Dental implants - one of the most progressivemethods of teeth restoration. The idea is that in the special jaw implanted metal rod serving as a support for the new tooth (or prosthetic replacement tooth group).
Indications for dental implants
Leave 'as is' shortage situation evenone tooth, you should not - even in the absence of visible discomfort. Firstly, the whole suffers dentition (teeth adjacent lean toward the gap, opposite jaw tooth extends into the gap). Then the problems start with the rest of the teeth (and stomach due to poor chewing) which developed due to the deformation of the bite. With sufficient neglect situation changes may already be on the face - specific folds, wrinkles.
It would seem that the usual "bridge" prosthesis canrectify the situation. But here there are problems. Firstly, it requires the turning of the neighboring teeth (which do not desirable if they are healthy). Second, such a solution is not possible for the ends of the dentition. And thirdly, such a prosthesis does not prevent atrophy of the bone directly beneath the missing tooth - chewing load is not transmitted to the jaw, and on the adjacent teeth, thereby loosening them and inclining toward the gap. Because of this eventually breaks prosthesis usually with the abutment teeth.
Thus, dental implants - the best solution for the following problems:
- the absence of one tooth with neighboring healthy;
- the absence of posterior teeth;
- large defects (absence of several teeth in a row);
- complete absence of teeth in the jaw (mini-implants for fixing denture or removable full dentures).
Contraindications: absolute and relative
Yet there are some contraindications forMethod of restoring dentition. First of all these are the health problems that prevent any transaction (or are capable of much of their complicate) - Diseases of the cardiovascular system, problems with the immune system, osteoporosis (or other diseases that prevent the regeneration of the bone), diseases of the endocrine system (eg, problems of metabolism), blood disorders, problems with the nervous system, oncology, tuberculosisAIDS, sexually transmitted diseases, diabetes. Some clinics are taken and for these cases, but it increases the risk of complications.
Relative contraindications - it's whenit is impossible to perform the operation now, but the reason is removable. These include periodontal disease, the pathology of occlusion, oral mucosa diseases, insufficient bone. The latter is eliminated by methods of bone grafting - at the right place is introduced special material (or synthetic origin, or own bone). In the case of the upper jaw can be made so-called sinus-lifting - lifting of the mucous in maxillary sinus and fill the "pocket" the bone material, which germinate in 4-6 months, the young bone fibers.
How to choose a doctor (the clinic)
One of the necessary conditions for high-qualityImplantation is the right choice of clinic. Primarily focused on their own experience - the subconscious mind is usually wise enough to notice that something is wrong.
Also, our website advises to pay attention to the following points:
- availability of licenses to the surgical technique - quality assurance does not, but its absence or apparent reluctance to show cause for concern;
- portfolio and the experience of the doctor work;
- the presence of a special operating room for implantation (these operations can not be engaged in the same office where being treated for septic diseases!);
- before the operation you must assign a versatile diagnostics, including tomogram - the adequacy of planning for the operation specific to your case;
- You need to consult not only implantology,and prosthetist, orthodontist - usually different doctors. Implantologist implanting the implant, and the prosthodontist, orthodontist already makes it a new tooth that should blend harmoniously into your dentition (you need to install the implant under strictly defined angle, and this is not always the most comfortable angle for implantology);
- better when surgery is used for surgical template - a device that ensures the accuracy of the implant in accordance with the previously developed model;
- in a really good clinic you sureprovide a guarantee (for 10 or more years of service the implant), also provide substantial discounts on re-implantation of the implant in case of rejection.
Note also a financial issue. Usually, the term "implantation" dentists understand the actual implantation of the implant. Crown (it can be different) - for a fee. Also, in some clinics distinguish actual operation to implant and the cost of the implant (also may be very different). All these moments better negotiate prior to treatment in order to avoid unpleasant surprises.
Some clinics offer to buy the entire serviceone package - that is, at the beginning of treatment stipulates a fixed amount, about half paid immediately and the rest in the course of treatment. In the case of complications you do not take the extra money. In our opinion, this is the best option - if there is such a possibility, of course.
Installing dental implants
So, you have decided on the clinic. Before installing the dental implant in the first place, all the relative contraindications are eliminated. In parallel, the computer will be developed, and then the volume model of your jaws in full size. For this model, orthodontist, prosthodontist and implantologist together will produce a surgical template specifically for you. It's a record that will fix on your teeth at the time of surgery, and pre-prepared on the model of holes in it will help your implantologist to do everything exactly as planned.
Distinguish "two-step" and "one-step" implantation, and implantation immediately after extraction. Which is better in your specific case, you tell your doctor.
Two-stage implantation takes the mosttime, and thus is the most reliable method. By adopting this scheme, the implant is first completely closed and its mucosa (thus it is contacted with the oral cavity, is not loaded, etc.). From two to six months out of the fact that the implant grown into the bone. After quality ingrowth (controlled by means of X-ray images) in the implant is screwed into the abutment - the transition portion between the implant and the actual tooth. After 1-2 weeks, when he was accustomed, it will put a titanium tooth with ceramic crown.
One-stage implant is characterized in thatAbutment screwed together with the introduction of the implant. Usually thus put laminar implants (and in a two-stage - rhizoid implants, more physiological form).
Statement of the implant immediately after tooth extractionIt is used very often, because in the beginning you need to treat the rest of the oral cavity diseases. If the situation allows - better to put the implant as soon as possible, so that the bone has not had time to atrophy.
The first couple of weeks after the operation you will have tothere is only a soft cool (not cold and not hot) food - from the other will be hurt, and there is a risk interfere with the healing process. If you smoke, try to refrain at least the first week - almost all complicated cases of postoperative complications were associated with smoking.
As hygiene operated area,tell your implantologist. Most likely it will gargle with antiseptic solutions after every meal, then (2-3 weeks) - a soft toothbrush.
If the implant occur inbleeding immediately must be pressed at this point the finger (pure, naturally!) until complete hemostasis (typically about 20 minutes). If it did not help stop the bleeding, then our site recommends one of the following ways: either attach to the site of bleeding wet compress of black tea, or keep in the mouth very cold water (within five minutes the bleeding stops).
If your doctor will prescribe you pain medication,Follow the instructions carefully, and remember that these drugs commonly cause drowsiness - that is, it is better not to drive a car, to refrain from cycling, etc. Consider also that the painkillers interact with alcohol is not the best way.
This technology is especially designed for people withcomplete dentures. Mini implants - a thin titanium screws, which can be reliably strengthened denture - then it does not rub his jaw, and, most importantly, no bone atrophy due to adequate load transfer - ie there is no need to regularly change or undermine the prosthesis.
Contraindications for the mini implant is almost there - only those cases where inadmissible any surgical intervention. Price is also markedly different.
Caring for a mini-implants is no more difficult thanfor natural teeth. That's just clean, they usually do not brush and floss thick (with toothpaste applied to it). How exactly - will show your doctor.