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Placement of dental implants
What precedes the placement of implants?
First we have to determine the general state of your oral cavity. Implantologist will check for any periodontal diseases or caries, which should be treated before implant placement. Thereafter you need to make a complete x-ray of the jaw and the teeth - orthopantomogram. Using it, the implantologist can determine the structure and quality of the bone as well as the position of your anatomical structures. If you use any prescribed medication on daily basis, you must check with your doctor, if there is a need to change or stop the therapy. This especially refers to coagulants.
How long does placement of an implant take and does it hurt?
Implantology is one of the most complex dentistry branches, bur regardless of it, placement of an implant by an experienced oral surgeon takes only 10 to 15 minutes and is considered a routine procedure. Regardless, if it is recovery of one tooth or the whole row of teeth, the whole placement procedure will be done in one day. Implant placement procedure is done outpatient under local anesthesia and it is completely painless for the patient.
What is the procedure of implant placement?
As for any surgical procedures there are certain rules and procedures even for implantology, as well as a sequence of surgical procedures. Implantology mostly respects the following sequence:
- Firstly you will be given a glass with antibacterial fluid, which you will use as mouthwash. It will greatly reduce the quantity of bacteria in your oral cavity and therefore reduce the risk of possible postoperative infections.
- After the mouthwash you will be given a local anesthesia to the area, which will be surgically treated
- During the time needed for the anesthesia to have an effect, team of implantologists will protect you and themselves with surgical clothes, in order to achieve sterility, seen in common operating rooms
- Oral surgery specialist will check the effect of anesthesia on the position of implant placement and will make a small incision through the mucous membrane to reach to the jawbone
- The implantologist will, using a prefabricated model, determine the correct position and angle for implant placement, and will then drill a spot in the jawbone for the implant placement
- He will then place a small needle into the drilled position for another check of the exact position and the correct angle for implant placement
- If the position and the angle are as should be, the position is expanded using a bigger drill until the full profile, needed for implant placement, is achieved
- The surgeon will check the position and the angle one more time before placement, and if everything is well, he will place the implant into the prepared position
- A screw is then placed on the implant and the mucous membrane is sewed. This secures the implant and protects it from possible infections, enabling optimal conditions for normal healing preceding the prosthetic phase.
After the procedure, the surgeon will determine the therapy, which will help your body to accept the implanted foreign body.
In most cases implant placement takes only one visit. If the case is more complex (artificial bone implantation or transplantation) two or more visits can be needed, depending on complexity of each case.
What is the duration of recovery after implant placement?
You will be able to function normally immediately after the surgery, and a slight drowsiness after anesthesia is normal, and it does not last long. In order for everything to be OK you must mind the following:
- After the procedure you will need someone, a family member or a friend, to take you home, because of the slight drowsiness
- To reduce the swelling and the bruising, we recommend using cold and frozen compresses for a few hours
- Concerning the eating, the recommendation is to eat paps not to put too much weight to implant caused by chewing forces, for at least 2 days after the placement
- You should rest the next 24 hours, without any physical stresses
- Postoperative control will be done as necessary and on implantologist's instruction
- You will be able to return to your daily business obligations the next day
A few months after the implant placement you need to visit the clinic, in order for the implantologist to remove the covering screw, to place the suprastructure on the implant as well as a new permanent crown, all done under local anesthesia.
How to maintain implants correctly after the placement?
In the period after implant placement one should not use any immediate prosthetic fittings (permanent or provisional) on the implants, so that the wound can heal normally and not to disturb primary implant stability.
Successfully placed implants should osseointegrate without any pain, and the gum around the implant should look healthy and rosy. Placed implant will never get caries, but gum diseases are possible, so you should pay attention to regular oral hygiene in the following way:
- Use the toothbrush and toothpaste you used to before the procedure
- We recommend usage of dental floss (silk)
- Use mouthwash on daily basis, which is proven to help in maximizing the lifetime of your implant
- Regular checks with your dentist are understood, and especially if you have implants placed. Unlike with your natural teeth, with implants you will not notice any symptoms, in most cases, until it is already too late
- The main reason of implant loss is deterioration of the bone surrounding the implant, and this is why you should make regular dental x-rays. It is desirable to do it every 6 months during the period of 2 years after implant placement, and every 3 years thereafter
- Regular removal (scaling) of plaque and other tartar by your dentist every 6 months
What is the rate of success of the procedure?
Implantation success is very high and is around 98%. Risk for the body to reject the implant is always present, and it mostly depends on the patient's body and bones. The body mostly rejects the implant as a result of low immunity of the patient or noncompliance with the surgeon’s instructions.