Bridge on implants

An implant bridge is a modern method of dental prosthetics that is used to restore one or more teeth in a row. Unlike traditional bridges, it does not rest on adjacent healthy teeth, but is attached to titanium implants. They serve as artificial tooth roots and are placed into the jaw.
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Features of bridges on implants

The main feature of a bridge on implants is the method of attachment. Traditional bridges require grinding and nerve removal of adjacent teeth to install them. A bridge on implants eliminates the need to interfere with adjacent healthy teeth, which preserves their integrity and health.

Compared to classical implantation, where a separate artificial root is installed for each missing tooth, an implant bridge involves the use of fewer artificial supports. They are usually installed under the outermost elements of the bridge. Intermediate teeth are restored using hinged crowns, which are part of the bridge. This makes the procedure less invasive and more affordable. In addition, it provides long-lasting results and restores the aesthetics of your smile.

Features of bridges on implants

Advantages of a dental bridge on implants

  • Strong and stable fastening, ensuring durability of the structure
  • Preventing bone atrophy
  • Appearance as close as possible to natural teeth
  • Long service life (more than 10 years)
  • Ability to withstand loads comparable to natural teeth
  • Minimal impact on adjacent teeth and adjacent tissues
  • Convenience and comfort of use, comparable to the sensation of your own teeth
  • Fast installation process with one-stage implantation and no need for temporary prostheses

Disadvantages of a dental bridge on implants

Despite numerous advantages, there are a number of disadvantages of bridges on implants. Among them:

  • The need for surgery to install implants, which involves certain risks and a long recovery period
  • Relatively high cost of the procedure compared to traditional removable dentures
  • Risk of bone atrophy in areas not occupied by implants, especially when using long bridges
  • Presence of medical contraindications to implantation

It is important to choose an experienced doctor and a modernly equipped clinic. This will significantly reduce the likelihood of errors during the implantation process, which can lead to serious complications.

Selection of materials for implantation of bridges

Implant-supported bridges are made from different materials.

The selection of material for the manufacture of a bridge depends on the individual preferences of the patient, his functional needs and financial capabilities. Each material guarantees effective and high-quality dental restoration.

Advantages and features of materials:

  • Metal ceramics Combines a metal base and ceramic coating. It is highly durable and economical. The disadvantages include possible oxidation of the metal, which can change the color of the gums
  • Ceramic crowns They do not have metal elements. They are chosen for their high aesthetics and natural appearance, especially for the front part of the dentition. They are less durable than metal ceramics, but are great for creating a Hollywood smile
  • Zirconium crowns Provide exceptional durability and aesthetics. They are suitable for restoring all groups of teeth and have a long service life, but their cost is higher compared to other materials
Indications for installation of a dental bridge on implants

It is recommended to install a dental bridge on implants if the following indications are present:

  • Multiple missing teeth in one area of the mouth
  • Inadequate condition of adjacent teeth for use as support
  • Loss of supporting teeth, tooth decay, large fillings or mobility
  • Sufficient volume of bone tissue for implantation

The most common reason why patients want to install a dental bridge is the desire to restore a beautiful smile and the functionality of lost teeth.

Contraindications for the procedure

It is prohibited to install a bridge on implants if the patient has the following conditions:

  • Serious cardiovascular diseases
  • Chronic diseases
  • Respiratory diseases, including tuberculosis
  • Problems with blood coagulation, low healing rate
  • Autoimmune disorders
  • Infectious diseases (HIV, AIDS, hepatitis)
  • Oncology, recent chemotherapy courses
  • Diabetes
  • Periodontitis and gingivitis
  • Impairments in the structure and regeneration of bone tissue, such as osteoporosis or periodontal disease

These conditions increase the risk of complications during and after implantation, so the doctor takes them into account when planning treatment.

General information about the procedure

Stages of installing a bridge on implants

The process of installing a bridge on implants includes several key steps:

  1. Preparation. The doctor collects data on the patient’s jaw structure, takes impressions of the jaw to create accurate models of future teeth
  2. Choice of prosthesis. A suitable orthopedic product is selected based on the anatomical features and needs of the patient
  3. Careful check of the patient's health. Before installing the prosthesis, a complete diagnosis and sanitation of the oral cavity are carried out, including removal of plaque
  4. Day of implantation. The patient is given anesthesia, after which the doctor implants support pins into the jaw. Various techniques can be used here - either immediate installation of the bridge (one-stage method), or deferred for a period of 4 to 6 months for the implants to heal (classical method). While waiting for a permanent denture, the patient can wear a temporary removable denture
  5. The final stage. After successful osseointegration of the implants, a final examination is performed, including a CT scan to check the stability of the implants. Based on the results of the examination, a permanent bridge is manufactured and installed

After all work is completed, the patient is able to lead a normal lifestyle and eat normally. Regular visits to the dentist ensure the durability and safety of the prosthesis.

Recommendations for rehabilitation after dental implantation

After implantation, it is important to strictly follow the doctor’s instructions for successful implantation:

  1. Apply cold compresses for 10-15 minutes on the first day, repeating the procedure every 30-60 minutes
  2. Eat food 3 hours after surgery, giving preference to soft and crushed foods
  3. Sleep with the head of the bed elevated, avoiding pressure on the operated side
  4. In the first 2-3 days, make oral baths using antiseptic solutions. Then you can proceed to rinsing with Chlorhexidine
  5. Start brushing your teeth on the second day after surgery. The brush should be new and soft. During cleaning, you should avoid putting pressure on the operated area

After implantation, it is prohibited to consume hot and cold drinks, solid foods, as well as foods with a sour or spicy taste. You should also refrain from visiting the bathhouse, sauna, swimming pool and beach. It is not recommended to engage in heavy physical labor and sports. Hot baths and warming compresses are contraindicated.

Important! If you are undergoing subantral augmentation (sinus lift), you must be especially careful when sneezing, coughing, and blowing your nose so as not to increase sinus pressure.

Avoiding alcohol and smoking cigarettes is necessary due to their effect on the healing process and incompatibility with medications. Most restrictions apply during the first 2-3 weeks after surgery.

Principles of care for implant bridges

To ensure the longevity of implant bridges, it is necessary to adhere to regular and careful care. It involves following a number of rules:

  1. Rinse your mouth after each meal with water or a specialized solution to remove food debris
  2. Brush your teeth daily with a brush and toothpaste without abrasive components, use an irrigator and rinse solution
  3. Use dental floss carefully, especially if your gums are less sensitive after installing implants

It is also extremely important to visit the dentist every six months for preventive maintenance. It is recommended to have it professionally cleaned at least once a year.

Methods for installing a bridge on implants

The choice of method for fixing a dental bridge is determined individually, based on the condition of the oral cavity and the needs of the patient.

Fixation of dental bridges on implants depends on the number of missing teeth:

  • In the absence of two teeth (Bridge on implants for 2) It is not recommended to use one implant for two crowns due to the risk of rapid wear. It is preferable to restore each tooth separately: each implant has its own crown
  • In the absence of three teeth (Bridge on implants for 3) Two implants are installed, onto which a bridge consisting of three crowns is fixed. The two outer crowns are attached to implants, and the central one is hinged
  • In the absence of four teeth (Bridge on implants for 4) To ensure reliability and prevent bone atrophy, three implants are used. A bridge of four crowns is fixed on them. In the smile area, where pressure is minimal, it is possible to install a bridge with two implants
  • In the absence of five or more teeth The structure is fixed on at least three implants. One hinged crown is placed between two implants. The doctor takes into account chewing force and pressure to prevent bone atrophy
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
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Nana Nugzarovna
Dentist-therapist, microscope
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Sergei Georgievich
Dentist-surgeon, implantologist
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Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
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Irina Yuryevna
Dentist surgeon, periodontist
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