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Dental implant surgery

Dental implant surgery

Dental implants are the most advanced, reliable and durable modern technology for restoring lost teeth.

SPECIALISTS

Dental implant surgery
The implantation process
Advantages of dental implants
Sedation
All-on-4®

Dental implant surgery

An implant is a small metal screw inserted into the jaw that replaces the natural tooth root. Dental implants are made of titanium, because this metal has the best biocompatibility – it does not cause allergic reactions or rejection, and “takes” to the jawbone nicely.

After the minimally invasive procedure, we attach an artificial tooth to the implant, which does not differ in function or appearance from your natural tooth.

Per-Ingvar Brånemark, who is known as the “father of modern dental implantology”, fitted Gösta Larsson with the first dental implant in 1965. Larsson lived with this dental implant for over 40 years – the rest of his life.

At the heart of this dental innovation was the discovery that bone grows into titanium. This process is known as osseointegration. Today’s dental implants are much more advanced than half a century ago, and are the perfect substitute for lost teeth.

The implantation process

The implantation process is usually divided into two stages – surgical and prosthetic.

During the first stage, we perform diagnostics, assess your bone anatomy and density, and insert the implant. If necessary, we remove the old tooth before implantation, during the same appointment. This method of implantation, when the root of a “hopeless” tooth is removed and a dental implant is immediately inserted in its place and fitted with a temporary tooth, is called “immediate implantation”. Our years of experience show that this is a reliable way to restore your teeth, and you won’t have to go without them for a single day.

We start the second stage two to three months later. During the prosthetic restoration stage, we take a dental impression and affix the crown to the implant. Before the prosthetic restoration stage, i.e. during the healing period, we usually attach temporary crowns – also known as temporary teeth – so that you can enjoy your beautiful smile right after the first appointment.

How does it all start?

First of all, when you come in for a consultation, we will perform diagnostics (panoramic X-ray, computer tomography), and then we will draw up and discuss your individual treatment plan. After the diagnostics, we will evaluate the condition of your mouth, teeth and bone anatomy and density. If there is not enough bone to insert the implant, we will use computed tomography to offer specific solutions for each situation. For example, we can include a maxillary sinus lift if necessary.

Instead of inserting implants for each missing tooth individually, we recommend the All-on-4® treatment concept, when the teeth of the entire jaw are restored on just four implants. We talk more about this in the All-on-4® section.

Advantages of dental implants

Teeth restored on dental implants are superior to bridges or removable dental prostheses for a number of reasons.

  • Teeth for life
    Teeth restored on dental implants are more durable than dental bridges. If you regularly take proper care of your new teeth, they can last a lifetime.
  • Positive health effects
    Dental implants restore not only the crown of your tooth, but also its root, so they can reduce bone resorption.
    With this dental restoration technique, the adjacent healthy teeth will remain intact. It is different with dental bridges. For example, the adjacent teeth often need to be filed down to accommodate the bridge, and also have to bear the brunt of the force exerted on the bridge, since they are supporting it.
    Titanium – which the implants are made of – will not cause allergic reactions or rejection, and will “take” to your jawbone nicely. A non-metal ceramic crown is then attached to the implant (titanium screw), creating a substitute tooth that is completely fit for mastication and helps maintain excellent oral health.
  • Stable and comfortable teeth
    With dental implants, we will restore 100% chewing efficiency, whereas dentures only restore 30-40%.
    Teeth restored on implants are non-removable – they are fixed structures. The All-on-4® treatment concept (when the teeth of the entire jaw are restored on just four implants) helps to avoid the discomfort that people often feel when wearing removable dentures. Restoring teeth on implants allows you to eat, speak and smile just like you would with healthy, natural teeth.
  • Aesthetic solution
    Usually, only specialists can distinguish teeth restored with dental implants from natural teeth. At our clinic, we make permanent teeth from zirconia. This material is valued in modern dentistry for its strength and aesthetics. Zirconia is translucent, so it has the transparency of natural teeth. Even in neon light, your teeth will shine as if they were real, so you can rest assured that it will not be easy to tell them apart.
  • Emotional comfort
    Often, new teeth on implants restore not only oral health, but also a youthful appearance, self-confidence and the opportunity to live a full life.

Sedation

If you are afraid of the dentist’s chair, we might recommend treatment with sedation – a drug-induced loss of consciousness. You will fall asleep and wake up when the procedure is over. The process will be controlled by our professional anaesthetist.

We usually use sedation when:
  • the patient has severe dental anxiety;
  • we perform long, complex procedures;
  • the patient is fidgety and cannot sit still during the procedure;
  • the patient feels nauseous during treatment;
  • the patient requests it.

If you are worried about your reaction and the level of discomfort during the treatment, talk to our dentist about sedation. Taking into account your individual situation and requests, our specialist will decide whether this is an option.

All-on-4®

All-on-4® is a treatment concept developed by the Swedish company Nobel Biocare®, which allows the entire dental bridge to be attached to four dental implants.

Advantages of the All-on-4® treatment concept:
  • Cheaper. We will only use four dental implants for restoring all of the teeth in the jaw.
  • Faster. We will restore your teeth in a single day.
  • More comfort. This is a non-removable structure.
What is Nobel Biocare®?

Nobel Biocare Holding AG is a pioneer in implant-based dental restorations and a leader in the global implant and aesthetic dentistry market. Today, more than a million people around the world are wearing and enjoying implants that the company has produced. The company’s headquarters are located in Zurich, Switzerland. Nobel Biocare® has a 35% share in the global dental implant market. The company has six production centres in Sweden, Japan, Canada and the United States, and 35 sales offices worldwide. In total, the company has more than 2,500 employees worldwide.

IF I LOSE A LOT OR ALL OF MY TEETH, CAN I RESTORE THEM WITH IMPLANTS?

Yes. In this case, we usually use the advanced All-on-4® treatment concept. This is where we insert four titanium implants into the jaw, which then act as anchors for the new artificial teeth.

WHAT IS THE DIFFERENCE BETWEEN IMMEDIATE AND FLAPLESS IMPLANT PLACEMENT?

With immediate implant placement, as soon as we extract the bad tooth, we put an implant in its place and secure a temporary crown on top of it. After immediate implant placement, no long-healing wounds that appear during tooth extraction are left in the mouth – they are filled by the implant and the temporary crown. During this procedure, we preserve the jawbone and gums as much as possible (we do not make an incision or expose the bone). The wound heals quickly, and you don’t have to go a single day without your tooth. A few months later, we replace the temporary crown with a permanent one. Since this type of treatment is usually quick and painless, we can treat several teeth at once during the same appointment. Flapless implant placement is a technique that falls within the concept of minimally invasive surgery. Before placing the implant, we open a very small cavity in the gums corresponding to the diameter of the implant, so after the procedure, there are no unpleasant sensations such as inflammation or swelling. There is also no need to take painkillers or antibiotics for a long time. The procedure takes approximately 30 minutes. We put a temporary crown on the implant. After this procedure, you will have a beautiful and functional tooth that you can use to eat, drink and smile. A few months later, we will replace the temporary crown with a permanent prosthesis – a dental crown with a ceramic finish.

IF I LOST JUST ONE TOOTH, DO I NEED TO REPLACE IT WITH AN IMPLANT?

We do not recommend leaving your mouth without any kind of prosthesis or implant after losing a tooth. If a gap (defect) is left, the adjacent teeth lose their support and slowly begin to change their position, leaning into the empty space. The masticatory load is also unevenly distributed, so some teeth wear out faster than others.

WHAT ARE IMPLANTS MADE OF?

Dental implants are made of titanium, and we attach metal-free zirconia crowns to them. The temporary prosthesis that you will wear until the gums form are made at the clinic during your appointment, so you will probably leave with your new teeth the same day and be able to smile and eat confidently.

WHAT SHOULD I DO DIFFERENTLY AFTER IMPLANT PLACEMENT?

Avoid hot food and drinks on the day of the procedure. Only eat warm food. Under no circumstances should you rinse your mouth with mouthwash. Avoid heavy physical and mental work. We also recommend refraining from smoking and drinking alcohol on the first day. The day after the procedure, start rinsing your mouth with distilled water or mouthwash twice daily (especially after meals). Do this for five to seven days. In the first week after surgery, clean plaque from the wound with a special brush. If you have any questions, please call our clinic at +370 610 11 222. We will be happy to help you.

WILL THE IMPLANTS BE DIFFERENT FROM THE REST OF MY TEETH?

No. We colour-match the crown using a digital method that allows us to reproduce the shade of each of your own teeth very precisely, so the artificial tooth will be indistinguishable from the rest of your teeth.

HOW LONG WILL IMPLANT TREATMENT TAKE?

Our doctor will determine the individual duration of treatment after performing an examination and drawing up a detailed treatment plan. Depending on the condition of your teeth and bone, additional procedures may be required. Implant placement itself usually takes about 20 minutes. The temporary crowns are usually affixed during the same appointment, and the permanent ones – three to five months later.

IS IMPLANTATION PAINFUL?

During the implantation procedure, you can choose between analgesics or sedation, where we put you to sleep until the procedure is finished. Many people still cannot believe that implant placement is painless. The first time, everyone is very apprehensive, tense and nervous, and then are surprised after the surgery that it was not as terrible as they thought it would be. The second time around, the patients are like different people – they come in undaunted and with a smile on their face, because they know it isn’t going to hurt. After surgery too, not everyone experiences pain.

WHAT IS THE SUCCESS RATE OF DENTAL IMPLANTS?

If the implant placement procedure is performed by a qualified and experienced specialist and the implants used are of high quality, the risk of failure is minimal. 97-98% of implantation procedures are successful.* *The osseointegration rate for implants inserted in completely healed extraction sockets is 98.05%, and 96.52% for those inserted in the place of a recently extracted tooth. (According to Degidi M, Nardi D, Piattelli A. Clin Implant Dent Relat Res. 2012 Dec; 14 (6):828-38.)

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