Modern dentistry is undoubtedly the latest generation of implantation. Science and technology in this area are ahead of their time; the development of implantology can be compared to space developments. Continuous study of a huge number of clinical cases, analysis of results, implementation of innovative solutions, improvement of materials and types of implants has already made it so that modern dental implantation is completely painless, safe and allows you to restore an entire row of teeth even in one visit.
Modern dental implantation
Dental restoration using implants began in the mid-twentieth century. The metal rod installed in the jawbone has changed over time, and new methods of its installation have appeared. Outdated plate implants are no longer used. Doctors have moved away from the intramucosal, superiosteal method and some others. Nowadays, new generation dental implants are artificial roots made of titanium alloy, which are biocompatible with the human body, do not cause allergic reactions, are durable and reliable for chewing loads. They play the role of real roots, preventing the atrophy of bone tissue that would inevitably occur in the place of lost teeth. And new implantation protocols make it possible to quickly solve the problem of the absence of one or all teeth, without preparing healthy teeth and even avoiding sinus lifting and increasing the volume of bone tissue in case of its deficiency.
Dental restoration forever!
Installation of a two-stage implant ROOTT (Switzerland) - RUB 27,000. 32,000 rub.
General and specific contraindications
Who is contraindicated for dental implants? Implantation is a surgical operation and, like any other operation, it has contraindications. They are divided into two types: general for any type of implantation and specific dental ones.
The following concomitant diseases are common to all types of implantation (and to surgical interventions in general):
- violation of coagulation (blood clotting), diabetes mellitus, tuberculosis, chronic rheumatism - these diseases complicate wound healing and implant placement;
- pregnancy and lactation;
- childhood and adolescence – children and adolescents continue to grow, and this is fraught with displacement of implants or their rejection, or slowdown in the growth of individual organs as a result of the installation of dental implants in them;
- diseases of bone tissue that reduce its regenerative abilities;
- diseases of the nervous system;
- cancer during exacerbation, HIV and AIDS, specific diseases of the immune system that weaken the body as a whole and do not allow it to recover after operations.
The following can be considered specific contraindications to dental implantation:
- when installing implants in the upper jaw, it is necessary to take into account such factors as the proximity of the sinuses (aka the maxillary sinuses), as well as the width and density of the bone at the point of contact of the jaw with the sinuses; in some cases, the implantation procedure may be preceded by a sinus lift;
- chronic, including inflammatory diseases of the oral mucosa;
- patient's failure to comply with oral hygiene;
- insufficient height and density of bone tissue at the site of proposed implantation (this applies to both the upper and lower jaws) - in such a case, bone grafting can correct the situation.
It is worth noting that diabetes and advanced age are not currently included in the list of contraindications for dental implantation.
Dental implants in the upper jaw
Modern methods of dental implantation
The dental clinic can offer the patient atraumatic, fast and effective modern implantation methods.
Express implantation
(simultaneous implantation). The method of implanting a titanium pin directly into the socket of an extracted tooth is used. Advantages of the one-stage flapless method:
- there is no need to cut the tissue, suturing it, which means less time will be spent on healing and removal of sutures;
- the non-traumatic nature of the operation, which is morally easier for a person to bear;
- installation lasts up to 15 minutes.
In what cases is this transgingival method of modern dental implantation suitable:
- in the absence of one or all teeth on the upper or lower jaw;
- There is a time limit for recovery (it must be done urgently).
In addition, there should not be severe inflammation of the gums and insufficient bone tissue (consultation with a doctor is necessary to resolve these issues).
Implantation with immediate loading
(one-stage implantation). Just a couple of decades ago, after implantation, it was necessary to walk without a visible tooth, without a crown or prosthesis, for the entire period of osseointegration (3-6 months). Which, naturally, caused terrible psychological discomfort in any patient. The latest generation of implantations allows you to immediately install an adaptive prosthesis. A person leaving the dentist's office can smile, speak without defects and eat normally. During the entire period of engraftment of the titanium pin, its fusion with tissues and blood vessels, a lightweight temporary prosthesis allows you to get used to the presence of the orthopedic structure in the mouth and not experience discomfort in everyday life.
Bone Volume Requirements
After tooth loss, atrophy (loss) of bone tissue begins. This leads to negative consequences, one of which is the impossibility of implantation in the future. The bone is too thin for an implant. In addition, it is not dense enough to provide high primary stability. Of course, leading manufacturers have provided for such clinical cases and produce pins for cortical, zygomatic (where the tissue is denser) implantation or compression pins that compact the bone along the movement of the thread.
Israeli manufacturers have also achieved great success in producing products for installation in bone tissue of different densities. Korea is somewhat behind here. They, for example, have neither pterygoid (pterygoid) nor zygomatic models. If we are talking about severe atrophy, the answer to the question “Israel or Korea?” obvious. But Switzerland or Israel - it depends on other factors. If the bone is dense and there are no complications, then Korean or Israeli implants will perform their functions perfectly.
Indications:
- absence of one, several teeth or complete edentia.
Dental implantation using a surgical template
. The use of 3D modeling helps the doctor accurately plan the operation, eliminating all risks and undesirable consequences. The modern method of implantation using a surgical template is the key to the successful work of an implantologist and orthopedist.
After a CT (computed tomography) scan, the doctor outlines the location of the implants in the program, which he then works with to decide at what angle and what type of implant to install. And the technician is already preparing to make temporary crowns and prostheses, which will be fixed on the day of implantation.
Indications:
- absence of several teeth or complete edentia;
- a complex clinical case that requires a particularly careful approach.
Implantation
All-on-4 and All-on-6
. Modern dental implantation “All on four” or “All on six” allows you to reduce the financial burden of restoring the entire dentition. By implanting only 4 or 6 titanium rods, you can install a complete denture on the jaw with 10-12 artificial crowns. Installing an implant instead of each tooth would require more money and time.
Indications:
- absence of most teeth or complete edentia;
- inability to wear a removable lamellar denture.
This modern implantation method allows people with removable dentures to securely fix it.
Complex implantation
. “All inclusive” in dental treatment. In one visit to the dentist, teeth are removed (if necessary) and an implant is inserted. A method for immediately restoring multiple teeth. Prosthetics on 6-12 implants with a fixed prosthesis.
Indications:
- impossibility of two-stage implantation;
- absence of 3 teeth to complete absence;
- urgency of recovery.
Resmile
. Implantation technology without cuts or sutures. The transgingival method of implanting a titanium root is atraumatic, healing occurs quickly. The combination of implants from one system increases the success rate and minimizes complications. This is facilitated by a titanium-based ceramic composite prosthesis, which is installed on the 4th day and does not require replacement subsequently; it is permanent.
The latest achievements of Israeli doctors
Israeli specialists perform the implantation of an artificial root carefully and consistently; the operation can take from 4 to 8 hours. Anesthesia is administered using Sleeper One technology, which involves a slow injection of anesthetic. This makes the procedure comfortable for the patient. The effect of the medicine begins after 40 minutes and leads to an absolute blocking of the sensitivity of the jaw. The method is safe and requires a minimum of time and money.
The rehabilitation period after implantation in Israeli clinics takes three days in the hospital. The patient must remain in a state of complete rest and follow the specialist’s recommendations. The medication course is selected individually. It usually includes anti-inflammatory and antibacterial drugs.
New generation of dental implants
Implant manufacturers are constantly researching and developing new types of dental implants. By studying numerous clinical pictures from the practice of doctors, they create new types of threads, improve the alloy, and change the method of processing the surface of the product.
New generation dental implants:
- Compression implants. The very tight contact of titanium and tissue promotes rapid osseointegration.
- Multi-units with a rotating abutment head, screw fastening for fixing the prosthesis with screw fixation.
- Basal implants are placed where there is critically little bone tissue. Their implantation occurs in deeper, dense layers.
The titanium alloy is being improved, and the grinding and processing of the implant surface takes place in several stages. This is sandblasting and etching. The main thing is to achieve the necessary roughness of the root part of the implant for successful survival and cleanliness, the absence of traces of organic matter during production. The necks are made smooth to prevent the accumulation and reproduction of bacteria on them. Every nuance is taken into account. And the creation of a wide range of implants allows the doctor to comprehensively use different types of artificial roots within one operation.
Modern systems have a warranty of 25-50 years, and many manufacturers provide a lifetime warranty. The survival rate of implants takes from three months to six months, and the success of osseointegration of new generation dental implants reaches 98.5%.
What trends are expected in this area?
Unlike dentures, implants do not need to be periodically replaced with new ones . They help make your smile beautiful, natural and healthy at any age. However, their main advantage is the complete restoration of dental functions.
Nowadays there are dental structures made of different materials: titanium alloy, ceramics, biopolymer. Technology improvements continue. Thus, Spanish scientists have created completely new dental implants with a biodegradable coating. They integrate much faster into living tissues; upon contact, the coating particles gradually dissolve. This helps accelerate bone regeneration.
Alternative Methods
You can restore the integrity of the dentition using:
- removable prosthetics. It is inexpensive and can immediately replace all lost teeth. But it takes a long time to get used to such voluminous structures; at first they can cause a gag reflex. For more reliable fixation, additional means such as Corega are often used to prevent the prosthesis from accidentally falling out. Aesthetics are poor, and tissue atrophy progresses inexorably. With prosthetics on implants this is impossible.
- prosthetics with a bridge supported by adjacent teeth. In this case, the supporting teeth grind down and become weaker. With constant chewing load, such structures may collapse over time.
- crowns If the tooth root is preserved, it can be restored with a crown. If the root is destroyed, then the only options left are single implantation or a bridge;
- classical implantation. A two-stage protocol involves installing a root-shaped implant, waiting for it to engraft into the bone, and only then fixing the permanent prosthesis. This is a long process (from 3 to 6 months), during which the titanium rod is completely osseointegrated into the jaw bone.
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Content
How to choose the best dental implants? The likelihood of survival is the main factor in the ranking of implants
Options for prosthetics when choosing implants
Healing period for the best implants
Indications for implantation
Rating of dental implants by manufacturer 10. MIS – dental implants from Israel at an affordable price
9. XiVE implants – dental systems from Germany of decent quality
8. AnyRidge – universal implants from South Korea
7. Osstem – implants with decent characteristics from South Korea
6. Zimmer – dental implants from the USA with a unique surface
5. Anthogyr implants – top French quality system
4. Dentium (South Korea) – the best budget implants
3. Astra Tech implants (Sweden/USA) – ideal aesthetics and lifelong service life
2. Nobel Biocare implants – perfection of shape and surface
1. Straumann implants – the best dental implants in the world from Switzerland
Price
Modern dental implantation is more expensive than prosthetics. The cost of treatment depends on several factors:
- chosen method;
- use of a surgical template;
- number of implants;
- company manufacturer;
- material of prosthesis, crown;
- qualification of an implantologist.
For example, the price of one-stage implantation with a temporary crown is about 40,000 rubles, the All-on-4 technology of one jaw with an adaptive prosthesis will cost from 190,000 rubles, one-stage implantation with complete edentia of one jaw on 6 compression implants and a temporary prosthesis - in the region RUB 265,000 The cost item may increase due to additional diagnostics and prosthetic materials.
Where to go for the latest generation of dental implants
Only dental clinics with technologically advanced diagnostic and surgical equipment and highly qualified staff can offer a choice of modern methods of dental implantation and a guarantee for their work.
The table shows several Moscow clinics where you can restore a beautiful smile in an advanced way. We advise you to find out the cost and current promotions directly on their websites.
dental clinic | Website |
Center for Dental Implantology ROOTT (RUTT) | https://dentalroott.ru |
Dentum dentistry | https://dentumclinic.ru |
City-Dent | https://city-dent.rf |
The president | https://www.prezi-dent.ru |
Center Family Dentistry | https://family-dental.ru |