What is a dental implant?
A dental implant is a screw, made of titanium or zirconia, that is inserted into the bone and has the same function as the tooth root. A prosthesis, whether removable or fixed, total, partial or single, is then screwed or cemented onto the implant.
What is dental implantation
A titanium or zirconia screw that replaces the tooth root.
Advantages of implantology
Durable, natural and functional.
Biocompatibility
Titanium and zirconia are the most widely used materials in orthopedic surgery.
Does the implant hurt?
It is painless, may cause some discomfort later, even less than an extraction.
Titanium or zirconia that replaces the root of the tooth.
What is the purpose?
The purpose of a dental implant is to occupy the space left vacant by one or more missing or extracted teeth, restoring lost chewing function and facial aesthetics.
Even the absence of a single tooth causes chewing, phonetic, postural and aesthetic problems, because adjacent teeth move, occupying the space found free.
The dental implant restores the mouth to its original situation, often improving it. It also restores function to the bone, preventing its loss.
What is immediate load implantology?
In a single session lasting about 3 hours, teeth can be extracted (if necessary), implants and temporary fixed teeth inserted. This optimises the procedure, reducing post-operative pain, quickly achieving the expected result and avoiding functional and aesthetic problems.
In some cases it is necessary to wait two to three days after the operation for the insertion of temporary fixed teeth.
This treatment is assessed with the doctor on the basis of the quantity and quality of the bone, determined by the 3D CT scan.
If the bone is not compatible with immediate loading, bone regeneration techniques or other types of implants (zygomatic and/or pterygoid) are used.
What is surgically guided immediate load implantology
Thanks to medical evaluations and applied technology, all stages of surgery and implant placement can be evaluated beforehand in a clear and super precise manner,
A surgical guide is made that allows the implants to be placed without having to incise the gingiva (flapless).
The postoperative course is faster and less traumatic.
What are the types of treatment
Single tooth
A single implant to support the crown, instead of making a bridge that involves working on two neighbouring teeth.
Bridge on implants
When several teeth are missing, a bridge can be made, i.e. implants can be fixed in strategic places and the missing fixed teeth can be made. It is a solution that makes it possible to restore teeth with fewer implants than the actual missing teeth, while also avoiding having to work on healthy teeth.
All on four/All on six (Toronto bridge)
When all the teeth of an arch (or both arches) are missing or when teeth are severely compromised, 4 or 6 implants can be placed with an immediate loading procedure to create a solid base for the prosthesis that will replace the entire arch.
The prosthesis, which is temporary but fixed, serves to consolidate the implant in the bone, locking and supporting it. During the settling-in period (about 3 months), bone and gum tissue changes occur, and the provisional allows us to facilitate and integrate them.
Overdenture
It is a mobile prosthesis, which is removed daily for proper cleaning and oral hygiene of the mouth. It is attached with buttons or bars to the implant for greater stability, avoiding the daily use of adhesives.
One can use the existing denture (the denture in use) or make a new one.
The advantages:
functional and aesthetic rehabilitation within 24 hours;
can be used for both the upper and lower jaw;
completely natural-looking teeth;
biocompatible material;
ability to speak and eat normally;
stability and comfort;
minimal invasiveness.
The phases of the route
Implant visit
The examination is used to understand whether and what type of implant can be used. Radiological examinations, CT scans, 3D scans are performed, using the modern technological tools at our disposal. Only after the visit are the treatment steps defined.
1
Healing and osseointegration (integration of the implant with the bone)
After 2 months, radiographs are taken to assess implant integration and oral health status. After 3 to 4 months after implant placement, when integration is complete, you are ready for impressions, either analog or digital.
3
Checking the condition of implants and dentures
At least once a year, it is necessary to undergo a checkup, a true "coupon."
X-rays to assess the state of bone health around the implants;
congruity and accuracy of the prostheses;
check of the screwing of the prostheses.
With the passage of time and chewing load, it is possible for the screws to loosen, feeling a slight movement of the crown. It can happen; simply notify us for prompt action.
5
Intervention and treatment
Teeth can be extracted, implants and dentures placed in the same session, ensuring tissue, bone and gum healing at the same time as implant integration. In this way, one is not left without teeth and maintains the aesthetics of the smile. The only recommendation is to chew soft foods for a period of about 2 months, the time needed for the implants to integrate. If the immediate loading technique cannot be applied, the traditional method is used, and after implant placement, wait for full integration (3 to 4 months) before proceeding with dentures. If bone is missing, bone regeneration techniques or other types of implants (zygomatic and/or pterygoid) can be used.
2
Insertion of the prosthesis
The prostheses can be made of resin polymers, zirconia, and ceramics, all of which are biocompatible and metal-free materials. They are attached to the implant with screws or cements. After the first 15 days after insertion, a general checkup is performed and then a hygiene session and further checkup are scheduled within 3 to 4 months.
4
Oral hygiene sessions
Keeping dentures clean means learning how to use specific tools. During the oral hygiene session, the hygienist gives the correct instructions, which can then be followed at home. At least 2 oral hygiene sessions per year are recommended.
6
Clinical cases
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