An implant is an artificial device similar to a dental root inserted in the bone and that serves to restore the lack of teeth. The implant is the best and most convenient modern solution in case of loss of a tooth until the loss of all teeth. Many people even today lose their natural teeth that can be replaced with implants
The implant is made of pure titanium metal as it is used in orthopedics, the screw shape can be cylinder or conical, and inserted into the bone where the tooth was previously. The insertion is performed by a surgical procedure that at the end of the implant may be exposed or if the case is not suitable will be covered or buried in the gums until the time of integration of it into the bone and will be exposed after a few months. On the implant will connect different connections according to the type of rehabilitation that will be done as crowns or fixed bridges or as removable rehabilitation. Nowadays there are many types of implants of different companies that allow even immediate solutions after the extraction of a tooth or also to immediately improve moving removable prostheses and this can be done in the same day. Before performing the implant, it should be diagnosed with panoramic radiographs and CT scans, the site designated for implantation, diagnosing that there is enough bone and preventing injuries (of the sinuses or nerves), usually a surgical guide is also prepared for the procedure in which the exact place of implantation is predetermined beforehand.. There is the possibility that all planning is done in computerized software, and after then a three-dimensional printer prints the surgical guide that guarantees an accurate result of the place of placement of the implants.
When the amount of bone is not sufficient for the implant, bone will be added prior to or during the surgical procedure and will often be accompanied by the addition of a covering membrane that separates the bone and gums to allow the construction of missing bone. from the medical point of view, it is a treatment that requires close monitoring and supervision over time to ensure its success. methods have been developed to insert the implants without the need to open the gums and their immediate rehabilitation provided that the conditions of the area and the case are suitable for this type of treatment. These methods significantly reduce the side effects that we were used to seeing after surgery, such as pain or swelling. Treatment is not always pleasant for patients who are afraid to come to the dental clinic because of the fear they have accumulated over the years, in order to overcome this problem, we can perform this surgery under general anesthesia in the surgery room or by bringing to an anesthesiologist to the dental clinic.
A new technique called Basal Implants has recently appeared
Actually, this method exists from the beginning of implants, but has been abandoned in favor of screw-like implants. In screw implants, it is necessary to place them to the implant area where there is enough bone because the implant must be covered or wrapped at least 1 mm of bone around it, basically lack of horizontal bone can be solved by addition of bone but this cannot be achieved by lack of bone in the length of the implant or vertically, in cases where there was not enough vertical bone could not perform implants. The basal method has a different objective, which is the lateral insertion of implants in the cortical area of the bone, a disc-shaped base is used as an anchor of the implant and placed in the part of the bone stronger. Therefore, this method resulted in the resolution of cases that were impossible to perform before implants. Like any technique has advantages and disadvantages, but there are still few dentists trained to carry it out.
Advantages: possibility to restore the system of chewing by returning function, lost due to lack of teeth, natural sensation similar to natural dentition, as it is usually combined with fixed rehabilitation, among those with removable rehabilitation (dentures) improves denture stability, restores patients’ confidence in themselves, and increase the patient’s quality of life after many years, the success rate is over 90%.
Disadvantages: very expensive technique that is accompanied with many expenses, including special equipment for implants that require a high investment, long and expensive training courses, also the need to plan the treatment, the time it takes the surgery the preparation of the room and evacuation after treatment similar to a surgery room. It is not possible to perform overnight because you have to plan all the steps in detail around the date of the surgery at least one week in advance, it is usually necessary to wait after the implant several months for the final rehabilitation , in spite of the low failure rates, in case of failure in most cases it is not usually possible to redo due to the great loss of bone, if there is a shortage of bone in advance it is necessary to add generally before the implant, this prolongs the rehabilitation facility sometimes for one or two years. A technique that is accompanied by side effects (swelling, pain) sometimes for several weeks. Maintenance after rehabilitation requires excellent oral hygiene and periodic dental supervision. You need a lot of patience