Dental implants from A to Z.
1. What are dental implants?
Dental implants are titanium "screws" that are placed in the jawbone to restore a tooth loss. In effect, the implant restores the root of the lost tooth. Inside the implant, a porcelain socket (crown) will be screwed in at the end, which resembles the shape and colour of the lost tooth. Thus the patient with this technique enjoys perfect aesthetics and functionality of his/her mouth.
2. When does someone need implants?
After the loss of one or more teeth in the mouth, modifications are performed to test the balance of the mouth. In addition to a reduction in learning, speech and aesthetic ability, the mouth gradually undergoes changes that try to close the gaps that have been created. Thus the teeth adjacent to the loss begin to close towards the gap, while the corresponding tooth in the other jaw descends towards the gap. Many times these changes that take place are irreversible and affect the viability of the adjacent teeth as well. It is therefore prudent and scientifically necessary to fill the gaps created after tooth extractions. The most conservative way this can happen is by placing implants.
3. I need dental implants. Where do I go?
After tooth loss, the dentist specialist who should take care of the treatment of the mouth with implants is the Implantologist. The specialty of Implantology includes both the placement of the implant (surgical part) and the placement of the porcelain case over it (prosthetic part). In our practice we take care of the patient's treatment from the beginning to the end, as well as the subsequent follow-up in the years to come.
4. What is the procedure (in detail) followed in our clinic?
First an initial diagnostic appointment is made. After the clinical examination of the mouth, a discussion with the patient follows. Here we are informed about his dental and medical history, as well as his personal expectations of the treatment of his mouth. If based on the clinical examination and history we judge that a patient is a good candidate for implant placement, a special x-ray of the jaws follows. This is the dental CT scan in which the size of the jawbone in the areas of interest, as well as its quality, can be seen with great precision. This x-ray is very easy for the patient, who sits in a chair and the CT scanner stem rotates around the patient for a very short time. Having now the result of the CT scan in our hands we can make a complete treatment plan. We decide what implants we will use and at what points, and we explain to the patient the type of prosthetic work and how many teeth (porcelains) it will involve (when the loss involves more teeth). We set the day of surgery and antibiotics are given which the patient usually starts the day before. When the treatment plan includes tooth extraction, these are usually done on the same day as the implant placement. Often teeth are retained which will be extracted at a later time in order to hold temporary restorations (usually bridges) until the implants are osseointegrated after three to four months depending on the case. Placement of each implant is done in 15 minutes. After the entire procedure is completed, the patient leaves the office with temporary teeth. The permanent teeth are placed in the mouth either one week after surgery (immediate loading) or after osseointegration, three to four months later (posterior loading) depending on each patient's case.
5. How many implants are needed?
In the loss of one or two teeth in a row, an equal number of implants are needed. In the loss of three or four teeth in a row, the number of implants needed is usually two again (as a bridge is placed in the area with three or four teeth and two abutments).To restore a whole jaw with a fixed bridge of teeth, six to eight implants are usually needed. Of course, the plan can always be modified depending on the quality and quantity of bone in each area and the size of the implants this will allow us to place.
6. Will my smile look good after I have implants?
The second part of implant restoration is the prosthetic part, i.e. placement of the papillae (crowns). This procedure is exactly the same as in the case of placing a socket on a natural tooth. Thus, in case of loss of a tooth, we make sure that the implant socket matches perfectly in shape and colour with the adjacent teeth, so that the result is completely natural. In the case of loss of many or all teeth of the jaw, we choose from the beginning the shape and colour of the porcelain implants that we will place, so that the patient's smile will be truly dazzling. Many patients confess to us after the end of their treatment,that they never remember themselves with such a beautiful smile!
7. Will I chew well?
Proper learning is one of the key goals of implant therapy. Both the design of the positioning of the implants and later on the type of sockets that will be placed on top of them, are such that they allow for a perfect correspondence between the two jaws and allow the patient to chew harmoniously and unobstructed.
8. What do I need to take care of so that the implant restoration of my mouth will last for many years?
The care of implants is no different from that of natural teeth. It is clear that after the restoration with implants the patient should brush his teeth effectively. Effective brushing is taught in our office at the end of each treatment, and checked at the patient's follow-up examinations so that there is no room for residual care. Having therefore ensured the correct daily cleaning of the implants, we avoid peri-implantitis ,similar to periodontitis in natural teeth. That is the inflammation of the gums around the implants, which carries the risk of bone support loss. The other factor that plays a crucial role in the longevity of implants is the forces exerted on them. Thus in the case of oral dysfunction, such as when we gag in the evening in our sleep (roaring), the forces exerted on the implants are enormous and capable of absorbing bone. So if there is something like this in the mouth,which happens completely unintentionally and we usually do not notice it, then the patient wears a special roar gauze in the upper jaw, every time he sleeps, and thus cannot tighten and disturb his implants. Any loss that could occur is prevented in this way. Roar and peri-implantitis are the two risk factors,which we make sure we have completely controlled, so that our rehabilitation has longevity.
9. Same day teeth on implants or after some months (differences)?
The prosthetic restoration on the implants (sockets) can be done either immediately after the implants are placed (immediate loading) or after some months (delayed loading). A prerequisite for the first case is that when the implants are placed, the force needed to screw them into the bone must be greater than 35 N, i.e. the bone must be sufficiently hard. It is worth first recalling the process that takes place in the bone after implantation. The implant is a titanium screw that is screwed into the jawbone. After its placement, and for the following months, a process called osseointegration takes place. During this process, the body creates new bone in the area, which penetrates the coils of the implant and makes it one with the rest of the bone, making the implant solid. So in the case of the metastatic loading we take advantage of the implant's immovability and support the prosthetic restoration (sockets) on it with great security. In the case of immediate loading we rely only on the initial stability of the implants and thus there is a much greater risk of losing either the implant or bone around it. Direct loading is used in implantology with the knowledge of this risk, only in cases where the patient wishes to have an immediate restoration of the mouth, without a period of temporary restorations not based on implants. Clearly in any other case, posterior loading is the method with the highest success rates.
10. Will it hurt?
Many of our patients worry that the whole procedure might be painful. The implants are placed under a simple local anesthesia, before which we put some xylocaine gel on the gums so that they hardly feel a sting. After the local anaesthetic takes effect, the patient feels absolutely nothing. At the end of the procedure, which lasts only 15 minutes for each implant, we give a simple analgesic (depon) so that when the anaesthetic effect has worn off the discomfort is minimal. It is worth noting that in all our patients any discomfort after the end of the procedure,lasts only four to five hours and after that no patient needs painkillers. Usually for the discomfort of these hours the mild painkiller we have given in the office is more than enough. The next day no patient feels any pain.
11. How expensive are implants?
The cost of a single implant including its case is almost the same as a bridge that could be placed in the same area to fill the gap. When there are more implants to cover the whole jaw ,the amount does not increase proportionally because the appointments for the doctor are the same,both in placement and prosthetic restoration. In general, we would say that the amount of money a patient has for implants is definitely disproportionately small compared to the quality of life they offer.
12. Are there different types of implants and what are they?
There are around 900 brands of implants on the dental market. Of these, only about 10 to 15 or so do scientific research into the development of implants. Of course, all the implants that are out there are ISO certified so they can be used safely. In our practice we use implants exclusively from global research giants with a huge literature on their clinical cases.
13. Bridge or implant? Dentures or implants?
The big advantage of implants is their conservatism, i.e. I lose a tooth and put another one in its place, without disturbing the adjacent teeth or tissues. In the case of a bridge, the adjacent teeth are reamed to accommodate it, so this method is invasive. Of course porcelain bridges have worked for many, many years in dentistry and when the way the teeth are prepared is done correctly they can work very well in the mouth for many years. Clearly though, where possible, we choose implants as a more conservative solution. In the case of loss of all teeth in the jaw, an alternative to implants is a full denture. The only advantage of this method is its low financial cost. As a solution it is a mobile restoration which is clearly miles away functionally ,from the fixed restoration offered by implants. It is worth noting that many patients do not know that wearing a full denture the bone in the jaw is absorbed in a short period of time and so usually the doctor uses other techniques in order to find the bone needed for implants (more time consuming and costly). So if we are in the time period when the extractions have to be done,it is advisable for the patient, if he/she has the possibility, to choose the implant solution immediately and not to consider it as a solution to be followed possibly later.
14. I'm very young. Can I have an implant?
We prefer to place implants in patients older than 28 to 30 years of age. The reason is that the teeth in the mouth are constantly changing position in relation to the jawbone and gums. So if an implant is placed, it doesn't change position, creating an imbalance between it and the other teeth in the mouth. Greater changes in tooth position clearly take place at younger ages. So 28 to 30 years is an age when we would say that the biggest changes have taken place and so we proceed more safely, especially in the front aesthetic zone.
15. I'm very old. Can I have an implant?
There is no upper limit on the age of people who want to have implants. The only limitation is the physical condition and health of the individual. If their general health allows it, then we proceed without any hesitation. We have many times placed implants in patients over the age of 85 with great success.
16. I am diabetic or have osteoporosis. Can I have implants?
Diabetes plays a huge role in oral health. Just as it can affect natural teeth in the mouth, it can also affect implants. For this reason, diabetes must be regulated, within normal limits and values, so that we can safely proceed with implant placement. A glycosylated haemoglobin below 6.5 (and usually close to 6) allows us to proceed with implant treatment. In the case of osteoporosis, we are interested in the medications a patient may be taking and the length of time they have been taking them. The use of these drugs carries risks of osteonecrosis of the jaws in case of some intense dental work. So in consultation with the patient's doctor, it may be necessary to stop taking these drugs for a certain period of time, so that we can proceed with the placement of implants more safely.
17. I have no bone for implants. What do I do?
In small bone deficiencies, the osteocondensation method can be used, with great success, with special drills that move in reverse and using our own bone to thicken or raise the area where the implants are to be placed. In large bone deficiencies , where the remaining bone is minimal ,the only way to rebuild it is to place grafts in the area. The procedure is simple and it usually takes a few months (3-4)for the area to be able to receive an implant.
18. I clench my teeth at night. Can I get an implant?
The roar, as teeth clenching is scientifically called, is very dangerous, both for my natural teeth and for the implants. In the latter case, the effect of the roar on the implants is the loss of bone around them and thus the loss of their support. In order to avoid such an unpleasant development, we use the roar splints that our laboratory manufactures for patients with this malfunction. In this way we avoid unpleasant consequences for both the implants and our natural teeth.
19. I'm afraid of the dentist. Will I make it?
The key step for a patient who is afraid of the dentist is to cross the threshold of the dental office. Patients who have taken this step in our office have completed their treatment at 100%. There is not a single fearful patient who has visited us and not continued their treatment.
20. Is the whole process easy or difficult?
The procedure is considered easy by all patients and they even report that they expected it to be a much more difficult experience and that they may have been nervous about it at first for no reason.
We created this article to show images of work involving dental implants. Specifically, we present images of patients' mouths before and after dental implants were placed in the teeth. You are able to see amazing results by observing the patient's mouth as it was before compared to the mouth after the placement of dental implants. These are titanium screws that are placed in the place of the missing tooth root. Tooth implantation is the leading method of restoring a gap between teeth or tooth loss. You can learn more by going to the article we have presented the dental implants.
Images of tooth implants before and after
1. The first case is a total restoration of the maxilla with implants. Fixed restoration with porcelain.
2. The second picture shows the restoration of the upper and lower jaw with implants. Also a fixed restoration with porcelain was done.
3. Here we show the result of the total mandibular node restoration with implants. Another technique applied is the immobile porcelain restoration.
4. In addition to the lower jaw, total restoration can also be applied to the upper jaw. The following picture shows a total restoration of the upper jaw with implants and a fixed restoration with porcelain.
7. Restoration of the upper jaw with implants.The patient came to the clinic with partial denture and mobility in the supporting teeth.After the teeth extractions, six implants were placed in the upper jaw.Then a porcelain implant bridge with fourteen teeth was placed. Thus the patient enjoys complete restoration of her chewing function and smile aesthetics.
8. Patient came to the clinic with a total denture of the upper jaw requesting a fixed restoration. Six implants were placed in the maxilla followed by a porcelain bridge with twelve teeth. Complete functional and aesthetic restoration.
9. Restoration of the right upper side of the mouth with placement of two implants. Then a three-tooth implant bridge was placed. (The patient's healing screws can be seen in the photo). He reports zero discomfort or pain and great pleasure in the complete aesthetic and functional restoration of his mouth.
10. Placement of two implants in the upper right side of the mouth and two central implants in the lower jaw. Then, two post-implant bridges were placed with a total of four teeth for the maxilla and four for the mandible. Complete restoration of the patient's oral function and phonation was achieved with almost no discomfort.
11. Restoration of the entire maxilla with implants. Six implants were placed in the upper jaw and 14 teeth with porcelain restorations. Complete aesthetics and functionality.
In which cases we recommend dental implants
We recommend dental implants in cases where there is a gap between the teeth due to a missing tooth. The gap can be created by fracture injury or for many other reasons. Essentially, tooth implants are delicate new ones that are inserted in the place of the root of the lost teeth. Here you can learn what are dental implants and where their use is recommended
Dental implants are a simple matter
Some people look at the above pictures and think that it is a painful method that hurts and has risks. This is a completely wrong image about dental implants. It is a technique that has reached a point where it is painless and does not cause any pain to the patient. What is dentistry gives us books so that we can easily place dental implants quickly and most importantly painlessly and without pain. But because this is a question that comes from many patients and visitors to our practice, we have created an article in which we explain the reasons why dental implants are now a simple matter.
Images of tooth bonding before and after
On our website we present images of patients before and after the application of cosmetic dentistry techniques. In addition to the images of dental implants that you saw in the article you are currently reading, you have the opportunity to see what the result of tooth bonding. We have collected pictures of patients before and after tooth bonding to show you how impressive and how beautiful the result of cosmetic dentistry is. Essentially tooth bonding is resin veneers. Here you can see pictures of tooth bonding before and after the application of the treatment.
Images of porcelain facets before and after
Apart from resin veneers, an excellent technique of modern cosmetic dentistry is the porcelain veneers. The advantage of porcelain veneers over resin veneers is that they do not absorb pigments and provide a much more permanent effect. The choice between porcelain veneers and resin veneers is the sole responsibility of the dentist. We do not decide but ask the dentist to suggest the best technique. cosmetic dentistry that fits our teeth. The pictures of porcelain veneers before and after the treatment give us an idea of the effectiveness of the method. Here you can see the pictures with porcelain facings before and after.
The dentist advises
These images come from cosmetic dentistry work involving dental implants and were carried out by dentist Tania Chatzipanagiotidou. Special care has been taken to protect the personal data of the patients. There is no possibility of identifying the patient through the photographs. The presentation of the pictures by the dentist is done in order to inform the visitor of the website about the tooth implantation technique. Under no circumstances should you use the photos to draw medical conclusions or judge whether tooth implants are a treatment that is suitable for your own teeth. This is purely a technical matter that can only be answered by a qualified dentist.