If a person loses one or more teeth for one reason or another, he has two alternative options. This is classic prosthetics and implantation. The last method is relatively new. Each option can only be used under certain conditions. If the tooth is so destroyed that there is not even a root left in the gum tissue, it will not be possible to install a classic denture. The prosthesis will not be able to hold on without a base. For certain indications, dental implantation is also prescribed. Advantages and disadvantages
This technique will be discussed further.
To carry out implantation, the presence of a tooth in the operated area is not allowed. What is dental implantation?
More about manipulation
Implantation is carried out in several stages. First, the doctor implants an artificial root into the gum. Here in the future he will install a prosthesis. It takes a certain amount of time for the implant to heal. During this period, it is clear whether the body will accept the implant or reject it.
Once the healing period has passed, the dentist installs a crown. It must completely match the appearance of neighboring teeth. This applies not only to shape, but also to color. Before implantation, the patient visits a dentist and a therapist with various specializations. If at least a couple of months have passed since the tooth was removed, you can begin prosthetics. After this period, the bone tissue of the jaw, as well as the gums, are restored.
Pain after dental implantation
The first disadvantage that scares many is the pain after installing the implant. It appears immediately after the anesthesia wears off and lasts for several days. It is caused by the fact that the surgical implantation procedure involves some damage to soft tissue and bone, which must subsequently regenerate, as well as the placement of a metal pin - an artificial root - into the jaw, which must take root.
In the vast majority of cases, the damage heals within three to five days, and the pain after dental implantation, which is dull, aching, and not very pronounced, gradually stops. These unpleasant sensations are comparable to pain after tooth extraction and disappear completely within a week after surgery.
If the pain is severe, has a cutting, pressing or jerking nature, is poorly eliminated by analgesics and does not go away within 3-5 (maximum 7) days after surgery - this may be a sign of the onset of a pathological process and almost always (with very rare exceptions) indicates about mistakes made during implantation.
Positive and negative sides
There are different pros and cons of dental implants. Reviews
patients testify that much depends on the qualifications of the doctor and the individual characteristics of the body. Today, an implant is the only option that fully meets the requirements of aesthetics and functionality. Compared to removable dentures, it prevents further bone loss. It fits tightly into the bones. The aesthetic qualities of the gums are not affected. A high-quality implant can withstand the stress that occurs during chewing food. Thus, all its characteristics coincide with the characteristics of real human teeth.
Another advantage that should be mentioned is the absence of discomfort after the installation and further use of implants by the patient. This cannot be said about clasp and plastic dentures. It is uncomfortable for a person to eat food with removable dentures, especially food that requires effort when chewing. To install a clasp prosthesis, you will have to pay the same price as for implantation. Plastic structures are of worse quality, although cheaper.
Speaking about bridges, we mean the structures necessary to eliminate the included defects. What does it mean? A bridge is not suitable for the treatment of adentia, that is, the complete absence of teeth in the upper and lower jaws. It looks unaesthetic and is also inconvenient for the patient. When installing, the doctor does not focus on the individual characteristics of the teeth. That's why the structure doesn't work properly, it wobbles, and food particles keep getting under it. Sometimes the teeth located under the crowns rot. An unpleasant odor can be identified from the external manifestations of the process. After this, the bridge breaks.
Different types of dental implants: pros and cons
have the appropriate ones, but they are still better than a traditional removable denture.
The key difference between implantation and other methods of restoring lost teeth
All methods of treating adentia have one common goal: an artificial analogue appears in place of the lost tooth. Ideally, it is almost indistinguishable from the lost unit in appearance, since it repeats its shape and color. And here, from the outside, one may not understand what kind of technology was used to restore teeth, since the main differences between the methods lie in the method of fixing the prosthetic structure. There are three options:
- The dental bridge rests on units adjacent to the defect, which, as a rule, need to be ground down and depulped.
- A removable denture is attached to the supporting teeth using hooks, locks or special large crowns.
- Artificial teeth are fixed on implants, so they do not affect neighboring units.
Thus, implantation is not prosthetics, but preparation for it. When using this method, a special method of fixing an artificial crown or bridge is used. They are attached to a metal rod, which the dentist first screws into the bone tissue.
Dental implants – pros and cons
Advantages
- Durability is the main argument in favor of dental implants.
- Adjacent teeth, ground using outdated techniques, are not affected during implantation. They were and remain healthy.
- The jaw bones experience stress as if they were natural teeth. Artificial roots are subjected to natural, and therefore correct, load. That is why deformation and resorption of bone tissue are not observed. This means that the patient will be protected from such unpleasant consequences as malocclusion, headaches, and changes in the shape of the face.
- The appearance of the dentition is another plus. It looks natural, since the implant with prosthesis imitates a natural tooth.
- Implantation allows you to restore not only one, but also several teeth.
- Thanks to implantation, a person can chew solid food again.
- Standard care. It is enough to brush your teeth 2 times a day.
- What is important is that the person does not experience the presence of a foreign body in the oral cavity. That's why the chewing process is natural and effortless.
- The load carried by the lost tooth is restored. This relieves the surrounding teeth.
- Installation of implants requires a minimum number of visits to the doctor.
- The doctor changes the crown if necessary.
- The implants are convenient to use. There is no need to remove them for oral hygiene.
- The patient has a wide choice of implantation techniques.
- The survival rate of the material is good.
As you can see, dental implantation provides patients with many benefits. Advantages and disadvantages
, described in this article, may confuse someone, but the technique is still considered the most modern and high-quality in dentistry today.
Disadvantages of dental implantation
The most obvious disadvantage of implant prosthetics is the high cost of the procedure. Implants from well-known brands with the highest percentage of engraftment and a guarantee are very expensive, so restoring even one dental unit will cost a tidy sum, not to mention prosthetics for several lost teeth at once.
The procedure has other negative aspects:
- the presence of absolute contraindications in which installation of an implant is impossible, there are not many of them, but if there is at least one, you will have to refuse the operation;
- the procedure is traumatic - installation of the implant requires cutting of soft tissue and drilling of bone tissue, which provokes pain and requires the use of anesthetic drugs;
- long rehabilitation period - the implant healing period ranges from 2 to 6 months, all this time the patient will have to comply with strict restrictions;
- the risk of implant rejection is low, but still exists; this usually occurs if the patient ignored the surgeon’s recommendations after surgery;
- the risk of developing complications - infection, inflammation, suppuration - occurs if the patient does not maintain oral hygiene and violates the rules during the rehabilitation period.
As you can see, most of the risks are associated with inappropriate behavior of the patient after surgery and violation of recommendations. If you follow all precautions and regularly undergo preventive examinations with a specialist, implantation remains one of the most effective and safe methods of dental prosthetics.
Negative sides
Let’s continue listing the pros and cons of dental implantation. Reviews
They can tell you a lot, but no matter how perfect the technique is, there will definitely be at least one dissatisfied patient.
During implantation, the doctor uses a biologically inert material - titanium. It has unique properties and ensures maximum survival of bone tissue. But despite this, allergies to titanium still occur, although rarely. This indicates the individual characteristics of the body, and not the poor work of the doctor. The qualifications of a dentist are certainly important. But no doctor can give a 100% guarantee.
If you meet a highly qualified implantologist, he will pay maximum attention to the condition of your body, the presence of concomitant diseases and other factors that can affect the success of the operation. With a high probability, the manipulation performed by such a doctor will result in implant engraftment and restoration of chewing and aesthetic functions. By the way, patients who are not suitable for titanium do not have to refuse implantation. They are offered an alternative option - zirconium oxide.
Implantation means surgery. This means that some painful sensations cannot be avoided. This applies not only to the moment of implantation, but also to the recovery period. But compared to other types of prosthetics, the morbidity here is much lower.
There are a number of contraindications for implantation. Your dentist will tell you about them.
Doctors unanimously say that after losing a tooth, you should not hesitate to restore it. Implantation can take place quickly and with minimal discomfort for the person. If it has been inactive for a long time, you will have to use sinus lift technology. This is bone tissue building. Under certain circumstances, it can cause discomfort to the patient.
Speaking about the price of implantation, in comparison with conventional prosthetics, it is more expensive.
Are the savings justified?
Speaking about different types of dental implants, their pros and cons
, the issue of price could not be avoided. Unfortunately, traditional prosthetics are cheaper than implantation, so patients often prefer the first option. Sometimes the reason is fear of a new unfamiliar procedure, as well as contraindications to it.
Before choosing traditional dentures, consider the following points:
- To install dentures, grinding and depulping of adjacent teeth are required. In the future, the prosthesis will need to be reinstalled due to the destruction of adjacent teeth. This process is inevitable.
- A removable denture does not prevent bone loss. Therefore, your facial features will change over time.
- Even fixed dentures do not prevent the development of caries. In this case, it is necessary to remove them in order to cure the disease.
- People who use dentures will confirm that they experience pain while chewing food.
Contraindications to dental implantation become a disadvantage for those people who have them. But at the same time, the ban is also imposed on people who suffer from severe forms of diseases of the cardiovascular and circulatory systems and connective tissue. It covers those patients who have advanced liver and thyroid diseases. Unfortunately, allergies to antibacterial drugs and painkillers also do not allow for full implantation.
There are local contraindications:
- inflammatory diseases of the oral cavity;
- unsatisfactory condition of the oral cavity due to insufficient hygiene.
In the first case, the doctor treats foci of inflammation. In the second case, the dentist conducts an explanatory conversation with the patient. If he flatly refuses to change his habits, he is informed that implantation is impossible.
Taking bisphosphonates is another contraindication. The drugs affect bone structure. If you have a metal allergy, you should tell your doctor. The structure that will be installed in the future will first be sent for a special examination. It will reveal the percentage of metal alloys.
Indications and contraindications
Indications:
- Missing one or more teeth
- Complete edentia (absence of all elements of the dentition)
Absolute contraindications:
- Serious pathologies of the cardiovascular system
- AIDS, HIV, tuberculosis
- Oncology
- Diabetes mellitus in the stage of decompensation
- Poor blood clotting
- Osteomyelitis and other bone diseases
- Mental illness
- Allergy to anesthetics
Relative contraindications:
- Alcoholism
- Addiction
- Excessive smoking
- Dental and periodontal diseases
- Chronic diseases in the acute stage
- Any acute condition (infection, injury, etc.)
- Age up to 18 years
- Pregnancy
- Breast-feeding
Note: contraindications are called relative, because after recovery from the listed conditions, implantation can be performed. Anamnesis is collected from the patient’s words, so you should not hide existing health problems. Otherwise, the consequences of implantation can be disastrous.
Price of dental implants and classic dentures: comparison
20,000 rub. the minimum cost of installing an implant. The maximum cost may vary, from 50,000 rubles. and higher. The cost of an abutment starts from 4,000 rubles. The price is determined in accordance with the manufacturer. The cost of a crown also differs, depending on the material from which it is made. If it is made of metal ceramics, then the price starts from 15,000 rubles, and if it is made of zirconium oxide, then from 25,000 rubles. When a patient requires a sinus lift, its price ranges from 11,000-30,000 rubles, sometimes higher. Conclusion: 40,000 rub. Turnkey implantation costs along with a crown. Compared to implantation, installation of clasp and bridge prostheses costs approximately the same. Additionally, they involve grinding of teeth. We must not forget about the need to replace the structure in the future. Approximately 36,000 rubles. installation of a removable denture costs. But the structure will have to be reinstalled annually.
The choice in favor of one or another method of dental restoration is up to you. We hope the above facts will help you with this.
