IMPLANT

How long have dental implants been used and what are their advantages?

Dental implants have been used in the treatment of missing teeth for more than 50 years. Implants, which are frequently used treatment methods today, have many advantages. These:

It does not damage neighboring teeth; It is applied as an alternative to prostheses planned as bridges in the treatment of one or more missing teeth. In this way, there is no need to perform any operations that may cause problems in the future, such as cutting or reducing the teeth adjacent to the gap.

It is aesthetic; It aesthetically replaces your own teeth with its developing superstructure options.

Prevents osteoporosis; Bone resorption, which begins in the missing tooth area after tooth extraction, is stopped by implant placement. In addition, loss of lip support, which is a sign of aging, especially in the front area, is prevented.

It is applied as an alternative to palate-shaped prostheses;  It eliminates the problems that occur with dentures that can be removed with implant applications. It allows older patients to eat comfortably. In cases where the jawbone is not suitable for a fixed prosthesis, it prevents the prosthesis from moving by supporting the removable prosthesis.

It is reliable; Nowadays, the rate of union of dental implants to bone is quite high with correct application.

What are the stages of implant surgery?

First, the oral and radiological examination of the patient who applies to our clinic to have a dental implant is performed, and it is evaluated whether there is a general health condition that prevents the implant. If there is no systemic problem and the existing jaw bone is suitable, a root or cylinder-shaped dental implant is placed where the missing tooth is, after the necessary preparations. After 1 week, the stitches are removed and depending on the condition of the applied bone, the time for the implant to fuse to the jawbone is expected.

In the second stage, a cap is attached to the screw part inside the jawbone and it becomes visible in the mouth. It takes 2 weeks for the gums to heal. (In some cases, the measurement phase can be proceeded without the need for the second phase.)

Finally, the implant treatment is completed by moving on to the measurement phase.

MOST ASKED QUESTIONS ABOUT IMPLANTS.

Will I be able to eat like my own teeth after implant treatment?

Dental implants fuse very well to the jawbone after the healing period. After the prosthesis phase is completed, patients can eat their food by biting and chewing like their own teeth.

To whom cannot implant treatment be applied?

It cannot be applied in the presence of uncontrolled systemic diseases such as diabetes, blood pressure and heart, and gum diseases such as periodontitis. It can be applied after these diseases are controlled or treated.

Implant application is not suitable for individuals who have not completed their growth and development (under 18 years of age) or who smoke excessively.

In what cases does the waiting period for implant treatment become longer?

When there is not enough jawbone to place an implant, bone powder is applied before or during implant surgery to support the existing bone. In such a case, the waiting period may extend up to 4-6 months.

How long does implant surgery take?

Surgical procedure varies depending on the number of implants to be placed and additional procedures to be performed. It takes between 10 minutes and 1 hour on average.

Will I feel pain during implant application?

The area where the tooth is missing is anesthetized with local injections applied into the mouth and no pain is felt during the procedure.

Will I feel pain after implant application?

A slight pain and swelling is normal after the numbing injection in the mouth wears off. These complaints decrease and disappear after the medication prescribed by the doctor and the application of ice.

What should I pay attention to at home after placing an implant?

As in routine jaw surgery procedures, hot drinks should be avoided and hard foods that will mechanically damage the wound area should be avoided. Cold compresses should not be applied to the procedure area from outside the mouth whenever possible. The wound area and the teeth adjacent to this area should be gently brushed with a soft-bristled brush until the stitches are removed.

Can I continue my normal life after surgery?

Our patients can return to their daily lives immediately after surgery. In some cases, a 1-day rest may be recommended.

Will dental implants harm my body?

Implants are produced from titanium material, which is compatible with the human body and does not have any toxic effects. In case of titanium allergy, which is very rare, implants made of zirconium can be used safely.

How should implants be cared for?

The fact that implants are titanium and do not pose a risk of decay does not mean that they will require less care. Just like natural teeth, they should be carefully brushed twice a day and dental floss or an interdental brush should be used. In cases where oral hygiene is neglected, bone resorption and inflammation of the soft tissue may occur around the implant. In such a case, you should immediately consult a dentist and receive the necessary intervention. Otherwise, this may result in implant loss.

Is it possible to have an implant at the same time as tooth extraction?

If tooth extraction and implants are planned in the presence of a decayed or broken tooth that cannot be treated, it is possible to perform this procedure in a single session. Since the extraction site is not expected to heal, the time the patient remains toothless is reduced. The procedure is completed with a single injection into the mouth. This treatment;

  • The tooth is extracted with minimal trauma,
  • There is sufficient bone to ensure the stability of the implant,
  • It can be applied in cases where there is no acute inflammation in the extracted tooth.

Is it possible to apply seamless implants?

Seamless implant applications are possible with surgical guide plates specially prepared for the patient. The locations of the implants to be placed are determined based on the measurement taken from the patient and planned digitally on tomographic sections. This planning is then transferred to the template according to the features of the guided surgery system to be applied and the implant surgery is completed.

For seamless implant application, it is necessary to have sufficient bone length and width. At the same time, the patient must have sufficient mouth opening to allow the surgical plate to be easily placed, and the implant system to be applied must support guided surgery.

Research has shown that by placing implants through tiny incisions without opening the tissue, the likelihood of post-operative pain, swelling and bleeding is significantly reduced. It also significantly reduces the patient’s need for painkillers in the post-operative period. It also reduces the risk of infection by not opening the tissue completely and shortening the surgery time.  Due to these advantages, the system is especially preferred in patients who have a risk of bleeding and infection during surgery (those who have a prosthesis on their heart valve and who use blood thinners).

What is the role of the physician and the brand when getting an implant?

Dental implants have been used in the world for approximately 50 years and in our country for more than 25 years. In recent years, with many companies entering this sector, its popularity has increased and unfortunately this treatment method has become a commercial sector.  There are nearly 200 companies selling dental implants in our country. It is not possible for a physician to try all these brands and apply them to the patient. As specialist physicians who have conducted academic studies in the field of implantology, we prefer companies that have been in the sector for many years and have successfully passed clinical and laboratory tests. Before trying a product promoted with serious advertising budgets, we investigate whether there is a literature study supporting that product and decide accordingly.

Although many companies have proven their success in dental implants, one of the important criteria when choosing the implant to be applied is the reliability of the dealer in our country of an implant produced abroad. When the prosthetic restoration of an implant placed in the patient’s mouth needs to be renewed after many years, it becomes important to work with companies that have been in this market for many years and can easily provide material support.

Another issue to consider when getting an implant is the choice of physician. Many companies market themselves by giving daily courses to physicians to sell implants. Applications made without sufficient theoretical and practical knowledge bring about many problems. It is necessary to make sure that the physician performing the surgery knows the stages of the treatment very well and is familiar with the system he applies. In addition, the experience and knowledge regarding the solution of problems that may occur during and after the procedure should be sufficient.

When is bone powder (bone graft) applied in implant treatment?

Bone powders of synthetic, animal or human origin are produced as particles or blocks after various biological and mechanical processes. Processes using bone meal:

Sinus membrane removal (Sinus lift) operation; One of the air spaces found in various parts of the skull is the maxillary sinus, which is in close proximity to the upper jaw. If no treatment is applied for a long time for missing upper jaw molars, these air spaces will sag downwards and dissolve the existing bone. To obtain enough bone to place the implant, the sinus membrane is lifted up and bone powder is placed.

When the implant is placed on the same day as tooth extraction; Bone powder is applied to support the area between the implant and the extraction space.

In teeth lost as a result of infection; It is applied to support the bone around the implant in cases where the existing infection causes osteoporosis.

How can I know the brand of the dental implant placed?

It is not possible to understand the brand of the implant in your mouth unless your doctor informs you during the implant treatment. Unfortunately, there are many patients who cannot reach their doctor again if they have a problem after the implant treatment is completed, or who apply to other clinics due to a change of city. This problem gradually grows as the frequency of application increases. In order to avoid problems in this regard, it is very important that the physician and clinic applying the implant are reliable. The implant screw is not a part that you can easily remove and replace after it is placed in the mouth and fused. Therefore, it is extremely important that you receive the certificate of the applied brand and the document containing the information of the implant from your physician at the end of the treatment. We are obliged to carefully archive patient information records to prevent any difficulties that may arise in this situation.

What are the problems encountered in the early stages of implant treatment?

After implant surgery, temporary problems such as facial swelling, redness and bruising may occur. It is ensured that this period is spent comfortably by applying the prescribed medications on time and correctly.  One of the most important problems that occur in the early post-operative period is infection. This situation may be caused by the doctor or the patient, but in some cases it is very difficult to determine the cause. Systemic diseases that impair wound healing, the patient’s smoking, inadequate oral care, or consuming very hard food and damaging the stitches may be the cause of infection. If this condition is not noticed and treated early, it may result in early implant loss. Implant loss may also occur when the jawbone is very weak or the temporary prosthesis is used incorrectly. In this case, a new dental implant is placed in the same session or later.

The most important problem seen after implant surgery is permanent tissue damage resulting from damage to important anatomical structures. If the numbness in the lips does not go away after the operation, the physician should be notified immediately and the dental implant should be removed and drug treatment should be started as soon as possible.

What are the problems encountered in the late period of implant treatment?

After the implant treatment is completed and the patient has had his teeth fixed, problems may occur due to various factors. In cases where the load distribution on the implant is not done properly during the prosthesis phase, when a narrow diameter dental implant is used in the back area and when teeth are clenched at night;

  • Breakage of implants in the neck area,
  • Breakage or loosening of the support screw on the implant,
  • Breaks and cracks may be seen in the porcelain in the superstructure.

Additionally, inflammation (periimplantitis) may occur in the tissue around the implant due to various factors.

What are Guided Surgery Applications?

 

Thanks to the developing surface properties of dental implants and their success in fusing to bone, they have become a frequently used treatment method in the treatment of tooth deficiencies. But this situation brought with it various problems. One of these problems is that the implants are not placed in the desired position. After implant treatment that is not placed in the proper position, aesthetic problems, screw fracture, and inflammation of the tissue around the implant may occur. More importantly, irreparable nerve injuries may occur as a result of position errors.

Various auxiliary surgical guide systems have been developed to overcome these consequences and place implants in the desired position. We can divide these systems into two: static and dynamic guide systems.

Static surgery guide systems; The technology used by many companies today is stereolithography technology produced by CAD/CAM supported rapid prototyping method. With this method, a 3D tomography is taken from the patient and virtual implant planning is carried out on the tomographic sections in the areas where the missing teeth are located. In the light of the data obtained, a surgical template is produced to be applied to the patient’s mouth during surgery.

This method can be applied to patients who do not have any teeth, but it is also frequently applied to missing teeth, especially in the front area where aesthetics is very important.

Dynamic surgical guides; They are also called navigation systems because they are similar to the highway GPRS system. During surgery, the position of the implant can be monitored simultaneously on tomographic sections.

Both systems significantly increase the success and comfort of the treatment. It also offers the option of wearing the temporary prosthesis on the day of surgery with a pre-prepared template. However, guided surgery practices may not be applicable in all cases. In addition, the planning and production phase requires additional time and cost.

Thanks to the developing surface properties of dental implants and their success in fusing to bone, they have become a frequently used treatment method in the treatment of tooth deficiencies. But this situation brought with it various problems. One of these problems is that the implants are not placed in the desired position. After implant treatment that is not placed in the proper position, aesthetic problems, screw fracture, and inflammation of the tissue around the implant may occur. More importantly, irreparable nerve injuries may occur as a result of position errors.

Various auxiliary surgical guide systems have been developed to overcome these consequences and place implants in the desired position. We can divide these systems into 2: static and dynamic guide systems.

Static surgery guide systems; The technology used by many companies today is stereolithography technology produced by CAD/CAM supported rapid prototyping method. With this method, a 3D tomography is taken from the patient and virtual implant planning is carried out on the tomographic sections in the areas where the missing teeth are located. In the light of the data obtained, a surgical template is produced to be applied to the patient’s mouth during surgery.

This method can be applied to patients who do not have any teeth, but it is also frequently applied to missing teeth, especially in the front area where aesthetics is very important.

Dynamic surgical guides; They are also called navigation systems because they are similar to the highway GPRS system. During surgery, the position of the implant can be monitored simultaneously on tomographic sections.

Both systems significantly increase the success and comfort of the treatment. It also offers the option of wearing the temporary prosthesis on the day of surgery with a pre-prepared template. However, guided surgery practices may not be applicable in all cases. In addition, the planning and production phase requires additional time and cost.

Can teeth be made on the same day after the implant is placed?

Completing the prosthesis procedure on the same day as the implant operation is called immediate loading. It is especially applied in completely edentulous jaws and single tooth missing in the front area. It allows the patient to use a fixed prosthesis instead of a temporary prosthesis that can be inserted and removed during the time required for the implant to fuse. It also helps to better shape the gums in the front area and relieves the person psychologically.

The quality of the jawbone in which we place the dental implant is very important for early loading. It is not recommended to be applied to the softer upper jaw and posterior region. For early loading, the implant must be firmly seated in the jawbone (primary stability). After a temporary tooth is placed on it, very hard foods should not be consumed until healing is completed.

How many dental implants should be applied in cases of multiple missing teeth?

In cases where there are no teeth in the mouth or all teeth need to be extracted, it is necessary to evaluate the patient in detail clinically and radiologically to determine the number of implants to be placed. The length and width of the patient’s jaw, whether it is a lower or upper jaw, the width of the smile line and some important anatomical formations are important factors in determining the number of implants.

In a healthy mouth, not counting the wisdom teeth, there are a total of 28 teeth, 14 in the lower jaw and 14 in the upper jaw. In case of complete edentulism, 26-28 teeth can be made by placing 8-10 implants in the upper jaw and 6-8 implants in the lower jaw. Since the upper jaw bone has a more spongy structure than the lower jaw, the number of implants placed is generally higher than in the lower jaw.

Due to the differences in their connection with the bone, connecting the natural tooth and the implant is not a treatment option we prefer unless we have to. Implants connect natural teeth to each other. In case of 3 missing teeth side by side, 2 implants serve as bridge pillars and a total of 3 teeth are made.

In some cases where the jaw bone is not of sufficient thickness and length, 4 implants are placed in the front area to complete the missing teeth with a treatment we call “all-on-four”, or the existing or to be reconstructed full prosthesis (palate) is supported with 2 implants.

When is bone powder (bone graft) applied in implant treatment?

Bone powders of synthetic, animal or human origin are produced as particles or blocks after various biological and mechanical processes. Processes using bone meal:

Sinus membrane removal (Sinus lift) operation; One of the air spaces found in various parts of the skull is the maxillary sinus, which is in close proximity to the upper jaw. If no treatment is applied for a long time for missing upper jaw molars, these air spaces will sag downwards and dissolve the existing bone. To obtain enough bone to place the implant, the sinus membrane is lifted up and bone powder is placed.

When the implant is placed on the same day as tooth extraction; Bone powder is applied to support the area between the implant and the extraction space.

In teeth lost as a result of infection; It is applied to support the bone around the implant in cases where the existing infection causes osteoporosis.