Dental Implants, The best solution to losing your teeth   è  Se construye con Información de Revista pagina 2, 3 y 4 más una parte que corte del antiguo botón introducción.  Es decir que aquí en esta parte falta traer la info de pag 2, 3 y 4 de la revista

Any person with one or more missing teeth understands how uncomfortable it feels to smile or eat in public.  You may avoid social situations and as a result you will feel isolated. This daily toll on your life could affect your self-confidence.

Dental Implant Treatments can change your life. Regardless of the amount of missing teeth, dental implants can help you with your appearance, the way to speak, your nutrition, oral health, comfort and self-esteem. So, Smile broadly, eat whatever you want and feel comfortable!

Normal functioning of teeth stimulates the bone around it and it tends to be preserved.  However, when a tooth is lost, the bone starts to atrophy and slowly disappears. One of the characteristics of old age is bone loss in the lower third of the face because many people have lost their teeth with time.

Letting this maxillary or mandibular bone get lost a serious inconvenient for any kind of oral rehabilitation, and the only way to keep it is by giving it its function back through osseointegrated implant insertion.

Substitution of lost teeth with osseointegrated implants allows to recover in a fixed and comfortable way all its functions (chewing, phonation, aesthetics, neighboring and opposite teeth stabilization, bone preservation in the area, etc.) and all of that, without the need to apply overloads to the neighboring teeth, as  a removable appliance or traditional bridge would do.

Nowadays, the best solution to recover teeth in a comprehensive way is dental implants.

  1. Frequently Asked Questions
  • What are dental implants?

A dental implant is a small pure-titanium screw that has been subjected to a special treatment on its surface to ensure osseointegration to the bone allowing to substitute the lost teeth with artificial ones, which recover the physical appearance and the chewing function.  Dental implants are biocompatible medical prostheses, suitable for being implanted in the body. They’re high precision and designed to withstand considerable forces, such as the ones exerted by the jaws in the chewing process.

Dental implants consists of 3 parts:

  • Actual Dental implants have the morphology of a cylindrical pillar made of titanium with screw-like threads (replaces the tooth root).
    • A prosthetic connecting abutment screwed into the implant.
      • The crown or teeth is then screwed in or cemented to the prosthetic abutment.
  • How are dental implants inserted?

Dental implants insertion into the upper and lower jaw is done by means of a little surgical intervention with local anesthesia and conscious sedation, which consists in creating a bone bed to hold the implant. When the initial healing or osseointegration phase is complete, an abutment is inserted, which will connect the dental implant to the future crown or the visible part of the tooth.

  • What are the advantages of dental implants as compared to traditional prostheses or bridges?Natural Teeth Preservation:  In order to substitute a lost tooth with a bridge, it is necessary to shave down the adjacent teeth. Dental implants avoid the modification of adjacent teeth keeping their structure intact. Improved Appearance: Due to teeth loss, the jaw suffers resorption, which will affect facial aesthetics. Placing dental implants will prevent this process and keep the natural appearance. Traditional removable prostheses accelerate bone resorption causing premature facial aging. Permanent Solution:  Dental Implants have a high percentage of success and scientific studies show they have a high level of predictability in the long run.
  • Do dental implants pose any risks?

Risk of complications are analyzed when making the medical history and the comprehensive assessment of the patient. As long as a proper case study of the case is carried out, there will be a successful planning without any complications.  During the assessment, the specialized dentist will check:

  • Patients´ Expectations.
    • Mouth Opening.
      • Type of Edentulism (Complete or Partial).
      • Periodontal Biotype (thick or thin gum).
      • Keratinized Gum Band (Absent, thin or wide fixed gum).
      • Type of Ridge (Bone Loss Amount).
      • Bone Height and Thickness.
      • Prosthetic Implant Space (Space to place the implant and teeth).
      • Occlusion Analysis (Bite Analysis)
      • Condition of Adjacent Teeth (Endodontic and Periodontal).
      • Previous Injuries Consequences.
      • Condition of Previously Existing Treatments such as Endodoncia.
      • Crowns.
      • Defective Restorations.
      • Type of Dental Arch and Teeth position.
      • Interocclusal relationships.
      • Type of Occlusion.
      • Cone Beam CT Scan (Assessment of bone amount and density, anatomical risks, among other aspects)
      • Medical History (Age, gender, medical, family and pharmacological records, habits, allergies, systemic conditions, illnesses, previous surgeries, previous dental treatments, oral health status, oral hygiene… etc.)
      • According to the case, complementary tests will be run (Pictures, impressions to get the models or surgical guides, lab tests, electrocardiograms, referrals to internal medicine or cardiology).
  • Does it hurt?

Placing the implants does not hurt since anesthesia is administered into the area where the procedure will be performed. After placing them, there will logically be some mild discomfort but it goes away with the help of analgesics, anti-inflammatories and antibiotics.

  • How many appointments does the implant treatment take? Are 2 trips necessary?

Treatment with implants is carried out in two phases.  The first one is implant insertion (Surgery to place the artificial roots in the jaw), and the second one, after a period of time, where the respective impressions are made to have the crowns fabricated at the laboratory.

If you live in a different city, it may take two trips, so that there is a healing period. The dental implant first gains initial stability thanks to the threads it has. Bone healing is required so that the bone merges with the implant´s surface, this process is called: osseointegration.  If it doesn’t merge, the implant will be more likely to fail. Only after the merging, the permanent crown can be attached and the implant can become active and support the chewing load.

  • After placing the implants, how long will it take to get teeth?

It is relative, it depends on the bone firmness and height compared to the antagonist ones and many other criteria. There is an immediately loading technique, abutment included that allows patients to come out of the surgery with provisional teeth and after some days, a month or four, definitive crowns are attached. During this time, the patient comes back for the dentist to check how the osseointegration process is going. There is another technique called “Submerged” or “Two Stages”, in which the bone consistency advices to leave the implant submerged for 4 to 6 months underneath the gum, so it integrates (incorporates) into the bone.

  • What are immediately loaded implants and when are they recommended?

Immediately loaded techniques can be performed in some cases. It consists in placing fixed temporary prostheses screwed into the dental implants within the 24 hours following the implant surgery, as opposed to conventional implants where approximately 4 to 6 months have to pass before placing the prosthesis. This technique allows to reshape the gum during the process in which the implant osseointegrates and therefore improve teeth aesthetics.

Immediate Loading can be carried out when:

  • The implants go in with high resistance (Torque measured in Newton).
  • There is a high Implant Stability Quotient (ISQ), achieved due to a wide bone-implant contact area (BIC).
  • Biomechanical conditions exist due to the distribution and amount of implants
  • The patient is systemically stable
  • Can anyone needing implants get them?

People can get implants depending on different factors such as health status.  Another very frequent limitation is bone lack; age and the time passed after the original teeth were lost sometimes significantly contribute to it. Cone Beam CT scan is performed for that matter.

  • Can you put me to sleep during the implant procedure?

Anesthesia is administered before any dental treatment. In case you feel extremely apprehensive or anxious, conscious sedation or general anesthesia can be administered depending on the case.

  • How long will the implants last? Can one smoke after getting dental implants?

If a good hygiene is kept, an implant can last for a lifetime! However, some habits such as smoking and bruxism can damage an implant.

Studies show that smoking increases the dental implants failure rate. It is recommended for the patient to abstain from smoking some weeks before and after the surgery. Smokers are more likely to suffer from peri-implant diseases (swelling, suppuration in the tissues surrounding the implant) which can cause implants loss.

In case you smoke, you must tell the dentist so that you can be informed regarding the suitable protocol.

  • Does it ever fail?

The failure rate is 2% when no osseointegration occurs (no bone is grows into the implant). In such case, after a month and a half or 2 months have passed, a bone graft procedure can be performed.

  • Can previously inserted implants be used together with new implants?

This will depend on the position of the previously inserted implant and the required rehabilitation scheme. If it is in a favorable position and it is healthy, the implant could be used.  This matter must be discussed with your dentist on the first appointment.

  • How long do I have to wait to go back to work after the dental implant surgery?

4 days of rest is usually recommended in simple cases and up to 15 days in complex cases. It is normal to experience swelling after the surgery. You will experience the highest level of swelling on the third day. It is part of the natural physiological process of recovery.

In case you experience an underlying medical condition, your resting time may be longer. This is just to allow your body to recover its strength.

  • What kind of maintenance do dental implants need?

Just like natural teeth, dental teeth care requires brushing your teeth two to three times a day, flossing daily and visiting the dentist once every six months. No special tooth brushes are needed, the regular tooth brush is enough.  In some cases, it is necessary to use pressurized water (Waterpik).

In the event you feel something abnormal, like uncontrolled bleeding, severe pain or mobility, you must immediately notify your dentist.