Implantology is a surgical branch of dental medicine in which a highly personalized approach with the help of the most sophisticated equipment provides a solution for all forms of edentulousness, regardless of whether it is individual teeth or all teeth in the jaw. Implantology is a kind of combination of oral surgery, periodontology and dental prosthetics. Today, implantology is one of the most advanced branches of dental medicine, which enables an increase in the quality of life, natural chewing function, proper bite and high aesthetics. Dental implants are the best replacement for missing natural teeth.
1. What is a dental implant?
A dental implant is a titanium replacement (biocompatible material) that is surgically inserted into the jaw as a replacement for the root of a lost tooth. Implant placement is a routine procedure that is completely painless because it is performed under local anaesthesia. Depending on the number of implants and the length of the procedure, there are other types of anaesthesia (see Sedation). After fusion with bone (osseointegration), the implant is a replacement tooth root that can be burdened with various prosthetic works, even more than a natural tooth. A titanium or zircon augmentation is placed on the implant, which ensures a stable connection between the implant and the prosthetic replacement, and a dental crown, bridge or denture.
2. Am I a candidate for dental implants?
Generally speaking, implantology is recommended for everyone from the age of twenty (when the growth and development of the jaw and facial bones is over) to old age. The ideal patient is a patient of good general and oral health. People with chronic diseases, people with high blood pressure, diabetes and similar diseases can be candidates if the disease is controlled, and the complication is almost non-existent if the preparations are done carefully. Dental implants are the best solution to replace missing teeth, regardless of the number of teeth, and represent a long-term solution for a lifetime.
3. X-ray diagnostics, analysis and implant placement planning
Prior to any implant placement, a detailed diagnosis (2D X-ray, CBCT 3D) is first performed as a detailed examination of the oral cavity and the condition of the jawbone volume. The biggest advantage of 3D CT images is the high-quality diagnostic data necessary in the diagnosis of various diseases of the teeth, jaws and surrounding structures. With the help of 3D CT images, we obtain layered images of teeth and jaws, which are the most important item in the protocol for planning and performing surgical or implant therapy. Nowadays, the most common mistake in dentistry is to plan implant therapy based on a 2D X-ray (orthopantomogram), which cannot show the current condition and volume of the patient's bone. For example, if a patient is fitted with implants based on a 2D X-ray, there is a high possibility that the patient's jawbone does not have sufficient volume or strength to osseointegrate the implant, which results in repetition of all work without wasting the patient's time and money. Display of the strength and volume of the patient's bone is only possible with 3D CBCT images, and any surgical or implant therapy must be planned with the help of the mentioned images! After a detailed analysis of the planned work, the patient is offered appropriate implant therapy.
4. I'm missing one tooth, what would you recommend?
If you are missing one or more teeth in different positions, we always recommend placing the implants in the places of the missing teeth. The reason for this is that implant placement is a painless process, it is a long-term solution, and it is done in one visit. If you are missing one tooth, implant placement is the best solution because in that case we keep two adjacent healthy teeth, which would have to be ground when placing the bridge. Also, the implant is a better and longer-term solution compared to a classic bridge.
5. I miss more teeth on one side, what would you recommend?
If you are missing more teeth, bridges are made on the implants where the implants serve as bridge supports. They are the most natural replacements for your natural teeth, and in this way mobile prosthetic solutions are avoided, and natural teeth are preserved. At the same time, the patient receives a more comfortable and natural prosthetic replacement that functions like natural teeth, which contributes to greater self-confidence and quality of life.
6. I miss all the teeth in my jaw, what would you recommend to me?
If you are missing all the teeth in your jaw, we definitely recommend the “All on 4” implant system. "All on 4" implant system is a method that involves the installation of 4 implants in one visit to which a fixed temporary operation is attached within 36 hours and the final operation after successful osseointegration, which usually takes 3 to 6 months from the time of placement implants, depending on the quality of the jawbone. This is a particularly suitable variant in patients who do not have sufficient bone volume in the lateral parts of the jaw for classical implant placement. In this way, it is possible, without additional bone regeneration (augmentation) procedures, to permanently rehabilitate the situation of complete edentulousness. "All-on-4" allows the construction of fast fixed temporary bridges within 36 hours, and such a process is called immediate implant loading. Such teeth aesthetically and functionally perfectly imitate natural teeth. The concept of immediate loading can be applied to the replacement of one, more or all teeth in the jaw.
ADVANTAGES OF THE “ALL-ON-4” METHOD
- financially significantly favourable solution from classical methods on 6 or 8 implants
- short recovery time
- excludes complicated bone augmentation procedures that only increase the cost and prolong the entire procedure (e.g. Sinus Lift)
- easy maintenance of oral hygiene
ADVANTAGES OF FIXED WORKS IN RELATION TO MOBILE WORKS
- no removal and cleaning of dentures every night
- no gum irritation
- further bone deterioration is prevented
- maintaining hygiene as with natural teeth
- significantly better taste of food
In addition to the ''All-on-4'' implant system, we also offer ''All-on-5 '', ''All-on-6'' and ''All-on-8 '' implant systems (5, 6 or 8 implants) with fixed finishes , which offer additional stability due to the larger number of implants placed.
In addition to fixed work on implants, we also offer mobile work on implants such as cover prostheses with two implants in the anterior region (only in the lower jaw) and hybrid prostheses on 4 implants. Such prostheses are strong, stable and significantly smaller compared to a classic mobile prosthesis, but they are still easy to clean due to the possibility of removal.
In order to get an insight into your current condition, we invite you to use the free implant examination we offer, and after the examination we will give you a job offer that you are not obliged to accept.
Osseointegration is the clinical name for the definitive fusion of implants with the surrounding bone. In order for the implant to definitely grow together with the bone, it takes a minimum of 2 to 3 months in the lower jaw, and 3 to 4 months in the upper jaw from the moment of placement. After the implant is placed, the patient has temporary prosthetic work, which is used until permanent work is done after the period of osseointegration. In the case of reduced jawbone volume, we approach an additional augmentation procedure which thickens the volume of bone and tissue around the implant for the purpose of stability and quality of the implant itself, but also for aesthetics, especially in the frontal region.
In order to be sure that the implant has definitively fused to the bone, i.e. that complete osseointegration has taken place, it is necessary to use the OSSTELL ISQ device, the only device that provides dentists with complete information on the completion of the process. With the help of OSSTELL ISQ devices, our doctors can accurately and precisely measure the degree of adhesion of the implant, which allows them to make a decision to load the implant with the final work. Measuring the stability of implants with the OSSTELL device is a completely non-invasive method that can be performed in just a few seconds.
8. Computer-controlled implantology
Computer-guided implantology is based on 3D implantology templates that allow us to install implants without the possibility of error. This is a method where the dentist, the patient and the dental technician work together to plan the final work. Implant placement is planned by computer using a minimally invasive flapless surgical technique. As part of this program, it is possible to plan the complete procedure of implant placement, including their number, length, diameter and angulation, as well as various upgrades to which the prosthetic structure is directly fixed.
Protocol for making a surgical template or guide:
1. The first step is to make a CBCT 3D image of the jaw according to which the dentist makes a treatment plan
2. The software has the ability to convert a DICOM file into 3D jawbone objects and radiological templates. The boundaries of soft tissues, adjacent teeth (if any), all vital structures (e.g. alveolar nerve, mental openings, maxillary sinus, etc.) are very precisely determined.
3. The therapy plan is sent online to the factory, where a special surgical template is produced by which the technician in the laboratory makes a temporary or even definitive prosthetic supraconstruction, using a wide range of upgrades from production.
4. Finally, with the same template, and with pre-made prosthetic work, the patient is implanted with a minimally invasive technique and very precisely and safely. On average, the entire implant prosthesis procedure lasts less than one hour, during which time the patient receives the implant (s) and prosthetic supraconstruction. The total number of visits is lower than with the usual treatment.
9. Regular control
After handing over temporary and permanent work, the professional staff of the practice performs thorough training of the patient with the help of accurate instructions on the behavior and maintenance of oral hygiene, which is extremely important for the longevity of the work itself. Especially important is the control of the first year, which is performed once or twice a year, as needed, and which controls the condition of soft tissues, oral hygiene, plaque and suprastructure. A control X-ray should definitely be done to check the condition of the implant and the surrounding bone. At the end of the procedure, the patient receives an Implant Passport booklet, which from the very beginning contains information on surgery, type of implant, upgrade, temporary and permanent prosthetic work on implants, control dates, possible changes, etc. The patient is most responsible for the long-term success prosthetic therapies. Careful and precise oral hygiene is a priority because the deposited plaque creates tartar, tartar can lead to inflammation and pulling of the gums and bone with which the implant has fused. All of this leads to implant exposure, infections known as peri-implantitis, and in some cases, implant loss.