Comprehensive information about implants (dental implants)
- Implantation History
- Implant structure; A) Implant Material B) Implant parts
- Types of Covers on Implants
- Benefits of Implants over Other Treatments
- Implant Treatment Steps
- Types of Treatment Plan
- Types of Implant Placement
- Who Can't Use Implant Therapy?
- Duration of Treatment
- Implant Durability
- Types of Side Treatments in Implants (bone graft, sinus lift, etc.)
- Types of Radiographs Needed for Implants
- Causes of Implant Failure
- Post-surgical and Prosthetic Care
- Laser Application in Implant Therapy
- Answering Questions
Implantation History
About 5 years ago, an orthopedic doctor, Professor Brand Mark, while studying rabbit fracture, found that titanium is a bio-compatible material for human and animal bones and then with the help of his child, he also experienced it as a human dental implant in the operating room. Since then, the implant has been invented almost today, which after a lot of research and development is routinely used in offices and in many cases, it has eliminated dental treatments of the deadlock.
Implant Structure
The term implant consists of two parts: the root (the fixture) and the crown (abutment) on which the cover is attached. The root part, sometimes called the implant. This is the part of the titanium alloy that is inserted into the jawbone and anastomose to it. (Under the optical microscope, there is no gap between the implant and the bone).
The crown part includes: 1. The abutment that screws onto the root (implant). 2. Laminate made by the lab and attached to the abutment (screwed onto the implant) or screwed.
Types of Implant Covering
Cementitious
Screwing
Contains more than 2% of the covering, that covering is connected with temporary adhesive to the implant.
Used in special cases such as lack of space for the savior.
Benefits of Implants over Other Treatments
- No damage to adjacent teeth
- Help to maintain jawbone
- Very high strength
- Help to remove tooth decay
- Beauty (in special cases)
- Durability
- Loss of agomphiasis in the jaws of very degraded
Stages of Implant Treatment
1.Examination by a dentist
2.Various radiographic images
3.Providing treatment plan
4.Implant Surgery
5.Waiting time is about 1 to 6 months
6.Fastening External Implant Screw by the surgeon
7.Passes the few weeks to improve the gums
8.Implant molding
9.Multi-stage manufacturing of laboratory covering
10.Paste or twist the cover on implants and health education
11.Periodic Implant Examination
Types of Implant Treatment Plans
The implant can be used either fixed or semi-movable in treatment plans.
Includes a single tooth replacement or multiple teeth that cannot be used as a bridge and cover a tooth and even a jaw.
It can be placed at least 2 to 4 in the low mandible and 4 in the up mandible and then locked with one tooth. This is done by parts called attachment (male and female). During the day when the tooth is in the mouth, the implants are firmly locked and it doesn’t have tooth decay, but must be removed from the mouth at night. So it is semi-
A Variety Methods of Replacing Teeth Extractable with a Non-Rebuilding Root
This procedure is replaced immediately after tooth extraction with the remaining root that replace the implant if there is enough bone and no active infection, which, of course, increases the probability of failure compared to the usual method that described below.
In this procedure, the root or tooth is extracted and implanted in a healthy bone after 1 to 6 months that the disadvantage of this is that, it is a safer method than the above method, because the implant is placed in a healthy bone.
Who Can't Use Implant Therapy?
- People with end-stage systemic disease.
- People taking immunosuppressive drugs.
- People who cannot afford surgery due to old age.
- People with immune deficiency
Duration of Implant Treatment
The implant is usually ready to be covered after surgery in the lower jaw (2) months and in the maxilla (2) months, which may require lateral treatments such as bone graft or sinus lift, etc, sometimes it increases up to (6) months.
Attention
The prosthesis lasts from 3 weeks for a single tooth, up to 1.5 months for a complete two-jaw reconstruction.
Implant Durability
According to that this treatment has a 40-year history in the world, therefore, reports suggest that implants are of high durability, that if treated with the correct principles, the patient has good bone and keep it healthy at a high level and applications for annual periodic visits can be used for at least 1 to 2 years.
Today, the implant success rate in the world is an average of 90-95%.
Side Treatments in Implants
When the jaw does not have the requirements such as diameter and length for standard implant acceptance, treatments such as bone grafts or bone block transplants, as well as treatments such as Sinus lift and Close and Finds Open are required. These treatments are in addition to implant surgery and sometimes delay the time of acceptance of the covering on the implant for up to 6 months. Sometimes implant placement is not possible without these side effects.
Types of Radiographs Needed for Implants
There are three types of radiographs used:
Periapical in parallel
Panoramic (O.P.G)
A kind of CT scan called C.B.C.T
The most complete and comprehensive radiographic method in this treatment is a type of CT scan called C.B.C.T, which emits less radiation than the medical CT scan and provides 3D images of the jawbone in which the length and diameter of the bone are determined by the radiologist, so that the surgeon can implant the longest and thickest possible without encountering anatomical constraints such as the sinus floor, the nerves, and arteries inside the jawbone. Therefore, the use of this type of radiography for implant treatment seems necessary today.
Causes of Implant Surgery Failure
- Inadequate washing and heating during surgery
- Microbial infection in the implant area, especially in the patient's saliva
- Very high pressure of the implant in the bone cavity to the bone
- Inadequate initial strength of the implant in the cavity due to osteoporosis, especially in the posterior maxilla
- Inadequate patient health after surgery
- Remaining suture thread at the surgical site and causing infection with it
Post-Surgical and Post-Prosthetic Care
The patient should press the gas on the surgical site for up to 45 minutes after surgery and not eat chewing food for up to 2 hours, and eat soft, watery, cool food overnight. For up to 48 hours the blood supply is normal in the mouth and 5 to 4 days is a normal pain relieved by painkillers. Using ice packs up to (4) hours after surgery can be effective in reducing pain and swelling. The patient can brush all the teeth except the surgical site, and should have a toothbrush on the surgical site from 2 to 5 days after surgery, and mouthwash can be useful from the day after surgery. The sutures are usually no absorbable and should be removed 2 to 14 days after surgery.
After implant placement, the toothbrush, Super floss and Waterjet and ordinary dental floss should be maintained at a very high level, with periodic monthly and then annual dental examinations.
Laser Application in Implant Therapy
Low power lasers can be effective in reducing pain and healing gums and bones faster, as well as better implant and jaw transplantation and high power lasers are used in second stage implant surgery. As a whole, laser is one of the latest implant technologies in the world that has proven its effectiveness.
Answer Some Common Questions in Implants
Yes, the level of success in these people is higher and the lifetime of the implant can be affected. But if the smoker has a high level of oral hygiene, he or she can use implant.
Yes. The implants should be interconnected (splint).
No. It is not prohibited if the blood sugar level is controlled and blood sugar is below 140 (at the time of implant surgery). In addition, the risk of success in these patients is higher than in normal individuals and may affect the implant’s lifetime.
It is usually always adhered to a temporary adhesive because during periodic examinations the dentist can easily remove the cover.
The design of the implants varies according to the shape of the implant and abutment and how the implant is attached to the abutment and implant surface technology is different, but all implants are made of titanium alloy.
No. If the disease is looking for beauty in the anterior teeth, it can first use bridging, removable, etc. treatments, however, the implant can provide more durable anterior bone than other treatments without damaging its adjacent teeth and maintaining a jawbone.
The best time, according to the World’s Daily Articles, is four to six months after tooth extraction, after which the bone becomes irreversible. Implant replacement can also be performed after at least 6 months after tooth extraction.
No. Normally the implant has no side effects on other organs.