What is dental implantation?
When and why is an implant needed?
As dentists, our primary goal is to save your own teeth. In some cases (such as loose or lost teeth due to an accident, periodontal disease, or other inflammatory diseases of the tooth), the tooth is difficult to rescue, and so needs to be removed. Having a missing tooth is not only an aesthetic problem, but it can lead to serious dental and functional problems (such as a jaw joint disorder, an underbite, or obstruction to healthy eating).
In this case, the best solution is to replace the missing tooth. Choosing the correct form of replacement depends on the existing bone mass as well as the state of adjacent teeth.
- If the original tooth is loose due to an accident or the natural crown of the tooth is caressed and therefore does not perform its aesthetic and functional tasks, we recommend a dental crown. At this point, after reshaping the tooth, a dental crown similar to the shape and color of the other teeth will be cemented in place. Dental bridging is a better solution in the absence of several adjacent teeth and when there are healthy (non-moving, non-inflamed) teeth at both ends of these missing teeth. In this case, the empty space is replaced by a bridge that is cemented to the filed-down adjacent teeth.
- Removable prosthetics are also a solution to replace missing teeth if the existing teeth are insufficient in number for a fixed replacement or because the weakened teeth would not be able to hold a bridge.
- In the case of a person missing all their natural teeth, implantation (anchored) replacement can be a good solution.
- During dental implantation, artificial dental roots are placed in the jawbone to keep the tooth or teeth attached. With the implant, the new teeth can be attached to the jawbone, and bone restoration is possible at the same time if the loss of the tooth is caused by a decrease in bone mass. Since titanium implants are embedded directly into bone, the most effective and durable results can be achieved using this solution.
The appropriate replacement is always selected in our clinic according to the patient’s teeth.
Dental implants can also be distinguished according to how much time has elapsed since the tooth loss.
- Immediately after tooth extraction: there is no risk of losing the bone, the connection or attachement happens in a shorter time, so this method is growing more and more popular.
- Shortly after dental loss (up to 3 months): reduction of the bone mass is still minor; it’s either not necessary to replace it or only partial replacement is needed.
- Replacing teeth in case the tooth loss happened a long time ago: The bone mass is constantly decreasing in places where the bone is not exposed to the teeth, so the chances of successful implantation decrease with time.
Who do we recommend dental implants for?
- Generally speaking, anyone who can receive other dental treatments can also be a candidate for dental implantation.
- It’s important that the patient’s remaining teeth and jawbone be in proper condition.
- The patient should have sufficient bone mass (in some cases, bone replacement may be required).
Who do we not recommend dental implants for?
- It’s not recommended to perform dental implantation on young people (under 18 years of age) when the jaw is still undergoing growth and development.
- One component of the medicines taken for osteoporosis, bisphosphonate, excludes the possibility of certain dental treatments, including implantation. Before implantation, please let us know if you are being treated with osteoporosis and bring your medication with you to show us.
- For strong smokers, or patients with chronic illness (diabetes or heart disease), individual treatment is required before the intervention.
Before starting your dental treatment, we recommend a personal consultation, through which we can help you choose the ideal solution for your needs.
How dental implantation happens
It may be surprising, but a complicated tooth extraction can be more inconvenient than the implantation. The procedure begins with the precise design of the location of the dental implant: we use X-rays or CT scans to determine the amount of bone, the density and the risk factors that we need to take into seroius consideration during the operation.
The one-time treatment including preparation takes 45 – 60 minutes. The placement of the implantation site only takes approximately 10 minutes: with a series of controlled drillings, a hole with a growing diameter is drilled in the gum to expose the bone while keeping pressure and temperature low.
The titanium implant is inserted into the drilled hole to replace the tooth root and then the wound is sealed. Stiches are removed around 1-2 weeks after the intervention. The healing time of the implantation is 3-4 months – the time needed for the bone to bond with the implant. During this period, a temporary denture or bridge is given to the patient so that you do not have to be without teeth. Then the tooth is fitted and the final crown is formed.
What to do after implantation
Although during the healing period a temporary bridge or crown helps maintain chewing function, implantation – just like “normal” dentures – requires attention and care.
- It is recommended that the treated area be cooled during the healing period.
- After the intervention, its recommended to avoid warm environments (eg sauna, swimming pool, solarium).
- After treatment, antibiotics are recommended to avoid infection.
- Dairy products, spicy and hot foods are not recommended after major dental interventions, including dental implantation, so we suggest that these drinks and meals be removed from your diet for several days.
- With adequate oral hygiene and regular dental control, the lifespan of the implants can be maintained for a long time.
In each case, our primary goal is to create a natural smile and to improve the patient’s quality of life. In our clinic we believe it important to outline possible treatment options and to make the decision together with our patient.
If you have any questions, or want to learn more about dental implantation, please feel free to contact us. Request an appointment or call on: +36 70-372-3000