed easily. In severe cases, it may even lead to loss of the implant.

Dental Crown Placement (Prosthetic Phase)


What is this procedure?


Once the embedded implants have properly integrated with the bone, you are now ready for the next phase of the implant treatment, which is fabricating the dental crown (artificial teeth) and securing it to the implant unit with the use of an abutment (connector). This is also known as the prosthetic phase of the treatment.


A prosthodontist or restorative dentist will carry out the procedures, which typically involves the following steps:


Impression taking of the implants, the remaining natural teeth, and gums.

Fabrication of the teeth in a dental laboratory by a highly skilled dental technician.

Trial fitting of the artificial teeth over the implants. The teeth will be matched in terms of color, shape and size. Sometimes, it may take several visits before achieving this.

Delivery of your new teeth.

Review and sealing of screw access holes, if any.

There are two ways the new teeth can be secured to your implants:



The titanium components called abutments are firstly screwed onto the implants. The artificial teeth are then glued onto the abutments. Once cemented (Figure 19), it is virtually impossible to retrieve the crowns.

Which is better – a Cement-retained or a Screw-retained Crown?


Screw-retained crowns offer retrievability should there even be a need to remove the crowns for repair before reinstalling them in your mouth. Cemented crowns cannot be removed without firstly being destroyed after which new crowns will have to be made thereby increasing the overall long term costs.


However, cemented crowns have the advantage of not having the access holes which may be a cosmetic issue to some.


The likelihood of having to retrieve the implant crowns is low as most of them function very well without giving any problems.


How long does it take to make the new tooth/teeth (dental crown)?


Depending on the complexity of the prosthesis, it may take one week to a month to make them.


How soon thereafter can I begin to eat and function?


You should be able to function immediately after the prosthesis have been installed in your mouth. Your dentist may seal the screw access holes at a separate visit. He or she may also want to see you again for a final review.

What kind of mouthguard should I get?


The type of mouthguards (splints) that you should get is largely dependent on the number/location of your implants and severity of your bruxism. Soft mouthguards are not as durable as hard splints made from acrylic and cannot be easily adjusted. Mini splints such as the MCI (MyoHealth Clenching Inhibitor) (Figures below) are particularly useful for bruxers with posterior implants. Dental splints are worn during sleep when bruxism forces are at their greatest.

How do I take care of my implants?


Implants should be treated with care. They must be kept clean and plaque free twice a day using a small soft toothbrush and floss. Special attention should be given to all sides of the implant. Cleaning after meals is encouraged where practical. Other supplies may be recommended by your dentist and includes (a) anti-bacterial mouth rinses, (b) special floss with foam coating, (c) special interdental brushes and (d) plaque disclosing tablets. Careful maintenance of your implants will ensure that they will serve you well for years to come.


Do I need to get my implants checked by my dentist on a regular basis?


You will need to visit your dentist at least twice a year to have your implants, gum and jaws checked. Actual frequency of maintenance visits is largely dependent on your individual circumstance. The implants and crowns will be examined and cleaned with special instruments. X-rays are usually taken on an annual basis to assess bone health and implant stability. During such maintenance visits, daily care procedures are also reinforced.

Implant Unit Placement (Surgical Phase)


How is the procedure done?


At present, implant placement is commonly carried out in one stage. This method has simplified the procedure for both patients and dentists/oral surgeons. However, not all patients are suitable for this method; your oral surgeon will advise you accordingly with this matter.


  • Single-Stage Treatment

This involves placement of the titanium implant within in the jaw bone. Local anaesthetic will be given to numb the area where the implant is to be placed. A small incision is made in the gums to expose the underlying jaw bone and bone is then prepared to receive the implant. This has to be carried out gently to ensure bone vitality and to maximize success. During this process, you will feel some vibration, similar to that of having a tooth filled. Subsequently, the implant is inserted into the prepared site. The gums are then repositioned and held in place with sutures around the implant, exposing apportion of the implant in the month.

  • Two-Stage Treatment

It is occasionally necessary to stage the implant placement in two parts. This is done for various reasons, usually if the area to receive the implant is sub-optimal, or the treatment is more complex.

The procedure is identical to that of the single stage surgery, except that the gums are closed completely over that implant. The implant is then left to adhere to the bone for a period of there to six months, depending on the quality of the bone. During the healing period, a provisional prosthesis may be fabricated, if desired, until the permanent prosthesis is issued. When the healing is complete, a small incision is then made to expose the implant and the gums repositioned around the implant. The restorative process is then similar for both the single-stage and two-stage techniques.


In what situation would a bone augmentation procedure be necessary?


Depending on your condition, additional bone augmentation procedure may be necessary prior to the implant placement. A key to implant success is the quantity and quality of the bone where the implant is to be placed. Over a period of time, the jawbone associated with missing teeth atrophies or is resorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants.


  • Sinus-lift Procedure

The back part of the upper jaw has traditionally been one of the most difficult areas to successfully place dental implant due to insufficient bone quantity and quality and the close proximity to the maxillary sinus. A sinus lift procedure involves elevating the sinus floor, Sinus augmentation has been shown to greatly increase your chances for successful lasting implants.

  • Ridge-Augmentation

In severe case, the jaw bone has resorbed so much that it is impossible to place an implant fixture. A "bone graft" is necessary to necessary to increase ridge height and/or width.

These procedures may be performed separately or together, depending upon the individual’s condition. There are several areas of the body which are suitable for obtaining bone for grafting. Bone grafts can be taken from inside the mouth, in the area of the chin or third molar (wisdom tooth) region or in the upper jaw behind the last tooth. Additional sources of bone may also be obtained from animals or synthetic materials.


Will the implant placement procedure be painful?


The discomfort experience after the placement of implants is generally equivalent to that experience from an extraction of a tooth.


Most implants are placed using local anaesthetic only. Sedation may be used with more apprehensive patients, and in some cases where extensive surgery is required, a general anaesthetic may be recommended.


What precautions should I take before surgery?


Before or after the surger,y you may be asked to take oral antibiotics and use antiseptic mouthwash. You will also be asked to brush your teeth carefully the morning of your surgery. If you smoke, you should stop smoking at least two weeks before the surgery, as smoking has been shown to significantly decrease the success rate of an implant placement procedure.


What happens after surgery?


As with all surgical procedures, there may be mild discomfort and swelling. An ice-pack help to you face will reduce the swelling. The medication prescribed should adequately control the pain.


The first day after the surgery, you may drink liquids and start a soft diet. Take your antibiotics and pain medications as prescribed and continue to use ice-packs and gauze as needed. Proper home care with frequent rinsing helps prevent infection and assists the healing process. Tooth brushing should commence although the surgical area should be avoided for the first two weeks.


The sutures are removed one to two weeks after the surgery. At two weeks you will be asked to clean your mouth with a soft-bristled toothbrush to prevent plaque build-up.


When can I resume my normal activities?


Most people return to work within a day or two of surgery. One to two weeks after surgery, your old dentures may be relined to ensure a better fit.


You can then wear your dentures, which may have to be adjusted during the healing period. Should any soreness develop, be sure to contact your dentist who will relieve the pressure under your dentures.

Pre-Treatment Evaluation & Treatment Planning


What happens during the evaluation phase?


Your prosthodontist or dentist will carry out a detailed assessment of your mouth. He will examine your teeth, gums and bone structure. Radiographs will be needed to check the quality and quantity of bone. He may also take impressions to make study models so that he can examine your oral structures from all angles.


He will then explain to you the various options of replacing your missing teeth including the advantages and disadvantages of each. If dental implants are deemed to be beneficial to you, he will refer you to an oral maxillofacial surgeon for a surgical evaluation.

What does the oral surgeon look for?


The surgeon will determine if it is feasible for the implants to be placed in the optimum positions based the anatomy of your jaw bone. There must be adequate bone to surround an implant. Should there be a deficiency due to previous bone loss, the surgeon will suggest ways in which he can augment the bone to accommodate the implants.


Sometimes, he may require more detailed radiographs such as CT scans to be obtained radiologist at a hospital in order to ascertain the exact anatomy of your bone.


If you have a tooth that needs to be extracted, it may be necessary to wait one to three months before an implant can be placed. During this period, a denture may be made as an interim measure.


A detailed treatment plan formulated by both the prosthodontist and the oral surgeon will then be presented to you before the commencement of actual treatment. Any questions you may have can also be addressed at this point.


Implant at


What are











System Used

At Dental Design Center we believe that dental implants are the best possible solution for missing teeth available today. To have a functioning set of teeth can greatly improve your quality of life. Not only will you be able to eat well, but you can also look great. Having your teeth helps give shape and support to your whole face. When teeth are lost, the gum and jaw bones shrink, which gives rise to a premature aging effect.  Dental implants are made from titanium that is coated with a special coating that encourages the bone to grow around it. Once the implant integrates into the bone (osseointegration) the implant can last a lifetime. The implant is then restored with a porcelain crown, just like a tooth would be. Unlike a bridge, implants replace a missing tooth without compromising the two teeth on either side of the space by crowning them. Implants are a predictable, conservative, and aesthetic approach for tooth replacement.  They are incredibly strong which means that you can bite and chew with an implant just as well as with natural teeth. They are very long-lasting, and allow you to live as if you had all of your natural teeth. Implants are also very versatile, and a combination of one or more implants can be used to restore anyone's smile to brilliance.

  Dental Design Center was

    built to provide the best

   possible environment, with

     the latest technology and equipment and with the only

      use of top-quality dental


Please visit us for a consultation with our dental implantologists, Dr. Ken Kasidis, to discuss your dental implant options. We do a lot of implant dentistry and make beautiful results happen where there was a missing or broken tooth. Come in and see some of our recent work using dental implant technology.

What are Implants?

mplants consist of small titanium posts which are placed into the jawbone where teeth are missing.  The bone bonds with the titanium, creating a strong foundation for artificial teeth.  In addition to restoring natural appearance in the mouth, implants can help preserve facial structure, preventing bone deterioration, which typically occurs when teeth are missing.

What are the components of an implant?

The main component is the titanium implant itself. This resembles a precisely manufactured screw with a specially roughened surface which makes it very compatible with bone. The implant is about the same size as the root of a natural tooth. It is placed into the bone and left to integrate for 4-6 weeks. By this time it is rock-solid in the bone. There are no problems with the integration of the implant into the bone, because titanium is one of the few materials that can perform osseointegration, whereby the implant is accepted into the bone which fuses around it.  Once the implant is solid in the bone, the second part, a special titanium post, can be screwed into the implant. This is called the abutment. The abutment allows the fixation of the final part of the implant – the crown (a replacement tooth). The crown is usually screwed into place. The porcelain on the crown is custom made to match the color of the rest of your teeth, so that the implants are imperceptible from natural teeth.

Why implants?

The Benefits of Dental Implants Choosing dental implants as a treatment option can offer you a number of significant advantages.

Maintain anatomy


If you have missing teeth, the bone begins to shrink over time. Unhealthy bone loss can make your jaw line recede and change your facial structure. Dental implants can help prevent deterioration of the jawbone so your face retains its natural shape.

Keep your healthy teeth


A better long-term alternative tobridgework, dental implants eliminate the need to grind down healthy teeth when replacing one or more adjacent teeth. Your own natural healthy teeth are not compromised.



If you have missing teeth, the bone begins to shrink over time. Unhealthy bone loss can make your jaw line recede and change your facial structure. Dental implants can help prevent deterioration of the jawbone so your face retains its natural shape.

Full Mouth Rehabilitation with Dental Implants


Step by Step replacing one tooth

Step by Step replacing all teeth


When you are ready for a dental implant, you will have a solution tailored to your needs, general state of health and the quantity and quality of your bone tissue. These factors also determine the total duration of the treatment. Consult your dental professional for advice on your specific options.

Implant System Used

Dentsply Friadent is a company that has been providing top quality implant products to patients across the world for 30 years. The company attended a research programme in Germany in 1974 in order to develop the skills to create a ceramic implant, including the Ankylos implants. Ankylos implants are known for their top mechanical and predictable stability. Ankylos is the most authoritative system, strong and designed for long-term stability. The Ankylos connection principle, clinically proven for decades, is designed for initial and long-term tissue stability. The extremely accurate TissueCare Connection has virtually no micromovement and is almost totally bacteria-proof. And it is also keyed and friction-locked to prevent bone resorption and to ensure stable and healthy soft tissue.

The Astra Tech Dental Implant System


The Astra Tech Implant System™ has been on the market over 20 years. Based on years of extensive research, we have developed a unique dental implant system that provides a secure anchor for new, natural-looking teeth.

A small titanium screw is inserted into your jawbone. Titanium is a metal accepted by the body and heals together with the bone tissue to form a new, stable tooth root.

An abutment is a ceramic or titanium post that is placed into the implant to support a crown.

Once the dental implant and the abutment are in place, your dental professional fits the crown, the bridge or the prosthesis.



A dental implant is the optimal solution if one or more teeth are missing. The Astra Tech Implant System™ can be tailored to different needs so that virtually anybody can have a tooth replacement that looks and functions like natural teeth. Fully developed bone tissue, however, is an important prerequisite. This is why dental implants are normally not installed in people under the age of 18.


When you are ready for a dental implant, you will have a solution tailored to your needs, general state of health and the quantity and quality of your bone tissue. These factors also determine the total duration of the treatment.


To find out if you are an implant candidate and to learn how Astra Tech implants can help restore the beauty of your natural teeth − speak with your dental professional today.

Advantage Astra Tech

When you choose dental implants from Astra Tech you have the reassurance of predictable, reliable, long-lasting results. Based on years of extensive research we have developed a unique dental implant system that works with the body’s natural healing power. The surface of the implant has been treated to generate more bone and speed up the healing process. The result is a strong, tight connection between the bone and the dental implant. In clinical studies our implant system shows unrivalled long-term results. It is well proven that dental implants from Astra Tech have bone- and gum-stimulating properties and help to maintain healthy bone levels and normal appearance of gums and facial structures A company in the AstraZeneca Group Astra Tech is a company in the AstraZeneca Group, one of the world’s leading pharmaceutical companies and we are committed to remaining at the forefront when it comes to advanced research and development in the field of implant dentistry. The Astra Tech Implant System™ is exceptionally well documented and one of the fastest growing systems in the world today.


A company in the AstraZeneca Group Astra Tech is a company in the AstraZeneca Group, one of the world’s leading pharmaceutical companies and we are committed to remaining at the forefront when it comes to advanced research and development in the field of implant dentistry.


The Astra Tech Implant System™ is exceptionally well documented and one of the fastest growing systems in the world today.

Working with nature


Astra Tech Implant System™ works together with nature in supporting the natural healing process instead of interfering with it. Healthy gums and maintained bone levels are crucial for a long lasting esthetic tooth replacement. Under the right conditions, nature itself does the major part of the job. The Astra Tech Implant System™ is designed to provide nature with the right conditions; all of the system's parts work together. It is function, beauty and biology in perfect harmony – we call it the Astra Tech BioManagement Complex™. The Astra Tech BioManagement Complex™ is unique to dental implants from Astra Tech and includes:

OsseoSpeed™ – more bone rapidly

MicroThread™ – biomechanical bone stimulation

Conical Seal Design™ – a strong and stable fit

Connective Contour™ – increased soft tissue contact zone and volume

Straumann Dental Implants Dental implant solutions Can you really implant happiness? Sometimes, a small piece of titanium can revitalize your smile and boost flagging self-confidence. Those who have one or more missing teeth may feel insecure and self-conscious, but there is a story behind every missing tooth: an accident or bad genes, perhaps, or maybe cavities or periodontitis are the cause of a gap. Whatever the reason, patients want to be able to chew properly, to experience reliable stability, to retain their healthy teeth and to feel attractive. Dental implants: an esthetic long-term solution *

1. An esthetic solution


Function and visual appearance go hand in hand: dental implants were developed to offer reliable stability, plus the new solution on implants looks natural.

2. More to enjoy


The dental plates often required with conventional dentures may cause pressure points and other inconveniences. With dental implant therapy, such dental plates are not necessary. Therefore, patients may experience more comfort when talking, smiling and eating. A North American survey has highlighted the advantages of implants and proven the theory that “those who kiss enjoy life more.” People who have bad or missing teeth kiss others less often and are in turn kissed less than those with good teeth. Surveys conducted by the McGill University in Canada with support from Straumann have shown that unease during kissing is considerably reduced if prostheses are anchored in place by implants.

3. Bone preservation


Implants transmit chewing forces to the jaw bones, which helps to maintain the bone. If there is no implant, as with conventional bridges or partial prostheses, the bone may slowly recede and the shape of the face may change over time.

4. Tooth preservation


With a conventional bridge, the healthy neighboring teeth to the right and left of the missing tooth have to be ground down to support the bridge. When using an implant to close the gap, the neighboring teeth are not affected and the natural tooth surface remains intact.

5. Proven quality


Straumann dental implants have been sold over four million times worldwide. The Straumann® Dental Implant System is one of the most frequently used systems in the world and is the result of more than 30 years of scientific experience.

The big difference Comparison of conventional methods and dental implants The bridge solution

With conventional methods, the two healthy neighbouring teeth have to be ground down in order to fix a bridge in place. This results in a loss of natural tooth surface. Because the bridge does not transmit chewing forces to the jaw bone, bone deterioration may occur.

The implant solution

The dental implant replaces the missing tooth root. The healthy neighbouring teeth remain completely intact and are not ground down.



- Straumann, the company

- Who we are, what we do, what makes us stand out

- Swiss quality with international research


Straumann offers solutions for a wide range of dental indications, from single gaps to completely edentulous jaws. Straumann is one of the global leaders in implant and restorative dentistry and oral tissue regeneration. In collaboration with leading clinics, research institutes and universities, Straumann researches and develops implants, instruments, CADCAM prosthetics and tissue regeneration products.


Straumann is an international group of companies with headquarters in Basel and distributes its products globally in more than 60 countries. Its philosophy? Simply doing more. The company offers innovative solutions which allow dentists to provide their patients with solutions based on the latest research. Reliability and quality are company hallmarks: Straumann solutions are thoroughly researched and scientifically proven –both now and in the future.

 Why opt for Straumann dental implants?


- Products with proven long-term effectiveness

- 10 years of results of clinical studies available *

- Exclusive partnership with the International team Implantology – with the objective to constantly

- improve the treatment methods and outcomes for patients

- Compliance with international quality standards

- 5 % of revenues dedicated to research and development

- A company present in more than 60 countries worldwide

XiVE. Surgical flexibility. Prosthetic variety.


XiVE is designed for the greatest possible prosthetic and surgical flexibility. The multifunctional components allow you to take advantage of all the options available with the innovative prosthetics. For example, with the unique TempBase design from XiVE a temporary denture – virtually the same as the final restoration – is easily fabricated, the ceramic CERCON abutments offer outstanding esthetics, and with a cast-to abutment like the AuroBase even difficult initial situations can be given a functional customized prosthetic solution from the top face of the implant. These prosthetic concepts have been the fist choice of dental technicians, implantologists and patients throughout the world for many years. Implantological choices for you – the best solution for your patients


XiVE. Complete concept. Absolute primary stability.


Stable, secure and if necessary immediate? This is easy for the specialized implant and thread design of XiVE: the screw implant is a perfect fit in the bone. And in all bone classes. The result is very high primary stability – the decisive prerequisite for successful therapy and implementation of the latest implantology concepts.

"The Dental Design Center is located in Pattaya City on the eastern Gulf coast of Thailand. We cover all aspects of general dentistry, cosmetic and implant surgery, specializing in orthodontics (improper bite, crowded or crooked teeth) and complex restorative work and implant dentistry. We welcome clients from around the world and are confident we can meet all of your dental needs at a fraction of the cost. The ethical, friendly team at The Dental Design Center, Pattaya City are committed to your happiness, safety and comfort. We treat everybody with respect, honesty and professionalism, ensuring we thoroughly understand your situation, and making accurate diagnoses with treatment plans tailored to your needs."

The ethical, friendly team at The Dental Design Center, Pattaya City are committed to your happiness, safety and comfort. We treat everybody with respect, honesty and professionalism, ensuring we thoroughly understand your situation, and making accurate diagnoses with treatment plans tailored to your needs."

Phone: (038)111-844 , (038)111-845 , (038)488-353 Mobile: 094-960-4966

Hours of operation

Mon-Fri: 10:00-20.00 Sat: 10.00-17.00 Sun: closed

365/12-13 Pattaya Second Rd. Soi.10 Banglamung Chonburi 20150