Implantology - questions and answers
Dental implants are artificial replacement for the lost tooth root. They can completely replace all tooth root functions and aesthetic value.
Dental implants are made of materials which are biocompatible with human body. They fuse with living bone and are fully accepted by the gums. Only a dental implant can give you the feeling of a natural tooth.
By placing dental implants after tooth root loss, we avoid bone deterioration, gum recession and movement of neighboring teeth. If dental arch stays interrupted teeth can move, which will eventually influence speech and bite.
Dental implants are mostly made of titanium. Few years ago new, completely white ceramic implants appeared and are momentarily being internationally clinically researched.
Great material strength, biocompatibility, long lifetime, detailed clinic research and worldwide application in the last 30 years. Hundreds of millions of placed dental implants all over the world are their best reference.
Dental implants are placed by a specialist of oral surgery. Although the placement itself lasts very short, it is a complicated surgical procedure and it's very important that it's done by an experienced oral surgeon.
Dental implant placement is a complex but short procedure. After examination and x-ray images, the oral surgeon will mark the position of the dental implant in the jaw and will make place for it using a drill. When it's prepared, he will check the position of the implant and if there is no need for corrections he will place the dental implant. After the implant is placed in its final position a post is placed on it and a temporary dental crown. The temporary dental crown stays there until the osseointegration process is completed (fuse with the bone). The osseointegration can last from 2 to 6 months, and after that it's time for a checkup and placement of the fixed crown.
Dental implants can last a lifetime. To ensure their long-life cycle, they have to be taken care of as the natural teeth do. It involves regular oral hygiene and visits to the dentist. Manufacturers warranty of an implant is mostly from 10 to 15 years. In our polyclinic we place implants produced by Astra Tech, Nobel Biocare and Straumann, one of a few dental implants with a lifetime warranty.
The procedure of placing one implant by an experienced surgeon can last from 10 to 15 minutes. The procedure can last even longer, depending on the patient.
The osseointegration is the process of fusion of the living bone tissue with the implant. When the bone comes in touch with the placed implant, it makes a strong connection giving stability to the new artificial root.
Fusion of the placed implant with the bone can last from 2 up to 6 months, depending on the immune system of the individual patient.
The placement of the dental implant is not possible with patients with a weak immune system, when there is not enough bone matter in the jaw to place the dental implant and it's not possible to restore it. Insurmountable obstacle is advanced stage of osteoporosis. There are, of course, always exceptions and one must see a specialist for the final diagnosis.
When there is not enough bone to place an implant in the jaw, there are several ways to restore it. The most common method is bone grafting. This procedure involves placing small granules under the gum to feed the bone and enhance its regeneration. The process of restoration lasts a few months, and it varies from patient to patient. The other option, less frequently used, is transplantation of the patient's own bone from another part of the body into the jaw where the bone tissue is lacking. It is also possible to use the bone from another person if it's compatible, but the percentage of donor bone acceptance is far less than with transplantation of patient's own bone.
Age is no obstacle for dental implant placement. If a patient is in good oral and general health, with enough bone in the jawbone to place a dental implant and the patient does not suffer from an advanced stage osteoporosis, it's very likely he will be eligible for placement of dental implants.
In our clinic we place Astra Tech, Nobel Biocare and Straumann dental implants. We have opted for these implants because of their quality, conducted detailed clinical research and a lifetime warranty from the manufacturer.
There are different dental implants available on the market and produced by different manufacturers. They are not all equally good and reliable. The choice of quality dental implant is always the best option because it mostly represents a long-term solution. We advise you to inform yourselves and get professional advice before making a decision of dental implant placement.
Most of the manufacturers give warranty for dental implants. Those are mostly warranties for a period from 10 up to 15 years. Astra Tech, Nobel Biocare and Straumann give a lifetime warranty for their titanium dental implants which was one of the main reasons we finally opted for those manufacturers.
18. What is the percentage of successful placement of dental implants in the world, and what is it in your clinic?
The world's percentage of dental implants placement success is around 90% according to the most recent researches done. In our clinic it is a bit above the world's average and is at very good 99,8%.
It usually takes at least 2 visits. During the first visit we place the dental implant, superstructure and temporary dental crown, and during the second visit we check implant's osseointegration with the bone and place the permanent crown. Sometimes a few more visits might be necessary.
Absolutely! Oral hygiene is as important for implants as for your natural teeth. Maintenance of implants does not differ from proper maintenance of natural teeth, which means brushing your teeth at least twice a day, flossing, rinsing with mouthwash and at least one checkup per year.
It is recommended to wait for the place in the jaw, where the tooth root was, to regenerate naturally, but modern dentistry does not require waiting and placement of dental implant is possible immediately after the tooth is extracted. Your oral surgeon will give you the best answer to this question during your first visit.
Yes! Osteoporosis can complicate the placement of a dental implant, but even when the patient has diagnosed early stage osteoporosis, a successful placement of dental implant is possible. There are advanced stages of osteoporosis when placement of dental implants is not recommended, but you should consult your dentist in both cases.
The most common reason for rejection of dental implant is weak immune system of the patient. If the body rejects the placed implant, it is necessary to improve the patient's immune system and repeat the placement procedure.
There are numerous manufacturers in the world, but only a few have conducted detailed clinical studies, and you should therefore be very cautious when choosing a dental implant. Clinical studies done by the manufacturers, manufacturer's warranty and patient's experience should be crucial when choosing an implant.