IMPLANT

Not being able to smile comfortably due to your tooth loss, not being able to chew comfortably with your removable dentures…

It is possible to get rid of such complaints, which will reduce the self-confidence of the person or cause disruption in his social life, with the developing dentistry technology. In such complaints, you should consider dental implants in terms of treatment options.

Implants are fixed, natural, aesthetic and comfortable and therefore they have taken their deserved place today. By choosing the implant treatment, your smile, self-confidence, chewing function and aesthetics will be replaced, in short, your life will change.

In short, an implant is an artificial tooth root placed in the jawbone with a simple operation in order to restore the function and aesthetics of missing teeth. They are usually produced from titanium element with very advanced technology and are in the form of screws. (implant = implant = false teeth = implant teeth = screw teeth = screw teeth)

First of all, implants prevent bone loss. Normally, when a tooth is extracted, the bone tissues in the extracted area will melt. This is a normal meltdown that we don’t want. If an implant is applied to that area immediately after tooth extraction, this bone loss does not occur. Since there is no bone loss, gingival recession is not seen and it gives much more perfect results aesthetically. There is no other option other than the implant that preserves the amount of bone in the extraction area.

One of the biggest advantages of the implant is that no operation is performed on the teeth adjacent to the extracted tooth. Normally, while a fixed bridge is being made for you, your two teeth adjacent to the gap also need to be cut. Implants are made only in the extraction cavities and the side two teeth are never touched.

Especially if your back molars have been extracted or in other words, if you have no teeth left in the posterior region, the only treatment option classically is a removable prosthesis that you can put on and take off, since bridges cannot be made, and it is more difficult to use these prostheses. In this case, implants offer us an excellent treatment option. With the implant screws that we will apply to the back areas, you can have a completely fixed system that cannot be attached or removed.

Implants give you the most natural looking teeth. It gives the impression of your own natural tooth while chewing. Your smile will be natural and bright, your self-confidence will be restored.

Implant is an application as old as human history. At various stages of its history, people have considered mounting parts that will serve as teeth on the jawbone as a solution. Scientifically, implant applications were started 200 years ago, in 1809, and a breakthrough was made with the use of titanium implants, especially in the second half of the 20th century, and it has been brought close to perfection today by passing various generations in terms of type and shape. There are implants with a clinical follow-up of 45-50 years, as well as newer implant brands. The important thing here is to apply reliable, guaranteed, tissue-friendly implants that will not cause any problems in terms of service, rather than their price.

The lifespan of implants depends on many factors. The general health of the patient and the care of the implants are the most important of these factors. Before applying the implant, do you have diabetes in terms of general health? If yes, is it under control? Bone density (mineral density measurement) value for osteoporosis level in women? And other routine blood tests are checked. Excessive smoking of the patient and not performing oral care regularly are also negative factors affecting the life of the implants.

To summarize, in some general diseases, implant application cannot be performed or the application is carried out by taking precautions. These ailments are:

Uncontrolled diabetes (diabetes)

Excessive use of alcohol and cigarettes

Disabled patients who cannot provide oral and dental care

pregnant women

Blood diseases with clotting disorders such as hemophilia

Patients who have received or are receiving cortisone therapy

Two years should be expected in patients receiving radiotherapy, that is, radiation therapy (over 5000 grade).

After these factors have been eliminated, we are now able to give implants a lifetime warranty. When the integration with the bone, which we call osseointegration, is completed, it becomes impossible even to remove your implants from the bone. Now they will be with you in your mouth for the rest of your life.

Of course, we do not want anyone to use cigarettes, which have countless harms. However, this should not mean depriving smokers of many things. Smoking slows wound healing and sometimes increases the risk of infection. In terms of the oral cavity, being in direct contact with smoke is also a factor that increases these effects. The amount of blood supply to the oral tissues decreases. The amount of cigarette smoked and the number of years it has been used are also important. However, we cannot say that smoking affects the success rate of the implant to a great extent. Smoking affects implant success by 1-2% at most. To eliminate this, a 10-day smoking cessation protocol, starting 3 days before the implant application and including one week after the application, will increase the success.

Being healthy is a much more important factor than age. Many patients in their 70s and 80s have a lower surgical risk than younger patients with health problems. In addition, older people need more implants than younger people, because older people have lost more teeth, osteoporosis has increased with age, and dentures no longer hold.

Is there a risk of implants being rejected by the body?

Implants are one of the excellent inventions of our age, which are made of titanium material that has no side effects for the organism and have been developed by subjecting intense research for years. It is not possible for the body to produce antigens against implants or titanium and reject it as in heart and kidney transplants. Today, the failure rate has decreased to 3%. This failure is mostly attributed to local causes. If, for example, 10 implants are applied to a patient who has no teeth in the upper or lower neck, and one of them has failed, we cannot say that the body does not accept it. If the implant under warranty does not hold, it can be replaced with a new implant free of charge.

No patient has been found in the medical literature, that is, in scientific articles, showing that implants cause cancer. Our curious patients can go to the Medline site on the Internet and search for themselves.

No. If the number of missing teeth is more than one in the same area, the missing tooth area can be completed to make 3-6 porcelain or zirconium bridges on 2-3 implants.

Implant can be used for any missing tooth, whether there is a single missing tooth or more than one tooth missing, if there is enough bone to place the implant. Implant screws are structures that have a specific thickness and width. For this reason, the jawbone in the area where the implant is to be placed must have the height and width to accept this implant screw. The quality of the existing bone is also one of the factors affecting the success of the implant. If the amount of bone is not suitable for implant construction, the area is made suitable for implant construction with some bone and soft tissue grafting techniques. As long as the general health of the patient is good, there is no upper age limit to prevent implant application. However, for the lower age limit, young people are expected to complete the growth and development period.

The patient is informed about the implant. The doctor answers all the patient’s questions. Explanatory brochures are provided to be read by the patient. The general health status of the patient, bad habits such as teeth grinding, alcohol, smoking, and oral hygiene are evaluated. Implant planning is done on the patient’s chin films, computed tomography and models. At this stage, the type of implant, where it will be placed and at what angle is determined. After the operation of placing the implant in the mouth, a suitable temporary prosthesis is made for the patient. It is waited for 2-6 months for the healing process (the bonding time of the bone with the implant). This waiting period varies according to the quality of the bone, whether an artificial bone called graft is used, and the lower or upper jaw. Sometimes, the air spaces called sinuses in the upper jaw may hang down, limiting the application of the implant. In such cases, air spaces are pulled upwards by sinus lift operation and artificial bone is placed between the sinus floor and a small amount of remaining bone tissue. Thus, the bone tissue required for the implant is provided. In such cases, at least 6 months must pass to make a prosthesis on the implant. However, such disabling factors are less common. Normally, a waiting period of 2 months is considered sufficient today. At the end of this period, a prosthesis is made on the implant. In some cases, as soon as the implant is applied, which we call immediate loading, the measurement can be taken and even prosthesis can be made.

How long does it take to place the implant in the bone? The time for the implant to be placed in the bone, or in other words the surgical procedure, is about 15-20 minutes for an implant under normal conditions. If there are no teeth in your mouth, all implants can be applied to the mouth in about 1-1.5 hours.

The patient does not feel any pain during the placement of the implant in the jawbone. Local anesthesia used during tooth extraction is sufficient for implant operation. The pain to be felt after the implant operation, which is applied correctly, is relieved with a simple painkiller.

If the number of implants to be placed is 1 or 2, the patient can return to work the next day. That is, it is sufficient for the patient to be on leave on the same day for implant surgery. However, if an implant is to be applied to the entire chin, and the number of implants is normally 6, the patient should take leave for 2-3 days due to post-operative edema. During this leave, they should rest, apply cold compresses for swelling on the face due to edema, and take their medications regularly. At the end of the first week, the sutures are removed and waiting for the implant to fuse with the jawbone. During the waiting period or the osseintegration period, the patient does not have any complaints such as pain or swelling.

There is no risk other than the risks that can be seen in all intraoral surgical procedures. These may occur in the form of infection in the early period and infections due to inadequate oral hygiene in the late period after the completion of the dentures. However, since we routinely invite our patients to whom we have implanted for the necessary controls, even the smallest problem that may occur is caught at the very beginning and a smooth recovery can be achieved with the necessary interventions. In this type of treatment, our request from our patients is to come to all controls and perform hygiene practices as we have explained.

The answer to this question depends on the condition of the jawbones and how much budget is allocated for treatment. If the patient comes out frequently while using his dentures, that is, if the bone tissue is completely melted and the prosthesis does not hold, there are two options. Either to make a fixed prosthesis by placing 5-8 implants in the jaw depending on the bone height, thickness and quality, or to apply a removable prosthesis by applying 2-4 implants to the anterior region if a more limited budget is concerned. There are two options for removable prosthesis planning. Either making a denture on it using ball-headed implants and increasing the retention of the denture, or making a fixed bridge in the front area, or a snap-in or sliding prosthesis, which we call a precision-connected prosthesis at the back. Both types of removable prosthesis options are very pleasing, they do not move, they do not come out of the mouth during speech or eating. However, if there are no teeth in the mouth, the ideal treatment is of course to make a fixed bridge by placing implants in the jaws.

If one or more teeth are missing in the mouth, the necessary treatment is performed in the most ideal and best way by applying one or two implants to the missing area.

The most aesthetic, durable and technological material used today is zirconium.

The main cost of implant treatment is due to the valuable materials used. It was an expensive treatment method 10 years ago, but we can say that it gets cheaper every year. As the rate of dental implant application increases in the world, the number of implant manufacturers increases, and as a result, competition reduces costs. Today, implant treatment has become applicable at a lower cost than some alternative treatment methods. For example, implant application to eliminate a single tooth deficiency is lower than the cost of making a bridge prosthesis made entirely of porcelain in the same area. In addition, it should not be forgotten that with implant applications, much more ideal results are obtained in terms of both aesthetics and function compared to other treatments.

First of all, your oral hygiene is very important. Just as it is important for your natural teeth. Otherwise, you will lose your implants as well as your natural teeth. If you do not meticulously brush your implants, your own teeth and gums, swelling, redness and bleeding will occur in your gums as a result of bacterial attack. This is followed by bone resorption and destruction continues until implant loss. Of course, caries and gum problems occur in your own teeth, too.

As a person who has already decided to have an implant, it means that you will be able to easily achieve the issue of hygiene with the importance and level of awareness you give yourself. With a little training and routine checks by your doctor, we estimate that you will be a problem-free implant patient.

Patients who lose their teeth completely in the lower jaw and wear a total denture, or in other words, dentures, complain of constant dents due to the movement of the prosthesis, their prosthesis moving, and therefore not being able to chew well. This complaint increases with the melting of the bone tissue that supports the prosthesis over time. In such patients, implant treatment not only eliminates all these complaints, but also stops bone resorption.

Patients who lose their teeth completely in the upper jaw and wear dentures complain of nausea, which reduces the sense of taste as the prosthesis covers the palate.

The complaints of patients who have lost some of their teeth in the lower or upper jaw are the ugly appearance of the prosthesis attached to the hooks, or if they have teeth in the back, they have to have their healthy teeth cut in order to make a bridge.

Patients who have lost a single tooth also complain that they have to sacrifice at least two adjacent teeth to make a bridge. Patients who are sensitive to this issue do not cut their side teeth, walk without teeth for years, and as a result, the upper and side teeth fall into the extraction cavity and they are lost as well. Moreover, since it is not possible to chew with edentulous areas, patients eat with the other side, thus clicking on the jaw joint, that is, noise, pain and locking, may occur because of chewing on one side for a long time. Placing even a single implant saves adjacent teeth and joint problems, as well as leads to more aesthetic and functional results.

The information on the site is for support. The physician’s medical examination of the patient is not a substitute for diagnosis and diagnosis.

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