Dental implants are the best solution for many different conditions, ranging from one or several missing teeth to complete loss of teeth in jaw. In this procedure implants are being introduced into the jaw bone, and they serve as roots which will carry future dental crowns. The artificial tooth is a common name for three parts of such a tooth: the screw that is inserted into bone, an abutment that connects the screw with the crown, and the dental crown itself. These days, implant insertion is a routine operation that is successful in more than 96% of cases. Even if all the teeth are missing, the procedure is quick. It is done in two phases with a three months break, during which a patient is given temporary dentures, so the procedure itself will not influence the patient’s life in any way.
Condition in which a patient has no teeth in one or in both jaws, or when all existing teeth have to be removed is called complete toothlessness. This condition can be reversed by complete implant treatment or by using implant anchored denture. Complete implant treatment will return more than 90% functionality and the natural feel compared to the time when the patient had all of his natural teeth. The number of natural teeth needed for a dental bridge is same as the number of screws needed for an implants based bridge. Crowns anchored on implants are separated from crowns on other teeth, but in some cases it is possible to connect implants and natural teeth in the same bridge. As a solution for total toothlessness, the complete implant treatment is one option, while the other is denture anchored to dental implants.
Denture permanently fixed on screws is supported by 2-4 dental screws per jaw, two times
smaller than the minimum number of screws with implants in one jaw or nearly three times less than the optimal number of screws for implants in one jaw. Also, this type of denture is very easy to maintain and is less pricey than implants. These advantages are countered by less-than-natural feeling and a bit awkward positioning on the lower jaw. Owners of dentures are free of all the cares concerning maintaining of their dentures, because if it happens that one screw became loose, the denture would still be stable on remaining locators, even if there is only three of them. Also, it is much easier to repair a denture anchored on implants than to repair complete implant work.
Each implant is made of a screw that goes into the bone, the abutment that connects the crew and the crown (the only visible part). Insertion of artificial teeth is divided into two phases. After the insertion of screws there is a break of three of four months – the time needed for screws to become fully integrated into the bone. When the doctor is sure that the screws are absolutely firm, crowns are installed on top of them, but first it is important to determine how many crowns each screw will carry. Whether you need to replace just one tooth with an artificial one, or you need to replace several teeth, the procedure will be quick, teeth will be completely functional and aesthetically pleasing, as well as compatible with all eventual future interventions. Implants will be the same shade as other teeth, or in any tone you want.
The first step both in determining of whether implant procedure is possible and in the procedure itself is the analysis of orthopan image. The process of removing all the teeth indicated for removal is next, and it is advisable to finish this in one day. The placement of screws can begin as soon as the wounds from the removal of teeth heal. It is also advisable to set all the screws in one day. The day after the insertion, the patient is examined and then send for four month rest until screws grow-in with the bone. If more than a few teeth are missing the patient will receive temporary denture. As the screws are becoming firmly part of the jaw, dental crowns are being made. The patient chooses the color, length and shape of crowns. Abutment is chosen for each implant, and permanent dental crowns are than made, which takes 7 to 14 days.
Analysis of 3D orthopan is the first step in the determening fitness for dental implants, as CBCT image will shows is there enough of the jaw bone to receive the implants. If the answer is yes, then the implant procedure can take place without any reservations. Visual examination is next, including a study of relative positions of upper and lower jaw, with a special attention to presence of bruxism and periodontitis. All the natural teeth which will remain in the jaw will be treated for plaque and caries. If the patient is healthy, age of life is not an important factor for success of implant therapy. We consider every person without severe illnesses, without bad habits and with satisfactory blood test to be generally healthy. Any chronic disease will reduce the chances for successful implants treatment.
One of the most important topics for patients who have received implants is their maintenance, but unfortunately, this issue has not been paid deserved attention. Of course, the implant itself does not require any maintenance, but what is of immense importance is hygiene around dental implants and crowns when the crown or implant have been used for a while.
Compensation of dental bone allows the installation of dental implants for patients whose jaw bone does not have sufficient height and / or thickness to support the implants.
This type of bone compensation or the addition of artificial bone differs from the compensation around the teeth during periodontal flap surgery as a treatment of periodontal surgical procedures. For this kind of purposes remuneration will be limited, which involves adding a little artificial bone around the tooth, because of its strengthening and lifetime duration.
Dentists and their patients often face a situation where after the loss of teeth in the lateral regions there is no longer enough jaw bones to install the implants. Although other cases are possible, the lack of bone is usually manifested by increasing sinus cavities, which occurs due to loss of teeth. In this case, installation of implants can not be done because dental implants inserted in such bone would penetrate into the sinus cavity without being able to strengthen their place in the bone. However, this does not mean that in such a situation implants can not be embedded, but only that it is necessary to take certain steps to ensure support for future bone implants.
During the past several years sedation has become less of an exception, and more of a rule when it comes to more complicated procedures at our dental practice. Patient’s requests influenced this development in practice more than anything else, because for the patient lack of pain was always in the first place, while the dentist always puts patient’s responsiveness in the first place.
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Incredibly precise and quick installation of implants?
Guided Implant Surgery is the option for you!
So far, the installation of implants had been solved by the use of classical surgery which meant making of the cut, fitting and sewing of the surgical wound. Subsequent to this procedure, the patients suffered postoperative pain and swelling, which to some may be stronger or weaker, but still the certain recovery period had to pass, sometimes up to 2 weeks.