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DENTAL IMPLANTS - Permanent Replacement of Missing Tooth

If you have one or more teeth missing for any reason, you need to solve it. In the text, you can read about why the tooth is needed to be replaced. The most important thing is in order to you can eat and you do not have to hide your smile. At our clinic, we will show you how the implant looks like and what it consists of. We will explain to you the new tooth implantation procedure and how long it takes. We will assure you that the procedure is not as complicated as it seems at first glance. You will quickly find that this procedure will help you permanently.

Implantáty v Schill Dental

What is an implant?

If the tooth is irretrievably lost, and therefore also its root, the implant will replace it in its entirety. Actually, it is a new solid root that is placed in the bone and holds a replaced tooth or a dental bridge. It looks like a screw that can be used for the upper and lower jaw. It is made of titanium or other materials suitable for using in the human body. The implants are fixed in the bone to provide a stable base for a new tooth - the crown - or several replaced teeth - the dental bridge. They allow better chewing, articulation and, of course, better appearance. Unlike removable dental replacements, the implants are permanently osseointegrated and do not need to be removed for the night. They are a part of you and you feel no difference when compared to your own teeth. The advantage of screw dental replacements - either of one tooth or several (for example, dental bridges with screw retention) - is that they can be removed, repaired and put on again easily, if necessary, and without any damage.

Brief summary of advantages of an implant

  1. No need to rasp the adjacent teeth
  2. Durability
  3. Comfort
  4. Aesthetic solution
  5. Removable replacement can be avoided
  6. It can serve as an abutment for another dental bridge or prosthesis

What does the new tooth consist of?

  1. Titanium screw which is invisible - the implant itself, inserted into the bone of the jaw
  2. A part that can be seen during the healing phase - a small cover screw covering the entrance to the internal thread of the implant, the crown is then screwed onto (it may also serve as a pillar holding the dental bridge). After healing and preparation of the final tooth (the crown), the screw is removed and creates a place for a made-to-measure dental crown
  3. The visible part - the dental crown is actually your new ceramic tooth, which after imbedding has a full function - it is a functional and aesthetic replacement of the missing tooth, indistinguishable from your own.

For whom is the implant suitable?

The question - whether the implant is suitable for everyone – is justified. The implants are for adult´s set of teeth, when the growth and development of the set of teeth is completed and especially bone growth, approximately from the age of 18. Suitability of the implant will be assessed by a specialist - a dental surgeon. The patient undergoes a CT exam, while the CT scan provides a complete 3D image of the bone and adjacent structures, and the condition of the bone and the surrounding tissue is assessed. As a result, the doctor decides whether the implant is a suitable solution for the patient. Generally, however, implants are not suitable in case of diseases that aggravate the conditions for healing. For example, if the patient has undergone a facial radiation or suffers from severe diabetes or periodontitis. The problem may also occur with strong smokers. However, it should be noted that if, for example, diabetes or osteoporosis is under control, properly treated and stabilized, it is possible to use dental implants with comparable success rates as achieved in healthy patients. The same applies to acute or long-term inflammation in the oral cavity. First, you have to remove the problem and then decide what to do next. In any case, with regard to health, proper communication with the doctor is a must.

When not only a tooth is missing but also a bone

CT scan is done and if plenty of the bone is left, the implant can be introduced immediately. With a good bone quality, we will also make a temporary crown - so the patient will leave with a new tooth that does not look like a replacement, and it is unrecognizable from the final one. You can eat when having a temporary replacement, however, you must remember it is just a temporary solution. The doctor will let you know when we change the temporary tooth for permanent.

If the bone is missing to ossointegrate the implant - we will manage it also in this case. During one visit, we will create the right conditions for implant insertion, add the bone and, in most cases, fix the implant immediately. If your doctor decides that you need to wait for a graft healing or augmentation, the implant will be fixed in the healed and completed bone at your next visit. In any case, this procedure is done free of pain in local anaesthesia. If the patient wishes or in case of intensive or extensive interventions, dealing with a reconstruction of the set of teeth, we will provide general anaesthesia.

Material is crucial - choose the Swiss quality

Choosing an implant - the material, from which it is made is the base in terms of the healing time and the overall success of the procedure. We are working with titanium implants of the renowned Swiss brand with active bio surfaces. This reduces the healing time to half and the percentage of success is 99%. With cheaper implants with different surface treatment, the percentage of success is lower and the healing time is longer. We do not make compromise, when it is not justified; therefore, we will advise you what is the best for you.

Titanium properties, safety and healing

Titanium is a pure metal of neutral taste, without the "metal" flavour. It gets along with the living organism without causing any allergic reactions in the body and therefore it is commonly used in medicine. The titanium implant is firm and resistant to pressure and stress generated by chewing. It is also not a subject to corrosion. We recommend the Straumann implants, which are the leading innovations in surface treatments and treatment methods. These implants are verified not only clinically but mainly practically. Due to their unique properties, they are also used at high-risk patients.

Many patients are interested in how the human body reacts to a foreign object inserted in the bone and whether an allergic reaction can occur. The implants have different surface modifications of the parts inserted into the bone. We use titanium implants with an active bio surface for rapid healing. The implant needs some time to adapt. For healing, which lasts from six weeks to three months, the implant is osseintegrated and even partially gets into the bone structure. The crown, dental bridge, or prosthesis can be safely attached to this firmly held root. 

Steps to a new tooth

  1. Comprehensive examination 

    At our Clinic, you will undergo an X-ray and CT examination and we will immediately assess the dental condition and bone quality. The dental surgeon will explain the course of intervention, duration and financial options, any possible risks and rules that need to be observed during the treatment in each phase

  2. Dental hygiene 

    A specialist in dental hygiene painlessly, using ultrasound, completely removes all the dirt from the set of teeth, including dental plaque, tartar or pigmentation, to make the environment completely clean.

  3. Introduction of the dental implant

    With painless surgery, lasting a few minutes, the dental surgeon inserts the implant into the jawbone with only a slight pressure. This way we can insert several implants at one time. Everything is done in local anaesthesia.

  4. Relax

    After implantation, you may experience mild swelling or not. If swelling occurs, the conditions improve in 2-3 days after the intervention; a slight sensitivity at the site of the intervention is frequent, which will cease gradually - approximately in a week. At this time, it is recommended to eat mashed food, not to smoke or drink alcohol. At the front desk, you will receive all the instructions, the observance of which will facilitate your healing.

  5. Stitch removal 

    Approximately one week after the procedure, the second visit to the ambulance includes stitches removal - if needed during the intervention. The implant is often fixed so that no sewing is necessary and this phase is avoided.

  6. Healing – it usually occurs until the third visit of your stomatologist. It usually lasts for a total of 6 weeks. The missing tooth can be replaced by a temporary crown, dental bridge or removable dental replacement. The patient thus, at first sight, recovers with a complete smile.

  7. Taking imprints for the tooth crown

    The implant stability measuring device measures the degree of adhesion. If everything is alright, we will make imprints for producing the final crown in our lab.

  8. Fixing the final crown

    A few days after taking imprints, on the fourth visit to the doctor, the final crown is screwed into the already inserted implant (the new root of the tooth). If the crown is not perfect, it can be easily and painlessly unscrewed, the dental technician will adjust it and your doctor will put it back without any difficulties. The smile is beautiful and the set of teeth is fully functional.

  9. Regular check - regular checks are required after implantation of the dental crown. We focus on the condition, possible development of dental bite, chewing and dental hygiene.

Lifespan of dental implants

With proper care for dental implants and good work you can count on their lifetime use. Proper care and hygiene, as well as regular professional cleaning in the outpatient clinic once in six months are important. The fact that the implant is an inanimate part does not mean that it is not necessary to look after it. It requires the same hygiene as your own teeth. In an exceptional case, it may happen that the implant "heels off", meaning it will fall out. This is usually the case at the beginning, during the healing phase after implantation, in about 1-1.5% of cases. Nothing is lost, the bone simply grows back. Consequently, in a relatively short time, the implant can be inserted again and successfully. In this case, you do not pay for the reinsertion. The average lifespan of a dental implant is quite naturally individual and dependent on the care. With thorough and proper care at home and at your doctor, you do not have to worry about the quality of your smile for many years, and you can count on the fact that the implant is a lifelong solution.

Implants versus dental bridge

Implants are durable and highly resistant due to their material, retaining their original aesthetic effect. After surgery and recovery, the patient has no problem to eat and articulate normally. The implant can replace either one or several teeth. It can serve as an abutment for the dental bridge replacing several teeth next to each other.

If a patient decides for implants, he or she must consider surgery, even if painless, and a higher price for the implantation of multiple teeth.

Dental bridges have their advantages. Of course, these include the fact that they do not interfere with the bone and can also be used, for example, by oncology patients, if the possibility of implants is excluded. The price for more tooth replacement may be more pleasant, but it does not have to pay off in the end. One of the disadvantages when using dental bridges is the necessity of rasping healthy support teeth. Dental replacement using the dental bridge will show a complete smile, but it does not guarantee its health. Since the bridge replaces only the crown of the tooth, not the root, problems can occur where we need them at least - in the gums or in the jaw. If the dental bridge is damaged, it must be taken off and repaired as a whole.

Do not underestimate a missing tooth

A missing tooth, causing a gap between the teeth, affects not only the aesthetics of the teeth but also functionality. Whether the gap after a missing tooth spoils your smile or you are missing a tooth in a less visible spot, in both cases, there are unwanted changes going on in the oral cavity, the dental arc and in the bone.

For example, adjacent teeth often move or cluster over time. Opposite teeth, since they do not have sufficient back pressure during the bite, tend to grow up. A missing tooth also affects the bone under it. By not being under such stress, bone mass simply withers (atrophy occurs). A missing tooth can also be heard when articulating and is limiting us when eating food. The set of teeth is thus unevenly stressed, and if the teeth are missing in the back of the tooth arc for a longer period of time, the jaw may gradually become deformed and joint problems may occur. Implants will solve the problems caused by missing teeth.