How do I know if I can get a dental implant? What kind of examinations are necessary to find it out?
Dental implants may be compatible with fixed or removable dentures which provides numerous opportunities for the patients.
One of the most important conditions of implantation is having sufficient amount of strong and dense bone tissues. Where no such construction exists, bone graft may be necessary for receiving an implant.
Before the implantation surgery takes place, we absolutely need a 3D CT recording which shows the detailed condition of the bone structure. This wouldn’t be visible on a 2D panoramic x-ray, so only 3D CT can give us reliable results.
A 3D recording is also important because the specialist uses it to determine the exact implant size that the patient may receive. Only 3D CT ensures such an accurate recording.
Although little is said about it, but there exists some diseases which may exclude the implantation procedure. This is the reason why it’s so important to indicate every existing problems in the case history – otherwise there’s a high chance that the implant will be rejected.
If your bone structure is incompatible with ‘traditional’ implants, and bone graft is not a solution either, we suggest having mini implants in certain cases, for example when it comes to implant supported removable dentures.
What happens if I’m allergic to metals but I want to have an implant?
Implants are made of a tissue-friendly material, the titanium. The surface of the implant is covered with titanium-oxide which doesn’t dissolve in saliva – thus, it doesn’t have any interactions with the human body, so it’s sure that it won’t trigger any allergic reaction.
When it comes to metal allergy, it’s necessary to pay particular attention to the composition of the superstructure (bridges, crowns). It’s obvious that we have to exclude metal ceramic prostheses, we suggest having the more aesthetic zirconium ceramic crowns and bridges.
Always inform your dentist regarding any metal allergy you may have since once the prosthesis is glued permanently on the implant, it’s really hard to correct it later on. Furthermore, it’s worth making an allergy test before you choose the material of the prosthesis so that you can make the right choice.
Is dental implantation painful?
When it comes to dental implantation, we can’t pass the question of pain without saying a word. It’s important to say that we’re all different – some people handle pain better, others – with a slight exaggeration – can be even ‘killed’ by a mosquito bite.
Since the intervention is done under local anaesthesia, patients practically don’t feel any pain during surgery. Naturally, as soon as the anesthetic effect starts to fade away, sensitivity may occur and the gums may become swollen and painful but all these symptoms can be treated well with painkillers.
If you have intense pain which doesn’t slip away in a few days and your gums are visibly inflamed, you should visit your dentist at any cost in order to begin treating the problem as soon as possible.
Don’t be scared – complications are pretty rare with implants however it’s always valuable to know the possible consequences.
When is the implant ready for charging? What does ossification mean?
Although there are implants which are immediately chargeable, they usually get temporary prosthesis first. The complete healing time may vary, but it’s a minimum of 3 months and in certain cases, it may take half a year to fully recover.
The permanent prosthesis can only be installed after the bone tissue has overgrown the implant as if it was an original tooth root. This is the point where the ossification providing full stability takes place. Only then will the implant be chargeable – thus, the installation of permanent prosthesis is only possible after ossification.
When is it necessary to perform a bone graft?
3D CT exactly shows whether the patient’s bone is suitable for immediate implantation or if we need to perform bone grafting first. Bone graft is necessary if the given jawbone is not high or not wide enough or if its structure is inadequate to support the implant.
The aim of bone grafting – as its name shows – is to replace the missing amount of bone tissue that has wasted away as a result of the missing tooth. Various materials might be used during this treatment, such as bone tissues taken from other parts of the body or artificial bone materials.
There’s a special kind of bone grafting, the so-called ‘sinus lift’ otherwise known as the elevation of the sinus. This procedure is employed around the upper jawbone when there’s not enough space for the implant because the sinus is extending downwards. In such cases, we insert bone graft material below the mucous membrane of the elevated sinus. That way, we create enough space for the implant.
Is X-Radiation harmful to my health? What happens if several radiographs need to be done?
In dentistry, one of the cornerstones of modern diagnostics is the x-ray photograph which gives an accurate picture regarding the condition of the patient’s teeth and bone structure. We use the equipments of one of the most reliable manufacturers, the German SIRONA to make panoramic radiograms and intraoral recordings.
These modern machines don’t emit as much radiation as the old, outdated ones so there’s nothing to worry about! Even if we need to make another radiograph for any particular reason, the radiation level is so low that it won’t be harmful for your health.