Implantologie

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The time between losing teeth and the implantation, is a very important factor for patients having tooth-gap, because the available bone structure determines its success.

Dental implantology is a special field of dentistry that uses dental prosthesis as a method to replace tooth gaps. The aim is always the successful dental rehabilitation of the patients. During the implantation inorganic materials are implanted into the tissues of the jawbone. The implanted teeth in their own or as a fixed basement can substitute the patient’s single or multiple tooth gaps.

Dental implant is an artificial root made of biological material (generally titanium), that is implanted into the place of the lost teeth in order to wear dental prosthesis.

Tooth implantation consists of two main phases, implanting the implant and preparing dental prosthesis. Surveying the state of health and a discussion precedes every treatment, implanting the tooth happens only after that.

About titanium
Materials used for implanting have to meet very strict requirements. They have to be compatible with living tissues, must not have poisonous, allergic or malignant effects and must not corrode. They have to have the required flexibility, tensile strength, capacity and abrassion-proofness. They have to be well sterilizable and easy to work with. A part of the available materials is made of metal or alloy, such as titanium.Due to its external oxide layer it is quite stable and it has a high external energy, so it is able to join with different molecules and proteins, with which the protein-structures of the bone tissue later can join. That is how osseous fixing of the implant happens. Besides the ones mentioned above, its greatest advantage is that it prevents decay of bones, which is unavoidable after loosing a tooth.

Surverying the state
The implanting doctor first of all inquires about the patient’s general state of health and his claims. An exact plaster impression and a panorama X-ray photograph are taken of the planned place. The required oral hygiene, the good state of health and the appropriate jawbone structure, where the implant has to be planted are essential for implanting teeth.With the help of these the anatomical conditions can be appreciated, with the consideration of the available bone structure and patterns the best shape and size for the implant can be chosen. During the discussion the patient is informed about the results of the examinations, the suggestions, the timetable of the treatments to do, the possible risk factors and their prevention. The patient is also informed about the possibilities, how many implants he can wear, what he has to do before and after the operation. The final plan is drawn up together with the patient.By following the doctor’s directions and due to the careful planning and the excellent operative technique the risk of pushing out is minimal and can happen only extremely rarely.

Things to remember before operations

  • Inform the doctor about every disease and medicine taken.
  • Eat as usual before the operation, do not arrive with an empty stomach, unless the treatment happens with dazing or anaesthesia. In this case you get special instructions.
  • Take an attendant with you (you had better not drive after the operation).
  • Take your regularly taken medicines.

Things to remember after operations

  • Do not drive a car for a couple of hours following the operation.
  • Put cold compress outside on the operated surface to reduce the tumescence.
  • Do not eat under the anaesthetic, in order to avoid injuries in the mouth.
  • Do not consume coffee, tea, and alcoholic drinks, do not smoke and do not eat hot dishes for a day.
  • Take the prescribed medicines.
  • Take analgesic as needed.

Things to remember after finishing implantation

Take special care of oral hygiene, in order to avoid inflammation around the implant, because it endangers its wearing.
The dentist shows the correct teeth-cleaning technique after the implantation. The dentist checks it once a year, in order to secure its long and proper functioning.

Operation

Implanting implants surgically usually happens with local anaesthesia. We apply medicinal pre-treatment, dinitrogen-oxide dazing if necessary. During the implantation, after being prepared to the operation, the soft parts covering the jawbone are carefully separated and the place of the implant is formed in the bone. Preparing threads provides the adequate fixing, for example in case of screw-implant. This is followed by inserting and closing the implant, then closing the wound.A week after the operation the stitches are taken out, the implants can recover tranquilly in the bone, under the protection of the mucous membrane.

What can you expect?

Implantation is a surgical intervention. In case of anxiety it can be eased with sedative-relaxing medicines and can be painless with the use of anaesthesia. Implanting one or two implants has the same encumbrance as tooth extraction. In case of implanting more implants at the same time or if the patient is strongly anxious, there are other possibilities. Treating and easing the anxious patients’ unpleasantness becomes more and more important.

According to a survey carried out by the Institution of German Dentists, 75 per cent of the interviewed admitted that they have little or medium fear preceding dental treatments. 15 per cent admitted great fear. The interviewed also admitted that besides the well-known syndromes (shivering, intense heartbeat, perspiration waves), they are afraid of getting into panic, having great pains; loosing self-control, nauseating or possibly fainting, especially at the dentist.
Many people feel ashamed of their bad teeth so much, that their self-confidence, which is already small because of the awkward situation, even more decreases. Thus laughing or socialising is impossible for them. It is very hard if not impossible for the patient to get out of this vicious circle alone. It is even harder, since it is still a taboo in public. We try to help you. The first treatment happens after giving special advice.

To relieve a pain and stress-free treatment, we offer more possibilities:

  • medical pre-treatment
  • local anaesthesia
  • sedo analgesia
  • dinitrogen-oxid dazing.

After mutual discussion it depends on many factors to decide, which way to use:

  • the expected time of the operation
  • the patient’s state of health (previous diseases)
  • the patient’s requests
  • anxious patient

Since nowadays most treatments are ambulant, you decide together the doctor on what is the best method for you.

Recovery

The wound closed during the operation provides sterile environment to the untroubled recovery of the bone tissue around the implant, under the gum. The recovery of the bone generally lasts three months in the lower jawbone, and six months in the upper. After that, in the second phase, the implant is released from the mucous membrane and a recovery-screw is put into it, which is later going to be the carrier of the implant-head in the buccal cavity. It is possible to wear a temporary implant during the recovery if desired.

Tooth substitution

After the necessary relieving time, the crowns of the implants get into their place. After a short time, an impression is taken. The dental technician uses it to prepare a sample for the tooth substitution.

Inserting the tooth is the dentist’s task.

Checking

Inserting the implanted tooth substitute in the mouth does not put an end to the relation between patient and doctor.

One of the most important conditions of the success of implanted tooth substitution is to keep the mouth clean, the adequate oral hygiene and the regular dental checking. The patient has to come to a control-examination usually once a year. Them we make sure that the implant fits to its new place.

Why it is good?
Permanent toothlessness, chewing with gum damages the subjacent bone-tissue with the constant pressing, thus stimulates bone-absorption. Not even dental plates hinder this harmful process. The time between losing teeth and the implantation, is a very important factor for patients having tooth-gap, because the available bone structure determines its success. Toothlessness renders nutrition, we cannot chew well, and damages the whole organism. Adverse alterations, declining processes arise in jawbones and joints: the height of jawbones decreases the face collapses, the wrinkles deepen.Teeth look for the contact with their chewing-pairs and the neighbouring teeth. So if for example our lower sixth tooth is missing, the sixth above it slowly but surely rises from the tooth-bed, and in long term we may loose another teeth.Since misfortune never come alone, the seventh tooth behind the missing sixth topples forward. It is obvious, how important it is to insist on our teeth, but if it has to be extracted, replace it as soon as possible.The implant is made of titanium, which has an advantageous feature, it prevents bone-decline.

 
 
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