Frequently asked questions - FAQ
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Prosthetic solutions on dental implants
Do you have a case of missing teeth, dysfunctional dentures, covered palate or difficulty with eating or tasting?
Every person requires an individual solution. Your dental solution depends on your expectations, bone structure, soft tissue quality and how much time you’re willing to invest in your perfect smile. Here are a couple of most common dental solutions.
All on 4 implants, bridge and skeleton prosthetic denture
This is the simplest solution for every patient and it’s always manageable, even when the bone has already severely atrophied. The whole treatment lasts 4-6 months and includes 5 major appointments. You don’t have to be afraid of the word “mobile prosthetics” – Due to the freedom of your palate & plenty of space for your tongue and strong implant connections, nobody except you and your doctor will even know you’re wearing it. The price and complexity of the procedure is moderate.
Fixed implant work
If you’re insisting on fixed prosthetics, that requires 8 implants per jaw and usually some areas also need bone regeneration. Before the beginning of the treatment, it’s important to make an aesthetic analysis in order to make sure you will have not only strong and healthy teeth, but a beautiful smile as well. In the unlikely case of advanced bone atrophy (usually in patients with already long-term denture wear) this solution is either not possible or not manageable after complex bone grafting surgical procedures. Fixed implant work is the most financial demanding procedure and usually lasts from 5-14 months.
All on four - All on six
Fixed teeth in 48 hours? Due to the fact that the final implants are inserted angulated, only 4 in the lower jaw and only 6 in the upper jaw are enough to create a perfect fixed denture. The advantage: In 24-48 hours you have a fixed denture with no complex bone grafting surgery, and usually the implants are inserted right after teeth extraction. After 3-6 months, a definitive bridge is placed instead of a provisory.
More solutions available
We can also offer mini-implants which are favorited by patients who feel limited by their health or financial situation. It’s good to know that in a great number of cases, provisory implants can be applied temporarily. They fixate the prosthetics & bridge or can even be used with the remaining teeth.
Don’t forget: Your treatment is dictated by your individual anatomy, your needs and desires, as well as your personal investment of time and money and it shouldn’t be limited by preferences of your Dental team. The team you choose guides you and helps you in reaching your decisions & sometimes even decides for you, but in that case the team needs to be very well informed on ALL possible treatments and procedures.
The most common procedures are a fixed 8-implant denture or conditional 4-implant denture. The process:
6 Steps to a gorgeous smile with dental implants:
During your first appointment, we do a clinical dental examination and an X-ray of your jaw. Depending on your expectations and desires, as well as your anatomy, we offer a solution we think is best for you. Using model sculptures, we will try to demonstrate exactly how we would go through the treatment.
The first appointment after an initial agreement includes teeth extraction and a mouth impression for a temporary implant (prosthetics or temporary dental crowns) which we ensure you receive on that same day - so you don’t go home toothless.
Depending on your clinical state and information we get from the X-Ray, we then propose doing a precise 3D jaw CT (Some may be able to do it on the first appointment and others 2-4 months after teeth extraction). A CT is necessary in order to evaluate the quality and dimension of your jawbones, based on which we can create a plan of the exact number of implants needed and their layout, as well as all the measures for an eventual bone augmentation procedure (bone grafting).
The jaw CT is performed!
After we’ve decided upon a prosthetic solution according to your individual state, the treatment begins. You will receive a detailed description of every step before we start with anything. At this point, you may be wondering: “Does implant placement cause any pain?” The answer is NO. The procedure isn’t painful; the only thing you could eventually feel is tingling of the local anaesthesia injections and motions of the doctor’s hands. We will provide you with detailed written instructions on how to behave after the procedure, prescription drugs and other fine-tuning necessities in order to make this as easy and comfortable for you as possible.
After the procedure, you will meet with your prosthetic technician with whom you will discuss the rest of the treatment.
The next appointment will be 2-6 months after the implant placement. The doctor opens up the implants and inserts secondary implant bolts which will mould your gingiva and speed up the healing process.
A month after secondary implant bolts placement, a final impression is taken.
2 weeks after the final impression, we will do a final fitting of your teeth with your dental technician.
Your smile is ready to conquer the world!
Dental implants are artificial roots – titanium bolts. How do they act in the jaw? Mechanical, like screws or bolts, or like our own teeth?
Primary, mechanical stability
Right after implant placement and a couple of weeks after the procedure, their stability in the bone is strictly mechanical. Dental implants have threads and their placement is planned with a measured amount of force according to bone density and rigidity.
Naturally, implant placement immediately causes reaction in the surrounding bone which results in a decrease in mechanical stability in 2 weeks after the procedure. At the same time, while losing mechanical stability, biological stability evolves.
Secondary, biological stability
Due to titanium biocompatibility and a coarse surface of dental implants, a biological stability is created. The “coarse surface” is a term researched and experimented for decades with a goal of getting the most optimal surface that will interact with the bone. During the last couple of years, a great progress has been made in mastering the perfect implant design and surface. The goal is to achieve the best integration of the vital bone marrow in the microstructure of the implant’s surface while sparing as much time as possible. This process is called osseointegration.
Tertiary stability evolves from functional integration and dental implant load. The load involves dental crowns, dental bridges, skeleton prosthetics and implants being exposed to chewing force.
Dental Implant Rejection
Good news: there is no such thing as titanium allergy – 95 % dental implants on the market are manufactured from titanium.
Orthopaedic implants such as artificial hips, knees and shoulders are also manufactured from biocompatible titanium and the allergic reactions are 100 % unrecorded. What makes titanium differ from other metals?
Titanium has a strong affinity towards oxygen so immediately after the release of the titanium ions, an oxygen layer is created. Oxides can’t bind proteins and that results in the impossibility of a titanium allergic reaction.
Attention: around 2% of implants don’t osseointegrate (fuse with the bone). For some reason, they get rejected. In order to achieve the best results, make sure your doctor is experienced, uses only certified implants and that the procedure is carried out in a strictly sterile environment.
When is the implant placement NOT recommendable?
Some patients are not fit for implant placement:
- Patients diagnosed with severe mental disorders
In the aforementioned 2% failure, we could include cigarette smokers and people with low bone quality or quantity. A bone that is too rigid has low blood circulation so the heat accumulated in preparing the base of the implant is too high. On the other hand, a bone that is too soft creates a non-solid base for the implants.
The reason for failure can also be strictly mechanical: chewing force overload, prosthetic pressure, micro motions of the prosthetic construction before the mechanical stability is formed.
What happens after the implant rejection?
The rejected implant is extracted and after the healing process, a new implant is planted. Failure percentage of the new implant placement is extremely rare. Our patients pay ONLY for the dental implants which have successfully osseointegrated.
How much time is necessary for implant placement and dental crown upgrade?
Regardless the number of implants, implant placement is a one-time procedure. Before the treatment, a jaw CT is made in order to determine the quality and quantity of the bone marrow after which the patient enters the surgery for a 2-3 hour procedure. The patient is obliged to come in for a check-up and stitches removal 2 - 3 weeks after the implant placement. The osseointegration period usually lasts 3-4 months after which the patient comes in for a prosthetics analysis and processing which includes 3-4 appointments and lasts for 2 months.
What are ceramic veneers?
Ceramic veneers are a thin layer of material placed over a tooth, either to improve the aesthetics of a tooth or to protect the tooth’s surface from damage. They are completely made out of ceramics and they can fully imitate the color and look of a natural human tooth. Ceramic veneers are an aesthetic solution which can be used to replace a smaller piece of a tooth, correct small imperfections in teeth formation or color. They are ideal for filling up smaller spaces between teeth and repairing the broken or overused enamel. Their greatest advantage is fully saving the healthy dental tissue. While preparing the tooth for a veneer placement, only 0,5mm of dental enamel is removed. Valdent Dental Clinic offers ceramic veneer procedures. Come and get your healthy, completely natural looking smile!
How do you treat teeth instability and periodontitis?
Teeth instability occurs in an advanced periodontitis. Bacterial infection of the tooth socket causes supporting bone turnover which logically results in teeth instability. The treatment is directed towards reducing/ extinguishing inflammation in order to stop and prevent further bone degradation. Root canal and socket cleaning & disinfection combined with antibiotics are the most efficient solution, but only with a flawless daily hygiene. If necessary, a surgical procedure is performed. The most ideal is regenerative surgery which has a reconstruction of the disintegrated bone as her goal.
There are various reasons for the gingiva recession. Some of them are periodontitis, wedge-shaped defects, wrong teeth brushing technique, teeth formation, occlusion trauma…The most common reasons for covering the “naked” roots are aesthetic, teeth oversensitivity, difficulties in hygiene maintenance, cavities and planned orthodontic treatment.
Depending on the situation, different surgical covering procedures are performed. If the gum isn’t thin, plastic surgery techniques can use the surrounding tissue for creating the cover. With a thin gum or wedge-shaped defects, the tissue needs to be thickened. For that purpose, we use palate binding tissue transplants.
In Valdent Dental Clinic, we use exclusively microsurgical techniques which give out the best possible results with reduced postoperative side effects.