Although the importance given to dental care is increasing today, people still lose tooth. Decaying, gum diseases, traumas are the main reasons of teeth loss. For long years, prosthesis and bridges have been used to treat lost teeth. However, today, dental implant is seen as the best alternative to natural teeth.
Dental implants are titanium materials perfectly compatible with your body. When a decayed or damaged tooth is extracted, both the root and the crown is lost. In this case, dental implants take over the root and the prosthesis which will be placed on it takes over the crown.
Dental implants do not only give you the feeling of natural teeth, they also fuse with the bone and become your permanent teeth. The discomfort removable prostheses cause are not experienced on dental implants. Thanks to dental implants, you can easily eat, talk and laugh confidently.
The anatomy of the targeted area are must be examined thoroughly and approached carefully. There is a structure called mandibular canal located on the lower jaw where nerves and veins pass through. If the distance to mandibular canal is not calculated well and the implant tip reaches this canal and damage a nerve inside, which can cause a permanent sensation loss on lips. In the anterior region of the upper jaw, the base of the nose may be damaged in the same way. It is necessary to pay attention to the maxillary sinus cavity in the upper jaw posterior region. Therefore, in order to avoid possible damages in dental treatment, an experienced and qualified dentist choice is vital.
Common implant treatment gives very successful results. Although it varies according to the area, the overall success rate is 98%.
The most important issue for success in dental implants is good planning. Without good planning, failure is inevitable. It is very important that there is sufficient bone in the implant areas planned to be made, and the implants are made in the right places at the right angle.
It is possible to provide the required amount of bone for the implant by adding bone with various methods. The bones to be added can be in powder form or in block, depending on the situation. Synthetically produced bone can be used, as well as from another area in the patient’s own mouth, from another human, from an animal source.
Scientific sources consider an implant that has been in the mouth for 10 years successful. We usually lose our normal teeth due to caries and gum problems. You can lose dental implants that replace your natural teeth for reasons similar to gum problems. The advantage of dental implants compared to teeth is that it does not decay because it is titanium. Dental implants can remain in the mouth for a lifetime when they are well cared for, regularly checked and intervened immediately in the slightest problem.
A person who has general health competence to have a tooth extraction can have a dental implant. Having healthy gums and sufficient bone density in the relevant area are the criteria sought. It is also very important that the person who will have a dental implant attaches importance to oral hygiene and goes to a regular dentist check-up. Those who smoke too much, those who have diseases such as uncontrolled chronic diabetes and heart diseases, those who have received radiotherapy treatment to the head and neck region should be specially evaluated in terms of compliance with dental implant treatment.
Osteonecrosis may occur in patients who use bisphosphonates due to osteoporosis or cancer treatment, if dental treatments that require bone intervention including dental implants are performed. Osteonecrosis is the condition that the bone becomes dead as a result of the incision of the blood flow reaching the bone and the bone breaks down and collapses. People using bisphosphonates should tell their doctor about this before getting dental implants.
If you have natural teeth next to your extracted tooth, a classical treatment is recommended by reducing the neighboring teeth. This treatment is called dental bridge. With a dental implant, this deficiency is solved without damaging the neighboring teeth.
From a scientific point of view, it can be done in 4 time periods according to the formation time of the bone in the tooth area:
1-Implantation as soon as the tooth is extracted, (Immediate)
2- 4-8 weeks after tooth extraction, after waiting for the gum to heal (Early)
3- 12-16 weeks after tooth extraction, after waiting for partial bone healing
4-16 weeks after tooth extraction, following complete bone healing.
In order to save time for the patient, it is preferred to implant as soon as the tooth is extracted, but your doctor may recommend waiting for a certain period of time depending on various factors such as the condition of the bone in the extraction area, whether the general shape of the extracted area is appropriate, and whether there is an existing infection in the extracted area.
In this case, how many implants should I have?
At least 2 implants are required. It may be better if 3 implants are preferred for further retention.
If there is more than one tooth deficiency, implants can be placed in the missing tooth places one by one, or it may be preferred to place one implant in front of the cavity and another implant to the back of the gap and connect these implants to each other with bridge treatment.
It should be considered separately for the upper and lower jaw. At least 6 implants are required for each chin. In some cases, 8 pieces are preferred because it will give better results. So if there is no tooth in the lower and upper jaw, it is necessary to perform treatment with at least 12 implants. There are treatment options where a removable prosthesis-like prosthesis is fixed to the mouth with implants. In this case, it may be sufficient to make 4 implants for each jaw.
The biggest complaints of patients who use removable prostheses that are their prostheses movements. Especially in the lower jaw, this problem is felt more with the effect of the movement of the tongue. In these cases, such changes can be prevented by connecting the prosthesis used by the patient to the implants to be made with special parts.
In this case, how many implants should I have?
At least 2 implants are required. It may be better if 3 implants are preferred for further retention.
After the implant is made, a period of fusion with the bone is expected and then a prosthesis is made on it. The period of fusion with the bone is generally 2 months for the lower jaw and 3 months for the upper jaw. When it comes to additional surgeries such as sinus lifting, the time may be longer. In some implants with special surface properties, this period is reduced to 21 days. In addition to this general information, there is also a treatment option in which the prosthesis, which we call “early loading”, is applied immediately without waiting. For this situation, your doctor should make an assessment that the oral and bone condition is appropriate.
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