Dental Implantology

Dental implants

implantologia Dental implants are the most innovative surgical technique, effective and healthy for the recovery of one or more teeth, but also for the fixation of complete dentures.

A dental implant is an artificial tooth root that is built into the upper or lower jawbone in order to have the same functional characteristics as a natural tooth root and to return the function of the masticatory system.

Currently there are dental implants made of titanium, a perfectly biocompatible material that provides a smooth osseointegration, reduces all types of inflammatory and allergic reactions of the tissue of the oral cavity, and is able to withstand a large masticatory pressure to which it is exposed.

The implant consists of three parts:

  • Screw,
  • Superstructure,
  • Crown or denture.

The screw is implanted into the bone and replaces the function performed by the root.
Different forms and length of the screw are used in order to find the best fit for different anatomical needs that differ from individual to individual.

The superstructure is an element that connects the screw and the crown, and it is placed below the gums at the very end of the screw, while the other end peeks and forms the basis on which the crown is fixed.

The dental crown is the visible part, and the most common material which it is made of is metal ceramics. The inside is made of metal parts and externally coated in ceramics which gives the natural whiteness. The veneer can be of other material which are similar to ceramics – zircon.

The compound of metals and ceramics gives endurance to the tooth, and the final look will be very similar to the look of a natural tooth.

Phases of implantation

  • Diagnostic phase,
  • Surgical phase,
  • Osseointegration,
  • Final phase of implantation.

In the diagnostic phase, an implantology expert will perform a radiological examination using a dental X-ray or a CT teeth image, and a clinical examination to assess whether morphological conditions and the bone structure are suitable for an implant placement.

In the surgical phase the implant is placed into the bone. The surgery takes an average of 10-15 minutes and is performed under local anaesthesia and under complete sterility.

After selecting the most appropriate implant, the gums are opened and the dental implant gets fixed into the bone. Then the gums are sutured up and completely covered to avoid infections. The procedure is painless and does not present any particular inconvenience to the patient.

The osseointegration is necessary for healing, so that the dental implant gets integrated into the bone
This phase lasts for about three months for the lower jawbone and six months for the upper jawbone.

In the final phase of fitting the previously inserted and attached dental implant, a superstructure is placed and ceramic crowns or overdentures are fixed.

Why placing a dental implant?

  • Dental implants have a functional and aesthetic look, just as natural teeth,
  • They do not damage healthy teeth,
  • They do not need any glue for fixing of removable dentures that may cause discomfort and inconveniences,
  • They are a safe solution and they guarantee a long duration. With proper cleaning and hygienic maintenance, the implants can last a lifetime.

Which patients are candidates for dental implantology?

  • Young people whose development phase ended (18 years) but are lacking permanent teeth,
  • Patients who have lost one or more teeth and have aesthetic functional problems,
  • Patients who are using a removable denture and need a fixed solution for aesthetic functional reasons,
  • Patients with a sufficient amount of bone mass for a placement of dental implants.

Risks and complications of dental implantation

The risks and complications associated with the placement of dental implants can be compared with the general surgical treatment of patients in good health.

Elderly patients can sometimes detect the formation of bruising and swelling, which are not a cause for concern if they are considered as a normal postoperative process which disappears within a few days. The treatment with anti-inflammatory drugs reduces the swellings and helps the physiological healing process.

In our dental practice, for all the work in dental implantology we are relying on BIOmet3i or DentalTech technology, the best implants producers on the market. At the end of the work, a universal passport which identifies the type of the performed work and the used materials will be issued. The warranty for dental implants is 10 years; its validity refers to those patients who are maintaining regular oral hygiene and who are coming to regular check-ups to our practice (at least once every six months).

Placement of an artificial bone

Today there are innovative techniques such as placing of an artificial bone that allow patients with a bone deficiency the avoidance of removable dentures and reaching for a safer and stronger solution such as dental implantology.

Often after a tooth loss, the bone loses its density due to its natural resorption, and cannot accept dental implants. In such cases we talk about “sinus lifting”, better known as “placing of an artificial bone”. It is a surgical procedure during which a mineral of animal origin is implanted into the bone, which can be compared to a mineralized human bone from the chemical and structural point of view which means that it is perfectly biocompatible with the organism.

In our dental practice we are using only high quality materials such as Geistlich Bio-Oss and we are adhering to the strictest safety standards. After the implanting procedure of the artificial bone, it is necessary to wait about six months before we proceed with the placement of dental implants. Bone implant surgery can be done on the upper jaw and the lower jaw, depending on where the placement of dental implants is necessary. It is possible to implant an artificial bone with a mini-invasive surgery under local anaesthesia. The procedure is completely painless for the patient and in the most of the cases without any specific contraindications.

Who should do an artificial bone implantation

  • Patients with a bone deficiency, who want to place a dental implant,
  • Patients who regularly maintain their oral hygiene,
  • Patients who do not have acute infections or metabolic disorders such as diabetes,
  • Patients who do not have autoimmune diseases.

With the procedure of placing of an artificial bone, everyone can be the perfect candidate for dental implantology and for restoring aesthetics and function of the masticatory system.

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