Although there may be different reasons for losing teeth, you should replace them. The restoration of mastication can prevent many diseases stemming from the lack of teeth. A bright smile, the harmony of the face may increase comfortability and self-confidence.
What is a dental implant?
A dental implant is an artificial root made of bio-friendly material, implanted in the jaw bone supporting dental prosthetics. The goal of the implantation is to provide useable and aesthetic denture for the patient. Nowadays, most of the implants are made of clear titanium. The human body can accept the bio-friendly materials like titanium. The materials used in an implantation process suit the requirements and standards and are sterilized for use. The implants utilized in our clinic have the certification of international quality assurance.
Nowadays, the most frequently used implants have a root-form and provide the following advantages:
- root-form similar to the original tooth
- easy drilling
- excellent stability even in case of weaker bone
- the special form of the drills prevents problems of the ossification even in the case of immediate loading
As the size of the implant can vary in diameter and length, it can be specifically suited to the patient’s need.
What sorts of tooth loss can be cured by implantation?
Single tooth replacement, including the replacement of a single tooth or two teeth in one otherwise complete teething. In such a case, implants can be used to replace the missing teeth without grinding the adjacent teeth.
Multiple tooth replacement: multiple missing teeth can be replaced with multiple implants supporting a fixed bridgework. There is a need for preliminary planning in order to calculate of how many implants are needed.
Over dentures: for those who have lost all of their teeth. If it is possible, you shall take a fixed denture completely replacing the losses although there may be other solutions like a removable full denture supported by two or four implants (this may be more comfortable than a removable denture without fixing). There is a way for combining the removable and fixed dentures.
Preliminary conditions of implantation:
- good general health condition
- proper bone structure and quality
- the announcement of the patient for accepting the implantation
- proper oral hygiene and its maintenance
- the completion of the development of jaw bones
- acceptance and signing of the surgery form
- The implantation is not recommended if the operation may impair the health of the patient or the state of health of the patient may badly effect the success of the implantation.
- General and local contra-indications:
- General contra-indications of a surgical intervention (e.g. haemophilia, bad state of health preventing the surgery, etc.)
- Any disease or medical treatment that may have a bad effect on the recovery after the implantation like non-treated diabetes, problems of bone metabolism, cytostatic treatment.
- A thrombotic treatment shall be communicated to the dentist as it creates a relative contra-indication.
- No dental implantation is allowed during pregnancy.
- Dental implantation is not recommended for an individual unable to maintain proper oral hygiene and cooperation.
- Dental implantation is not allowed for alcoholics and heavy smokers.
- It is not recommended in case of significant lack of bone or of bad quality of the bone.
- It is not recommended if the arrangement of the jaw bones is so much distorted or there is a dysfunctionality of the jaws that prevents implantation, for example in dysgnathia.
There is a planning process before a dental implantation. The planning and preparation is patient-tailored in all the cases, using dental CT and x-ray examination. During the planning process, we determine the number, size, type of the implants -taken into consideration the status of the patient and the nature of the tooth replacement- and consider whether there is a need for bone grafting or modifying the maxillary sinus. The planning covers both the dental implantation and the denture to be made.
The surgery always applies the standards of the sterilization.
Three implantation methods are used:
- Immediate loading procedure: implantation is done right after the extraction
- Delayed loading procedure: implantation takes place 4-8 weeks after the extraction
- Tardy loading procedure: implantation takes place 3 months or later after the extraction
Care needed following the dental implantation.
- antibiotic treatment in accordance with the prescription
- painkiller in case of significant pain
- mouthwash after eating every day
- use of light toothbrush after the day of the surgery
- use of ice for the area (outside)
- do not lift heavy objects in the 3-4 days following the surgery
- no eating and drinking until the effect of anaesthesia ceases
- do not press or touch the operated area in your mouth
- the dentist will remove the stitches in 7-10 days
- turn to your dentist in case of permanent problems like high temperature or pain
- avoid dish of milk and egg for 1-2 days
- no smoking
he patient and the affected area are prepared for the operation. The dentist and the assistants are dressed, take scrubs, mask, and gloves. Dental implant surgery is usually carried out under local anaesthesia and the procedure is painless and relatively comfortable. If there is a need, the implantation surgery can be carried out in full anaesthesia in our clinic.
Taking care of the implants
- a week after the surgery stitches are removed and examine the implants
- a second control examination takes place 3-6 months after the implantation right before the preparation of the replacement bridgework
- a third control examination takes place in 2 weeks after placing the denture and thereafter in every half a year or yearly there is an examination
- If there is any problem with the denture or the implantation, the patient shall turn to the dentist. The implantation has been in a detailed manner documented in order to give support to the further treatment of the patient. All the control examinations are also documented. The systematic control may contribute to the long-term use of the implants.
A replacement of missing teeth
The success of the implantation
We may call an implantation successful if there is no pain, no strange feeling, no inflammation, no swaying of the implants, and there is no sign in an x-ray of osteoporosis near the implants. The expression of the successful implantation is related to the long-term success. Therefore, both the dentist providing the surgery and the patient having the implants can contribute a lot to the success. In accordance with the studies dealing with implantation, about 90% of the implantation procedures are successful and this is backed by our own experience, too. The rate of failure can be reduced by replacing the problematic implants by new ones – taken into consideration the professional principles.
All in all, we may say that failing implantation rather rarely happens.