Dental implants are screws that are made of titanium and mimic the root of native teeth. Dental implants are used to replace missing teeth. Use of dental implants enables a restoration that is very close to the natural state of the mouth. Thus, it is not required to cut down the adjacent teeth. If you have missing teeth and the dental implant is not contraindicated, the best solution is the dental implant. Dental implants are usually placed at dental offices under local anesthesia. The stitches are removed 1 week after the procedure. Depending on the quality of the bone and the implant, manufacturing of the dental restorations that are retained on the implant can usually be started 1.5 to 2 months later.
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How is dental implant placed?
Implant therapy offers remarkable cosmetic and functional advantages over other treatment modalities. For the implant therapy, the implant site is numbed by administering local anesthetic agent and the implant is placed within 5 to 10 minutes. 1.5 to 2 months should elapse to ensure that the implant is well integrated (fused) to the jaw bone. This waiting period may further prolong depending on the quality of the implant. Since the placement is an easy and pain-free procedure, the patient will not face a difficulty in this process. Next, the therapy proceeds to the second stage. Measures of your mouth and the tooth structures are taken for porcelain teeth that will be retained on implants; tooth/teeth is/are placed within 5 to 10 days. In conclusion, implant therapy takes about 2 months.
What are the indications of the dental implant?
Implant therapy is divided into three modalities depending on the number of the missing teeth; missing one tooth, missing more than one tooth and missing all teeth – full mouth implant. Moreover, implant therapy is also divided into three groups by the time of placing the dental implant: implants placed immediately after the tooth extraction (immediate); implants placed after the soft tissue heals (3 to 4 weeks after the tooth extraction); and delayed placement (3 to 6 months or longer time after the tooth extraction).
Single Tooth Implant
There two treatment options for people who are missing one tooth. The space can be closed using conventional bridge or a single implant. Two adjacent teeth are cut down and the bridge is anchored to them in conventional bridge restoration. In this type of restoration, a very good cosmetic and functional outcome can be obtained for a while, but the dental prosthesis cannot protect the bone reserve around the root; the bone starts melting down (resorption) after a particular time. Implant therapy offers many advantages for the missing one tooth. Appearance, function and the sense mimics the natural tooth.
Cosmetic outcomes are better in the long-term.
There is no risk of decay.
It is not required to cut down the adjacent teeth.
It is more hygienic than a dental bridge; it is easier to clean dental implants.
Multiple Tooth Implants
If there are more than one missing tooth, implant supported dentures have far more evident superiority. Removable dentures accelerate the resorption of bone. Moreover, the clasps bear heavy loads on and weaken the natural teeth. Many patients, who use partial dentures, complain of discomfort and inability to use them regularly. For such cases, advantages of implant-supported dentures are as follows:
Appearance, function and the sense mimics the natural tooth.
They are more stable and comfortable than partial dentures.
They may replace the natural biting and chewing functions.
They cease the resorption of bone.
Integrity of the facial structures is conserved.
The adjacent natural teeth are not damaged.
Total Loss of Teeth (Edentulism)
The denture manufactured for patients with total loss of teeth is referred to as total denture. This type of denture has some disadvantages:
It is not comfortable and easy to use by patients.
The functional outcome is very poor relative to natural teeth especially while eating.
The denture gets loose as the bone resorbs and it tends to come out of the mouth while laughing and sneezing.
The patients with missing teeth and resorbed jaw bone look older.
The use of the denture makes patients feel insecure.
Patients who use dentures face difficulty while eating hard foods, such as beefsteak and apple.
Bad breathe is a common problem for patients with dentures.
Implant-supported dentures help all of the above mentioned problems. They are more stable and prevent change of the facial contours by conserving the underlying bone reserve.
Advantages of Implant-supported Dentures
Artificial teeth and prostheses that are placed on the dental implant are called implant-supported prosthesis. Implant-supported prostheses have many advantages comparing to the conventional dental prostheses.
They are more stable and comfortable than the conventional prostheses.
They prevent the resorption of bone.
Facial contours are conserved.
Outer appearance is better.
It is not necessary to cover the palate; thus, patients can better sense the taste.
The frequency of repair or replacement is far lower relative to conventional prostheses.
Natural chewing and biting functions are restored.
Stages of Implant Therapy
Implant therapy is conducted in one stage or two stages. For two-stage therapy, the implant is placed and covered by the gum. After the implant integrates to the bone 1.5 to 2 months later, a secondary procedure is conducted on the soft tissue over the implant under local anesthesia and metallic pieces, called healing cap, are placed on the implant. The implant will be ready for prosthetic phase 1 week to 10 days later. Considering one-stage therapy, the implant and the healing cap are concomitantly placed. Accordingly, the patient is made ready for the prosthetic stage that will be conducted 1.5 months later. The quality of bone and oseointegration (integration of the implant to the bone) will inform whether one-stage or two-stage is indicated. The one-stage technique is preferred, if and whenever possible, as the second surgical procedure is not required.
Are all implants identical? Are all of them in same quality?
The ever increasingly used implants are available in various brands and qualities. Unfortunately, the imitations are increasing in this every growing sector. Since use of the imitation or counterfeit implants that are manufactured at unregulated conditions causes resorption of bone, patients should necessarily search the implants to be used. If one wants to order 1,000 implants, they can be manufactured in all brands and configurations in China, Italy and Korea and the manufacturing process is usually unregulated. The patients, who seek implant, should necessarily learn the brand of the implant. Many patients with implants that do not allow placement of prosthesis are encountered in the clinical practice, as the brand of the implant is not known. If the implant has integrated to the jaw bone, but the brand is not known, it is required to remove the implant. Another important issue is the MRI (Magnetic Resonance Imaging) compatibility and safety of the implant. MRI is contraindicated for patients with dental implants that are not MRI safe.
Prices of Implants
For detailed information on prices of dental implants and the treatment;
Please call our Implant Clinic in Bağdat Avenue at +90216 363 36 36
Please call our Implant Clinic in Etiler- Levent at +90212 280 88 00
Please call our Implant Clinic in Kavacık-Acarkent at +90216 485 90 30
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This site Cosmetic Dentistry and General Dentistry is intended to inform patients about the applications. The information contained in the site content is to inform, certainly no substitute for putting this information to medical purposes examination and diagnosis of the patient's physician.