Dental implant surgery is a procedure that replaces tooth roots with metal, screw-like structures and replaces damaged or missing teeth with artificial teeth that closely resemble and function like real teeth.
Dental implant surgery is a procedure that replaces tooth roots with metal, screw-like posts and replaces damaged or missing teeth with artificial teeth that look and function very similarly to real teeth. Dental implant surgery can offer a good alternative to dentures or bridges.
Let's look at the surgical phase of a dental implant:
The procedure for dental implant surgery depends on the type of implant and the condition of your jawbone. Dental implant surgery may involve several different procedures. This process requires firm healing of the bone around the implant, which can take several months due to bone healing time.
As long as local anesthesia is effective, you won't feel any pain. You may feel pressure from blocked nerves, but it won't be uncomfortable. In the hands of experienced specialists, the procedure time averages between 5-10 minutes per implant.
Additionally, patients with severe anxiety can be treated under general anesthesia or sedation.
The All-on-Four technique involves all teeth being supported by four implants. It has a history of about 10 years and is a well-established technique in the literature. In this technique, two implants are placed in the back areas of the jaws at a 30-35 degree angle, while the other two implants are placed in the front.
Why would someone need the All-on-Four technique? When there is bone loss in the lower jaw molar area, the inferior alveolar nerve (n.alveolaris inferior) passes through, and in the upper jaw, the maxillary sinuses can prevent implants from being placed in these areas. Advanced surgical techniques are required to place implants here, which means approximately a year of treatment and higher costs for the patient. The All-on-Four technique can bypass these anatomical barriers and provide patients with the opportunity for a fixed prosthesis. In the All-on-Four technique, patients receive their implants in the morning and temporary fixed prostheses in the evening. After 3-4 months, permanent prostheses are made. During this time, patients do not live without teeth.
Patients in the All-on-Four technique can have implants and prostheses on the same day without the need for advanced surgical techniques. Patients come with removable dentures and leave in the evening with fixed prostheses. The operation is very comfortable because there is no pressure on the wound sites.
The short operation time and total treatment time are its most important advantages. Implant angulation in the posterior region prevents the need for bone grafts and time loss. It provides considerable economic advantages with features such as the number of implants and not requiring advanced surgical procedures.
Using angled implants in the posterior region allows for longer implants. This method increases bone-implant contact and prevents vertical bone augmentation. In addition, implants placed at an angle receive support from the better-quality bone in the anterior region, and damage to anatomical structures is prevented.
Actually, the technique is very similar to traditional implant surgery and prosthesis construction. Before All-on-Four treatment, measurements are taken from patients and temporary prostheses are prepared. If the patient has teeth to be extracted, they are removed under local anesthesia and implants are placed. Temporary prostheses prepared by taking measurements from the top of the implant are applied to these implants.
Peri-implant diseases, which are basically divided into two, can be mucositis and peri-implantitis, which spread to the bone around the implant due to infection.
Implants actually mimic natural teeth. If adequate oral care is not provided to the teeth, gingivitis, which is the beginning of gum disease, occurs first. When the condition progresses, it becomes periodontitis, which spreads to the bone. In the case of gingivitis, inflammation begins in the gums first. Mildly swollen and sensitive gums become painful and bleed upon touch as the condition progresses. Pocket formation, bone loss, attachment loss, gum recession, bad breath, and dental calculus are the stopovers before a tooth is lost without decay. The process is similar to natural teeth in implants. Your gums first get sick. Then bone loss begins. It goes to the loss of your implant.
Peri-implant diseases are classified according to the depth of the existing gum pocket, the amount of bone loss, and the findings such as bleeding in the gum around the implant. This classification is based on the selection of treatment. Generally, non-surgical techniques are preferred in the presence of infection limited to the gum around the implant, i.e. peri-implant mucositis. The regulation of the patient's oral hygiene habits, the removal of the plaque, the mechanical cleaning of the implant surroundings by the dentist and the recommendation of an antibacterial gargle to the patient will be sufficient treatment.
In the case of peri-implantitis, i.e. when the infection has spread to the bone around the implant, non-surgical, surgical treatment, antimicrobial gargle, antibiotic applications are used in combination. The surgical technique includes implant surface cleaning after flap removal, mechanical cleaning of bacteria on the implant surface (decontamination) without damaging the implant, and bone augmentation.
Written explanations are for informational purposes only. This information is not a substitute for medical examination and diagnosis. For detailed information, you can come to the cafe tooth for examination.
