Prosthetics on implants: removable and non-removable

This article will discuss:

about methods of prosthetics on implants;
about the pros and cons of this method;
About, how long does it take to get new teeth.

Every person wants to feel himself in the ranks of the owners of a beautiful smile and demonstrate thirty-two perfect teeth to others.. But under certain circumstances, one or more teeth can be severely damaged or lost.. If the problem occurs in the smile zone, then the future patient of the dental clinic seeks to hide the aesthetic defect and turns to a specialist. But the lack of chewing teeth, usually, causes less anxiety, after all, distant dental units are almost invisible. However, the absence of any tooth, wherever he is, affects the health of the oral cavity and gastrointestinal tract. Prosthetics on implants helps to save the patient from unnecessary problems and give a smile a healthy snow-white appearance.

Modern dentistry is growing every year, technology is improving, and dental defects, long been causing people discomfort, Today, they are eliminated quite simply and as painlessly as possible.. A new method of prosthetics based on implants is designed to restore the structure and functionality of a number of teeth most effectively, safe and long term. Alternative methods of restoration of the dentition (clasp prostheses, "bridges") imply the processing of dental units in the vicinity of the defect. And implants allow you not to grind your teeth, because they themselves serve as a reliable support for crowns. Not only do they not harm your teeth, adjacent to the defect, but also stabilize them, closing the empty space, where the dental unit was previously located.

Implant prosthetics is a universal technology. Implants can be implanted in any part of the dentition, where they will function with the same success, like natural teeth. Neither physical, patients do not experience any aesthetic discomfort during the use of prostheses on implants.

Advantages of prosthetics using implants

Since traditional prosthetics appeared earlier, than dental prosthetics on implants, the classical technique for many patients and dentists is more familiar. But it does not mean, that she is better. Any competent specialist can easily name several significant advantages of prosthetics based on implants.. Highlight the following points, evidence in favor of implantation:

No grinding of healthy teeth required.
End defects of a row of teeth are eliminated without the use of removable dentures.
Long-term fixed prostheses can be installed.
Implants make it possible to restore a completely edentulous jaw with fixed dentures or removable dentures, which will be securely fixed.
If periodontal prognosis is in question, it is not necessary to save dental units.
Implants sit firmly in the jaw, thanks to which removable prostheses, fixed on them, do not break diction and do not slip off, which often happens with traditional prosthetics.
After the installation of implants, there are no restrictions on chewing food - artificial teeth can be chewed actively and thoroughly.

Ordinary prosthetics do not exclude such an unpleasant consequence., like a change in the shape of the face or sunken cheeks. This does not happen after implantation..

Indications and contraindications

Implant prosthetics are recommended in these clinical situations:

A single defect anywhere in a row of teeth, especially, if healthy teeth are located next to the defect, which are undesirable to dissect.
Lack of a large number of dental units up to complete toothlessness.
Loss of extreme teeth (end defects prevent strong fixation of the structure in traditional prosthetics).
Hypersensitivity or allergy to the components of a removable prosthesis in the conditions of the impossibility of installing an orthopedic structure of a non-removable plan without implantation.

Contraindications for implantation are the following:

chronic diseases in the patient's body;
diseases of the hematopoietic organs;
diseases of the skeletal system, adversely affecting bone regeneration;
diseases of the nervous system;
malignant tumors.
periodontal disease;
bite pathology;
temporomandibular joint problems;
bruxism;
the presence of metal implants not in the oral cavity, and elsewhere in the body;
poor oral hygiene;
malnutrition;
bad habits;
pregnancy.

There are absolute and relative contraindications.. If the dentist finds surmountable contraindications, after the elimination of the condition, implantation can be performed.

What can be prosthetics on implants?

Various types of designs can be installed on implants.:

1. Fixed dentures. Fixed prosthetics on implants is carried out using:

single dental crowns, relevant when correcting a few defects in the dentition;
bridge prostheses, used in prosthetics of the jaw area with several empty holes.

If single crowns are designed for, to dress directly on the implant, then their number always coincides with the number of implants. If several teeth are missing, it can be too expensive or problematic (due to lack of bone tissue) implant several implants next to each other. In such cases, most often implants play the role of supporting dental units for a bridge prosthesis.. Usually two implants are implanted, and a "bridge" stretches between them. But the larger the defect of the dentition, the more implants are required to eliminate it.

The standard duration of the operation of "bridges" is from ten to fifteen years.. After this period, the prosthesis must be replaced, but not an implant, which is established for the patient for life.

2. Removable dentures. Removable prosthetics on implants - a classic option for the restoration of completely empty jaws. Removable dentures, installed without the use of implants, cannot guarantee a firm fixation of the structure, and removable dentures on implants always hold very firmly. On several implanted implants, a removable prosthesis is fixed due to special fasteners, which the patient can control - the orthopedic design is easy to put on and take off. Removable prosthesis on implants provides comfortable chewing of food, preservation of diction and absence of a gag reflex. The prosthesis needs to be replaced every five to ten years..

3. Conditionally removable prostheses on implants resembles the previous version of prosthetics with the only difference, that the patient does not have the opportunity to remove the prosthesis on his own - for this it is necessary to contact the dentist. Unlike removable dentures, which are held on implants with locks or buttons, conditionally removable prosthetics involves fixing the orthopedic structure with screws - they are unscrewed, so that the prosthesis can be removed. In most cases, such prosthetics is carried out with complete adentia - several implants are installed in the patient's jaw, to which the prosthesis is attached. If the patient is not able to carry out high-quality hygiene procedures, but wants to have fixed dentures, the dentist can also offer conditionally removable prosthetics (if the patient is not able to clean the prosthesis well, the dentist can periodically remove the structure and clean it himself).

How is prosthetics on implants performed??

If the patient decides on prosthetics on implants, stages of a complex of therapeutic measures will be as follows:

Preparatory stage. For the reason that, that prosthetics and implantation are serious dental measures, without contraindications, the patient is waiting for a thorough diagnosis. Will have to consult a surgeon, orthopedist, orthodontist (if there is evidence), periodontist (to obtain an assessment of the general condition of periodontal tissues).Computed tomography or panoramic X-ray of the jaw is done. Professional hygiene procedures and sanitation of the oral cavity are required. If teeth that cannot be restored are placed in the mouth, they are removed. happens, that patients have malocclusion, and the teeth are displaced to the area of the defect, leaving no room for an implant. This problem is solved either by installing a corrective bracket system, or filing/removal of dental units.
Surgical stage. If the diagnosis showed, that there is not enough bone tissue in the area of implantation, bone is augmented by bone grafting. Implant placement is possible after, How does the patient recover after surgery?, and the bone will reach the required volume. The break between plastic surgery and implantation lasts from four months to six months.. After, how artificial teeth are screwed into the jaw, they are given a load in the form of temporary crowns, so that the implants take root faster, and the aesthetics of the dentition did not suffer. When implants fuse with bone, abutments and gingiva former are installed.
Orthopedic stage. When the gum finishes forming, the dentist takes impressions and sends them to the dental laboratory, for dental technicians to make the necessary prostheses. Finished dentures are fixed in the patient's mouth, temporary structures are removed.

Terms of prosthetics

Prosthetics on implants can be carried out at different times - it all depends on the technology of implantation. Classical implantation in two stages implies prosthetics only three to six months after implantation of the implant.

Quite a long time to wait, until the subgingival part of the implant is rooted to the bone tissue. When it happens, it is possible to install the supragingival part of the implant and a temporary crown. How many months will it take until then, until the implant can be loaded, depends on bone density in the area of implantation. In the lower jaw, osseointegration takes two to three months., and the upper jaw needs more time, to accept an implant - from four to six months. If the bone tissue grew, the waiting time for prosthetics is shifted even further.

If the patient is unwilling or unable to wait several months, that, probably, the doctor will recommend him a basal implantation. Basal implants are placed in the deep bone layer, and can be loaded a few days after implantation due to its stability. Three to five days after implantation, the patient is already wearing temporary crowns., and the fact of implantation becomes invisible.

How traumatic can implantation be??

The more teeth missing in the jaw, the more implants need to be placed, to make prosthetics. But that doesn't always mean, that the greater the degree of surgical intervention, the greater the risk of injury. For example, installation of basal implants for rapid implantation is considered less traumatic, like installing classic (two-stage) implants. The fact, that during basal implantation, most often the doctor manages not to touch the mucoperiosteal flap, which needs to be peeled off, to place a two-stage implant.

This situation allows us to conclude, that one-stage implantation is well suited for elderly patients. In addition to the low risk of injury, such implantation favorably differs from the classical one in a smaller number of contraindications (can be used for hepatitis, diabetes).

If only the amount of intervention in the jaw bone tissues is considered traumatic, then the minimum number of implants for prosthetics allows you to implant the innovative All-on-4 technology (only four implants). And referring to classical implantation, we should expect the implantation of seven to ten titanium roots.
Need for bone augmentation

Since bone grafting delays the installation of prostheses, often patients are interested, can't do without it. With a long absence of a dental unit in its place, the bone in the area of the defect begins to atrophy, therefore, before classical implantation, it is often necessary to eliminate the lack of bone surgically. Prosthetics with high-speed implants often avoids bone grafting. And the “All-on-4” technique does not require extension at all, since the implants are placed at an angle to each other, and the height of the bone does not play a big role.

How to care for dentures on implants?

Prosthetics with implants is durable, safe and aesthetic. For such a design to successfully serve its owner, it is enough to remember and follow a few simple rules for handling new teeth.

For example:

Fixed dentures require the same attention, that natural teeth. The mouth should be cleaned twice a day with a toothbrush and toothpaste., it is advisable to rinse your mouth after eating. It is recommended to purchase and use dental floss regularly, specially designed for implants. A lot of food fragments accumulate at the base of artificial dental roots, which promotes the activation of microbes. Harmful microorganisms harm the implant, certainly, can't, but the gums can suffer from them.

Removable dentures need careful care. They must be removed and cleaned outside the oral cavity., using specialized tools for this purpose. Each time after eating, the structure is removed and washed with boiled water., then placed in an antiseptic solution.

Regardless of the type of prosthesis installed, it is advisable for the patient to purchase an irrigator, to improve the quality of hygiene.

After prosthetics, it is necessary to visit the dentist every six months. It will eliminate hygiene gaps, cleaning the structure by professional methods, correct the prosthesis (if it's necessary) and will be able to monitor the condition of the periodontium in the area of implantation. If a strong inflammatory process develops in the gums, the rejection of implants may begin, and in the initial stages, inflammation is easy to stop.

How much can prosthetics on implants cost??

Prosthetics on implants in Kharkov is a rather expensive procedure. The result of successful implantation and prosthetics, certainly, pays off, but the cost of implants does not seem affordable to every patient. The final price of a set of measures to restore the dentition depends on the manufacturer of implants and prostheses, defect scale, class of the selected dental institution. Only a dentist can say for sure the treatment budget. But approximately for only one two-stage implant, for example, swiss made, have to pay, least, 8000 hryvnia, and a one-stage implant from the same manufacturer will cost more 9000 hryvnia.

Secrets of the success of prosthetics on implants

The key to successful completion of procedures, aimed at restoring the dentition with implants and prostheses - this is a combination of the competence of the attending physician and the professionalism of dental technicians, engaged in the manufacture of prostheses.

Dental laboratory "City Dental" guarantees absolute quality, safety and aesthetics of a prosthesis of any degree of complexity. Our highly qualified specialists promptly and with jeweler's precision, using innovative technologies and the latest equipment, fulfill your order. The laboratory has been fruitfully cooperating with small and large dental institutions for more than seventeen years.. Our works have already been evaluated not only in Ukraine, but also in Europe. call, We will be happy to help you!