Dental implants are titanium screws that are applied to bone within the jaw. Due to their ability to firmly affix dentures, dental implants act as artificial roots. In general they are tightened like a screw into the bone matter (in the case of enossal implants), or they are simply plugged in. They firm up and connect with the surrounding bones to become a tight, utterly stable carrier unit within 3 to 6 months.
What is an implant?
Implants are artificial dental roots which are surgically placed into the alveolar bone. Implantation has been practised successfully for decades. Implants are mostly made of titanium, a material that is readily accepted by biological tissue and thus enables adhesion between the implant and bone. According to studies, implants do not cause any malignancy in the human body.
STEP 1: Implant
Under local anesthesia the implantation spot is exposed by a cut through the gingiva. After pre-boring, the implant is inserted into the bone and the gingiva is again closed over the implant by stitches. The suture has to be removed after approximately 7 days.
STEP 2: Healing period
3-6 months; in few special cases, immediate loading (crowning) may be possible.
STEP 3: Exposure and gingiva formation
The implant is exposed through a small cut and a healing screw is placed into the implant.
STEP 4: Formation
The healing screw is exchanged for an abutment and a technical dental impression is made. A dental technician then fashions a tailor-made crown, a denture corresponding to the impression.
STEP 5: Fitting
The crown or bridge is fixed to the implant. If bone augmentation is necessary, additional treatment may be required. The implants used are made of titanium, which is a biocompatible material. Once a dental implant has successfully integrated with the bone, given good health, it should last an entire lifetime. At Madenta, we give a lifetime warranty for dental implants (excluding responsibility for osseointegration).
Who can have implants?
Anyone who can maintain good oral hygiene and given no further contraindications are present. The success rate for osseointegration is about 97%. There are several factors that are crucial to the success (or failure) of an implantation: smoking, osteoporosis, diabetes, and severe cardiovascular disease all increase the risk of failure; meanwhile, implantation is not recommended for patients under 18 years or for pregnant women.
What kinds of implants are available?
Our clinic works with several types of implants, so your dentist will help you to select the best solution for you. Any dental or gingival problems should be rectified before the procedure, as the operation must be carried out in antiseptic conditions thus ensuring the optimal conditions for healing.
The implant is inserted into the extraction socket immediately after the extraction (for this purpose the alveolus has to be infection free).
At this stage you need to wait at least 3-6 months after the extraction until there is bone to place the implant into. This is the far more frequent and successful method which is applied in practice.
What can be done in case you do not have enough bone?
If the existing bone in a patient’s jaw is not sufficient for implantation, bone reconstruction can be undertaken, or a substitute can be made. For implantation a volume of 6x5x10 cubic mm of bone is the minimum necessary to place the implant into. If the existing supply of bone is not enough, bone augmentation may be initiated, or autograft (own-bone) can be used.
A very common bone augmentation is called a sinus lift. This is a procedure to replace bone in the posterior upper jaw area under the maxillary sinus.
Whether the implantation can simultaneously take place with bone construction depends on one’s individual case and can only be decided by a surgeon. For those with an insufficient amount of bone construction has to take place first, and an implant can be applied only after 6-8 months.
Optimal oral hygiene is required following a successful implantation procedure. Furthermore, check ups are indispensable, and radiographs are made in order to test the condition of the implants. Professional teeth cleaning can take place as needed.
To maintain an optimal result that will last a lifetime, regular hygienic treatment and semi-annual check ups are a must.
Our clinic offers a 3% discount on treatment plans including implants with a total value of EUR 5,000 or above, and a 6% discount on treatment plans with a value of EUR 10,000 or above. If the total cost of treatment is paid in cash, an additional 3% discount is granted.
FAQ – Frequently asked questions about dental implants
Are there any disadvantages of dental implants?
Like any minor oral surgical procedure, there is a risk of infection, inflammation, and pain, but your dentist will discuss how these can be managed for your specific situation. If there is no available bone in which to place the implant, then bone- and gum-grafting procedures may be required, which can increase the cost of your treatment. However, the upfront investment can pay off in the long term.
What is the success rate for dental implants?
For a healthy individual with good oral hygiene and good health, dental implants are highly successful, with reported success rates above 90-95%.
Do dental implants last?
Unlike natural teeth, dental implants are not susceptible to dental disease such as decay; however, the health of the gums is vital to maintaining lasting implant success. Conscientious home care by the patient and regular professional cleanings and check-ups are essential elements for maintaining dental implants. Each patient is different, and success relies upon diagnosis and planning, medical history, and a variety of other factors.
Can dentures be made into implants?
Dentures cannot be “made into implants.” Implants are metal screws placed into the jawbone to help anchor and support artificial teeth (dentures). It may be possible to have implants placed beneath existing dentures to aid in the stabilization and support of those dentures. This can only be done if the current dentures are otherwise in excellent condition.
Are dental implants removable like dentures or do they stay in your mouth?
No, dental implants are fixed solidly in the bone and allow teeth to be replaced in a manner so that they most closely resemble natural teeth.
What can I do if a dental implant is not the right solution for me?
Implant placement is probably the most innovative method for treating edentulism (toothlessness). For highly qualified implantologists and experts using the latest technologies, the word impossible does not exist – because for a majority of people without teeth, implantation is achievable. On the other hand, it is true that for a minority of cases, an implant is not the solution! In general, contraindications include dental hygiene problems, specific anatomical conditions or certain chronic diseases. Patients might also avoid implantation and seek other treatment due to financial reasons or they may be afraid of such a complex treatment.
Even in such cases, don’t despair! Other approaches are possible. Today, modern dentistry offers many alternatives to lost teeth, from the simplest and least expensive processes to the most demanding ones. There is a wide range of treatments.
Our services offering includes: porcelain-metal and zirconia bridges; combined dental prosthesis; or a complete dental prosthesis.