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Implants

 

Implants - typical questions and answers

Why do we need to replace missing teeth?

    Our teeth are an important part of our digestive system as it is needed for chewing food. It plays a role in speech .It is also an important part of our appearance. Finally, it prevents gaps and spaces from appearing between our teeth when a tooth is lost.

What are implants?

    Implants are specially made posts that replace the roots of teeth that are missing and are used to support a new crown, fixed bridge or denture. It is made of titanium, a strong and lightweight material which has been shown to be compatible with the body and safe for use.

Anatomy of a dental implant

    A dental implant designed to replace a single tooth is composed of three parts: the titanium implant that fuses with the jawbone; the abutment, which fits over the portion of the implant that protrudes from the gum line; and the crown, which is created by a prosthodontist or restorative dentist and fitted onto the abutment for a natural appearance.

What guarantee do we have and what is the success rate?

Though no one can ever guarantee success, the procedure has been very well tested and has a success rate of 90-95% in general. Some implants have been monitored for more than 30 years. There will be a need for minor re-servicing from time to time even in successful implants. This is so especially for the denture or fixed teeth which it carries. 

Are You a candidate for dental implants?

    Whether you are a young, middle-aged or older adult; whether you need to replace one tooth, several teeth, or all your teeth, there is a dental implant solution for you. With the exception of growing children, dental implants are the solution of choice for people of all ages, even those with the following health concerns:
  • Existing Medical Conditions. If you can have routine dental treatment, you can generally have an implant placed. While precautions are advisable for certain conditions, patients with such chronic diseases as high blood pressure and diabetes are usually successful candidates for dental implant treatment.
  • Gum Disease or Problem Teeth. Almost all implants placed in patients who have lost their teeth to periodontal disease or decay have been successful.
  • Currently Wearing Partials or Dentures. Implants can replace removable bridges or dentures, or they can be used to stabilize and secure the denture, making it much more comfortable.
  • Smokers. Although smoking lowers the success rate of implants, it doesn't eliminate the possibility of getting them.

Are implants dangerous to health?

    The materials used chiefly titanium is almost never rejected by the body. These have also never been a report of it being the cause of cancer or any life-threatening disease.

Can implants improve my appearance?

    Though the main reason for placing implants is to improve our chewing abilities, our teeth play an important part in
our appearance and implants can likewise play a role to enhancing our appearance. Do discuss with your dentist as to
the cosmetic improvements which are possible as well as the limitations of the procedures.

What are the advantages over conventional replacements?

The conventional methods of replacing missing teeth are Bridges or Dentures.

Bridges usually involve sticking false teeth onto our existing teeth. This may involve filing down healthy teeth to act as retainers which may compromise the health of these teeth. Bridges can also only be provided when there are sufficient strong remaining teeth. They are however a permanent replacement, although they are likely to need replacement every 10 to 15 years.

Dentures are teeth attached to a plastic or metal plate. They can often be cumbersome as they have to be taken in and out every day and for cleaning. They may not always retain in place well if the shape of the gums and bone in the mouth is not appropriate.

Though bridges and dentures can serve us satisfactorily, Implants provide better support and usually results in more comfortable and stable replacement teeth. It provides better chewing efficiency and allows us to have permanent fixed teeth without trimming our own natural teeth for support, or having to remove the teeth every day. Implants also slow down the shrinkage of our jawbone which occurs as a result of tooth loss.

Implantation process

 


 

Directly inoculated Bego implants.

 


 

Implant junctors.

 




View after finished therapy – who knows where were implants?

Photos used with agreement our patient. Thank You very much!!!

The implant consultation

The oral examination

Your implant doctor will evaluate:

a. The health of your gums and an overall oral cancer exam
b. The quantity and quality of the bone which is present where the teeth were previously extracted, or from where they will be extracted. The ridge where the teeth were previously extracted must have a minimal thickness of bone in order for an implant to have a high degree of success.
c. The health of any remaining teeth and if there is any gum disease present.  

The x-ray examination will help determine:

a. If there is enough bone above the nerve which runs through the lower jaw - if you are needing to have lower implants placed.

b. If there is enough bone below the sinus cavity of the upper jaw - if you are needing implants placed in the back of the upper jaw.

The implant placement procedure 

Step 1. The implant is screwed or tapped into a surgically prepared site. The gum tissue is closed over the implant

Step 2. The implant remains under the gum for 3 to 6 months

Step 3. (3 to 6 months later) The implant is exposed by removing a small amount of gum tissue. An insert can be screwed or cemented down into the implant.

Step 4. The secured insert can accommodate various attachments upon which overdentures, crowns, or bridges may attach.

MORE ABOUT IMPLANTS

What should I expect during surgery?

    The procedure is normally carried out under local anaesthesia. For patients who are anxious, intravenous sedation is
also offered. During the surgery, the local anaesthesia and sedation given practically eliminates all pain. After the
surgery, there will be some discomfort, swelling or bruising but with the appropriate medication, it is usually not
unduly uncomfortable.

How do I care for implants?

    Your overall health may affect the success rate of dental implants. Poor oral hygiene is a big reason why some implants
fail. It is important to floss and brush around the fixtures at least twice a day, without metal objects. Your dentist
will give you specific instructions on how to care for your new implants.

What is bone grafting associated with implants?

    Successful placement of implants depends on the presence of bone of sufficient quality and quantity. This is not always
present in every patient. A lack of bone is usually related to local factors such as how the gums healed after tooth
extraction, rather than any general medical condition.
    It was previously thought that in areas where there was insufficient bone it was not possible to place implants. There
have now been great advances made in procedures to increase the amount of available bone either by use of endogenous
bone (i.e. belonging to the patient) or a range of artificial substitutes or a combination of both. These grafting
techniques are simple and often carried out at the time of implant placement. For areas where there is significant lack
of bone more complex grafting procedures can also be carried out to restore bone volume.

What are the known complications?

    As in all surgical procedures there are reported complications. In Implant Dentistry these are mainly either due to a
failure of the implant to integrate with the jaw bone, or due to damage to adjacent anatomical structures. The
incidence of these complications is very small, and with careful pre-operative planning the risks are kept to an
absolute minimum. We take great care in assessing every case very carefully, discussing with patients the different
options, likelihood of success and any related risks.

Where an implant does not integrate with bone, this is sometimes due to a patient having an unfavourable bone pattern
or the presence of pre-existing pathology or infection. Often, the site can be left to heal for a few months and the
implant successfully reinserted.

Occasionally implants can still fail after several years of having worked well. There may be several reasons for this;
one of the most common reason is overloading of implants due to either an insufficient number of implants in the first
place (the patient may have insisted on fewer implants than ideal to save costs), or too much stress being placed on
the implants on account of a patient’s habit of excessively grinding or clenching their teeth. Again, a thorough
assessment and appropriate treatment plan is essential to minimise risks.

Imidiatelly implatation

    Immediate loading of implants into fresh extraction sockets has the advantage of decreasing the period of healing,
reducing the resorption of the alveolar bone, and achieving optimal esthetic results.

Implant supported Dentures

    A full denture is difficult for many patients to wear and get used to. Sore spots and difficulty chewing are caused
when a denture moves around in the mouth. Over time the dental ridges required to support a denture will shrink
creating a growing problem keeping dentures in place.
    Implants can be utilized to hold the denture in place. There will be a major improvement in fit and function.
Dental implants provide a stable foundation for a denture for someone who has lost all of their natural teeth. It is
estimated that implant supported dentures will restore nearly 90% of chewing ability.
    Lower dentures require 2 implants to properly hold them in place for normal function, one on each side.
Implants can also be place to add to the stability of upper dentures.

Sinus lifting

    This osteotome technique is used when patients have 5 mm to 6 mm of bone remaining between the ridge crest and the
sinus floor . Minimizing trauma and preserving surrounding tissue anatomy and integrity, along with achieving
sufficient bone support for an implant, is a remarkable development.
    A sinus-lift procedure is a surgical procedure, performed by a specialised dentist, to augment bone mass in the top jaw
(maxilla), which increases the likelihood of successful placement of dental implants.
Artificial bone grafting material is grafted into the bone (endosseous) below the floor of the maxillary sinus. In the
upper jaw the amount of bone is reduced by the presence of the sinus.
    The choice of technique for sinus floor lifting is determined by the height of the alveolar ridge,
The height of the bone ridge > 4 mm determines the lateral approach into the sinus with reinforcement of the bone
defect and simultaneous implantation.


Implant - Implantation after a tooth extraction

Implantation during the same procedure as removing a tooth allows to prevent bone resorption in the place of an extracted tooth.   Treatment details...

2 000,00 PLN
1 600,00 PLN

Implantological consultation and a written treatment plan

(currently in the price of an implant)   Treatment details...

1,00 PLN
0,00 PLN

Porcelain crown based on implant

This service is offered to our patients and to the patients referred from other clinics as a specialized Ximplant procedure. Promotional price is available only for the Bluedental's patients.  Treatment details...

1 000,00 PLN

Implant C1

This item in the price list includes implantation in elective surgery, when the root is gone (for the price recovery has yet to be added - porcelain crown).  Treatment details...

3 000,00 PLN

Porcelain crown based on implant Mis C1

This service is offered to our patients and to the patients referred from other clinics as a specialized Ximplant procedure. Promotional price is available only for the Bluedental's patients.  Treatment details...

2 500,00 PLN

Implant Mis Seven

This item in the price list includes implantation in elective surgery, when the root is gone (for the price recovery has yet to be added - porcelain crown).  Treatment details...

2 000,00 PLN

Porcelain crown based on implant Mis Seven

This service is offered to our patients and to the patients referred from other clinics as a specialized Ximplant procedure. Promotional price is available only for the Bluedental's patients.  Treatment details...

1 500,00 PLN

Implantation of Nobel Biocare Replace Implant

Includes insertions in elective surgery, when the root of the tooth is gone (for that price should be added the reconstruction - porcelain crown). At this price we implant implant Nobel Biocare Replace - the most expensive and most successful implant on the market.  Treatment details...

3 500,00 PLN

Implant Astra Tech

This item in the price list includes insertions in elective surgery, in the absence of the tooth root (for that price should be added the reconstruction - porcelain crown).  Treatment details...

3 000,00 PLN

Implant Mozo- Grau

This item in the price list includes insertions in elective surgery, in the absence of the tooth root (for that price should be added the reconstruction - porcelain crown).  Treatment details...

2 500,00 PLN

Implant - immediate implantation

This item in the price list includes: placing an implant into a jaw bone immediately after removing the tooth, price of an abutment, disclosing the implant after integration with bone tissue and the porcelain crown.  Treatment details...

3 500,00 PLN

Two implants with spherical locks and a denture

This is an exelent solution for the problems with denture stabilization on the tootless dental (alveolar) process. The price includes 2 implants with spherical locks and a new denture (overdenture).  Treatment details...

7 000,00 PLN
5 000,00 PLN

Mucosa thickness measurement

Mucosal thickness measurement performed before the implantation to accurately plan the procedure and subsequent prosthetic reconstruction. 

300,00 PLN
1,00 PLN

Disclosure of an implant

(currently in the price of an implant) In the case of two-step implant procedure (the first step of the procedure ends with sewing an implant completely under the mucosa - surgical part)  Treatment details...

200,00 PLN

Dolder bar for full denture holding

Treatment can be performed implantoprosthetic toothless dentures on implants kotwiczonymi moving. Connectors are terminated or Dolan dolutowaną them called Overdenture.  Treatment details...

4 000,00 PLN

Osteodistraction

The method of bone reconstruction in any episode with osteodystraktorów. This allows the bone formation without xenogenicznych preparations, even at very spinous extinct. 

5 000,00 PLN

Autografts

The method of collection of material for bone regeneration with a beard, or the angle of the mandible. It allows you to limit the use of preparations of animal origin, however, gives rise to additional small wounds. 

5 000,00 PLN

Radiological pattern

Radiological pattern with metal globules is made in order to choose the most appropriate size of an implant and to plan the depth and the angle of screwing the implant.   Treatment details...

450,00 PLN

Prepare a written treatment plan and cost estimate

At the request of the patient's physician determines in writing the steps and the cost of treatment. 

1,00 PLN
0,00 PLN

The second control after cochlear implant surgery

The second postoperative control should take place no later than one week after surgery. It aims to further control the course of healing. 


The third control after cochlear implant surgery

The third postoperative monitoring should take place after about a month. This visit is to check the healing of the implant. 

1,00 PLN
0,00 PLN

Implant Consultation (each additional)

Planned treatment and length of implants. The patient is fully informed of every stage implant.  Treatment details...

100,00 PLN

Written treatment plan

At the request of the patient's physician determines in writing the steps and the cost of treatment. 

100,00 PLN

The impression of the crown

On this visit, the patient is taken impression silicone, which is then transmitted to the dental laboratory to perform the final crown. 

1,00 PLN
0,00 PLN

Switch to all-ceramic implant

Connector implant is performed in a dental laboratory to the patient's individual needs. There are several types of connectors. The most common connectors are made ​​of titanium and zirconium oxide.  Treatment details...

2 000,00 PLN
1 500,00 PLN

Diagnostic models

Diagnostic models are made to determine the most appropriate place clinging implant. 

1,00 PLN
0,00 PLN

Try-on of crown on implant

On this visit, the doctor makes a porcelain crown fitting. You can even change the shape or crowns before cementation. 

1,00 PLN
0,00 PLN

Cementation of crowns

Before the final cementation is najpier polished teeth clean, then dry them. Depending on the clinical situation should be covered with cement or the inner surfaces of the crown, or fill in the light of the crown. For the final fixing dentures most frequently użwya a zinc-phosphate cement, which in addition to high strength has antibacterial properties.  Treatment details...

1,00 PLN
0,00 PLN

All ceramic porcelain crown based on implant

Such procedure is made for our patients or on request of other clinics as a special Ximplant procedure.   Treatment details...

3 500,00 PLN

Implant Dentium

This item in the price list includes implantation in elective surgery, when the root is gone (for the price recovery has yet to be added - porcelain crown).  Treatment details...

2 500,00 PLN

Porcelain crown based on implant Dentium

This service is offered to our patients and to the patients referred from other clinics as a specialized Ximplant procedure. Promotional price is available only for the Bluedental's patients.  Treatment details...

1 500,00 PLN

Implant Bego

This item in the price list includes implantation in elective surgery, when the root is gone (for the price recovery has yet to be added - porcelain crown).  Treatment details...

2 000,00 PLN

Porcelain crown based on implant Bego

This service is offered to our patients and to the patients referred from other clinics as a specialized Ximplant procedure. Promotional price is available only for the Bluedental's patients.  Treatment details...

2 000,00 PLN

Konsultacja z tomografia komputerową przed wszczepieniem implan

Na tej wizycie na podstawie zdjęcia pantomograficznego oraz tomografi komputerowej pacjenta lekarz przygotowywuje plan leczenia. 

100,00 PLN


Implants - typical questions and answers

Why do we need to replace missing teeth?

    Our teeth are an important part of our digestive system as it is needed for chewing food. It plays a role in speech .It is also an important part of our appearance. Finally, it prevents gaps and spaces from appearing between our teeth when a tooth is lost.

What are implants?

    Implants are specially made posts that replace the roots of teeth that are missing and are used to support a new crown, fixed bridge or denture. It is made of titanium, a strong and lightweight material which has been shown to be compatible with the body and safe for use.

Anatomy of a dental implant

    A dental implant designed to replace a single tooth is composed of three parts: the titanium implant that fuses with the jawbone; the abutment, which fits over the portion of the implant that protrudes from the gum line; and the crown, which is created by a prosthodontist or restorative dentist and fitted onto the abutment for a natural appearance.

What guarantee do we have and what is the success rate?

Though no one can ever guarantee success, the procedure has been very well tested and has a success rate of 90-95% in general. Some implants have been monitored for more than 30 years. There will be a need for minor re-servicing from time to time even in successful implants. This is so especially for the denture or fixed teeth which it carries. 

Are You a candidate for dental implants?

    Whether you are a young, middle-aged or older adult; whether you need to replace one tooth, several teeth, or all your teeth, there is a dental implant solution for you. With the exception of growing children, dental implants are the solution of choice for people of all ages, even those with the following health concerns:
  • Existing Medical Conditions. If you can have routine dental treatment, you can generally have an implant placed. While precautions are advisable for certain conditions, patients with such chronic diseases as high blood pressure and diabetes are usually successful candidates for dental implant treatment.
  • Gum Disease or Problem Teeth. Almost all implants placed in patients who have lost their teeth to periodontal disease or decay have been successful.
  • Currently Wearing Partials or Dentures. Implants can replace removable bridges or dentures, or they can be used to stabilize and secure the denture, making it much more comfortable.
  • Smokers. Although smoking lowers the success rate of implants, it doesn't eliminate the possibility of getting them.

Are implants dangerous to health?

    The materials used chiefly titanium is almost never rejected by the body. These have also never been a report of it being the cause of cancer or any life-threatening disease.

Can implants improve my appearance?

    Though the main reason for placing implants is to improve our chewing abilities, our teeth play an important part in
our appearance and implants can likewise play a role to enhancing our appearance. Do discuss with your dentist as to
the cosmetic improvements which are possible as well as the limitations of the procedures.

What are the advantages over conventional replacements?

The conventional methods of replacing missing teeth are Bridges or Dentures.

Bridges usually involve sticking false teeth onto our existing teeth. This may involve filing down healthy teeth to act as retainers which may compromise the health of these teeth. Bridges can also only be provided when there are sufficient strong remaining teeth. They are however a permanent replacement, although they are likely to need replacement every 10 to 15 years.

Dentures are teeth attached to a plastic or metal plate. They can often be cumbersome as they have to be taken in and out every day and for cleaning. They may not always retain in place well if the shape of the gums and bone in the mouth is not appropriate.

Though bridges and dentures can serve us satisfactorily, Implants provide better support and usually results in more comfortable and stable replacement teeth. It provides better chewing efficiency and allows us to have permanent fixed teeth without trimming our own natural teeth for support, or having to remove the teeth every day. Implants also slow down the shrinkage of our jawbone which occurs as a result of tooth loss.

Implantation process

 

Implanty - śruby gojące

 

Directly inoculated Bego implants.

 

Implanty - odsłonięte

 

Implant junctors.

 

Implanty - nałożona korona


View after finished therapy – who knows where were implants?

Photos used with agreement our patient. Thank You very much!!!

The implant consultation

The oral examination

Your implant doctor will evaluate:

a. The health of your gums and an overall oral cancer exam
b. The quantity and quality of the bone which is present where the teeth were previously extracted, or from where they will be extracted. The ridge where the teeth were previously extracted must have a minimal thickness of bone in order for an implant to have a high degree of success.
c. The health of any remaining teeth and if there is any gum disease present.  

The x-ray examination will help determine:

a. If there is enough bone above the nerve which runs through the lower jaw - if you are needing to have lower implants placed.

b. If there is enough bone below the sinus cavity of the upper jaw - if you are needing implants placed in the back of the upper jaw.

The implant placement procedure 

Step 1. The implant is screwed or tapped into a surgically prepared site. The gum tissue is closed over the implant

Step 2. The implant remains under the gum for 3 to 6 months

Step 3. (3 to 6 months later) The implant is exposed by removing a small amount of gum tissue. An insert can be screwed or cemented down into the implant.

Step 4. The secured insert can accommodate various attachments upon which overdentures, crowns, or bridges may attach.

MORE ABOUT IMPLANTS

What should I expect during surgery?

    The procedure is normally carried out under local anaesthesia. For patients who are anxious, intravenous sedation is
also offered. During the surgery, the local anaesthesia and sedation given practically eliminates all pain. After the
surgery, there will be some discomfort, swelling or bruising but with the appropriate medication, it is usually not
unduly uncomfortable.

How do I care for implants?

    Your overall health may affect the success rate of dental implants. Poor oral hygiene is a big reason why some implants
fail. It is important to floss and brush around the fixtures at least twice a day, without metal objects. Your dentist
will give you specific instructions on how to care for your new implants.

What is bone grafting associated with implants?

    Successful placement of implants depends on the presence of bone of sufficient quality and quantity. This is not always
present in every patient. A lack of bone is usually related to local factors such as how the gums healed after tooth
extraction, rather than any general medical condition.
    It was previously thought that in areas where there was insufficient bone it was not possible to place implants. There
have now been great advances made in procedures to increase the amount of available bone either by use of endogenous
bone (i.e. belonging to the patient) or a range of artificial substitutes or a combination of both. These grafting
techniques are simple and often carried out at the time of implant placement. For areas where there is significant lack
of bone more complex grafting procedures can also be carried out to restore bone volume.

What are the known complications?

    As in all surgical procedures there are reported complications. In Implant Dentistry these are mainly either due to a
failure of the implant to integrate with the jaw bone, or due to damage to adjacent anatomical structures. The
incidence of these complications is very small, and with careful pre-operative planning the risks are kept to an
absolute minimum. We take great care in assessing every case very carefully, discussing with patients the different
options, likelihood of success and any related risks.

Where an implant does not integrate with bone, this is sometimes due to a patient having an unfavourable bone pattern
or the presence of pre-existing pathology or infection. Often, the site can be left to heal for a few months and the
implant successfully reinserted.

Occasionally implants can still fail after several years of having worked well. There may be several reasons for this;
one of the most common reason is overloading of implants due to either an insufficient number of implants in the first
place (the patient may have insisted on fewer implants than ideal to save costs), or too much stress being placed on
the implants on account of a patient’s habit of excessively grinding or clenching their teeth. Again, a thorough
assessment and appropriate treatment plan is essential to minimise risks.

Imidiatelly implatation

    Immediate loading of implants into fresh extraction sockets has the advantage of decreasing the period of healing,
reducing the resorption of the alveolar bone, and achieving optimal esthetic results.

Implant supported Dentures

    A full denture is difficult for many patients to wear and get used to. Sore spots and difficulty chewing are caused
when a denture moves around in the mouth. Over time the dental ridges required to support a denture will shrink
creating a growing problem keeping dentures in place.
    Implants can be utilized to hold the denture in place. There will be a major improvement in fit and function.
Dental implants provide a stable foundation for a denture for someone who has lost all of their natural teeth. It is
estimated that implant supported dentures will restore nearly 90% of chewing ability.
    Lower dentures require 2 implants to properly hold them in place for normal function, one on each side.
Implants can also be place to add to the stability of upper dentures.

Sinus lifting

    This osteotome technique is used when patients have 5 mm to 6 mm of bone remaining between the ridge crest and the
sinus floor . Minimizing trauma and preserving surrounding tissue anatomy and integrity, along with achieving
sufficient bone support for an implant, is a remarkable development.
    A sinus-lift procedure is a surgical procedure, performed by a specialised dentist, to augment bone mass in the top jaw
(maxilla), which increases the likelihood of successful placement of dental implants.
Artificial bone grafting material is grafted into the bone (endosseous) below the floor of the maxillary sinus. In the
upper jaw the amount of bone is reduced by the presence of the sinus.
    The choice of technique for sinus floor lifting is determined by the height of the alveolar ridge,
The height of the bone ridge > 4 mm determines the lateral approach into the sinus with reinforcement of the bone
defect and simultaneous implantation.