Somjot

Yesterday I sent you a personal message. Yet since then, you've been visiting this forum a few times but did not read your messages. You might find the answer to your question in there.

One of the most important factors for a successful dental treatment is a perfect communication between dentist and patient. That might not be that important when it comes to a cleaning or a small filling but if the dentist plans a bridge, an implant or even a removeable prosthetics for his patient and fails to explain him exactly what he has to expect, problems are almost guaranteed. Another very important factor, especially in a tropical country like Thailand, is disinfection and sterilization. The regular control and calibration of your X-ray devices is another important point, in order to protect your patient, your staff and yourself. I've seen guys going from clinic to clinic, up to 20 different places, to find the cheapest place. That might not be the best idea. When you open a dental clinic in Thailand, you must apply for the licence in the local health authority. If your paperwork is OK, they will make an appointment with you, to check your place. Trust me, the regulations are very strict and there are many of them. But they come only one time and then never again. In Western countries you must test your X-ray machines and your autoclave (a machine that sterilises the instruments with temperatures between 110 and 140 degrees Celsius) on a daily base and keep all the reports. Not in Thailand. That is not entirely correct: It makes no difference if your implant is in the molar or in the front area. It will need about 3 months to completely heal in and be able to take the load of any kind of supraconstruction, no matter if this is a crown, a bridge or something different. And you definitely do not need to stay for that period of time. A brief check or, if required, the removal of the stitches one week after the surgery and you're good to go home. But then you have to come back after 3 months (or later, as once those implants have grown in, it doesn't matter, if you put the supraconstruction on them 3 or 6 or 24 months later) to get your final dental work. Very well explained. If I may add 1 very important point: the manufacturer of your implants. Please understand, that the implant is basically the artificial root made of titanium or ceramics, which is inserted in the bone. After the healing period the so-called abutment will be put on the implant, which connects the implant with the denture. Now there is no such thing like US standard or EU DIN norm when it comes to implants. The implants of every different manufacturer have a different geometry, that might be an inner octagon or an outer hexagon, which requires a different set of tools. It is comparable to cars: you cannot put the spare part of a Ford into a BMW, even if it is the same device. So it is mandatory to get implants from one of the leading companies and the surgeon must inform you about the manufacturer and the type of implant you got. To not know your implant type is like not knowing your automobile manufacturer. What are you going to do if something must be replaced? Well, when it comes to cars, it shouldn't be such a big problem to find out, which company produced it. Normally it's written somewhere on the car. Not so, when it comes to implants. And if your implant is from some cheap no name company and you need a spare part for it after a few years or maybe you have lost some more teeth and want to use this implant, which was carrying a crown, to insert a bridge, there is a high chance, this company does not exist anymore, and then good luck.

That is confusing. In fact in 26 years I never met a farang, who did NOT play around behind his lady. Even those, who live in the countryside, would visit the bigger cities once in a while. Compared to me, you`re clearly living in the better social environment.