WHAT IS AN IMPLANT?
Implant literally means the placement of non-living substances into the body and living tissues for treatment purposes. Dental implants are structures placed in the bone, on the mucosa, and are intended to replace the tooth. We can also say that it is an artificial tooth root made of suitable material and placed in the jawbone in order to restore the function and aesthetics of missing teeth. Implants are screws made of titanium metal, which is the most compatible with the body with advanced technology. Sometimes, depending on the patient, zirconium implants may be preferred instead of titanium
WHY IMPLANT?
Dental implants prevent bone loss. What does this mean? Normally, when a tooth is extracted, there is melting of the bone tissues in the extracted area. This is a physiological meltdown we do not want. If an implant is placed in that area immediately after the tooth is extracted, this bone loss will not occur. Thus, since there is no bone loss in that area, there is no gingival recession and much more excellent aesthetic results are achieved. There is no other option other than an implant that preserves the amount of bone in the extraction area. One of the biggest advantages of the implant is that no operation is required on adjacent teeth. Normally, when a fixed bridge is made for you, the two teeth adjacent to the gap must be cut. Implants are placed only in the extraction spaces and the two adjacent teeth are not touched at all. Implants give you teeth with the most natural appearance. It gives the impression of your own natural teeth while chewing. And of course, the feeling of self-confidence you lose when smiling.
ADVANTAGES OF IMPLANT TREATMENT PROVIDED TO THE PATIENT
Dental implants prevent bone loss. What does this mean? Normally, when a tooth is extracted, the bone tissues in the extracted area melting occurs. This is a physiological meltdown we do not want. If an implant is placed in that area immediately after tooth extraction, this bone loss will not occur. Thus, since there is no bone loss in that area, there is no gingival recession and much more excellent aesthetic results are achieved. There is no option other than an implant that preserves the amount of bone in the extraction area. One of the biggest advantages of the implant is that no action is taken on the adjacent teeth. Normally, when a fixed bridge is made for you, the two teeth adjacent to the gap must be cut. Implants are placed only in the extraction spaces and the two adjacent teeth are not touched at all. Implants give you teeth with the most natural appearance. It gives the impression of your own natural teeth while chewing. And of course, the feeling of self-confidence you lose when smiling...
It eliminates problems such as loss of tongue and difficulty in speaking caused by prosthesis (dentures) in patients who have completely lost their teeth in the lower jaw.
Upper In patients who have completely lost their teeth in the jaw and wear prosthetic teeth: prosthetic teeth block the sense of taste and nausea occurs. Implant treatment completely prevents this.
The most important factor to consider when applying implant treatment is sterilization. If the procedure is not performed in a sterile environment, infection may develop in the jaw and may cause some problems such as the implants not fusing to the jaw bone. Nowadays, implants are performed even in unsuitable environments. The important thing is not to turn to unhealthy methods to keep the price low, but to consult specialist doctors for a healthy operation. The type of implant to be applied also constitutes an important decision-making phase of the treatment.
CAN DENTAL IMPLANTS APPLY AT ALL AGES?
Bone development Implants can be applied to all individuals who have completed their education. This age is 15-16 for women and 17-18 for men. There is no upper age limit for implant application; Implants can be successfully applied to people of all ages with suitable general health conditions. Since tooth loss is more common, especially in older people, and there are problems with denture retention due to osteoporosis, older people need implants more. Therefore, dental implant applications are more common in older individuals than in younger people. Implant treatments consist of two stages. Surgery phase and superstructure phase. After the implants are placed surgically, a certain period of time is waited. This waiting period is the time required for the implant to biologically fuse with the jawbone, called osteointegration.
WHAT DOES IMPLANT SUCCESS DEPEND ON?
The patient's high healing power is an important factor affecting success.
Being at an age where the patient has completed bone development will bring success in implant treatment.
Patients should stop drinking and smoking habits before and after implant treatment. is a factor that will contribute to recovery.
If patients have uncontrolled diabetes, starting implant treatment after its treatment will be a factor that will increase success.
Being careful about the implant brands to be used, choosing the appropriate implant for the patient, ensuring successful It will be effective in performing an implant treatment.
Patients should be diagnosed with diseases such as heart disease, blood clotting disease, high blood pressure, and implant treatment should not be applied to these patients.
Patients' compliance with the necessary post-implant care recommendations is already a successful procedure. It will ensure continued success in the current implant treatment. Paying attention to oral and dental hygiene and paying attention to their nutrition will be effective in helping them achieve healthy teeth that they will use throughout their lives.
WHO SHOULD NOT BE IMPLANTED?
In children and bone diseases. Implants cannot be applied to individuals who have not completed their development.
Pregnant women, people with high blood pressure, diabetes, hemophilia or important immune system diseases are not suitable for implants.
However, smoking or alcohol use is not recommended because it affects the success of the implant.
People who have excessive teeth grinding or clenching problems will create excessive pressure on the implant, which may cause the implant to break. This affects the success of the implant.
If you do not have one of these diseases and have healthy gums and sufficient bone structure for the implant to hold, you can have an implant transplanted. can be increased.
If there is no inflammation, dental implant transplantation can be applied as soon as the tooth is extracted.
WHAT TYPE OF PROSTHESES ARE MADE ON IMPLANTS?
When planning, first of all, fixed If the mouth is suitable for dentures, fixed prosthesis planning should be evaluated. Because the type of prosthesis that patients are most comfortable with is fixed prosthesis. The planning of the prosthesis to be made on the implant also varies in different cases. Depending on factors such as the number of existing teeth in the mouth, whether the amount of bone is sufficient, the economic situation of the patient, and the age of the patient, different plans are made for the prosthesis to be made on the implant tooth.
Depending on the patient's condition.
1. Patient with No Teeth in His Mouth:
If a sufficient number of implants can be made, a fixed porcelain bridge can be made by bonding. However, sometimes in patients using a total prosthesis (full palate), due to the lack of sufficient bone amount or a more economical implant solution, 2-4 implants are placed symmetrically and a precision device that receives support from the implants is used to increase the retention of the removable prosthesis used by the patient. A connected prosthesis (snap prosthesis) can be planned.
In every possible case, we prefer fixed prostheses that do not need to be removed from the patient's mouth. The figure below shows the planning of a precision-connected denture, which is a more economical solution.
In edentulous mouths, 2-4 implants can be used to increase the retention of the patient's full denture, as seen in the figure above. Such an application is preferred in cases that do not allow fixed prosthesis application because there is not enough bone to place the implant. In some cases, it is a method used as a more economical solution upon the request of the patient.
2. Patient Losing One Tooth:
Only one implant tooth is placed without touching the teeth around the gap of the missing tooth, and a single-member fixed porcelain crown is prepared on it. There are different alternatives for porcelain crowns placed on the implant. A crown with zirconium substructure is one of the most preferred applications among aesthetic dentistry applications. If a metal-supported porcelain veneer is to be applied, there are different alternatives such as nickel-free metal and titanium alloy metal.
If a single tooth is missing, one implant is placed. This implant acts as a root for the porcelain coating to be placed on it. Building on the implant There were different options for the crown crown
(zirconium porcelain, metal-supported porcelain crown)
3. Patient Who Has Lost His Molar Teeth
If there is no tooth behind the cavity of the extracted tooth, it is called free-end edentulous cases. In such a case, a porcelain bridge is made over 2 or more implants, depending on the size of the gap. It is not necessary to have an implant for each missing tooth; A 3-4 member bridge can be made on 2 implants.
HOW IS AN IMPLANT MADE?
Implant treatment begins in a clinical environment with local anesthesia. For patients who are concerned about surgical operations, the implant procedure is started using sedation and local anesthesia. After the anesthesia procedure, the gums are surgically opened and the jawbone is exposed. First, a small-diameter guide hole is drilled into the resulting jawbone. Then, the guide hole is slowly widened to make it suitable for the form in which the implant will be placed. By gradually widening the hole in the jawbone, the traumatic effect on the bone is reduced. The implant is then screwed into the space opened in the jawbone. After the implant screw is placed, a protective cap screw is placed on the implant to allow osseointegration (ossification of the implant) in the area and to wait for the implanted area to heal. The opened gum is stitched closed and a waiting period of several months begins. After a few months, the protective screw is removed and a temporary crown is placed on the dental implant. The temporary crown serves as a template around which the gum can naturally shape itself and grow. After the gum is shaped, the temporary crown is replaced with the permanent crown (porcelain or zirconia). onyum tooth) is replaced and the treatment is completed.
After the treatment is completed, your recovery will accelerate with the recommendations of your doctors and the use of medication.
THINGS TO BE CONSIDERED AFTER IMPLANT SURGERY
