Dental implants are 'root' replacements, i.e. they replace the root of a natural tooth, most often made of titanium, which are used in dentistry to support prosthetic restorations (crowns/bridges), to replace one or more teeth lost for various reasons, such as: extraction, fracture, trauma, etc.
Dental implants provide a stable foundation for artificial teeth, providing them with a natural appearance and maximum aesthetics, restoring previously lost chewing function, and providing comfort to the patient.
What are the advantages of dental implants over other prosthetic solutions for replacing lost natural teeth?
Dental implants offer several advantages over other prosthetic options for replacing lost natural teeth. Some of the key advantages of dental implants are:
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Improved aesthetics: Dental implants are designed to look, feel, and function like natural teeth. They are custom-made for each patient, matching the color, shape, and size of your existing teeth, improving your smile and overall facial appearance.
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increased comfort: dental implants become part of your jaw through the process of osseointegration (the process of bonding the tooth to the bone), providing a stable and secure foundation for future artificial teeth. Unlike removable dentures, implants eliminate the discomfort and irritation of soft tissues, which are often associated with a loose or ill-fitting denture;
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Restored chewing and speaking functions: Dental implants restore your ability to bite, chew, and speak properly. With their strong and stable base, implants function like natural teeth, allowing you to enjoy your favorite foods and speak with confidence and assurance;
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Longevity and durability: With proper care and maintenance, dental implants have the potential to last a lifetime. They are made of high-quality materials, such as titanium and zirconium, which are biocompatible and resistant to decay;
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Preservation of the jawbone and facial physiognomy: when a natural tooth is lost, resorption occurs in that place, that is, loss of the jawbone. Dental implants stimulate the jawbone, preventing loss of bone mass and preserving the natural contours of your face. In this way, jawbone loss is prevented, which is not the case with removable dentures, which over time, due to the pressure they exert and their mobility, stimulate bone loss;
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Avoiding damage to remaining natural teeth and improving oral health: unlike fixed dental bridges, which require the grinding of adjacent teeth to replace one or more missing teeth, dental implants do not affect the surrounding natural teeth. This preserves the integrity of your natural teeth, promoting better oral health in the long term;
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Easier maintenance: Dental implants are a permanent fixed solution, eliminating the need for constant removal and cleaning, which is the case with removable dentures. You can care for them just like your natural teeth, with regular brushing and regular professional check-ups in our office.
Dental implant placement procedure
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Assessment and planning: for planning implant treatment at Dentoria, we have a digital panorama, a 3shape intraoral scanner and a 12×9 CBCT (computed tomography), which represent the latest and greatest innovation in dentistry, to assess the density and amount of remaining jawbone, as well as the direction and location of implant placement in the jawbone. We also determine whether you are a suitable candidate for dental implants, or whether prior additional interventions are needed to increase the volume of the jawbone, using graft materials or sinus lift.
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The first phase begins with the application of local anesthesia at the site where the implant will be placed, followed by a short 15-minute intervention to embed the implant in the bone, followed by a 3-month period during which the implant is expected to bond with the bone, the so-called osseointegration period. The strong bond of the implant to the bone depends mostly on the design of the implant surface, and today there are implants that can be loaded with temporary teeth immediately after implantation, allowing you to leave our office the same day with completely restored aesthetics, speech, comfort and chewing function.
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Note: After implant placement, swelling and discoloration of the cheeks in the area of the implants may occur, as well as a dull ache due to the pressure exerted by the implants on the bone. Swelling can be easily managed by applying cold compresses to the cheeks, which are held throughout the day of the procedure, at 5-minute intervals, with a 15-minute break between each interval, and by taking anti-swelling tablets. Pain will also be relieved with an analgesic recommended by our office.
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The second phase of dental implant placement is a minor intervention with local anesthesia, to reveal the implanted implants after the 3-month period and place a gingivoformer, which will ensure proper formation of the palate around the implanted implant. After this, an abutment is placed, a part that is screwed onto the implanted implant, protrudes above the palate and represents a replacement for the tooth stump, over which an impression is then taken and the artificial teeth are made.
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Maintenance: very important after the implantation of dental implants is their periodontal maintenance and attendance at scheduled check-ups. If your choice is to implant dental implants, 'Dentoria' is the right place to do it, where Dr. Ertan, who is a specialist in periodontology, will guide you through the entire implantation process, and then the maintenance of your implants and their long-term preservation.
We at Dentoria only use screw-retained implants, i.e. connecting the implanted implant. Then the artificial crown is made using screwing, which is the most modern and much better option than cementing. In this way, the implants have greater durability and minimal risk of developing implant diseases (perimucositis and periimplantitis). By unscrewing the screw itself, the artificial tooth can be very easily removed, the necessary cleaning and maintenance can be done and it can be screwed back into place.
Implant placement can be:
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immediate, i.e. when the implant is placed immediately after the extraction of the natural tooth, in its place in the jawbone and
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medianly, after a certain period of time from the extraction of the natural tooth.
IMMEDIATE IMPLANTATION
Immediate implantation is a procedure in which the extraction of the natural tooth and the placement of the implant in place of the extracted natural tooth are performed in one surgical procedure. In this way, the time until the placement of artificial teeth is shortened, and in this way we immediately restore your smile and chewing and speech function. Immediate implantation also prevents bone loss, which occurs after the extraction of natural teeth. For the successful implantation of dental implants, the primary stability of the dental implant is very important, which is defined as the initial insertion of the implant into the bone. Factors that affect the primary stability of the implant are: the design of the implant, the density of the bone, as well as the surgical implantation technique itself. At Dentoria, we extract teeth and place dental implants in their place in the same procedure for patients with loose teeth and destroyed bone, located in the aesthetic region of three to three. This way, our patients will receive new temporary protective teeth within 24 hours, which they can use immediately.
With this procedure, we simultaneously obtain 4 benefits:
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We achieve osseointegration (connection of the implant to the bone)
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The patient gets new teeth or function within 24 hours
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The patient receives plastic teeth, which are digitally created and can be made and remade according to the patient's wishes. This gives the patient an aesthetic
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We shape the soft tissue around the teeth, i.e. the profile as if it were coming out of a natural tooth, thereby forming a secondary sulcus – biology.
The first advantage we get with tooth extraction is that we guide, i.e. we control the bone as it grows on the implants. In 99% of cases, we get primary stability of the implants. Also, a very important factor for success in implantology is the soft tissue, i.e. we form the profile in the area of the neck of the tooth to look like a natural tooth, i.e. as if it were sprouting from the palate. Many times as a periodontist, Dr. Ertan takes a free soft tissue graft from the palatine side (the inner side of the palate) of the patient and places it on the buccal side, i.e. on the outer side of the soft tissue, thus increasing the volume of the gingiva and obtaining much more keratinized gingiva, which protects the dental implant from all kinds of infections. In this way, a better gingival sulcus, i.e. the space between the tooth and the palate, and a more resistant attached gingiva are obtained.
Another benefit for our patients at Dentoria, as one of the scientifically proven success factors in dental implantology, is the use of PRP and PRF, methods in which Dr. Ertan obtained a master's degree and became a Master of Science in Oral Surgery.
PRF is blood plasma with an increased number of platelets, a low pH value (6.5-6.7), which makes this compound capable of preventing/reducing bacterial growth and development, in short, it acts as a bacteriostatic in combination with PRF. It has been scientifically proven that it protects dental implants from all kinds of infections for 14 days. There are also other advantages of PRF. By releasing growth factors and attracting a large number of building cells to the site of the intervention, faster wound healing is stimulated, pain after the intervention is reduced, and local immune defense is increased. Since it comes from the patient's own blood, it is quite safe, economical and easy to work with.