TYPES OF DENTAL IMPLANTS
Rehabilitations with implants have the highest survival rate compared to any other type of dental treatment.
The types of implants according to their relationship with the bone, we differentiate two types of implants:
The implants that do not penetrate the bone, but cover its surface are called juxta-osseous, they are metallic elements introduced under the mucosa and rest on the bone of the jaws and fixed with micro-screws, they are practically not used too much.
Endosseous implants are the most commonly used nowadays, they are anchored inside the bone and are firm and resistant and are a long term solution. There are also basal implants which go into the basal bone and bone grafts are avoided.
HOW MUCH DOES A DENTAL IMPLANT COST?
Implants are tools to be able to rehabilitate. Many times it is much more laborious to raise the vertical dimension or change the occlusal planes. Therefore, the cost of rehabilitation may vary depending on the patient’s needs.
In order not to make a mistake, what we do in Alvarado Dental Clinic is a first visit without any kind of commitment in which each personalized case is studied and budgets are made to measure. We can go out on a limb and say that we work with top quality materials and that our prices are in line with what we offer. We believe that quality dentistry has to be for everyone.
HOW LONG DOES A DENTAL IMPLANT OPERATION TAKE?
We cannot give an exact answer to this question as it will depend on the number of implants we are going to place and the patient we are treating. If we are talking about the placement of a single implant with its immediate provisional crown, we can venture to say that the surgery would be done in half an hour. Another issue is when we perform a comprehensive rehabilitation treatment in which we can place up to 16 implants. It is not the same to operate on a 30 year old patient as on an 80 year old patient.
HOW LONG DOES A DENTAL IMPLANT LAST?
Many patients ask us this question but it is really very complicated to answer because each patient is different.
Implants are designed to last a lifetime. However, as in so many other things, their durability will depend on care, hygiene and compliance with the revision program.
The best guarantee is the quality of the materials, the experience and technique used by the professionals who perform your treatment and the proper maintenance.
DO DENTAL IMPLANTS HURT?
Categorically the answer is NO.
An implant does not have to hurt, and if it does, something is wrong. At the time of placement there are nowadays very good anesthetics that will allow the surgeon to work with all the peace of mind in the world, since the patient will be painless and relaxed because he/she will feel absolutely nothing. Once the implant is placed, logically some medication must be taken and it will depend on the type of surgery and the general conditions of the patient. It is not the same to place one implant than to do a complete rehabilitation with 16 implants. In each case more or less analgesia will be taken. The post-operative period is not painful either.
PROCESS OF A DENTAL IMPLANT
A good diagnosis, a studied treatment plan and an exquisite surgical technique are the main premises for a successful implantology treatment. This only depends on the surgeon and his team. In our case, the procedure is simple: the same day the implant is placed, the patient goes home with a temporary prosthesis with which he/she can lead a practically normal life, and a week later, the definitive prosthesis is placed. Logically, to reach this point, the doctor has had to do a perfect planning. Then we also have to take into account the patient’s collaboration. For us it is very important to re-educate our patients in terms of hygiene and maintenance techniques, since the implants must be cared for just as much, if not more, than the teeth.
TITANIUM DENTAL IM·PLANTS
Titanium is the most widely used material for the manufacture of dental implants. It is a chemical element that belongs to the group of transition metals. Its physical properties are similar to steel, it has a high strength and very low corrosion. Specifically, dental implants are manufactured with an alloy containing aluminum and vanadium that improves the physical properties without altering bio-compatibility in the slightest. Today, practically 95% of dental implants are made of titanium.
CAN DENTAL IMPLANTS BE USED FOR MAGNETIC RESONANCE IMAGING?
It has been demonstrated that being a dental implant carrier does not generate any type of distortion in the image of a magnetic resonance. Titanium has non-magnetic properties, which makes it compatible with this type of test without any type of inconvenience or interference in the result. Of course, it is always advisable to inform the doctor who is going to perform the test.
DIFFERENCE BETWEEN DENTAL IMPLANT AND DENTAL CROWN
These are two completely different concepts.
When we talk about an implant, we are referring to the device that acts as the root of the tooth and is anchored in the maxillary or mandibular bone. It is commonly called a ‘screw’ and is placed when the patient is totally or partially edentulous.
However, the crown can be placed either on an implant or on a natural tooth. In the case of an implant, the crown is obviously the part that will act as a tooth, that is, the part that is visible and with which we chew. But we can also place a crown on a natural tooth that needs a large restoration or on a tooth that is very worn.
CARE OF DENTAL IMPLANTS
In our clinic we are very persistent with our patients when it comes to aftercare after surgery.
We always say that with good treatment planning, good implant technique and exquisite maintenance, implants are for life.
Although of vital importance, what the patient has to do is quite simple to comply with:
- We are going to ask you not to eat hard foods for two months, this does not mean to be on mashed food all this time, far from it. We are going to avoid only certain foods such as nuts, raw carrots, very toasted bread, etc…
- We will also ask you to have an exquisite hygiene. It is necessary to take care of the implants and keep the oral cavity as hygienic as possible. We will teach you the best way to do it and the use of complementary accessories to brushing.
- And last but not least, it is important to attend the periodic check-ups indicated by the specialist. It is necessary that the surgeon performs a radiological follow-up of the treatment performed.
DO DENTAL IMPLANTS HAVE CONTRAINDICATIONS?
Although nowadays practically everyone can have implants, it is true that in some cases it is not advisable to carry out the treatment at some point in time. In this sense, surgical procedures should be contraindicated in patients who have had a myocardial infarction or a cerebrovascular accident less than 6 months ago, in patients who have had a heart valve prosthesis or organic transplants less than 6 – 12 months ago, in patients undergoing oncological treatment or treatment with intravenous bisphosphonates and in patients with psychiatric disorders, since they may not correctly understand the purpose of the treatment. It is also not recommended for people with alcohol or drug addiction problems or pregnant women.
DENTAL IMPLANTS WITHOUT BONE
AbilSystem is the technique patented by Dr. Miguel Alvarado, which allows you to place implants without bone grafts or sinus lifts in patients who have a severe absence of bone (severe atrophy). It is designed to solve all cases, no matter how atrophic, cases that could not be solved with conventional implantology or that would require complementary surgeries, such as bone elevation or bone grafts. This technique looks for anchorage areas of the implants in the remaining bone, which is never resorbed and is always available in patients, the basal bone. The design of these implants is anatomically developed to reach the cortical and distal bone areas that allow an adequate fixation and that through the rehabilitation protocols, can solve the most complex and difficult atrophies in less time, all this in a more comfortable way for the patient.
WHAT PROBLEMS CAN A DENTAL IMPLANT CAUSE?
Although there are many benefits, sometimes implants can fail or cause certain problems. The good news is that everything can be solved.
Sometimes problems arise just after the implant has been placed and the most common causes in this case are: postoperative infection, poor surgical technique or poor hygiene.
If the problem arises in more advanced stages, it is usually due to occlusal overload, peri-implantitis or bacterial infections.
CAN AN IMPLANT BE REMOVED?
The answer is YES.
During the last decades many implants have been placed and it must be taken into account that the techniques were not as advanced as they are today and there was not the same imaging equipment as there is now. The intervention should be performed by a specialist surgeon to preserve as much bone as possible.
CAN IMPLANTS BE PLACED IN PATIENTS WHO SMOKE?
Many patients who smoke think that they cannot have implants. This is not entirely true. Obviously we will always advise not to smoke or to smoke as little as possible, for obvious reasons, not only because of the implants. It will always depend on each patient, the amount of tobacco they smoke and the hygiene they maintain,
ALL ON FOUR / ALL ON SIX VERSUS ABYL SYSTEM
Both All on four and All on six are rehabilitation techniques for complete edentulous patients in which 4 or 6 implants are placed in the arch and a provisional denture is placed over them, which the patient will have to wear for three or four months. After this time, the temporary denture will be replaced by a fixed denture that will be either cemented or screwed.
However, our technique for rehabilitating edentulous patients, AbilSystem, is much closer to human nature. We do not place dentures. We place FIXED PROSTHESIS on 8 implants. On the day of surgery we place a provisional fixed prosthesis that the patient must wear for a week, after this time a definitive prosthesis will be placed, in some cases of metal-ceramic and in most cases of zirconium. NEVER AN OVERDENTURE, WHICH IS LIKE A DENTURE.
ABIL SYSTEM does not try to rival the traditional biphasic system, it only shows another way of performing immediate loading implant surgery, a less invasive, less traumatic way, without complementary surgeries and much faster.
HOW MANY IMPLANTS CAN BE PLACED IN ONE DAY?
There is no established limit as to the number of implants a patient can have. We will always evaluate each case individually and treat it accordingly. What we normally advise is to do both arches on the same day, regardless of the number of implants you need.
PARTS OF AN IMPLANT
There are biphasic and monophasic implants. The two-phase implants are composed of the body, abutment, fixation screw and retentive screw. We use single-phase implants, the implant gathers in a single element what is the body and the prosthetic core. They have many advantages: they avoid second surgeries, they do not loosen, unscrew or break. They are also specially designed for immediate loading, which shortens the time and the bone is restructured more quickly.
IMPLANTS WITHOUT SURGERY
The implantology treatment that we perform in our clinic can be considered minimally invasive surgery, we do not need to make bone grafts or sinus elevations, we do not make sutures or lift flap, we do not do second surgeries. The result is that the patient recovers much sooner and with practically no discomfort.
WHAT IS PERI-IMPLANTITIS?
In the case of natural teeth we speak of periodontitis, which is the inflammation of the tissues surrounding the tooth. In the case of implants we speak of peri-implantitis, which is the inflammation of the tissues surrounding the implant, resulting in the loss of the bone that supports the implant.
The main risk factors for peri-implantitis are the formation of bacterial colonies and occlusal overload.
The main prevention of peri-implantitis is the responsibility of the patient through a correct sanitation of the implant area, the control of systemic diseases as well as unhealthy habits. It is also the patient’s responsibility to make follow-up visits to the dentist. The dentist’s responsibility will consist of carrying out the previously established controls and checking the good adjustment and occlusion of the prosthesis.
WHAT IS PARESTHESIA?
Dental paresthesia is defined as a set of abnormal or different sensations of sensitivity after an intervention. In most cases they are transitory and reversible. Also in almost all cases they occur in the lower dental nerve, in the mentonian nerve and sometimes in the lingual nerve. B complex vitamins help to recover normality.
Nowadays, with the new technologies and with the planning techniques we have, it is rare for this type of complications to occur, but we cannot forget that in any surgical act there can be exceptions.
ANESTHESIA IN DENTAL IMPLANTS
The optimal suppression of total pain during dental treatment is an essential measure in daily clinical practice. Nowadays, no treatment performed in our practice is painful.
We work with infiltrative anesthesia just as we would use if we were to perform a filling or an extraction, but so that not even the prick of the needle is noticeable, we use topical anesthesia beforehand.
To manage the anxiety of some patients we also have conscious sedation. This is an inhalation gas that immerses the patient in a state of well-being, relaxation and tranquility that makes their dental treatment much more pleasant.
What we can not avoid is the sound of the instruments so we have available to patients, disposable headphones to listen to music, masks if what bothers you is the proximity of professionals, even a virtual reality glasses so they can watch their favorite series or movie while they are undergoing treatment.