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What is a Dental Implant?

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If you have recently lost a tooth from tooth decay, gum disease (gingivitis), periodontal disease or from injury you may consider this treatment. A dental implant is an artificial tooth root. It is inserted into the jaw to permanently or temporarily hold artificial teeth in place. It is typically made out of titanium which is biocompatible with the jaw bone.

The direct fusing of bone and an implant is called osseointegration which is a special characteristic of titanium. When a tooth is lost, some bone that helped support the tooth is also lost. Dental implants help stabilize the jaw, preventing future bone loss and maintaining the jaw bone’s shape. Implants are a convenient alternative to dentures because they never have to be taken out and they feel much more natural and comfortable.

Dental implants are better than traditional bridges and crowns because they aren’t just cemented in place. When mounted to implants, bridges and dentures won’t shift or slip in your mouth, which can make talking and eating easier and worry-free. This also avoids other common problems such as gagging, poor alignment and sore spots.

The Procedure

Before the surgery can take place, meticulous planning must be completed to identify and analyze nerves, the sinus and the shape and dimensions of the bone in and around the area of interest. During the preliminary examination, your dentist or surgeon will take x-rays of your jaw; paying specific attention to the area that requires a dental implant(s). Different scans can also be taken including a panoramic radiograph, which can show all the upper and lower teeth and bone structure to determine bone health, height and thickness. CT scans are the most accurate form of x-ray imaging to date and may also be used to analyze and determine a treatment plan. Your teeth and gums will be examined for disease and decay and treated prior to the procedure.

The operation requires some form of anesthesia including local, general, intravenous sedation or nitrous oxide. Dentists, periodontists and oral surgeons can all perform the surgery.

The surgery itself is normally done in several stages. In the first stage, incisions are made into the gum to expose the bone. A hole is then drilled into the bone so that the implant can be placed. The implant is inserted completely into the jaw bone and lies below the gum tissue. The tissue is then stitched back into place or a temporary covering is used protect the gap from forces such as chewing. As the surrounding bone and gum tissues heal, the implant bonds itself to the bone. The healing process typically takes 4-6 months.

Once the osseointegration is complete, you have to go back to get the abutment installed. The abutment is a post that penetrates through the gums and connects the replacement tooth or crown to the implant. The gums above the implant are reopened to install the abutment. This is another outpatient surgery and requires only local anesthesia. Once it is successfully placed, the gum is then closed up around but not over the abutment. In some cases it is possible to install both the implant and the abutment during the same surgery since research has shown that doing so has no detrimental effects as long as adequate time is given for everything to heal. In this case, it is important to note that the post will be visible and care must be taken not to apply any pressure to it during the healing process.

Next the artificial tooth is made from impressions of your teeth and a model of your bite to ensure that it fits in naturally. Then it is attached to the abutment. A removable prosthesis (or bridge) is conventional if you had more than one tooth replaced. It is also more affordable then implanting each tooth separately as it only takes one implant on either side to span an area and hold several artificial teeth in place. It is similar to dentures, but the difference is that it snaps into place for a more permanent and natural fit.

Advantages

There are many advantages to tooth implants. It is a permanent solution to tooth loss that is more durable and stable than alternatives such as conventional dentures, crowns or bridges which can make it easier to speak and eat. They also fit more comfortably and naturally and even look better cosmetically which can improve your self-esteem. Convenience is another huge advantage as they do not need to be removed, cleaned or kept in place by messy adhesives. They also improve oral health by making it easier to clean between teeth and they do not require modifications to nearby healthy teeth in order to be installed.

  • Permanent and durable
  • Can be more cost effective over many years
  • Natural and comfortable fit
  • Look and function more like regular teeth
  • Require less maintenance
  • Don’t require modifications to adjacent teeth
  • 95%+ success rates
Disadvatages

The risks are minimal as problems and causes of failure are rare and are often easily treated. They include but are not limited to: the bone not integrating with the implant, bleeding, injury or numbness of the nearby muscles or sinus cavity due to nerve damage and the chance of infection if the implant breaks, the crown becomes loose or a lack of proper oral hygiene. Success rates depend on a number of factors including the size and strength of the jaw bone and where in the jaw the implant is placed, but overall they are well above 90% (up to 98% if they are properly cared for) and are always improving. More specifically, the success rate is around 90% for the upper jaw and 95% for lower jaw implants. This is because the bone in the upper jaw is less dense than the lower jaw which makes successful osseointegration more difficult.

  • Major investment
  • Rarely bone may not accept the implant
  • Pain, swelling and bleeding due to surgery
CEREC® method

CEREC® (short for CEramic REConstructions) is the most advanced technology of robotic dentistry developed in the USA. This unique technology is used in the manufacturing of veneers, crowns and full ceramic fillings. Ceramic prostheses made using this method lead to perfect results for more than 99% of clients.
With the CEREC® method, you can forget about uncomfortable dental imprints and temporary dentures. Dental crowns of the highest quality can be made during a single session. The dentist uses an intraoral camera to capture an optical impression of your teeth. The data is then sent to a milling machine that within minutes produces a precise crown (the equipment can also be used to make veneers or fillings).

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Analgosedation

Analgosedation is a state induced by a combination of analgesics (pain killers) with sedatives (calming substances). While complete anesthesia means that the patient is completely asleep, analgosedation causes numbness and the brain is not aware of any pain. The goal of analgosedation is therefore to ease the pain and calm the patient, further relaxing the muscles. In comparison with full anesthesia, analgosedation presents a much smaller strain on the organism and lowers any possible complications.

Doctors performing the treatment
Price

€ 1.875 / $ 2.420 / £ 1.480: Dental implant "Straumann SLActive Roxolid" with the Dental crown made by using the patented CEREC® method, performed in a local anesthesia.
Possibility of being performed in analgosedation (+ € 82 / $ 103 / £ 65:)

An exact quote is induvidual for every client according to our price list and consultation with a dentist.