Dental implants incidents

Tooth implant cases from real patients. Here we see some cases with dental implants. In simple words the dental implants are titanium screws that are placed in the space left by the missing tooth. Tooth implants replace the root of the lost tooth. This is the most conservative method we can use to fill the gap of a lost tooth. In dental science, the conservative method is the one that does not require grinding or other types of interventions on the adjacent teeth. The placement of dental implants is a relatively new technique in cosmetic dentistry. Previously, we used to use bridges. However, the bridge over time presents several problems. It is also not a conservative method like dental implants.

Tooth implants first case

In the first case we will discuss today, the patient came to the clinic in this condition, in this picture.

She had mobility in all of her teeth, all of her upper teeth, the teeth in her upper jaw. There was very little mobility in the lower teeth. There was periodontitis treatment there. In this way the teeth of the lower jaw were kept. The teeth in the upper jaw could not be held. They had end-stage mobility. That is, very high mobility, and they had to be all removed. As you can see, the patient couldn't chew. When all your teeth are moving, you can't chew. This whole situation was going on for a long time.

And she decided to come to our clinic for the solution of her problem. The teeth were removed in one session, and six implants were placed in her upper jaw. After the six maxillary implants were placed, the final porcelain restoration is what we see here in the photo afterwards. Fourteen teeth were placed in the maxilla which are single teeth. That is, the fourteen teeth form a single bridge and are supported by these six implants.

The restoration is immobile, i.e. it does not go in and out of the mouth. The patient feels that her mouth has returned to the state it was in when she was sixteen or seventeen years old. As our teeth were in our youth, before any problems started. And even with the aesthetics that she and we desire. A perfect smile, given that we make it from scratch. And in the color we choose. We even had the lower jaw teeth whitened so we could put a slightly whiter color on the upper teeth. She is now smiling happily.

Tooth implants second incident

In the second incident the patient presented in this condition. He had no teeth in the lower jaw. In the maxilla he had only a bridge on the upper left side and a tooth back-to-back on the right side. There were some mobile restorations that he was wearing.

He decided to proceed with real estate rehabilitation. Four implants were placed in the upper jaw, since the teeth he has in the upper jaw were kept, i.e. the ones we see at the beginning. The bridge was kept on the left and the tooth was kept back to back. So only four implants were needed in the upper jaw while six implants were placed in the lower jaw; all done in one session, in one appointment. So the four implants were placed in the upper jaw and the six in the lower jaw. And along the way, a single bridge was placed in the maxilla and a single bridge was placed in the mandible. The maxillary bridge had eight teeth and the mandibular bridge had fourteen teeth. These restorations are immobile, that is, they do not go in and out of the mouth.

The patient can chew comfortably. He will only come to the clinic for re-examination. As would someone who has his normal teeth and visits the dentist every six months for a cleaning or checkup. This patient will do exactly the same thing. He will come in every six months to be seen. Take some x-rays possibly, once a year usually. For a cleaning and a checkup, nothing more. Just a simple brushing, like we would do with our own teeth. And in fact after the treatments we always do a brushing lesson for our patients. Because we weren't born knowing how to brush our teeth. To make sure that from now on their teeth care will be appropriate

Tooth implants third incident

In the third incident, this lady came in without teeth in her lower jaw. She probably had three teeth in the lower jaw which were very mobile and were removed. On top of these three teeth was held a movable partial denture. Those three teeth needed to come out and he wanted to proceed with an implant restoration.

Six implants were placed in the lower jaw. The extractions and implants were done in one session. And then impressions were taken, rehearsals were done so that we could fabricate, with the help of the dental technician, a single porcelain bridge with fourteen teeth. That completely restores the mandible both aesthetically and functionally. And now the picture is what you see in the second photo. It's a fixed restoration. The patient can chew comfortably. She no longer has to put in and take out mobile partial or full dentures. She only comes in for one checkup every six months. As well as any x-ray checkup we deem necessary, usually once a year.

Tooth implants fourth incident

In this incident, the lady was brought to this initial state. A small bridge was supported on these teeth. And on this bridge was supported a partial denture. The bridge now had mobility and had to go. That was the original situation.

He wanted to proceed with a fixed restoration with implants rather than a full denture. And so the remaining teeth were removed. Six implants were placed in the maxilla and in the process a bridge was created with the help of our dental technician. A single porcelain bridge with fourteen teeth in the upper jaw. Which is supported by the six implants we placed. It's stationary, it doesn't go in and out. The aesthetics are what we wanted. In the color we wanted and in the shape that fits the patient's face, as well as the phonation.

And now he enjoys a beautiful smile and a perfect chewing function. She doesn't have to do anything more than brush her teeth properly as we have taught her and all of our patients at the end of each treatment. So the brushing is effective and her only obligation is to come in every six months to see her.

Tooth implants fifth incident

Here this gentleman came to the doctor's office in this condition. We don't have the original picture. Here the picture we see is with the implants in place.

His original image was of four teeth in the upper jaw holding a bridge. Which teeth began to move. The four teeth were removed. They were moving in a final stage. That's where their mobility was, so they needed extraction. The gentleman was going to either go to a full denture or a fixed restoration with implants. So the six implants were placed, the ones we see in the maxilla. And on top of those six implants was held this bridge that we see in the final picture.

This bridge has twelve teeth in the upper jaw. It is the color of the teeth in the lower jaw since we kept the lower teeth. It is porcelain and the lower jaw is from old work. We kept the color of the lower jaw and created this bridge in the upper jaw. Fixed restoration and the patient is smiling very, very nicely, happy. And he comes in every six months for a follow-up.

Tooth implants sixth incident

Here we see a simple case to show that we do not only deal with complete restorations of the upper or lower jaw.

One of our patients may be missing one or two teeth. Or even three teeth in one area. So there, as we can see in this particular case, two implants were placed in the area of the first and second premolar. And since radiographically the patient in the posterior molar region had no bone at all and we would have had to proceed with a sinus elevation, we did not. And too many times we choose to move conservatively so that the patient's rehabilitation and treatment can be finished much more quickly and with much less discomfort.

So in this case we placed only two implants in the area of the first and second premolar, where there was bone. And the first molar is a premolar on this bridge. It supports this restoration very well. It has no problems, it's a complete restoration. It's considered a full restoration of the area since when we have our first molar our chewing capacity is at 70%. So with the 70% of masticatory capacity a patient can chew very well. And so we did not proceed with a sinus elevation that was needed in order to put another tooth in. So only the second molar is missing in this case.

We did not proceed with the sinus elevation which is a time consuming process. Financially it is more burdensome for the patient, but mainly it is the amount of time that the patient has to wait in order for us to then proceed with the placement of the implants. Aesthetically, the restoration is flawless since in the smile, when a patient smiles, the teeth are visible up to the second premolar. That is, our smile reaches up to the second premolar. Here we put the first molar. So aesthetically it's perfect. Chewing is also very, very good. And so this three-tooth bridge was placed and completely restored. It's a fixed restoration, nothing has to go in and out.

Tooth implants seventh case

Here the patient came to the clinic with missing teeth in the upper back region on the right side. Also in the front her four front lower teeth were missing. That is, they were rocking and needed extraction of the lower teeth. Also upstairs she had an old bridge on which the teeth were rocking and needed extraction.

She didn't want to change any of her other teeth, which are fixed and healthy and aesthetically covered her. We didn't need to do anything else. She didn't want to go ahead and change the aesthetics of the other teeth. Just to restore the gaps. And so we placed three implants in the upper jaw and two in the lower jaw. We also placed a five-tooth bridge in the maxilla, that is from the canine to the second molar. And in the lower jaw a bridge with four teeth, in the front sectors of the lower jaw. Complete restoration of the mouth, masticatory, aesthetic and functional. Restoration to the color of the remaining teeth, since we were going to keep them. The patient is very, very happy. It's a fixed restoration with porcelain, nothing in and out. She feels as if the teeth are completely her own. She only comes in every six months to see her.

Tooth implants eighth incident

Here the patient came to our office with a total denture in the upper jaw and an old bridge in the lower jaw whose teeth had begun to wobble. Therefore teeth had to be removed and then we had to see what to do. The patient wanted to proceed with a fixed restoration. That is, to throw away the complete denture in the upper jaw and put a fixed restoration in the lower jaw as well.

The dentist placed six implants in the upper jaw and six implants in the lower jaw. The restoration is complete. Fourteen teeth were placed in a fixed porcelain restoration in the maxilla. And fourteen teeth in the mandible with a fixed restoration. When we say fixed restoration, we mean that the restoration is screwed onto the implants. You can't see anything at all. We have access to these restorations. Not the patient, only we have access to the restoration. Anything that happens over the years, for example a piece of porcelain breaks or an implant creates an issue, then we can take it out.

If something needs to be done in the area then we can remove these bridges that are not moving. So we dentists have access to put in and take out these bridges. But the patient themselves cannot put something in and take something out. He is completely immobile, his restoration is screwed onto the implants. You can't see anything at all inside the mouth. In the lady here we also chose a white color because it supported it very nicely. This is a lady who takes great care of herself. And so we proceeded with this restoration. It's a complete restoration. Upper jaw fourteen teeth fixed, lower jaw fourteen teeth fixed. She'll only come in for a checkup once every six months.

Here you can see pictures with dental implants. We show the situation before and after the placement of the implants.

Cosmetic dentistry

Cosmetic dentistry includes all the techniques with which we can improve the smile and the general appearance of the patient's teeth. Perhaps the most significant problem in a patient is tooth loss. The method of cosmetic dentistry that can best fill this gap is tooth implants. In simpler cases where there is no gap between the teeth we can use resin veneers the porcelain crowns. The fastest and the most economical method of cosmetic dentistry is resin veneers. But the heavy artillery of modern cosmetic dentistry is porcelain crowns. Here you can make a comparison between the different methods cosmetic dentistry.

Porcelain wreaths

A common technique in case of total tooth loss is to combine tooth implants with porcelain bridges. This means that 6 tooth implants will be placed in the jaw that has the problem. Porcelain bridges will be attached to this tooth implant which will cover the entire jaw. The tooth implant combination with porcelain wreaths has the potential to give you the perfect smile. Because together we will design the smile you want and we will make it happen with the help of the dental technician by adjusting the porcelain crowns appropriately.

Resin facets

Resin veneers are the simplest, most painless and most economical method of cosmetic dentistry. In one afternoon you can get the smile you want by filling in gaps and adjusting the shape of teeth with resin veneers. These are resin veneers that are placed on the front of the teeth. It is the ideal method of cosmetic dentistry for cases where patients are not required to bite hard with their front teeth. And of course the resin facets are the most economical of the methods of cosmetic dentistry.

---