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Everything you need to know about dental implants

The dental implant allows the replacement of one or more lost dental elements with titanium “artificial roots” which, through a biological process called osseointegration, allows the application of a fixed prosthesis.

 

Since 1952, the year in which Prof. Branemark made this discovery, to date, industry and research have produced dental implants with morphologies and coating surfaces so innovative as to guarantee increasingly reliable results to the point of allowing us to reduce the time. waiting between the moment in which the dental implant is inserted and when it is connected to the dental prosthesis; in fact, from 6-8 months of the old protocols, to the same day ( immediate load ) 2-3 months for the current ones.

 

What is a dental implant?

 

A dental implant is a small titanium screw designed to replace the root of a natural tooth

missing. Titanium is perfectly biocompatible; it is the same material used for construction

of orthopedic prostheses.

Dental implants are inserted into the bone where natural teeth used to be.

Thanks to the biocompatibility of titanium, the dental implant integrates perfectly with the bone

and becomes a good anchor point for the replacement tooth (crown).

 

What to do when a single tooth is missing?

 

There are three possibilities for replacing a single tooth:

1. One  removable partial prosthesis

2. A bridge on the two contiguous filed teeth

3. The dental implant that provides support for a fixed crown in

ceramics The first two solutions were once the most used now,

instead, they have been supplanted in almost all cases by implantology.

Two implants have been inserted below  and two capsules on the two lateral incisors

upper teeth without touching the adjacent teeth in any way.

 

 

 

 

What to do when some teeth are missing?

 

The absence of more than one tooth can be resolved with the placement of a few

dental implants in strategic points so that they become the necessary pillars

to the construction of a fixed bridge. This method avoids filing healthy teeth for

perform a traditional bridge on natural teeth. Another advantage of the implants

compared to the traditional fixed prosthesis is given by the fact that the presence of the screw

blocks bone resorption.

In the case shown above, the three missing teeth have been replaced by a

bridge on two implants (instead of three) positioned at the ends of the edentulous area.

The bridge can be made of metal ceramic or ceramic zirconia (metal free)

that is, completely white as it has no metal structure.

What to do when all teeth are missing?

When for various reasons such as cavities,  periodontitis  or  pyorrhea  I am missing

all or almost all natural teeth the alternative to the removable prosthesis is represented

by entering 4 or 6  immediate loading implants  distributed over the entire arch

on which a fixed prosthesis is then screwed within a few hours.

 

 

 

 

 

 

 

 

 

 

Dental implant surgery without pain and without affecting the gums

It is possible to insert implants using a  technique that does not involve incision of the gums  and the stitches; is a technique that can reduce postoperative pain to ZERO.

 

Traditional implant techniques involve inserting the implants after having incised and unglued the gums. In this way the implantologist sees the residual bone live and decides only at that moment the quality, the shape and the number of implants to be placed.

The painless implant technique, on the other hand, studies the 3D CT scan (three-dimensional CT scan) and, thanks to some dedicated software, establishes the number and type of implants to be inserted before intervening directly on the patient.

Thanks to the use of a template and using a very normal local anesthesia, the implants (previously selected) are applied without incising and detaching the gums where there is the bone identified in the preliminary digital analysis of the CT scan. In this way, post-operative pains, bruises and swelling are minimized. Furthermore

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The ALL ON implant technique 4  when there is LITTLE BONE

When some patients come to visit us they tell us they want a fixed prosthesis but that they have been told, by other studies, that they cannot do it as they do not have bone. We answer them that the bone must be looked for and for this, adequate training and experience is necessary. In most cases, the bone is always there.

In this regard it is essential the Tac Cone Beam, special software, knowledge and experience thanks to which it is possible to apply the technique  All on implant 4 . With this technique, 4 implants placed where the bone is (even if scarce) are enough to be able to deliver a fixed prosthesis a few hours after surgery.

 

 

 

 

 

 

 

 

When LACK OF BONE what can be done?

The implant technique  All on 4  it is applicable even when there is little bone; however, how can we intervene on a severely insufficient bone structure? The patient will be  "Condemned" to removable dentures?

The answer is no.

In these rare cases we use the juxtaosseous implant technique (subperiosteal implants) with which the fixed prosthesis is anchored to a titanium structure, made with the CAD-CAM technique.  This structure in turn will be screwed onto the external surface of the bone instead of being placed internally as for endosseous implants.

The surgery is performed under local anesthesia and is therefore not painful.

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