Implantology

Dental Implants

Dental implants are the best solution for a lost tooth or missing tooth that exists today. The installation of dental implants is a surgical procedure that implies the installation of a titanium screw in the patient’s bone, as a substitute for the tooth root, and then, after the time necessary for its integration, crowns are made.

Today it is a routine procedure that has its own rules and if they are respected, the percentage of success is over 90% and is one of the most successful implant procedures in medicine in general.

Implants are completely biocompatible, they are related to the human bone with a special kind of connection, they are bioinfect and do not cause any harm in the body. The allergic reaction to implants is almost unrecorded.

The candidate for the installation of dental implants can be anyone. Increased risk in terms of failure exists in patients suffering from unregulated diabetes, osteoporosis, some blood diseases, hypercholesterolemia, malignant diseases, but these conditions are also a relative contraindication where, with certain additional procedures and with increased risk, implants are implanted. There are almost no absolute contraindications for the implant installation.

The process of implanting dental implants

Installation of dental implants is done in local anesthesia or analgosedation.

The process usually begins with planning based on a 3D X-ray or orthopedic. The patient is presented with a plan and after the signed consent moves with intervention.

Most often, implants are implanted in the first stage, and then after the time necessary for their integration into the human bone, which differs extensively for the upper and lower jaw and depends on some additional factors, in the second phase crowns are made.

This period of osseointegration is usually 3-4 months for the lower jaw, and for the above 5-6 months, if an artificial bone is added, the period of osseointegration is extended to 9 months.

There are also cases where, on the same day or the next day, a crown is immediately made on the implanted implant, which is of a temporary character, is not in contact with the tooth antagonist and generally has an aesthetic role. This is especially important when implantation is done in the front, and the patient does not want to wear, sometimes uncomfortable mobile prosthetic devices. Of course, for this type of intervention, certain conditions must be fulfilled, first of all, that the primary stability of the implant is sufficient for him to carry the load with a temporary crown immediately. After a certain time, the temporary crown is replaced with a definitive one.

Benefits of dental implants

The installation of dental implants today is a permanent solution in the absence of one, more teeth, or in the case of total edema. The main advantage is that there is no need for grinding adjacent healthy and undamaged teeth.

The lower age limit for installation is 18 years until the upper one exists, and the reasons are equally aesthetic and functional.

The benefits of dental implants in relation to prostheses and bridges: they represent almost perfect compensation for lost tooth not only visually, but also functional bridges and prostheses can not stop the processes of bone resorption and withdrawal of dental meat that occur after tooth loss, and the implant installation will completely prevent these phenomena.

Guarantee for embedded dental implants

The guarantee is given for complete work (implant, abatment, crown) for a period of 10 years.

The guarantee in this period includes any kind of damage to the bridge or crown on the implants in terms of cracking, fracture, crown or bridge failure, slashing or slipping, provided that the following conditions are met:

• Visit the clinic at least twice a year during the first three years, and then once a year for professional tooth cleaning
• For patients living abroad this visit dynamics is arranged before the start of work when they fill in the implant approval and adjust to their abilities
• Daily maintenance of personal hygiene which involves tooth brushing and paste at least twice a day, as well as the use of oral disinfectants as advised to the patient
• Mandatory control of the condition of the implants by making a X-ray image of the teeth

Complications and their care

Complications can be divided into surgical and prosthetic.

SURGICAL COMPLICATIONS can be relatively light as pain and an island after surgery that can be easily solved by the use of antibiotic and other therapies. In some cases, dehiscence of the wound may occur. premature unwinding or breaking of seams, which is also easily solved, and is usually prevented by timely and regular controls after surgery.

If the pain lasts for a long time (a month or two after insertion of the implant), it is a warning sign and in this case additional X-rays are needed in order to determine the cause of the pain. In the most difficult situations, this pain points to the development of perimplantitis, which is the most common cause of implant loss. Sometimes we are forced to abolish the implant or if it itself breaks down over time and gets out of its trap. The solution of such a problem is the installation of a new implant, with different threads, with the possible addition of artificial bone or additional surgical procedures. As stated in the warranty, the patient is spared any additional costs related to the new surgical-implantological procedure.

This phenomenon is relatively rare and in ordinations that respect the surgical protocols for the implant installation the percentage of failure is 2 to 3% of implanted implants.

PROTECTIVE COMPLICATIONS occur rarely if the previous phase is detailed and well planned. Our patients always say at the beginning of implant prosthetic therapy what they can expect, and what complications may occur. All decisions are made in a team made up of a patient, dental technician, surgeon and prosthetist.