Evaluating Your Professional Options for Dental Implant Care
At the moment of the development of dentistry, the operation to install a dental implant has become in many cases easier than removing a tooth. It is completely painless, and in many cases, the installation of one dental implant takes 15-20 minutes.
How can you simplify the implant placement operation?
First, as mentioned earlier, do not postpone the installation of the implant after the loss of a tooth.
Secondly, good preparation for implantation greatly simplifies the planning of the operation and also guarantees your "marriage" when installing the implant. A competent implantologist will definitely ask you to take tests (to be sure that the implant engraftment will be successful, he will look at the blood coagulation parameters and many others). You will also need to have a computed tomogram (CT) scan.
In the case of implantation of a panoramic dental image is not enough. Having a CT scan on hand, the implantologist will absolutely accurately select the required implant sizes for you, determine the exact places of their installation.
Otherwise, trying to save money on implantation (choosing a cheap clinic without doing a CT scan), you risk that the size and location of the implant will be chosen incorrectly, and after implantation, the implant will be exposed (which will drastically reduce its service life), the sinus will be torn (eternal gamoritis is almost guaranteed to you, the implant will have to be reinstalled), or the mandibular nerve will be damaged (until the end of your life you will have
numbness of part of your face) This in no way means that dental implantation is dangerous - just a screwdriver in the hands of an inept person can become a terrible weapon.
Thirdly, the accuracy of implant placement can be improved and the time of the operation itself can be greatly reduced if a surgical template is pre-made. This is usually necessary in case of simultaneous installation of more than 3 implants. These are small additional costs that guarantee you a great result.
The operation itself to install the implant is quick and painless.
General cleaning of the office is mandatory before operations. Absolutely sterile conditions must be created. It is strictly forbidden to carry out surgical manipulations in the therapy room, orthopedics! Because in such rooms, weighed micro-dust from previous procedures is constantly present, and it will inevitably fall on the areas opened during the operation. In the future, this can
cause complications after the implantation operation.
The implant surgeon performs anesthesia, then opens the mucous membrane (trying to injure it minimally). Marks the site of the implant placement, makes a hole in the bone using a pilot drill. After that, in order to be absolutely sure that the direction of drilling is chosen correctly - a sighting (or panoramic image in the case of multiple implants) with special pins is taken - the direction of drilling is visible in the picture. If necessary, the implant surgeon corrects the drilling direction. If this procedure is not performed, then the implant may be placed in the wrong direction, which will further greatly reduce its service life, or perforation of the adjacent tooth is possible.
After that, the surgeon widens the hole for installing the implant, gradually increasing the size of the drill to the size of the diameter of the implant (usually 3-4 drills are used). Drilling is done not with conventional dental handpieces, but with a special device called a physio-dispenser. It gives reduced revolutions both in the case of drilling a hole for the installation of the implant and at the time of installation of the implant.
When drilling, it is imperative to cool the drills with saline (which will prevent heating of the drill, bone, and will allow continuous processing of the implant site, maintaining absolute sterility - and further correct engraftment of the implant). After that, the dental implant itself is installed. It is closed with a special cover screw. After that, stitches are applied.
Immediately after the operation, the process of engraftment of the implant begins. It is not worth comparing an implant and a screw. The implant is made of titanium alloy, and gradually the socalled osseointegration process (complete fusion of the implant with the bone) takes place. Connections are formed between the implant and the bone at the molecular level. The implant can only be removed together with the bone in which it is installed - it cannot be simply
unscrewed as in the case of a screw.
After implantation, a small tumor may develop within 3-4 days. This is inevitable in most cases, as the body reacts to external interference. Do not be afraid of this - the surgeon-implantologist will definitely appoint you postoperative examinations to make sure that the process is proceeding normally, and will prescribe the necessary medications for you.
Orthopedic part of the installation of a tooth implant.
In the standard case (if there was no bone grafting) after 3 months for the lower jaw, and after 4 months for the upper jaw, the following manipulations will be started. The difference in terms of engraftment of dental implants for the upper and lower jaws is associated with their different density - the human upper jaw is more porous, less dense.
So, the healing cap will be installed first. It will replace the cover screw. At the site of the implant, the gum will be practically absent. And in order for the crown of the tooth on the implant to look like a real tooth, it is necessary to increase the gum in the area of the implant. So that the interdental papillae appear later.
2 weeks after the installation of the gum former, the orthopedic part begins - the manufacture of a crown on a dental implant. It usually takes 3-4 visits (in order for the crown to be made with high quality and serve you for a long time):
- The healing cap is removed, the transfer is inserted into the implant, and the prosthodontist
takes impressions - this is necessary for the correct selection of the abutment. The abutment is
the connection between the implant and the crown.
- On the next visit, a prepared gum former is installed and the impressions are taken again. On the basis of these impressions, the dental laboratory fabricates the framework of the crown on the implant (so far without applying ceramics). Many dental clinics are trying to speed up the process and immediately prepare ceramic-coated crowns. But in this case, at the time of trying on the crown, it may be necessary to correct it for an ideal bite and saw off the ceramics (often up to a metal frame in the case of a metal-ceramic crown, zirconium dioxide crowns cannot be absolutely corrected in a clinic)
- Now you can apply ceramics to the frame. Trying on again. In case of minimal complaints of
the patient about the bite, and easy adjustment is made
- At the finish, the crown is given to the dental laboratory for glazing (applied over the ceramic) and then fixed with permanent cement (or screw fixation) in the patient's mouth.
Evaluate all the multistage procedures for installing a dental implant. Now think - will the quality be guaranteed high, will it be possible to avoid all sorts of complications in a clinic that offers implantation at "bargain" prices? Of course, you shouldn't pay too much. It is necessary to find the right compromise when choosing a clinic that you trust with your health. First, it is worth assessing the level of quality (this is a priority parameter when choosing dentistry), and only then choose from high-quality clinics the one that does not greatly raise its price tag. But by no means in reverse order! Choosing a clinic only at the minimum price for services, you run the risk of overpaying greatly (in case of redoing work, loss of teeth due to poor-quality treatment, surgical complications).