Professional dental implantation
- Dental implantation of any complexity
- Implantation using a 3D template
- Bone plastic
- Prosthetics on implants
There are many ways to replace lost teeth, but only one of them makes it possible to achieve the same functionality and appearance as natural teeth. Dental implantation is the most progressive way of dental rehabilitation.
It doesn’t matter how many teeth a patient has – one, several or all – and why it happened. Dental implants are used to reconstruct one tooth, an entire row, or as a base for removable prostheses.
According to the World Health Organization, approximately 30 per cent of people aged 65-74 lack natural teeth. But they begin to lose their teeth much earlier: patients are treated with dental implants for an average at 28-60 years.
With the loss of teeth, the functions of chewing and speech are impaired, and the quality of life is reduced. Over time, at the place where the tooth is lost, bone tissue is depleted, the adjacent teeth tilt to an empty gap, and the rest gradually change their position. In particularly difficult cases, the facial skeleton is deformed.
This means that the recovery of the tooth after its loss or removal is not just desirable – it is worth doing soon. If you delay the solution, it will take longer and more money to repair the altered bite, repair the bone tissue.
Find out the details
- What is a dental implantatio?
- Consultation and diagnostic
- Preparation for implantation
- Operation and postoperative period
- When the installation of dental implants is contraindicated
- Types of dental implantation
- Why dental implantation is preferable to classical prosthetics
- Bone plastic during implantation
- 3D implantation - simulation and installation of implants using 3D template
What is a dental implantatio?
It’s, quite simply, a 3-5 mm diameter rod and a crown are placed in the hole where the tooth used to be. Typically, implants are made of titanium. This material is known for its durability, ease and bioinertia, which make the implants well-preserved and non-toxic.
Another one technological and bioinert material is zirconium oxide. The cost of a zirconium tooth implant is higher, but such implants are characterized by aesthetics and magnificent measures of fitness. Therefore, they are usually used when the patient has an allergic reaction to metals.
In the clinic «Your Dentist» preference is given to Italian, American, Swiss and South Korean implant manufacturers, as well as to German manufacturers of materials for prostheses (crowns). Today, these materials are the gold quality standard of dentistry.
Consultation and diagnostic
The way to a healthy and beautiful smile begins with the initial dental consultation. It is mandatory to collect an anamnesis: what the patient has suffered as a child, and what – recently, whether he has chronic diseases. During the extended consultation the patient is acquainted with the optimal treatment options. The dentist advises on the method to be chosen, taking into account the individual characteristics of the patient, the results of the examination and contraindications.
Preparation for implantation
The dentist immediately plans both implants and crowns by looking at how the teeth should look like in the end… In addition, when a doctor forms a surgical protocol, he immediately creates templates for temporary prostheses.
That’s why the patients who are being treated at our clinic feel more comfortable in the next few months, while the implants take root. They don’t have to wait out this period without teeth. This is particularly important for patients who are expecting anterior tooth implants.
The next stage of training is professional oral hygiene, and there’s no way to miss it. No matter how good a patient brushes his teeth, it’s no substitute for professional hygiene. The dentist will perform examinations and diagnostics, remove hard dental deposits and plaque, perform anti-inflammatory and remiteralizing therapy.
If necessary, remove those teeth that are not worth fighting for. And will cure the rest – that is, it will perform comprehensive treatment of caries, parodontitis, periodontitis or pulpit. Only then can the teeth be implanted.
Operation and postoperative period
The operation itself takes a minimum of time to implant a tooth. After the operation, the specialist observes the patient for two weeks: if the operation was difficult, then every day, in other cases the second, fifth and fourteenth days are considered critical.
At the end of the two-week period, the gums are well-healed, the dentist can assess the patient’s health and wait quietly for the bone tissue to heal.
Surgical construction takes root two to nine months. Under ideal conditions, the implants in the lower jaw will last for two to three months, and in the upper jaw for three to six months.In practice, this period can be extended: for example, if the bone tissue is severely atrophied and bone plastic or sine lift is required to increase its volume. In such cases, the healing period is extended to six to nine months.
The final stage is dental prosthetics. There are many scenarios here, as well as prosthetic options. It is worth mentioning that at all stages the doctor informs the patient about correct oral care. To do this, he assesses the level of self-cleaning of teeth, explains, corrects errors, and controls dental and oral hygiene. And also recommends additional dental and gum care for dental implants and prostheses.
When the installation of dental implants is contraindicated
The dental implant procedure is suitable for most patients with healthy gums and sufficient bone tissue to fix the implant. But there are a number of limitations. First of all, dental implantation is contraindicated to pregnant women and patients undergoing treatment for oncology. In addition, relative contraindications include:
- viral diseases – implants start not earlier than two weeks after recovery;
- blood diseases;
- cardiovascular diseases;
- diabetes mellitus;
- thyroid diseases;
- infectious diseases;
- poor oral hygiene;
All of the above can affect the operation itself, the recovery process and the viability of the implants to varying degrees. It also affects the decision-making and individual planning of dental treatment. Therefore, during the consultation, the dentist should be notified of the presence of any diseases. You have to remember that most of these limitations are temporary. In the case of absolute contraindications, however, it is necessary to consult a doctor so that he can find an alternative method of restoring the tooth row.
Types of dental implantation
Even with no teeth at all, implantation can be done in different ways, setting:
- two implants to which a removable prosthesis will be attached;
- four implants to which a removable prosthesis will be attached – this construction is accompanied by another type of fixation and is considered more reliable;
- six or more implants with permanent prosthesis;
- «one tooth – one implant»: twelve implants, each of which will have a crown – the price of such an installation is higher, but it is the most natural, aesthetic and comfortable version of dental prostheses.
Sometimes the bone is too small and the patient is unwilling or unable to build it. For such patients in the clinic «Your Dentist» the newest methods are used, which allow to install implants even in case of bone deficiency. For example, «All-on-four» is a prosthetic technology, which consists in installing four implants: two in the frontal section of the jaw and two in the lateral sections at an angle of 45°, after which the permanent prosthesis is fixed. After surgery, the patient leaves the clinic with temporary teeth. Specialists of family dentistry «Your Dentist» perform implantation of any complexity, including re-implantation – repair of incorrectly established artificial roots. Incorrect implants not only create difficulties for subsequent prosthetics, but also cause complications. The experience of our specialists helps in dealing with such cases.
Why dental implantation is preferable to classical prosthetics
As we have noted above, dental implantation is the only way to prevent bone deterioration and, in most cases, stimulate bone growth. There are really many advantages to the method. For example, dental implantation:
- long-lasting: if installed correctly, it will serve the whole life;
- aesthetics: specialists work to make dental implants and fixed crowns indistinguishable from natural teeth;
- improves the fixation of the removable prosthesis: implants serve as an additional support;
- suitable for a patient with removable denture intolerance;
- allows you to forget about caries: the crowns require special care, but they do not deteriorate as normal teeth;
- independent of neighbouring teeth: healthy teeth do not have to be removed, as in the case of bridge-shaped prosthesis;
- allows you to eat anything, bite and chew food naturally.
The cost of dental implants is higher than that of conventional prosthetics. But at the same time, prosthetics on implants avoid many of the burdens and costs associated with alternative treatments. Properly installed implants serve a lifetime, while other methods of dental restoration have to be resorted to regularly, eliminating the same problems.
Bone plastic during implantation
Bone plastic is an operation to restore bone tissue. Typically, the procedure to expand bone tissue precedes dental implantation. Its aim is to provide sufficient amounts of bone mass where, for various reasons, they are not sufficient for a qualitative implantation. Bone deficiency can be caused by: jaw injuries, tooth removal, inflammatory processes in the mouth. The jaw bones are also atrophied with age, with prolonged tooth loss and without adequate chewing capacity. The methods of repairing the volume of bone tissue have their nuances depending on whether the lower or upper jaw needs to be repaired, what is the vascularization zone – what is the blood supply, what is the best material. In the mandible, in the cortical bone regions, it’s always more difficult because there’s less blood supply and the surgery site heals more slowly.
3D implantation - simulation and installation of implants using 3D template
The template for 3D dental implantation is a structure that allows to install dental implants to within millimetre of the position specified in the treatment plan. It looks like a bonnet with shell casings, drilling holes in the bone for implants. Using a template helps the doctor to create a visualization of the end result before the start of the dental surgery.
In the creation of templates, 3D modeling technology is used, in which the positioning of the implants corresponds precisely to the chewing load they receive through the crowns during chewing.
The templates can be Gum-based and bone-based (the method of attachment differs accordingly). Gum-based templates are more benign, whereas bone-based templates are traumatic and are used only when anatomical features (soft, agile gums, which are impossible to calculate on a computer) prevent the use of another method.
Benefits of 3D implantation
Innovative navigation surgery technology with 3D templates helps to ensure safety and positive dental implantation. It also minimizes the possibility of surgical errors in implants, such as damage to nerves or adjacent teeth; failures of implants in the maxillary sinus; incorrect positioning, which further interferes with successful prosthetics.
3D – Implantation has a number of advantages:
- Minimizes the risk of injury, post-op swelling.
- Improves healing by allowing implants to be performed without cutting. Under the classical protocol, they are required to visually control the correct depth of implants. The quality template allows the dentist to avoid this procedure.
- Gives a more predictable result in complex oral anatomy.
- Allows the surgeon to instantly install a large number of implants, and the time of the operation is greatly reduced, and the patient can go home with temporary prostheses on the same day. The installation of one implant using a template can take longer than without it due to preparatory procedures.
Thus, the complex anatomy of the jaw, the need for simultaneous installation of a large number of implants and the desire to leave the clinic on the same day with a temporary tooth are the main indications for the implantation according to the 3D template.
3D implantation among family dental services «Your Dentist»
Navigational surgery and 3D-templates are actively used in the dental clinic «Your Dentist» in Odessa when implanting teeth.
In the family dentistry «Your Dentist» operations according to the 3D-template are carried out by the chief physician, certified specialist, dental surgeon Andrey Valerievich Beda. Having performed over 3,000 implantations, he knows exactly which treatment protocol best meets the needs of the patient, can answer all questions, explain the advantages and risks of each procedure.
The main steps of this procedure in our clinic are:
- Removal of impressions of the upper and lower jaws with occlusion – recording the ratio of the jaws to each other.
- CT scan of the jaws. Special equipment carries minimal radiation load and is completely safe for your health.
- Electronic dental scanning (since the tomograph does not take into account the relief of soft tissues).
- Combining data in a computer program and creating diagnostic models taking into account the thickness of the mucosa.
- Virtual planning: Precise coordinates of implant installation are determined taking into account anatomical features (takes 3-5 working days). Each implant is positioned according to orthopedic and surgical expediency.
- Printing the template on a special 3D printer, which means it’s 100% compliant with the 3D model.
- Directly installing an implant (or implants) of a predetermined model and value.
- If necessary – installation of temporary dental prostheses, acrylic or composite, by means of screw fixation. Temporary dentures are used until the implants take root. This process takes three to nine months, depending on the coating used in the implants, the number of implants and the configuration of the permanent prostheses. After that the screw fixation allows to remove temporary teeth, make necessary casts and dimensions, return the prostheses to the place and start to manufacture permanent constructions, as well as carry out intermediate «fittings».
- In order to prepare for the operation, the patient may also be given advice on oral hygiene, and there will be mandatory treatment of inflammatory processes and the removal of non-viable tooth residues.
But 3D implantation, like dental implantation, has a number of contraindications.
- Diseases of the blood and blood-producing organs (e.g. blood clotting disorders).
- Diseases of the central nervous system, mental diseases.
- Immunopathological states.
- Systemic diseases of connective tissue: systemic red lupus, scleroderma, rheumatic, rheumatoid and others.
- Tuberculosis and its complications.
- Some diseases of the mucosa of the oral cavity are chronic recurrent aftershock, red lupus, bubble, Sjgren syndrome and others.
- Type I diabetes.
- Hypertonicity of the chewing muscles, Brooksiasm.
- Gingivit (inflammation of gums of infectious and non-communicable nature).
- Unsatisfactory oral hygiene.
- Marginal periodontitis (inflammation of tissues surrounding teeth).
- Pathological bites.
- Diseases of the temporomandibular joint (arthrosis, arthritis).
- Pronounced atrophy or bone defect of the alveolar process.
- Smoking, alcoholism, drug addiction.
In this cases dental implantation is the best solution.
The interruption of dental continuity, or more simply, the absence of between 1 and 13 teeth in the dental arch, is one of the most serious problems that people have in the dental clinic. The reasons for this deplorable situation may be:
- Mechanical injury.
- Common diseases of the body (diabetes mellitus, rheumatoid arthritis, hypertension).
- The lack of teeth also hinders proper chewing and talking, seriously impairing the quality of life and communication. That is why proper oral care and timely dental care are so important.
If there are no teeth in large numbers, a denture becomes necessary. Modern prosthetics with implantation ensure the stability of the structures, their durability and guaranteed result, unlike the removable prostheses known to mankind for several thousand years.
The implant is a 6-15 mm long rod with a diameter of 3-5 mm, to which the crown is then placed. Such a prosthetic method gives the best aesthetic result, durability, does not affect neighbouring teeth, and above all – restores the function of chewing in its natural form.
Frequently asked questions
You probably care about questions that other patients have already asked. Look through the answers to them, but if you still have doubts –
just contact us!
- Does it hurt to have a tooth implant?
No, it’s also confirmed by patients’ reviews. In fact, implantation is less traumatic than tooth removal, takes a little time, and modern anesthesia techniques will relieve unnecessary worries and anxiety.
- What are the complications of dental implantation?
Statistically, complications from implantation are extremely rare. They are associated with inflammation and infections at the site of the implant, the most common complication being the periimplantit. It’s an infection that causes damage to the soft and bone tissue and a gradual decay of the jaw bone, causing the implant to be rejected.
Complications can be avoided. First, if you carefully choose a dental implant specialist in Odessa: with the proper qualifications, experience in using modern techniques, such that you use materials of high quality. Second, if you brush your teeth regularly and don’t miss inspections.
- How old are implants allowed?
Usually from the age of 18. For those younger, the dentist will choose an alternative orthopaedic care. In the future, the temporary method of restoration of the tooth row can be replaced by dental implantation.
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