To date, the procedure of dental implant is very in demand among dentists and their patients. Everyone wants to regain confidence in moments of eating, socializing and smiling. Dental implantation is the installation of the artificial root of the tooth in the upper or lower jaw. The implant consists of two parts, namely a titanium implant, which is installed in the jaw and the crown, which is attached to the implant after the procedure of dental implantation.
When a person loses one or more teeth, after a while his bone tissue becomes thinner. Moreover, this can lead to deformation of the jaw. The implant is a reliable and durable support for bone tissue. Having lost one or several teeth, a person automatically gets on the list of candidates for implantation of teeth. Of course, the implant should be located at the same level as the destroyed tooth. Implantation of teeth is a full-fledged operation. Of course, before you begin the procedure of dental implantation, you should consult your doctor. It is very effective to implant teeth in the absence of one tooth, when adjacent teeth are perfectly healthy, when there are many defects in the dentition, when there are no chewing teeth or when there are no teeth at all. The procedure for implantation of teeth is very popular and painless. In addition, the operation does not take much time (about 30 minutes).
What is a dental implant?
A dental implant is tiny titanium screw that fits into the jawbone to act as an artificial root of the tooth. The attachment, which is called “abutment”, is connected to the upper part of the implant above the jaw line and the abutment with which the implant crown is connected to.
Preparation for dental implant surgery
- It is necessary to assess the general state of health of a potential patient and to identify possible contraindications to implantation. The patient must pass a clinical analysis of blood and urinalysis (to identify the inflammatory process). The patient may also undergo other examinations or treatment. The doctor must be acquainted with the detailed anamnesis of this patient, the presence of allergic reactions to exclude any risks to health and life during the operation of implantation of the teeth and during the post-operation period.
- In the absence of general contraindications to dental implantation, a general dental examination and radiographic examination of the oral cavity is performed.
- Before the implantation, complete sanitation of the oral cavity should be performed: all carious teeth are filled, dental deposits and plaque are removed, any minimal inflammation of the oral mucosa, gums is cured, and all possible sources of infection are eliminated.
- The physician should objectively assess the amount and condition of the gingival tissue in the place of potential implantation. This directly determines the choice of the implant design and the possibility of carrying out the operation. In some cases, implantation of the teeth is possible only after increasing the gingival tissue of the gum and using a more complex method.
- When installing multiple implants, the distance between them should not exceed 3 millimeters.
- For the planning of implantation of teeth, it is necessary to model the position of the future design from the point of view of bite, the tilt of teeth, other already existing orthodontic constructions, and so on. Implanted tooth should fit perfectly into the dentition. Therefore, it is necessary for the surgeon to take into account all the recommendations of the orthodontist.
- The doctor should familiarize the patient with all the recommendations for maintaining the proper hygienic state of the oral cavity during the preparation for implantation and oral care during the postoperative period, to conduct the necessary training, to report all the restrictions after the operation, diet, and medicines. Only after this, the doctor can offer the patient to conclude a contract and provide him with a guarantee for the implant.
How is the implantation procedure performed?
- At the beginning of the implantation procedure, a microcut is made in the gum.
- The implant (titanium screw) will be screwed into the bone tissue, where the doctor formed an opening of a strictly defined diameter and depth.
- A sterile titanium plug is screwed into the implant and a temporary crown is installed that will hide the defect of the dentition.
- The surgeon stitches on the gum. The healing period of the surgical wound after implantation lasts an average of 1-3 weeks.
- At the end of wound healing at the implantation site, the doctor performs a follow-up examination, takes an X-ray (if necessary) and removes the seams.
- As a rule, complete engraftment of the implant occurs within 3-6 months
- After the period of implantation, the doctor unscrews the titanium plug and sets the gingiva former.
- The impression is taken from the jaw and sent to the dental laboratory to make a permanent crown.
- The finished crown is placed on the implant instead of the temporary one. Now the patient himself does not know where his own teeth are, and where the implanted teeth.
Recommendations for the care after dental implant surgery.
Proper care of the oral cavity before and after implantation will help to avoid postoperative complications. Observance of all the recommendations of the doctor is the key to the long life of the implanted tooth.
- It is highly desirable that the patient mastered the skills of proper oral care, temporary and permanent crowns at the preparatory stage for the dental implant surgery. The doctor should explain to the patient the importance of proper care and compliance with all recommendations to avoid complications of implantation and the longest possible life of implants and crowns. It is necessary to teach the patient in advance to choose and use a toothbrush, paste, floss, irrigator, mouthwash. The doctor should familiarize the patient with the scheme of proper nutrition and taking medications.
- The patient requires the utmost care and caution after the operation for teeth implantation when soft tissue around the implant has not yet healed. The complexity of this first postoperative stage is that, on the one hand, it is necessary to observe the maximum oral hygiene, excluding the presence of any source of infection, and on the other hand, minimally injure the place of implantation. At this stage, it is recommended: to take painkillers, antibiotics, to eat a puree-like warm food that does not irritate the mucous. It is also very important to use the softest toothbrush, brush teeth twice a day (be careful not to damage the implant and mucous around the implant), and use special anti-inflammatory rinses after cleaning your teeth.See your dentist regularly.
Modern dental implantation is based on the use of reliable and safe technologies. However, as with any surgical intervention, complications are possible. The main guarantee from complications during the operation is the high qualification of the doctor, his experience with this implant system and the perfect knowledge of the chosen method of implantation of teeth and the technology of its performing.