Implant Dentistry

Implant Dentistry

Implants are used not only in dentistry but also in orthopedics and heart surgery. dental implants are designed for tooth loss with the implants acting as the tooth root. After the implants have integrated with the jawbone, we attach the artificial teeth them. Made of titanium with very special techniques, implants can be used with either fixed or removable dentures. Your dentist uses advanced technologies during the production of implants.

How Do The Teeth Made On the implant Look?

Your dentures are made after the implant and the bone have integrated. implants are used to make fix the dentures in position. 

In some cases, they are used before precision attachment dentures are made in order for the removable dentures to easy attatch.

Dentures on the implants are generally fixed crown-bridges. However, for some reason hybrid dentures have become widespread. They are dentures used when there is alveolar bone loss that will ruin the esthetic look and they are easy to use because they are fixed. For natural looking teeth, your dentist makes metal or zirconium based composite dentures with porcelain or ceramic fillers. Your dentist may also advise acrylic teeth. 

Implant and Esthetic Teeth

There are many factors affecting the esthetics of dental implants. For an ideal smile, we analyze your mouth as a whole. There has to be an agreeable plan taking into account not only the implant area but also the patient's natural teeth. We determine what to do according to the smile analysis results of the patient and then continue systematically.

In implant teeth esthetics, factors like healthy bone structure, gums and lip structure are important. Your dentist determines the volume, length and width of bone density in advance and then accordingly designs the dentures to be put on the implant. 

Why Is It Important to Replace Lost Teeth As Soon As Possible?

When you lose a tooth, the teeth next to it will start to shift over into its place in a short time. This happens especially with the lateral and posterior teeth. Furthermore, the upper and lower teeth need each other in order for effective chewing. However, when a tooth is lost, the tooth on the opposite jaw will grow longer in attempt to compensate. This may cause considerably important problems. The positions and angles of your teeth will change and this may cause problems on the temporomandibular joint and pain. Another possible result is the deformation of the 90-degree angle between the teeth and the jawbone. During the chewing process, the teeth will put more pressure on the jawbone. This may result in the loss of bone and healthy teeth in the affected jawbone area. 

Gaps occurring due to the tooth loss will create areas that are difficult to clean, thus you may get plaque and tartar. These problems will lead to gingival disease and tooth decay in unexpected areas where it is more difficult to treat. Conequently, over time, it will be more difficult to place an artificial tooth. In many cases, artificial teeth are placed after long term orthodontic and implant treatments. Given the above, we strongly recommend recieving crowns or implants to replace your lost tooth as soon as possible.

Do I Feel Pain During The Implant Procedure?

Dental implants are placed in your jawbone under local anesthesia. Thus, you do not feel pain during the procedure. You may feel pain when the effects of the local anesthesia goes wears off after 3 to 4 hours. Every patient feels this pain to varying degrees but is never unbearable. Your dentist will prescribe painkillers to reduce the pain.

Implant Treatment Phases

Implant treatment has two phases: the surgical phase and the superstructure phase. After implants are surgically inserted patients wait approximately  2 to 4 months during the “osteointegration” period. During this time, your jawbone biologically meshes with your new implants. After this phase, it approximately takes a week to complete the superstructure phase.

What Should I Do To Take Care of My Implants?

First, your oral hygiene still is very important, as it is for your natural teeth otherwise, you may lose your implants. If you do not carefully brush your implants, teeth and gums, swelling, redness and bleeding may occur because of bacterial attacks. This is followed by bone loss and you may consequently result in you losing your implants. If you have natural teeth near your implants, you may begin to suffer from cavities and gum problems with these teeth and you may also lose them.

As a patient that has decided to have implant treatment, you are aware of the importance of oral hygiene. We know that the implant process will go smoothly with a little education your will receive from your dentist and routine check ups. Another important point to consider is smoking. You need to quit smoking to avoid the negative effects it will have on the healing period.

Points to Be Careful About After Implant Treatment

After implant surgury, you cannot use the treated area effectively due to the stitches in the wounded area. Even in cases patients do not recieve sutures,they still should not use the area. 

Your dentist will give you some medicine following the operation. You will need to use this medicine regularly and clean the wounded area with special brushes. Cold compression will be effective to avoid swelling. Your dentist will prescribe the special brush you need. You should start brushing the wounded area in the way your dentist recommends the following day.

Sometimes, due to the gum structure, you may get undesired tissues and festering areas during the healing process. Your dentist may treat those areas during check ups. 

Your dentist will remove the sutures a week later and you will then wait for 3-4 months to have your dentures attached.

Bone Grafting & Sinus Lifts

What is Bone Graft?

The success of dental implants is largely dependent on bone density in the area where you will have your implants. Bone density and quality are related to factors like infections or trauma. However, with today’s techniques, dentists can increase the width and length of the bone. We fill damaged areas and anatomic cavities (like the sinus), thereby preparing the area the for implant procedure. Your dentist will analyze your examination results and x-rays and will tell you if youl need bone grafts before the operation. To make bone grafts, we use natural or synthetic materials, or mixture of both. We usually need only small amounts. Your dentist should tell you how much you is needed and how much it will cost before the operation. Artificial or natural bone grafts are the safest and most effective way of increasing bone density.

Sinus Lifting

A sinus lift is a very similar procedure to bone grafting in that donor bone is used to build up an area of the jawbone which is considered too thin for implants. In this case, the upper jawbone is the area to be treated. The upper jaw is usually thinner than the lower, which makes it more difficult to insert dental implants. If the sinus wall is too thin, it is impossible to insert a dental implant as it will not be able to providei a solid foundation to hold it in place. The upper jaw will need to be built up via a bone graft in order to retain an implant. If you have suffered advanced bone loss, your only option used to be  dentures but thanks to new grafting techniques, implants are now an option. We can bulk out the sinus wall by lifting the sinus membrane and then grafting donor bone onto the sinus wall. This will increase the depth and width of the sinus wall in preparation for your implants.

Can Patients With Jawbone Loss Have Implants?

If you have weak jawbones, your dentist will graft bone into the area. These artificial bone granules become real jawbone structure in approximately 6 months. Moreover, your dentist may strengthen the bone by taking a piece of bone from another part of the mouth and placing it in the jawbone area. If you have lost all your teeth, you may have to use complete dentures. Complete dentures are removable dentures supported by the upper and lower jawbone and fit to your jawbone with the help of a vacuum created by saliva.

How to Treat Moving Dentures with Implants?

As they are removable, you can take them off any time you want. Dentists recommend you take your dentures off before going to bed and put them in a container filled with water containing denture disinfectants you can buy from any pharmacy. You will rinse your dentures in the morning before using them. If you have enough bone and saliva density to hold your implants in place, it means you will not have difficulties getting used to your implants. However, if you have suffered bone loss, your implants will constantly move and come off and bother you no matter how ideally they are made. Food particles will get under your implants and cause discomfort whenever you eat. Although these problems are seen largely in lower jaw dentures, you may see same problems when you lose upper jawbone density, too. In today’s dentistry, you can have your implants stabilized with a method where your dentist will place tooth root into the jawbone.

There are two methods: 

First method uses two or four implants to prent the denture from moving and puts new dentures on top of them. Two or four implants are inserted into the jawbone after which you wait for approximately for 4 months for the implant to integrate with the bone. Later, your dentist attaches new dentures onto the dentures. The second method is used to prepare fixed dentures for patients with no teeth. Your dentures and implants are fixed and several of them are placed into your jawbone as though they were natural teeth. They are also used for fixed crowns. Your dentist needs x-ray analysisi detailed clinical examinations and planning to carry out this procedure. 

Fixed Teeth with 4 Implants (All-on-4 )

Developed by Dr. Paulo Malo, this method is used for patients who have teeth on a single jaw or do not have any teeth at all. We can also offer this method to patients who:

- have excessive bone loss, especially at the back of their jawbone
- do not want bone replacement
- need immediate teeth / denture replacement on implants
- want to use fixed dentures with as few implants as possible

With the all-on-4 method, you may get fixed dentures as soon as your dentist has inserted your implants, however, we have to point out that some patients have such levels of bone loss in their molar areas that it may be impossible to make implants. There is also the possibility that a patient's jawbone may not be anatomically suitable for implants.

Questions & Answers

Question: What Brand of Implants Are Better? 

Answer: Your dentist will decide on the brand that is most suitable for your mouth. Sometimes, dentists need to use different brands of implants with a single patient. There are different brands and designs. You should of course prefer brands that have been proven and certified to have a long life.

Questions: How Long Do The Implants Last? 

Answer: There have been cases of implants being used without any problems for 30 years. 

Quetions: Are Implants Rejected By The Body? 

Answer: It is impossible for the body to produce antigens against implants and reject them as with organ transplants. Implants are made of titanium that does not cause any side-effects. Implants may come out when they do not mesh well with the bone. Your dentist will replace it with a new implant. 

Question: How Long Does It Take For Implants to Mesh With the Bone?

Answer: Under normal conditions, the surgical procedure for implants takes approximately 15 minutes. However, the total procedure time depends on the  jawbone's condition, the number of implants and the patient's own ability to recover.