What are implants??
Implants are small pillars made of titanium which are used as tooth root replacement in the edentulous jawbone. This material is quite uncomplicated for the human organism and shows fantastic material properties.
Three groups of implants
Today, the common implant types are divided into three groups, which can also be seen in the picture below:
- The screw implant
- The leaf implant
- The cylinder implant
Crucial for the selection of the implant are the bone supply, the bone strength and the time of implantation. There must always be enough bone in height and width for implantation. If this is not the case, then the implant bed must be improved by augmentation. The bone has different strength according to different locations. This must be taken into account when selecting the implant.
Fast supply by immediate implantation
Today it may be possible to implant an implant immediately after tooth loss and to fill the gap (immediate implantation). Immediate implantation uses implants that are similar in shape to natural tooth roots. An implant should be placed as early as possible. For if a tooth is lost, then the chewing load is missing at this point and the jawbone is formed here.
From dentistry – and from our practice – implant dentistry is indispensable.
The advantages of an implant at a glance
- Lifelike replica of the complete tooth
- high load capacity
- firm seat
- no speech impairment
- no grinding of neighboring teeth
- Preservation of the jawbone
Durability of the implants
The durability rate after 10 years is over 95%. Provided there are optimal oral conditions, which are only guaranteed by perfect oral hygiene. Here it is essential to follow the instructions of the dental staff. Basically, implants should be inspected every three to six months.
Oral hygiene important factor for long shelf life of implants
The patient contributes to the success of implantation primarily with his personal dental care by operating a particularly conscientious and careful oral hygiene. New evidence suggests that excessive smoking damages the implants and gums. Poor oral hygiene and smoking increase implant loss by a factor of 7.
Regular implant check
In order to avoid infections and plaque, it is advisable that the patient come to the practice at least once a quarter for an individual professional tooth cleaning. But at least the implant should be checked twice a year.
Treatment procedure: Preliminary examination
Mostly by means of a questionnaire, your general health status is clarified. Here are questions asked about past and acute illnesses, what medications you are taking and how you feel. An internal diagnosis is usually obtained as well. The dentist himself examines gums, teeth and jawbones. X-rays and plaster models of the jaw halves are made for this purpose. One of the first introductory steps is a professional tooth cleaning,
in which all coverings and tartar are removed. The carious areas must be conserved before.
Under local anesthesia, the mucous membrane is pushed aside and a small cavity is then prepared in the bone by means of a small pre-drill and a drilling template which specifies the exact drilling direction. This is then expanded with appropriate instruments until it exactly corresponds to the implant body, which can now be used accurately in the jawbone. Thereafter, the implant site is closed again so that the implant can heal in peace.
Even after surgery, very few patients have problems with the new implant. Probably swelling may occur in the first few days.
Indications and medical benefits
Within the row of teeth, one tooth is missing and the gap is bounded on both sides by healthy, natural teeth. Here, the implant is the drug of choice.
Single tooth gap – anterior gap
Today, depending on the region of the jaw, the implant may be used immediately after removal of the destroyed tooth, as described earlier, or about six to eight weeks later. The advantage, therefore, is that the adjacent teeth of the gap do not need to be ground to close them as with a conventional bridge. Another advantage is that the implants stop bone loss at the missing tooth site, preserving the jawbone.
For this purpose, the gingiva formers are replaced by so-called impression posts and taken over an impression. With the help of the impression, the dental technician produces a jaw model that exactly reproduces the anatomical conditions. Then the dentures are made. Depending on the specification, these can be crowns, bridges or prostheses.
There are two options for the fully edentulous jaw: Removable full dentures or fixed bridges. To attach removable dentures, so-called double crown abutments (telescopes) are glued to the implants.
Put the implants
Implants are placed in the jaw under local anesthesia and under sterile conditions. The doctor and assistant wear surgical clothing. You yourself are covered with sterile towels. The setting is completely painless for you as a patient. The introduction of the implants into the jaw is usually performed under local anesthesia and under sterile conditions. The doctor and assistant wear surgical clothing. You yourself are covered with sterile towels. The setting is completely painless for you as a patient.
What you should consider after implantation
In the first week:
- Avoid physical exertion
- For the first two days, skip beans, strong tea, dairy and alcohol
- Please do not smoke
- Clean teeth and gums thoroughly
- Do not use an oral irrigator or electric toothbrush
- Rinse mouth with lukewarm water after each meal, not on the day of surgery
- Cool on the first day after surgery with moist wipes from the outside
After the healing phase
After healing, the implants are exposed under local anesthesia. The caps are exchanged for gingiva former (gingiva former) so that the mucosal border is formed cleanly.
In the following four to six weeks
- Avoid physical exertion
- Have a thorough oral hygiene as directed by your doctor
At the first sign of a change in the implant, the dentist can secure the preservation of the implant by means of various measures. One of the main problems is the inflammation at the implant bed. If intervened in good time, however, this complication can be controlled with different methods. Therefore, a continuous care of implant carriers is necessary.
Big tooth gaps
The toothless jaw brings with it considerable discomfort. Chewing and talking are significantly impaired. Since the support by the dentition is missing, the face slackens. It looks old. Patients often become depressed. One gives oneself up, does not have one in the literal sense "bite" more.
The removable dentures, however, in addition to the psychological burden of other risks. The mucous membranes covered by the prosthesis can no longer "to breathe". It often comes to systemic mycoses. Food is too hot and too spicy enjoyed, since the palate is isolated in the removable, conventional dentures by a plastic plate. The food is not enough crushed. Gastric and jaw problems are inevitable.
In the lower jaw, the prostheses rarely come to suck. Holding the prosthesis equals an act on the tightrope. The alveolar bone progressively breaks down and often the prosthesis has to be relined. With implants you can stabilize the full dentures or completely renounce the prostheses. This depends on the number of implants. A fixed bridge in the upper jaw requires eight, in the lower jaw six implants. Advantage: the patient has the feeling that he can bite like with his own teeth.
The legal payers may currently contribute to the costs of implantological services. Only in very few exceptional cases is the health insurance company allowed to pay part of the costs. Therefore, dental implantology is not a cash benefit. Also, the corresponding check-ups are not paid by the coffers and instead billed privately. The costs for an implant with structure are based on the special requirements of the anathomic situation and will be individually adjusted to your needs after an appropriate diagnostics together with your dentist.
Field report 1 – Implantology
Dear practice team Petersen,
Here is my short report on the positive experiences I have had in your practice of inserting four implants in the upper jaw (April 2004):
"Implants – is not that a risky business?"
So my first reaction when Dr. Petersen made this proposal for the first time to remedy my wide tooth spaces in the upper jaw. I had heard little good about this type of dentures until then!
Today, just over a year later, I can only say to all skeptics in a similar situation: I have never regretted my decision for implants. My beautiful new teeth sit on a solid anchorage and I have the certainty that – in contrast to a prosthesis – the jawbone can not now regress! Fears of a painful treatment were unfounded: the insertion of the implants was done under general anesthesia, the pre- and post-treatment treatments I experienced well informed and gentle.
Thanks again to the whole team!
Field report 2 – Implantology
Although I regularly went to the dentist’s office, two molars had to be removed a few years ago.
The food and the chewing were now limited to the "complete" Row of teeth on the other side.
I did not feel comfortable with this huge gap. Therefore, I decided then to make me a partial denture. At the beginning, I was finally happy again "all teeth" but left with food leftovers in the clasp and otherwise annoyed me about this "metal part" in the mouth and the prosthesis quickly landed in a clamp in the closet.
Now I had it again, this problem: spent a lot of money, but still did not do any good for me and above all: I was again without molars!
Then it occurred to me to use implants. I read a lot about it, but the only thing that got stuck was: high cost factor, high risk that there could be problems with the operation and in the end I might not have any really good and beautiful dentures!?
But I wanted to have a complete set of teeth again. In the end I decided after an intensive consultation by Dr. med. Petersen and Mrs. Tasler for two implants. After the preliminary examinations an appointment for surgery was fixed and I was very nervous. A proper surgery without general anesthesia – that was a strange idea for me, even if I thought of the beautiful teeth in a few months.
The OP itself I did not feel so bad then. Because the anesthesia worked well and Dr. Petersen and his assistant worked so well hand in hand that I felt in very good hands. I just thought, “The two are doing their job well and right!"
The worst part of the surgery was the side effects of the antibiotic, which I had to take because of the bone structure. The wound healed very well and very fast, so that I could eat normally again after about 3-4 days.
After six months, the implants were exposed. Petersen the crowns. And there it is again, this great attitude to life: A complete set of teeth and I can chew and eat with my teeth as normal. And besides, it looks nice again. I admit, sticky things I continue to eat and not synonymous with the wine gum I’m careful, but that’s me with my normal dentures.
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