Dental implantation

Dental implantation is the installation of a titanium implant into the bone tissue of the upper or lower jaw. Subsequently, the abutment is screwed into it, and a ceramic crown is attached on top, simulating a real tooth. Dental implantation is considered an innovative method of restoring damaged or lost teeth. With its help you can avoid the use of removable dentures.
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Benefits of dental implantation

The technique has gained worldwide recognition due to the following advantages:

  • Durability. Dental implants last more than 10-15 years and do not require replacement even if damaged. Some manufacturers provide a lifetime warranty
  • Aesthetics. Implants implanted into the jaw remain invisible to others
  • Be careful with neighboring teeth. Unlike installing bridges, there is no need to grind healthy teeth or remove nerves
  • Comfort and natural feeling. Fixed dentures have the same surface and shape as the patient’s real teeth, which eliminates pain, gagging and difficulty chewing
  • No dietary restrictions. After installing the implants, you can gradually move from soft to solid foods
  • Psychological comfort. Dentures on implants are securely fixed, preventing problems with diction and other awkward situations

Dental implantation is used when one or more teeth are lost, as well as when there is a complete absence of teeth on one of the jaws. This method allows you to restore the functions of the dental system after mechanical injuries.

Benefits of dental implantation

Contraindications to dental implantation

  • Oncological diseases
  • Diabetes
  • Blood and heart diseases
  • Acute infections
  • Severe forms of periodontitis or periodontal disease
  • Immunodeficiency conditions, including HIV
  • Pregnancy and lactation
  • Under 18 years of age

Indications for dental implantation

Dental implants are used in cases where the skeletal system is fully formed and bone growth has stopped. The procedure is suitable for people of all ages, including elderly patients aged 70-85 years, in the absence of health problems.

The main indications for implantation include:

  • The absence of one dental unit, while the adjacent teeth are healthy or have minor damage
  • Allergy to plastic used in prosthetics
  • The absence of three or more dental units and complete loss of all teeth
  • Inability to wear removable dentures for medical or psychological reasons

If the patient has bone tissue atrophy, bone strengthening is required before implantation. If you have a history of mental disorders, you should consult a psychiatrist.

Before starting treatment, a comprehensive diagnosis is carried out, including a medical history, visual examination and additional studies to clarify all possible risks.

General information about the procedure

Stages of implant installation

Dental implantation surgery includes the following steps:

  1. Consultation and diagnosis. The implantologist conducts an initial examination, collects information about the patient’s health, and discusses methods of dental restoration
  2. Treatment planning. Using photographs of the jaw (panoramic or 3D, CBCT), the doctor develops a treatment plan, prescribes the necessary tests and determines the date of surgery
  3. Installation of a dental implant and plug, suturing. The operation lasts 30-40 minutes under standard conditions
  4. Postoperative examination. A week after the operation, the sutures are removed, and after a month and a half a control photograph is taken
  5. Making a crown. 2-3 months after the operation, the doctor makes an impression or scans the implant to make a crown
  6. The final stage, at which the doctor installs a permanent crown. It can be made of metal ceramics or modern zirconium

A permanent fixed prosthesis is usually installed 3-6 months after surgery. This period is necessary for complete fusion of the implant roots with the bone tissue.

Complications after dental implantation

Complications may occur after implant placement. They are usually caused by insufficient qualifications of the doctor or non-compliance by the patient with recommendations for oral care. Particular caution should be exercised by persons with autoimmune diseases, weakened immunity and chronic pathologies.

The most common complications include:

  • Implant rejection and development of peri-implantitis
  • Damage to blood vessels and nerve endings
  • Decreased bone volume
  • Formation of bone growths
  • Bleeding and suture dehiscence
  • Severe swelling of the gums

It is important to distinguish these complications from common reactions to surgery, such as minor swelling and pain. To minimize swelling, it is recommended to apply dry ice to the cheek on the first day after surgery for 10-15 minutes. If the condition worsens, you should consult a dentist.

Some patients experience an increase in temperature after the procedure. Mild hyperthermia is not considered a warning sign, unlike high fever with accompanying signs of infection.

Nuance! It is important to be careful when eating. For 2-3 hours after surgery, the gums remain insensitive due to anesthesia. It is recommended to avoid solid foods, spices, alcohol and other irritants for the first 10 days. This helps prevent mucosal irritation and infection.

Often after implantation, doctors prescribe antibiotics to prevent inflammatory and infectious complications. The duration of antibacterial therapy is 7-10 days, broad-spectrum drugs are used.

Implantation methods

The main methods of implantation in orthodontics are one-stage and two-stage operations. Let's take a closer look at each type.

One-stage implantation is distinguished by the fact that the implant is completely installed in one session. This method is more gentle and does not require repeated intervention. It is chosen for its speed and less invasiveness.

Important! The choice between one- and two-stage implantation depends on the condition of the bone tissue, the general health of the patient and the desire to minimize the risk of infection.

The two-step method is preferable if there is a risk of inflammation or implant rejection. With the right approach, it gives long-lasting and reliable results.

Two-stage implantation involves an operation in two stages:

  • First The doctor makes an incision in the gum, cleans the place for the implant, creates a channel in the bone and installs the root of the implant into it. The process is completed by installing a protective plug and suturing the incision
  • Second After 2-3 months, when the implant has taken root, the doctor opens the gum, removes the plug and installs the upper part of the implant

Classification of dental implants

Intraosseous implants

Intraosseous implants are divided into the following types:

  • Root-shaped - the most common designs, visually similar to a screw. Usually made of titanium. Requires sufficient bone tissue for installation and provides a reliable foundation for the crown after osseointegration
  • Plate - elongated and flat products that are installed in case of significant defects. Doctors often choose them for the front part of the jaw. Products are characterized by relatively low cost
  • Combined - combine the features of root-like and lamellar structures. Used in severe clinical cases with limited bone tissue volume. Due to the invasiveness and complexity of installations, they are rarely used

Basal and mini implants are specialized types of root-shaped implants. Basal ones go deeper into the bone, providing load even when there is insufficient bone tissue. Mini implants are smaller in size but highly durable. Their installation is minimally invasive.

Extraosseous implants

Extraosseous implants are divided into:

  • Subperiosteal - used on the periosteum, suitable for significant atrophy of bone tissue. They are minimally traumatic, but have a less aesthetic appearance
  • Endodontic stabilization - temporary structures that are fixed to the root of the tooth. They have a limited service life. They have good survival rate and ease of installation
  • Intramucous - mounted in the mucous membrane. They are small in size and suitable for attaching removable structures. They do not require bone grafting, but are inferior in strength to other types of implants
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Dentist-surgeon, periodontist
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Dentist-therapist, pediatric
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Regina Bogdanovna
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