IMPLANT DENTAR: GHIDUL PACIENTULUI IN 2023 CU DR. NASSAR

WHAT IS A DENTAL IMPLANT?

The dental implant is a device made of Itanium with a purity grade of 5, a material compaIble with the human body. The implant has the shape of a screw and the role of replacing the root of a compromised tooth.

General characteristics

• Titanium with a purity grade of 5 is used in dental implantology, orthopedics, neurosurgery, but also in the aeronautical industry, in the manufacture of spacecraft.
• Classic implants, also called screw type implants, are most often used among dental implants. Their threads give better stability and automatically a safer integration.
• The dental implant provides the basis for restoring a tooth, several teeth or an entire dental arch.
• Robust, with a large diameter and height, classic implants are used only if the jaw bone has the appropriate width, height and structure.
• If the bone is not wide and high enough, bone reconstruction methods are used, so that the implant is inserted in optimal conditions.
• Depending on the bone volume and the area in which they will be inserted, implants are chosen with shapes, surfaces, diameters and the corresponding size.

components

When we talk about implants we tend to think of an artificial tooth that replaces a fallen tooth. In reality, however, the implant consists of:

1. The implant itself (titanium screw);
2. The prosthetic abutment, the piece that is inserted into the implant and has the role of "tying" the implant to either a crown or a bridge or denture;
3. Crown / bridge / prosthesis - is placed over the abutment and has / have a functional and aesthetic role.

TREATMENT BENEFITS

Compared to any other missing tooth replacement soluIon, dental implant treatment has the following advantages:

• Imitates the root of the compromised tooth and feels like a natural tooth;
• Preserves the health of neighboring teeth that no longer need preparaIon as happens in the case of the dental pivot;
• Stops bone resorpIon and provides sImulaIon to the jaw / mandible in the area where the tooth is missing;
• Prevents the migraIon of teeth from the arch that would begin to move, in Ime to migrate, or that would eventually be lost;
• Maintains facial aestheIcs, the jaw bones maintain their volume and prevent progression to the appearance of "fallen face";
• Eliminates unpleasant breath because under the edge of the crown there is no food debris that rots (the new tooth is brushed simply, just like the natural tooth);
• Restores normal speech without embarrassing situaIons, pronunciaIon problems / saliva spraying during a discussion;
• Completely restores the masIcaIon funcIon;
• Cheaper than any other tooth restoraIon soluIon.

Read more about the benefits of dental implants..

Types of implants

Dental implants come in a multitude of types and can be classified according to: geometric shape, method of fixation in the bone, speed of treatment and method of manufacture.

IMPLANTS CLASSIFIED BY GEOMETRIC SHAPE

The geometric shape and the type of implant are determined depending on the dental situation. If the bone is healthy, the type of implant with a cylindrical or conical shape can be used. When the bone has an advanced degree of resorption there are 2 variants:

• Restoring the bone with biomaterials (bone addition) and then inserting an implant type with a conical or trapezoidal shape;
• Direct insertion of the pyramid-shaped implant type without the need for a bone addition procedure.

IMPLANTS CLASSIFIED BY FIXATION METHOD

According to the fixation method, there are 3 types of implants:

• Intraosseous - used in most cases and fixed in the bone;
• Subperiosteal - used in severe cases and fixed to the bone;
• Transosseous - no longer used today, fixed by total bone piercing.

IMPLANTS CLASSIFIED BY THE SPEED OF TREATMENT

According to the speed of the treatment, ie the time elapsed from the insertion to the mounting of the crowns, the implants can be classified as follows:

• The fast implant with immediate loading is known as the Fast Implant and represents the procedure of inserting the implant and applying the dental crown in the same session;
• The one-day implant, known as Teeth in a day is the procedure for inserting implants for the entire mouth and mounting crowns or dentures on the same day;
• The implant with late loading represents the classic procedure in which the implants are inserted and after the osseointegration period of 3-6 months the patient comes back to the clinic for the installation of the final crowns.

A quick dental implant with Dr. Lorelei Nassar takes an average of 7 minutes / tooth. The advantage of a fast insertion means reduced invasiveness and shorter healing time.

IMPLANTS CLASSIFIED BY MANUFACTURING METHOD

There are 2 types of dental implants that can be classified according to the manufacturing method:

• Prefabricated implants are geometric screw-type implants (cylindrical, conical, trapezoidal, pyramidal), ready-made, with various lengths and thicknesses. The doctor chooses the implant with a predetermined length and thickness to be inserted into the patient;
• Custom implants are unique dental implants, made to order, so that they adapt to the teeth in a superior way to the prefabricated ones.

La clinica de implantologie Dr. Nassar din Bucuresti, indiferent de situatia in care te afli, daca ai unul, mai multi sau toti dintii de inlocuit, iti punem la dispozitie implanturi personalizate, fabricate in laboratoarele ultraperformante prin nanotehnologie digitalizata 3D.

TYPES OF PROSTHESES ON IMPLANTS

Dental prostheses can be classified into two types: fixed prostheses and mobile prostheses.

Fixed prostheses on implants are in turn divided into 2 categories:

• dental crowns fixed by screwing or cemenIng on implants;
• dental bridges fixed to implants by cementaIon.

Mobile prostheses on implants are dental bridges formed by crowns glued to each other and a"ached to the types of implants provided with balls / staples. Mobile prostheses are detached manually and maintain / clean more difficult than fixed prostheses.

DENTAL CROWNS ON IMPLANTS

• If only one tooth is missing. Your situation is not extremely severe, the bone has probably not resorbed yet. You can resort to implant surgery and benefit from all the advantages of maintaining healthy teeth. The type of implant (conical, cylindrical trapezoidal, short, long, with or without striations, etc.) and the type of dental prosthesis (ceramic / zirconium crown) are chosen depending on the particular case you are in.
• If more teeth are missing. Your situation requires action; sometimes related procedures such as bone addition or sinus lift are needed. The insertion of implants will stop the migration of neighboring teeth: it will prevent them from degrading and falling. The choice of implants will be made according to the status of the gum and bone in the area of the fallen teeth. In one place you may need one type of implant and another in the other. Dentures, meaning the crowns, are screwed or cemented on implants and you can smile again, as you did before.

IMPLANT PROSTHESIS SYSTEMS

If all your teeth are missing. Your situaIon is severe, you need either to replace the teeth with a fixed denture on 4 or 6 implants (FIX-IT ON 4 / FIX-IT ON 6 system), or to replace each fallen tooth with an implant and a crown ( One by One). If the budget is limited, you can choose as a soluIon a mobile prosthesis fixed by staples on 4 or even 2 implants.

ONE BY ONE

• The system allows the entire arch to be replaced with 10 or 12 implants;
• Individual crowns of the desired material are then built on each implant and abutment;
• The 100% solution mimics the feeling of natural teeth, offers premium aesthetics, maximum resistance and simple maintenance;
• Implants are inserted in one day;

FIX-IT ON 6

• The system allows the entire arch to be replaced with 6 dental implants;
• Implants support transient prosthesis;
• The solution offers resistance, aesthetics and easy maintenance;
• Implants and prosthesis are inserted in one day.

FIX-IT ON 4

• The system allows the entire arch to be replaced with 4 dental implants;
• Implants support transient prosthesis;
• The solution offers resistance, aesthetics and optimal maintenance;
• Implants and prosthesis are inserted in one day.

4 MPPLANT MOBILE PROSTHESIS

• The system allows the entire arch to be replaced with 4 dental implants;
• The implants support the prosthesis mobilized with staples;
• The solution offers optimal resistance, aesthetics and stability;
• The prosthesis requires daily maintenance: it is removed and cleaned once a day;
• Implants and mobile prosthesis are inserted in one day.

MOBILE PROSTHESIS ON 2 PLANTS

• The system allows the entire arch to be replaced with 2 dental implants;
• The implants support the prosthesis mobilized with staples;
• The solution offers optimal resistance, aesthetics and stability;
• The prosthesis requires daily maintenance: it is removed and cleaned once a day;
• Implants and mobile prosthesis are inserted in one day.

Stages of dental implant

Any implant insertion operation requires good planning, both by the doctor and the patient. In order to benefit from a correctly inserted implant that will last for decades or a lifetime, it is necessary to follow the following steps:

1. Consultation

During the consultation, the surgeon will analyze the general dental condition and possible dental disorders of the jaw. Then he will ask you questions about past and present illnesses.

2. Panoramic dental radiography / 3D tomography

• The doctor will ask you to perform a panoramic radiograph, accompanied in some cases by 3D dental tomography.
• Panoramic radiography and tomography show the condition of the bone tissue, if related procedures are needed (reconstruction, bone addition or sinus lift).
• Radiological images also determine the type of implant to be used: its length, diameter and surface;
• The x-ray must not be older than 6 months.

3. Blood tests

The following blood tests must be performed before surgery:

• CBC
• glucose
• Serum calcium
• cholesterol
• Bleeding times
• Coagulation times
• Uric acid
• Urea
• ESR

4. Rehabilitation of the oral cavity

To reduce the risk of infection and implant loss, your doctor should clean your oral cavity of possible cavities, periodontal pockets, and infections.

• If there are compromised teeth which can maintain the infection, they are treated or extracted.
• The situation of the teeth can mean several visits to the doctor: the implant cannot be inserted as long as there are infestations with harmful bacteria.
• The end of the stage ends with a complete sanitization (descaling + brushing + air-flow), preparatory to implant insertion.

5. Surgical stage

Before insertion, the bone must be in optimal condition to receive the implant. If bone extractions or additions are required, they can be performed on the same day, immediately before insertion. The operation is performed under anesthesia and is performed with the help of laser, equipment and instruments specific to implantology. After making the incision, the implant is inserted into the bone, then the gum is sewn - the implant is no longer visible.

6. Prosthetic stage

Late loading (delayed)

After 2-3 months, when the implant is properly integrated into the bone, return to the clinic for the prosthetic stage. The implant is discovered under the gum and the prosthetic abutment is screwed into it - the connecting piece between the implant and the crown. The final crown is placed on the abutment.

Immediate loading (Teeth in a day)

Depending on the patient's priorities, the implant may be loaded on the same day with transient crowns or prostheses. They have an aesthetic identical to the final ones made of ceramic or zirconium, but they are used because they have a lighter weight and do not alter the stability of the implant.

Immediate loading has the following features and requirements:

• The patient has teeth immediately; the waiting period of 3 months is no longer necessary;
• Care must be taken that in the next period the food has a semi-solid consistency;
• Transient prostheses or crowns are replaced with permanent ones after the implant has been perfectly integrated into the bone

DENTAL IMPLANT OPERATION

CANDIDATE FOR OPERATION

The ideal candidate is the one with a favorable medical status and history. In order to benefit from any dental implant operaIon, you must meet the following condiIons:

• to be at least 17 years old;
• present the set of blood tests requested by the doctor;
• to make a panoramic radiograph;
• optionally, the doctor may request intraoral pictures and / or a tomography of the jaw.

The implant is a complex operation, but for an experienced implant surgeon the procedure is common. At the Dr. Nassar Implantology Clinic, we have patients over 80, so age is relatively low. What really matters is the general health of the patient.

Anestezia

The implant is made in 90% situations using local anesthesia, as in any dental procedure. Local anesthesia may be accompanied by inhalation with hilarious gas, a relaxing gas that is inhaled for 30 minutes before starting surgery. For the anxious there are methods of intravenous and general sedation in which the patient is put to sleep by an injection into a vein, respectively intubation.

At the Dr. Nassar implantology clinic you can benefit from 4 anesthesia optionshilarious gas inhalation, local anesthesia, intravenous and medical hypnosis. Depending on the case, we can use each anesthesia separately or in combination, so that you can be relaxed during the implant procedure and you will not feel any pain.

DURATION OF THE OPERATION

The completion time of the operation is proportional to:

• number of implants to be inserted;
• the number and complexity of possible related procedures (extractions, bone additions, sinus lift, etc.);
• type of prosthesis / crowns.

With Dr. Lorelei Nassar, surgeon and implantologist since 1992, with over 10,000 implants inserted, the dental implant procedure is extremely precise and fast. The operation takes an average of 7 minutes / tooth.

PAIN AFTER IMPLANT

Immediately ager the implant inserIon, the place where the incision was made will feel numb, then in a few hours the pain will appear. The intensity of the pain may be higher or lower, depending on the case. To stop the pain, your doctor will recommend painkillers a few hours ager surgery. However, it should be noted that paIents with a higher degree of tolerability to pain give up painkillers - dental implant surgery is not as painful as it is thought.

OPERATION RISKS

Like any surgery or dental treatment, the implant is no exception to the rule and has the following risks:

1. IMPLICATION NON-INTEGRATION AND LOSS

Non-integration of the implant means that it does not weld completely to the bone, begins to shake and eventually falls. The causes of implant loss are:

• wrong insertion;
• smoking and excessive alcohol consumption;
• poor dental hygiene;
• non-compliance with post-operative medical indications.

2. EDEM

Swelling of the area where the implant was inserted is often a normal symptom that goes away on its own within a few days. The causes of swelling are:

• the body reacts properly to the introduction of a foreign body;
• post-operative instructions on hygiene and medication are not followed.

3. NERVE INJURY AND PARTIAL PARALYSIS

When the inserted implant touches the nerves, a numbness / paralysis of the respective area occurs. The patient may have symptoms of pain, tingling, numbness or desensitization. If the symptoms do not disappear within 2-3 days of surgery, it means that the nerves have been affected by the implant. This risk is avoided by:

• clinical and radiological / tomographic examination performed properly by the doctor;
• inserting the fixed implant in the right place, without any deviation.

4. INFECTION AND INFLAMMATION OF THE OPERATED AREA

Inflammation of the area where the implant was inserted actually means infection of the gingival and / or bone tissue. The infection results from:

• non-sterile dental equipment and instruments;
• non-compliance with hygiene instructions may be operative.

5. SINUS WASHING

Patients who have lost teeth in the area of the maxillary sinuses and who have not performed the implant surgery at the right time, need a procedure called sinus lifting and subsequently by implant surgery. If the length of the implant is chosen incorrectly by the doctor, the sinus may be perforated at the insertion.

To choose the right clinic, first of all analyze the doctor's profile. In order to reduce the risks of the operation, you should have answered favorably to the following 3 questions: “What is the specialization of the doctor who will operate on me? ”, „How many implant surgeries did he perform during his career? ”, „What do other patients say about him? ”

contraindications

ContraindicaIons refer to diseases that result in the impossibility of resorIng TEMPORARY the implant operation. To insert the implant, the dentist will work with the patient's attending physician and together will determine the optimal time of the procedure. Patients with one of the following diseases should be closely monitored throughout preoperative as well as postoperative.

• ACUTE AND CHRONIC DISEASES: insulin-dependent diabetes, polyarticular rheumatism, infections, leukemia, heart or other organ disorders;
• ENDOCRINE DISEASES: acromegaly, hyper and hypothyroidism, obesity;
• NEUROLOGICAL PSYCHOLOGICAL DISEASES OR ANXIETY: parkinson's, multiple sclerosis, epilepsy, paralysis, etc .;
• INFECTIONS: syphilis, tuberculosis, AIDS, other infectious hematological diseases;
• BONE SYSTEM DISEASES: psteoporosis, acute rheumatoid arthritis, other bone diseases;

THERE ARE NO ABSOLUTE CONTRAINDICATIONS. Regardless of the disease you suffer from, the dental implant can be inserted. The only necessary conditions are your medical balance and the mandatory minimum age of 17 years.

In almost 30 years of dental implantology surgery, Dr. Lorelei Nassar has treated hundreds of cases with contraindicaIons to implants. As long as they are rigorously monitored, paIents with osteoporosis, diabetes, cancer or other serious condiIons can benefit from dental implants.

Lifetime of a dental implant

There is a short and comprehensive answer to this question: The implant lasts as long as you have a natural tooth. The implant failure / non-integration rate is below 1% - the rate calculated over a 10-year period in patients with a healthy lifestyle.

• If you take good care of the implant, then it can last a lifetime. Otherwise, the duration of a dental implant will be shortened according to the degree of oral hygiene; the more deficient it is, the shorter the implant will last.
• Implant duration is shortened in smoking patients (14% failure rate) and those suffering from alcoholism or chronic diseases. Diabetes, cancer, osteoporosis and other conditions are not completely banned from the implant, but only temporarily.

COST OF THE IMPLANT

HOW MUCH DOES AN IMPLANT COST FOR A TEETH?

A dental implant for a tooth has a variable cost because it involves the following factors:

1. Compromised tooth extraction, if necessary;
2. The material used to make the crown (ceramic, metal-ceramic, zirconium, full zirconium, etc.)

IMPLANT COSTS FOR THE WHOLE MOUTH?

The dental implant for the whole mouth has a variable cost, because it involves the following factors:

1. The number of dental implants to be inserted in place of the missing teeth;
2. Number of dental extractions;
3. The type of anesthesia used in the operation;
4. The type of dental work that will be applied on implants (definitive or transient crowns, definitive or transient prosthesis, fixed or with staples);
5. Dental work material (ceramic, metal-ceramic, zirconium, full zirconium, etc.)

A dental implant for the whole mouth, ie for all compromised teeth to be replaced, can be made through 5 systems, each with a different price.

DENTAL IMPLANT PRICES >