Dental implant treatment is safe and efficient, fully replacing missing natural teeth and leaving the neighbouring teeth intact. In the DENTestetica clinic, dental implant surgical procedures are conducted exclusively by second degree specialists in dental surgery, prosthodontics or periodontology who have completed advanced training programmes.
Implant insertion, which is absolutely painless, is performed under local anaesthesia or, if requested by the patient, sedoanalgesia which, in turn, is supervised by an anaesthesiologist. We employ proven implantation systems that have an international warranty called an implant pass. To position titanium rods, we use high-tech rotation devices (implant micromotors - physio dispenser) and state-of-the-art ultrasound knives (piezo surgery), commonly used by neurosurgeons. The implantation procedure is preceded by precise, 3D diagnostic tests: cone beam CT scans.
What is a dental implant? How does it work?
A dental implant substitutes a natural tooth root. Nowadays, implantation is the best method to replace missing dentition: not only is th gap filled, but the lost teeth can be reconstructed while regaining full functionality and aesthetics. Bridges and dentures can aid in mastication, however they cannot replace natural mastication. From false teeth in a bridge or denture, surface forces cannot be directly conveyed to the bone. Unlike with natural dentition, they are conveyed indirectly by the adjacent teeth or the maxillary or mandibular mucosa. Dental implants work in an entirely different way. As the titanium rod is inserted into the bone as a substitute for a natural tooth root, the chewing force from the surface of the false tooth is transmitted directly to the jaw bone. This ensures that the healthy structure and functioning of the bone are better preserved, preventing rapid bone degeneration, which otherwise, as the bone bears a reduced load, tends to occur.
A dental implant consists of three components: a titanium rod inside the jaw bone, a titanium or ceramic abutment and a prosthetic crown.
What is dental implant treatment?
The implant rod is made of titanium, a bio-compatible material which does not elicit allergic reactions. Titanium is non-ferromagnetic and therefore, patients with dental implants can be safely examined with magnetic resonance imaging (MRI). The surface of the implant rod is covered with an extremely porous substance, which facilitates and accelerates osseointegration, that is the integration of the implant in the bone. As a result of this unique phenomenon, bone cells are incorporated into the external layers of the titanium rod and in this way a stable union of bone and implant is obtained. When the implant has been inserted into the bone (which is a painless procedure performed under local anaesthesia), the implantologist sutures the gum for a period of 4-6 months, during which the implant firmly osseointegrates. Afterwards, the upper part of the implant is exposed and healing caps are fitted for about 2-4 weeks. The reason for this procedure is to stimulate the growth of the gingival tissue surrounding the implant. When the gum is healed, the implant is loaded with an abutment, to which either a crown or an overdenture clasp is secured with a screw or cement. In the lateral region (with the posterior teeth) titanium abutments and porcelain-fused-to-metal crowns are usually placed. In the front of the mouth (where the teeth are visible when the patient smiles and speaks), non-metal, zirconium oxide ceramic abutments and crowns are most frequently inserted.
You can learn more about dental implant treatment by watching our 3D animated video.
The major advantages of dental implant treatment are as follows:
- The aesthetics and functions of the missing teeth are restored in the most natural manner possible (the new tooth looks and works just like the original one). The implant replaces the tooth root and is inserted in exactly the same site in the jaw bone.
- There is no need to damage the teeth adjacent to the edentulous area as is the case when they are reduced in order for a bridge to be fitted. (Implants substitute missing teeth and it is unnecessary to prepare neighbouring ones.)
- The jaw bone is protected as it receives the load conveyed by the implant. Thus, the implant prevents bone degeneration, which is inevitable due to a lack of stimulation after the loss of natural teeth.
- Removable dentures can be made more stable thanks to the clasps securing them onto the implants. Denture wearers feel much more comfortable as the denture base can be significantly smaller, while the cost is only negligibly higher.
- In the long run, treatment costs are reduced: the duration of a conventional PFM bridge is about 8-10 years, while a removable partial denture lasts for an average 3-5 years. Implants can last as long as natural teeth and, similarly, they do not have to be extracted unless serious mechanical damage occurs.
Disadvantages of dental implant treatment :
- As compared to conventional methods (bridgework and dentures), the treatment is longer as it is conditioned by the process of bone healing.
What are the indications for dental implantation?
Indications for dental implantation:
- A single tooth or a group of contiguous teeth missing
- Alternating natural teeth and edentulous areas
- Complete edentulism
- Congenital absence of a tooth bud of a permanent tooth (usually in permanent upper teeth)
- Removable denture intolerance (e.g. gagging)
- Inadequate stability of a removable denture (e.g. inefficient mastication caused by an unstable denture that moves erratically in function)
Dental implant treatment is safe and efficient, making it possible to replace lost dentition while leaving the adjacent teeth intact. However, it involves a surgical procedure consisting of the insertion of a titanium rod into the bone, which means that some patients may not be suited to it or will require an additional consultation with the treatment provider in order to work out the optimum treatment plan.
Contraindications for dental implant treatment:
- Young age, usually below 16 years, due to ongoing bone development process
- Bruxism (habitual teeth grinding): dental implant treatment is possible but the patient is required to wear dental guards
- Inadequate bone in the planned implantation site (it is not an absolute contraindication as bone can be further augmented)
- Tobacco smoking, as it impedes and interferes with the healing process
- Drug and alcohol abuse, as they hinder the healing process in the periodontium
- Periodontitis: this must be treated prior to the implantation to prevent long-term implant failure
- Poor immunity, disturbed healing, blood coagulation disorders, long-term steroid therapy, autoimmune diseases, cancer and chemo-/radiotherapy, an advanced and complicated course of insulin-dependent diabetes, deficiency of blood coagulation factors
Dental implant treatment is one of the most efficient and safest methods of replacing missing teeth. Statistically, the procedure of implantation is successful in approximately 95-97% of cases. It is a rare occurrence when an implant does not bond with the bone and is rejected by the system. To a large extent, the risk depends on the implantation region and on the healing interval following the tooth extraction: if it is very short, the risk of failure increases. The initial implant rejection is not tantamount to the ultimate failure of dental implant treatment. After 2-3 months, when the bone is completely healed, a new implant can be inserted into the same site.
Can temporary dental restorations be used when the tissue around the implant is healing?
Throughout dental implant treatment, the DENTestetica specialist staff never leave the patients "toothless". We are perfectly aware that it is of the utmost importance for everybody to be able to get back to their routine as soon as possible after the implantation. Therefore, we guarantee that temporary dental restorations are promptly prepared, which take care of the aesthetics, comfortable chewing and speaking as well as protecting the wound and facilitating healing. Temporary restorations are usually made in the pre-operative period and can be worn immediately after the implant rod has been inserted. Depending on the clinical condition of the patient, the restorations can betemporary crowns loaded upon the implant proper or upon an additional microimplant screw (a tiny screw placed next to the rod), acrylic or fibre-reinforced composite bridgeworks, or microprostheses.
Who can perform implantation surgery?
In Cracow and throughout Poland, dental implant treatment is provided by dental doctors. Up until now, no regulations have been implemented to ensure that implantations are performed by operators with adequate professional qualifications. Consequently, it is legal for any dentist who has obtained the right to practise (after five years of medical studies - the obligatory internship requirement has been recently waived), to insert dental implants. Since dental implant treatment is exactingly complex and involves using cutting-edge methods, an implantologist should be comprehensively educated and have extensive experience in dental surgery, prosthodontics and periodontology. Dental implantology is a dynamically developing speciality field, calling for continuous professional training. It is recommended that the patient consults an experienced dentist who specialises in dental surgery, prosthodontics or periodontology (and has obtained a relevant diploma from Centrum Egzaminów Medycznych- Medical Examination Centre - based in the city of Łódź). Furthermore, the dentist should have, after following the appropriate training, been granted a certificate to use a particular implant system. Patients are advised to ensure that the implant system being offered has international and Polish certificates. Additionally, a competent implantologist is always able to present every patient with a clear and comprehensive explanation of the advantages and disadvantages of any selected treatment option that may lead to satisfactory treatment outcomes. Also, a patient should receive in writing, along with the treatment plan, an accurate cost estimate to be approved and signed prior to the treatment.
Meet the DENTestetica team of specialists in implantology and prosthodontics:
Andrzej Gala DDS, PhD
Specialist in prosthodontics
Marcin Dyląg DDS
Specialist in dental surgery
What is the cost of dental implant treatment?
In the long-term, dental implant treatment, as compared to conventional treatment, incurs lower total costs (especially when the patient has adequate quality bone and does not require further bone augmentation). Of course, initially, the cost of dental implant treatment may appear significantly higher than that of classic treatment methods, but one must bear in mind that:
- The quality and all the advantages of dental implant treatment are incomparable to those of conventional treatments (bridges and dentures). Both the quality of the implant and the comfort of wearing it are superlative.
- The duration of an ordinary PFM bridge amounts to 8-10 years, and a removable partial denture or an acrylic denture, 3-5 years. The implants can last as long as natural teeth and similarly, unless serious mechanical damage occurs, they do not have to be removed.
- Dental implant treatment does not involve any reduction of adjacent teeth and prevents bone loss.
- Dental implant treatment is prolonged (from 4-6 months to 2 years in the most complex cases). As a result, the cost is spread over longer periods as payments are made after subsequent treatment stages.
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