Dental Implants

Dental Implants

An implant is a titanium screw system used in the construction of prostheses and crowns for missing teeth. Dental implants placed in the jawbone act as tooth roots.In the case of a single missing tooth, it is possible to replace this without touching the adjacent healthy teeth, and it is also possible to use fixed prosthesis instead of removable prosthesis where multiple teeth are missing.

In what cases are implants preferred?

Teeth that should be present in the mouth throughout human life can be lost as a result of caries or gum disease due to poor oral hygiene or genetic factors. As a result of these losses, gaps are formed in the mouth and disruptions begin in the chewing function.Although removable dentures enable chewing to a certain extent, they also cause discomfort and aesthetic problems when used.Since bridge systems damage adjacent healthy teeth, implants are preferred to replace the missing tooth.

Are dental implants suitable for every patient?

The determination of bone suitability must be done by a maxillofacial surgeon using 3D tomography.Otherwise, future problems may occur in diagnoses made with classical x-rays.Implant surgery is not suitable for patients who have a significant systemic disease and have recently received radiotherapy or chemotherapy.For example,In patients with high levels of diabetes and recent heart disease, written consent is obtained by consulting their doctor. If the disease is under control, implants can be applied to anyone.If sufficient bone is not detected in the examination, implants can be placed after the bone level is created with additional procedures.

How long will these processes take?

For an experienced surgeon, the application time of 1 implant is approximately 15-20 minutes. Afterwards, there is a waiting period for the continuation of the treatment.The implants are expected to fuse with the jawbone in an average of 3 months in the upper jaw and the lower jaw, and crowns are made on them after this period. If additional procedures are applied in the presence of thin or insufficient bone ( bone graft addition , sinus lifting, etc.), the waiting period may be extended up to 6 months.

How is the surgical process of dental implants performed?

These operations, performed under local anesthesia (such as filling, root canal treatment and tooth extraction), are painless as only the area where the dental implant will be placed is anesthetized. 

There is no need to have an implant for every missing tooth. In cases of full edentulism, it is generally preferred to apply 4/5/6 implants to the upper jaw and 4/5/6 implants to the lower jaw.

The healing process can be overcome by taking prescribed medications before/after the operation, using antiseptic mouthwashes after the procedure, and performing good oral care.Patients who use blood thinners and special medications should definitely inform their dentist about these conditions before the procedure.

Slight swelling or bruising on the cheek is expected after the procedure, but the edema will decrease rapidly by applying ice compress for the first 24 hours. Severe pain is not observed.

What is sinus lifting?

Sinus lifting, also known as sinus augmentation or sinus elevation, is a surgical procedure performed in dentistry to increase the amount of bone in the upper jaw, specifically in the maxillary sinus area. This procedure is often necessary when there is insufficient bone height in the posterior upper jaw, particularly in the premolar and molar regions, which can occur due to tooth loss, periodontal disease, or natural bone resorption.

How are sinus lifting operations performed?

There are two types of sinus lifting: open and closed

Closed sinus lift

This type of sinus lift is recommended if there is less bone loss. Bone grafting material is placed in the sinus cavity and passages from the location of the planned implant. Over time, the bone grafting material mixes with and becomes embedded in a hard bone-like material, so it can be implanted safely.

Open Sinus Lift

This procedure is performed in case of greater bone loss. Since the bone grafting area is also larger, it is a little more complicated than the closed sinus lift. Our dental surgeons open the sinus through the gums. Insert the bone graft material here until it reaches the desired height. It is covered with a special membrane that also helps with healing.

What is the process of bone graft?

Bone grafts, called bone powder, are obtained by various methods.Human-derived, animal-derived or synthetically produced grafts are produced in the form of small-particle powder or as a block.

Bone grafts are used when there is insufficient bone in the area where dental implants will be placed, when implants are to be placed in the same session as tooth extraction, during pre-implant sinus level lift operations, or during extraction of teeth that cause chronic inflammation and cause bone to melt by remaining in the mouth for an extended period of time. It promotes quicker healing and increases bone volume in this area.

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