How to properly prepare for dental implantation?
Losing one or several teeth is an extremely common occurrence, caused by trauma, caries, or systemic diseases. As a result, chewing functions are impaired, appearance is affected, and psychological complexes may develop. Prosthetics using implants can drastically solve the problem of missing teeth.
Why drastically? Because the implant structure completely mimics the natural tooth structure, from the root to the crown. During prosthetics, neighboring teeth do not suffer, and the prosthesis looks aesthetically and naturally.
What is dental implantation and what is it for?
Implantation is a method of restoring a tooth that involves the use of a high-tech prosthesis consisting of an artificial root (implant), a connecting structure (abutment), and a dental crown that is indistinguishable in appearance from a natural tooth.
Advantages of dental implant placement
The main advantage of implantation is the restoration of the functions and appearance of a natural tooth without damaging (grinding) neighboring teeth. Other advantages of the technique include:
- High aesthetics of appearance
- Strong fixation
- Longevity
- Quick adaptation.
Implant placement is becoming an increasingly accessible and relevant service. Tooth loss is no longer considered irreversible, as modern techniques allow for the quick and painless placement of high-quality prostheses made of biocompatible materials. Preparation for implantation is carried out without any discomfort or pain.
What are the types of dental implants?
Based on the method of fixation in the tissues, implants can be intracostal and subperiosteal (representing a supra- or subperiosteal artificial root).
Types of intrabone dental implants by the method of fixation include:
Root-form implants
Basal implants
Zygomatic implants
If there is insufficient bone tissue for root-form implants, it can be augmented using modern materials and technologies. There are few contraindications for the installation of basal and zygomatic implants; they are used when there is atrophy of the upper jaw bone. Learn more about surgical operations in dentistry.
How tooth implant preparation is done?
The first stage of tooth implant preparation involves assessing the condition of the teeth and bone tissue. If no signs of infectious diseases or non-infectious pathologies are found during a visual examination, further diagnostics include:
- Panoramic X-ray of the jaw (OPTG);
- Computed tomography (three-dimensional image of the jaws, on which the doctor evaluates the condition of the bone tissue).
By analyzing the images, the doctor gains an understanding of the condition of the periodontium, determines the degree of mobility of the teeth, and the distance between the future implant and the inferior alveolar nerve and maxillary sinus, studies the peculiarities of the structure of the root canals, and analyzes the roots for the detection of inflammation or cracks.
The first stage of preparation for implantation involves treating caries, pulpitis, gums, removing dental deposits, and eliminating foci of inflammation.
The second stage of preparation for implantation is the selection of the implant-crown structure based on a special program. The diameter of the prosthesis is selected taking into account the width of the alveolar ridge.
The doctor objectively explains to the patient the advantages and disadvantages of each prosthesis model, offering an optimal solution. It is worth noting that, according to statistics, Straumann and Nobel implants have the highest success rates, although other modern implant manufacturers also have high success rates.
At this stage, virtual planning of the implant installation is carried out in a special computer program. The doctor sees how the root prosthesis will be positioned relative to neighboring teeth and anatomical structures. Surgical planning helps to prevent any complications and unforeseen situations.
Stages of implant installation
The first stage is antiseptic treatment and anesthesia. Anesthesia is effective, so there is no need to worry about unpleasant moments.
Next, the doctor creates access to the alveolar ridge. Using special equipment (physiodispenser), the doctor forms a socket in the bone tissue for implant placement. The bone is continuously cooled during the preparation.
The implant is installed in the socket, and the top part is covered with a plug. If necessary, bone tissue and PFR-clots enriched with fibrin are grafted. The mucous membrane located above the implant is sutured (absorbable and non-absorbable sutures are used in dental practice).
The mucous membrane is treated with antiseptic again, and the site of the sutures is covered with a special patch with anti-inflammatory and pain-relieving effects.
Sutures are removed in 10-14 days (the procedure takes 10 minutes).
After 2-4 months, a gum former is installed for the lower jaw, and for the upper jaw, it is installed after 2-6 months. A digital model of the crown is created using a 3D scanner.
Titanium abutment and crown are installed.
The sooner implantation is performed after tooth loss, the less bone loss is observed, and the less stress is placed on neighboring teeth. The preparation period for implantation is also reduced, and bone grafting may not be necessary. Don't delay your visit to the dentist — this will help you save money and reduce the number of visits to the specialist.
Methods of Implantation
The two-stage (classical) implantation described above is the most reliable and safe way to restore teeth.
The one-stage method involves simultaneous placement of the implant and crown, but the success rate of this method is significantly lower than that of the two-stage approach.
Rules to follow after implantation
If the dentist prescribed antibiotics and anti-inflammatory drugs, they should be taken according to the recommended schedule and for the full course to prevent possible inflammation.
Painkillers should only be taken if there is severe pain that affects quality of life. Dentists do not recommend visiting saunas or taking other heat treatments, swimming or diving in open water, or getting too cold.
Hard foods, nuts, seeds, and caramel candies should be avoided for a month after the procedure. Alcohol and smoking should be completely avoided (at least for 2 weeks).
Full Price list of dental clinic services is available at the following link
FAQ
Article author:
Olena Daynetska, chief Doctor of iStomatolog Dental CenterDuring a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.
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