Nowadays, modern dentistry is constantly evolving: new technologies are emerging and old ones are being rethought.
Thanks to this, new standards for the quality of dental treatment are being established, allowing patients to receive not only painless, but also comfortable dental treatment. However, the quality of treatment depends not only on dental materials, but also on the qualifications of the specialist who directly provides the service.
Basic medical education is not enough and dentists are constantly improving their skills. This is primarily due to the fact that each technology implies a number of strict requirements for the equipment of the dental office and has its own specific use. With the advent of new technologies in dentistry, new medical qualifications also appear, including such a type of medical activity as implantology.
Dental implantology is a branch of dentistry that deals with the restoration of lost teeth by introducing an artificial titanium rod - a dental implant - into the jaw bone. Implantation can also be performed for emergency reasons.
Emergency dental implantation can be carried out if tooth replacement is required as soon as possible, when urgent prosthetics are needed: for example, tomorrow you have a business meeting or a significant event.
For emergency implantation, implants are used that have a special structure that promotes reliable primary stabilization in the jaw bone, due to which the dental implant is able to withstand the chewing load after its installation and the crown is fixed to the implant immediately. The dental implantation process lasts no more than two hours.
Thus, you have a real opportunity to instantly replace a problematic tooth with a new one, and you do not have to worry about having to go without a tooth for a long time. Make an appointment Today there are many myths around implantology, some of them are true, others are not. Let's look at the main ones.
Myth No. 1: After extraction, any tooth can be replaced with an implant.
In the photo: installed implants immediately after careful tooth extraction
The success of implantation begins with gentle tooth extraction, allowing maximum preservation of the jaw bone without damaging it. It is very important to preserve the walls of the socket, since they are a natural framework for filling the socket with artificial bone granules, which promotes better regeneration of the jaw bone tissue in the socket area or around the implant, if the implantation was carried out in the socket of an extracted tooth.
Therefore, the main condition for simultaneous tooth implantation immediately after extraction is careful preparation and advance planning.
It is worth recalling that under the condition of one-stage implantation, in the case when it is necessary to remove a tooth and replace it with an implant, it is very important to understand: tooth extraction and implant installation occurs in one step, after CAREFUL tooth removal, a dental implant is inserted, after which the crown is already fixed on the tooth .
If time passes after tooth extraction, even 1 day, then installation of the implant is postponed for 2 months until the tooth socket heals and the tissue is restored.
Reasons for quitting alcohol
As with any surgical procedure, you must abstain from alcohol before implantation. This is primarily due to the fact that pain relief will be carried out by administering potent medications. The consequences can be very different; the anesthetic simply may not work, so the person will experience severe pain during the doctor’s work. More serious complications often occur.
This can be explained as follows: alcohols affect the viscosity of blood and change its properties. As a result, severe swelling appears and bleeding may occur, which poses a threat to life. In addition, alcohol slows down the process of tissue restoration and wound healing, promotes the systematic destruction of the jaw bone, causes irritation of the mucous membranes and even provokes suppuration at the site of intervention.
Another important point: under the influence of alcohol, a person becomes inattentive, he loses the ability to adequately assess what is happening around him. That is why someone may not notice how during the recovery period he accidentally injures the area where the implant is installed, but he does not immediately seek help, he may forget to brush his teeth well, etc. It is preferable to forget about alcohol for several months until the implant completely fuses with the bone tissue.
Myth No. 2: You have to wait a long time after dental implantation
It is not at all necessary to wait for the implant to heal in order to place a crown. There are two methods of dental implantation:
1. Classic or two-stage dental implantation , which is carried out as follows: first, the implant is installed, after which the gum is sutured, and after 2-4 months a permanent crown made of metal ceramics or zirconium dioxide is installed on the implant.
2. Dental implantation with immediate load or one-stage dental implantation : immediately after the implantation operation, a temporary crown is made on the tooth, and the implant heals under load for several months, after which the temporary crown is replaced with a permanent one.
Sinus lifting and alcohol consumption
On average, primary recovery takes 5-7 days if no complications are observed. The peculiarity of our mentality involves the use of alcohol as a universal sedative in any stressful situation. Since many patients are noticeably nervous before going to the dentist, they do not hesitate to drink a few strong drinks the day before to calm themselves down.
Doctors recommend completely abandoning this idea for the entire period of treatment and here’s why:
- alcohol has a negative effect on the work of anesthesia - it may not work at all or lose its effectiveness;
- Strong drinks impair blood circulation, which can result in severe bleeding during surgery;
- Oddly enough, a specific smell from the mouth can be unpleasant not only for the surgeon, but also for the patient himself. It is not uncommon for bouts of vomiting to occur during the manipulation process.
In addition, more serious problems from alcohol are possible:
- unpredictable allergic reactions;
- swelling in the mucous membrane of the larynx;
- death.
Alcohol after sinus lifting and bone grafting also has many negative consequences:
- increase in wound healing time;
- tissue swelling;
- destruction of bone material and, as a consequence, installed implants;
- inflammatory processes in the oral cavity;
- rotting of fresh wounds on the gums;
- destruction and loss of adjacent teeth.
Anxiety and anxiety before undergoing medical procedures is a natural process that can be alleviated in other, more gentle ways. Alcoholic drinks significantly change blood clotting. Because of this, the risk of heavy bleeding increases significantly. Also, after drinking alcohol, there is a load on the central nervous system and, if the body does not have time to recover, then after anesthesia, breathing problems, hallucinations, and even temporary stoppage of the sensory organs may occur.
There are a number of common opinions that alcohol can speed up any rehabilitation period. In the situation with sinus lifting and bone grafting, the situation is completely opposite. The following standards should be adhered to:
- the minimum period of abstinence from any alcoholic beverages must be at least 1 month;
- It is forbidden to take even minimal doses during this period as self-medication;
- in case of any complications requiring immediate treatment, the period increases to 6-8 months;
- For high-quality and painless implant implantation, it is recommended to abstain from any alcohol for 2-4 months.
Myth No. 3: Any implant is suitable for emergency implantation
This statement is completely false. The fact is that there are no universal tools. It's the same with implantation.
In the photo: a special implant for emergency dental implantation
For different dental implantation methods, implants of different structures are used, and what is good for classical implantation is not suitable for one-stage implantation.
For one-stage implantation, dental implants of a special structure are used, which allows them to withstand the chewing load immediately after implantation.
Therefore, if you are planning implantation, ask how many implantation systems the dental clinic has. A self-respecting dental clinic that deals with implantation professionally, and not from time to time, has several implantation systems in its arsenal. Sign up for a consultation
Myth No. 4: Dental implantation is a traumatic process
Modern dentistry is constantly evolving, and if previously dental implants were literally hammered into the patient’s jaw with a hammer, in a modern dental clinic everything is aimed at minimizing bone trauma and maximizing patient comfort.
During the implantation process, our clinic uses special equipment, and the installation of dental implants is carried out according to modern surgical protocols, which allows us to reduce tooth trauma to zero.
As mentioned above, tooth extraction before implantation is carried out as carefully as possible. To do this, in our clinic we use special tools:
German forceps for tooth extraction with a special structure, allowing you to control each stage of tooth or root removal.
Periotomes are an American set of tools that allow you to maximally weaken the ligamentous apparatus of the tooth, which makes it possible to remove the tooth more easily, with virtually no “swinging,” which ensures the safety of the walls of the tooth socket.
Piezotome is an ultrasonic device that allows you to carefully work with bone tissue during its removal. The piezotome allows the surgeon to create a thin cut and separate the roots of the tooth, after which he carefully extracts the roots one at a time, preserving the bone septum.
Luxators are special tools that make tooth extraction easier.
All this allows you to preserve the jaw bone and perform dental implant surgery with minimal trauma. In some cases, it is possible to carry out implantation through the gum or into the socket without bloodshed.
Introduction
We hope you did everything correctly before implantation, carried out all the necessary tests and diagnostics, prepared comprehensively, and now, after its successful implementation, all that remains is to follow the following recommendations after dental implantation.
But, if you are just preparing for dental implantation, then all the materials in this section will be extremely useful to you. And if you want to place implants with the highest quality and reliability, we recommend contacting our Research Center clinics, which have been successfully operating in Moscow for more than 10 years. And they are the best not only in Moscow, but also in Russia according to dental ratings. Sometimes it is better not to skimp on your health, since you will live with implants for the rest of your life, and the quality and further maintenance of implant systems should come to the fore. Remember the simple folk truth “The miser pays twice”: poorly installed implants can lead to their rejection and inflammation of the bone tissue. Yes, installing implants with us is not cheap, but we solved this problem for you!
Financial support for dental implantation
Do you want to undergo high-quality dental implantation in our clinics, but have a financial problem? This can be solved! From July 20, 2020
You can also use the dental implantation service in installments.
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Why is it important to follow the recommendations after implantation?
Firstly
, dental implantation is a serious surgical intervention involving bone tissue deformation. And it takes time for the bone structure to heal. The recommendations of the attending physician allow the bone tissue to heal and osseointegrate into the dental implant as quickly as possible. Do you know what can result from the fact that the implant does not take root due to your failure to follow the recommendations? Let's read the next point #2, which is also the most important. And this is not a joke, but the sad experience of violating patients.
Secondly
, non-compliance with recommendations sharply increases the risk of developing inflammation at the implant site - peri-implantitis, followed by implant rejection or removal. Moreover, inflammation can occur both in the first months after installation of the implant, and after a year or two or three. Below we provide clinical examples of peri-implantitis that developed in patients, leading to the removal of the implant. Therefore, be careful and follow the recommendations.
In general, high-quality dental implantation is absolutely painless for the patient. The importance and role of implantation in human health cannot be overestimated. The biggest problem with implantation is that there is swelling after the operation. It can last for about 3 days
, but even then not always.
After dental implantation, the patient must understand that he will have a certain medication load: he must take antibiotics, antimicrobial drugs, and take baths with an antiseptic. And, of course, follow the doctor’s recommendations.
Myth #4: Implant rejection
Most often, when hearing the word “implantation,” patients have a direct association with organ transplantation, and they naturally project this onto dental implantation. In fact, there is a huge difference between the engraftment of a donor organ and a dental organ.
A dental implant, unlike a transplanted organ, is integrated into the bone tissue (osseointegration) rather than engrafted.
Osseointegration is the process of ingrowth of bone cells into the complex surface of a dental implant.
Thus, the implant is securely held in the jaw bone. The healing process can be affected by infection of the tissues surrounding the dental implant, excessive stress on the implant, failure of the surgeon to follow the implant installation protocol, and the use of inappropriate equipment and instruments.
Alcohol after implant placement
After such a serious operation as implantation, you want to relax and praise yourself for the stress you have experienced. However, we do not recommend “washing” a new tooth, and there are very good reasons for this.
- Alcohol slows down the healing process and destroys bone tissue.
- Irritation of the mucous membrane occurs.
- If alcohol-containing drinks get into an open wound, they can cause a burn or severe pain.
- Bleeding may occur as the blood vessels dilate under the influence of alcohol.
- The risk of complications increases: hematomas, peri-implantitis, implant rejection.
Before drinking alcohol, weigh the pros and cons. Momentary pleasure from alcohol can negatively affect the entire result of treatment, including implant rejection.
Myth #5: Age restrictions
Sometimes patients do not consider the option of restoring teeth with implants and choose less comfortable removable dentures, thinking that due to the patient’s age, the installed implants may be rejected.
In fact, age is not an absolute contraindication for dental implantation. Agree, age and tooth loss are interconnected things.
In fact, age may be a contraindication if the patient cannot fully brush his teeth on his own and has serious diseases that prevent implantation. To get a consultation
Expert opinion
Igor Yurievich Malinovsky
Maxillofacial surgeon, implantologist
Experience: more than 11 years
Each implantation case is unique! Therefore, you can use a universal reminder, but it is also important to carefully listen to the doctor’s personal recommendations after installing implants, and also consult about dental care with an orthopedic dentist after installing prostheses on implants. The period after implantation is very important in the long term of the continued use of “new” teeth, so any cause for concern should be discussed with an implantologist.
After installation of prostheses (with one-stage implantation method) *
* In this case, the dentures will be installed during the first week after implantation, when they have not yet taken root in the bone tissue. The same recommendations should be used with the classical implantation method.
Eating | Therapeutic treatment | Oral care | Lifestyle |
– avoid eating solid foods that can change the position of the implants - if removable dentures are installed, it is necessary that they do not put pressure on the seams — it is advisable to chew food on the opposite side of the sutures and installed dentures (if they replace part of the teeth) - food should be rich in nutrients and vitamins | If removable dentures are installed: Before meals: — “Solcoseryl, dental adhesive paste”: apply to the seams After meal: — “Chlorhexidine” 0.05% or “Miramistin”: baths on the gums for 2-4 minutes, after meals | – permanent dentures should be cleaned regularly with a soft toothbrush - after eating, rinse, as well as brush with dental floss or superfloss - clean removable dentures in the mouth and periodically remove them to clean the oral cavity (with antibacterial solutions), as well as the inside of the denture (with a special soft brush) | - avoid physical activity at first - if the dentures put pressure on the gums, you need to consult a doctor to have them adjusted — one year after implantation, you should undergo preventive examinations at the dentist 2 times a year |
It is recommended to clean the oral cavity thoroughly, not forgetting all areas of both natural teeth and dentures; as prescribed by a doctor, it is recommended to use an irrigator for more thorough oral hygiene.
Myth No. 6: Implantation is impossible if the jaw bone is atrophied
Indeed, if the jaw bone tissue is too “thin” or “loose”, then there is simply no place to place a dental implant. For this reason, some dentists even refuse implantation to the patient.
If you were denied implantation, then most likely your dentist does not know the technique of jaw bone augmentation. Jaw bone augmentation is a technique that allows you to fill the missing volume of bone tissue for implantation. The most common osteoplastic surgeries are:
Sinus lifting is a surgical change in the relief of the bottom of the Maxillary sinus. It involves lifting the membrane lining the bottom of the sinus and filling the resulting space with artificial bone granules.
Guided bone regeneration surgery or GBR. The essence of this operation is to graft bone into the atrophied area and fix it with a barrier membrane.
Splitting of the narrow alveolar ridge. The operation involves thin cutting of the alveolar process of the jaw bone, spreading its edges and filling the resulting space with bone granules.
Augmentation with bone blocks - the surgical technique consists of taking from one area (most often the mental or retromolar) and transplanting a piece of bone into the atrophied area of the bone.
Myth No. 7: Implantation and pregnancy
The information that implantation is impossible during pregnancy is absolutely true.
The fact is that the dental implant itself is not harmful and does not affect the body in any way, however, when installing dental implants, very strong anesthetics are used, which contain prolongators (most often adrenaline), the use of which is undesirable during pregnancy, and in some cases it is contraindicated.
Moreover, when implanting teeth, there is a need for x-rays, which is also undesirable.
Pregnancy for dental implantation is a temporary contraindication. So, implantation is possible after breastfeeding is completed.
The effect of alcohol on immunity
Alcohol consumption negatively affects immunity at all levels. Alcohol burns the mucous membranes, which causes additional trauma to the tissues and impairs the healing process. In addition, alcohol reduces the activity of macrophages - cells that destroy harmful bacteria. The negative effects of alcohol also extend to other cells of the immune system, which protect the body from various infectious agents. Therefore, during the period of “engraftment” of the implant, it is important to maintain the normal functioning of the immune system: balance the diet, enrich it with vitamins and minerals, and completely eliminate smoking and alcoholic beverages.
Myth No. 8: After implantation, you should not drink alcohol or smoke.
Absolutely right. For several days after implantation, patients are strictly advised not to drink alcohol and also refrain from smoking.
Believe me, this is not because implantologists are so evil and forbid you to enjoy life, but because alcohol has an irritating effect on unhealed gums and makes healing difficult, and can also cause inflammation and implant rejection.
So, if you want to “disinfect” your wound after implantation, then think about the consequences and material cost of such an act.
Myth #9: Swelling after implantation
Our patients often ask the question: do they need to take time off from work or take sick leave after dental implantation and whether the proposed implantation will affect the patient’s appearance.
Dental implantation is a low-traumatic process, naturally provided that the indications and implant installation protocols are followed. After surgery, patients often experience a slight feeling of heaviness in the implanted area for several days after surgery.
Most often, swelling is possible during more complex and extensive surgical interventions, such as bone grafting.
When can you drink alcohol?
Unfortunately, the harm of alcohol to the body is obvious, and we are talking not only about the recovery period after implantation. However, after surgery, such bad habits make the situation several times worse. As a result, the body’s natural protective functions noticeably deteriorate, causing malaise, weakness, and disruption of the immune system. Of course, it will not be difficult for a person who does not suffer from addiction to give up alcohol for several months, so nothing can affect the outcome of implantation.
If there is an urgent need, for example, an important event is to be celebrated, experts recommend waiting at least a week. In any case, you should not drink while taking antibiotics, usually for 5-7 days. To speed up the engraftment process, it is best not to drink for six months.
In addition, there are other restrictions that will have to be faced before and after the installation of implants. No smoking. This leads to the formation of plaque on the surface of the enamel, causes a burn to the mucous membrane, and can cause the disintegration of blood clots. Also, in the first few days after surgery, you should not drive a personal car, especially in the first 3-4 hours. This can lead to road accidents due to inattention, drowsiness and stress.
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