Dental Implant Tips | Which to choose

Is the implant made of medical grade titanium?
Is there an allergy to titanium?
The implant may not take root...
Implant for life?
Which implant company should I choose?
Is implantation painful?
Are there any contraindications to implantation?
How many implants can be placed at one time?
Can I drink alcohol after dental implants?
Is sports possible after dental implantation?
How much does dental implantation cost?
Dental implantation - tips for preparing before surgery.
What to choose - anesthesia or pain relief?
Dental implantation – recommendations during surgery.
Recommendations after dental implantation.
Possible consequences after implantation.

In this material we will try to discuss in detail frequently asked questions from patients and give detailed answers and advice to them.

Is there an allergy to titanium?

There is no allergy to titanium; moreover, not a single case of allergy has been recorded in the world so far.

If you have allergies to metals or other substances, you need to pay special attention to the stage of prosthetics. The implant itself is certainly made of titanium, but the orthopedic components (abutment, gum formers, screws and crown frames are made of other metals or metal alloys containing titanium.

Therefore, before starting treatment, discuss all the nuances with your dentist. If necessary, all components can be made from either titanium or zirconium dioxide, both of which are bioinert.

What metals are modern dental implants made of?

There are a number of requirements for the material of artificial roots:

resistance to corrosion;
high levels of mechanical strength;
absence of carcinogenic, toxic substances;
should be easy to process;
be hypoallergenic;
easy to sterilize;
have a relatively low cost.

Metals and ceramics are commonly used in dental implantology . Polymers have proven to be less popular due to their toxic effects on the body. The practice is to use a cobalt-chromium alloy (CCH), stainless steel and titanium, which are coated with an oxide film that ensures the achievement of the required biocompatibility indicators.

The first implants were made of stainless steel. They are distinguished by their simplicity and ease of use in the presence of complete edentia and serious dentition defects. The grades 4Ох13 and 03х17Н14М2 are used, which are characterized by ease of casting and low cost. The main disadvantage of steel is increased instability when in contact with jaw tissue. Exposure to the biological environment provokes corrosion, which leads to aseptic inflammation.

The experience of using CCS in implantology is more than 40 years. This alloy can be cast in a dental clinic, so it is used in the production of individual subperiosteal implants, which are highly durable. They have a more affordable price, but are less common. This is explained by their low osseointegration rates and, consequently, poor stability. In addition, CCS release toxic substances that negatively affect the body.

The most popular material is titanium . The widespread use of titanium in implantology was promoted in 1965 by Per-Ingvar Brånemark, a Swedish professor who discovered the ability of titanium to fuse with the jaw bone. Today, this metal can be used in alloys, supplemented with other elements to create increased strength.

Complete restoration of the dentition in just 4 days!

more details
Roott Pterygoid Implants Sinus lift is no longer needed!
more details
Once and for life! Express implantation in 4 days with a permanent ReSmile prosthesis
more details
All-on-4, All-on-6, ReSmile, Zygomatic implantation We use all modern methods of dentition restoration
more details

The implant may not take root...

To begin with, let’s understand that an implant is a non-living structure, so it cannot take root anywhere.

The body may not notice it and due to mechanical retention in the bone tissue it is retained. In other words, the bone does not see the implant and during the healing process tightly covers it (the implant). Yes, indeed, in Russian and world practice, about 0.05% of all installed dental (dental) implants are not integrated.

Moreover, I will say that the number of complications directly depends on the implant manufacturer, the qualifications of doctors, equipment, and on the patient himself.

With proper planning of the operation, the correct choice of dental implants, and the final result, you can guarantee a 100% result for life.

Choosing the best material

To determine the best material for a dental implant, you need to take into account not only its quality, but also its availability, cost, versatility - suitability for various clinical situations. If we take into account all of the above, what remains is titanium and its alloys - they can be called the best for implantation. Zirconium dioxide and tantalum have one significant disadvantage - high cost, so they are not available to all patients.

Read on the topic: what is the basis for the popularity of different models of dental implants – and which ones are better.

Although titanium has become somewhat commonplace in implantation, the leader in this field, Nobel Biocare, is in no hurry to come up with something new in terms of material for implants - titanium was, is, and has remained for 60 years. After all, this metal is unique - it is not rare, it is light and exceptionally strong for its mass, it is durable and biocompatible. As for others, in addition to designs from Roxolid, it produces similar models from pure titanium. Oneway Biomed, a developer of basal models that allow implantation in patients with severe periodontitis[2], makes its strongest structures from Grade 5 titanium. But due to contact with the gum and fixation in the stronger layers of the jaw and even cranial bone, they need not so much osseointegration as osteofixation, that is, primary fastening.

Can I drink alcohol after dental implants?

It is strictly forbidden to drink alcohol before and after surgery. Alcohol can greatly change the rheological properties of the blood, which in turn can lead to significant swelling or prolonged bleeding with a risk to life. A person in a state of alcoholic intoxication is not attentive and cannot soberly assess the situation and make decisions. Plus, being unable to accurately remember the doctor’s recommendations will all lead to unpleasant complications. Smoking causes burns to the mucous membrane and disintegration of blood clots; moreover, smoker’s dental plaque greatly worsens oral hygiene.

Structure of a dental implant

A root-shaped implant, as mentioned above, is the most common and sought-after type of dental implant. What does a dental implant consist of? Root-shaped structures have three parts: root, abutment and crown. A titanium rod replaces the root of a lost tooth. The abutment externally is an artificial tooth ground for a crown. It serves as a link between the components of the implant - the rod and the prosthesis, and is also the basis for the latter. Root-like artificial roots are divided into cylindrical and helical. The latter are more in demand in implantology, as they have a thread applied to their surface, which contributes to a more durable fusion of the titanium rod with the jaw bone. Dental implants come in different sizes – they can be short or long, thick or thin. See the photo below for what a dental implant looks like.

Photo of a dental implant

Dental implantation – tips for preparing before surgery?

It is better to schedule the operation in the morning. The body is full of vital energy in the morning and easily experiences stress. Believe me, even just a visit to the dentist is stressful for some people. After surgery, you may experience pain that will go away after a few hours. If the operation takes place in the morning, then by the evening the pain will completely disappear and you will go to bed peacefully. In the morning, not only are you full of strength and energy, but so is your doctor. The doctor is not tired yet and is ready to devote maximum concentration of attention and time to the procedure. In case of any complications, you can easily go to the clinic, rather than looking for a 24-hour clinic with sleepy doctors at night or going to an ambulance.
Eat before implantation surgery (if sedation or anesthesia is not planned) A well-fed person can tolerate stressful situations much easier. After eating, the body releases hormones that help you relax. Concentration decreases a little and you don’t really think about the procedures that the surgeon performs. More busy digesting food. A well-fed person's blood clots better than a hungry person's. This can greatly help to avoid unpleasant complications in the postoperative period.
What to take before implantation Before the operation, the doctor will definitely inform you about all the medications that need to be taken before implantation. If you are very worried, you can use mild sedatives - valerian tincture, motherwort tincture, etc. Or the same drugs only in tablet form, for example Tenoten. If a long-term surgical intervention is planned, for example, a bilateral sinus - lifting with one-stage implantation, bone grafting, it is reasonable to use non-steroidal anti-inflammatory drugs with a pronounced anti-inflammatory or analgesic effect, antibiotics, antihistamines. It is better to entrust the choice to your attending physician about which drug to take.
A good mood is the key to successful treatment. Remember that a good positive attitude will shorten the recovery period and help you overcome surgical procedures more easily.

Contraindications to the installation of titanium implants

Any type of implantation is not recommended for children under 16 years of age, since the child’s bones are not yet formed and the jaw will still grow. If you have caries, periodontal disease, pulpitis, stomatitis, or gingivitis, you will have to first cure these diseases, only then proceed with implantation. There are a number of diseases for which the doctor will refuse to install a titanium implant:

Tuberculosis.
Oncology.
Anomalies of the circulatory system.
Diseases associated with connective tissue.
Diabetes.
Mental disorders.
Problems with the immune system.
Disturbances in the endocrine system.
Diseases of the heart and blood vessels.

Since the list of contraindications is quite extensive, the patient must undergo an examination and a series of tests before installing the implant. Only after this, in the absence of contraindications, the doctor will begin implantation.

What to choose - anesthesia or pain relief?

Local anesthesia is almost universally used in dentistry.

All modern anesthetic drugs are non-toxic and hypoallergenic, provided they are selected correctly. Anesthetics used in private dental clinics are absolutely safe.

Modern anesthetics can provide complete absence of sensation in the oral cavity for a long time, up to 5 hours. Thereby making the patient’s stay in dentistry comfortable. As an example, many patients fall asleep during dental appointments thanks to good anesthesia.

“Anesthesia doesn’t take me away!”

Every dentist has heard this. The anesthetic affects all people the same. If the anesthesia does not work (does not take effect) on you, then the doctor does not have the proper skills in administering anesthesia.

It is not possible to become infected with infectious diseases during the administration of anesthesia. In private dental clinics, a special carpule syringe system is used, which completely eliminates contact of the solution and needle with the environment and even with the syringe itself.

Anesthetics, if chosen correctly, do not affect the fetus during pregnancy and do not affect the composition of breast milk in nursing mothers.

The quality of anesthesia can be affected by long-term use of non-steroidal anti-inflammatory drugs with a pronounced analgesic effect (painkillers), narcotics

Anesthetics are not addictive.

How do dental implants take root?

What material are dental implants made of? The answer to this question will help us understand why they take root well. Almost all of the newest dental implants are made from titanium. This unique material is ideal for the manufacture of artificial tooth roots, since it is not perceived by the human body as something foreign and is not itself subject to the destructive effects of the surrounding biological environment. But the most important thing is that it can reliably fuse with the jawbone. These unique properties of titanium solved the problem of rejection and made implantation a reliable and durable technique. However, in very rare cases when a patient is allergic to titanium dental implants, zirconium dioxide is used as a base to make the prosthesis.

How long does it take for a dental implant to take root? Experts believe that the survival of dental implants is an individual process. The timing of osseointegration depends on the area of the dentition in which the implantation was performed, as well as on the quality of the bone tissue. In general, the healing of dental implants lasts from three months on the lower jaw and up to six months on the upper jaw. If the implantation is successful, then removal of the prosthesis becomes almost impossible, which proves the reliability of the structure. What is the survival rate of dental implants that worries many patients? It varies among different manufacturers, but in general it does not exceed 5%. In addition, the success of the operation is also influenced by the skill of the implant surgeon, so the choice of dentistry should be approached with special care.

Dental implantation – recommendations during surgery.

There are a lot of dental implantation techniques and the choice of technique directly depends on the tooth and the situation in the oral cavity. In addition to the dental implantation itself, the doctor must also ensure a comfortable stay during the process.

Do not hesitate to talk about your unusual sensations, this may help the surgeon during the operation.
Do not endure the pain, in modern dentistry there is a sufficient amount of anesthetics and, if necessary, the doctor will add anesthesia.
During the removal process, you may feel pressure or crunching. The doctor will warn you about this in advance.
The operation time depends on the qualifications of the surgeon and the initial situation, on average 15-30 minutes.
After the operation, the dental surgeon will apply stitches. The sutures are removed within 7-14 days, depending on the initial situation. In our practice, we try to use self-absorbing sutures less often, since the healing results with these sutures are worse, and the resorption time is very long (20 days), so the sutures still have to be removed.
A gauze swab is not always placed as prescribed by a doctor.

Types of titanium implantation systems

According to the form and method of installation:

Root-shaped - used more often than others, they have the appearance of a stepped cylinder. Indicated for installation in conditions of normal bone condition. In case of its atrophy, a sinus lift is performed first.
Lamellar - used for very thin bones. Stability is ensured by capturing a large area of the jaw. The holes in the structure facilitate the growth of bone tissue inside it. The main disadvantage is the long healing period.
Combined - designs that combine the structural features of root-shaped and plate implants. Relevant for severe pathologies.
Subperiosteal (subperiosteal) - implanted between the periosteum and bone. Indicated for small size alveolar process, when it is not possible to place root-shaped rods.
Endodontic (stabilization) pins. The only type that does not require tooth extraction. With their help, they do not replace, but strengthen weakened units. They are inserted through the upper part of the tooth root. The supragingival element is masked with a crown.
Intramucosal - involves installation through the oral mucosa without implantation into the bone. Used when it is necessary to stabilize dentures. They have a special type of fastening - a rounded top, which connects to a round hole in the prosthesis, thereby ensuring reliable fixation. Installed when the thickness of the mucosa is at least 2.2 mm.
Orthodontic - mini-structures to create additional support when aligning the bite with braces. They look like a Phillips screw. Installed for several months.
Basal - have a root-shaped two-part or one-part design with aggressive threads. Installed in the deepest layers of bone to achieve maximum stability. Prescribed in cases of severe atrophy and the inability to use other types of implants.
Transosseous - have the form of a metal plate, which is fixed on several rods. Due to the traumatic installation, they are practically not used.

Recommendations after dental implantation.

You should drive with caution if you have had several dental implants installed or have undergone reconstructive procedures (for example, sinus lifting, bone grafting). Stress can lead to loss of alertness. It is not uncommon for patients to fall asleep while driving after surgery. In case of a complex operation, if necessary, arrange for support in advance.
Ask your dental surgeon for your mobile phone number and clinic number for emergency contact with your doctor. It is always faster to receive first-hand information if something bothers you after the operation or you simply have a question. Avoid drinking drinks for about 2 hours after implantation until the edges of the wound stick together.
Do not eat until the anesthesia wears off. Otherwise, during the chewing process, you can damage healthy tissues that, under anesthesia, are not sensitive to injury.
Eliminate coarse, spicy, salty, hot foods from your diet. This food negatively affects healing and can also cause discomfort at the implantation site and even pain.
Gentle treatment of the surgical site. That is, avoid chewing on the implantation side and do not touch the wound or threads with your tongue. In other words, create peace at the operation site.
Do not pick or clean the wound yourself. Even if you see something unusual, contact your dentist. Do-it-yourself activities can lead to complications that take a very long time and are difficult to treat!
Self-medication, warming compresses, and so on are strictly prohibited.
You can brush your teeth in the first days after surgery, the only rule is to avoid the surgical area. Avoid strong rinsing movements in the mouth for 2-3 days.

Indications

The demand for titanium systems is due to their limitless capabilities. They are used in the following cases:

missing one tooth. Installation of a bridge involves grinding adjacent units, which will serve as support for the orthodontic structure. With the help of such implantation, the chewing functions of other units can be preserved;
edentia (complete absence of teeth). To solve the problem, 4/6 rods are installed on one row of teeth. A permanent structure is installed on top of them;
risk of loss of hard tissue. In practice, there are often clinical cases when, after the removal of several neighboring units, the process of soft tissue settling in the edentulous area begins. This increases the risk of resorption of bone material, which becomes thinner due to uneven distribution of the load during chewing. In order to avoid such consequences, it is recommended to carry out implantation, since removable and fixed prosthetics do not always preserve the integrity of bone tissue.

Possible consequences after implantation:

Remember! In 90% of all complications after implantation, the cause is non-compliance with the doctor’s recommendations!

Dental implantation surgery is primarily an operation and the following local and general manifestations are a variant of the norm:

Pain This is a normal manifestation after large volume operations. Pain usually occurs on the first day and stops until 8-10 hours after surgery. In rare, difficult cases, the pain may last for several days; in such cases, the doctor must prescribe painkillers.
Swelling Swelling of the operation site, cheeks, lips is normal in the first three to four days. The severity of swelling depends on the extent of the operation and the state of health. Remember, swelling may appear only on the second day after surgery. That is, on the first day it may not be there, but on the second day it will grow. Don't be alarmed - this is completely normal. It will pass by 3-4 days. In some cases (in case of complex operations) it can remain for up to 5-6 days. In any case, control your condition; at the first doubt or concern, contact your doctor.
Bruise A hematoma or bruise may appear and this is also a normal option for the postoperative period. The causes of hematoma are high blood pressure, pronounced vascularization of the operation area, extensive surgery, taking anticoagulants, blood thinning drugs (ThromboAss, Warfarin, cardiomagnyl, and so on). The bruise may appear the next day, maybe on the 5-6th day; after it appears, it will turn yellow and slowly go down to the neck, then to the chest. Don't be alarmed - this is the norm.
Temperature Increase in body temperature in the first two days after implantation to 38 degrees Celsius - this may be normal. Temperatures generally rise in the evening. This is due to two reasons: 1 - associated with post-operative inflammation, indicating that the body is struggling with the resulting injury. 2 - associated with the ingestion of one's own blood; blood entering the digestive tract causes a mild fever. Monitor your body temperature and contact your dentist if there is any deviation.
Sore throat - the mouth is difficult to open. A sore throat after dental implantation and difficulty opening the mouth are a common occurrence after complex reconstructive interventions. This is caused by swelling that has spread to the masticatory muscles, lymph nodes or tissue spaces of the neck. By day 3 the situation usually improves. If there is no subjective improvement, contact your dentist immediately.
A short-term deterioration in well-being in the form of headaches and weakness is usually the body’s reaction to a stressful situation. Whatever you say, it’s still an operation and the body reacts to it accordingly.

The best implant is an original and certified product

The best implants must have appropriate quality certificates and a serial number. When planning to undergo the implantation procedure, you should definitely ask your implantologist whether the clinic has certification documents for the implants that are offered to you for installation. Using the serial number of the implant, you can check its authenticity yourself: to do this, you will only need to go to the manufacturer’s website.

The low price of implants can also help you suspect a fake. Study the approximate prices for implants from different brands in your region and if you see that the clinic offers installation of implants at a cost below the market average, these are clearly counterfeit products, the use of which can be dangerous to your health.

Remember one more important point: for an implant to be the best for you, not only the titanium/tantalum rod itself must be original, but also all its components: plugs, abutments, gum formers.

Advantages of implantation in ROOTT

All dental structures are made of grade 5 titanium.
Sandblasting with hydroxyapatite/tricalcium phosphate particles eliminates the presence of foreign impurities on the surface of the implant.
The quality of the material is confirmed by a certificate of conformity.
All ROOTT products are certified and approved for use in our country.
ROOTT implantation systems are available in various models, which allows you to select implants of one brand for any clinical situation, without resorting to products from other manufacturers.
The development of galvanic syndrome is excluded.
To conduct tests for an allergic reaction, the patient is provided with the material from which the structures used are made.

Author of the article Voznyuk Vladimir Aleksandrovich Maxillofacial surgeon-implantologist of the highest category

Experience more than 30 years