Losing one or more teeth is a stressful thing which makes difficult to chew and uncomfortable to eat. People dont want to smile and the bad mood becomes permanent. Unfortunately, the traditional tooth replacement procedures do not solve all the problems. In this case, tooth implantation is really the best solution.

Dental implants | the perfectly good clinical technique

Tooth implantation today is a clinically proven science based and 100% accepted procedure. We can say that implant has become a dominant part of dentistry. Thanks to the quality of implant materials and refined surgical technique, now implantation is a routine procedure in functional and aesthetic restoration of teeth. Missing teeth are replaced with artificial tooth roots called dental implants. The properties of the implants are perfectly identical to the original teeth, just as strong, well-used and aesthetic.

Dental implants | artificial tooth root made of a bio-material

An artificial tooth root made of a bio-material is placed in the socket of the lost teeth to carry a replacement. Of course, the implantation has to be preceded by thorough preparations and careful planning. The material of dental implant is generally pure, unalloyed titanium, which is completely non-allergenic.

Implantation | preliminary examination

The tooth implantation is preceded by preliminary detailed consultation and dental examination in all cases. First a panoramic x-ray is required then the doctor performs a full oral examination (which teeth must be substituted, if the jaw is suitable for receiving the implants). This is followed by checking the available bone density if that is sufficient for implants. If bone volume or density is inadequate, a bone graft procedure must be considered. Finally, the patient’s general-health-status assessment is carried out.

Dental implants | procedure

After the treatment plan and the date of the surgery have been accepted, the intervention can begin. The implantation is always carried out under sterile conditions with local anesthesia. After the local anesthesia a small incision is made on the mucous membrane and the implant is embedded by means of a gradual surgical bone-drill. The implant is screwed into the place prepared then the mucous membrane is closed over the implant. After the surgery a panoramic x-ray is made to make sure that the intervention was successful. The stitches will be removed one week after the implantation and the inserted implant is healing under the protection of mucosa.

Implant | loadability

During the healing period, lasts usually about 3 months, bone cells grow into the micro-pores created on the surface of the implant. This process is called osseointegration that makes the implants to be fixed in the jaw and become able to support a normal biting load. After the healing period the next step is the preparation of the tooth replacing. First the implant osseointegrated under the gum has to be explored with a small incision on the mucous membrane. It doesn’t mean another operation. There is a healing screw inserted into the implant that the dentist has toset free to make place for the abutment. Abutment is a small post that is fitted into the implant in order to retain the replacement. In 8-10 days the gum heals around the abutment and form a collar through which the dentist can prepare the tooth replacement. Following this, after taking the impression, the prosthesis is prepared in the dental laboratory. Finally, the dentist inserts the implant-prosthesis. With the insertion of the prosthesis, the dentist has completed his work, but the long-term success of dental implantation is highly dependent on the observance of proper oral hygiene and regular dental control which is required annually following tooth implantation. During the annual control the dentist check up the tooth replacement, the status of the bone and the epithelial cuff around the implant. If it’s necessary he makes some corrections.

Dental implants | Benefits

• if there are only short gaps inline: adjacent healthy teeth do not need to be grinded down
• in case of losing molar teeth, It is also possible to make fixed replacement that result in stability and better chewing ability in addition to perfect aesthetic appearance
• it is also suitable in case of complete tooth loss as implants can be used a kind of pillar in many ways to support and retain the prosthesis

Dental implants | recommended for everyone?

• if there is no exclusion criteria
• if you want to save the adjacent, healthy teeth from grinding
• if you’d like to have a fixed prosthesis instead of removable dentures

Dental implants | Terms

• sufficient amount of bone
• good general health
• perfect oral hygiene

Dental implants | allergies, cancer lesions

As already explained in detail above, dental implants are made of pure titanium, which has a unique biological properties so the bone is fully able to integrate with it. Numerous scientific researches demonstrate that its titanium oxide surface does not generate any allergic reactions or cancer lesions. It does not dissolve in body fluids and thus does not react with the immune system. For this reason, as well as the perfect implantation technique and professional surface characteristics, there is life-long warranty on it.

Dental implants | allergies, cancer lesions

As already explained in detail above, dental implants are made of pure titanium, which has a unique biological properties so the bone is fully able to integrate with it. Numerous scientific researches demonstrate that its titanium oxide surface does not generate any allergic reactions or cancer lesions. It does not dissolve in body fluids and thus does not react with the immune system. For this reason, as well as the perfect implantation technique and professional surface characteristics, there is life-long warranty on it.

Dental implants | immediately

We provide immediate tooth implantation in our clinic. It means that implantation is carried out right after the tooth extraction. Immediate implants are required when the problematic tooth belongs to a conspicuous place in the “smile zone” and it cannot be saved. In this case the patients’ first question is for how long it will remain without replacement. The replacement of missing teeth requires a very careful way of planning in this area. In every case, tooth extractions triggers bone decomposition and cause gum recession. All of these injurious effects can be avoid and reduced with immediate implantation.

Dental implants | immediately

If implantation has carried out right after tooth extraction the round gum contour fully remain and bone resorption can be prevented because Nowadays not only completely metal-free crowns are made, but in order to achieve the perfect aesthetics result, the implant abutment can be made of metal-free zirconium-oxide as well. is important to replace natural tooth roots so as to be able to restore aesthetically the crowns of the corresponding missing. Retention of tooth roots in the bone provides a stable base for the teeth and on the other hand keeps the corresponding area in the arch in functional fitness. In conclusion, the bone secures stability of dental roots and on the other hand tooth roots maintain the bone in anatomic and functional integrity. If teeth are lost for some reason, the bone that has supported their roots melts and shrinks. This process is called bone resorption (atrophy). The bone, however, can be pro­tected from resorption by the replacement of roots with dental implants. In the moment of creation of strong connection be­tween the bone and the implant, it can secure the same function as natural dental root: strong foundation for biting and chewing and stimulation of the arch for preservation of its bone It is important to replace natural tooth roots so as to be able to restore aesthetically the crowns of the corresponding missing. Retention of tooth roots in the bone provides a stable base for the teeth and on the other hand keeps the corresponding area in the arch in functional fitness. In conclusion, the bone secures stability of dental roots and on the other hand tooth roots maintain the bone in anatomic and functional integrity. If teeth are lost for some reason, the bone that has supported their roots melts and shrinks. This process is called bone resorption (atrophy). The bone, however, can be pro¬tected from resorption by the replacement of roots with dental implants. In the moment of creation of strong connection be¬tween the bone and the implant, it can secure the same function as natural dental root: strong foundation for biting and chewing and stimulation of the arch for preservation of its bone.

Frequently asked questions about dental implants What are the benefits of dental implants?

With the restoration of dental series with crowns, supported by implants the natural appearance and beauty of smile are preserved and their functionality as well. The result is im­proved comfort and absolute confidence when you smile, talk or eat. If total or partial dentures are replaced by implant supported crowns, the improving of life quality is even more tangible. The possibility to use all kinds of food is provided. The necessity of tedious adhesives for prostheses devices is eliminated and speech and comfort are improved.

The integrity of facial structures and their appearance are preserved.

By preventing bone resorption, which would normally occur after loss of teeth, facial structures remain unchanged. This is very important where all teeth are missing and the lower third of the face is visibly changed if missing teeth have not been replaced with dental implants.

Preserving good health through better nutrition.

People using dentures usually have problems with taking certain foods, fresh fruits and vegetables which is actually a compro­mise with their healthy eating.

Distortion of the structure of restrictive defect teeth is not necessary to restore the missing.

Prosthetics of missing teeth with traditional, supported by teeth “bridges” inevita­bly requires trimming or other injury of solid dental tissues. These trimmed dental tissues can never be regenerated in a natural way and that shortens the life of the tooth. Partial dentures have “hooks” or other holding elements on restric­tive defect teeth. This often damages supporting teeth and can lead to their loss as a result of prosthesis. The substitu­ tion of natural teeth with implant supported crowns does not involve the structure of adjacent teeth and thus their structure is not distorted.

Benefits for oral hygiene.

Implant supported crowns are very convenient for cleaning. As bridges and crowns supported by natural teeth, they also require thorough brushing and flossing.

The need for denture adhesives is eliminated.

When crowns or bridges are permanently fixed to implants they begin to be perceived as own teeth soon, you will no longer need adhesives for your removable dentures.

The situation in the oral cavity is restored closest to normal status.

With the restoration of a missing tooth crown and the replacement of a tooth root with implant we are able to restore the function of the missing structure. This is entirely due to the stability and strength with which implants are held in the bone and secure comfortable and stable masticating process. As a result of that none of these structures in the mouth is felt as “foreign body”.

The feeling of stability and confidence is improved

that teeth will not fall while you eat, laugh or talk. People using removable dentures often worry that they may fall while laughing, sneez­ing, coughing or eating. From the moment implants are fastened to the bone and replacement crowns (structures) are firmly attached to the implants, there is no place for concern that they will fall.

Restored appearance.

Implants places in bone protect its structure and this keeps the appearance of the facial structure. Shrinkage of the lower third of the face, caused by complete the frontal mouth area where prevention of visible bone defects is critical for the natural appearance of your face.

Recovery of comfort, confidence and self-respect.

Many people already taking advantage of the benefits of structures on implants believe that they have significantly improved their self-esteem and inner comfort as a result of the restored appearance, function and healthy nutrition.

Improved ability to feel taste of food.

Wearing an upper denture prevents a person from feeling the real taste of food, as palate is covered by the structure.

Who is suitable for treatment with implants?

Almost every person with missing one or more teeth and in good health is suitable for treatment with implants. There are several medical circumstances that may prevent successful treat­ment with implants such as uncontrolled diabetes, but the qual­ity and quantity of the bone where the implant will be placed is most often a factor for the quality of dental implants. However, even people lacking a significant amount of bone can receive quality treatment with implants by the use of additional proce­dures for adding bone or creating a new one.

What do procedures for treatment with implants include?

Consultation

The first step is consultation with the dentist to determine whether you are suitable for treatment with implants. This is usually connected with additional examination and may include taking impressions for models. If you have already lost a significant amount of bone, additional X-ray examination, com­puter tomography (scanner) will be needed. Your dentist will determine the type of crowns and bridges which are best suited for your needs.

Procedures for placing implants

Implants are places in the bone by soft surgical technology. After the procedure of plac­ing, implants should be left undisturbed for a period of 3 to 9 months or should be immediately functionally loaded to en­able the bone growing around the implants and the formation of a strong biological connection between them. That depends wholly on the case and the specific needs of the patient. During this phase of reconstruction of the bone you will have some kind of temporary replacement teeth, so that it will not be necessary for you to stay without teeth during the treatment.

Why does treatment last so long?

The treatment is often of the duration needed to devise “a standard bridge” and sometimes shorter. Even in cases when the treatment is delayed by several months, it is of absolute priority­over the traditional, which do not protect the bone.

Is the surgery procedure painful?

Most patients who have been placed implants say that the dis­ comfort is much less than expected and the procedure is more acceptable than tooth pulling. And although everyone stands pain differently, most patients feel very well even without taking pain killers.

Is it necessary to insert implants to re­place every missing tooth?

No. Indeed, it is possible to replace all lower teeth with prosthe­sis, held on 6 implants only. Each case is individual and should be evaluated by the dentist who will decide the appropriate num­ber of implants needed to support the crowns so as to satisfy the functional and aesthetic needs of the patient.

Am I too old for dental implants?

Overall health and the desire to improve your quality of life are much more important factors than age. When dental implants were first discovered in 1950, the crown supporting implant was invented as a solution for elderly patients without a single tooth.

How long do implants last?

Documentary clinical studies show that implants supporting crowns are successful for more than 30 years. These were some cases where root-shaped implants were used and were closely monitored from the beginning. This is in fact a decision for life. Dental implants are made to be permanent and the factors con­ tributing to the long-lasting effect of treatment are: daily home hygiene care and regular visits to the dentist. For comparison, studies show that bridge supporting teeth withstand for 7 – 10 years and that partial or total dentures are functional for about 5 years.

Does dental implant ever fail?

Treatment with dental implants is one of the most successful procedures in medical dental circles with documented success rate over 95%. The treatment is very predictable and there are a small number of statistical cases in which the bone is not com­pletely bonded to the implant. Smoking can lead to problems in the binding of the bone to the implant and failure.

Could the body reject the implant?

Analogy is made with cases of rejection of implants – internal organs (for example heart, kidneys), which logically leads to the question whether similar reaction is possible with dental im­plants. As mentioned above success rate with dental implants is much higher. This is partly due to the fact that implants in the form of roots are made of biocompatible material, called tita­nium. Titanium is accepted well in the human body. Titanium is used for orthopedic implants such as hip and knee joints.

Why do dentists recommend teeth supported bridge?

Naturally, since dental implants protect the bone, if the patient The average success rate of treatment with tooth implants is over 95%. Smoking prevents the binding of the bone to the implant If dental implants protect the bone, is classified as suitable for treatment with implants, it is usually considered to be the more appropriate. But until the late 80s traditional bridges, supported by natural teeth were considered to be the best treatment for replacing missing teeth. Moreover, there have been many improvements in dental im­plant systems in the last decade, giving more opportunities for dentists to take care of their patients. Before the discovery of these improvements some dentists believed that traditional bridges were a better solution for their patients. But most den­tists hate the idea of trimming healthy teeth irreversibly for plac­ing a bridge; therefore they would almost always recommend treatment with implants in those cases.

Are there cases in which the dentist would recommend removing the tooth and re­placing it with a crown lying on implant?

There are many cases where real teeth are decayed or are about to deteriorate. These include severe paradontologic diseases (gum diseases) which corrode the bone, holding the teeth. Sometimes in such cases it is preferable to remove teeth, to elim­inate diseases and infections and to replace teeth with implant supported crowns/ bridges. There are also cases in which end­odontic treatment was conducted (nerves were removed from the tooth), leaving the tooth brittle and pliable to breaking. In cases where it is necessary the tooth to be treated again and the prognoses are not favorable, it is preferable to remove the tooth and to replace it with an implant supported crown. Teeth with severe fractures are usually removed and are ideal for treatment with dental implants.

Are there different types of implants?

Although there are different types of implants, those in the form of roots are most commonly used nowadays. This is mainly due to the extremely high success of this type of implants and the fact that they actually protect the bone, functioning as replace­ment tooth roots.

What does “to care for dental implants” mean?

The recommendations for care at home are different, depend­ing on the type of implant that holds the crown. For example, a single implant that holds the crown is cleaned as a normal tooth, using normal toothbrush and floss. Implant which holds bridges, replacing several replacement teeth, is cleaned as bridges, held by natural teeth, brushed and cleaned with silk floss. The care at home is a little more complicated for people who lack all teeth. In these cases special toothbrushes and floss are often prefer­able. For patients with dentures the visible surfaces of implants should be cleaned as well as dentures. Bridges, held by implants, are cleaned as bridges on natural teeth. In all cases it is advisable patients to visit their dentist at least twice a year

What is the cost of treatment with implants?

The investment in treatment with implants is an investment in over­all health, appearance and comfort. It includes preservation of struc­tural face integrity as much as replacement of missing teeth. The actual cost of treatment with implants is determined by a number of factors, such as the number of teeth to be replaced, the type of implant preferable and whether additional procedures are needed to achieve the appropriate aesthetic and functional result. You can ask implant prices. Its nearly % 80 cheaply than europe. And all İmplant operation make by oral surgeon and implantologist  Dr.Dt. serdal VESKE  (DDS/PhD)