IMPLANT TREATMENT

EVERYTHING ABOUT DENTAL IMPLANT IN ISTANBUL

What is a Dental Implant?

A dental implant is a small titanium screw that replaces the root of a missing tooth. The implant is anchored in the jaw bone serving as an anchor for replacement of teeth. Implants are generally made of pure titanium and bond to bone, a phenomenon known as “osseointegration.” This bond is very strong and durable over time.
Dental implants can be used to replace a single lost tooth, many missing teeth or as posts to support loose dentures; as well the implant preserves the integrity of the bone and facial structure. Implants do not damage adjacent teeth like bridges can and they are not loose like dentures.
There are three components; the implant, the abutment, and the crown. Dr. French places the implant fixture and the restorative Dentist usually places the abutment and crown.

Implants typically have survival rates about 95-98% and can last over 25 years. Despite high survival it is important that each case be evaluated carefully as failures can occur. The degree of difficulty for each case varies and can affect survival rate. If the case is not treated properly then a failing implant can cause bone loss. It is thus very important that the surgeon has done a comprehensive exam and developed a suitable treatment plan, as well the surgeon should have experience and training to match the level of case complexity.

implatlar
bego implant

How Do Dental Implants Work?

A dental implant is more than just a replacement tooth, it is a full restoration of a missing tooth. If you take a very basic consideration of the tooth structure, there are three main building blocks that provide you a functioning tooth: the jaw, the root, and then the tooth. When a patient loses a tooth, they also lose that middle piece, the root. The root is what connects the tooth to the jaw, and the loss of the root will cause significant changes in your mouth. The jawbone will suffer immediate and increasing bone loss, shrinking due to resorption, which with time will impact your facial structure. Using a dental bridge or partial, the portion that you can see can be repalced, but without that tooth root, there is no connection with your jaw, and that resorption will continue.

İSTANBUL

THE IMPLANT PROCEDURE:

CONVENTIONAL PLACEMENT

conventional =  implant placement in mature bone , typically 3-4  months after the tooth extraction.

Stage I surgery  – the gum is lifted back to place the implant in bone. The gum is then sutured around the implant. Then the implant heals for 2-3months while bone grows on the surface of the titanium (osseointegration).

Integration verification  – after 2-3 mos healing Dr. French takes an x-ray and tests the implant for integration to the bone. If the case was done with a bone graft then a minor re-opening surgery may be included at this visit.  In some cases Dr French may also provide the abutment at this time. Restorative  –  your dentist prepares an abutment ( connection between implant-crown) and places the final crown.

IMMEDIATE  PLACEMENT

This protocol is typically used for implants at single rooted teeth (bicuspids and front teeth) and can also be used in full arch cases but it is not usually used for molars (back teeth).  For immediate placement there should be no infection present and good quality bone around the extraction socket. The advantage is the time to completion is reduced but it does have potential to increase complication rates.

Stage 1 surgery –  the tooth is extracted and the implant is placed in the socket and beyond to engage solid bone. The gum is then placed just adjacent the implant. The bone then is allowed to heal for 3months (osseointegration).  In some cases if the implant is very stable then an immediate crown can be provisionally placed.

Restorative visit  –  at your dentist  who places the abutment and the final crown.

When bone grafting is required

Bone atrophy (resorption) basically describes the process of wasting away of body tissue (bone in this case) as a result of cell degeneration. It is a natural phenomenon that occurs after the extraction of teeth, which can be exacerbated over time due to dentures. Patients who have worn dentures for many years and have advanced atrophy of the jaw sometimes don’t have the necessary quality or volume of bone that’s required for dental implants.

If your jawbone isn’t thick enough or is too soft, you may need bone grafting before you can have dental implant surgery. That’s because the powerful chewing action of your mouth exerts great pressure on your bone, and if it can’t support the implant, the surgery likely would fail. A bone graft can create a more solid base for the implant.

There are several bone graft materials that can be used to rebuild a jawbone. Options may include a natural bone graft, such as from another location in your body, or a synthetic bone graft, such as bone-substitute material that can provide support structures for new bone growth. Talk to your doctor about options that will work best for you. It may take several months for the transplanted bone to grow enough new bone to support a dental implant. In some cases, you may need only minor bone grafting, which can be done at the same time as the implant surgery. The condition of your jawbone determines how you proceed.

Bone grafting procedures in the jaws are successful but the disadvantage is prolonged treatment time (extra stages needed for bone graft placement, healing and maturation and then implant placement). Additionally, a denture will be needed while the bone grafts heal (for 3-4 months). Sometimes the bone graft is rejected (if it doesn’t heal properly) and you often experience more pain and swelling when certain types of bone graft (block) are used.

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