Although the history of dental implant systems is very old, its popularity has increased in recent years. Toothlessness problems can be eliminated thanks to the artificial tooth roots placed in areas with tooth deficiency, and single tooth prostheses can be made without touching the neighboring teeth. The implant, which is generally made of titanium, also contains some metal alloy in some brands. The speed of healing is tried to be increased with developments in surface structures. After a certain waiting period, bone adaptation is provided to the implant threads, which we can think of as screw threads, and we can use the teeth in a durable way. The success is very high when placed with the appropriate technique in a person with a suitable bone structure and health condition.
Three-dimensional bone tomography should be evaluated in addition to panoramic x-rays in order to minimize the risks. It is produced in different diameters and lengths according to the area to be applied. Implants can be applied to those who have a single tooth deficiency or are suitable for people who have no teeth. With a good prosthesis and a correct occlusion, natural chewing function is restored. The implant can be placed as soon as the tooth is pulled, or it can be applied after waiting for recovery after extraction or even supported with bone powders. There are many factors in this regard, such as why the tooth is extracted, and oral health.
In this article, we will talk about topics such as "how to implant", "to whom or not to implant", how long does implant treatment take, "what to consider about implant", "life of implant". But remember, the information you will receive over the internet; It does not replace your examination and x-ray analysis. Every stage is important in implant treatment, analysis, planning, surgical technique, placed prosthesis, force balance and static. Success is long-lasting with a good oral care and controls applied by the person afterwards.
How is an Implant made?
Usually, the fear that pain will be felt during the implant procedure causes many people to be afraid and decide not to have this treatment. The purpose of the surgical procedure is to create a slot for the implant in the jawbone and to place the screw in this area.
During the implant application, if the patient does not have a special request or condition, it is sufficient to numb the area to be performed with local anesthesia. Depending on the patient's preference, the application can be performed under sedation or general anesthesia. Normally, the amount of anesthesia we do for tooth extraction is sufficient for us. To put it simply, in operations that do not require advanced surgery, the gum area is precisely removed first, an area of appropriate diameter and length is created in the bone with burs and an implant is placed in that area. The teeth can be applied directly, which we call loading, or the gums are closed. Self-dissolving stitches or silk stitches are used. There are situations that can be loaded immediately, but are not suitable for all cases. After the operation, the doctor's recommendations should be followed carefully. Be sensitive about ice application, necessary medications, eating and drinking. Afterwards, the person should pay attention to oral hygiene.
In the cases planned to be waited, the implant is opened with a simple procedure after a period of about 2-3 months, the impression is taken, rehearsals are made and the treatment is completed. The reason for our waiting is osteointegration, in other words the union of the implant with the jawbone and its surface filling with bone tissue. Just as there are risks associated with a normal tooth extraction, there are similar risks in the implant. A detailed analysis and planning should be done to minimize these risks. Standard panoramic x-rays are not sufficient in many cases for implant surgery. The purpose of the placed implant is to create a root structure for functional and aesthetic teeth that will come on it.
How long does it take to have an implant?
The duration depends on some factors. The planned number, the condition of the bone in the region, and the amount of mouth opening of the patient are among the important criteria. Applications that do not require advanced surgery can be completed in 20 minutes. Most implant procedures are less tiring than canal treatment applied to molars.
Why and in which situations is implant done?
The aim is to replace the missing tooth or teeth. For this, it is also very important that the implant is at the appropriate angle and position in the bone. For example, if the implant is placed at multiple angles depending on the bone level, the tooth to be made on it will not provide the desired comfort. Such situations will be anticipated at first, and if necessary, bone dusts or block bone grafts and advanced surgical techniques will give a healthier result.
Tooth deficiencies, occlusion in the mouth structure are the biggest reasons for the deterioration of the closing relationship. Neighboring teeth may tip over to the cavity area and disrupt the check relation. There are also cases where the implant can not be applied. So, if years have passed since the shooting, this could be a problem for us. Depending on the number of missing teeth, food grinding and chewing, which are the basic functions of the teeth, may be impaired. When we think holistically, it can affect our general health system.
It is important and necessary to treat these areas without causing many aesthetic and functional problems. For example, people with missing right upper and lower molars; it constantly uses the left side. This is a functional problem. Excessive force on the left side, strained joint position, and bone loss in the deficient area are the simplest predictable consequences. Since we do not have a chance to bridge the region in unilateral deficiencies, the implant is a necessity, not an option.
Double-sided deficiencies can be solved with precision attachment prostheses, single tooth deficiencies can be solved with bridges, but oral health and the condition of the teeth should be clarified by examination. Advantages and disadvantages of other treatments should be evaluated. In fully edentulous patients, bone structure can be produced with implants according to the expectation of the person, as well as implant-supported semi-movable (locater, ball) prostheses.
What should the person who wants to have implant do?
Dentist examination is the first step. Afterwards, treatment plans are discussed with x-rays and analyzes. If you have a gum problem before or if you have teeth to be extracted, you can start with them. Compared to the information you will receive over the internet, these analyzes give much more accurate results. After the treatment is planned, you should follow your physician's recommendations and maximize your oral care. The patient's treatment expectation and economic status are important in determining the appropriate treatment for the patient. Recently, with the increase in implant prices, high costs are emerging for full fixed prosthesis in upside down and completely edentulous patients. You can find details under the heading of alternative solutions, special prostheses on implants (locater, ball, precision attachment prostheses).
Who cannot have an Implant?
People with diabetes, high blood pressure, immune system diseases or using suppressant drugs, using bisphosphonates, corticosteroids; Implant surgery can be performed by contacting the doctor they are under control and making consultation.
People who have received radiotherapy from the head and neck area may be at risk of osteoradionecrosis.
It is not applied to people whose bone development is not completed.
It is not applied in people with excessive smoking because the success of the implant will be negatively affected.
It is not applied to those who do not have proper oral care and hygiene, serious gum problems and sources of infection.
Having an implant is a delicate procedure for both the patient and the doctor.
What should be considered before and after implant?
It is similar to what should be considered after tooth extraction.
Different measures can be added by your practicing physician.
It is recommended that you start the antibiotic prescribed by your physician one day before the surgery.
You should come with a full stomach.
You should bite the tampon placed on the treatment area for 30 minutes.
Ice application is important to prevent swelling.
It is applied to the area by holding for 10 minutes and pulling for 10 minutes.
Ice burns may occur if ice is applied continuously and is not recommended.
Take a pain reliever after about 1 hour.
Use the antibiotic's routine time without delay. Lie on a high pillow at night.
Do not spit hard or gargle for 1 day.
Do not consume food until the anesthetic effect wears off. For brushing, choose brushes with very soft tips.
Do not brush for the first 10 hours.
If it is not applied from self-resorbing stitches, remove your stitches after 7-10 days.
How long does implant heal?
Gingival healing in the applied area is fast. The tissue that is brought closer to each other with stitches will boil after 7-10 days. At this speed of recovery, it is important that you pay attention to your oral hygiene and care and recommendations. Depending on the sensitivity in ice application, mild swelling may be seen after the implant. This is not a problem. There may be some pain and aching for a few days after the implant. Prescribed pain relievers will be sufficient. The process of bone union of the implant, that is, the osteointegration period, varies from person to person and is approximately 2-5 months. However, at this stage, there is no change in the gum in the area.
Will there be pain after implant?
After all, it is a surgical procedure. When an appropriate atraumatic surgery is performed, there may be slight tingling and pain. The pain reliever you will use will be sufficient. Antibiotics should be used regularly from surgery to the last tablet. If there is no pain after the second day, you do not need to take pain medication.
When are teeth made after implants?
Thanks to the developing surface structures, teeth can be placed on it immediately after implant application. However, there are many factors such as the surface structure, the condition of the extracted area, bone structure, chewing habits of the patient. It is a successful option when suitable conditions are met. In the other classical method, 2-5 months are expected after implant placement. In this process, the implant is under the gum and normal daily life is resumed. Temporary prostheses can be applied to all edentulous patients. After the waiting period, the implants are opened and the teeth are placed in their places after the measurement stages.
Can the body not accept the implant? Will the implant fall off? How long is it?
Titanium is a material that has been used in the human body for many years and has been proven to be suitable for bone structure as a result of research. It is applied even in bone fractures outside the mouth. There are physician and patient dependent factors in implant success. It is the duty of the physician to place an implant suitable for the mouth structure and the prosthesis that the patient will use well.
It is the duty of the patient to support this result with good oral hygiene and care. Dentist controls to be performed every 6 months are important. Accurate life expectancy is not something that neither a dentist nor anyone can do, but there are too many implants that have been successfully found in the mouth for many years when ideal conditions are met. As there is loss of teeth due to gum problems, if there is no good care, the gums become inflamed and begin to affect the bone in the neck area of the implant. If it is continued in this way continuously, the loss is a net result.
How many parts does an implant consist of?
The implant is mechanically in 2 parts. The part placed inside the bone, which we can call as a screw, is the implant itself. After the bone union is completed, the gums are arranged with healing caps. Afterwards, the piece on which the tooth will be placed is added. There are screws or cold welding systems that fix these parts. There are varieties according to the prosthesis design. The abutment is screwed tightly on the implant in classical systems, and porcelain or ceramic teeth are made on it. In special prosthesis systems, prosthesis can be made on Locater, Ball, Bar supported parts.
What is the healing title (Gingiva Former)?
After approximately 3 months of integration with the bone, the gingiva where the implant is placed is opened with a simple procedure and the former is attached. The aim here is to shape the gums in a healthy way and to make a prosthesis suitable for the gum. It is not a painful procedure, light anesthesia is applied and the insertion takes a short time. After waiting for about 4-10 days, the measurement phase starts. Measurements are taken with varying techniques according to the superstructure to be made. Anesthesia is not required in the measurement and rehearsal stages.