For some people, dental prostheses or common dentures are simply uncomfortable or even unfeasible, due to sore spots or lack of adaptation to these devices. In addition, the dental prostheses are usually connected to natural teeth, on both sides of the space left by the missing tooth. With implant placement, it is not necessary to use a natural tooth to support the new surrogate teeth, preserving the health of the teeth.
An important point to know is that to receive an implant, you need to have healthy gums and proper bones to support it. You should also commit to keeping these structures healthy, what reinforce the importance of constant oral hygiene and regular visits to the dentist.
The most recommended type of implant today is the integrated bone, which proved to be a revolution in the treatment of partially or totally toothless patients.
They are implanted by surgical means directly into the maxillary bone. The period of osseointegration (integration to bone) takes on average 4 to 6 months, depending on the region receiving the implant. After this period, a second surgery is required to connect the implant to the oral environment.
At this stage, the dentist removes the gum that is covering the implant and finally, an artificial tooth (or teeth) is connected to the implant individually, or grouped into a prosthesis, which can be of two types:
Your first appointment will be to discuss your treatment and often involves taking x-rays and photographs. We will explain which methods are available to replace the missing teeth and we will discuss with you which one is most suitable.
During the initial patient consultation we will set out a specific treatment plan to best suit your individual case and answer any questions you might have.
A relatively simple minor surgical procedure is performed under sterile conditions in the dental surgery under local anaesthesia and, if indicated, supplemented by conscious sedation.
Although some implants can be loaded into function immediately, or soon after surgery, it is often suggested that a period of three months or more be allowed for the implant to fully integrate before placing the tooth restoration on top of the implant.
Once integrated, the implants may need to be uncovered and can be brought into function with a variety of restorations, ranging from a single crown, small or large bridge, or, if preferred, a removable overdenture clipped to the implants.
Following the completion of implant treatment, patients need to clean thoroughly around the implants, as instructed by the Oral Hygienist. Consultations with the dentist for regular review are necessary to maintain the health of the gums, bones, and the quality of the installed prostheses.
Dental implants are durable, stable and the ideal solution to replace a single missing tooth and eliminate the need to grind healthy adjacent teeth.
Implants can be used to replace and support individual crowns or bridges. Support of adjacent healthy teeth is not necessary because implants act as replacement dental roots.
In addition to being aesthetically beautiful, as well-maintained natural teeth, complete implants are more comfortable than dentures and bridges, ensuring total mobility and well-being for speech and feeding. Implants eliminate the need for adhesives to keep dentures in place.
The bone conditions for this type of implants need to be favorable, because the bones are usually strong at the bottom. Even so, the use of the overdenture technique allows the use of only 6 implants to support a complete arch with 10 to 12 replacement teeth.
This is possible because of a bar that connects the implants, giving this more stability and retention.
In this case, the bone in the front of the mandible is usually very dense, which results in less need for implants to treat the entire arch. Although in many situations it is possible to provide a simple treatment plan using only 4 implants, it is more common to use 5 implants to replace all lower teeth.
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Dental implants have an extremely high success rate, with an additional 95% success. These numbers are much higher compared to other methods of replacing teeth, such as removable dentures. Dental implants are widely considered as the best method of choice to replace lost teeth.
All dental procedures, especially the most complex ones, such as implantology, begin with a detailed consultation with Dr. Gutierres. During this meeting, Dr. Gutierres will introduce you to exactly which treatment is most appropriate and everything will be developed in person. It is noteworthy that dental implants have superior quality to traditional dentures because they are permanent, have a very natural appearance, do not require support structures and fully restore the function of teeth and mouth, allowing natural speech and feeding, generating increased confidence and self-esteem.
The recommendation is that this procedure be done from 18 years, because the dentition is already complete. Contraindications are pregnancy, some periodontal problem or lack of oral hygiene care, which can lead to implant loss. Talk to a professional and tell them your needs to find the best alternative.
These ‘new teeth’ are maintained in much the same way as normal teeth. Specific brushing and flossing techniques will be taught. On your regular dental check ups the implants are to be reviewed. Good oral hygiene is required to ensure the long-term success of your implants.
These 'new teeth' are kept in the same way as normal teeth. Specific brushing and flossing techniques will be taught. In regular dental examinations, implants should be reviewed. Good oral hygiene is required to ensure the long-term success of your implants and the health of your gums.
If titanium accessories are successfully integrated into the bone and are properly maintained, they should last for many years. However, just as you would expect conventional crowns, bridges and fillings to need occasional repairs or replacements during the course of their life, your implant-supported teeth may also require similar maintenance.
The exact number of implants depends on the number and location of the missing teeth, volume and quality of bone in the area. If a tooth is missing, usually an implant is what it will take to replace it. Larger gaps of two or three missing teeth do not necessarily require one implant per tooth. It may be possible to replace larger gaps with a smaller number of implants for the fixation of the necessary prostheses.
If an implant does not integrate with the bone, it means that it has not reached a rigid fixation. Over time, it will loosen and will not be able to withstand a replacement tooth. There is usually no discomfort with implant failure and, as it loosens, it can be easily removed. If there are other implants remaining, it may not even be necessary to replace them. However, if you decide to have an implant treatment, you should be prepared to deal with the possibility that failures may happen. Implant treatments are a reliable treatment modality with a 95% success rate. In practice, this may mean that 1 in 20 of the implants placed may not survive in the long term. Talking about the possibility of failures with the professional is important to bring trust and transparency to your treatment.
Dr. Pedro Gutierres started practising dentistry in the UK shortly after qualify in Lisbon, Portugal, back in 2006.+
She is certified in Invisalign, the Lingual System, Self-Ligating Braces, DatSteel Anchorage, Advanced Toxins, and Fillers.+
Dr. Filipe Costa graduated in Lisbon but his desire for improvement brought him to the UK.+
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