Dental implantation

ABOUT IMPLANTS

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Dental implants facilitate the restoration of missing teeth without polishing and loading nearby teeth. Dental implants may be used for restoration of one or several teeth. This helps even in case of loss of majority or even all teeth. Dental implantation is one of the most advantageous techniques allowing the naturalisation of and successful use of approx. 97-98% of implants. The first implant in the world was implanted in the mandible in 1965 by Prof. Branemark (Sweden). It is not a novelty and more like a time-tested method of restoration of teeth that becomes increasingly more popular in Lithuania.

The implants of several systems are used in the clinic:

  • Ankylos implants (top quality, most popular, best value for money, produced in Germany);
  • Straumann (Switzerland);
  • Nobel Biocare (Sweden);
  • MegaGen (South Korea);
  • ROOTT (Switzerland).

We will offer the most suitable type of implants in the clinic.

The implantation method is suitable in order to restore both a single missing tooth and several teeth and the entire group of teeth.

All on 4 method

This methodology is successfully applied when the patient has lost all or majority of his teeth. This system of implants allows the entire bridge of teeth to be fitted on 4 implants. What is unique is that the implants are screwed and temporary or permanent dental crowns are fitted during just one visit to the doctor implantologist. Local anaesthesia is sufficient for this procedure and surgical intervention is minimal.

All-on-4 technique may be applied with instantaneous implantation when implants are screwed straight after the removal of teeth.

Mini implants

Patients who lost all their teeth or part of them and are wearing prostheses or plates face a problem of how to fit prostheses or plates in a stable and reliable manner allowing them to smile, eat and speak without any fear? This problem is reliably solved by an advanced approach – mini implants.

This implantation novelty is different from standard implants by its size and is used to fix and stabilise removable prostheses. This method is usually recommended for patients who cannot afford standard implants or standard implants are not suitable for complicated preparatory surgical procedures, for example, bone augmentation, sinus lifting surgeries.

 

ADVANTAGES OF IMPLANTS

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Advantages of dental implants:

  • Replace the missing teeth and allow you to smile with confidence and feel like with natural teeth.
  • Can stop the decay of maxilla bone, because maxilla is constantly stimulated and not to start shrinking and your face will look younger. Furthermore, neither the crown with a bridge, nor full or partial dental plate stop the bone decay processes.
  • All healthy teeth are saved, because they do not have to be sacrificed for treatment, as, for example, in case of dental crowns.
GUARANTEES FOR DENTAL IMPLANTS

Dental implants are provided with a life-time guarantee.

PATIENT'S EXAMINATION

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General examination

Before the dental implantation procedure, the patient is given a health questionnaire and is asked to indicate the used medication and his illnesses. The hazard of dental implantation surgery increases due to the general condition of the patient, i.e. in case of cardiovascular system diseases (heart rate disorders, high bloodstream, stenocardia, etc.), immune system diseases (various allergies, HIV), psychical diseases. The patient’s condition has to be stable during the surgery. Dental implantation may result in failure, if the patient has diabetes (only when the glucose level in blood is not controlled), in case of uncontrolled thyroid activity, in case of use of bifosfonates (medication for treatment of osteoporosis) or after the radial treatment in the head-neck area as a result of oncological diseases.

Local examination

Before the dental implantation surgery, the spatial jaw parameters are evaluated, the biotype of gum, fixed mucous membrane width, occlusion, condition of nearby teeth are assessed. Dental implantation may be unsuccessful in case of establishment of constantly repeated oral mucous membrane illnesses, poor dental hygiene, in case of insufficient bone in the place of planned implant.

In case of suitable performance of examination, it is possible to avoid failures or at least reduce their hazard by correcting the insufficient bone area or by performing periodontic treatment before implantation. The location of future prosthesis is planned in respect of the location of other teeth by using diagnostic models. Radiological tests are performed - panoramic x-ray of maxilla (orthopantomogram), dental radiogram. The qualitative and quantitative characteristics of bone are evaluated as well as localisation of anatomic formations (nearby teeth, neural - vascular fibre, sinus or nose cavities). 3D computed tomography is performed in order to specify the localisation of aforementioned anatomic formations, plan the spatial condition of implants, construction of future prosthesis and, where necessary, produce a surgical guide that would facilitate the screwing of implants exactly at the planned location.

SURGERIES

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Dental implantation surgery is usually fast and painless it usually takes 30-40 minutes to fit 1-2 implants. During this procedure, the implant is screwed to the jaw in the place of the missing tooth by applying local anaesthesia. During the surgery, the patient is conscious and can follow the course of implantation.

After the surgery the patient is explained how to take care of implants and post-surgical wounds. The medication ensuring good well-being is prescribed.

Instantaneous implantation is also performed in the clinic. In a single procedure, the faulty tooth is removed, implant is screwed and temporary tooth is fitted. During the next visit after 3-4 months, it is replaced with a permanent tooth.

BONE AUGMENTATION

When planning dental implantation, the quantity and quality of maxillar bone is evaluated first of all. Bone augmentation procedure is necessary when the existing bone is insufficient for dental implant.

Bone augmentation is an augmentation of the patient's bone or replacement bone where it is insufficient. Local anaesthesia is applied during the procedure.

IMPORTANCE OF HYGIENE BEFORE AND AFTER IMPLANTATION

When planning dental implantation, the smokers should not smoke for at least 3 days until the surgery and 7 days after the surgery (at least 10 days in total).

In case of need to carry out directional regeneration of bone or surgery of lifting of sinus bottom, smoking is namely that critical factor as a result of which the postsurgical period and result of surgery can be unsuccessful! It is not worth to conceal bad habits. You may trick the doctor, but certainly not the nature.

Before the dental implantation surgery, the cleanliness in the mouth should be perfect. It is necessary to perform professional dental hygiene procedure, clean dental plaque and tartar, polish dental surface for the teeth to be resistant to the accumulation of tartar. Dental hygienist will recommend and select the most suitable means and methods of dental care.

For long-term results and for the implants to be useful for a longer period of time, preventive cleaning of teeth and implants is crucial. A dentist should be visited regularly - at least twice a year.

The understanding of patient and cooperation with a doctor are particularly important to the patient's health.