Implantology

It's impossible to imagine modern dentistry without dental implantology, as well as a complete functional and aesthetic rehabilitation of the patient’s mouth. Implantology, as a part of dentistry is a combination of prosthodontics and periodontal surgery. Its development begun more than 60 years ago, while the implants with the present shape and characteristics have been placed into human jawbone since 1965. when prof.dr. P.I.Branemark had inserted the first implants surgically. Dental implantology and implantoprosthetics are the fastest and most quality developing branch of dentistry and medicine generally. 

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Live your life with implants

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Teeth loss is a common problem, 30% of the world population suffers from complete loss of all natural teeth, while 80% miss at least one tooth. Since some of the traditional ways of treatment implies the milling of healthy remaining teeth in order to make a bridge, implant therapy appears as the only reasonable way to treat teeth loss. When an entire tooth is lost – crown and root - shrinkage of the jawbone may occur making the face look older. Dental implants can stop this process. There are many ways to replace tooth crowns, but only dental implants can replace the entire tooth including both crown and root. Dental implants look, feel and function like your own natural teeth.

Dental implants are the permanent way for you to replace your missing teeth. Research and documentation show long-lasting results, and hundreds of thousands of people are now enjoying their new looks and their ability to laugh, speak and eat with confidence!

 

What is an implant?

2757068A dental implant is a small titanium screw that serves as the replacement for the root portion of a missing natural tooth. The implant is placed in the bone of the upper or lower jaw and allowed to bond with the bone and serve as an anchor for the replacement tooth. Dental implants can be used to replace a single lost tooth or many missing teeth. Implant supported replacement teeth look, feel and function like natural teeth. Dental implants are a proven restorative option with a long clinical history. Dental implants preserve the integrity of the facial structure and reduce the inconvenience associated with tooth loss.

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Are dental implants for everybody?

Anyone who is missing one or more of teeth due to injury, disease, or decay may be a candidate for dental implants. If one, several or all teeth are missing, dental implants in conjunction with a crown or bridge can replace those teeth. Occasionally, older patients express concern that their age may prevent them from enjoying the benefits that dental implants offer. However, health is more of a determining factor than age. If you're healthy enough to have a tooth extracted, you're probably healthy enough to receive dental implants. Implant treatment is not recommended to patients who suffer from serious heart disease, severe osteoporosis, uncontrolled diabetes, psychosis. If you are under eighteen, you must be examined to make sure you have finished growing before you can undergo an implant treatment. 

Why doesn’t my dentist do implants? Implantology is a very specific branch of dentistry. A dentist must be educated and skilled to perform the surgical or prosthetical part of the implantoprosthetic treatment, or even both. This education takes time. Furthermore, dentist must be equipped with sophisticated instruments, devices and surgical and prosthetical components, which can cost a lot.

Are dental implants successful?

With more than three decades of clinical experience and over a million patients treated, crowns and bridges supported by Nobel Biocare and Astra Tech implants are highly successful. The statistics confirm a success rate of nearly 95 percent for individual implants – even higher for the bridges they support. The unique design and the surface, give the Nobel Biocare’s TiUnite and Astra Tech’s Osseospeed Microthread a superior strength and ensure that the teeth stay securely in place.

The threads on the fixture anchor the implant and preserve the bone. This maintains the soft tissue contour which is important for a natural look. Most patients can expect implants to last a life time. The first patient received his dental implants more than 40 years ago and they are still functioning today.

And the pain..?

As implants are usually inserted under local anesthesia, you will not feel any pain during the surgery. The implants are placed in a very gentle way and we also take care of the various tissues involved. The treated area may be swollen for a few days afterwards, and could be slightly painful. In most cases an ordinary painkiller is all you may need to feel fine.

How long will the treatment take?

1052937The treatment time will vary depending on your unique situation. The traditional protocol requires one or two-staged procedure, waiting 3-6 months after the implant placement for the osseointegration, and then producing of the crown, bridge or prosthesis, therefore in some cases it may be necessary to wait a longer time before finishing the restoration in order to obtain an optimal result.

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Nowadays it is often possible to get a well functioning and esthetic looking teeth within a few days, or even in a few hours! With the initial examination, the surgery, post surgery check-up, the prosthetic work and one recall, it normally takes about 4-6 visits until the treatment is completed.

For our patients from abroad we always try to avoid many travelling and flights, and very often offer and perform Immediate Function Concept, including NobelGuide surgery.

 

How will I feel after the treatment?

It is normal to have some small bruises and swelling in the gum and soft tissues. But usually the discomfort, if any, is treated with an ordinary painkiller. You should expect to be able to work the very next day. However, in some cases when multiple implants are placed, if the bone augmentation is performed, after a sinus lift procedure, the swelling and bruises may be larger and you can feel some more discomfort. Keep in mind that even that is absolutely normal.

If you would like to avoid even the slightest discomfort without a single day of sick leave, then there is a solution for you called NobelGuide surgery. 

How long do I have to be off of work?

After the implants have been inserted, some swelling or bruising is normal. However, most people are able to go back to work the next day. If the NobelGuide surgery is performed, you are 100% able to get back to your normal life the same day.
 

Do I have to stop smoking?

It is highly recommended to stop smoking. Smoking affects the healing process and may reduce the long-term prognosis. 
 

How will I benefit from dental implants?

The benefits of implant treatment include appearance, the enhanced ability to chew and enjoy your food, and often protection of your remaining teeth and jawbone. Dental implants offer many benefits never before available for the treatment of missing teeth. They will improve your speech. Dental implants can eliminate the numerous embarrassing inconveniences of removable partial and full dentures. You will eliminate the use of gooey denture adhesives that must be re-applied throughout the day. You will no longer need to cover your mouth when you laugh or smile, for fear that your teeth will pop out or fall down. Dental implants will improve your overall self-esteem and you will feel better about yourself. In short, dental implants will look, feel and function like your real teeth. 
 

How much will it cost?

Although dental implant treatment may initially be more expensive than other treatment methods it often turns out to be the best investment from a long term perspective since most patients can expect them to last a lifetime. Other treatment method like bridges and dentures often require regular alterations and adjustments over time. The fee for tooth replacement with dental implants will depend on several factors, including the number of teeth being replaced and the number of implants required to support your replaced teeth. It is important for you to know that you do not necessarily need an implant for each missing tooth. Some additional procedures may be required prior to the placement of your dental implants to ensure the long-term health of your dental implants. To obtain a specific fee estimate, it is necessary to come for the first examination, or at least send some x-rays for the beginning, photos, or treatment plans from your dentist. After a thorough diagnostic examination, we will recommend the treatment that is best for you and be able to estimate what your investment would be for the procedure. 
 

Is it important to take care of the implants after the treatment is completed?

It is of imperative importance! Taking care of the implants will help to assure the long-term success of your treatment. You will be responsible for daily plaque removal, which can be accomplished through brushing and flossing around your restoration. Your dentist or hygienist will show you how to take properly care for your implants. You must visit your dentist at least once a year for maintenance appointments.
 

Are the complications possible in the implantoprosthetic therapy?

Complications could occur, but in the hands of a skilled dentist, they are pretty rare. However, a small percentage of the implants can be rejected. The solution is to place a new one. Infections are possible rarely, but mostly because of the inadequate maintenance. Smokers have 10% less chances for a successful outcome of the treatment and longevity of the implants. After the prosthetic part is finished, a fracture of the crown, bridge or prosthesis may occur, but it is repairable. Fractures of the implant are the rarest complication, maybe the most serious, but only because it takes some time to reconstruct the new implant and new prosthesis.
 

What is the Immediate Function™?

The Immediate Function™ is one of Nobel Biocare's core concepts. Historically, implants have been associated with a time consuming surgical procedure. New solutions have revolutionised this, by allowing you to get beautiful, natural looking teeth, from the very moment they are placed. Nobel Biocare has made implant treatment easy. The benefits of the Immediate Function™ are shortened treatment time, better clinical efficiency and fewer traumas for you – it is now possible to go from suffering from tooth loss to having functional and esthetic teeth in a one treatment session. The Immediate Function™ is for every clinician who is comfortable with implant treatment. But as for any treatment modality there are different skill levels required for different situations. Today several clinics have adopted this rewarding concept and treat 80-90% of their patients with the Immediate Function™, to the benefit for the patient and the clinic. Our clinic is one of those.
"Tooth In a Day" – Effective solution for a single missing tooth
Why mill healthy neighboring teeth to substitute one missing tooth? Or have a Maryland bridge fixed to your adjacent teeth and chew with caution because it might fall off? Or even wear uncomfortable partial denture with clasps? You are not happy with your tooth which was filled numerous times, and which is dark and ugly? You don’t smile because of that tooth? Fast, esthetically and functionally very effective solution for your problem is an implant inserted on the place where you already miss the tooth or placed immediately after the extraction. Using appropriate implants and prosthetic components in just 2-3 hours you can have your tooth extracted, an implant inserted, temporary abutment and a temporary crown placed. This temporary crown will satisfy the esthetics and function until the final restoration is placed on the same implant.
 

NobelGuide

NobelGuide is a revolutionary treatment planning and surgical implementation system enabling the dentist to transfer extraoral planning into the mouth with unrivaled accuracy and ease.

With NobelGuide placing the implant, abutment and restorative crown or bridge is simultaneous. It is applicable to any patient indication, by using either conventional modeling or computer aided - 3D design – NobelGuide shows the dentist the exact position and depth of the implants before surgery.

This information enables Nobel Biocare or the lab to produce a surgical template which guides the flapless procedure from start to a completely successful placement.

Practically, this means a beautiful teeth for you, our patient, in just one visit.

Maximun comfort based on flapless surgery, reducing pain and swelling

  • Immediate cost saving built on Immediate Function, reducing costly time off of work
  • Fast treatment combination of Immediate Function and a pre-made, temporary or final, prosthetic restoration ready at time of surgery radically shortens treatment time. Applying a final prosthetic solution means real "Teeth-in-an-Hour"
  • Long and short term esthetics complete range of prosthetic possibilities based on Nobel Procera.

Conventional Approach

  1. Examination
  2. Surgical Procedure
  3. Remove Stitches Control
  4. Control Realining
  5. Abutment Installation
  6. Temporary Prostheses Solution
  7. Soft Tissue Control
  8. Definite Impression
  9. Try Teeth In 
  10. Final Prostheses Solution

NobelGuide Approach

  1. Examination
  2. Surgical Procedure
  3. Temporary Prostheses Solution
  4. Final Prostheses Solution 

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