The upper jaw is exposed to less chewing load than the lower jaw. Therefore, the bone here is thinner and looser, which complicates the installation of implants. However, if the manipulations are performed correctly, the probability of implantation success is quite high. According to statistics, the average survival rate of implants in the upper jaw is 96-97%. A higher result (99%) is demonstrated by basal implantation with immediate loading, slightly lower results (96-97%) with the classical two-stage technique.
What are the features of upper teeth implantation?
1. After tooth loss, the bone tissue of the upper jaw atrophies (that is, decreases in volume) faster than the lower jaw. Already after 5-6 months, most patients are diagnosed with acute bone deficiency at the sites of defects.
2. Due to the fact that the upper jaw bone is loose, implants “fuse” with it longer. If on the lower jaw the systems take root on average in 2-3 months, then on the upper jaw - in 3-4.
3. Implantation of the upper chewing teeth requires special care, since the maxillary sinuses are located in close proximity to them. Accidental puncture of the sinus threatens the development of infectious complications.
4. When implanting the anterior teeth of the upper jaw, the doctor should pay increased attention to aesthetics. After all, these teeth are responsible for the formation of a smile.
Reviews
Andrey, 54 years old
I didn’t think that I would have to face such a problem, but due to a change of place of residence, I quickly lost almost all the teeth in my lower jaw. The rest had to be removed when I decided to install a prosthesis on 4 implants. I am satisfied with the result, after 4 months I calmly switched to my usual food.
Natalya, 47 years old
I knew that I would have to solve the problem with my teeth radically and came in advance for a consultation at Maxim Shubnykh’s dentistry in Moscow, fortunately, it is located not far from my home. I liked the attitude of the doctors and the turnkey implantation system, when the required amount is immediately announced without any hidden additions. Everything is clear and transparent. I have scheduled an examination for the next month, while I am still thinking about how to place implants, immediately with crowns or let them take root first.
Marina, 56 years old
I had no alternative - only implantation on the entire upper jaw. Just the thought of removable dentures makes me sick, so I obviously can’t wear them. I chose express implantation, I wanted to quickly feel like a beauty again and smile openly, and not hide behind a scarf. I tried to follow all the recommendations, there were no special complications, everything went easily and quickly. I’m glad that I turned to Maxim Shubnykh’s clinic.
Expert opinion
Vladimir Aleksandrovich Voznyuk
maxillofacial surgeon, implantologist
Experience: more than 33 years
In whatever area of the upper jaw a “gap” is formed - frontal, lateral or chewing - a negative impact on the body is inevitable. The fact that the absence of a tooth is not noticeable from the outside is not an argument in favor of refusing restoration. Decreased quality of chewing function, malocclusion, increased load on neighboring teeth, and as a result - their rapid destruction - these are just some of the problems that will become obvious in the near future. Implantation of teeth in the upper jaw will stop bone atrophy, ensure normal chewing and consumption of any usual food, and prevent early aging of the face. When planning implantation, it is important to choose a reliable clinic and specialist who will individualize the approach to the problem and propose a protocol that is optimal for you.
Implantation options for small defects in the upper dentition
In the absence of 1-3 consecutive teeth, patients are recommended to receive classical implantation. This is the only technique that allows you to work in a limited volume of bone.
The procedure is carried out in two stages:
- At the first stage, the doctor peels off the gum flap and forms a bed in the bone with a special tool, in which he places the root part of the implant. The gum is sutured. Next, the doctor and patient wait 3-4 months for the structure to take root—during this time, bone cells penetrate the pores of the implant and literally fuse with it.
- In the second stage, the gums are reopened. A gum former is installed on the artificial root, which helps create a beautiful contour of the soft tissue around the neck of the implant. After 2 weeks, the former is replaced with a supragingival head (abutment), on which the crown is fixed.
In total, classical dental implantation in the upper jaw takes about six months.
Important note: if the results of the examination reveal that the patient has bone atrophy, he undergoes an additional procedure before implantation - bone grafting. As a rule, after such an operation, another 3-6 months must pass before the bone volume is restored and becomes suitable for the installation of implants.
Implantation options for medium and large defects
If there are a large number of missing teeth, classical implantation becomes impractical. Firstly, due to the high level of trauma, the risks of intervention increase many times over. Secondly, such treatment is expensive for patients. Therefore, patients are recommended methods of one-stage implantation of the upper jaw, which reduce the number of surgical procedures and avoid the procedure of bone augmentation:
- Basal implantation .
It is used in the absence of 3 or more missing teeth in a row (including a completely toothless jaw). The essence of the method is that implants are installed in the deepest and densest layers of the jaw, which do not thin out over time. As a result, the systems are firmly and securely attached to the bone. During basal implantation of the upper teeth, the gums are minimally injured, since the implants are screwed in without incisions, through small punctures. Already 3 days after the operation, a fixed prosthesis is fixed on the implants. Along the edge of the prosthesis there is an acrylic gum, which hides the imperfections of the patient’s own mucosa and provides a good aesthetic result. Due to its lightness, the design does not interfere with the normal healing of implants. Almost immediately after prosthetics, the patient can chew food fully. - Methods ALL ON 4 or ALL ON 6.
Indicated for moderate bone atrophy in the patient and complete absence of teeth. Only 4 or 6 implants are installed in a toothless jaw. Of these, two are vertical, in place of the front teeth, the rest are in the lateral areas of the jaw. This approach allows you to bypass the most atrophied areas and fix the implants where more bone is preserved. Prosthetics are performed on the same day or 2-3 days after surgery. Patients are fitted with the same fixed prosthesis as with the basal implantation method.
The doctor selects a suitable implantation technique in the absence of upper teeth based on the results of an examination and computed tomography.
Stages of implant installation
- Preparing for treatment .
On the first visit, the doctor examines the oral cavity and talks with the patient. Possible treatment options are discussed. If there are no obvious contraindications to implantation, the patient is sent for a computed tomography (CT) scan and sometimes additionally for a blood test. - Treatment planning.
CT data is loaded into a special program that recreates a three-dimensional model of the patient's jaw. Based on this information, suitable implant models are selected and their installation locations are determined. A surgical template is then created in the laboratory using the 3D model to be used for the operation. - Implantation of upper teeth.
Under local anesthesia, through incisions (with the classical method and ALL ON 4/6 methods) or through small punctures (with the basal method), the implants are implanted into the jaw. - Prosthetics .
Depending on the protocol used, the dentures are fixed on the implants for 2-3 days or several months later.
Implantation methods
To restore the upper teeth, we use all known techniques that are suitable for various clinical situations.
- Classic two-stage Includes two stages - implant installation and crown prosthetics. Up to 6 months pass between them, during which time the implant reliably fuses with the jaw bone without load.
- One-stage with immediate loading A temporary crown made of medical plastic is placed immediately after surgery - a new tooth in 1 day. After engraftment, the implant is replaced with a permanent one made of zirconium dioxide.
- Instantaneous after tooth extraction The implant is installed in the socket of the removed root. Treatment time is reduced by 5 months—there is no need to wait for bone restoration after removal.
- Mini-implantation Small implants are used, which are placed even in atrophied bone and take root quickly. Suitable for complete edentia as a temporary solution.
The upper dentition forms a smile to a greater extent than the lower one. Therefore, implantation places high demands on both functionality and aesthetics. If the technique does not involve installing a crown on the implant immediately, a temporary removable orthopedic structure is used during its healing. In any case, you will not leave our Center without teeth.
We work exclusively with premium Nobel Biocare® implants. We use only original prosthetics, which guarantees a long service life of crowns and dentures. We provide an indefinite guarantee for implantation in the LifeTime Warranty format. Since 2004 we have been the Nobel Biocare® Center of Clinical Excellence in Eastern Europe.
Cost of implantation of upper teeth in Moscow
The cost of implantation depends on the clinic, the type of implants and the patient’s situation. On average, the price for installing one implant varies from 30,000 to 60,000 rubles. Complete jaw implantation will cost 200,000 - 400,000 rubles.
ROOTT centers support an affordable pricing policy. The cost of installing one classic implant (two-stage protocol) in our clinics is 32,000 rubles. The production of a crown is paid separately (from 28 thousand rubles).
Implantation of more than 3 upper teeth using the basal protocol will cost an average of 80,000 -110,000 rubles. And the price for a complete restoration of the dentition will be 265,000 rubles - this price already includes the required number of implants, X-ray diagnostics, doctor’s work and a fixed prosthesis.
Where to go for upper jaw implantation in Moscow
The main feature of dental implantation in the upper jaw is its structure. The bone here is more porous and susceptible to the rapid development of atrophic processes after tooth extraction. The algorithm for installing implants in the maxillary bone often requires a preliminary sinus lift.
After administering local anesthesia, the surgeon makes an incision in the gum, exposes the bone and prepares the implant bed. At this stage, the implantologist must have great intuition and experience. The next step, that is, installation of the implant, determines the success of the procedure. Finally, the implant is closed with a closure or healing screw, or a temporary prosthesis is placed on it. If the procedure was performed under local anesthesia, the patient can go home after a short time. If the anesthesiologist has performed sedation, he decides how long the patient will be monitored in the clinic. Usually this is no more than half an hour.
The choice of dentistry for dental implantation of the upper jaw is extremely important, because the final result depends on the experience of specialists and the level of equipment of the clinic. The approximate cost of this dental service in Moscow clinics is given in the table below.
| Name | Clinic address | Service cost |
| ROOTT |
|
|
| Shandora | Moscow, Kolpachny lane, 6, building 4. |
|
| Dentistry Grand Smile | Moscow, st. Miklouho-Maklaya 43 (metro station Belyaevo, Yugo-Zapadnaya, Kaluzhskaya) | Prices for dental implantation from 30,000 rubles (MIS system) to 70,000 rubles (Nobel) |
| Dentistry City Dent | Moscow, st. Novocheremushkinskaya, 57 | Implantation of one tooth with the Astra Tech system – 52,000 rubles |
| Dentistry Vita-Stom |
| Implantation of one tooth with the Straumann system (Switzerland) – from 32,000 rubles. |
The first two weeks after surgery, during which tissue healing occurs, are key to the success of the overall treatment, regardless of whether you had your front teeth restored or your posterior upper teeth implanted. At this time, it is very important to follow the doctor’s recommendations:
- For 7-10 days, the implant area must be washed with saline solution after each meal to maintain proper cleanliness.
- If during the first 2 weeks the patient experiences discomfort when using dentures (excessive pressure), it is necessary to contact the dentist to adapt the dentures to the anatomical conditions of the oral cavity.
- After the procedure, it is recommended to eat only liquid and semi-liquid foods.
- Bruises and hematomas are not a cause for concern; they are a common complication that does not require additional treatment.
Other jobs
Which implants are better for complete edentia?
The quality of dental implants is evidenced by their place in the ranking of popular dental products. The leading positions in such ratings remain with titanium rods manufactured in the USA and European countries.
The most popular dental structures in the world are Swiss Nobel Biocare and Straumann, American 3i Biomet, Zimmer and BioHorizons, Swedish Astra Tech.
In Russia, among the participants in these ratings, implants from Astra Tech, Straumann, and Nobel Biocare are the most in demand.
Examples of work “Before” and “After”
Restoration of all teeth on the upper and lower jaw - basal implantation
Case: partial absence of teeth on the upper and lower jaw, complicated by severe periodontitis (tooth mobility).
Restoration of the upper jaw - basal implantation (March 2012)
Case: partial absence of teeth in the upper jaw, the remaining teeth are mobile and cannot be restored.
Restoration of the upper jaw - basal implantation
Case: the patient came to the Simpladent clinic with complaints of a fracture of teeth under a metal-ceramic structure and mobility of the latter in the upper jaw.
Basal implantation in case of complete absence of teeth in the upper jaw
Case: partial absence of teeth in the upper jaw, the patient also complained of mobility of the bridge, the remaining supporting teeth were destroyed.
PiezoSurgery® - gentle tooth extraction and sinus lift
For pre-implantation preparation, the NSK VarioSurg 3 ultrasonic scalpel is used
- Affects only hard tissues, damage to nerves, blood vessels or sinus lining is excluded
- Does not damage the bone around the teeth during extraction
- Gently works with bone tissue during osteoplasty
