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What problems can tooth implantation solve?

• Single tooth missing. In this case there is no need to remove the neighbor teeth nerves and turn-process these neighbor teeth for tooth crown attachment
• A few teeth missing in a row. Tooth implantation provides a possibility to place a stationary dental prosthesis instead of a removable dental prosthesis.
• All teeth missing

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Tooth Implantation History

In 1965 professor Ingvar Branemark was a head of research group at the University of Goteborg (Sweden) and his studies finally resulted in osteo-integration discovery (titanium prosthesis integration into tissue). Branemark’s researches were aimed at jaw bone healing and regeneration after injury. The most remarkable thing about this is that osteo-integration phenomenon was discovered accidentally.

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FAQ’s on dental implantation

My doctor told me that I've got periodontitis and that makes implantation not possible. Is it true?

No, that is not true. On the contrary, in case of severe periodontitis when there is frank bone atrophy, serious tooth mobility and some teeth are already being removed implantation is the only way to stop the bone atrophy and save the remaining teeth. Implants transfer the chewing load directly into the bone; metabolic processes are much faster around them than around the teeth, that is why there are no conditions for inflammation development.

How long do implants serve?

The question is not correct. Implantology is a young science. Its active development started only about 25 years ago. That is why we cannot say yet how long the implants serve. In foreign scientific literature 25-yaear-old successful implantation results have already been described, i.e. people have been with the implants without any problems. In Russia, due to objective reasons, this period is less - 15 years. In clinics there are doctors who have had 10-years' 100% successful experience in implantology. We can say how long a crown on the implant serves. That is 10 years with the adequate and regular care. As for the implants, we hope, they will serve you for all your life.

Do implants and crowns on them require any special care?

The most important thing is cleanliness! In addition to a toothbrush and toothpaste it is preferable to have a floss, brushes and an irrigator in your armoury for the oral cavity hygiene. Many of us have all those things, but few know how to use them correctly. Demand to be taught how to care for implants, crowns and teeth. Besides that, twice a year it is OBLIGATORY to have professional hygiene of the oral cavity in your doctor's armchair.

Can bridge-like prostheses be placed onto implants?

Yes, they can. The main condition of such constructions long service is the length of implants functioning as a support for the prosthesis. E.g. if two implants 9 mm in length have been placed, a bridge-like prosthesis is not possible; but if you've had two implants 15 mm in lengthy, most probably, a bridge-like prosthesis is possible. The longer the implant is, the more is the area of it being supported by the bone and the better it transmits the chewing load.

What is the difference between the tooth extraction with following implantation and the usual tooth extraction?

A quality implant placement requires a bone; and the more bone there is, the better. That is why teeth need to be extracted very carefully, without breaking the bone walls. And it is required to plant FRP into the socket after extraction. FRP is blood plasma enriched with fibrin and thrombocytes. Thrombocytes are the blood cells containing the factor of the cell growth. The socket healing occurs quicker and the bone fully restores.

What is sinus lifting?

Sinus lifting is the operation of the bone volume augmentation by lifting the maxillary sinus of the upper jaw. The point is that all people have different size of this cavity - bigger for some people, less for others. With the ag, the size of the sinus becomes larger. The need for sinus lifting especially often arises when there is a long missing of teeth in the lateral parts of the upper jaw. The point is that if the bone doesn't experience the chewing load for a long time, it atrophies, similar to the way a plastered muscle "dries out" and atrophies. And for quality implant placement we need enough bone volume, which can be achieved with the help of sinus lifting operation.

How long should it take since the implantation to make prosthetic appliance?

From one day to three months. It all depends on concrete clinical situation. There are too many factors playing a significant role here: the bone volume, its density, whether the implant was placed into the natural or modified bone, and whether the patient has any pernicious habits and accompanying illnesses.

Can several implants be placed at a time?

Yes, they can. In this case it is preferable to perform the operation at the presence of an anesthetist who will perform pre-medication, that is prepare you for the operation to relieve stress, tiredness and monitor the condition of your organism during the surgical intervention. Though the procedure of implant placement is simple in itself, it is still a great stress for the organism (especially when several implants are placed at a time), and not everyone is able to stay in the armchair for 2 hours.

What can be done if there isn't enough bone for implant placement?

In this case osseoplasty with the help of different methods is performed. It can be done with the help of bone blocks transplantation, bone-replacing materials (Alloplant, etc.) planting osseoplastic materials, placement of titanium nets with bone powder and destractors (miniature Ilizarov's apparatus), which allows to augment the bone in height.

Is implantation possible immediately after tooth extraction?

Yes, it is. But only in case there is enough bone to stabilize an implant in an immovable position. If the removed tooth was the cause of a cyst development or some other inflammation, then, as a rule, an implant can't be placed immediately.

What is the computed tomography for and how is it different from an ordinary X-ray?

An ordinary X-ray image is a projection of a three-dimensional object on a plane. We see the area under investigation in two planes only: different anatomic masses are layered on one another, some curved objects may look direct in the film, objects of a smaller size may not be visible at all which may lead to a serious distortion in their view and the size and, consequently, to a mistake when planning the operation.
Computed tomography is a "layer-by-layer scanning" of the area under investigation in three planes with the image computed processing. We receive an opportunity to see all the objects in volume, to asses their real sizes and interrelation with each other. Computed tomography allows the dentists to asses the bone volume and quality in place of suggested implantation, to place "virtual implants" and find out their interrelations with anatomic masses (blood vessels, nerves, sinuses) and to plan future crowns which will be fixed onto the implants.

What are the complications occurring after implantation and measures of their prevention?

At the stage of implantation the complications, as a rule, arise if large blood vessels are damaged (long and steady bleeding, hematomas), or nerves (part of a face numbness). The preventive measure against them is the doctor's good knowledge of the anatomy of maxillary-facial area and a computed tomography image which allows the doctor to see the interrelation of future implants with all the vessels and nerves. In case the patient doesn't follow the doctor's recommendations on the mouth cavity care, doesn't restrict himself in smoking during the post operative period complications often arise which expresses itself in the inner bone parts of the implant exposure, the development of inflammation around the implant (peri-implantitis) and, as a consequence, the loss of the implant. The preventive measure against these complications is a careful following to the doctor's recommendations.

What indications and counterindications to implantation are there?

There are no absolute counterindications to implantation on a large scale (except for oncological diseases at the terminal stage and mental diseases (schizophrenia, etc.)).
Temporary counterindication is pregnancy.
Patients with systematic illnesses of internal body organs (diabetes or hypertension) as well as those having pernicious habits (smoking, drug and alcohol abuse) need to be slightly more careful with implantation. Though, it doesn't mean at all that implantation is not possible with such patients. With the adequate post-operative management all the implants osseointegrate and function well even in cases of severe forms of diabetes.
Indications: partial or full teeth missing on the upper or the lower jaw.

They say, implants are often rejected. Is it true?

No, it is not. An implant is made of chemically pure titanium. Titanium is a bioinert material; the organism doesn't see it, and, consequently, can't reject. When fulfilling a profound analysis of all the cases of the so-called "rejection", mistakes at the stage of operation planning and following prosthetic appliance are revealed, or those are the cases of inadequate care for the prostheses on implants.