Tooth Implant Surgery

Majority of the dental implant surgeries processes are conducted in the office of a dentist and are sometimes done in a hospital setting. Mostly, the local anesthesia is required for the out patient process however different other kinds of patient sedations like the oral and intravenous sedation and nitrous oxide might be used too. Adjunctive surgical processes like the bone augmentation might be conducted as separate processes or in the same moment as implant replacement. Every surgical process is distinct depending on the clinical condition and the priorities of the dental practitioner, patient and surgeon.

The very commonly performed methodology of placing dental impacts is the process of staged surgery. In the initial stage, there is the surgical burying of the implant that is used to replace the tooth root, this is flushed with the bone but is under the gum. This saves the implant from force when it is healing. Towards the end of this process of healing, the implant requires to be exposed surgically by removing a little of the overlying gum. Normally here at do this task and the end result is excellent.

In the next step, the surgeon checks on the implant for its successful combination and links some kind of post that moves from the gum to the mouth. This post is known as the abutment. This appears in various kinds and it can be custom molded or stock manufactured by a laboratory or a dentist. The gum is made to heal around the abutment and develop a collar or cuff from which the dentist can reach the implant while preparing the final step of putting the prosthetic teeth.


Tooth Implant Surgery

It has been demonstrated through research that it is sometimes not possible to put a right kind of abutment in the same time as the implant. This has a few limitations however it can end the requirement for another surgery to expose the implant. But, the implant still needs right amount of healing time for the bones to Osseo integrate.

The abutments should also be saved from the force of chewing at this time to make sure that the bone integration is effective and the healing is successful. When the implants have the opportunity to heal and have been tested for the effective integration, the last stage occurs here. In this stage the connecting and fabricating of prosthetic teeth occurs for the purpose of successfully Osseo integrating the implants.

Anorexia Nervosa

An eating disorder characterized by inappropriate eating habits, anorexia nervosa is a diagnosed most often in women. Nine times more females than males are affected by this disorder.

Usually it involves serious weight loss caused by the restricted amount of food consumed by people affected but this disorder as they are terribly frightened about possible weight loss. Anorexia and anorexia nervosa are two distinct terms that outside the medical literature are misused interchangeably by many people.

Anorexia refers to the simple lack of appetite while people with anorexia nervosa are not losing their appetite. Actually people with anorexia nervosa are very hungry. The levels of ghrelin in their blood is really high which means their body is making them very hungry in a desperate effort to make them eat. Their body needs more nutrients than it gets.

But the people with anorexia will do anything to suppress, override or ignore that hunger call. Sometimes they will harm themselves just to override that hunger call.

The risks involved by anorexia nervosa are serious and the incidence of comorbidity is really high. Cases of extreme self-starvation are known.

People with anorexia nervosa are usually obsessed with having a thin figure and a distorted self-perception of their body.

Due to the lack of nutrition people with anorexia nervosa often experience fever, dizziness, drowsiness, headache and lack of energy. In order to compensate people might resort to harmful behaviors like smoking, excessive use of diet pills or excessive consumption of caffeine.

Though they might already be underweight, people with anorexia think of themselves as “big” or overweight.

Anorexia nervosa is not leading to physical complications only but mental health complications too.

The DSM V criteria include:

  • Continuous restriction of nutritional intake that leads to significant weight loss, below the minimal weight expected for the patient
  • Disturbed perspective of the patient over her own weight or body shape
  • Intense fear of becoming fat or gaining weight

There are two important subtypes for anorexia nervosa: those who resort to binge eating and purging behavior for weight loss and those who don’t use the aforementioned methods.

According to the DSM V the levels of severity are measured by the BMI (body mass index):

  • Mild: 17-17.99 (BMI)
  • Moderate: 16-16.99 (BMI)
  • Severe: 15-15.99 (BMI)
  • Extreme: anything less than 15 (BMI)

Anyway, people with no medical training should not use DSM V to diagnose anorexia nervosa in themselves or others. In order to get a correct diagnosis people should seek the specialist help of a trained doctor.

There are many tests that might help a trained physician to diagnose anorexia nervosa correctly, including: complete blood count, urinalysis, ELISA, western blot analysis, glucose tolerance test, liver function test, Chem-20, serum chilinesterase test, creatine kinase test, blood urea nitrogen, barium enema, EKG, thyroid screen, parathyroid hormone test, upper GI series.

The signs and symptoms of anorexia nervosa might include:

  • Amenorrhea
  • Fear of any weight gain, even the slightest
  • Lanugo
  • Refusal of to maintain a BMI that is normal for the age of the patient
  • Rapid weight loss
  • Obsession with calories content of the food
  • Swollen cheeks
  • Swollen joints
  • Hypotension
  • Purging
  • Food rituals
  • Food restrictions
  • Intolerance to cold
  • Tachycardia and Bradycardia
  • Solitude
  • Halitosis
  • Fatigue
  • Depression

Complications of anorexia nervosa might include pubertal arrest or delay, hepatic steatosis, growth retardation, acute gastric dilation, seizures, tremors, reduction of peak bone mass and death.

The treatment most often involves regular counseling sessions and in case of severe malnutrition resulting from anorexia nervosa a hospital stay might be necessary.

Anorexia Nervosa: Being Too Thin – An Inside Story