Implantology is the branch of science that aims to make dental prosthesis on these roots by placing titanium-based screws into the jawbone in patients with one or more missing teeth. Today, implant treatments are one of the systems that provide the best alternative solution for natural tooth loss. Implant systems that can most successfully mimic teeth functionally, aesthetically and anatomically have started to be used. Patients with no teeth in the mouth can also be supported by implants to use their prostheses more comfortably.
Implants eliminate many problems encountered in classical treatments by applying crowns, bridges or removable dental prostheses. While missing teeth are completed, healthy teeth are not touched. Thanks to the confidence it makes you feel, it also helps to eliminate the negative psychological effects of missing teeth.
Today, it is now accepted that implants will serve for life. Scientific studies show that implant success is around 98% today.
Implant treatments offer extremely high comfort for our patients who have no teeth and are using total dentures. Depending on the case, 6 or 8 implants can be applied to the upper and lower jaws and completely fixed prostheses can be made to improve the quality of life of the patients. Much more stable total prostheses can be made with only two implants, or completely fixed, highly aesthetic, self-confidence-enhancing prostheses can be made by increasing the number of implants.
The most suitable implant and prosthesis design is made with special programs on computerized tomographic X-rays or standard X-ray images obtained in one minute before the operation, and thus the restoration results to be achieved can be evaluated in advance.
As of today, the most debated issue in implantology is the application of implants immediately on the day of tooth extraction or the immediate loading of the implant on the day of placement and further applications to be made for aesthetics.
In the presence of bone of appropriate quality, implants can be placed without making almost any incision, without suturing, fixed prostheses can be placed on the same day and the waiting period of 2 to 6 months is eliminated.
In dental implantology, cases are evaluated differently in terms of surgical and prosthetic aspects according to their degree of difficulty. In general, all cases are classified as simple, advanced and complex. Surgically, cases that do not have any bone defects and anatomical formations do not adversely affect the case, especially those involving the posterior tooth group, can be considered simple.
From a prosthodontic point of view, all implantology cases are difficult depending on the number and location of the missing teeth. For example, cases with a single missing tooth in the posterior region are considered simple, while cases with a single missing tooth in the anterior region are classified as advanced and complex. From this point of view, cases of total edentulism to be rehabilitated with whole arch implant over fixed restorations are the most difficult cases of implantology. In such cases, the knowledge and experience of the clinician plays a major role in success.
Advantages of Implant Treatment
- There is no need to cut healthy teeth.
- Tooth deficiencies are eliminated without causing permanent damage to the teeth, gums and jawbone.
- The lost teeth and the melting of the jaw bones with advancing age cause the loss of comfort of the mobile prostheses used. Implant application stops the bone resorption in the missing tooth area and allows the construction of fixed prosthesis. Thus, healthier, more comfortable and fixed prostheses can be made.
- It helps to improve the patient's quality of life.
- It provides better aesthetics, function and chewing efficiency.
What to Consider in Implant Application
- Patients with systematic diseases such as diabetes, heart, blood pressure, rheumatic joint disorders and those who take regular medication should discuss the treatment with the dentist and the patient's doctor and decide on its suitability for the patient.
- Before starting the treatment, it should be ensured that the patient pays attention to oral hygiene.
- The most anatomically correct bone region for the implant should be determined with advanced imaging methods.
Stages of Implant Application
Examination and treatment planning is done. The amount of bone available is determined with the images of the jawbone. The general health status of the patient is taken into consideration in the implant treatment and the treatment is planned.
Implants are placed into the jawbone under local anesthesia. No pain is felt during this procedure. Pain and swelling that may occur after the operation are minimized with painkillers and cold compresses.
Depending on the condition of the bone to be implanted, the placement can be done in one or two stages. In the one-stage procedure, a healing piece that will remain in the mouth is attached to the implant and soft tissue is sutured around it. In two-stage placement, no piece is attached to the implant and the tissue is sutured to completely cover the implant. In these cases, after the healing period, the tissues on the implant are removed under local anesthesia and prosthesis preparations begin.
After the dental implant is placed in the jawbone, there is a waiting period of 2-6 months depending on the condition of the bone. During this time, a connection (osseointegration) is formed between the bone tissue and the implant. Permanent prostheses are prepared at the end of this waiting period. Prosthesis preparation is completed in approximately 2-4 weeks.
In order to ensure that the implants are fully integrated with the bone, the loads on the implants should be minimized for the first 2-3 months. Your doctor will not leave you toothless by making a temporary prosthesis suitable for you during this healing period. Then the permanent teeth will be mounted on your implants and the treatment will be finalized.